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Drugs to Prevent Cell Suicide

MrErlenmeyer writes "Many injuries and diseases including heart attacks, stroke, and Parkinson's cause healthy cells to kill themselves. A group of scientists at Washington University in Saint Louis believe they have a lead on how to stop apoptosis (unwanted cell suicide) and thus minimize the tissue damage that occurs as a result of these injuries. They designed drugs that halt the actions of executioner caspases, proteins that act as a molecular wrecking crew. Other scientists had found that a chemical called isatin could prevent tissue damage in rabbit hearts that were deprived of oxygen. This was the starting point for the team of researchers in Missouri. By making some changes to the molecule, they were able to develop an even more effective molecule. With some further refinement, this may lead to a new class of emergency medications."

26 of 110 comments (clear)

  1. Cancer by Anonymous Coward · · Score: 2, Interesting

    Since cancer is uncontrolled cell growth, has increased risk for cancer been looked at?

    1. Re:Cancer by NeverVotedBush · · Score: 3, Interesting

      I immediately thought the same thing. There is an article in the New Scientific American about how cancer cells modify their environment so that the processes that kill off cells are inhibited. This new treatment could lead to similar. On the other hand, would you rather be dead or brain dead or increase the chance you get cancer?

      This could also be a clue in how to treat and kill off cancer cells.

      Interesting stuff.

  2. Cancer Man would be proud! by smellsofbikes · · Score: 2, Informative

    Cessation of programmed cell death is often called cancer.
    I'm sure they have all sorts of good research and know lots about this, and I freely grant that a 10x increase in your chances of getting cancer somewhere down the line beats Parkinson's, but this still sounds really scary.

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    1. Re:Cancer Man would be proud! by nonsequitor · · Score: 4, Informative

      This is for emergency response to strokes, heart attack, etc to prevent healthy cells from being destroyed by the enzymes which cause apoptosis. It would follow common sense that the inhibitor would be out of the system within a day or so after treatment with the drug is ended. In conclusion, RTFA.

    2. Re:Cancer Man would be proud! by Manchot · · Score: 2, Insightful

      Of course, TFA also mentions that this method allows researchers to study apoptosis further, by allowing them to observe individual cells undergoing the process. Conceivably, once the mechanisms of the process are understood better, it will eventually be possible to trigger apoptosis in malignant cells (i.e., curing cancer). This development could possibly have revolutionary implications in the realm of cancer treatment.

    3. Re:Cancer Man would be proud! by smellsofbikes · · Score: 3, Interesting

      Your fingers are formed by apoptosis, in fact. Well, so is most everything: it all grows as tissue, and programmed cell death is what allows tissues to separate. (One interesting area of research is how the body forms hormone concentration gradients that rsult in regional apoptosis, leading to formation of eg fingers from continuous tissue.) But of course that's way prior to birth. Once you're born, having injured or marked cells commit suicide is, generally speaking, a very good thing, and messing with their ability to do so has some interesting implications.

      --
      Nostalgia's not what it used to be.
  3. Apoptosis not "unwanted" by Anonymous Coward · · Score: 5, Informative

    As stated in the second paragraph of the article, apoptosis is simply the process of cell death--a something perfectly normal and required by the body. Hardly "unwanted"! See http://en.wikipedia.org/wiki/Apoptosis

    1. Re:Apoptosis not "unwanted" by F-3582 · · Score: 2, Insightful

      Man, but I'd love to have some webs between my fingers! Or a few billions more brain cells... Or a bazillion T-Lymphocytes trying to kill me... On the other hand, such medication would indeed be great for all those people who were cut off from oxygen for too long and whose myocard cells usually go into apoptosis once they're re-oxygenated.

  4. Apoptosis by HomelessInLaJolla · · Score: 5, Informative

    The summary characterizes apoptosis as unwanted cell suicide which, in most cases, it most certainly is not. Apoptosis is one of the natural mechanisms by which the body eliminates cells which have become damaged, dysfunctional, or are simply no longer needed.

