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joi, 15 decembrie 2011

Intestine Crucial To Function Of Immune Cells, Research Shows

Main Category: Immune System / Vaccines
Also Included In: GastroIntestinal / Gastroenterology;  Arthritis / Rheumatology;  Multiple Sclerosis
Article Date: 15 Dec 2011 - 0:00 PST

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Researchers at the University of Toronto have found an explanation for how the intestinal tract influences a key component of the immune system to prevent infection, offering a potential clue to the cause of autoimmune disorders like rheumatoid arthritis and multiple sclerosis.

"The findings shed light on the complex balance between beneficial and harmful bacteria in the gut," said Prof. Jennifer Gommerman, an Associate Professor in the Department of Immunology at U of T, whose findings were published online by the scientific journal, Nature. "There has been a long-standing mystery of how certain cells can differentiate between and attack harmful bacteria in the intestine without damaging beneficial bacteria and other necessary cells. Our research is working to solve it."

The researchers found that some B cells - a type of white blood cell that produces antibodies - acquire functions that allow them to neutralize pathogens only while spending time in the gut. Moreover, this subset of B cells is critical to health.

"When we got rid of that B-cell function, the host was unable to clear a gut pathogen and there were other negative outcomes, so it appears to be very important for the cells to adopt this function in the gut," said Prof. Gommerman, whose lab conducted the research in mice.

Textbook immunology - based mostly on research done in the spleen, lymph nodes or other sterile sites distant from gut microbes - has suggested that B cells develop a specific immune function and rigidly maintain that identity. Over the last few years, however, some labs have shown the microbe-rich environment of the gut can induce flexibility in immune cell identity.

Prof. Gommerman and her colleagues, including trainees from her lab Drs. Jörg Fritz, Olga Rojas and Doug McCarthy, found that as B cells differentiate into plasma cells in the gut, they adopt characteristics of innate immune cells - despite their traditional association with the adaptive immune system. Specifically, they begin to look and act like inflammatory cells called monocytes, while maintaining their ability to produce a key antibody called Immunoglobulin A.

"What intrigued us was that this theme - B cells behaving like monocytes - had been seen before in fish and in vitro. But now we have a living example in a mammalian system, where this kind of bipotentiality is realized," said Prof. Gommerman.

This B-cell plasticity provides a potential explanation how cells dedicated to controlling pathogens can respond to a large burden of harmful bacteria without damaging beneficial bacteria and other cells essential for proper function of the intestine.

It also may explain how scientists had failed to appreciate the multi-functionality of some B cells. "There are classical markers immunologists use to identify B cells - receptors that are displayed on their surface - and most of them are absent from plasma cells," said Prof. Gommerman. "So in some cases, what people thought was a monocyte could have been a plasma cell because it had changed its surface identity, although monocytes play an important role in innate immunity as well."

This transformational ability, the researchers also found, is dependent on bacteria called commensal microflora that digests food and provides nutrients. That relationship highlights the importance of the gut in fighting infection, and begs the question of whether plasma cells trained in the gut to secrete specific anti-microbial molecules can play a role in other infectious disease scenarios, such as food-borne listeria infection.

It also opens a line of investigation into whether a systemic relationship exists between those anti-microbial molecules and healthy cells in sites remote from the intestine. Understanding the nature of that relationship could improve understanding of inflammatory mechanisms in autoimmune disorders such as lupus, rheumatoid arthritis and multiple sclerosis, in which immune cells attack and eventually destroy healthy tissue.

But the next step, said Prof. Gommerman, is to look at human samples for the same type of multi-potentiality they saw in rodent plasma cells that acquired their anti-microbial properties in the gut.

"We're really at the early stages of understanding what we call the microbiome in the gut," said Prof. Gommerman. "There is a role for plasma cells in many autoimmune diseases, and B cells can do a lot more than just make antibodies. We need to understand the full spectrum of their effects within the immune response."

