Mammalian keratin genes and adaptation to living on land or sea

Whether by land or by sea, mammals live in a diverse variety of protective skins adapted against the elements, from swimming in the deepest azure oceans to climbing precipitous mountain peaks.

Now, Medical University of Vienna professor Leopold Eckhart and colleagues have performed one of the largest comparative genomic studies to help determine the key molecular and evolutionary origins of mammalian adaptations seen in skin proteins.

In a new study appearing recently in the advanced online edition of the journal Molecular Biology and Evolution, Eckhart’s team homed in on which genes, among the dozens of mammalian keratin genes, are required for living on land or in the sea. The products of these keratin genes assemble to form the girders of the cytoskeleton in skin cells, called keratinocytes, that maintain a tight barrier between the body and the outside world.

“The results of the present study provide important new data on the evolution of keratins that control the mechanical stability of the epidermis, the outermost layer of the skin,” said Eckhart.

In terrestrial mammals, the epidermis depends on different keratins to maintain the barrier to the environment and to regenerate the epidermis if the skin is wounded. The new report proposes that fully aquatic mammals continuously use the epidermal regeneration program and therefore require only one of the two sets of epidermal keratins.

“It is surprising that the main proteins of the outermost skin layers of terrestrial mammals, including humans, are dispensable in aquatic mammals, such as dolphins, whales, and manatees,” said Eckhart. “And it is remarkable that a stress response program was the starting point of an evolutionary innovation: the new architecture of the epidermis in aquatic mammals.”

The epidermis of dolphins is approximately 50 times thicker than normal human epidermis. Keratins K1, K2, and K10 have been lost and replaced by keratins K6 and K17 in dolphins.

Both the thickening of the epidermis and the key roles of K6 and K17 are also found in human skin wound healing and in lesional skin of patients with psoriasis. In this common skin disease, so-far-unknown genetic factors predispose skin cells to trigger the evolutionarily ancient wound healing program of the epidermis.

“At this point evolutionary biology meets dermatological research, and we hope that this type of ‘translational research’ will yield further insights for the benefit of patients in the future,” said Eckhart.

The research team at the Medical University of Vienna also discovered previously underestimated complexity in the epidermal keratin composition due to so-called “alternative splicing” keratin K10 mRNA and adaptations of keratin gene sets in terrestrial mammals. However, an entire remodeling of the keratin cytoskeleton has occurred only in fully aquatic mammals.

“Our data point to a general pattern of skin evolution: proteins of innermost skin layers are the most conserved, and proteins of the outermost layers are the most diverse,” said Eckhart. “The interactions between keratins and other epidermal proteins need further studies. With progress in comparative genomics and new lines of experimental research, the evolution of the skin will remain an exciting and fruitful research topic.”

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Ebola-fighting protein discovered in human cells

Researchers have discovered a human protein that helps fight the Ebola virus and could one day lead to an effective therapy against the deadly disease, according to a new Northwestern Medicine study.

The newly discovered ability of the human protein RBBP6 to interfere with Ebola virus replication suggests new ways to fight the infection. As viruses develop and evolve proteins to bypass the body’s immune defenses, human cells in turn develop defense mechanisms against those viruses — an evolutionary arms race that has been ongoing for millions of years. This particular defense mechanism has therapeutic potential, said co-lead author Judd Hultquist, assistant professor of medicine in the division of infectious disease at Northwestern University Feinberg School of Medicine.

“One of the scariest parts about the 2014 Ebola outbreak was that we had no treatments on hand; tens of thousands of people became sick and thousands of people died because we lacked a suitable treatment,” Hultquist said. “What we envision is a small molecule drug that mimics this human protein and could be used in response to an Ebola virus outbreak.”

A small molecule drug is the ultimate goal because these are able to enter cells more easily and, therefore, be more effective.

The study will be published Dec. 13 in the journal Cell. The research was a close collaboration between Hultquist’s lab at Feinberg and labs at Georgia State University and the University of California, San Francisco.

