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How to Treat and Prevent Melasma with Nutrition – Intelligent Living

Posted: August 22, 2022 at 2:33 am

Melasma is a skin condition that frequently affects pregnant women and anyone who has spent too much time in the sun. Melasma can appear anywhere on your body where the skin is exposed to sunlight. In addition, hormonal imbalances in pregnant women or those taking hormonal birth control frequently cause melasma, which manifests as dark spots and colored patches of skin. This is sometimes referred to as the pregnant mask.

Melasma may occasionally be a symptom of malnutrition and poor liver health. Brown to gray spots on the neck, forearms, chin, above the upper lip, cheeks, forehead, or on the bridge of the nose are symptoms of this skin condition, which are challenging to treat. Melasma is more prevalent in women and might last even after giving birth.

Like other skin conditions, melasma can be treated with chemical peels, exterior lotions, laser therapy, skin protection, hormone replacement therapy, and dietary balancing. Before treating your melasma, speak with a dermatologist or medical professional. The following four simple steps include advice on improving and preventing melasma.

Consult a dermatologist or medical professional about your melasma. You will likely be recommended to take a blood test to look for nutritional deficiencies and impaired liver function that could be the root of this condition. Melasma could also be a negative side effect of your medication. Confirm this with your doctor.

Eat folate-rich foods. Melasma may result from folate or folic acid deficiency. Women on birth control, pregnant, or who consume an inadequate diet may have low B vitamin levels. Among the foods high in folate are whole grains, nuts, citrus fruits, and green leafy vegetables. Your doctor may also recommend you start taking a folic acid supplement.

Your diet should have a healthy balance of copper. Copper encourages the skins melanin production. Therefore, high levels of this mineral can result in excessive skin pigmentation. Copper should not be consumed separately if it is present in your multivitamin. Never exceed the daily copper recommendations of:

Consume foods high in vitamin C and iron, or take supplements of these nutrients to lower excessive copper levels.

Start eating more foods high in vitamins C and E. These antioxidant-rich foods aid in repairing skin damage from the UV rays, which can result in melasma. These vitamins are present in foods such as kiwis, blueberries, citrus fruits, nuts, vibrantly colored veggies, and fish. Before self-treating, have your melasma diagnosed by a professional.

Increase the number of raw fruits and vegetables in your diet to ensure you get enough vitamins and minerals. Avoid packaged and processed foods that have artificial chemicals and preservatives. Food sensitivities and allergic reactions can also cause inflammation in the skin, which can result in pigmented areas such as dark patches. It is also recommended to avoid inflammatory foods that can also contribute to skin inflammation.

Melasma, sun damage, and even skin cancer can be prevented by wearing sunscreen and avoiding damaging UV rays. You must visit your dermatologist or primary care physician if you detect melasma anywhere on your body.

Avoid taking too many nutrient supplements because they may have adverse side effects. Finally, dont discontinue taking prescription medications without consulting your doctor.

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Cardiovascular health in the menopause transition: a longitudinal study of up to 3892 women with up to four repeated measures of risk factors – BMC…

Posted: August 22, 2022 at 2:33 am

Main findings

Our results suggest that reproductive age (reflecting the menopausal transition) does not independently influence change in sub-clinical atherosclerosis (CIMT) or risk factors (e.g. SBP, non-HDL-cholesterol and triglycerides) strongly associated with atherosclerosis, as shown in randomised trials and/or Mendelian randomisation studies to causally influence coronary heart disease [17, 27, 28]. By contrast reproductive age may increase adiposity and risk of diabetes, albeit modestly, as suggested by stronger positive linear associations with reproductive age than chronological age for BMI, fat mass, and fasting glucose. HRT may not identically reflect endogenous hormonal and other changes associated with a natural menopause. However, it is notable that our findings have some consistency with randomised controlled trials of HRT, which have shown no protection, or a possible increased risk for coronary heart disease and reduced risk for type 2 diabetes [29].

To our knowledge, this is the largest prospective study to date with two repeat CIMT measures and up to four repeated cardiovascular risk factor measures that spans the late reproductive period, from menopausal transition into post menopause. The average 5-year follow-up period with up to four repeat measures in women of different baseline ages allowed the description of associations from 4years before to 16years after the menopause, a longer postmenopausal period than described in previous studies.

We used multilevel models, which allow all women with at least one measurement occasion to be included in the analysis under the MAR assumption, i.e. missingness depends on observed data and therefore associations do not differ in women (with the same characteristics) who have fewer repeat measures. Furthermore, sensitivity analysis restricted to women who had three or four repeat measures showed similar results to those with at least one repeat measure. We had to restrict our main analyses to women in whom we could calculate their FMP, meaning only those who has at least 12months since their last period could be included. This could introduce selection bias. However, consistency of our main analysis findings with those of the associations of change in outcome with chronological age by strata of menopausal status suggests our findings are not substantially biased by selection. We do however note that a womans menopausal stage will reflect her chronological age (i.e. at the time of baseline assessment, women who are pre-menopausal will be on average younger than those who are postmenopausal). We therefore need to be cautious in our interpretation and in the magnitude of associations which are likely to be driven by differences in the age distribution across the groups.

