Category: Dr. Nakamura

Indian boy has 232 teeth removed

On By A.P.In Dr. NakamuraLeave a comment

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Surgeons in Mumbai have removed 232 teeth from the mouth of an Indian teenager in what they believe may be a world-record operation.

Ashik Gavai, 17, sought medical help for a swelling on the right side of his lower jaw and the case was referred to the city’s JJ hospital, where they found he was suffering from a condition known as complex odontoma, said head of dentistry Sunanda Dhivare-Palwankar.

“We operated on Monday and it took us almost seven hours. We thought it may be a simple surgery but once we opened it there were multiple pearl-like teeth inside the jaw bone,” she said.

After removing those they found a larger “marble-like” structure that they struggled to shift and eventually had to “chisel out” and remove in fragments.

Ashik’s father, Suresh Gavai, said the family had been worried that the swelling was a malignant growth.

“I was worried that it may turn out to be cancer so I brought him to Mumbai,” Gavai told the Mumbai Mirror newspaper.

Dhivare-Palwankar said the literature they had come across on the condition showed a maximum of 37 teeth being removed in such a procedure, whereas she and her team had counted more than 232 taken from Gavai’s mouth.

“I think it could be a world record,” she said.

Gavai’s jawbone structure was maintained during the operation so it should heal without deformities, the surgeon added.

Thanks to Dr. Nakamura for bringing this to the attention of the It’s Interesting community.

http://www.theguardian.com/world/2014/jul/24/indian-boy-has-232-teeth-removed

Mice run for fun on wheels out in the wild.

On By A.P.In Dr. Nakamura, Exercise, Gene D. Block, Huda Akil, James Gorman, Johanna H. Meijer, Konrad Lorenz, Leiden University Medical Center, Marc Bekoff, mice, Nature, Netherlands, neural activity, Neuroscience, neuroscientist, Proceedings of the Royal Society B, Russell Foster, Science, wheel running, Yuri RobbersLeave a comment

By James Gorman

If an exercise wheel sits in a forest, will mice run on it?

Every once in a while, science asks a simple question and gets a straightforward answer.

In this case, yes, they will. And not only mice, but also rats, shrews, frogs and slugs.

True, the frogs did not exactly run, and the slugs probably ended up on the wheel by accident, but the mice clearly enjoyed it. That, scientists said, means that wheel-running is not a neurotic behavior found only in caged mice.

They like the wheel.

Two researchers in the Netherlands did an experiment that it seems nobody had tried before. They placed exercise wheels outdoors in a yard and in an area of dunes, and monitored the wheels with motion detectors and automatic cameras.

They were inspired by questions from animal welfare committees at universities about whether mice were really enjoying wheel-running, an activity used in all sorts of studies, or were instead like bears pacing in a cage, stressed and neurotic. Would they run on a wheel if they were free?

Now there is no doubt. Mice came to the wheels like human beings to a health club holding a spring membership sale. They made the wheels spin. They hopped on, hopped off and hopped back on.

“When I saw the first mice, I was extremely happy,” said Johanna H. Meijer at Leiden University Medical Center in the Netherlands. “I had to laugh about the results, but at the same time, I take it very seriously. It’s funny, and it’s important at the same time.”

Dr. Meijer’s day job is as a “brain electrophysiologist” studying biological rhythms in mice. She relished the chance to get out of the laboratory and study wild animals, and in a way that no one else had.

She said Konrad Lorenz, the great-grandfather of animal behavior studies, once mentioned in a letter that some of his caged rats had escaped and then returned to his garden to use running wheels placed there.

But, Dr. Meijer said, the Lorenz observation “was one sentence.”

For the experiment, the wheels were enclosed so that small animals could come and go but so that larger animals could not knock them over. Dr. Meijer set up motion sensors and automatic video cameras. Several years and 12,000 snippets of video later, she and Yuri Robbers, also a Leiden researcher, reported the results. They were released in the Proceedings of the Royal Society B.

