Wednesday, July 6, 2011

New Approach To Link Genome-wide Association Signals To Biological Function


Main Category: Genetics
Also Included In: Biology / Biochemistry
Article Date: 02 Jul 2011 - 0:00 PDT window.fbAsyncInit = function() { FB.init({ appId: 'aa16a4bf93f23f07eb33109d5f1134d3', status: true, cookie: true, xfbml: true, channelUrl: 'http://www.medicalnewstoday.com/scripts/facebooklike.html'}); }; (function() { var e = document.createElement('script'); e.async = true; e.src = document.location.protocol + '//connect.facebook.net/en_US/all.js'; document.getElementById('fb-root').appendChild(e); }()); email icon email to a friend   printer icon printer friendly   write icon opinions  
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Researchers have identified a new strategy to improve the outcome of genome-wide association (GWA) studies. This will lead to a better understanding of the function of affected genes and the biological pathways involved, potentially translating these findings into clinical benefits. It is estimated that this approach, which finds the open chromatin regions in human cells, could be used in one in four GWA studies.

Researchers have developed a new strategy to improve the outcome of genome-wide association (GWA) studies.

GWA studies involve rapidly scanning markers across the genomes of many people. By doing this, scientists can look for the association between certain genetic markers or variants within the population, and a particular trait, including disease. However, the challenge is to take these initial association signals and identify the functional DNA changes and their molecular consequences. This is an important step in translating these findings into clinical benefits.

The researchers validated a generic framework to streamline discovery of functional DNA variants underlying GWA signals. The team sought to understand the complexity of genomes and sequence variation leading to a better understanding of the affected gene function and biological pathways involved at the cellular level.

As a result, this will benefit many scientists around the world who are currently applying GWA studies to search for genes that affect countless common traits and diseases. It is estimated this new strategy could shed light on around one in four GWA signals for a given trait, but this will depend heavily on the knowledge of the relevant cell types.

The collaborative study was led by Dirk Paul, a Marie Curie PhD Fellow at the Wellcome Trust Sanger Institute, and Dr Panos Deloukas, who leads the Institute's Genetics of Complex Traits in Humans Group. Their approach was based on a technique to map regions of the genome that are 'open for business', in an open conformation that allows it to be easily activated. DNA in cells is packed tightly with proteins into a structure called chromatin. The team used a method called FAIRE (formaldehyde-assisted isolation of regulatory elements) to find the open chromatin regions and study variants picked up by GWA studies.

With the knowledge that many associated variants are not located inside protein-coding regions, but outside possibly at regions that are involved in gene regulation the researchers studied variants by screening genetic regions associated with blood traits in two blood cell types.

"GWA studies have been very successful in allowing us to home in on the biologically relevant parts of the genome, but we need to build functional data sets in all human cell types to convert initial findings into biological mechanisms," said Dr Deloukas. "This study is one such example and shows the power of integrating genomic and biological data."

The scientists investigated one region on chromosome 7 that was 'open for business' and contained a variant associated with platelet characteristics. This region was open in cells that form the platelets found in blood (megakaryocytes), but not in cells that form red blood cells themselves (erythroblasts).

The scientists showed that this variant is functional by affecting the binding affinity of EVI1, a transcription factor controlling gene activity. The regulatory variant influences the expression of PIK3CG, a gene involved in platelet biology. Mice depleted of PIK3CG showed expression differences in several key platelet genes including Von Willebrand factor (VWF), mutations which cause the most common bleeding disorder called Von Willebrand disease1. The researchers found candidate functional variants at a further six GWA regions, providing opportunities for further discoveries with biological consequences.

"The initial success of our strategy has given us confidence that we can apply it to uncover genetic variants associated with different cardiometabolic traits, in particular coronary artery disease, which we are currently studying," said Dirk Paul. "We are finding many associations and we need a pathway to identify the functional variants and understand their biological meaning. We have shown this is one promising route towards that goal."

¹Von Willebrand disease produces the most common hereditary coagulation abnormality in humans as a result of a deficiency of a protein that is required for platelet adhesion. It causes a bleeding tendency, usually in the form of easy bruising, nosebleeds and bleeding gums and women may experience heavy menstrual periods and blood loss during childbirth.

Sources: Sanger Centre, AlphaGalileo Foundation.

