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  • 3D map reveals DNA organization within human retina cells

    3D map reveals DNA organization within human retina cells

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    Newswise — National Eye Institute researchers mapped the organization of human retinal cell chromatin, the fibers that package 3 billion nucleotide-long DNA molecules into compact structures that fit into chromosomes within each cell’s nucleus. The resulting comprehensive gene regulatory network provides insights into regulation of gene expression in general, and in retinal function, in both rare and common eye diseases. The study published in Nature Communications.

     “This is the first detailed integration of retinal regulatory genome topology with genetic variants associated with age-related macular degeneration (AMD) and glaucoma, two leading causes of vision loss and blindness,” said the study’s lead investigator, Anand Swaroop, Ph.D., senior investigator and chief of the Neurobiology Neurodegeneration and Repair Laboratory at the NEI, part of the National Institutes of Health.

    Adult human retinal cells are highly specialized sensory neurons that do not divide, and are therefore relatively stable for exploring how the chromatin’s three-dimensional structure contributes to the expression of genetic information.

    Chromatin fibers package long strands of DNA, which are spooled around histone proteins and then repeatedly looped to form highly compact structures. All those loops create multiple contact points where genetic sequences that code for proteins interact with gene regulatory sequences, such as super enhancers, promoters, and transcription factors. 

    Such non-coding sequences were long considered “junk DNA.” But more advanced studies demonstrate ways these sequences control which genes get transcribed and when, shedding light on the specific mechanisms by which non-coding regulatory elements exert control even when their location on a DNA strand is remote from the genes they regulate.

    Using deep Hi-C sequencing, a tool used for studying 3D genome organization, the researchers created a high-resolution map that included 704 million contact points within retinal cell chromatin. Maps were constructed using post-mortem retinal samples from four human donors.

    The researchers then integrated that chromatin topology map with datasets on retinal genes and regulatory elements. What emerged was a dynamic picture of interactions within chromatin over time, including gene activity hot spots and areas with varying degrees of insulation from other regions of DNA.

    They found distinct patterns of interaction at retinal genes suggesting how chromatin’s 3D organization plays an important role in tissue-specific gene regulation.

    “Having such a high-resolution picture of genomic architecture will continue to provide insights into the genetic control of tissue-specific functions,” Swaroop said. 

    Furthermore, similarities between mice and human chromatin organization suggest conservation across species, underscoring the relevance of chromatin organizational patterns for retinal gene regulation. More than a third (35.7%) of gene pairs interacting through a chromatin loop in mice also did so in human retina.

    The researchers integrated the chromatin topology map with data on genetic variants identified from genome-wide association studies for their involvement in AMD and glaucoma, two leading causes of vision loss and blindness. The findings point to specific candidate causal genes involved in those diseases.

    The integrated genome regulatory map will also assist in evaluating genes associated with other common retina-associated diseases such as diabetic retinopathy, determining missing heritability and understanding genotype-phenotype correlations in inherited retinal and macular diseases. 

    The study was supported by the NEI Intramural Research Program, grants ZIAEY000450 and ZIAEY000546. 

    Reference: Marchal C, Singh N, Batz Z, Advani J, Jaeger C, Corso-Diaz X, and Swaroop A. “High-resolution genome topology of human retina uncovers super enhancer-promoter interactions at tissue-specific and multifactorial disease loci.” Published October 7, 2022, Nature Communications. DOI:10.1038/s41467-022-33427-1

     

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    This press release describes a basic research finding. Basic research increases our understanding of human behavior and biology, which is foundational to advancing new and better ways to prevent, diagnose, and treat disease. Science is an unpredictable and incremental process— each research advance builds on past discoveries, often in unexpected ways. Most clinical advances would not be possible without the knowledge of fundamental basic research. To learn more about basic research, visit https://www.nih.gov/news-events/basic-research-digital-media-kit.

    NEI leads the federal government’s efforts to eliminate vision loss and improve quality of life through vision research…driving innovation, fostering collaboration, expanding the vision workforce, and educating the public and key stakeholders. NEI supports basic and clinical science programs to develop sight-saving treatments and to broaden opportunities for people with vision impairment. For more information, visit https://www.nei.nih.gov.

    About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit https://www.nih.gov/.

    NIH…Turning Discovery Into Health®

     

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    NIH, National Eye Institute (NEI)

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  • Endocrine Society experts recommend individualized approach to use of telehealth

    Endocrine Society experts recommend individualized approach to use of telehealth

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    Newswise — WASHINGTON—Following rapid growth during the COVID-19 pandemic, telehealth visits are expected to remain an important part of endocrine care, according to a new Endocrine Society policy perspective published in The Journal of Clinical Endocrinology & Metabolism.