Gene D. Block, chancellor of the University of California, Los Angeles, was not involved with the paper but knows Dr. Meijer and had seen the wheel set up in her garden. He said the study made it clear that wheel-running is “some type of rewarding behavior” and “probably not driven by stress or anxiety.”

Mice accounted for 88 percent of the wheel-running events, and spent one minute to 18 on the wheel. The other animals each accounted for less than 1 percent. Frogs, though there were very few, were seen to get on the wheel, get off and get back on.

Russell Foster, a circadian rhythm researcher at Oxford University, said he read the paper and sent it out to other scientists on behalf of the Proceedings and was delighted when peer reviews from other scientists were positive.

Marc Bekoff, a professor of ecology and evolutionary biology at the University of Colorado who is active in the animal welfare movement, said in an email that he thought the paper did show that wheel-running could be a “voluntary activity,” but that mice in labs may be doing more of it because of the stress of confinement.

“Wild bears will often pace back and forth,” he wrote, “but in captivity, the rate of doing it seems to be greatly heightened.”

As to why the mice, frogs or perhaps even slugs run, or move, on the wheel, Dr. Meijer said she thought that “there is an intrinsic motivation for animals, or should I say organisms, to be active.”

Huda Akil, co-director of the Molecular and Behavioral Neuroscience Institute at the University of Michigan, who has studied reward systems, said: “It’s not a surprise. All you have to do is watch a bunch of little kids in a playground or a park. They run and run and run.”

Dr. Akil said that in humans, running activates reward pathways in the brain, although she pointed out that there are innate differences in temperament in all sorts of animals, including humans. Rats that do not like to run can be bred. And plenty of people do all they can to avoid jogging, cycling and elliptical machines.

Presumably, the same is true of wild mice. While some were setting the wheel on fire with their exertions, others, out of camera range, may have been sprawled out on the mouse equivalent of a lounge chair, shaking their whiskers in dismay and disbelief.

Thanks to Dr. Nakamura for bringing this to the attention of the It’s Interesting community.

In the Flesh: The Embedded Dangers of Untested Stem Cell Cosmetics

On By A.P.In Allan Wu, American CryoStem, Beverly Hills, calcium hydroxylapatite, California, cytokines, Dr. Nakamura, elastin, FDA, Food and Drug Administration, Frederic Stern, Genifique, John Arnone, L'Oréal, Medicine, New Jersey, Paul Knoepfler, Personal Cell Sciences, plastic surgery, Rancho Mirage, Science, Scientific American, stem cells, Stern Center for Aesthetic Surgery, The Morrow Institute, U Autologous, UC Davis, University of CaliforniaLeave a comment

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When cosmetic surgeon Allan Wu first heard the woman’s complaint, he wondered if she was imagining things or making it up. A resident of Los Angeles in her late sixties, she explained that she could not open her right eye without considerable pain and that every time she forced it open, she heard a strange click—a sharp sound, like a tiny castanet snapping shut. After examining her in person at The Morrow Institute in Rancho Mirage, Calif., Wu could see that something was wrong: Her eyelid drooped stubbornly, and the area around her eye was somewhat swollen. Six and a half hours of surgery later, he and his colleagues had dug out small chunks of bone from the woman’s eyelid and tissue surrounding her eye, which was scratched but largely intact. The clicks she heard were the bone fragments grinding against one another.

About three months earlier the woman had opted for a relatively new kind of cosmetic procedure at a different clinic in Beverly Hills—a face-lift that made use of her own adult stem cells. First, cosmetic surgeons had removed some the woman’s abdominal fat with liposuction and isolated the adult stem cells within—a family of cells that can make many copies of themselves in an immature state and can develop into several different kinds of mature tissue. In this case the doctors extracted mesenchymal stem cells—which can turn into bone, cartilage or fat, among other tissues—and injected those cells back into her face, especially around her eyes. The procedure cost her more than $20,000, Wu recollects. Such face-lifts supposedly rejuvenate the skin because stem cells turn into brand-new tissue and release chemicals that help heal aging cells and stimulate nearby cells to proliferate.