We fit models which included time since FMP and chronological age to separate the influence of both chronological and reproductive age. However, given that chronological age is the sum of age at menopause and time since FMP, we could have instead analysed time since FMP and age at menopause only, a reparameterisation of time since FMP and chronological age. As such, in mutually adjusted models, the coefficients of chronological age are equivalent to that of age at menopause, whilst time since FMP in the model including age at menopause is the sum of time since FMP in the model including chronological age and additionally the coefficient of chronological age.

As reproductive age is a self-reported measure and measured with more error than chronological age, it may be that this causes some bias towards the null for reproductive age, and correspondingly away from the null for chronological age.

Distributions of outcomes and confounders were similar between women included and excluded from the main analysis (Additional file 3: Tables S9S10).

Our study is predominantly of White European origin women, and previous studies have shown ethnic differences in cardiovascular risk factors [30], so our findings might not be generalisable to women of other race/ethnic groups. As our study recruited women during an index pregnancy and only followed those with a live birth from that pregnancy, all participants had at least one live birth and we cannot assume that our findings would generalise to women with no previous pregnancies or live births. As we know the risk of cardiovascular disease increases with an increase in live births [31], the association between reproductive age and cardiovascular health may differ in studies that also include nulliparous women. Vasomotor symptom severity and duration arealso known to associate with HRT use (the most effective treatment for these symptoms) and CVD risk. Censoring those who use exogenous hormones because we could not determine age at a natural menopause could induce some collider bias [32] if there is residual confounding between HRT and CVD. However, given the key confounders of HRT-CVD effects are the same as those for time to FMP and CVD (e.g. age, BMI, education) which we already adjust for, we anticipate that any bias would be small.

When restricting our sample to women with a time since FMP greater than 0, 71% of the sample, the median time (IQR) since FMP was 5.7years (4.28.8). We believe this time is long enough to observe any differences in CVD risks possibly related to the menopause. However, it may be possible that the longer women are followed up after menopause, evidence of associations become apparent, or the observed associations become larger in magnitude. Furthermore, given only 12% (203/1702) of the sample experienced early menopause, it is possible that women at the very low end of the age at menopause distribution are indeed at increased risk and we were not able to pick this up. These analyses are in unselected women in mid-life and only 20 (1.2%) had evidence of plaque or atherosclerosis, highlighting the need for further follow-up into older ages.

We were able to identify ten papers published up to December 2021 that either explored change in cardiovascular outcomes by reproductive age [8, 12, 15, 16, 33,34,35] or change with chronological age within strata of menopausal status [18, 36, 37]. We have summarised these in Additional file 4: Table S11 [8, 12, 15, 16, 18, 33,34,35,36,37] including number of women, number of repeated measures, sample characteristics and key results. With one exception, these included fewer than 500 women [18, 36, 37]. The one exception was the SWAN which included between 249 to 2659 women in different publications [8, 12, 15, 16, 18, 33, 35].

Only two of these explored associations with CIMT [16, 18]. El Khoudary et al. [18] included 249 participants, (122 premenopausal, 115 early peri-menopausal, 4 late peri-menopausal and 8 postmenopausal at baseline) and in line with our results found that CIMT increased in post-menopause (0.024mm/year, p-value 0.03) compared to pre-menopause, adjusting for age at baseline and ethnicity. Similarly, the recent SWAN paper [16] included 890 women with CIMT measures and suggested that older age at menopause was associated with an increase in CIMT.

Consistent with our results, Greendale et al., in a sub study of SWAN with N=1246 [15], found an independent association between reproductive ageing and gain in fat mass and loss of lean mass until 2years after the FMP in women who had an average age at FMP of 52years. Our findings, with larger numbers, add to this evidence in suggesting that reproductive age, independent of chronological age, increases body fat.

Unlike our findings, Derby et al. [8] found increases in triglycerides with reproductive age, having adjusted for chronological age; however, this change was small. As in our study, Matthews et al. [12] found increases in triglycerides in midlife were small and largely related to chronological age rather than reproductive age or menopausal status. A weak positive linear change in non-HDL-c with reproductive age, consistent with our results, was also shown in that study. In a previous analysis of the same cohort (ALSPAC) using a metabolomic and largely lipids platform, Wang et al. found important changes in many lipids across the menopausal transition, taking into account chronological age [11], however, data were available for only two time points.

Reproductive and chronological age were weakly positively associated with fasting glucose in our study whilst the SWAN studies found neither or a negative association [12, 33, 37]. However, our study was considerably larger than the others. Furthermore, the decrease with reproductive or chronological age would be surprising given in general populations diabetes increases with age [14].

Some studies have looked specifically at the association of early or premature menopause as a risk factor for CVD [38,39,40]. Daan et al. compared 83 women previously diagnosed with POI (i.e. loss of ovarian function before 40years of age) to 266 premenopausal women, all aged >45years, and found an association of POI with higher adiposity and higher CRP levels [40]. Similarly, Honigberg et al. in a study with 144260 postmenopausal women (natural or surgical menopause) found that premature menopause was associated with a small but increased risk for a composite of different CVD [38]. Our study, whilst analysing different parameters, has some consistency with those findings in suggesting that reproductive age associates with intermediate risk factors of CVD, such as adiposity and higher CRP and glucose levels, which could be relevant for later CVD.