    Especially with respect to cancer research apoptosis is a pathway which we seek to activate. Cells which become cancerous are supposed to enter apoptotic cycles and prevent themselves from creating tumors within the tissue. Cancerous cells manage to win the race condition between apoptotic and survival pathways but, in terms of the mechanisms at work within the cell, are tottering on the edge. Many new cancer treatments rely on this on the edge circumstance in the interest of introducing a pharmacologically active substance into the body which will cause cancerous cells, on the edge of apoptosis, to move fully into apoptotic function.

    Since the cells in the body are constantly in a state of self-regulation and interregulation it is possible that cells which enter apoptosis too easily are similarly causes of diseases. It is this set of conditions that the researchers in the article wish to treat.

    Don't be misled about what apoptosis actually is, though, or be swayed to view it as good or bad. Different conditions within the tissue call for different actions within the cells which make up that tissue.

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  5. Re:better way by Hatta · · Score: 2, Insightful

    In other news: if you care about your daughter, get her vaccinated for HPV.

    If you care about other people's daughters, get your son vaccinated for HPV too.

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  6. Has anyone tried actually LISTENING to the cells?? by elrous0 · · Score: 5, Funny

    Most suicide attempts are cries for help, you know.

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  7. A cure for death by mollog · · Score: 2, Insightful

    This is a cure for death, unless I'm badly mistaken. This relates to ischemia and other avenues of organ failure. This will lead to some pretty interesting stuff in the future.

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    1. Re:A cure for death by sjames · · Score: 4, Informative

      This is a cure for death, unless I'm badly mistaken.

      That'sa bit of an overstatement. It may be the beginnings of a treatment that will greatly improve survival after heart attacks, strokes, and a number of other conditions.

      It could do that by limiting or preventing the damage from reperfusion. As reported in an article a couple months ago, lack of circulation/oygen doesn't ITSELF cause dath, but it does set up a condition where as soon as circulation and oxygenation resume, the person will die of massive cell death.

      In theory it means that a person who collapses and has no heartbeat for some time (say, 2 hours) could be brought in to a hospital and resuscitated successfully if apoptosis from reperfusion can be prevented.

      On a smaller scale, this could be very helpful in treating crush injuries and limb reattachment. It might also permit complex surgeries that are currently out of the question.

      It may prolong life in the sense that it makes various medical crises in old age survivable, but it won't eliminate death. The problem there is cell senescence, that is they stop dividing.

  8. I don't get it. by drsquare · · Score: 2, Funny

    Why would you want to stop prisoners killing themselves? It would save tax-payers millions, and would be a much more effective form of justice than today's "OK you ran over a granny whilst drunk and stoned off your head on your way back from a bank robbery, you're sentenced to six months with sky TV, pool table and gym, out in two months due to good behaviour, plus free benefits if you can't be bothered working" form of justice that is doled out today, in Britain at least.

  9. From the Dept. of Inadvisably Applied Science by SwordsmanLuke · · Score: 2, Interesting

    Boy, this has got "Unintended Consequences" written all over it. Seriously, I hope that this works brilliantly and the thousands of sufferers of Parkinson's disease etc. are able to be helped by this, but it seems like it could be a very shiny wrapper around an all new Pandora's box.

    --
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  10. Re:better way by syntaxglitch · · Score: 2, Insightful

    In other news: if you care about your daughter, get her vaccinated for HPV.

    If you care about other people's daughters, get your son vaccinated for HPV too. Or, if you DON'T care about other people's daughters, campaign against the vaccine for political reasons. Because nothing says "moral principles" like wanting kids to die from a preventable disease!
  11. Won't do any good. by Aqua_boy17 · · Score: 5, Funny

    All my cells are filled with emo-globin.

    --
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  12. Re:better way by catbutt · · Score: 2, Insightful

    They don't recommend that as yet. However, it seems like you'd get more milage out of recommending vaccinnating the ones who can be most directly hurt by the disease.

