Saturday, October 29, 2016

Autism spectrum disorder linked to mutations in some mitochondrial DNA

Study of 903 affected children shows inherited, spontaneous mutations increase risk
Children diagnosed with autism spectrum disorder (ASD) have greater numbers of harmful mutations in their mitochondrial DNA than family members, report Zhenglong Gu of Cornell University in Ithaca, New York, and colleagues, in a study published October 28th, 2016 in PLOS Genetics.

Increasingly, studies point to malfunctions in mitochondria – the powerhouses of the cell – as a cause of autism spectrum disorder, but the biological basis for this relationship is unclear. To see if a genetic link exists between mitochondrial malfunction and ASD, the scientists analyzed mitochondrial DNA sequences from 903 children with ASD, along with their unaffected siblings and mothers. They discovered a unique pattern of heteroplasmic mutations, where both mutant and normal mitochondrial DNA sequences exist in a single cell. Children with ASD had more than twice as many potentially harmful mutations compared to unaffected siblings, and 1.5 times as many mutations that would alter the resulting protein. The researchers went on to show that these mutations can be inherited from the mother, or the result of spontaneous mutation during development.

The scientists noted that the risk associated with these mutations is most pronounced in children with lower IQ and poor social behavior compared to their unaffected siblings. Carrying harmful mutations in mitochondrial DNA is also associated with increased risk of neurological and developmental problems among children with ASD. Because mitochondria play a central role in metabolism, these findings may help explain the metabolic disorders commonly associated with ASD and other neurodevelopmental disorders. Evaluating mutations in the mitochondrial DNA of high-risk families could help improve the diagnosis and treatment of these diseases.

Zhenglong Gu says "The result of our study synergizes with recent work on ASD, calling attention to children diagnosed with ASD who have one or more developmental abnormalities or related co-morbid clinical conditions for further testing on mitochondrial DNA and mitochondrial function. Since many neurodevelopmental disorders and related childhood disorders show abnormalities that converge upon mitochondrial dysfunction, and may have mtDNA defects as a common harbinger, future research is needed to elucidate the mitochondrial mechanisms underpinning to these diseases. Ultimately, understanding the energetic aspects of neurodevelopmental disorders may lead to entirely new kinds of treatments, and preventative strategies that would target mitochondria.”

Sunday, October 9, 2016


undefined
INTERNET EXPLORER USERS CLICK HERE & BOOKMARK THIS PAGE.   OTHERS PRESS CTRL & D.


Problems in a mature cataract


    What is a mature cataract?
Photo of a mature cataract





    Mature Cataract


    As the natural lens ages, it undergoes a process whereby the normal transparent lens fibers become opaque. This is a gradual process that can take months or years to complete. During the time taken to complete this process the lens is called an immature cataract. As all the lens fibers opacify the lens gradually becomes a mature cataract. The time taken for this process varies from person to person ranging from a few months to a few years.

    What happens after the cataract matures?    
Photo of a Morgagnian cataract





    Morgagnian Cataract

Once the cataract matures it can follow one of two different processes.
  • Liquefaction: Here the mature lens fibers undergo a process where the individual fibers disintegrate and form a liquid. This remains in the capsule of the lens. The lens is transformed into a bag containing milky fluid. This is called a Morgagnian cataract. This type is very dangerous as this can burst inside the eye, giving rise to a severe reaction, which needs immediate treatment. Even if the cataract does not burst, surgery in this stage has increased risk of complications such as vitreous loss, etc.
  • Desiccation: Here as the name suggests the lens fibers undergo a drying process where the lens dries up a progressively becomes thinner and harder. This lens can at any stage abruptly undergo liquefaction. Surgery in this lens is also fraught with danger, as the hard lens is very difficult to phacoemulsify.

    Is there an association between cataract and glaucoma?
As the lens matures it increases the risk of development of a variety of glaucoma.
There are three types of glaucoma associated with a developing cataract.
Optic Nerve showing glaucomatous damage





    Glaucomatous optic nerve

  • Phacolytic glaucoma: This is caused presumably by lens proteins leaking from the thinned-out capsule. These proteins cause a severe reaction in the eye causing rise in the intraocular pressure causing glaucoma. If not treated vigorously it can cause permanent blindness. Surgery in these carries an increased risk of vitreous loss.
  • Phacomorphic glaucoma: As the lens matures it increases in size. This decreases the space available for the outflow of aqueous (the fluid in the eye). This obstruction to the outflow causes a rapid rise in intra-ocular pressure causing redness and pain in the eye. The visual outcome is very poor in untreated cases.

    Is it advisable to wait for the lens to mature?
Photo of an immature cataract





Immature cataract
As is evident from the discussion above a mature cataract causes more problems. In the past patient's were advised to wait for the cataract to mature. This was done because the surgery in those days was intra-capsular. Here the emphasis was on removing the entire lens along with the capsule, which was easier done if all of the lens fibers were opaque.
But with the advances in the operating microscope even clear transparent fibers are easily visible and can be easily removed. Moreover phacoemulsification is easier done in an immature cataract than in a mature one. Hence today there is no rationale to wait for the cataract to mature.
However this does not mean that the lens has to be removed at the earliest sign of cataract. Cataract surgery though much safer than before still has it's attendant risk's. This has to be taken into account before the decision for surgery is made. So the ideal time, unless otherwise advised by the doctor is when the diminished vision causes hindrance in the day to day activities of the patient.


Back

Saturday, October 8, 2016

Can drinking eight glasses of water a day harm you?

  • IANS
COMMENT   ·   PRINT   ·   T  T  

Challenging the popular notion that we should drink eight glasses of water a day for good health, researchers have found that drinking too much water can put people in danger of water intoxication.
Researchers from Monash University in Victoria, Australia have found a mechanism that regulates fluid intake in the human body and stops us from over-drinking.
The findings showed that excess of water in the body can cause water intoxication or hyponatremia — a condition that occurs when vital levels of sodium in the blood become abnormally low.
The condition can potentially give rise to symptoms ranging from lethargy and nausea to convulsions and coma.
The study revealed that a ‘swallowing inhibition’ is activated by the brain after excess liquid is consumed, helping maintain tightly calibrated volumes of water in the body.
“If we just do what our body demands us to we’ll probably get it right — just drink according to thirst rather than an elaborate schedule,” said Michael Farrell, Associate Professor at Monash University.
For the study, the team asked participants to rate the amount of effort required to swallow water under two conditions: following exercise when they were thirsty and later after they were persuaded to drink an excess amount of water.
The results showed a three-fold increase in effort after over-drinking.
Further, the team used functional magnetic resonance imaging (fMRI) and found that the right prefrontal areas of the brain were much more active when participants were trying to swallow with much effort.
“We found effort-full swallowing after drinking excess water which meant they were having to overcome some sort of resistance, as the swallowing reflex becomes inhibited once enough water has been drunk,” Farrell said.
The study was published online in the Proceedings of the National Academy of Sciences.

Sunday, October 2, 2016