Our findings are broadly in line with the narrative review behind the recently published American Heart Association (AHA) statement on menopausal transition and CVD [41]. In that review consistent with our findings, they do not find strong evidence that menopausal transition influences blood pressure or CIMT beyond chronological age and that there is evidence of an increase in fat mass through the menopausal transition, independent of chronological age, as well as fasting glucose, as we also find. They note that non-HDL-c increases across the menopause transition, which we also observed. Notably, they do not discuss in detail magnitudes of change and our review of key papers for this study suggest that these are modest (as in our study). They conclude that guidelines for CVD prevention should have specific reference to the menopause. They highlight the importance of early age at menopause as a risk factor for CVD and that those with surgical menopause, early menopause, and vasomotor symptoms should be considered for exogenous hormone replacement therapy. Previous cohort studies show that premature menopause is associated with CVD after adjustment for age and other CVD risk factors such as high blood pressure [38, 39]. The main aim of our paper adds to this work by using detailed repeat measures of established risk traits to show how these vary in relation to chronological and reproductive age. Whilst we show that chronological age seems to be more important for some risk factors, it is possible that the impact of reproductive age is influenced by those with premature menopause or early menopause. The previous studies were very large (N=144,000 and 301,000) to have power to compare risk of different cardiovascular diseases between premature menopause and menopause aged 5051 [39] or postmenopausal women without premature menopause [38]. Though the cited studies have much bigger sample sizes, we have repeat data and are able to separate the influence of both chronological and reproductive age. Furthermore, we did not find any evidence of non-linearity between reproductive or chronological age and many outcomes, suggesting that those with an earlier menopause did not appear to over influence our results. We do however note that it may not have been possible to pick this up in our sample. Furthermore, previous studies have found that changes in CVD risk factors over time were similar in women with natural and surgical menopause [34, 35], which supports our findings that chronological age might influence CVD risk more than reproductive age. In relation to the menopausal transition, they note that firm conclusions are difficult to make on the basis of current evidence but suggest supporting women to make behavioural changes (e.g. diet and physical activity) to maintain a healthy weight across mid-life would be potentially beneficial.

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4 Real-Life Dating Tips for People Living with Alopecia – Everyday Health

Posted: August 22, 2022 at 2:33 am

Although theres a lot that goes into finding the right partner, many find that a primary focal point in dating particularly in the early stages involves physical appearance. So, when you have a condition that can visbily affect your outward appearence, like alopecia, it can affect your self-eestem and confidence in the dating world.

Alopecia is the medical name for a everyday condition: "Alopecia is a general term to describe hair thinning or hair loss," Ken L. Williams Jr., DO, FISHRS, ABHRS, a surgeon and founder of Orange County Hair Restoration in Irvine, California. "The most common form of hair loss is due to genetics." Other causes of alopecia include thyroid issues, autoimmune problems, (known as alopecia areata), or in women, menopause. Men who use hormone replacement therapy may also experience hair loss.

Although hair loss can make you feel self-conscious about dating, the truth is, its incredibly common.

"Up to 50 percent of the adult male population has some type of hair loss," Dr. Williams says. But it's not just men who are affected: According to the Cleveland Clinic, more than 50 percent of women will experience noticeable hair loss as well.

Of course, the amount of hair loss or hair thinning you experience can also factor into your self-image. Some men (and women) have advanced balding to the point where they prefer to shave their heads. But as we age, hair thinning becomes more common, making it less of a stigma.

"Men and women in their fifties and sixties will not have the same type of hair density or frontal hairline as they did in their twenties or even their teenage years, says Williams. "So there is a natural appearance of hair loss as we age."

Even if its common, hair loss can still affect your self-confidence, especially if youre a younger person who is dealing with hair loss earlier than many of your peers. Further, if youre at a stage in your life where youre interested in dating or a starting a relationship, low self-image can become a barrier.

"Someone who is suffering from hair loss may have low self-esteem and might not have the self-confidence to ask an individual on a date, says Williams. It can also be challenging to style your hair or camoflouge the hair loss, which can impact your overall confidence.

These issues can also potentially lead to mood disorders. "Theres a known association between hair loss and anxiety and depression, as well as self-esteem and confidence; however, the subtle nuances have yet to be fully defined in medical literature," says Shani Francis, MD, MBA, a dermatologist and hair loss specialist based in Los Angeles. Dr. Francis has alopecia herself and experienced hair loss as a child. "Alopecias impact on self-esteem and confidence is real, diverse, and uniquely personal," she says.

Alopecia can be especially hard on women, who often face greater scrutiny and pressure about their physical appearance.

"There was a time I didnt want to go out of the house. I didnt want to wear a wig either," says Smriti Tuteja, a content writer in India who lives with alopecia. "Especially with women, when people want you to adhere to a certain standard, you assess your worth with that lens and end up being unkind to yourself," she says.

Hair loss doesnt have to derail your dating life in fact, it can be an opportunity to fully embrace every part of yourself and approach the scene with more confidence. Consider these tips:

If your hair loss bothers you or you want to camoflague it for whatever reason, you can talk to a hair loss specialist, such as a dermatologist, about options. "For some, that could include medical treatment or involve a wig, toupee, or new hairstyle, but for others both men and women it could also mean embracing a new image," says Francis.

If youre interested in exploring surgical options like a hair transplant, Williams recommends visiting the American Board of Hair Restoration Surgeons to find a qualified surgeon.

Above all, remember that youre not alone. "Hair loss affects millions of men and women, and there are countless support groups and professional organizations that advocate, research and support those who have alopecia," says Francis. These include the American Academy of Dermatology and the National Alopecia Areata Foundation.

