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Cancer drugs 'treat' aggressive childhood brain tumours


Cancer drugs treat aggressive childhood brain tumours  Aggressive childhood brain tumours could be treatable with a novel combination of two existing cancer drugs, a study suggests.

 Researchers led by the Institute of Cancer Research (ICR) examined 90 tumours from children and found two new genetic abnormalities in nine of them.

 They were then able to kill these abnormal tumours, in laboratory tests, by combining the two existing drugs.

 But one expert says the findings remain "far off being applicable to patients".

 In the UK, about 400 children are diagnosed with brain tumours every year.

 The research, published in the journal Clinical Cancer Research, brought together scientists from the UK, France, Portugal, Brazil and America.

 The abnormal tumours - known as glioblastomas, aggressive and often fatal cancers of the brain's glial cells - contained too many copies of the EGFR gene and mutations of the gene the scientists say have never before been found in children.

 They tried to block the EGFR gene with a drug, erlotinib (Tarceva), used in clinical trials to treat adult glioblastomas, but identified a molecule specific to the children's cells - platelet-derived growth factor receptor (PGFR) - that was making it ineffective.

 But when they combined erlotinib with a drug, imatinib (Glivec), they hoped would block the PGFR molecules, they killed a significant number of the cancer cells.

 Dr Chris Jones, who led the research, said it proved "that cancers may look the same, but it is only when you get down to the genetic level that you can truly understand them and devise treatments".

 Professor Geoff Pilkington, of the Brainstrust charity, said the research, though fascinating, was at too early a stage to turn into a treatment for patients.

 "This sort of twin therapy is a good thing to consider for the future," he said.

 Bur he added: "The cells of the brain seem to be unusually resistant to anything thrown at them."

Research finds no proof that a virus is the cause of ME


Research finds no proof that a virus is the cause of ME  UK scientists say they can find no proof that a particular virus is the cause of chronic fatigue syndrome (CFS) or ME, contrary to recent claims.

 The Imperial College London team say they want to share the findings as some patients are pinning their hopes on drugs to fight the virus called XMRV.

 They analysed blood samples from 186 patients with CFS and found none had the virus, PLoS One journal reports.

 Experts said the latest findings would be a bitter disappointment to many.

 They said more trials were under way and when these report in coming months, scientists will be able to draw more firm conclusions.

 Work in the US, published in Science, had found the retrovirus in 68 of 101 CFS patients.

 The UK team say the conflict between the two studies might be down to differences between the patients enrolled or the way the research was conducted.

 Or there might be different geographical types or strains of XMRV.

 Regardless, they say potent antiretroviral drugs should not be used to treat CFS because there is not enough evidence that this is necessary or helpful.

 The drugs may do more harm than good, they say.

 Professor Myra McClure, one of the Imperial College London investigators, said: "We are confident that our results show there is no link between XMRV and chronic fatigue syndrome, at least in the UK."

 She said they had used extremely sensitive DNA testing methods, called polymerase chain reaction, to look for the virus.

 "If it had been there, we would have found it."

 'Disappointing'

 Co-author Professor Simon Wessely said the findings did not invalidate all previous research, some of which has shown that CFS can be triggered by other infectious agents, such as Epstein Barr Virus.

Global jump in swine flu deaths


Global jump in swine flu deaths  The number of swine flu deaths reported worldwide has jumped by more than 700 in a week, latest World Health Organization figures reveal.

 More than 5,700 swine flu deaths were reported by 25 October, compared to nearly 5,000 the week before.

 The biggest rise was in the Americas where 4,175 deaths have been reported, up 636 from the week before.

 Meanwhile, Ukraine has shut all schools and banned public meetings for three weeks after its first swine flu death.

 Prime Minister Yulia Tymoshenko said the measures were to prevent the spread of the H1N1 virus.

 Mrs Tymoshenko said there would also be restrictions on what she called non-urgent travel between different parts of Ukraine.

 Cases 'unreported'

 The latest WHO figures showed there had been 440,000 confirmed cases of the H1N1 virus worldwide.

 But the organisation said that as many countries have stopped counting individual cases, the actual number is likely to be significantly higher.

 The BBC's Imogen Foulkes says the WHO has warned for months that as winter sets in, the northern hemisphere can expect swine flu cases to rise. Now that appears to be happening.

 The virus emerged in Mexico in April and was declared a global flu pandemic on 11 June.

 "In the temperate zone of the northern hemisphere, influenza transmission continues to intensify, marking an unusually early start to winter influenza season in some countries," said the WHO's latest update.

 Statistics showed fatal cases in Europe climbed to at least 281, while those in Asia-Pacific rose to 1,070.

 In a separate statement, the WHO said that experts meeting this week had concluded that a single dose of swine flu vaccine was sufficient to immunise adults and children over 10.