The Ebola virus, like other viruses, invades host cells and uses them to replicate, usurping cellular processes to build viral proteins, which eventually become new copies of the virus. In the current study, Hultquist and his collaborators used mass spectrometry — a technique that identifies specific elements in a sample by mass — to search for interactions between human proteins and Ebola virus proteins. They found strong evidence for an interaction between the Ebola virus protein VP30 and the human protein RBBP6.

Further structural and computational analysis narrowed the interaction down to a small, 23-amino acid-long peptide chain. This small group of amino acids alone is sufficient to disrupt the Ebola virus life cycle, Hultquist said.

“If you take that peptide and put it into human cells, you can block Ebola virus infection,” Hultquist said. “Conversely, when you remove the RBBP6 protein from human cells, Ebola virus replicates much faster.”

Emerging diseases will impact new regions as the world continues to become more interconnected and globalized, Hultquist said. In addition, the looming specter of climate change promises to broaden the reach of vector-borne diseases — by expanding the range of mosquitos, for example — requiring new strategies in curbing disease outbreaks.

Until recently, many diseases in the developing world, including Ebola virus, have been comparatively understudied, Hultquist said.

“It wasn’t until the outbreak of 2014 that other countries started seriously worrying about the potential for a larger epidemic,” Hultquist said. “It’s no longer going to be a local problem that people can afford to ignore. We should be taking a much more proactive stance against some of these neglected viruses and be studying them in real time — so the next time an outbreak does occur, we’re ready for it.”

This work was supported by National Institutes of Health grants P50GM082250, U19AI106754, R01AI120694, P01AI063302, U19AI109664, U19AI109945, P01120943 and R01AI114814.

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Materials provided by Northwestern University. Note: Content may be edited for style and length.

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Overweight patient denied NHS operation by York CCG

Roland Crooke took a loan to pay for private treatment after being told to lose weight for hip surgery

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Breast cancer screening error ‘overstated’

There was no major incident, just confusion, and the scale of the problem was overstated, a report finds.

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What to Do When You Disagree With Your Doctor

You love your doctor (hopefully). But there will come a day when you don’t see eye to eye. Having questions or concerns doesn’t make you a bad patient—but not talking about it, might. Here’s how to do it.

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Mediterranean Diet Boosts Memory and Keeps Brain Young, Study Finds

You know that the Mediterranean diet is good for your heart. Now, research confirms that it’s also good for your brain. In a new review of previous studies, following the plant-heavy meal plan was associated with better memory and less cognitive decline. The benefits weren’t just exclusive to seniors, either; in the two included studies that looked at young adults, cognitive scores improved in people 19 to 40, as well. 

The review, in the journal Frontiers in Nutrition, included 18 papers published between 2000 and 2015 that looked at the effect of the Mediterranean diet on cognitive processes over time. All together, the findings were impressive: Thirteen of the studies found some association between adherence to the Mediterranean diet and brain benefits, including slower rates of decline and improvement in memory and recall.

Some studies also linked the diet to improved attention and language skills, or found that its followers were less likely to develop Alzheimer’s disease.

RELATED: 7 Ways to Protect Your Memory

The most surprising result, says lead study author Roy Hardman, is that these positive effects were seen in people from all around the world. (The studies took place in the United States, France, Spain, Sweden, and Australia.) 

“Regardless of being located outside of what is considered the Mediterranean region, the positive cognitive effects of a higher adherence to a MedDiet were similar in all evaluated papers," Hardman, a PhD candidate at the Swinburne University of Technology in Australia, said in a press release.

The diet’s health benefits are likely due to a combination of several factors, says Hardman. For example, it has been shown to reduce inflammation, improve vitamin and mineral imbalances, lower cholesterol, and boost metabolism. Some research suggests it may also be good for your gut, reduce fracture risk in old age, and even slow aging on a cellular level.

In other words, Hardman says, “the MedDiet offers the opportunity to change some of the modifiable risk factors” for cognitive decline, as well as other chronic diseases.

The study authors characterize the Mediterranean diet’s key components as “abundant consumption of plant foods, such as leafy greens, fresh fruit and vegetables, cereals, beans, seeds, nuts, and legumes.” The diet also includes small amounts of dairy and minimal red meat, and uses olive oil as its major source of fat.