Your hair loss is unique to you, and so is the way you want to handle it. But keep in mind that hair loss is only one aspect of who you are.

"Just because you've lost your hair doesn't mean you've lost who you are," says Gibson. "No one can duplicate your sensuality and sexuality that comes from within."

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Alzheimer’s: Could controlling the brain’s own clean-up crew help? – Medical News Today

Posted: August 22, 2022 at 2:32 am

In a recent study published inNature Neuroscience, scientists revealed a novel screening platform for characterizing genes that regulate specific microglial functions which may contribute to Alzheimers disease (AD).

Characterizing regulatory genes that cause microglia to switch from a healthy state to a diseased state, such as in the brains of individuals with AD and other neurodegenerative conditions, could help develop therapeutics that target these genes or the proteins encoded by these genes.

Since microglia are guardians of the brains homeostasis, it is important to identify specific drivers that lead to neuronal toxicity for therapeutic intervention. Our new CRISPR screening platform [] enables us to identify these drivers in a rapid, scalable manner. We already uncovered druggable targets that control microglia states, and the next steps would be to test these in relevant preclinical models. Dr. Li Gan, study co-author and neuroscientist at the Weill Cornell Medical College, speaking to Medical News Today

AD is the most common form of dementia, accounting for 60-80% of all dementia cases. Despite the advances in the understanding of AD, there is a lack of effective treatments for this neurodegenerative disease.

The accumulation of the misfolded beta-amyloid protein into clumps or plaques is one of the hallmarks of AD. A considerable amount of research has focused on mutations that lead to the abnormal processing of the beta-amyloid protein and, subsequently, its accumulation.

However, treatments targeting the pathways involved in the processing of beta-amyloid have not been successful.

Moreover, researchers have found that individuals with AD often do not show mutations in genes associated with the accumulation of the amyloid protein. In contrast, recent evidence suggests that individuals with AD often show deficits in the clearance or removal of misfolded beta-amyloid.

This may be due to the dysfunction of microglia, which are the primary immune cells in the brain. One of the functions of microglia includes phagocytosisa process involving the ingestion of dead cells, pathogens, and misfolded proteins to facilitate their removal.

There is growing evidence that the ability of microglia to remove the beta-amyloid protein may be impaired in AD. Microglia may also contribute to the development of AD by secreting inflammatory proteins and causing excessive removal of neurons and synapses, the links between neurons that allow them to communicate.

In addition to AD, there is evidence suggesting that microglia may also contribute to the development of other neurodegenerative disorders.

However, the molecular mechanisms underlying the wide array of functions performed by microglia in normal conditions and diseases such as AD are not well understood.

Functional genetic screening is a tool used for identifying genes that are involved in a specific cellular function. Such screens involve the inhibition or activation of a specific gene in a cell to assess whether the change in expression levels of that gene impacts a certain function of interest, such as cell proliferation.

In recent years, researchers have adapted the gene-editing tool known as CRISPR-Cas9 to identify genes involved in various diseases, including cancer. The advantages of the CRISPR screening platform include its higher sensitivity and greater reproducibility than previously used screening methods.

CRISPR-Cas9 consists of a small piece of RNA called a guide sequence and the enzyme Cas9. The guide RNA binds to the DNA region of interest, allowing Cas9 to bind and cleave the DNA at the targeted site.

In the present study, the researchers used a modified CRISPR-Cas9 system involving a deactivated Cas9 (dCas9) enzyme that does not cleave the DNA. Besides the deactivated Cas9 enzyme, the modified CRISPR-dCas9 platform also consists of proteins that can either upregulate or downregulate the gene of interestor in other words, turn them on and off.

Such CRISPR screens involve the delivery of the guide RNA to the cell with the help of a genetically engineered virus a viral vector. However, using viruses to deliver the guide RNA to mature microglia has been challenging.

To circumvent these difficulties, the researchers used induced pluripotent stem cells (iPSCs). IPSCs are derived by reprogramming adult cells from tissue such as skin, hair, or blood, into an embryonic state.

Similar to stem cells from the embryo, these iPSCs can mature to form any desired cell type, including neurons or microglia. The benefit of using cells derived from iPSCs is that they more closely resemble human cells than conventional cell lines.

Moreover, microglia from mice and humans differ in the molecules released during an immune response. Thus, microglia derived from human iPSCs represent a better model for understanding how genes regulate microglial functions.

In the present study, the researchers used induced pluripotent stem cell lines, which were modified to express genes encoding the CRISPR-dCas9 machinery. The CRISPR machinery in the iPSCs was, however, inactive and could be activated only in the presence of the antibiotic trimethoprim.

The researchers then used viral vectors to deliver guide RNAs to the iPSCs. The iPSCs used by the researchers were genetically engineered to rapidly differentiate or mature into microglia-like cells upon exposure to a specialized culture medium.

Upon differentiating the iPSCs into microglial cells, the researchers activated CRISPR machinery by adding trimethoprim to the cell culture medium. This means that, although scientists introduced the guide RNAs into the iPSCs, the genes targeted by guide RNAs were only activated or inhibited after iPSCs were differentiated into microglia-like cells.

If the expression of these targeted genes is disrupted, this could adversely impact the development of microglia. This could make it difficult to distinguish whether the change in expression of targeted genes impacted the development of microglia or the function of adult microglia.

