Saturday, 22 February 2020

Researchers identify neuron crucial for navigation


R
esearchers have recently identified a neuron in the brains of mice that is crucial for navigation.

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New research in mice helps explain how our brains navigate distances.

Researchers at the University of Michigan in Ann Arbor have identified a previously unrecognized excitatory neuron in mouse brains. This neuron, they say, is key for navigation.
This finding, which now appears in the journal Cell Reports, may aid scientists’ understanding of how the part of the brain responsible for navigation — the retrosplenial cortex (RSC) — goes about navigating prolonged distances.

Navigation and neurology

Scientists know that the RSC is crucial for navigation. In fact, if a person’s RSC is damaged, not only can they experience memory loss, but their ability to navigate will also be severely reduced.
For example, a person with a damaged RSC may find it very difficult to navigate their usual route from work to home.
However, scientists are less clear on how the parts of this cortex interact so that a person can navigate successfully.
By identifying this previously unrecognized excitatory neuron, the researchers gained information on what this new neuron does, as well as what the other key neuron in the RSC does.



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Two types of neuron

The researchers studied the RSCs of mice and produced computational models that were able to simulate the realistic reactions of RSC cells to various types of information.
This allowed them to determine that there are two distinct neurons that focus on different forms of navigational information.
One type, called common regular-spiking (RS) neurons, responded to changes in the direction of the head. The other type, called low rheobase (LR) neurons, responded to the head maintaining a persistent direction.
The neurons do this because of differences in how they receive information.
The RS neurons respond to significant changes, but after this, they are unable to keep firing to receive more information. This is because their signals get slower after the initial significant change in direction.
By contrast, the LR neurons fire consistently and more rapidly, and they can respond to more subtle directional changes. This means that they are able to detect very small variations in the position of the head that suggest a continuous direction of movement.

‘The Little Neuron That Could’

According to study co-author Ellen Brennan, who identified the LR neurons, “A simpler name for this small yet tenacious little neuron, as suggested by my classmate, would be ‘The Little Neuron That Could.'”
“It’s the perfect name because it highlights the persistence that makes them optimally suited to code continued direction. In comparison, the other typical excitatory neurons here are slow and stubborn.”
As lead study author Dr. Omar Ahmed explains: “Regular neurons in the cortex are good at encoding directional information only when you are moving your head, but what happens when your head is still? You still need to know what direction you are facing so that you can use this information to plan your route.
“You ideally need another kind of neuron — a neuron that can continuously encode your orientation over long durations even when your head is not moving.”
The RSC needs both of these neurons working together to aid navigation. As Brennan notes in a video detailing the findings, not having LR neurons that detect directional movement is similar to having a compass but not knowing which way North is.

A link to Alzheimer’s disease?

The researchers are now investigating whether or not these findings would be helpful in understanding how Alzheimer’s disease affects these neurons. Alzheimer’s is the most common type of dementia. Among other things, it affects a person’s spatial orientation. Currently, there is no cure for this condition.
As Dr. Ahmed notes: “The retrosplenial cortex is critical for spatial orientation, but is one of the earliest brain regions to show dysfunctional activity in [people with Alzheimer’s]. This is probably why the vast majority of [people with Alzheimer’s experience] spatial disorientation and get lost easily — because their retrosplenial cells are not working as they should.