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CT Scan Screening Reduces Lung Cancer Death Risk More Than X-rays


Editor's Choice
Academic Journal
Main Category: Lung Cancer
Also Included In: Radiology / Nuclear Medicine;  Respiratory / Asthma
Article Date: 02 Jul 2011 - 8:00 PDT window.fbAsyncInit = function() { FB.init({ appId: 'aa16a4bf93f23f07eb33109d5f1134d3', status: true, cookie: true, xfbml: true, channelUrl: 'http://www.medicalnewstoday.com/scripts/facebooklike.html'}); }; (function() { var e = document.createElement('script'); e.async = true; e.src = document.location.protocol + '//connect.facebook.net/en_US/all.js'; document.getElementById('fb-root').appendChild(e); }()); email icon email to a friend   printer icon printer friendly   write icon opinions  
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Patients screened with low-dose helical CT (computed tomography) have a 20% lower risk of dying from lung cancer compared to those screened with chest X-rays, researchers reported in the New England Journal of Medicine (NEJM). The authors revealed their findings from NLST (National Lung Screening Trial), involving 53,000 individuals who either smoked heavily during the trial or used to do so.

With over 94 million current or ex-smokers in the USA, lung cancer is the country's leading cause of cancer-related deaths. In the majority of cases, when lung cancer is diagnosed, it has already advanced and is very difficult to cure.

Denise R. Aberle, M.D., said:

"The trial results provide hard evidence of the mortality benefit from low-dose helical CT screening for lung cancer in an older and heavy smoker population. These findings, and the vast amount of additional data generated by the NLST that are still being studied, offer a rich resource of information that will inform the development of clinical guidelines and policy recommendations."

The study, which lasted nearly ten years, enrolled individuals for 20 months. They were randomly assigned to receive three annual screenings, either with standard chest X-ray or low-dose helical CT. The trial was sponsored by the National Cancer Institute, part of the NIH (National Institutes of Health).

Principal researcher, .William C. Black, MD, said:

"During the screening phase of the trial, 39.1% of participants in the low-dose helical CT arm and 16.0% of those in the chest X-ray arm had a positive screening result. Across all three screening examination rounds, when a positive result was found, 96.4% of the low-dose helical CT and 94.5% of the chest X-ray examinations were false-positive.

The follow-up for positive screening examinations most frequently involved further imaging tests and the data show that follow-up with invasive procedures was uncommon. We also found that lower rates of follow-up resulting from a positive scan occurred at later screening rounds."

The authors explained that in most cases the false-positive results were likely due to normal lymph node or inflamed tissue detection.

There were relatively few events in the National Lung Screening Trial. Fewer than 2% of patients experienced complications as a result of the diagnostic evaluations prompted by a positive screening.

Researcher, Constantine Gatsonis, Ph.D., said:

"Although the NLST provides definitive evidence about the effectiveness of low-dose helical CT screening for lung cancer, significant further work is required to answer questions critical for the development of public policy recommendations."

Further trials using NLST data should be carried out, the authors add. These should include the use of statistical modeling to better determine patient risk profiles.

Gatsonis stressed:
"Given the considerable costs associated with low-dose helical CT screening, a cost-effectiveness analysis using the NLST data is underway that will guide decisions about the best use of finite health care resources."

Blood, sputum and urine specimens as well as samples of early-stage lung cancer were collected at the American College of Radiology Imaging Network sites and banked in the NILST-ACRIN Biorepository. These samples are available to outside researchers.

Aberle said:

"These specimens provide a rich resource to validate molecular markers that may complement imaging to detect early lung cancer. By coupling biospecimen collection with imaging-based screening, the NLST-ACRIN Biorepository is relatively enriched for early clinical-stage lung cancers and associated biospecimens, and provides a unique resource of extremely well-characterized biospecimens with longitudinal data."

Fellow researcher, Mitchell D. Schnall, M.D., Ph.D., said:

"The knowledge that low-dose CT is a viable screening tool for detecting lung cancers at a curable stage is a tremendous first step for better understanding its implications for clinical care. Working with the Eastern Cooperative Oncology Group through the recently announced alliance, will allow us to extend these significant results to answer future questions critical for translating today's findings into clinical practice.

Furthermore, ACRIN is engaged in a research project with Boston University funded by the United States Department of Defense to investigate the role of blood and sputum-based laboratory tests to better define patient populations who would most benefit from lung cancer screening and, thereby, reducing false-positive screenings."