RELATED: 22 Mediterranean Diet Recipes

Of course, the idea that a plant-based, minimal-meat meal plan is good for the mind is not new, says Keith Fargo, PhD, director of scientific programs and outreach at the Alzheimer's Association. In fact, the Alzheimer’s Association has recommended the Mediterranean diet (along with another whole foods-based eating plan, the DASH Diet) for years.

"In recent years, there has been growing scientific support for the concept that lifestyle factors that are good for your heart are also good for your brain,” Fargo says. “Eating right and regular physical activity appear to be particularly important."

Maintaining an overall healthy diet is probably more important than the impact of a few specific vitamins or foods, Fargo adds. And a growing body of research—including Hardman’s new study—support the idea that a Mediterranean diet is one way to do that.

RELATED: 17 Ways to Age-Proof Your Brain

While it’s important to recognize that diet is frequently associated with other factors that may impact cognition in aging, Fargo says—such as smoking, education levels, and socioeconomic status—he does believe that there is “sufficiently strong evidence to conclude that a healthy diet may reduce the risk of cognitive decline.”

Hardman is sold on the idea, as well. "I follow the diet patterns and do not eat any red meats, chicken, or pork,” he says. “I have fish two to three times per week and adhere to a Mediterranean style of eating.”

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Health24.com | 5 tips on travelling with urinary incontinence

The thought of standing in a long queue to board a flight or being on the road to a distant location without the comfort of a restroom close by can be truly daunting. A change in routine can also affect your bladder. But urinary incontinence doesn’t have to hamper your holiday plans.

Urinary incontinence can severely affect your quality of life if left untreated and unacknowledged. Research has shown that many people with urinary incontinence tend to shy away from activities they previously enjoyed and become socially isolated because of their problem.

1. Plan the route ahead

Whether you are travelling by car or airplane, plan your route or pre-book your seat to ensure easy access a restroom. Trying to restrict urinary flow can trigger your bladder and sometimes lead to a urinary tract infection – it’s therefore crucial to make planned restroom stops an important part of your trip if you are travelling by car. If you are travelling by plane, try to organise priority boarding if you are nervous about having to stand in a queue and not being able to go to the toilet for a while.

Planning a trip

 2. See your doctor

If you are planning a trip for next year, now is the time to take action and seek out medical advice. It can take a couple of months to find a treatment regime that works for you, or for pelvic exercises to show improvement. You could also start taking medication to help curb an overactive bladder or urge incontinence.

Carer with older patient

3. Dress (and pack) accordingly

Wear absorbent, dark-coloured clothing that won’t show leakage and won’t cause a smell, should something happen. The same applies to the entire trip – also stick to clothes that are easy to wash and wear.

Airport luggage can go AWOL, but that doesn’t mean you have to be caught unawares. Pack a complete carry-on with a spare set of clothing and urinary incontinence supplies such as absorbent pads.

packing for a trip

4.  Plan your liquid intake

You don’t want to guzzle down litres of water before hitting the road or boarding your flight, but you also don’t want to become completely dehydrated as this can irritate your bladder and actually cause leakage, not to mention other symptoms of dehydration. Stick to water as this will hydrate you better than any other beverage and won’t irritate your bladder. 

drinking enough water

5. Know and avoid the triggers

Some foods and alcoholic beverages may cause leakage by irritating your bladder. These include spicy, heavily processed or sugary foods, and citrus juice. Snack wisely throughout your trip. Also start cutting down on your caffeine consumption well ahead of time.

alcohol and coffee

Image credit: iStock

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Health24.com | When heart attack strikes, women often hesitate to call for help

Women often delay calling for emergency help when heart attack symptoms start, a new study finds.

Researchers in Switzerland found that women suffering a heart attack typically waited 37 minutes longer than men before calling an ambulance. And those delays showed no signs of improving over the 16-year study period.

Lesser-known heart symptoms

One reason may be the persistent myth that heart attacks are a “man’s disease”, said lead researcher Dr Matthias Meyer, a cardiologist at Triemli Hospital, in Zurich.