Source: MedicalNewsToday

Friday, 21 February 2020

What to know about cardiovascular disease


T
he cardiovascular, or circulatory, system supplies the body with blood. It consists of the heart, arteries, veins, and capillaries.
CVD is now the most common cause of death worldwide. However, there are many ways to reduce the risk of developing these conditions. There are also many treatment options available if do they occur.
The treatment, symptoms, and prevention of the conditions that are part of CVD often overlap.
In this article, we look at the different types of CVD, their symptoms and causes, and how to prevent and treat them.
Share on PinterestThere are many types of CVD.
CVD comprises many different types of condition. Some of these might develop at the same time or lead to other conditions or diseases within the group.
Diseases and conditions that affect the heart include:
  • angina, a type of chest pain that occurs due to decreased blood flow into the heart
  • arrhythmia, or an irregular heartbeat or heart rhythm
  • congenital heart disease, in which a problem with heart function or structure is present from birth
  • coronary artery disease, which affects the arteries that feed the heart muscle
  • heart attack, or a sudden blockage to the heart’s blood flow and oxygen supply
  • heart failure, wherein the heart cannot contract or relax normally
  • dilated cardiomyopathy, a type of heart failure, in which the heart gets larger and cannot pump blood efficiently
  • hypertrophic cardiomyopathy, in which the heart muscle walls thicken and problems with relaxation of the muscle, blood flow, and electrical instability develop
  • mitral regurgitation, in which blood leaks back through the mitral valve of the heart during contractions
  • mitral valve prolapse, in which part of the mitral valve bulges into the left atrium of the heart while it contracts, causing mitral regurgitation
  • pulmonary stenosis, in which a narrowing of the pulmonary artery reduces blood flow from the right ventricle (pumping chamber to the lungs) to the pulmonary artery (blood vessel that carries deoxygenated blood to the lungs)
  • aortic stenosis, a narrowing of the heart valve that can cause blockage to blood flow leaving the heart
  • atrial fibrillation, an irregular rhythm that can increase the risk of stroke
  • rheumatic heart disease, a complication of strep throat that causes inflammation in the heart and which can affect the function of heart valves
  • radiation heart disease, wherein radiation to the chest can lead to damage to the heart valves and blood vessels
Vascular diseases affect the arteries, veins, or capillaries throughout the body and around the heart.
They include:
  • peripheral artery disease, which causes arteries to become narrow and reduces blood flow to the limbs
  • aneurysm, a bulge or enlargement in an artery that can rupture and bleed
  • atherosclerosis, in which plaque forms along the walls of blood vessels, narrowing them and restricting the flow of oxygen rich blood
  • renal artery disease, which affects the flow of blood to and from the kidneys and can lead to high blood pressure
  • Raynaud’s disease, which causes arteries to spasm and temporarily restrict blood flow
  • peripheral venous disease, or general damage in the veins that transport blood from the feet and arms back to the heart, which causes leg swelling and varicose veins
  • ischemic stroke, in which a blood clot moves to the brain and causes damage
  • venous blood clots, which can break loose and become dangerous if they travel to the pulmonary artery
  • blood clotting disorders, in which blood clots form too quickly or not quickly enough and lead to excessive bleeding or clotting
  • Buerger’s disease, which leads to blood clots and inflammation, often in the legs, and which may result in gangrene
It is possible to manage some health conditions within CVD by making lifestyle changes, but some conditions may be life threatening and require emergency surgery.
Symptoms will vary depending on the specific condition. Some conditions, such as type 2 diabetes or hypertension, may initially cause no symptoms at all.
However, typical symptoms of an underlying cardiovascular issue include:
  • pain or pressure in the chest, which may indicate angina
  • pain or discomfort in the arms, left shoulder, elbows, jaw, or back
  • shortness of breath
  • nausea and fatigue
  • lightheadedness or dizziness
  • cold sweats
Although these are the most common ones, CVD can cause symptoms anywhere in the body.
Share on PinterestRegular exercise can help prevent CVD.
People can take the following steps to prevent some of the conditions within CVD:
  • Manage body weight: The National Institute of Diabetes and Digestive and Kidney Disorders advise that if a person loses 5–10% of their body weight, they may reduce their risk of developing CVD.