    Health care providers need to consider a variety of factors when determining which type of visit best serves an individual patient’s needs at a given moment. For many patients, scheduling a mixture of in-person and telehealth visits can make medical care more convenient and effective.

    “Clinicians will need to draw upon their own knowledge of each patient and their clinical goals to decide when to incorporate telehealth into their care,” said Varsha G. Vimalananda, M.D., M.P.H., of VA Bedford Healthcare System in Bedford, Mass., and Boston University School of Medicine in Boston, Mass. She is the policy perspective’s first author. “Telehealth visits can be considered as an option each time we schedule an appointment. Patient preference should be elicited, and decisions guided by weighing the factors we describe in the perspective piece.”

    The policy perspective explores five aspects of care that determine when telehealth is appropriate, including:

    • Clinical factors, including whether an in-person physical exam or assessment is needed;
    • Patient factors, such as geographic distance to the clinic, access to transportation, work and family obligations, and comfort level with technology;
    • The patient-clinician relationship;
    • The clinician’s physical surroundings and personal circumstances; and
    • Availability of infrastructure needed to provide quality telehealth services.

    Telehealth can be a valuable component of an individualized care plan. Health care providers and patients should discuss how telehealth fits into care as they develop a care plan together, the policy perspective recommended.

    Telehealth can play an important role in reducing disparities in health care access. Telehealth appointments can make it easier for patients facing barriers such as travel, cost, mobility, mental health, and work or caregiver responsibilities to access the medical care they need.

    Other authors of this study include: Juan P. Brito, M.D., M.S., of the Mayo Clinic in Rochester, Minn.; Leslie A. Eiland, M.D., of the University of Nebraska Medical Center in Omaha, Neb.; Rayhan A. Lal, M.D., of Stanford University in Stanford, Calif.; Spyridoula Maraka, M.D., M.S., of the University of Arkansas for Medical Sciences in Little Rock, Ark., VA Central Arkansas Healthcare System, Little Rock, Ark., and the Mayo Clinic; Marie E. McDonnell, M.D., of Brigham and Women’s Hospital in Boston, Mass., and Harvard Medical School in Boston, Mass.; Radhika Narla, M.D., of the University of Washington in Seattle, Wash., and VA Puget Sound Health Care System in Seattle, Wash.; Mara Y. Roth, M.D., of the University of Washington; and Stephanie S. Crossen, M.D., M.P.H., of the University of California Davis School of Medicine in Sacramento, Calif.

    The manuscript, “Appropriate Use of Telehealth Visits in Endocrinology: Perspective Statement of the Endocrine Society,” was published online, ahead of print.

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    Endocrinologists are at the core of solving the most pressing health problems of our time, from diabetes and obesity to infertility, bone health, and hormone-related cancers. The Endocrine Society is the world’s oldest and largest organization of scientists devoted to hormone research and physicians who care for people with hormone-related conditions.

    The Society has more than 18,000 members, including scientists, physicians, educators, nurses and students in 122 countries. To learn more about the Society and the field of endocrinology, visit our site at www.endocrine.org. Follow us on Twitter at @TheEndoSociety and @EndoMedia.

     

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    Endocrine Society

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  • October 2022 Issue of Neurosurgical Focus: Video: “Flow Diversion for Cerebral Aneurysms”

    October 2022 Issue of Neurosurgical Focus: Video: “Flow Diversion for Cerebral Aneurysms”

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    October 2022 Issue of Neurosurgical Focus: Video: “Flow Diversion for Cerebral Aneurysms”

    Rolling Meadows, IL (October 1, 2022). The October issue of Neurosurgical Focus (Vol. 7, No. 2 [https://thejns.org/video/view/journals/neurosurg-focus-video/7/2/neurosurg-focus-video.7.issue-2.xml]) presents 8 articles discussing flow diversion for cerebral aneurysms.

    Topic Editors: Peter T. Kan, Elad I. Levy, Felipe C. Albuquerque, and Mandy Jo Binning     

    Noting that “flow diversion represents a major advancement in the treatment of cerebral aneurysms,” in this issue of Neurosurgical Focus: Video, the Topic Editors present videos representing a “spectrum of cases” involving flow diversion for a variety of aneurysm treatment experiences.

