Study identifies natural compound to treat MS

Spinal fluid and multiple sclerosis

Scientists have identified a natural compound that halts the process involved in the progression of certain forms of cancer and demyelinating conditions — those that damage the sheath, known as myelin, that surrounds neurons — such as multiple sclerosis.

A study published today in the Journal of Biological Chemistry identified a plant-derived flavonoid known as sulfuretin, which has been found to inhibit the activity of an enzyme associated with multiple sclerosis (MS) and cancer. This discovery was made in cell tests conducted at Oregon Health & Science University. The next step is to evaluate the compound in animal models to determine its effectiveness and any potential side effects in treating cancer and neurodegenerative conditions like MS.

“We think this is a drug that could impact many different areas,” said Larry Sherman, Ph.D., professor in the Division of Neuroscience at OHSU’s Oregon National Primate Research Center.

The researchers found that sulfuretin, along with a pair of synthetic compounds that were also tested in live cells, inhibited the activity of a particular type of enzyme known as a hyaluronidase,  which naturally degrades hyaluronic acid. That’s important because when hyaluronic acid is broken down into fragments, it is known to cause problems in at least two ways:

  • Forestalls myelin repair: It prevents the maturation of oligodendrocytes, which are cells that produce myelin. Myelin is the protective sheath covering each nerve cell’s axon — the threadlike portion of a cell that transmits electrical signals between cells. Damage to myelin is associated with MS, stroke, brain injuries and certain forms of dementia. In addition, delay in myelination can affect infants born prematurely, leading to brain damage or cerebral palsy.
  • Allows cancer cells to proliferate: In cancerous tumours, hyaluronidase activity can allow cancer cells to proliferate unchecked by normal cellular death. “Now we have an inhibitor that could actually stop that,” said Sherman, who is also a professor of cell, developmental and cancer biology in the OHSU School of Medicine.

The new research focuses on inhibiting a specific type of hyaluronidase, known as cell migration-inducing and hyaluronan-binding protein (CEMIP).

In addition to MS and cancer, CEMIP is implicated in a range of disorders, including osteoarthritis, skin infections, brain injury caused by heavy alcohol use and possibly other neurodevelopment disorders, including Alzheimer’s disease. The study indicates its activity appears to be inhibited by sulfuretin.

Molecules in flowers

The discovery came after years of undergraduates painstakingly screening plant compounds in the lab of co-author Angela Hoffman, PhD, a longtime and now-retired professor of chemistry at the University of Portland.

“Over the years, her students have been grinding up these flowers, extracting molecules and testing to see if any of them blocked hyaluronidase activity,” Sherman said. “Finally, a couple of years ago, they found a promising compound.”

Alec Peters, a graduate student in Sherman’s lab at OHSU, found that this compound blocked CEMIP activity in a tumour cell line and in oligodendrocyte progenitor cells. Oligodendrocytes generate myelin.

Hoffman, a nun and chemistry professor who earlier this year retired from the University of Portland after 35 years to lead her convent, began collaborating with Sherman a decade ago. Over that time, she said, hundreds of undergraduate students worked on breaking down dozens of plants to their molecular essence and then testing to see whether any of the compounds worked to neutralize CEMIP.

The new publication validates the students’ diligent work over many years, she said.

Unique Ways to Stand By Cancer Patients with Everyday Support

Photo by Freepik

When a loved one is diagnosed with cancer, it can feel as though the ground has shifted beneath your feet. The journey ahead is fraught with emotional, practical, and social challenges, yet it also presents countless opportunities to make a meaningful impact. From simple yet profound acts of empathy to innovative therapeutic approaches, there are myriad ways to support someone navigating this difficult path. This article dives into unique and actionable strategies that can provide much-needed relief and companionship to cancer patients, transforming a difficult journey into one of shared resilience and hope.

Offer Consistent Emotional Support Through Regular Check-Ins

Creating a routine for regular check-ins can offer invaluable emotional support. Whether it’s through phone calls, messages, or in-person visits, maintaining steady communication helps patients feel heard and understood. This consistent interaction not only aids emotional well-being but also boosts self-awareness and mindfulness, providing a safe space for patients to express their feelings. By proactively addressing potential issues, you can prevent emotional outbursts and ensure holistic support during their recovery process.