  • Get regular exercise: The American Heart Association (AHA) recommend doing 150 minutes of moderate-to-intense physical activity every week.
  • Follow a heart-healthy diet: Eating foods that contain polyunsaturated fats and omega-3, such as oily fish, alongside fruits and vegetables can support heart health and reduce the risk of CVD. Reducing the intake of processed food, salt, saturated fat, and added sugar has a similar effect.
  • Quit smoking: Smoking is a key risk factor for almost all forms of CVD. Although quitting can be difficult, taking steps to do so can drastically reduce its damaging effects on the heart.
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The treatment option that is best for a person will depend on their specific type of CVD.
However, some options include:
  • medication, such as to reduce low density lipoprotein cholesterol, improve blood flow, or regulate heart rhythm
  • surgery, such as coronary artery bypass grafting or valve repair or replacement surgery
  • cardiac rehabilitation, including exercise prescriptions and lifestyle counseling
Treatment aims to:
  • relieve symptoms
  • reduce the risk of the condition or disease recurring or getting worse
  • prevent complications, such as hospital admission, heart failure, stroke, heart attack, or death
Depending on the condition, a healthcare provider may also seek to stabilize heart rhythms, reduce blockages, and relax the arteries to enable a better flow of blood.
Share on PinterestHigh blood pressure is a risk factor for CVD.
Researchers reported in the journal JAMA that the lifetime risk of CVD is more than 50% for both men and women.
Their study paper notes that even among those with few or no cardiovascular risk factors, the risk is still higher than 30%.
Risk factors for CVD include:
  • high blood pressure, or hypertension
  • atherosclerosis or blockages in the arteries
  • radiation therapy
  • smoking
  • poor sleep hygiene
  • high blood cholesterol, or hyperlipidemia
  • diabetes
  • a high fat, high carbohydrate diet
  • physical inactivity
  • obesity
  • sleep apnea
  • excessive alcohol consumption
  • stress
  • air pollution
  • chronic obstructive pulmonary disorder or other forms of reduced lung function
People with one cardiovascular risk factor often have more. For example, obesity is a risk factor for high blood pressure, high blood cholesterol, and type 2 diabetes. A person may have all four conditions at the same time.
Many types of CVD occur as a complication of atherosclerosis.
Damage to the circulatory system can also result from diabetes and other health conditions, such as a virus, an inflammatory process such as myocarditis, or a structural problem present from birth (congenital heart disease).
CVD often results from high blood pressure, which produces no symptoms. It is therefore vital that people undergo regular screening for high blood pressure.
Many types of CVD are preventable. It is vital to address risk factors by taking the following steps:
  • reducing the use of alcohol and tobacco
  • eating fresh fruit and vegetables
  • reducing salt, sugar, and saturated fat intake
  • avoiding a sedentary lifestyle, particularly for children
Adopting damaging lifestyle habits, such as eating a high sugar diet and not getting much physical activity, may not lead to CVD while a person is still young, as the effects of the condition are cumulative.
However, continued exposure to these risk factors can contribute to the development of CVD later in life.
Does aspirin protect a person from CVD?
Many people will have taken an aspirin a day as a routine measure to protect against CVD. However, current guidelines no longer recommend this for most people, as it can lead to bleeding. This risk outweighs any benefit it may have.
That said, a doctor may suggest aspirin if a person has a high risk of experiencing a cardiovascular event, such as a heart attack or stroke, and a low risk of bleeding. Doctors may also recommend it to those who have already had a heart attack or stroke.
Anyone taking a daily dose of aspirin to reduce their risk of CVD should ask their doctor whether or not they should continue.
According to the World Health Organization (WHO), CVD is the leading cause of death worldwide.
In 2016, around 17.9 million people died from CVD, accounting for 31% of all registered premature deaths.
Of these, 85% resulted from a heart attack or stroke. These conditions affect equal numbers of men and women.
The WHO estimate that by 2030, 23.6 million people will die from CVD conditions annually — mostly due to stroke and heart disease.
Although these conditions remain prevalent in global mortality rates, people can start taking steps to prevent them.

