Category Archives: Gene therapy

Most people do their best to avoid contact with Salmonella . This bacteria genus, which often lives on poultry and can find its way into other food products , causes hundreds of thousands of illnesses--and hundreds of deaths--in the U.S. each year. But new research demonstrates that this common food pathogen could be disarmed and reconfigured as a vehicle for gene-based antiviral treatments. [More]

Over 1.5 million new cancer cases were identified in the United States in 2010, and despite continued advances in cancer treatment, approximately 500,000 cancer-related deaths occurred in the same year (1). For a long time, cancer therapies were a one-size-fits-all, depending on the cancer type. In recent years however, the need has emerged to develop a more enlightened paradigm in which treatments are better tailored towards the individual uniqueness of the cancer (2).

Personalized Medicine is a catch phrase that reflects the current understanding that no two patients are alike. The primary goal of personalized medicine is to develop patient-specific treatments that can hopefully reduce unnecessary side effects as well as the overall cost of cancer care by using therapies that are most likely to be effective in the population that is most likely to benefit (3).

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Obesity is a national health crisis--that  much we know. If current trends continue, it will soon surpass smoking in the U.S. as the biggest single factor in early death, reduced quality of life and added health care costs. A third of adults in the U.S. are obese, according to the Centers for Disease Control and Prevention, and another third are overweight, with Americans getting fatter every year. Obesity is responsible for more than 160,000 “excess” deaths a year, according to a study in the Journal of the American Medical Association . The average obese person costs society more than $7,000 a year in lost productiv­ity and added medical treatment, say researchers at George Washington University. Lifetime added medical costs alone for a person 70 pounds or more overweight amount to as much as $30,000, depending on race and gender.

All this lends urgency to the question: Why are extra pounds so difficult to shed and keep off? It doesn’t seem as though it should be so hard. The basic formula for weight loss is simple and widely known: consume fewer calories than you expend. And yet if it really were easy, obesity would not be the nation’s number-one lifestyle-related health concern. For a species that evolved to consume energy-dense foods in an environment where famine was a constant threat, losing weight and staying trimmer in a modern world of plenty fueled by marketing messages and cheap empty calories is, in fact, terrifically difficult. Almost everybody who tries to diet seems to fail in the long run--a review in 2007 by the American Psychological Association of 31 diet studies found that as many as two thirds of dieters end up two years later weighing more than they did before their diet.

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Editor's Note: Carl Zimmer, author of this month's article, "100 Trillion Connections," has just brought out a much-acclaimed e-book, Brain Cuttings: 15 Journeys Through the Mind (Scott & Nix), that compiles a series of his writings on neuroscience. In this chapter, adapted from an article that was first published in Playboy , Zimmer takes the reader on a tour of the 2009 Singularity Summit in New York City. His ability to contrast the fantastical predictions of speakers at the conference with the sometimes more skeptical assessments from other scientists makes his account a fascinating read.  

Let's say you transfer your mind into a computer--not all at once but gradually, having electrodes inserted into your brain and then wirelessly outsourcing your faculties. Someone reroutes your vision through cameras. Someone stores your memories on a net of microprocessors. Step by step your metamorphosis continues until at last the transfer is complete. As engineers get to work boosting the performance of your electronic mind so you can now think as a god, a nurse heaves your fleshy brain into a bag of medical waste. As you--for now let's just call it "you"--start a new chapter of existence exclusively within a machine, an existence that will last as long as there are server farms and hard-disk space and the solar power to run them, are "you" still actually you?

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To celebrate the ends of years, decades and other milestones, science publications often churn out "Whither science?" predictions. Just last week, The New York Times Science Times section celebrated its, um, 32nd birthday with a special issue on "What's next in science". What I found fascinating was the issue's overall tone of caution rather than the traditional boosterish enthusiasm.

Gina Kolata recalled a job interview 25 years ago with U.S. News and World Report, an editor of which asked her, "What will be important medical news next year?" Kolata replied that "next year gene therapy will be shown to work." Gene therapy, of course, has been a big bust. Kolata goes on to say that the best answer to "Whither science?" is to expect the unexpected. (Fortunately for her, Kolata didn't get the job with what a mean friend of mine liked to call "U.S. Snooze and World Distort," the print version of which just died after years of terminal illness.)

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Everyone knows about cancer. According to the World Health Organization eight million people died of one of the many forms of cancer 2007 and this number is expected to grow to more than 12 million by 2030. However, unlike many other significant diseases, cancer is not confined to a continent or socioeconomic cohort. Also unlike other entrants on the WHO’s top 10 there is no vaccine or wonder drug. This insidious disease requires surgery, chemotherapy or radiotherapy all of which wreak havoc on the patient during and often long after treatment. But recently novel research looking at using certain bacteria as a therapy is gaining traction that may result in new treatment options that are cheap, easy to produce, noninvasive and if the current research is any indication capable of complete remission in some cases.

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