In addition, he said, women are more likely than men to suffer lesser-known heart symptoms, like pain in the back, shoulder or stomach. That means many women – and the people who witness their symptoms – may not immediately realise they should call for help, Meyer said.

Yet, the study found, even when women had the “classic” heart attack symptom of chest pain, they often hesitated to call for help.

And while the findings come from Switzerland, a similar pattern has been seen in other countries, too, according to Dr Suzanne Steinbaum, a spokesperson for the American Heart Association (AHA).

Steinbaum pointed to a recent research review finding that, overall, women waited 30% longer than men to call for help.

‘Let’s see what happens’

“That tells us this is a worldwide problem,” said Steinbaum, who directs the women’s cardiovascular prevention, health and wellness programme at Mount Sinai Hospital in New York City.

She agreed with Meyer on the potential reasons, and also noted that many women are simply used to putting their families first, and their own health second. So even when they have symptoms like chest pain, she said, women may often take a “Let’s see what happens” attitude.

For the study, Meyer’s team analysed records from nearly 4 400 heart attack patients treated at their hospital between 2000 and 2016.

The good news: Over the years, ambulance crews and hospital staff got patients into treatment faster, and the improvement was equal for women and men.

The bad news: By 2016, women were still spending 41 minutes longer in “ischaemia” – a reduction in the flow of blood and oxygen to the heart. And that was largely due to delays in calling emergency services, the researchers found.

Public campaigns

Heart attacks occur when a clot obstructs blood flow to the heart. The quicker doctors can restore that blood flow, the less damage there will be to the heart muscle.

“There’s a saying, ‘Time is muscle’,” Steinbaum said.

Over the years, the AHA and its counterparts in other countries have launched public campaigns to raise women’s awareness of heart disease. Yet the new study found that women were waiting just as long to call for help in 2016 as they were in 2000.

In contrast, men were slightly quicker to seek help by the end of the study – about 6 minutes, typically.

Meyer said it’s not surprising that the delays among women failed to change, but it is disappointing.

Steinbaum added, “We’ve clearly got more work to do. We’ve got to keep this conversation going.”

‘Call 911’

According to the AHA, cardiovascular disease is the top killer of US women, causing about one out of every three deaths.

As with men, chest pain is the most common heart attack symptom among women, the AHA says. But other symptoms include shortness of breath; pain in the back, jaw or stomach; and nausea or lightheadedness. And women are more likely than men to have those subtler problems.

“If you have those symptoms, act on them,” Steinbaum said. “Call 911.”

If it turns out you really have bad heartburn, she added, that’s good – you’ll get to go home.

Sometimes, Steinbaum noted, people worry about “bothering” ER doctors and nurses with non-serious problems.

“You’re not bothering us,” she said. “That’s our job.”

The study was published online in the European Heart Journal: Acute Cardiovascular Care.

Image credit: iStock

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Mars InSight lander seen in first images from space

On Nov. 26, NASA’s InSight mission knew the spacecraft touched down within an 81-mile-long (130-kilometer-long) landing ellipse on Mars. Now, the team has pinpointed InSight’s exact location using images from HiRISE, a powerful camera onboard another NASA spacecraft, Mars Reconnaissance Orbiter (MRO).

The InSight lander, its heat shield and parachute were spotted by HiRISE (which stands for High Resolution Imaging Science Experiment) in one set of images last week on Dec. 6, and again on Tuesday, Dec. 11. The lander, heat shield and parachute are within 1,000 feet (several hundred meters) of one another on Elysium Planitia, the flat lava plain selected as InSight’s landing location.

This isn’t the first time HiRISE has photographed a Mars lander. InSight is based largely on 2008’s Phoenix spacecraft, which the camera aboard MRO captured on the surface of Mars as well as descending on its parachute. While the HiRISE team at the University of Arizona also tried to take an image of InSight during landing, MRO was at a much less opportune angle and wasn’t able to take a good picture.