During the face-lift her clinicians had also injected some dermal filler, which plastic surgeons have safely used for more than 20 years to reduce the appearance of wrinkles. The principal component of such fillers is calcium hydroxylapatite, a mineral with which cell biologists encourage mesenchymal stem cells to turn into bone—a fact that escaped the woman’s clinicians. Wu thinks this unanticipated interaction explains her predicament. He successfully removed the pieces of bone from her eyelid in 2009 and says she is doing well today, but some living stem cells may linger in her face. These cells could turn into bone or other out-of-place tissues once again.

Dozens, perhaps hundreds, of clinics across the country offer a variety of similar, untested stem cell treatments for both cosmetic and medical purposes. Costing between $3,000 and $30,000, the treatments promise to alleviate everything from wrinkles to joint pain to autism. The U.S. Food and Drug Administration (FDA) has not approved any of these treatments and, with a limited budget, is struggling to keep track of all the unapproved therapies on the market. At the same time, pills, oils, creams and moisturizers that allegedly contain the right combination of ingredients to mobilize the body’s resident stem cells, or contain chemicals extracted from the stem cells in plants and animals, are popping up in pharmacies and online. There’s Stem Cell 100, for example, MEGA STEM and Apple Stem Cell Cloud Cream. Few of these cosmetics have been properly tested in published experiments, yet the companies that manufacture them say they may heal damaged organs, slow or reverse natural aging, restore youthful energy and revitalize the skin. Whether such cosmetics may also produce unintended and potentially harmful effects remains largely unexamined. The increasing number of untested and unauthorized stem cell treatments threaten both people who buy them and researchers hoping to conduct clinical trials for promising stem cell medicine.

So far, the FDA has only approved one stem cell treatment: a transplant of bone marrow stem cells for people with the blood cancer leukemia. Among the increasing number of unapproved stem cell treatments, some clearly violate the FDA’s regulations whereas others may technically be legal without its approval. In July 2012, for example, the U.S. District Court upheld an injunction brought by the FDA against Colorado-based Regenerative Sciences to regulate just one of the company’s several stem cell treatments for various joint injuries as an “unapproved biological drug product.” The decision hinged on what constitutes “minimal manipulation” of cells in the lab before they are injected into patients. In the treatment that the FDA won the right to regulate, stem cells are grown and modified in the lab for several weeks before they are returned to patients; in Regenerative Sciences’s other treatments, patients’ stem cells are extracted and injected within a day or two. Regenerative Sciences now offers the legally problematic treatment at a Cayman Island facility.

Many stem cell cosmetics reside in a legal gray area. Unlike drugs and “biologics” made from living cells and tissues, cosmetics do not require premarket approval from the FDA. But stem cell cosmetics often satisfy the FDA’s definitions for both cosmetics and drugs. In September 2012 the FDA posted a letter on its Web site warning Lancôme, a division of L’Oréal, that the way it describes its Genifique skin care products qualify the creams and serums as unapproved drugs: they are supposed to “boost the activity of genes,” for example, and “improve the condition of stem cells.” Other times the difference between needing or not needing FDA approval comes down to linguistic nuance—the difference between claiming that a product does something or appears to do something.

