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Category Archives: Longevity Medicine

Dual Action Antibodies Versus Cancer

From the MIT Technology Review, a look at another form of first generation immune therapy aimed at cancer: "Last year marked a first for engineered antibodies - the European Commission approved a new cancer drug called Removab (catumaxomab), an antibody specially designed to grab both cancer cells and immune cells in such a way that the immune cell can kill the cancer cell. (The drug is undergoing testing for U.S. Food and Drug Administration approval.) Now a handful of similarly complex molecules, dubbed 'bispecific antibodies' for their ability to target two things at once, are in clinical trials. The two arms of these antibodies work together in different ways to treat cancer or other diseases, by bringing together two types of cells, as with Removab, by targeting two different types of receptors on the surface of a cell, or even using one arm to deliver drugs to specific cells targeted by the other. ... While the concept of bispecific antibodies has been around for decades, the approach has only recently shown clinical success. The field has been driven forward by new ways of designing and making the antibodies, which take advantage of advances in protein engineering, as well as the success of single-target antibodies, such as herceptin, that are already on the market." This is an example of the way in which targeting technologies and new strategies from the biotechnology labs are slowly filtering into the old school drug development pipeline.

View the Article Under Discussion: http://www.technologyreview.com/printer_friendly_article.aspx?id=24970

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The Contributions of Mitochondria to Longevity

Manipulating the machinery of mitochondria - the respiratory chain that turns food into the chemical ATP that is used to power cellular biochemistry - can extend healthy life in a variety of species. Here, researchers dig deeper into the mechanisms by which this happens, finding that there are more than one: "In Caenorhabditis elegans longevity is increased by a partial loss-of-function mutation in the mitochondrial complex III subunit gene isp-1. Longevity is also increased by RNAi against the expression of a variety of mitochondrial respiratory chain genes, including isp-1, but it is unknown whether the isp-1(qm150) mutation and the RNAi treatments trigger the same underlying mechanisms of longevity. We have identified nuo-6(qm200), a mutation [that] reduces the function of complex I and, like isp-1(qm150), results in low oxygen consumption, slow growth, slow behavior, and increased lifespan. We [compared] nuo-6(qm200) [to] nuo-6(RNAi) and found them to be distinct in crucial ways, including patterns of growth and fertility, behavioral rates, oxygen consumption, ATP levels, autophagy, [as] well as expression of superoxide dismutases, mitochondrial heat shock proteins, and other gene expression markers. RNAi treatments appear to generate a stress and autophagy response, while the genomic mutation alters electron transport and reactive oxygen species metabolism. ... Most importantly, we found that [the] lifespan increase induced by nuo-6(RNAi) is fully additive to that induced by isp-1(qm150), and the increase induced by isp-1(RNAi) is fully additive to that induced by nuo-6(qm200). Our results demonstrate that distinct and separable aspects of mitochondrial biology affect lifespan independently."

View the Article Under Discussion: http://pmid.us/20346072

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Methuselah Foundation Launches NewOrgan Prize

Via the Methuselah Foundation blog: "Today Methuselah Foundation launched the NewOrgan Prize, the Foundation's new longevity prize specifically focused on advancing the development of replacement tissues and organs for humans. Its goal is to accelerate advances in regenerative medicine, which will become the standard of care for replacing all tissue and organ systems in the body within 20 years, according to the U.S. Department of Health and Human Services. The first research team to construct a whole new complex organ (heart, kidney, liver, lung, pancreas) made from a person's own cells - one that is functionally equivalent and successfully transplanted - will be awarded the NewOrgan Prize. The goal of the Methuselah Foundation NewOrgan Prize is to achieve this medical breakthrough within the next 10 years. Today's launch is a call to action for competitors, candidates and contributors who want to participate in this crucial medical challenge aimed at extending healthy human life. ... Based on our success in spurring medical advances with incentives provided by the original Methuselah Mouse prize, we anticipate that over $10 million will be raised by the time the NewOrgan Prize criteria is met - and the prize presented - to the leading medical R&D team. At minimum, $1 million will be awarded to the research team that develops a whole new human organ that is functional and successfully transplanted."