Source: MedicalNewsToday

Thursday, 20 February 2020

How meat, poultry, and fish affect cardiovascular, death risk


E
xperts know that processed red meats are likely to raise the risk of cardiovascular disease and death. But are unprocessed meats, fish, and poultry less harmful? New research investigates.
Share on PinterestNew research evaluates the impact of different kinds of meat, poultry, and fish on cardiovascular and all-mortality risk.
Several studies have established a link between consuming processed meat — such as bacon, hot dogs, sausages, and other similar meats — and an increased risk of cardiovascular disease (CVD) and death.
The higher amount of saturated fats in these foods, along with a higher level of salt and preservatives, might explain these associations. Newer research has suggested that even a low amount of these foods is enough to jeopardize health.
But what about other meats, such as unprocessed red meat, poultry, or fish? Do these foods affect cardiovascular risk and longevity in the same way?
Here, the research is more mixed. The results of several studies vary partly because the methods were different and partly because the existing prospective cohort studies had their limitations.
So, to fill this gap in the research, a group of scientists led by Victor W. Zhong, Ph.D., of Cornell University in Ithaca, New York, set out to conduct a new meta-analysis of 6 existing studies.
The pooled analysis appears in the journal JAMA Internal Medicine.
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Zhong and the team looked at prospective cohort studies that had been carried out across the United States, totaling 29,682 U.S. adults who did not have CVD at baseline.
Of the participants, 44% were men, and almost 31% were non-white.
Researchers had recorded the participants’ dietary data between 1985–2002 and clinically followed them for 30 years, until August 31, 2016.
Over a median follow-up period of 19 years, 6,963 adverse cardiovascular events and 8,875 all-cause deaths occurred.
Of the cardiovascular events, 38.6% were cases of coronary heart disease, 25% were stroke events, and 34.0% involved heart failure.
To define what constitutes 1 serving of meat and assess the participants’ diet, the researchers used the Willett Food Frequency Questionnaire.
“1 serving was equivalent to 4 [ounces] of unprocessed red meat or poultry or 3 [ounces] of fish. For processed meat, 1 serving consisted of 2 slices of bacon, 2 small links of sausage, or 1 hot dog,” explain the authors.
The median consumption in terms of servings of meat, poultry, and fish per week was 1.5 for processed meat, 3 for unprocessed red meat, 2 for poultry, and 1.6 for fish.
“Compared with participants with lower total intake of these four food types, participants with higher total intake,” write the authors, were more likely to:
  • be younger and male
  • be non-Hispanic black
  • be smokers, have diabetes, a higher body mass index (BMI), higher non-high-density lipoprotein (HDL) cholesterol levels, and consume more alcohol
  • have lower HDL cholesterol levels and eat a lower diet quality diet
  • have a higher incidence of CVD and death from any cause
The main outcome that the scientists looked for was the relative risk of CVD and all-cause mortality over the 30 years between people who consumed these different foods, as well as the difference in absolute risk over the same period.
They calculated the risks for each additional intake of 2 servings per week.
Zhong and the team summarize the findings: the “intake of processed meat, unprocessed red meat, or poultry was significantly associated with incident cardiovascular disease, but fish intake was not.”
More specifically, the increased relative risks of CVD and all-cause mortality ranged from about 3% to 7%. “The increased absolute risks were less than 2% over the 30 years of follow-up,” add the authors.
More in-depth detail shows that for every 2 additional servings of processed meat per week, the relative risk of all-cause mortality rose by 3% compared with those who did not eat processed meat.
The same was true for each additional 2 servings of unprocessed meat.
The relative risk of CVD rose by 7% for every 2 servings of processed meat per week. For unprocessed red meat, this risk was 3%.
An increase of 2 weekly servings of poultry correlated with a 4% higher relative risk, whereas fish was not associated with CVD risk.
“People who consume more servings per week would have greater risks,” add the researchers.
The authors deem the findings of “critical public health” importance. They also note that more research is necessary to strengthen the findings.
As it stands, the current study has some limitations, such as the self-reported nature of dietary data. This may have resulted in over or underestimation of the association.
Secondly, the scientists did not have any data on the method of food preparation. Whether the meat was fried or non-fried may have impacted the health outcomes.
Thirdly, the study only used one dietary measurement at the beginning of the study, but the dietary habits of the participants may have changed over time.
Finally, residual confounding, the observational nature of the study, and the fact that the data may only be limited to U.S. adults are further shortcomings of this research. Still, Zhong and team conclude:
“The findings of this study appear to have critical public health implications given that dietary behaviors are modifiable, and most people consume these four food types on a daily or weekly basis.”

Source: MedicalNewsToday