Personal Cell Sciences, in Eatontown, N.J., sells some of the more sophisticated stem cell–based cosmetics: an eye cream, moisturizer and serum infused with chemicals derived from a consumer’s own stem cells. According to its website and marketing materials, these products help “make skin more supple and radiant,” “reduce the appearance of fine lines and wrinkles around the eyes and lips,” “improve cellular renewal” and “stimulate cell turnover for renewed texture and tone.” In exchange for $3,000, Personal Cell Sciences will arrange for a participating physician to vacuum about 60 cubic centimeters (one quarter cup) of a customer’s fat from beneath his or her skin and ship it on ice to American CryoStem Corp. in Red Bank, N.J., where laboratory technicians isolate and grow the customer’s mesenchymal stem cells to around 30 million strong. Half these cells are frozen for storage; from the other half, technicians harvest hundreds of different kinds of exuded growth factors and cytokines—molecules that help heal damaged cells and encourage cells to divide, among other functions. These molecules are mixed with many other ingredients—including green tea extract, caffeine and vitamins—to create the company’s various “U Autologous” skin care products, which are then sold back to the consumer for between $400 and $800. When the customer wants a refill, technicians thaw some of the frozen cells, collect more cytokines and produce new bottles of cream.

In an unpublished safety trial sponsored by Personal Cell Sciences, Frederic Stern of the Stern Center for Aesthetic Surgery in Bellevue, Wash., and his colleagues monitored 19 patients for eight weeks as they used the U Autologous products on the left sides of their faces. A computer program meant to objectively analyze photos of the volunteers’ faces measured an average of 25.6 percent reduction in the volume of wrinkles on the treated side of the face. Analysis of tissue biopsies revealed increased levels of the protein elastin, which helps keep skin taut, and no signs of unusual or cancerous cell growth.

Supposedly, the primary active ingredients in the U Autologous skin care products are the hundreds of different kinds of cytokines they contain. Cytokines are a large and diverse family of proteins that cells release to communicate with and influence one another. Cytokines can stimulate cell division or halt it; they can suppress the immune system or provoke it; they can also change a cell’s shape, modulate its metabolism and force it to migrate from one location to another like a cowboy corralling cattle. Researchers have only named and characterized some of the many cytokines that stem cells secrete. Some of these molecules certainly help repair damaged cells and promote cell survival. Others seem to be involved in the development of tumors. In fact, some recent evidence suggests that the cytokines released by mesenchymal stem cells can trigger tumors by accelerating the growth of dormant cancer cells. Personal Cell Sciences does not pick and choose among the cytokines exuded by its customers’ stem cells—instead, it dumps them all into its skin care products.

Based on the available evidence so far, topical creams containing cytokines from stem cells pose far less risk of cancer than living stem cells injected beneath the skin. But scientists do not yet know enough about stem cell cytokines to reliably predict everything they will do when rubbed into the skin; they could interact with healthy skin cells in a completely unexpected way, just as the unintended interplay between calcium hydroxylapatite and stem cells produced bones in the Los Angeles woman’s eye. Stern acknowledges that unusual tissue growth is a concern for any treatment based on stem cells and the chemicals they release. “Down the line, we want to continue watching that,” he says. Unlike many other clinics, he and his colleagues have been keeping tabs on their patients through regular follow-ups. John Arnone, CEO of American CryoStem and founder of Personal Cell Sciences, says the fact that U Autologous skin care products contain such a diversity of cytokines does not bother him: “I’ve seen worse things out there. I’ve been putting this formulation for almost a year on myself prior to the study. I’m the best guinea pig here.”

Beyond the considerable risks to consumers, unapproved stem cell treatments also threaten the progress of basic research and clinical trials needed to establish safe stem cell therapies for serious illnesses. By harvesting stem cells, subsequently nourishing them in the lab and transplanting them back inside the human body, scientists hope to improve treatment for a variety of medical conditions, including heart failure, neurodegenerative disorders like Parkinson’s, and spinal cord injuries—essentially any condition in which the body needs new cells and tissues. Researchers are investigating many stem cell therapies in ongoing, carefully controlled clinical trials. Some of the principal questions entail which of the many kinds of stem cells to use; how to safely deliver stem cells to patients without stimulating tumors or the growth of unwanted tissues; and how to prevent the immune system from attacking stem cells provided by a donor. Securing funding for such research becomes all the more difficult if shortcuts taken by private clinics and cosmetic manufacturers—and the subsequent botched procedures and unanticipated consequences—imprint a stigma on stem cells.