This novel CRISPR platform thus enables scientists to assess gene function in adult microglia.

After validating the modified CRISPR screens, the researchers were able to identify genes in microglia involved in cellular processes such as proliferation, survival, activation of an immune response, and phagocytosis.

For instance, they identified genes that modulate phagocytosisthe cellular process of eliminating potentially toxic particles such as PFN1 and INPP5D, which have been implicated in neurodegenerative disorders.

Microglia respond adaptively to their local environment and exist in a wide range of context-specific states. Each microglial state, such as a diseased state, a healthy state, or the state while producing an immune response, is characterized by a specific gene expression profile.

The researchers used RNA sequencing at the single cell level to characterize different microglial states.

Based on the differences in gene expression profiles, the researchers were able to characterize nine distinct microglial states.

For instance, one of the functional states was characterized by the increased expression of the SPP1 gene that is upregulated in microglia in AD and other neurodegenerative conditions.

Moreover, by inhibiting the expression of genes using the CRISPR platform, the researchers were able to identify genes regulating the adoption of these functional states.

For instance, the researchers found that downregulating the colony-stimulating factor-1 receptor (CSF1R) gene using the CRISPR platform reduced the number of cells expressing high levels of the SPP1 gene.

Scientists observed a similar reduction in the number of microglia in the SPP1 diseased state upon using a drug that inhibits the CSF1R protein. Thus, by targeting genes or the proteins encoded by these genes that regulate the diseased state, scientists could switch microglia back to a healthy state.

Such findings show that this CRISPR-based platform could be used to identify the genes that regulate microglial states that are associated with neurodegenerative conditions. This could subsequently help scientists develop treatments that target these genes or the gene products.

CRISPR screens in human microglia have the potential to uncover therapeutic targets that can reprogram microglia to enhance their beneficial functions and block their toxicity in disease, explained the studys lead author, Dr. Martin Kampmann, a professor at the University of California, SF.

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GENE THERAPY – 4D Molecular Therapeutics

Posted: August 22, 2022 at 2:30 am

Humans are afflicted by thousands of inherited genetic diseases, and most of these affect children. The vast majority of genetic diseases do not have safe and effective treatments available. Hundreds of thousands of people, mainly children, suffer greatly; their disease symptoms are determined by which of the bodys ~25,000 genes is defective. Some children lose their sight, others bleed frequently, and others lose the ability to simply walk or breath normally. Some of these patients tragically die at a young age. In a few diseases, children can be injected frequently (every week or two) with replacement proteins that can partially stem the tide; nevertheless, the disease progresses steadily and the childs quality of life is progressively degraded.

We need effective therapies for these kids. We need cures for these kids. This is what 4DMT fights for every day.

WHAT ARE GENES, AND WHY DOES IT MATTER WHEN THEYARE DEFECTIVE IN A GENETIC DISEASE?

Genes are blueprints for the manufacturing of proteins by cells in the body. Humans have about 25,000 genes for the same number of proteins. Each gene is important for a normal life. While every cell in the body has all of these genes, each cell only expresses (ie, turns on and makes the encoded protein) a small subset required for its specialized function in the body.

These genes are the cells software, coding for how each cell should function through the action of proteins. The proteins that genes encode for are the hardware that carry out almost every function in the body, from structures (eg, bone, cartilage) to enzymes (eg, that digest food) to messengers (eg, hormones).

When a gene is defective, either missing or mutated, the result is that the corresponding normal functional protein will not be present in the cells where it should be. Since a normal functional protein is missing, or at an insufficient level, the affected person suffers. If the gene for vision is defective, the person lacks a normal gene in their retina (tissue at the back of the eye) and they will develop progressive blindness (eg, choroideremia, retinitis pigmentosa and others). If the gene for a muscle factor is defective, the person lacks a normal muscle strength protein and they will have problems with muscle wasting and even with normal activities (eg, muscular dystrophy or lysosomal storage diseases). If the gene for a specific lung factor is defective, the person lacks a normal lung maintenance protein and they will have problems with breathing and lung infections (eg, cystic fibrosis).

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Document: Big Pharma exec: COVID shots are ‘gene therapy’ – CQ

Posted: August 22, 2022 at 2:30 am

An Air Force medical technician draws a dose of the COVID-19 vaccine to inoculate Air Force reservists at Joint Base Lewis McChord, Washington, Sept. 12, 2021. (U.S. Air Force photo by Staff Sgt. Paolo Felicitas)

Many skeptics have contended that the mRNA-based Pfizer and Moderna COVID-19 shots are not "vaccines" but rather a form of gene therapy that poses untold risks by altering a recipient's DNA.

The federal government and health-care experts have denied that claim. But the president of Bayer's Pharmaceuticals Division is on record describing the mRNA shots as "cell and gene therapy" and acknowledging public wariness of the technology.

Bayer executive Stefan Oelrich, LifeSiteNews reported, made the statement at the World Health Summit, which took place in Berlin Oct. 24-26, drawing 6,000 people from 120 countries.

Oelrich said his company is "really taking that leap" to drive innovation "in cell and gene therapies."

"Ultimately, the mRNA vaccines are an example for that cell and gene therapy," he said.

"I always like to say: If we had surveyed two years ago in the public 'would you be willing to take a gene or cell therapy and inject it into your body?' we probably would have had a 95% refusal rate," Oelrich said.

