Solving its insolubility, researchers discover method to deliver curcumin to cancer cells

In India and other countries in Southeast Asia, curcumin is often used as a spice in cooking, particularly chicken or fish. It is known for its therapeutic effect and as a way to kill germs present in raw meet. Recently, scientists have also discovered that curcumin, a naturally occurring substance isolated from the Curcuma long plant, to be an effective agent for killing cancer cells.

“Until now, however, curcumin is what we call in pharmaceutical science as a ‘false lead’ — it is therapeutic, but the full effect can’t be utilized because it’s poorly soluble in water,” noted Dipanjan Pan, an associate professor of bioengineering at the University of Illinois at Urbana-Champaign who leads the Laboratory of Materials in Medicine.

“When you try to deliver a drug, it requires solubility in water, otherwise it won’t flow through the bloodstream,” added Santosh Misra, a post-doctoral researcher working with Pan.

Recently, however, Pan’s laboratory collaborated with Peter Stang, the editor-in-chief of the Journal of American Chemical Society, and Distinguished Professor of chemistry at the University of Utah on ways to be able to render curcumin soluble, deliver it to infected tumors, and kill cancer cells. The team has created a sophisticated metallocyclic complex using platinum that has not only enabled curcumin’s solubility, but whose synergy has proven 100 times more effective in treating various cancer types such as melanoma and breast cancer cells than using curcumin and platinum agents separately. They published their results in the Proceedings of the National Academy of Sciences of the United States of America

“It’s a combination of clever chemistry and nanoprecipitation utilizing host guest chemistry,” Pan explained. “We know that a drug is going to bind to a certain ‘host molecule’ if the proper pocket is present. We have shown here that a pumpkin-shaped macrocyclic molecule Cucurbituril by virtue of its glycoluril monomeric linkages, that attracts curcumin, which gets bound and comes off once it gets delivered to the cell. That is the key to demonstrating the effectiveness of the therapy and in solving a long-standing problem with curcumin’s insolubility.”

“In order to make it available to the system, it was necessary to put curcumin in a larger complex where it can be soluble in water,” Misra said. “This complex has a very unique ability to take on different forms of material — from a spherical nanoparticle to longer elongated threads of nanometer size. In both cases, curcumin is present in the system, which what is important for to its medicinal value.”

“We knew platinum is a commonly used cancer therapeutic agent in the clinic,” Pan said in explaining the road to discovery. “We wanted to exploit that property as well in addition to curcumin. Our results demonstrate that curcumin works completely in sync with platinum and exert synergistic effect to show remarkable anticancer properties.”

The team detailed a hierarchical approach to solubilize a hydrophobic anti-cancer drug, curcumin in water via a combination of coordination-driven self-assembly and host-guest interactions.

Curcumin has shown to prevent the phosphorylation of STAT3, a well-known signaling pathway that triggers the growth of cancer cells and allows them to survive, in in vivo studies. The platinum-curcumin combination kills the cells by fragmenting its DNA.

Although the researchers have only tested the method in delivering curcumin, its contribution to cancer treatment will ultimately also come from the likelihood the method will work with other drugs as well.

“In cancer therapy, one of the measures that constrains a number of the drugs is their poor solubility,” Pan said. “Viability only becomes prominent when the drug becomes soluble in water. So, no matter how the drug is given, intravenously or orally, it needs to eventually be absorbed by the organs in the body.”

Pan’s team also hopes to prove that this method will be effective in killing cancer stem cells, in effect cancer’s root system.

“More and more it is becoming obvious that cancer stem cells are responsible for all these cancers to regrow,” Pan said. “Even if you are killing all the cells in the tumor, there would be a tiny population of cells with ‘stemness’ properties that could enable cancer cells to grow back and spread to other parts of the body. That is why even if a patient has been declared cancer free, doctors continue to monitor to see if cells regrow. However, if we can deliver therapy to cancer stem cells, we can prevent that from happening. As an ongoing research in our laboratory to find agents for stopping the growth of cancer stem cells, we will be looking into using these highly sophisticated self-assembled metallacycles for targeted therapies”

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Health24.com | Suicide is not a cowardly act – here’s what you should know

Suicide is often labelled a cowardly and selfish act – for those who are left behind to pick up the pieces. But it’s not. I know this because I’ve found myself having those dark thoughts, and coming close to calling it a day on life.

To someone on the outside, it may have seemed like “the easy way out” when I contemplated suicide, but you have to understand that it was an incredibly difficult decision I was faced with. And the last person I was thinking about was myself – it was the people in my life who love me who were number one in my mind.

Yes, depression affects me first and foremost, but it also has a devastating impact on my husband who rides the emotional tides with me. He knows when my mood starts to dip and I know how it affects him, how I bring his mood down with mine.

