Reported September 10, 2009
It may sound strange, but when estrogen-lowering drugs no
longer control the growth of breast cancer, the exact opposite strategy may
come to the rescue.
Researchers at Washington University in St. Louis have found that raising
estrogen levels helped 30 percent of women whose metastatic breast cancer no
longer responded to anti-estrogen treatment. And, not only did estrogen
treatment often stop progression, some tumors later responded again to
anti-estrogen treatments.
The study followed 66 women with breast cancer that had spread beyond the
breast. They were all among the 75 percent of breast cancer cases that are
estrogen-receptor positive, meaning that estrogen stimulated tumor growth.
They were given anti-estrogren treatment, but their tumors later reappeared
or resumed growing.
They were then placed on either high- or low-dose
estrogen therapy, and both treatments benefited 30 percent of the patients.
Moreover, doctors were able to accurately predict which patients would
benefit through positron emission tomography (PET) scans.
The finding is an exciting one for Dr. Matthew Ellis, an oncologist at the
Siteman Cancer Center in St. Louis. About 40,000 women die of metastatic
breast cancer each year, and estrogen therapy could potentially help
thousands at a cost of less than a dollar a day as compared to expensive
chemotherapy.
The finding was published in a recent issue of the Journal of the American
Medical Association.
Supplement for cyclists
Athletes who think that the latest supplement du jour -- quercetin -- will
help their performance may want to save their money.
Kirk Cureton, who heads the department of kinesiology at the University of
Georgia, recently tested the substance in a study that assessed a variety of
measures, including the ability of muscles to synthesize energy, cycling
performance and strength loss.
The verdict: Although it had produced a 37 percent increase in the running
endurance of mice, it showed no benefit in humans.
Quercetin is an antioxidant found in fruit skins, leafy
vegetables, black tea and wine. It is sold as a supplement and added to
sports drinks such as FRS Energy, which is promoted by cyclist Lance
Armstrong.
Another reason to breast-feed
Parents who want to avoid the distress of infantile diarrhea might have an
easy way to keep the runs on the run.
Dr. Steven Koslov, a pediatrician at the University of Wisconsin, says
breast milk has been shown to prevent diarrhea in newborns -- and it's also
the best cure for common infectious diarrhea in infants.
"We encourage moms to be aggressive with breast-feeding because it is the
optimal rehydration solution," Koslov said. "That's not to say breast-fed
babies won't get sick. But it does significantly decrease the occurrence of
diarrhea and other types of infections."
When the child gets older, drinking too much juice with high sugar content
often causes chronic diarrhea, he said.
"The biggest problem is apple juice; kids love it," he said. "It's like
nature's candy. But juice fills the gut with a heavy sugar load that creates
diarrhea."
AMA on Facebook
As part of its effort to better communicate with patients, the American
Medical Association recently launched its official Facebook page.
The AMA page will feature timely updates on the health-reform debate and
other information important to patients and physicians. Patients can watch
virtual town hall videos, read the latest blog post by AMA President Dr. J.
James Rohack and more.
"Americans must have access to timely, accurate information about the
nation's ongoing efforts to reform the current health system in order to
provide high-quality, affordable health coverage for all," Rohack said. "The
AMA Facebook page is a tool for patients and physicians to learn and
communicate with each other about the latest developments."
Lecithin product pluses
A common ingredient found in many foods may one day help doctors control
blood fats and reduce the risk of major diseases.
Scientists at Washington University in St. Louis say they have identified a
substance in the liver that helps process fat and sugar. This substance is a
component of the common food additive lecithin, leading researchers to think
that lecithin products may one day be used to control blood lipids and cut
the risk of diabetes, high blood pressure and cardiovascular disease.
""Currently, doctors use drugs called fibrates to treat problems with
cholesterol and triglycerides," said Irfan J. Lodhi, the study's co-first
author. "By identifying this substance ... it may be possible to improve the
treatment of lipid disorders and minimize drug side effects by adding
particular varieties of lecithin to food."
High concentrations of lecithin can be found in egg whites as well as
soybeans, grains, fish and peanuts.
Inflammation and memory loss
Getting a cold or stomach bug may lead to increased memory loss in people
with Alzheimer's disease, according to research in this week's issue of
Neurology.
The study found that people who had respiratory, digestive tract or other
infections were more likely to have high blood levels of tumor necrosis
factor (TNF), a protein involved in inflammation. Such people also were more
likely to experience memory loss or other types of cognitive decline than
people who did not have infections and who had low TNF levels.
Of 222 people studied, the 110 who experienced an infection or even bumps
and bruises from a fall experienced memory loss at twice the rate of those
who stayed healthy.
Stress-reducing smells
Stopping to smell the roses really may be good advice if you're trying to
cut your stress level.
Scientists in Japan are reporting the first scientific evidence that
inhaling certain fragrances alters gene activity and reduce stress.
Akio Nakamura and his colleagues exposed mice to stressful conditions while
allowing some to inhale linalool, one of the most widely used substances to
soothe stress.
The scientists found that the scent of linalool returned stress-elevated
levels of neutrophils and lymphocytes -- key parts of the immune system --
to near-normal levels. It also reduced the activity of more than 100 genes
that go into overdrive in stressful situations.
The researchers hope the findings will lead to new blood tests to identify
stress-alleviating fragrances. The study was found in a recent issue of
Journal of Agricultural and Food Chemistry published by the American
Chemical Society.