  13. Re:Has anyone tried actually LISTENING to the cell by eln · · Score: 5, Funny

    I agree, this rush to drugs to treat suicidal cells is just going to create a generation of drug-dependent artificially happy zombie cells, and the last thing I want is for my cells to be wandering aimlessly around my body with a perma-grin, glazed eyes, and an irresistible urge to eat my delicious brain. Psychotherapy should be tried before resorting to drugs. Even if drugs are determined to be the best course, they should still be coupled with regular therapy sessions.

  14. Re:better way by nick_davison · · Score: 2, Funny

    In other news: if you care about your daughter, get her vaccinated for HPV.

    If you care about other people's daughters, get your son vaccinated for HPV too. I even care about internet pornstars, I'm vaccinating my dog, horse, goat and pig for HPV.
  15. Re:better way by Lord+Ender · · Score: 3, Insightful

    In other news: mind your own business and go fuck yourself
    Contagious, cancer-causing diseases are a matter of public health, and are therefore everyone's business, Mr. Coward.

    BTW: The seemingly ultra-religious, daddy's-little-angel types have sex in high school, too. They are just better at lying about it.
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  16. Re:better way by Lord+Ender · · Score: 2

    Those drugs don't have anything to do with contagious diseases, so they are not a public health issue. You fail at logic. And at love for your own children. You have so much to be proud of.

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  17. A few clarifications... by Pedrito · · Score: 2, Informative

    First of all, this doesn't seem like a huge deal. By the time you get to the hospital, most of the cells that are going to die are already undergoing apoptosis (BTW, that's programmed cell death and not necessarily unwanted cell death). The other issue is that hypoxia also causes cell necrosis, which is another form of cell death that's completely different from apoptosis and wouldn't be saved by this kind of drug.

    The major issue, however, is simply that most of the cells that are going to die are irreparably damaged byt he time you get to the hospital. They ER will likely give you drug thinners and do whatever else is needed to get oxygen supply back. Not that this drug wouldn't be somewhat helpful, but I'd be really surprised if there's any great improvement in the % of lives saved. And any life saved is certainly worth the effort, but I just don't see this as a major breakthrough.

    Now, show me a drug that can selectively induce apoptosis in certain cells, and then we'd have a cure for most forms of cancer (most forms of cancer are the result of cells whose apoptosis pathway is failing for some reason), and that would be a big deal.

    1. Re:A few clarifications... by compro01 · · Score: 2, Informative

      as far as i understand it, after a certain time of no oxygen, a "suicide bit" gets set and once oxygen comes back, the cell dies, but not until then.

      this would prevent that. the cells might not work for long, but hopefully long enough for replacements to come in, as a sizable number of cells spontaneously dying in the heart or brain tends to lead to death for everything else, but a few cells dying at a time and being replaced wouldn't, which i presume is the intent.

      though i can't RTFA (the server is probably on fire), so i dunno if i am even close on this.

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  18. Reperfusion by Anti_Climax · · Score: 3, Insightful

    They should probably have a related reading link for the story posted in May regarding the discovered consequences of oxygen reperfusion in the human body.

    Quick summary: Doctors and scientists are finding that the cells of the heart and brain are still alive after clinical death, but they go into a dormant state. Jolting them back with oxygen and adrenaline after 4-5 minutes seems to kill the otherwise still living cells. A trial run on 34 cardiac patients indicates a significant increase in CPR success when done in a very gradual and controlled manner after that 4-5 minute mark (about 80% success opposed to around 15% for traditional CPR techniques)

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  19. cancerlicious by Tol+Dantom · · Score: 2

    Considering that this is a transient treatment, the problem with cancer will probably depend on the length of the treatment, which probably would not lead to a very large increase in cancer rates. There is still a lot of ground to cover for cancerous cells to become malignant (angiogenesis, telomere limits) and these sorts of things take decades of accumulated mutation and selection.

    A three month suppression of apoptosis and then a return to homeostasis is probably safer than a three month vacation to Hawaii, after which the genetic damage is permanent.