He lives with the exciting weekend plans that we have to cancel because getting out of bed is too much of an effort. He has to find the right words to console me on the nights I sit crying on the couch for no conceivable reason. He has to convince me that I’m not a failure when a project I’ve spent months on has turned out (in my mind) to be rubbish. Perhaps this seems trivial, but it’s not. It’s exhausting, it’s frustrating and it’s called depression. 

When you reach a point of contemplating (or planning to commit suicide), you believe that ending your life is the single easiest way to bring peace to your loved ones, to end the suffering that you cause them. Following that, it’s also about finally finding your own peace – depression is exhausting. It consumes you on a daily basis. The ‘Black Dog’ constantly reminds you you’re not good enough, you’re a failure… It’s completely irrational but it’s also completely real to the person who is suffering. 

When suicide is newsworthy

We’ve lost so many well-known people to suicide over the years and every single time the news breaks, the world stops to mourn, to show anger and to throw judgement against the person, labelling them a coward and calling them selfish.

Chester Bennington.

Avicii.

Anthony Bourdain.

Professor Bongani Mayosi. 

All of them immensely talented individuals who committed suicide. Suddenly mental health takes priority and we start to have conversations about it. But soon those conversations come to an end and the next big thing happens – protests, the petrol price, the unemployment rate…

What you need to know about suicide

1. Should it really take tragic celebrity suicides to shine the spotlight on mental health? 

Health24 writer Mandy Freeman reflects on the recent suicide of Linkin Park’s Chester Bennington. Why does the world only take notice of mental illness following the suicide of a celebrity?

2. What to do and say when someone wants to commit suicide

Celebrity chef Anthony Bourdain’s recent suicide sent shock waves through the world. Here are ways you can recognise somebody who’s contemplating suicide. 

3.  ‘I Googled how to kill myself’

Suicide is not a cowardly act. It’s also not an easy decision to make. Health24 writer Mandy Freeman opens up about wanting to commit suicide.  

The ugly face of depression

Depression is real and affects so many people differently. Don’t assume that because someone you know seems happy, full of life and always smiling, they are not secretly suffering. Chester Bennington’s wife, Talinda, tweeted this following his death:

You cannot know what demons a person is battling with internally. And in many regards, suicide is brave. When life is good, it’s good. But for someone with depression, when the dark cloud arrives, life gets pretty damn impossible.

Show compassion

So all I can ask is that we show a little more compassion to those who suffer from mental illness. The journey they’re on is not an easy one – it’s an emotional roller coaster day in and day out. And when a person finds themselves at the point of suicide, know that they have analysed every possible aspect and they believe this is their only way to find peace, and allow their loved ones a happier life. 

Image credit: iStock 

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Health24.com | Breaking the stigma: Mental health in the workplace – 5 articles you must read

The recent suicide of Professor Bongani Mayosi, a top South African cardiologist, has dominated newsfeeds.

According to his family, Prof Mayosi had a long struggle with depression. They said in a statement, “In the last two years he has battled with depression and on that day [Friday 27 July 2018] took the desperate decision to end his life. We are still struggling to come to terms with this devastating loss.”

Following a suicide, people always have mixed feelings – there is grief, there is anger, there is judgement. But the reality is: Depression is a medical condition that affects more than 300 million people worldwide. Suicide is its deadliest symptom.

In South Africa, it’s estimated that about 4.5 million people (or 9.7% of the population) suffer from depression. Statistics show that one in four people in the workplace suffer from this often debilitating illness. And that means there is a good chance that the person who sits next to you has had to cope with depression at some stage in their life.  

A supportive workplace culture is paramount

Psychiatrist and leadership lecturer at the University of Stellenbosch Business School (USB), Dr Renata Schoeman previously told Health24, “Stigma, born out of ignorance, prejudice or fear, is a major problem in the workplace, creating a situation where employees choose to rather suffer in silence. One can understand their reluctance to seek support or report their condition, especially in the current economic climate where they might fear losing their job. As a result mental health problems often go undiagnosed and untreated, not only to the detriment of the individual’s career and health but also directly impacting the workplace’s bottom line.”

She said that although policies and guidelines are necessary in the workplace, those alone will not make a difference. Instead, companies need to foster a supportive culture of understanding and acceptance around mental illness.

Here are five articles you should read about mental health in the workplace today:

1. Bipolar in the workplace: ‘I was asked whether I was taking crazy people’s meds’

Can an employer or manager discriminate against you for having a mental illness? Michelle Lewis opens up about how she was forced to resign due to bipolar.

2. If you are depressed, does it mean you have a disability?

If you suffer from a mental illness like depression, does it mean you have a disability? Surprisingly, the answer is yes – but it also depends. A mental illness can be considered a disability only if you choose to declare it as such. If you do, your employer is legally obliged to give you reasonable accommodation, which, according to Dr Lori Eddy, a counselling psychologist. 

