Houston Area Pediatric Specialists

Independent pediatric specialists aim to serve our community. We want to share news and analysis regarding our specialties and our practices.


Showing posts with label Susarla. Show all posts
Showing posts with label Susarla. Show all posts

Monday, February 13, 2012

New Discovery May Help Limit the Side Effects of Certain Asthma Drugs

Discovery May Lead to Safer Treatments for Asthma, Allergies and Arthritis

ScienceDaily (Dec. 19, 2011)
Scientists have discovered a missing link between the body's biological clock and sugar metabolism system, a finding that may help avoid the serious side effects of drugs used for treating asthma, allergies and arthritis.

In a paper published last week inNature, scientists at the Salk Institute for Biological Studies report finding that proteins that control the body's biological rhythms, known as cryptochromes, also interact with metabolic switches that are targeted by certain anti-inflammatory drugs.
The finding suggests that side effects of current drugs might be avoided by considering patients' biological rhythms when administering drugs, or by developing new drugs that target the crypto chromes.

We knew that our sleep and wake cycle are tied to when our bodies process nutrients, but how this happened at the genetic and molecular level was a complete mystery," says Ronald M. Evans, a professor in Salk's Gene Expression Laboratory, who led the research team. "Now we've found the link between these two important systems, which could serve as a model for how other cellular processes are linked and could hold promise for better therapies."
Glucocorticoids are steroid hormones that occur naturally in the body and help control the amount of sugar in a person's blood, so that nutrient levels rise in the morning to fuel daily activities and fall again at night. They function in cells by interacting with glucocorticoid receptors, molecular switches on the outside of the nucleus, which Evans first discovered in 1985.
Glucocorticoids also play a role in regulating inflammation and are used as anti-inflammatory drugs for diseases caused by an overactive immune system, such as allergies, asthma and rheumatoid arthritis. They are also used to treat inflammation in cancer patients.

Wednesday, October 13, 2010

Snoring and Sleep apnea, is it so inflammatory?

From Dr. Susarla....

Snoring and Sleep apnea, is it so inflammatory?

A recent article in the journal Chest summarizes the association of breathing problems during sleep with multiple other medical conditions in children, raising concerns about how dangerous snoring may be.

Excerpted below: Among the many articles on childhood sleep-disordered breathing (SDB) in the last several years, there is a recurring theme: an array of comorbidities. Whether the disorder is defined as habitual snoring, upper airway resistance syndrome, or obstructive sleep apnea (OSA), studies have consistently linked SDB in children with seemingly unrelated symptoms of neuropsychologic deficits, obesity, cardiovascular abnormalities, parasomnias, and inflammation.

In addition, there appears to be a genetic association for childhood SDB. In the current issue of CHEST (see page 519), Li and colleagues1 have performed a large-scale population survey of symptom clusters and have demonstrated that all of these comorbid symptoms of SDB are increased in a population of children with habitual snoring. Their study in > 6,000 children aged 5 to 14 years with habitual snoring suggests an association of SDB with genetic influences, BMI, neuropsychologic problems, and inflammation, including recent upper-respiratory infection, allergic rhinitis, tonsillitis, and sinusitis. Do these clinical features relate to a single mechanism?

Chest September 2010 138:469-471
http://chestjournal.chestpubs.org/content/138/3/469.full