“Many of us are super excited about stem cells, but at same time we have to be really careful,” says Paul Knoepfler, a cell biologist at the University of California, Davis, who regularly blogs about the regulation of stem cell treatments. “These aren’t your typical drugs. You can stop taking a pill and the chemicals go away. But if you get stem cells, most likely you will have some of those cells or their effects for the rest of your life. And we simply don’t know everything they are going to do.”

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https://www.scientificamerican.com/article.cfm?id=stem-cell-cosmetics&WT.mc_id=SA_emailfriend

Thanks to Dr. Nakamura for bringing this to the attention of the It’s Interesting community.

A Peek Inside Rappers’ Brains Shows Roots Of Improvisation

On By A.P.In creativity, Daniel Rizik-Baer, Dr. Nakamura, freestyle rap, functional MRI, Michael Eagle, rap, Science, The BrainLeave a comment

 The warmer orange colors show parts of the brain most active during improvisational rap. The blue regions are most active when rappers performed a memorized piece.

Some rappers have an impressive ability to make up lyrics on the fly, in a style known as freestyle rap.

These performers have a lot in common with jazz musicians, it turns out.

Scientists have found artists in both genres are using their brains in similar ways when they improvise.

A group of jazz pianists had their heads examined in a 2008 PLOS One study, which subjected the musicians to functional magnetic resonance imaging scans. These scans highlight areas of brain activity.

When riffing on a tune instead of playing a memorized composition, the musicians had lower activity in a part of the frontal brain that is thought to be responsible for planning and greater activity in another part of the frontal brain believed to motivate thought and action.

After hearing about the jazz study, Los Angeles rappers Michael Eagle and Daniel Rizik-Baer contacted one of the researchers, Allen Braun, chief of the voice, speech and language branch of the National Institute on Deafness and Other Communication Disorders. Eagle and Rizik-Baer proposed a similar study on freestyle rap.

Soon Braun’s colleague Siyuan Liu at NIDCD put together a team, which included the two rappers, to determine what was happening inside these performers’ brains.

In their study, published today in Scientific Reports, five professional rappers were given a set of lyrics to memorize. A week later each was put inside an MRI machine to put on his performance.

“It’s not a very natural environment, that’s for sure,” notes Braun, a co-author on the latest study. “It’s noisy and you have to lie on your back. And you need to stay still.”

The clinical setting may not have been the normal setting for the rappers, but they had little difficulty performing on cue. Each would perform the preset rap, and then they would switch to improvising to the same music track.

“By comparing the two, we could see the neural activity associated with freestyle rap,” Braun says.

When Liu and the other researchers examined the fMRI data, they found that, like the jazz musicians, the rappers’ brains were paying less conscious attention to what was going on but had strong action in the area that motivates action and thought.

“Unlike the jazz study, these changes were very strongly associated with the left hemisphere of the brain,” Braun says. That’s the half of the brain where, for most right-handed people, language is processed.

The team also found a network of connections in the performers’ brains during the freestyle raps, linking parts of the brain responsible for motivation, language, action and emotion.

And raps that were rated as more innovative correlated with more activity in the region of the brain that stores words. It’s not surprising, says Braun, “that the more creative the rap, the more they’re tapping the lexicon.”

The study is part of a larger body of research that is hoping to determine what is happening inside the brain during the creative process. Braun says that he’d like to know more about what happens in the next phase of creativity, revision. He has recruited a group of poets for that study.

http://www.npr.org/blogs/health/2012/11/14/165145967/a-peek-inside-rappers-brains-shows-roots-of-improvisation?sc=emaf

Thanks to Dr. Nakamura for bringing this to the attention of the It’s Interesting community.