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our immune system / vaccines section for the latest news on this subject. The study was funded by the Canadian Institutes of Health Research, the Canada Foundation for Innovation, the Ontario Research Fund, the Austrian Academy of Sciences and the National Institutes of Health.
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marți, 13 decembrie 2011

When Planning For Terrorist Chemical Weapons, Pharmacists May Be Crucial

Main Category: Bio-terrorism / Terrorism
Also Included In: Pharmacy / Pharmacist
Article Date: 13 Dec 2011 - 0:00 PST

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Terrorist attacks with chemical weapons are a real possibility, according to a study that appears in the online open access Journal of Pharmacy Practice, published by SAGE. Thanks to their extensive knowledge of toxic agents, and how to treat those who have been exposed, pharmacists are an invaluable resource in the event of an actual or potential chemical weapons attack.

Chemical weapons act on their victims through a number of mechanisms. They include nerve agents, chemicals that cause blistering (vesicants), choking agents, incapacitating agents, riot control agents, blood agents, and toxic industrial chemicals. With their knowledge of chemistry, microbiology, pharmacology, toxicology, and therapeutics, pharmacists are a valuable asset to health care facilities and government agencies planning for the unthinkable - a terrorist attack with chemical weapons.

In his article, clinical pharmacist and forensic pharmacologist Peter D. Anderson details the clinical effects chemical weapons, and their treatment. Nerve agents work by blocking the actions of acetyl cholinesterase (the chemistry involved is similar to how many pesticides kill). These toxins include sarin, tabun, VX, cyclosarin, and soman. Vesicants like sulfur mustard and lewisite produce blisters and damage the upper airways. Choking agents, which cause fluid to build up in the lungs (pulmonary edema), include phosgene and chlorine gas.

Incapacitating agents are temporary and "non-lethal," and include fentanyl and adamsite. Mace and pepper spray are familiar riot control methods. Blood agents include cyanide, which works by blocking oxidative phosphorylation in the body. Toxic industrial chemicals such as formaldehyde, hydrofluoric acid, and ammonia also merit consideration as terrorist weapons.

"Potential chemical weapons are in no way limited to the traditional agents that we think of as chemical weapons," Anderson explains.

The good news is that there are potential antidotes to these chemical agents, which can save lives if they are used quickly and correctly. Pharmacists need to work in their hospitals to prepare emergency plans, and with the pharmacy and therapeutic committees to stock for a potential chemical accident or terrorist attack. In the US, for example, The Centers for Disease Control and Prevention (CDC) maintains a Strategic National Stockpile of pharmaceuticals, medical equipment and supplies that can be sent in an emergency to any US state within 12 hours.

The threat from chemical agents may appear to be a symptom of our modern society, but the idea has been around since antiquity. Solon of Athens is said to have used hellebore roots (a purgative) to contaminate the water supply in the Pleistrus River during the Siege of Cirrha as long ago as 590 BC. Modern chemical warfare during World War I included the release by German soldiers of 150 tons of chlorine gas near Ypres, Belgium, and phosgene and nitrogen mustard also played a role in the conflict. Choking agents, vesicants, blood agents, and nerve gas joined the range of chemical weapons available by World War II. Even though conflicting nations produced these in large quantities, no major chemical weapon events occurred during World War II.

The Chemical Weapons Convention was finalized in 1993, prohibiting development, production, stockpiling, and use of chemical weapons. The treaty also mandated weapons destruction. 130 countries signed the convention (excluding Iraq and North Korea).

Although the article is about chemical weapons, Anderson emphasizes that pharmacists can also be a resource for biological, radiological and nuclear attacks as well as natural disasters.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our bio-terrorism / terrorism section for the latest news on this subject. Emergency Management of Chemical Weapons Injuries by Peter D. Anderson is published in the Journal of Pharmacy Practice
The article is free to access here: http://jpp.sagepub.com/content/early/2011/11/08/0897190011420677.full.pdf+html
SAGE Publications Please use one of the following formats to cite this article in your essay, paper or report:

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SAGE Publications. "When Planning For Terrorist Chemical Weapons, Pharmacists May Be Crucial." Medical News Today. MediLexicon, Intl., 13 Dec. 2011. Web.
13 Dec. 2011. APA

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View the original article here