"Reduced Lung-Cancer Mortality with Low-Dose Computed Tomographic Screening"
The National Lung Screening Trial Research Team
NEJMJune 29, 2011 (10.1056/NEJMoa1102873)

Written by Christian Nordqvist
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today

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GlaxoSmithKline Receives New Approval For Rotarix And Significant New Indication For Lamictal® (lamotrigine) In Japan


Main Category: GastroIntestinal / Gastroenterology
Also Included In: Regulatory Affairs / Drug Approvals;  Pharma Industry / Biotech Industry
Article Date: 02 Jul 2011 - 1:00 PDT window.fbAsyncInit = function() { FB.init({ appId: 'aa16a4bf93f23f07eb33109d5f1134d3', status: true, cookie: true, xfbml: true, channelUrl: 'http://www.medicalnewstoday.com/scripts/facebooklike.html'}); }; (function() { var e = document.createElement('script'); e.async = true; e.src = document.location.protocol + '//connect.facebook.net/en_US/all.js'; document.getElementById('fb-root').appendChild(e); }()); email icon email to a friend   printer icon printer friendly   write icon opinions  
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GlaxoSmithKline (GSK) announced that its rotavirus vaccine has received approval in Japan from the Ministry of Health, Labour and Welfare (MHLW) for use in infants to prevent gastroenteritis caused by rotavirus. RotarixTM is the first vaccine against rotavirus to be approved in Japan, and the third GSK vaccine to gain approval in Japan following the licences received for Cervarix® in 2009 and ArepanrixTM in 2010. It is expected to be available in Japan towards the end of the year, following the completion of national testing.

GSK also today gained approval for a significant new indication in Japan for Lamictal® (lamotrigine) Tablets 25mg and 100mg for the prevention of depressive episodes in adult patients with bipolar disorder. Lamotrigine is the first treatment in Japan to be classified for bipolar disorder. It is currently licensed in Japan as an adjunctive therapy for epileptic seizures in patients inadequately controlled by other antiepileptic drugs. It will be available for the new indication immediately.

Philippe Fauchet, President of GlaxoSmithKline Japan, commented: "These two approvals demonstrate the clear progress GSK is making in bringing more products that offer real value to patients in Japan. In total, we have now received 24 new product approvals, including eight new chemical entities, since 2009. We are particularly pleased to contribute to preventative healthcare with the approval of our rotavirus vaccineand we hope this will help to reduce the significant burden of this disease in Japan. In addition, with the new indication for lamotrigine, we now have the first approved treatment for bipolar disorder available in Japan to help prevent depressive episodes in adults with bipolar disorder."

RotarixTM is an oral vaccine for the prevention of gastroenteritis caused by rotavirus. It is given as a two-dose schedule to babies from the age of 6 weeks and can be completed by 10 weeks of age. It is currently approved in over 120 countries worldwide.

In Japan, approximately 1 in every 15 children will require hospitalization due to rotavirus-related diarrhoea by their fifth year of life.iiGrowing evidence suggests that the introduction of rotavirus vaccines substantially reduce severe diarrhoea in young children. In Brazil hospitalisations due to rotavirus gastroenteritis decreased by almost 60% just one year after the introduction of universal mass vaccination.i

In April 2009, the World Health Organization's (WHO) Strategic Advisory Group of Experts (SAGE) recommended that rotavirus vaccination be included in all national immunisation programmes. Based on this decision, the WHO awarded global prequalification to RotarixTM. Since its first launch in 2007 100 million doses have been delivered which means that around 50 million children across the world have been vaccinated against rotavirus.

Lamictal® (lamotrigine) was approved in Japan in October 2008 as adjunctive therapy for seizures in patients inadequately controlled (partial seizures, generalized seizures, tonic-clonic seizures, seizures associated with Lennox-Gastaut syndrome) by other antiepileptic drugs.

Lamotrigineis recommended by international guidelines as maintenance therapy for patients with bipolar disorder.iii-ix Lamotrigine is currently approved in more than 110 countries for indications related to epilepsy and in more than 80 countries for indications related to bipolar disorder.

It is now also approved for the prevention of depressive episodes in adults aged 18 years and over with bipolar disorder.

References

i Safadi M et al. Hospital-based surveillance to evaluate the impact of rotavirus vaccination in Brazil. Poster presentation at ESPID.

ii J Infect Dis. 2005 Sep 1;192 Suppl 1:S106-10.

iii Am J Psychiatry 159:4, April 2002 Supplement

iv National Institute for Health and Clinical Excellence (NICE). 2006.

v Yatham LN, et al. Bipolar Disord 2006;8:721 - 739.

vi Grunze H, et al. World J Biol Psychiatry 2002;3:115 - 124.

vii Scottish Intercollegiate Guidelines Network (SIGN). 2005.

viii Calabrese JR, et al. J Clin Psychiatry 2004;65:569 - 579.

ix Suppes T, et al. J Clin Psychiatry 2005;66:870 - 886.