 The Strategic Advisory Group of Experts (Sage) said that countries that had made vaccinating children a priority could administer them a single dose to ensure that as many as possible are immunised quickly.

 It said that while more data on children between six months and 10 years was needed "the priority should be to give them at least one dose of vaccine now, and to cover as many of them as possible".

Women not getting bone treatment


Women not getting bone treatment  Women who have had a fracture are not getting treatment to prevent them having future bone breaks, a Cambridge University study suggests.

 An audit covering 1,600 women presenting to a specialist clinic with a fracture showed that 31% had suffered a previous break.

 Yet only 28% had been put on recommended bone-protective drugs.

 A GPs' leader said more could be done to find women at risk, but side-effects stopped some patients taking the drugs.

 Normal ageing can lead to osteoporosis, a condition in which bones become fragile and break easily. The fractures are most common in bones of the spine, wrists and hips.

 Women are more at risk after the menopause because they lose oestrogen which protects bones from damage.

 Current guidelines from the National Institute of Health and Clinical Excellence say that women over the age of 75 who have had a fracture should automatically be offered preventive treatment with drugs such as bisphosphonates.

 Because of the high risk of future fracture after a break, postmenopausal women under the age of 75 are supposed to have a bone density scan before being offered treatment if necessary.

 Some experts argue that the guidelines do not go far enough, and more women with signs of bone-weakening should be offered protective therapy.

 Poor uptake

 In the latest analysis, 526 of 1641 postmenopausal women attending a fracture clinic had previously had a bone break, the QJM journal reported.

 Overall, 27% of those were taking a bisphosphonate or other treatment such as calcium or vitamin D supplements.

 Among the over-75s, only 45% were receiving bone protective therapy.

 The study leader, Professor Julia Compston, said some areas of England may be better than others but the low levels of treatment found in the study were "broadly applicable" to the rest of the country.

 She said reasons for lack of treatment included poor recording of fractures in patient notes; absence of incentives for GPs to treat osteoporosis, unlike many other chronic conditions; and the fact that patients "get lost" between hospitals and GPs because of poor communication.

 "Someone needs to take responsibility for deciding whether a patient should be treated and there are a lot of processes that can fall down.

 "Patients also need to be better informed that they might need treatment."

 In some areas of the country access to scans to measure bone density is problematic, she added.

 Professor Steve Field, chairman of the Royal College of GPs, said the study highlighted the fact that more could be done to make sure treatment was available.

 "But these drugs can have very unpleasant side-effects - so some patients are offered them but stop taking them," he said.

 "Exercise and diet are also important."

Women have 'same heart symptoms'


Women have same heart symptoms  It is a myth that women have different heart attack symptoms from men, according to Canadian researchers.

 A study presented at the Canadian Cardiovascular Congress found no gender differences in symptoms after studying 305 patients undergoing angioplasty.

 They say it is a commonly held belief that men and women feel the effects of a heart attack differently.

 Dr Beth Abramson, of Canada's Heart and Stroke Foundation, said: "Heart disease is an equal-opportunities killer."

 'The Myth'

 In 2003 a study by the US National Institutes of Health did suggest that many women never had chest pains and that their symptoms were not as predictable.

 Martha Mackay, who led the Canadian research, said these latest findings suggested that this simply was not the case.

 In the study, researchers found was that the women had all the classic symptoms like chest pain and also tended to have pain in the throat, jaw and neck.

 She said: "Clear educational messages need to be crafted to ensure that both women and healthcare professionals realise the classic symptoms are equally common in men and women."

 The average age of the people undergoing angioplasty was 63 and nearly 40% of them were women.

 'No gender differences'

 As part of the angioplasty procedure a balloon is inflated inside the blocked blood vessel to stretch it out.

 This can briefly cause pain and discomfort which is the same as the patient would feel if they are having a heart attack.

 During inflation, the patients were questioned about their current sensations and an electrocardiogram measurement was taken before inflation and when the balloon was deflated.

 A total of 245 (83%) had ischemia or a decreased blood supply in their blood vessel.

 No gender differences were found in rates of chest pain or typical acute coronary syndrome (ACS) symptoms regardless of their ischemic status.

 Women were significantly more likely to report throat, jaw and neck discomfort, as well as only non-chest discomfort.

 The gender effect was increased after controlling for age, urgency, a prior heart attack or a prior angioplasty.

 Dr Beth Abramson, of the Canadian Heart and Stroke Foundation, said that while women may describe their pain differently from men, the most common symptom in women was still chest pain.

 She said: "Heart disease is an equal opportunities killer - the differences between women and men are negligible.

 "Women do tend to present about seven to 10 years later than men when they are older and sicker.

 "The first thing most people feel is a heaviness in the chest and we all need to be aware of that."



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