About InSight

JPL manages InSight for NASA’s Science Mission Directorate. InSight is part of NASA’s Discovery Program, managed by the agency’s Marshall Space Flight Center in Huntsville, Alabama. Lockheed Martin Space in Denver built the InSight spacecraft, including its cruise stage and lander, and supports spacecraft operations for the mission.

A number of European partners, including France’s Centre National d’Études Spatiales (CNES) and the German Aerospace Center (DLR), are supporting the InSight mission. CNES and the Institut de Physique du Globe de Paris (IPGP) provided the Seismic Experiment for Interior Structure (SEIS) instrument, with significant contributions from the Max Planck Institute for Solar System Research (MPS) in Germany, the Swiss Institute of Technology (ETH) in Switzerland, Imperial College and Oxford University in the United Kingdom, and JPL. DLR provided the Heat Flow and Physical Properties Package (HP3) instrument, with significant contributions from the Space Research Center (CBK) of the Polish Academy of Sciences and Astronika in Poland. Spain’s Centro de Astrobiología (CAB) supplied the wind sensors.

The University of Arizona, Tucson, operates HiRISE, which was built by Ball Aerospace & Technologies Corp., Boulder, Colorado. NASA’s Jet Propulsion Laboratory, a division of Caltech in Pasadena, California, manages the Mars Reconnaissance Orbiter Project for NASA’s Science Mission Directorate, Washington.

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Materials provided by NASA/Jet Propulsion Laboratory. Note: Content may be edited for style and length.

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Protein involved in nematode stress response identified

When humans experience stress, their inner turmoil may not be apparent to an outside observer. But many animals deal with stressful circumstances — overcrowded conditions, not enough food — by completely remodeling their bodies. These stress-induced forms, whether they offer a protective covering or more camouflaged coloration, can better withstand the challenge and help the animal survive until conditions improve.

Until now, it wasn’t clear what molecular trigger was pulled to allow this structural remodeling in times of stress. But researchers at the University of Illinois and the University of Pennsylvania have discovered the protein responsible in the roundworm C. elegans.

“We’re using a really simple animal system to understand basic biological questions that have implications not only for nematodes, including important crop parasites, but also for higher animals, including humans,” says Nathan Schroeder, assistant professor in the Department of Crop Sciences at U of I, and author of the new study published in Genetics.

When C. elegans larvae are stressed, they stop eating, their development halts, and they enter a stress-resistant stage known as dauer. In this form, their bodies become distinctly thinner and longer and develop an outer cuticle with ridges from tip to tail.

Schroeder and his team were investigating a protein called DEX-1 for an unrelated project when they noticed worms without the protein were “dumpy” in the dauer phase: they remained relatively short and round. Intrigued, the researchers decided to characterize the protein and its function in seam cells, the cells responsible for dauer remodeling.

“When we disrupted the DEX-1 protein, the seam cells did not remodel during dauer,” Schroeder says. “Seam cells have stem cell-like properties. We usually think about stem cells as controlling cell division, but we found that these cells are actually regulating their own shape through this protein, and that has an impact on overall body shape in response to stress.”

DEX-1 is an example of an extracellular matrix protein, a type that is extruded to form the mortar between cells. These proteins exist in every multicellular organism, not only keeping cells together but also facilitating interaction between cells. Not always in a good way; it turns out many extracellular matrix proteins, including a DEX-1 analogue, are associated with human diseases, such as metastatic breast cancer.

Schroeder says his group is interested in looking more closely at metastasis in cancers due to these proteins, but as a nematologist, he gets more excited about the prospect of understanding the basic biology and genetics of nematodes themselves, particularly parasitic species that affect crops.

“For many parasitic nematodes, when they’re ready to enter the infective stage, they have a similar process. Many of the genes regulating the decision to go into or come out of that infective stage also regulate the decision to enter dauer,” he says. “This research gives us insight into their biology and how they make these developmental decisions.”

The article, “Epidermal remodeling in Caenorhabditis elegans dauers requires the nidogen domain protein DEX-1,” is published in Genetics. Authors include Kristen Flatt, Caroline Beshers, Cagla Unal, Jennifer Cohen, Meera Sundaram, and Nathan Schroeder. The research was supported by the National Institutes of Health.

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