Source: GlaxoSmithKline

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Once-Daily Anticoagulant Xarelto Approved By FDA For DVT Prevention


Editor's Choice
Main Category: Arthritis / Rheumatology
Also Included In: Bones / Orthopedics;  Blood / Hematology
Article Date: 02 Jul 2011 - 9:00 PDT window.fbAsyncInit = function() { FB.init({ appId: 'aa16a4bf93f23f07eb33109d5f1134d3', status: true, cookie: true, xfbml: true, channelUrl: 'http://www.medicalnewstoday.com/scripts/facebooklike.html'}); }; (function() { var e = document.createElement('script'); e.async = true; e.src = document.location.protocol + '//connect.facebook.net/en_US/all.js'; document.getElementById('fb-root').appendChild(e); }()); email icon email to a friend   printer icon printer friendly   write icon opinions  
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Blood thinner (anticoagulant) Xarelto (rivaroxaban tablets) has been approved by the FDA (Food and Drug Administration) for the prevention of DVT (deep vein thrombosis) in patients who had knee or hip replacement surgery. The tablets are taken once daily.

According to Xarelto makers, Janssen Pharmaceuticals, Inc., about 80,000 patients in the USA undergo hip or knee replacement surgery every year, the majority of them are aged 50+ years and suffer from arthritis. They have a significantly higher risk of DVT.

Deep Vein Thrombosis, also known as DVT occurs when a blood clot develops in a large vein, generally in the arm or leg. Blood circulation becomes either partially or completely blocked. There is a risk the clot becomes dislodged and travels along the bloodstream into the lungs, creating a potentially fatal condition known as pulmonary embolism (PE).

PE and DVT are the main reasons patients who underwent joint replacement surgery have to be re-hospitalized.

Patients should be given anticoagulants (blood thinners) after major orthopedic replacement surgery, the American College of Chest Physicians recommends. They should be given immediately after surgery and also for up to 10 days for knee replacement and 35 days for hip replacement.

Human studies demonstrated Xarelto's clinical benefits when it was compared to Lovenox (enoxaparin), the most widely used medication today. Xarelto has been approved by regulatory authorities in over 100 countries for venous thromboembolism prevention in orthopedic replacement surgery.

Xarelto is a joint venture by Johnson & Johnson Pharmaceutical Research and Development, L.L.C. and Bayer Health Care.

Louis M. Kwong, M.D., Professor of Orthopedic Surgery at Harbor-UCLA Medical Center, who was involved with the rivaroxaban clinical trials program, said:

"The approval of once-daily XARELTO® tablets will provide a new option to help protect patients from developing venous blood clots following knee or hip replacement surgery. XARELTO® has a proven clinical benefit over one of today's most widely used options in preventing these potentially life-threatening blood clots, and the use of a once-daily pill may play an essential role in helping to simplify clinical practice."

Alan Brownstein, Chief Executive Officer of the National Blood Clot Alliance, said:

"The use of blood thinners has been shown to safely and effectively help keep people from developing preventable blood clots. The FDA approval of a new blood thinner, XARELTO®, offers a new option for patients seeking knee or hip replacement surgery, and we encourage people to discuss with their physicians the risk of blood clots and which blood thinner offers optimal protection as part of their pre-surgical consultation."

Paul Chang, M.D., Vice President, Medical Affairs, Internal Medicine, Janssen Pharmaceuticals, Inc., said:

"Shorter hospital stays following hip and knee replacement surgeries have made the prevention of venous blood clots an outpatient issue, and XARELTO® provides a safe and effective oral treatment option that can be easily transitioned from use in hospital to home. We're pleased to make XARELTO® tablets available to physicians to help them better protect their patients from these highly preventable surgical complications."

Janssen Pharmaceuticals, Inc. is pharmaceutical company of Johnson & Johnson.

Written by Christian Nordqvist


Copyright: Medical News Today
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Tuesday, July 5, 2011

Approval For RECALBON® Tablets 50mg/ Bonoteo® Tablets 50mg, Once Per 4 Weeks Oral Osteoporosis Treatment In Japan


Main Category: Bones / Orthopedics
Also Included In: Regulatory Affairs / Drug Approvals;  Pharma Industry / Biotech Industry
Article Date: 02 Jul 2011 - 1:00 PDT window.fbAsyncInit = function() { FB.init({ appId: 'aa16a4bf93f23f07eb33109d5f1134d3', status: true, cookie: true, xfbml: true, channelUrl: 'http://www.medicalnewstoday.com/scripts/facebooklike.html'}); }; (function() { var e = document.createElement('script'); e.async = true; e.src = document.location.protocol + '//connect.facebook.net/en_US/all.js'; document.getElementById('fb-root').appendChild(e); }()); email icon email to a friend   printer icon printer friendly   write icon opinions  
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Ono Pharmaceutical Co., Ltd. ("Ono"; headquarters: Osaka; President and Representative Director: Gyo Sagara) and Astellas Pharma Inc. ("Astellas"; headquarters: Tokyo; President and CEO: Yoshihiko Hatanaka) today announced that ECALBON® Tablets 50mg (Ono) / Bonoteo® Tablets 50mg (Astellas) (generic name: minodronic acid hydrate) was granted a Japanese marketing approval on July 1, 2011. The drug has been jointly developed by the two companies for the treatment of osteoporosis and its Japanese New Drug Application was filed in September 2010.