     

    Contents of the October issue: 

    • “Introduction. Flow diversion for cerebral aneurysms” by Peter T. Kan et al.
    • “Flow diversion for cerebral aneurysms” by Joseph A. Carnevale et al.
    • “Challenging access during flow diversion treatment of a giant cavernous ICA aneurysm” by Visish M. Srinivasan et al.
    • “FRED flow diversion with LVIS protection of large posterior communicating artery aneurysm: the “FRELVIS” technique” by Steven B. Housley et al.
    • “Treatment of an acutely ruptured complex fusiform middle cerebral artery aneurysm with flow diverting stenting and adjunctive coil embolization” by Guilherme Barros and Michael R. Levitt
    • “Treatment of a ruptured blister aneurysm of the left internal carotid artery with telescoping Pipeline Flex embolization devices with Shield Technology” by Karol P. Budohoski et al.
    • “Combined deconstructive and reconstructive treatment of a giant vertebrobasilar fenestration aneurysm” by Lorenzo Rinaldo et al.
    • “Woven EndoBridge embolization in the retreatment of basilar apex aneurysm” by Jae Eun Lee et al.
    • “Flow diversion of a dissecting PICA aneurysm” by Tyler Lazaro et al.

     Please join us in viewing the videos in this month’s issue of Neurosurgical Focus: Video.

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    Embargoed Article Access and Author/Expert Interviews: Contact JNSPG Director of Publications Gillian Shasby at [email protected] for advance access and to arrange interviews with the authors and external experts who can provide context for this research.

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    The global leader for cutting-edge neurosurgery research for more than 75 years, the Journal of Neurosurgery (www.thejns.org) is the official journal of the American Association of Neurological Surgeons (AANS) representing over 12,000 members worldwide (www.AANS.org).

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    Journal of Neurosurgery

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  • Economic Loss from U.S. Cigarette Smoking Topped Almost $900 Billion in 2020, New Study Shows

    Economic Loss from U.S. Cigarette Smoking Topped Almost $900 Billion in 2020, New Study Shows

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    EMBARGOED FOR RELEASE – 6:30 p.m., EDT – September 28, 2022

    Newswise — ATLANTA, September 28, 2022 — New findings by the American Cancer Society (ACS) found cumulative economic losses from cigarette smoking topped $891 billion in 2020, or 4.3% of the United States Gross Domestic Product. The economic loss significantly outpaced the cigarette industry’s $92 billion revenue by nearly a ten-to-one ratio. The study was published today in the journal The Lancet Public Health.

    This economic modelling study is one of the first to provide a comprehensive measure of economic loss from cigarette smoking on a state-by-state level. On average, states lost $1,100.00 per capita income annually from cigarette smoking. Kentucky ($1,674.00), West Virginia ($1,605.00) and Arkansas ($1,603.00) suffered the largest per capita income losses, while Utah ($331.00), Idaho ($680.00) and Arizona ($701.00) had the smallest per capita income losses.

    “Economic losses from cigarette smoking far outweigh any economic benefit from the tobacco industry — wages, and salaries of those employed by the industry, tax revenue, and industry profit combined,” said Dr. Nigar Nargis, senior scientific director, tobacco control research at the American Cancer Society. “As a society, we can mitigate these economic losses through coordinated and comprehensive evidence-based tobacco control measures, which encourage people to quit smoking and prevent people from starting to smoke in the first place.”

    The U.S. Department of Health and Human Services set the Healthy People 2030 goal to reduce smoking from 14% of the adult population in 2018 to 5% by 2030. According to study authors, reaching this goal through tobacco control efforts at the national, state, and local levels would considerably reduce the economic loss attributable to smoking.

    “The Healthy People 2030 goal provides an important target that will help reduce smoking and correspondingly the negative economic impact of tobacco use,” said Nargis. “In addition, hitting this target will help divert scarce resources away from treating tobacco-related illnesses towards growing market productivity and household income.”

    “The damage this industry causes on individuals’ lives and our nation’s economy is horrifying,” said Lisa Lacasse, president of the American Cancer Society Cancer Action Network (ACS CAN). “It’s particularly alarming, but not surprising, to see some of the states with the highest economic loss have the weakest tobacco control policies in place. We know what works to reduce tobacco use and lessen this burden and it’s past time we get it done. Passing policies proven to reduce tobacco use including regular and significant tobacco tax increases, adequate funding for tobacco prevention and cessation programs and comprehensive smoke-free laws has a huge impact on reducing tobacco-related diseases like cancer and addressing the financial burden this product poses on state economies and the nation.”

    Dr. Ahmedin Jemal is senior author of the study. Other ACS authors include:  Dr. Samuel Asare, Zheng Xue, Dr. Anuja Majmundar, Dr. Priti Bandi, Dr. Farhad Islami, and Dr. Robin Yabroff.

    Resources from the ACS on quitting smoking can be found here.

     

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    About the American Cancer Society The American Cancer Society is on a mission to free the world from cancer. We invest in lifesaving research, provide 24/7 information and support, and work to ensure that individuals in every community have access to cancer prevention, detection, and treatment. For more information, visit cancer.org.

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    American Cancer Society (ACS)

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