In August, Reuters ran a "fact check" citing experts who contend that the technology in the Pfizer/BioNTech and Moderna shots are not gene therapy.

Both shots usea piece of genetic code from SARS-CoV-2 to prompt an immune response in recipients. But Dr. Adam Taylor, a virologist and researcher at Griffith University in Australia, insisted that while it's "a genetic-based therapy," it doesn't alter a person's genes.

Gene therapy, in the classical sense, involves making deliberate changes to a patients DNA in order to treat or cure them," he said. "mRNA vaccines will not enter a cells nucleus that houses your DNA genome. There is zero risk of these vaccines integrating into our own genome or altering our genetic makeup."

At the Berlin summit, the Bayer executive said that his company's "successes" over the 18 months of the pandemic "should embolden us to fully focus much more closely on access, innovation and collaboration to unleash health for all, especially as we enter, on top of everything else that is happening, a new era of science a lot of people talk about the Bio Revolution in this context."

LifeSiteNews noted that, according to the McKinsey Global Institute, the "Bio Revolution" is "a confluence of advances in biological science and accelerating development of computing, automation, and artificial intelligence [that] is fueling a new wave of innovation."

"This Bio Revolution could have significant impact on economies and our lives, from health and agriculture to consumer goods, and energy and materials."

Oelrich said Bayer also is working at reducing the populations of Third World countries, investing $400 million in "long-acting contraceptives" and partnering with the Bill and Melinda Gates Foundation on "family planning initiatives."

EDITOR'S NOTE: Last year, America's doctors, nurses and paramedics were celebrated as frontline heroes battling a fearsome new pandemic. Today, under Joe Biden, tens of thousands of these same heroes are denounced as rebels, conspiracy theorists, extremists and potential terrorists. Along with massive numbers of police, firemen, Border Patrol agents, Navy SEALs, pilots, air-traffic controllers, and countless other truly essential Americans, they're all considered so dangerous as to merit termination, their professional and personal lives turned upside down due to their decision not to be injected with the experimental COVID vaccines. Bidens tyrannical mandate threatens to cripple American society from law enforcement to airlines to commercial supply chains to hospitals. It's already happening. But the good news is that huge numbers of "yesterdays heroes" are now fighting back bravely and boldly. The whole epic showdown is laid out as never before in the sensational October issue of WND's monthly Whistleblower magazine, titled "THE GREAT AMERICAN REBELLION: 'We will not comply!' COVID-19 power grab ignites bold new era of national defiance."

Content created by the WND News Center is available for re-publication without charge to any eligible news publisher that can provide a large audience. For licensing opportunities of our original content, please contact licensing@wndnewscenter.org.

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FDA Approves First Cell-Based Gene Therapy to Treat Adult and Pediatric Patients with Beta-thalassemia Who Require Regular Blood Transfusions -…

Posted: August 22, 2022 at 2:30 am

For Immediate Release: August 17, 2022

Today, the U.S. Food and Drug Administration approved Zynteglo (betibeglogene autotemcel), the first cell-based gene therapy for the treatment of adult and pediatric patients with beta-thalassemia who require regular red blood cell transfusions.

Todays approval is an important advance in the treatment of beta-thalassemia, particularly in individuals who require ongoing red blood cell transfusions, said Peter Marks, M.D., Ph.D., director of the FDAs Center for Biologics Evaluation and Research. Given the potential health complications associated with this serious disease, this action highlights the FDAs continued commitment to supporting development of innovative therapies for patients who have limited treatment options.

Beta-thalassemia is a type of inherited blood disorder that causes a reduction of normal hemoglobin and red blood cells in the blood, through mutations in the beta-globin subunit, leading to insufficient delivery of oxygen in the body. The reduced levels of red blood cells can lead to a number of health issues including dizziness, weakness, fatigue, bone abnormalities and more serious complications. Transfusion-dependent beta-thalassemia, the most severe form of the condition, generally requires life-long red blood cell transfusions as the standard course of treatment. These regular transfusions can be associated with multiple health complications of their own, including problems in the heart, liver and other organs due to an excessive build-up of iron in the body.

Zynteglo is a one-time gene therapy product administered as a single dose. Each dose of Zynteglo is a customized treatment created using the patients own cells (bone marrow stem cells) that are genetically modified to produce functional beta-globin (a hemoglobin component).

The safety and effectiveness of Zynteglo were established in two multicenter clinical studies that included adult and pediatric patients with beta-thalassemia requiring regular transfusions. Effectiveness was established based on achievement of transfusion independence, which is attained when the patient maintains a pre-determined level of hemoglobin without needing any red blood cell transfusions for at least 12 months. Of 41 patients receiving Zynteglo, 89% achieved transfusion independence.

The most common adverse reactions associated with Zynteglo included reduced platelet and other blood cell levels, as well as mucositis, febrile neutropenia, vomiting, pyrexia (fever), alopecia (hair loss), epistaxis (nosebleed), abdominal pain, musculoskeletal pain, cough, headache, diarrhea, rash, constipation, nausea, decreased appetite, pigmentation disorder and pruritus (itch).

There is a potential risk of blood cancer associated with this treatment; however, no cases have been seen in studies of Zynteglo. Patients who receive Zynteglo should have their blood monitored for at least 15 years for any evidence of cancer. Patients should also be monitored for hypersensitivity reactions during Zynteglo administration and should be monitored for thrombocytopenia and bleeding.

