Saturday, September 7, 2013

Bioengineered kidney makes urine after transplantation

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Here’s research that could take the piss out of disease—and it’s no joke. For the first time, scientistsreporting in Nature Medicine have created lab-grown kidneys in rats that produce urine after transplantation.
If the work can be replicated in humans, patients suffering from end-stage kidney disease could one day have “an organ that’s grown on demand—a tailored organ that can be transplanted and replaces the failing organ,” says study author Harald Ott, a bioengineer at the Massachusetts General Hospital in Boston.

Mouse study illustrates how foreign herpes DNA triggers immune response

For the immune system to do its job in fighting off disease, it first has to be able to detect foreign intruders. Scientists have known for some time that when bacteria, viruses and other pathogens set off alarms in the immune system, this leads to the production of molecules such as interferon that rev up the body’s defenses. But until now, researchers lacked evidence from animal experiments to back up the theory of how the DNA from these pathogens first triggers this immune-activating cascade in the immediate, ‘innate’ immune response.
Previously, immunologist Zhijian “James” Chen, of the University of Texas Southwestern Medical Center in Dallas, and his colleagues showed that when bacteria or viruses wile their way into host cells—either by tricking cell receptors to allow entry or getting engulfed by the cell membrane—their foreign DNA activates an enzyme called cyclicguanosine monophosphate–adenosine monophosphate synthase (cGAS). This enzyme then binds to the intruder’s DNA and triggers the next step in the cascade of immune events: the production of a second messenger, a small molecule called cyclicguanosine monophosphate–adenosine monophosphate (cGAMP).
In a mouse study published online today, Chen’s team demonstrates evidence of cGAS activity, in vivo,against infectious agents such as herpes virus, which uses DNA as its genetic material (unlike influenza or rotaviruses, which are examples of RNA-based pathogens).
The researchers exposed five mice that they had genetically engineered to lack cGAS to herpes simplex virus 1 (HSV1). All of those mice died from viral encephalitis, as did five control mice that also were exposed to the virus. Crucially, though, several of the mice engineered to lack cGAS died three days after exposure and had high titers of HSV1 in their brain tissue, whereas their control counterparts died beginning on the sixth day and had no detectable HSV1 in the brain. The cGAS-deficient rodents also had markedly lower levels of interferon—a key signaling molecule in of the immune system—indicating that mice without cGAS couldn’t mobilize an effective immune defense.
The role of cGAS show in the earlier in vitro study and this new rodent experiment has impressed other scientists. “This is a brand new antiviral mechanism that we didn’t know before,” says Luke O’Neill, a biochemist at Trinity College in Dublin, Ireland. “This research has really galvanized the field.”
Cell variety
To show that cGAS wasn’t specific to one type of cell, Chen’s team infected a variety of mouse cells—lung cell fibroblasts, dendritic cells and macrophages—with DNA from multiple sources. Those cells engineered to lack cGAS failed to produce interferon, for the most part. According to Chen, having an enzyme that detects foreign DNA regardless of which cell is invaded, or where the genetic material came from is “pretty clever” of the immune system: “DNA should stay in the cell nucleus or the mitochondria. When it shows up anywhere else in the cell it’s a clear sign that something is wrong.”
Chen adds that knowing how the immune system reacts to foreign DNA may help researchers figure out how to develop therapeutics for autoimmune diseases, such as lupus, in which scientists believe ‘self’ DNA might mistakenly leak out of the cell nucleus and mobilize the defense system to attack its own body.
The scientists also explored a potential therapeutic role for cGAMP as a powerful booster to the immune system. They found that mice that received injections of a protein derived from eggs called ovalbumin (OVA) in combination with cGAMP produced more protective antibodies against OVA than those that received the injection without cGAMP. With these immune boosting effects, Chen says that cGAMP might one day be used to improve the efficacy of human vaccines, and perhaps used in the development of effective immunizations against HIV and malaria.

Friday, September 6, 2013

A comprehensive virus survey now could save billions in avoided health care costs later, experts say

Imagine if pandemics could be forecast by infectious disease scientists the way that bad weather can be tracked by meteorologists. New viruses would still infect people, but the cost of monitoring the emergence of those novel pathogens would be far less than the expense of dealing with a worldwide outbreak. At least that’s the reasoning behind a new study, published today inmBio, in which researchers propose launching a billion-dollar-plus global surveillance plan to find all the viruses lurking in mammalian wildlife before those same viruses find us.
A consortium of scientists, funded by the US Agency for International Development (USAID), headquartered in Washington, DC, estimated that at least 320,000 viruses remain unidentified in the world’s 5,500 mammals. They argue that the cost of systematically searching for those new viruses would pale in comparison to the estimated $16 billion another epidemic such as SARS could cost.
That epidemic, which started in China in 2003 after a coronavirus carried by bats and palm civets started infecting humans, eventually killed more than 700 people and spread to 37 countries worldwide. The ongoing outbreak of Middle East respiratory syndrome (MERS) hasn’t yet reached such pandemic levels. But with 108 laboratory-confirmed cases of infection in nine countries, including 50 deaths, public health officials remain on high alert.
Eric Delwart, a virologist at the Blood Systems Research Institute in San Francisco who was not involved in the study, describes the virus-hunting proposal as “a feasible approach” to looking for zoonotic diseases that animals could transmit to humans. “This study provides one of the first data-based estimates of the scope of the viro-diversity which humans and their livestock have to face and from which the next viral epidemic will emerge,” he says. “Although other people have looked at pathogen levels before and estimated that there are two new human viruses coming each year, we don’t know where they’re coming from.”
The study authors based their estimates on the study of a flying fox bat, Pteropus giganteus, which is known to harbor the Nipah virus and cause annual outbreaks among people in Bangladesh. Under the auspices of a USAID project called PREDICT, program co-director Jonna Mazet and her colleagues sequenced DNA extracted from more than 7,000 samples of urine, throat swabs and stool from the bats. Their analysis turned up 55 viruses, of which only five were previously known to science. Mazet and her colleagues extrapolated from those results to calculate that at least 320,000 viruses probably remain to be found in other understudied mammals.
It cost about $1.2 million for the PREDICT researchers to find, prepare and analyze all the flying fox bat samples from Bangladesh, a location that the scientists note is probably one of the less expensive places to go virus hunting. Costs could climb much higher if they looked in more remote areas for animals that are harder to track and handle. The researchers figure that fully cataloguing all the mammal-infecting viral diversity out there would cost about $6.3 billion spread over a 10-year period. However, trying to find just 85% of unknown viruses would be much cheaper — perhaps only $1.4 billion over the next decade. “We don’t need to find all of them,” says Mazet, an epidemiologist at the University of California–Davis School of Veterinary Medicine.
It isn’t clear who would fund such a surveillance system, especially with the USAID funding for the PREDICT project — just $15 million per year — slated to end in September 2014. However, Mazet is hopeful that findings from similar studies will draw new funding sources to continue the work.