3. ‘I’m taking a mental health day’

Madalyn Parker recently told her boss that she was taking ‘a mental health day’. How would you respond if you were her boss? 

4. Could the idea of a ‘mental health day’ just make the stigma around mental health worse?

How should we be handling mental health in the workplace – no different to any other illness, according to experts, otherwise we raise the risk of worsening the stigma. 

5. 1 in 4 SA workers suffers from depression

Depression affects more than 9.7% of the South African population and negatively affects the economy. How should companies handle mental illness? 

Image credit: iStock 

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Health24.com | Can you eat your way to better asthma control?

Need another reason to eat healthily? New evidence bolsters the notion that nutritionally rich foods might help prevent or minimise asthma.

While the study couldn’t prove cause and effect, one asthma specialist said there’s certainly no downside to eating better.

According to a recent report by the Global Initiative for Asthma (GINA), South Africa has the world’s fourth highest asthma death rate among five to 35 year olds.

Additional motivation

“The health benefits of a diet rich in plant foods and unprocessed foods are already well-known,” said Dr Ann Tilley, a pulmonologist at Lenox Hill Hospital in New York City.

She wasn’t involved in the new study, but said it “should provide additional motivation for lung doctors to discuss diet choices with their patients, and for asthma patients to choose more fruits and vegetables and fewer processed foods”.

The new French research was led by Roland Andrianasolo, part of the Nutritional Epidemiology Research Team at Inserm-Inra in Paris.

He and his colleagues surveyed nearly 35 000 French adults on the number of asthma symptoms they had experienced over the past year. About a quarter of the participants had experienced at least one symptom.

The participants were also asked about their eating habits. Diets high in fruits, vegetables and whole grain cereals were rated the healthiest, while those high in meat, salt and sugar were deemed the least healthy.

How does food influence asthma?

After adjusting for other factors linked with asthma such as smoking and exercise, the researchers found that healthier diets were tied to a 30% lower risk of developing asthma symptoms for men, and a 20% lower risk for women.

Among participants who already had asthma, healthy eating was associated with 60% lower risk for “poorly controlled” symptoms in men, and a 27% lower risk in women, the study found.

The study was published July 12 in the European Respiratory Journal.

“Our results strongly encourage the promotion of healthy diets for preventing asthma symptoms and managing the disease,” Andrianasolo said in a journal news release.

How could food influence asthma? According to Andrianasolo, dietary components such as fruit, vegetables and fibre “have antioxidant and anti-inflammatory properties and are elements in a healthy diet that potentially lower symptoms”.

On the other hand, sugar, meat and salt “are elements with pro-inflammatory capacities that may potentially worsen symptoms of asthma,” he explained.

Individual ‘microbiome’

Pulmonologist Dr Alan Mensch helps direct medical affairs at Plainview and Syosset Hospitals in Long Island, New York. Regarding the study, “we should not be surprised by these results,” he said.

“It is known that healthy eating plans such as the Mediterranean diet improve the health of patients with cardiovascular disease and hypertension,” Mensch said.

“Foods ingested are broken down in the digestive tract, and some components are bioactive. In some ways this is no different than medications we ingest,” he said.

Another potential link tying healthy diets to better asthma resistance may lie in the makeup of an individual’s “microbiome”, Mensch said.

“This refers to the many bacteria which normally inhabit the gut,” he explained. “It is felt that the microbiome associated with healthy diets has anti-inflammatory properties.”

Image credit: iStock

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Health24.com | 3 really good reasons to have sex while you’re on your period

Ever wondered if your period should get in the way of your sex life? The short answer is no. If you and your partner are okay with a little blood, there’s really no reason why you guys can’t do the deed while you bleed.

It’s no secret that during your period, your hormones are going insane – you’re tired, bloated, having major cravings… and you’re super horny. There’s really no medical reason why you can’t have period sex; in fact, period sex can actually do you a whole lot of good.

Don’t forget to take our sex survey – you could stand the chance of winning R5 000 in cash! 

1. It’s a natural painkiller

Orgasms = endorphins. The rush of endorphins helps to relieve pain, not just cramps, mind you, but headaches too. And another bonus: You’ll be feeling great – kicking PMS mood swings in the butt!

Read more: “I tried a period pain patch to see if it would work as well as painkillers”

2. You’ll feel extra slick

Now, once you get past the thought of period sex being “eww”, think of the great benefit of not needing lube. Because you’re extra slick down there, sex could end up feeling even better. This is especially great if you’re someone who struggles to get “wet”.

3. Shorter periods

Yep, having period sex can possibly shorten your periods. This is because orgasms cause the uterus to contact, speeding up the shedding of the lining, leading to fewer bloody days.