This application was granted a rare pediatric disease voucher, in addition to receiving Priority Review, Fast Track, Breakthrough Therapy, and Orphan designations.

The FDA granted approval of Zynteglo to bluebird bio, Inc.

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The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nations food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.

08/17/2022

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FDA Approves First Cell-Based Gene Therapy to Treat Adult and Pediatric Patients with Beta-thalassemia Who Require Regular Blood Transfusions -...

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Global Gene Therapy Market Report 2022: Amid the COVID-19 Crisis, the Market is Projected to Reach a Revised Size of $2.7 Billion by 2026 -…

Posted: August 22, 2022 at 2:30 am

Dublin, Aug. 19, 2022 (GLOBE NEWSWIRE) -- The "Gene Therapy - Global Market Trajectory & Analytics" report has been added to ResearchAndMarkets.com's offering.

Global Gene Therapy Market to Reach $2.7 Billion by 2026

Amid the COVID-19 crisis, the global market for Gene Therapy estimated at US$1.2 Billion in the year 2022, is projected to reach a revised size of US$2.7 Billion by 2026, growing at a CAGR of 19.5% over the analysis period.

Gene therapy is growing at an impressive pace, having emerged as a prospective segment in the field of biotechnology, and also presenting a bright outlook, given the increasing investments in R&D as well as mounting incidence of genetic disorders.

The rapid growth in global population, along with growing incidence of cancer and chronic disorders, introduction of novel gene therapy-based products, strong clinical evidence for therapeutic efficacy and safety of gene therapy products, favorable reimbursement policies and guidelines, and rapidly growing demand for chimeric antigen receptor (CAR) T-cell-based gene therapies are some of the key factors driving growth in the market.

Moreover, rising awareness regarding the potential of gene therapy in treating various chronic diseases, ethical acceptability of gene therapy for treating cancer, and increased government support for promoting research in gene therapy are expected to bolster the market growth in the coming years

Viral, one of the segments analyzed in the report, is projected to record 19.7% CAGR and reach US$3 Billion by the end of the analysis period. After a thorough analysis of the business implications of the pandemic and its induced economic crisis, growth in the Non-Viral segment is readjusted to a revised 17.6% CAGR for the next 7-year period. Viral segment accounts for a major share of the market.

Deployment of viral vectors in delivery of gene therapy drugs continue to exhibit progressive tide, driven by wider availability of advanced mechanisms for quicker and effective modifications of viruses such as Adeno-Associated Virus (AAV), Lentivirus, Retrovirus & Gamma-Retrovirus, Herpes Simplex Virus, Poxvirus, and Vaccinia Virus, among others.

Robust improvement in RNA, DNA, and oncolytic viral vectors is encouraging the prospects of viral vectors. Non-viral vectors are perceived as safer substitute to viral vectors, and playing an important role in redirecting pharmaceutical industries and clinicians towards gene therapy. The demand for non-viral vectors is also attributed to factors like easy characterization, mass production, enhanced reproducibility, superior transgenic capacity, and few bio-security issues.

The U.S. Market is Estimated at $628.1 Million in 2022, While China is Forecast to Reach $82.3 Million by 2026

The Gene Therapy market in the U.S. is estimated at US$628.1 Million in the year 2022. China, the world's second largest economy, is forecast to reach a projected market size of US$82.3 Million by the year 2026 trailing a CAGR of 25.1% over the analysis period. Among the other noteworthy geographic markets are Japan and Canada, each forecast to grow at 17.3% and 18.9% respectively over the analysis period.

Within Europe, Germany is forecast to grow at approximately 18.6% CAGR. The presence of large market players, availability of favorable reimbursement policies, prevalence of advanced healthcare infrastructure, high healthcare spending, the availability of high disposable income among the consumer base, and rising incidence of chronic diseases are some of the key factors that are expected to continue driving growth in the US market.

In Europe, rising funding for cell and gene therapy programs in countries such as the UK is expected to steer the gene therapy market in the region. European companies with commercial gene therapy portfolios are actively seeking roll out of their treatments in other regional markets by winning approvals from concerned regulatory bodies.

Growth in the Asia-Pacific region is attributed to the rising prevalence of cancer, growing government initiatives for improving healthcare infrastructure, and increasing healthcare expenditure by various countries across the region.

What`s New for 2022?

Key Topics Covered:

I. METHODOLOGY

II. EXECUTIVE SUMMARY

1. MARKET OVERVIEW

2. FOCUS ON SELECT PLAYERS(Total 154 Featured):

3. MARKET TRENDS & DRIVERS

4. GLOBAL MARKET PERSPECTIVE

III. REGIONAL MARKET ANALYSIS

IV. COMPETITION

For more information about this report visit https://www.researchandmarkets.com/r/qge6hb

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Global Gene Therapy Market Report 2022: Amid the COVID-19 Crisis, the Market is Projected to Reach a Revised Size of $2.7 Billion by 2026 -...

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Overcoming the Complexities With Gene Therapy in ALS: Anna Underhill, BS – Neurology Live

Posted: August 22, 2022 at 2:30 am

WATCH TIME: 3 minutes

For approximately 90% of all cases of amyotrophic lateral sclerosis (ALS), there is no known family history of the disease or presence of a genetic mutation linked to the disease. Although, for the remaining 5% to 10%, there is a known family history of the disease that has opened the door for gene therapy, a targeted approach that can potentially fix or block the negative effects of coding errors. Some of the most promising gene-therapybased approaches for ALS to date include antisense oligonucleotides, RNA interference, or gene editing technology such as CRISPR.

