Researchers at Duke University Medical Center have concluded, in a preliminary study published today, that the drug zonisamide (trade name Zonegran), an anticonvulsant used to treat some types of epileptic seizures, has appetite-reducing effects that could eventually offer hope to thousands of people as an effective therapy for weight loss.
Inherited variations in proteins that produce energy for the body may provide protection from developing Parkinson’s disease, according to a new study by scientists at Duke University Medical Center. Furthermore, the inherited gene variations seem particularly to protect white women, which may help explain why Parkinson’s disease is seen more often in men.
Researchers at Duke University Medical Center have shown that a novel chemical permits greater amount of insulin-producing islet cells to survive freezing intact. Additionally, the researchers reported, these cells appear to be better able to secrete insulin in response to glucose after they are thawed, in contrast to currently available techniques. The discovery could represent an important step forward in making islet cell transplants a viable treatment option for patients with diabetes, they said.
When compared to angioplasty or treatment with drugs, coronary artery bypass surgery was better at relieving chest pain (angina) and improving functional abilities at one year for elderly patients, according to Duke University Medical Center cardiologists.
Using new DNA microarray technology, researchers have found significant changes in the expression pattern of hundreds of genes in heart muscle cells after mechanical pumps are used to take over from failing hearts. This finding represents a first step, they say, in a line of research that could help predict how heart failure patients will respond when supported by a left ventricular assist device (LVAD). These devices are employed when the heart’s left ventricle — the chamber of the heart that pumps blood throughout the body — is too weak to pump enough blood to nourish the body’s tissues. They have been used as successful short-term “bridges to heart transplant” and are increasingly being considered as long-term heart failure destination therapy, also known as “bridge to recovery.”
Primary care physicians do not have the time to offer needed preventive health care to their patients, says a new Duke University Medical Center study. According to the study published in the April 2003 issue of the American Journal of Public Health, providing the recommended preventive maintenance for patients would take an estimated 7.4 hours out of a primary care physician’s day, leaving approximately 30 minutes for critical and chronic disease care.
A new clinical trial hopes to unravel the genetic and molecular basis for delirium, a common complication afflicting elderly patients after major surgery. Delirium, which can prolong the recovery of elderly surgical patients, is a mental state characterized by impaired cognitive function, fluctuating levels of consciousness, disturbed sleep-wake cycles and agitation. Although difficult to measure, the incidence of delirium has been reported to be as high as 60 percent, with the elderly at the highest risk, the researchers said.
In studies using rats, researchers from Duke University Medical Center and the Imperial College, London, have found evidence that the chemically inert gas xenon can protect the brain from the neurological damage often associated with the use of the heart-lung machine during coronary artery bypass surgery. The researchers say that xenon appears to block receptors on nerve cells in the brain that can be “overstimulated” in response to the surgery. This overstimulation can lead to nerve cell damage or death.
Researchers have developed a new statistical genetic “fishing net” that they have cast into a sea of complex genetic data on autistic children to harvest an elusive autism gene.
Moreover, the researchers said that the success of the approach will be broadly applicable to studying genetic risk factors for other complex genetic diseases, such as hypertension, diabetes and multiple sclerosis. In this case, the gene, which encodes part of a brain neurotransmitter docking station called the gamma-Aminobutyric Acid Receptor beta3-subunit (GABRB3), has been implicated in autism previously, but never positively linked to the disease. Their findings will be published in the March 2003 issue of the American Journal of Human Genetics.
An international team of researchers has demonstrated a genetic basis for a fatal form of inherited cardiac arrhythmia that usually strikes young, seemingly healthy people. Basing their research on a French family with a form (Type 4) of inherited Long QT Syndrome (LQTS) and experiments in mice, the researchers found the mutation in a specific gene encoding ankyrin-B, a protein within heart muscle cells. Their discovery identifies what appears to be a novel mechanism for cardiac arrhythmia.
In their ongoing research on turning adult stem cells isolated from fat into cartilage, researchers have demonstrated that the level of oxygen present during the transformation process is a key switch in stimulating the stem cells to change. Using a biochemical cocktail of steroids and growth factors, the researchers have “retrained” specific adult stem cells that would normally form the structure of fat into another type of cell known as a chondrocyte, or cartilage cell. During this process, if the cells were grown in the presence of “room air,” which is about 20 percent oxygen, the stem cells tended to proliferate; however, if the level of oxygen was reduced to 5 percent, the stem cells transformed into chondrocytes.
Researchers have shown that removing a portion, instead of all, of the spleen, can successfully treat children with a variety of congenital anemias while preserving important splenic immune function. In the largest study of its kind in the U.S., the researchers performed the surgery, known as a partial splenectomy, on 25 children with congenital forms of anemia caused by abnormal red blood cells. Typically, these children suffer from fatigue, jaundice and extreme vulnerability to infections that can require repeated hospital or physician visits. Many also need repeated blood transfusions.