View the Article Under Discussion: http://blog.methuselahfoundation.org/2010/04/methuselah_foundation_launches_neworgan_prize.html

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A Trial of Giving Stem Cells Orders

One approach to stem cell therapy is to try to order existing stem cells to do more work, accomplished by introducing signaling molecules into the body - a drug, in other words. This methodology has reached the point of early clinical trials, as indicated in this press release: "Clinical-stage regenerative medicine company Juventas Therapeutics Inc. [has] started enrolling patients in a Phase 1 clinical trial to evaluate the safety and efficacy of its leading stem cell factor for treating heart failure. In preclinical studies of heart failure in pigs, JVS-100, as the factor is known, significantly increased cardiac function by promoting cell survival and increasing blood vessel formation in damaged hearts. JVS-100 works by encoding Stromal Cell-derived Factor-1 (SDF-1), a growth factor that in adults recruits stem cells from the bone marrow to create new blood vessels. The JVS-100-treated pigs showed significant improvements in cardiac function. ... We've led with heart failure because that's where our preliminary data was, and it's a great clinical opportunity. We also have strong data in the area of peripheral vascular disease and cosmetic wound healing. ... The factor can increase blood flow for patients who have peripheral vascular disease and accelerate wound closure and prevent scarring for patients who have had cosmetic surgery [so] we're looking to move both those toward clinic in the near future."

View the Article Under Discussion: http://www.medcitynews.com/2010/04/juventas-therapeutics-starts-phase-1-trial-for-heart-failure-therapy/

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On Mitophagy and Aging

A good review paper: "Our understanding of autophagy has expanded greatly in recent years, largely due to the identification of the many genes involved in the process, and to the development of better methods to monitor the process, such as GFP-LC3 to visualize autophagosomes in vivo. A number of groups have demonstrated a tight connection between autophagy and mitochondrial turnover. Mitochondrial quality control is the process whereby mitochondria undergo successive rounds of fusion and fission with a dynamic exchange of components in order to segregate functional and damaged elements. Removal of the mitochondrion that contains damaged components is accomplished via autophagy (mitophagy). Mitophagy also serves to eliminate the subset of mitochondria producing the most reactive oxygen species, and episodic removal of mitochondria will reduce the oxidative burden, thus linking the mitochondrial free radical theory of aging with longevity achieved through caloric restriction. Mitophagy must be balanced by biogenesis to meet tissue energy needs, but the system is tunable and highly dynamic. This process is of greatest importance in long-lived cells such as cardiomyocytes, neurons, and memory T cells. Autophagy is known to decrease with age, and the failure to maintain mitochondrial quality control through mitophagy may explain why the heart, brain, and components of the immune system are most vulnerable to dysfunction as organisms age."

View the Article Under Discussion: http://pmid.us/20357180

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Better Understanding Cytomegalovirus

Cytomegalovirus (CMV) is one of the reasons our immune systems decay with aging: too many immune cells become specialized to deal with CMV, leaving too few to deal with everything else. New research "explains how a virus that has already infected up to 80 percent of the American population can repeatedly re-infect individuals despite the presence of a strong and long-lasting immune response. The research involves cytomegalovirus (CMV), which infects 50 percent to 80 percent of the U.S. population before age 40. ... For most people, CMV infection goes undetected and they do not become seriously ill. ... When most viruses infect a host, the immune system remembers the disease and protects against re-infection. This is the case with smallpox, seasonal strains of flu and several other viruses. This immune system reaction is also the reason why vaccines made with weakened or dead viruses work against these pathogens. In the case of CMV, the body's immune system is continuously stimulated by ongoing, low-level persistent infection, but yet CMV is still able to re-infect. This research explains how CMV is able to overcome this immune response so that re-infection occurs. ... The results of this study primarily illustrate the significant barriers to creating a vaccine that will prevent CMV infection." But a vaccine won't do much for people already burdened by an CMV-focused immune system. What we want is a way to use targeted cell killing strategies to destroy CMV-related immune cells and free up space for more useful immune cells.

View the Article Under Discussion: http://www.eurekalert.org/pub_releases/2010-04/ohs-ore033010.php

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