Read more: 5 period apps that make tracking your menstrual cycle a breeze

A word of warning…

You can still fall pregnant during your period. The chances are quite slim, but best avoid it by using contraception. You should be using condoms when you are having sex, but especially during period sex. That’s because during your period you have a higher risk of contracting and spreading STIs, says sexual health practitioner Dr Elna Rudolph. 

If you’re uncomfortable with penetration, you can still use other forms of sexual play to stay intimate with your partner. Manual stimulation or oral sex with a dental dam, after a shower and with a fresh tampon in place hold no risk.

Read more: 6 times your period blood looks different – and what it means about your health

As you can see, there’s not much reason not to have sex while on your period. Just be honest with your partner and let them know what you like and what’s a no-go. If you’re worried about making a mess, why not try some shower sex or throw a towel on the bed – problem solved. And if you do happen to leave a few stains, some cold water and a little washing detergent should take care of that.

This article was originally published on www.womenshealthsa.co.za

Image credit: iStock 

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Health24.com | 7 things to do after sex to keep your vagina happy

You love sex…but your vagina? Not so much. UTIs, vaginal irritation, the works.

The good news is there are some pretty simple things to do after sex to keep your vagina and your libido equally happy.

Try a few of these after your next O.

1. Pee after sex if you’re prone to UTIs

Even if nature doesn’t call after sex, women who suffer from regular UTIs should use the bathroom, recommends Dr Alyssa Dweck, a gynae from Westchester, NY, and author of The Complete A to Z for Your V. “When you have intercourse, bacteria from the rectum – which is in very close proximity to the urethra and the vagina – can get close to the urethra and can cause an infection, especially in women who are prone to UTIs,” says Dr Dweck. “The urine washes out the bacteria that are mechanically present at the end of the urethra.”

Read more: 4 things you should never put up your vagina 

2. Pop a cranberry supplement

Here’s another one for women who tend to come down with a UTI after every sex session. A once-a-day cranberry concentrate, in the form of a cranberry pill or a gummy available over the counter, may help prevent UTIs, says Dr Dweck. But she warns against downing sugary cranberry cocktail juices.

3. Wipe down

If lube, saliva, you name it, has you feeling less-than-fresh down there after sex, consider doing a quick wipe down. “Lube and bacteria from the fingers, mouth, and rectum can increase your chance of developing a yeast or bacterial infection,” says Dr Sherry Ross, gynae and women’s health expert in Santa Monica, California.

She recommends using a non-fragrant soap around your lady parts after sex. Simply take a warm washcloth and gently dab your vagina with soap and water (or just warm water), moving from front to back. Skip your interiors, though: The vagina has its own internal wash cycle that keeps it clean and balanced, she adds. In other words, no douches allowed.

Read more: 7 common reasons why you have an itchy vagina 

4. Soak in the bathtub

Feel like the pampered sex queen you are by treating yourself to a nice, post-sex soak. Pro tip: Consider adding extra-virgin coconut oil to the warm bath to help hydrate the skin of the outer vagina and sooth any vaginal swelling or irritation that occurs after doing the deed, says Dr Ross. While it’s not a hygiene must, this pleasant ritual may help reduce your risk of infection, she says.

But don’t go overboard on the bath oils, flowery bubble potions and scented balms, says Dr Mary Jane Minkin, clinical professor in the department of obstetrics, gynaecology and reproductive sciences at Yale School of Medicine. Too much can be irritating to the vagina. Dr Minkin says she always see an uptick in irritation related to bath products after the holiday season when patients are using gifts they received.

5. Go commando

Once you’re so fresh and so clean, ward off UTIs and other infections by wearing cotton underwear and loose-fitting PJs to keep your privates dry – or better yet, go commando for optimum air circulation. At the very least, avoid nylon underwear and tight-fitting sleepwear, which can trap moisture and help bacteria grow, according to the National Institute of Diabetes and Digestive and Kidney Diseases.

6. Sip some water

If you just got super sweaty between the sheets you may want to consider sipping some water, says Dr Nicole Scott, gynae at Indiana University Health. Dehydration affects your entire body – including your vagina. (Feeling like sandpaper down there might put a damper on round two.) Plus, staying hydrated can help flush pesky UTI-causing bacteria from your bladder.

7. Eat probiotic-rich foods

Post-sex snacks are the best, so reach for something that will keep you vagina happy while you’re at it. “Yoghurt, kimchi, kombucha and other fermented foods have the same good bacteria that are found in the vagina,” says Dr Kelly Kasper, gynae at Indiana University Health. Getting into the habit of snacking on these foods after sex can help to replenish the body’s good bacteria, helping to decrease your risk of a yeast infection.

After all, you don’t want anything holding you back from your next hot romp.

Don’t forget to take our sex survey – you could stand the chance of winning R5 000 in cash! 

This article was originally published on www.womenshealthmag.com

Image credit: iStock

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