With close to 40 different genes discovered that are linked to the disease, the main issue is now validating the genes. One of these, SARM1, a variant thought to promote neuron death, is also being evaluated by several researchers from Kings College London. The project will use stem cells converted to neurons in a laboratory to firmly establish a causative role for the variant, as well as manipulate the cell culture environment and other genes to identify risk factors interacting with it.

There are several reasons why the research has not translated to therapeutic success, says Anna Underhill, BS, an investigator of the project. Underhill, a postdoctoral researcher at Kings College London, sat down with NeurologyLive to discuss the complexities of gene therapy, where the lag stems from, and the future directions of her study. She also provided detail on the uniqueness of SARM1 mutation, including a possible compensatory mechanism in the cell.

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Canadian family raised $3.5M to develop individualized gene therapy for son’s rare condition – National Post

Posted: August 22, 2022 at 2:30 am

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The family is cautiously optimistic about the improvements they are seeing in Michael, 4, since the gene therapy three months ago

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Doctors and researchers at The Hospital for Sick Children in Toronto have conducted one of the first individualized gene therapies as part of a single-patient clinical trial.

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There is hope that this success will begin to carve a path for precision child health care and more patients will have the opportunity to receive individualized care and treatments for a wide range of conditions.

David Malkin, lead of the Precision Child Health initiative, director of the Cancer Genetics Program, and the CIBC Childrens Foundation Chair in Child Health Research at SickKids, said the idea behind precision medicine is to use the unique features of an individual to make diagnosis more precise and to predict approaches and outcomes to treatments.

The concept is that we take all information, from the postal code to the genetic code, so it is more than medicine, its overall health and everything that encompasses, said Malkin.

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This groundbreaking individualized gene therapy procedure was years in the making.

After fundraising over $3.5 million to develop the therapy, successfully testing it in mice, and finally getting Health Canada approval, Toronto-born four-year-old Michael Pirovolakis received the procedure in March to hopefully slow the progression of his ultra-rare genetic condition, SPG50.

In April 2019, Michael was diagnosed with the progressive neurodegenerative disorder spastic paraplegia type 50 or SPG50. This condition, which is caused by variants in a gene called AP4M1, causes developmental delays, speech impairment, seizures, and progressive paralysis of the arms and legs. Over the course of a few years, children lose the ability to walk and use their hands, and eventually lose their mental capacity. It is also likely to be fatal.

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Michael is currently the only known patient with the condition in Canada. It is estimated that there are around 80 other children with SPG50 around the world, making it an ultra-rare disease.

Having a child with an ultra-rare disease is difficult, said Terry Pirovolakis, Michaels father. Someone has to be watching him at all times because he doesnt understand that climbing up on the couch or opening the fridge door could be unsafe.

We love him more than anything, you know, but it is difficult, he said.

Upon diagnosis, the treatment options for SPG50 were extremely limited. So, Terry and his wife Georgia started the charity CureSPG50 to raise money to develop a gene therapy that would help their son and others with SPG50.

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Gene therapies are usually used to treat conditions caused by genetic mutations, said Jim Dowling, staff physician in the Division of Neurology and senior scientist in the Genetics & Genome Biology program at SickKids.

The idea is that through some delivery mechanism, a gene is added back to an individual, he said.

Currently, the standard way of delivery is to replace the DNA of a virus, most commonly an adeno-associated virus (AAV), with the healthy DNA of the mutated gene. An AAV is used because people do not get sick when they are exposed to it, said Dowling.

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The virus is then given to the patient in a way that is specific to their condition. Sometimes this is through an IV, sometimes into the muscle, or even into the eyeball. For SPG50, gene therapy is given into the spinal fluid so it can easily access the brain.

There are risks associated with the gene therapy procedure, specifically if the patient may develop cancer.

It was exciting that we can give Michael a better life, but scary at the same time because the last thing I ever want to do is hurt my child, said Terry

What was especially unique about Michaels gene therapy was that it was designed specifically for him and his condition, said Dowling, who led Michaels clinical trial.

This type of individualized treatment is what the doctors behind the Precision Child Health initiative at SickKids have been working towards.

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Currently, the precision child health team is gathering case studies that show the use of individualized medicine, like Michaels gene therapy, to create a plan on how to go from the discovery of disease to medical intervention.

They hope that they will soon be able to give the same specialized treatment that Michael received to many more children with many different types of conditions.

Terry said that he and his family are cautiously optimistic about the improvements they are seeing in Michael since the gene therapy three months ago. He is doing well and there are small signs that his symptoms may be improving.

We wouldnt have gotten here without the amazing people helping us along the way, said Terry. I want to thank everybody for just truly being there for us.

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Michael will hopefully not be the only child that receives gene therapy to treat SPG50.

Currently, another batch of treatment is being made with the hope of having 10 doses to give to other kids, said Terry. If all goes to plan and the U.S. Food and Drug Administration (FDA) approves the treatment, in October there will be another clinical trial in Texas.

Terry said this plan relies on CureSPG50 raising another quarter of a million dollars per child. The money is needed to cover a five-year study and hospital costs.

Our goal is to save as many kids as we humanly can, said Terry. I hope we can raise enough money to eradicate this disease.

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