Minodronic acid hydrate is an oral bisphosphonate that has been discovered by Astellas and has been co-developed by Ono and Astellas. This drug increases the bone mineral density and the strength by inhibiting osteoclastic bone resorption. RECALBON® Tablets 1mg / Bonoteo® Tablets 1mg, a daily formulation of this drug, demonstrated a significant efficacy in bone fractures prevention, and launched in April, 2009 in Japan.

RECALBON® Tablets 50mg / Bonoteo® Tablets 50mg, once per 4 weeks formulation of this drug, demonstrated non-inferiority to the daily formulation 1 mg in average bone mineral density change in lumbar spines, the primary endpoint in a Phase 2 / 3 study in Japan. Furthermore, based on the safety results in the Phase 2 / 3 study, once per 4 weeks formulation 50 mg appeared to be safe, and the incidence of side-effects was low and comparable to the daily formulation 1 mg. Therefore, once per 4 weeks formulation 50mg is expected to have an equivalent effect in bone fractures prevention to the daily formulation and boost the patients' convenience by reducing the dose frequency.

Since the launch of RECALBON® Tablets 1mg / Bonoteo® Tablets 1mg in Japan, Ono and Astellas have contributed to the improvement of the quality of life of the patients suffering from osteoporosis through the prevention of bone fractures. The both companies expect to provide a new therapeutic option to the current osteoporosis treatment in addition to RECALBON® Tablets 1mg / Bonoteo® Tablets 1mg, and believe to contribute further to the patients by introducing RECALBON® Tablets 50mg / Bonoteo® Tablets 50mg into the Japanese market.

Source: Astellas

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AstraZeneca's NEXIUM Receives First Regulatory Approval In Japan For The Treatment Of Acid-related Diseases


Main Category: GastroIntestinal / Gastroenterology
Also Included In: Regulatory Affairs / Drug Approvals;  Pharma Industry / Biotech Industry
Article Date: 02 Jul 2011 - 1:00 PDT window.fbAsyncInit = function() { FB.init({ appId: 'aa16a4bf93f23f07eb33109d5f1134d3', status: true, cookie: true, xfbml: true, channelUrl: 'http://www.medicalnewstoday.com/scripts/facebooklike.html'}); }; (function() { var e = document.createElement('script'); e.async = true; e.src = document.location.protocol + '//connect.facebook.net/en_US/all.js'; document.getElementById('fb-root').appendChild(e); }()); email icon email to a friend   printer icon printer friendly   write icon opinions  
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AstraZeneca announced that NEXIUM (esomeprazole magnesium) 10 mg and 20 mg capsules have received regulatory approval in Japan for the treatment of acid-related conditions including non-erosive reflux disease (NERD), reflux esophagitis, and peptic ulcer disease (PUD). NEXIUM also received regulatory approval for prevention of recurrence of gastric ulcer and duodenal ulcer in patients treated with non-steroidal anti-inflammatory drugs (NSAIDs).

NEXIUM is currently available in more than 120 countries and is the world's leading proton pump inhibitor (PPI) with annual sales of almost $5 billion in 2010. AstraZeneca plans to launch NEXIUM in Japan in the second half of 2011. The PPI market in Japan was $2 billion in 2010.

In a previously announced co-promotion agreement, AstraZeneca will manufacture and develop NEXIUM and Daiichi Sankyo will be responsible for its distribution in Japan.

The regulatory approval of NEXIUM was based on eight clinical studies conducted in Japan, including two large comparative efficacy and safety studies of patients with reflux esophagitis and two comparative efficacy and safety studies in patients taking Non Steroidal Anti-Inflammatory Drugs (NSAIDs).

Tony Zook, Executive Vice President of AstraZeneca's Global Commercial Organisation said, "The availability of NEXIUM in Japan provides patients with a world-leading treatment option for acid-related conditions, which can have a significant impact on patient quality of life. We are pleased to be able to add NEXIUM to our portfolio of medicines in Japan, our second largest market, and strengthen our leadership in the global gastrointestinal sector."

Source: AstraZeneca

View drug information on Nexium.Bookmark and Share

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