Assist with Transportation Services

Ensuring reliable transportation can significantly ease the challenges cancer patients face in getting to their medical appointments. Coordinating rides with family, friends, or local volunteer organizations provides essential logistical support and brings peace of mind, allowing patients to focus on their treatment rather than the stress of travel arrangements. Setting up a schedule, either through a shared calendar app or by designating a transportation coordinator, helps streamline efforts, keeping everyone informed. Some communities also offer specialized services for cancer patients, such as non-emergency medical transportation programs, which can provide accessible, comfortable rides to and from appointments

Building Connections Through Community Support Groups

Connecting a loved one with cancer to community support groups can offer them a comforting space to share experiences and find encouragement from others facing similar challenges. These groups provide an outlet where patients can discuss their journey openly, gaining both emotional relief and practical advice. Family members or friends can assist by researching local and online options, ensuring that the group aligns with the patient’s personal preferences, whether that’s in-person gatherings, virtual meetings, or specific types of support, such as art therapy or exercise classes tailored for cancer patients.

Help Easing Financial Strain with Grant Opportunities

Navigating the financial burdens of cancer treatment can be overwhelming. Helping your loved one connect with organizations that provide specific grants for medical expenses can be immensely helpful. Resources like the Cancer Financial Assistance Coalition offer financial aid based on location and diagnosis. Grants from various foundations can cover medical and living costs, alleviating financial strain and allowing patients to focus on their recovery.

Art Therapy as an Emotional Outlet and Stress Reliever

Art therapy offers a valuable outlet for cancer patients, allowing them to express complex emotions and reduce stress through creative activity. Engaging in art—whether through painting, drawing, or even simple crafts—can provide a reprieve from the mental strain that often accompanies treatment. Family members and friends can help by arranging sessions with a licensed art therapist or setting up a dedicated space with art supplies at home, encouraging regular time for creativity. This process can serve as both a mental escape and a form of self-reflection, helping patients process their experiences in a non-verbal, therapeutic way.

Guided Meditation for Calm and Clarity

Guided meditation can be a powerful tool for cancer patients seeking calm and clarity amidst the challenges of treatment. By focusing on breathing, visualization, and gentle mindfulness, meditation offers a break from the mental and physical demands of cancer, fostering a sense of control and inner peace. Family and friends can support this practice by helping their loved one find accessible resources, such as meditation apps, videos, or local classes tailored for individuals managing chronic illness. Regular meditation sessions, even for just a few minutes, can alleviate anxiety and promote a clearer, more centered mindset.

Find Inspiration to Advance Your Career to Help Others

A loved one’s cancer diagnosis can profoundly influence career goals, inspiring a shift toward roles that make a tangible difference in the lives of others facing similar challenges. For example, if you work as a nurse, perhaps seeking an MSN degree can pave the way for more specialized work to help other cancer patients. Online degree programs make this transition more accessible, offering the flexibility to balance studies with work and personal commitments. By channeling your experience into a career path that supports cancer care, you not only honor your loved one’s journey but also gain the tools to impact others in deeply meaningful ways.

Supporting a loved one with cancer involves more than just being present; it’s about finding meaningful ways to show compassion, share burdens, and encourage strength throughout their journey.  Each small act contributes to a larger foundation of support, making a challenging path feel a bit more navigable. Advocacy for cancer patients can take many forms, but what matters most is a dedication to easing their experience and reminding them they’re not facing it alone.

Do people with Multiple Sclerosis have an increased risk of cancer?

New Drug Could Help Multiple Sclerosis Patients Better Manage Symptoms

A new study has found some cancers to be slightly more frequent in people with multiple sclerosis (MS) than in people without MS. Types of cancers found to have a small increased risk include bladder, brain and cervical cancers. The study does not prove that MS increases a person’s risk of cancer. It only shows an association.

With MS, the body’s immune system attacks myelin, the fatty, white substance that insulates and protects the nerves. MS is chronic and can be unpredictable and disabling.

“People with MS undergo an increased number of tests to monitor MS, making it more likely to detect other diseases,” said study author Emmanuelle Leray, PhD, of Rennes University in France. “We found an association between some types of cancer and MS, which may have different explanations depending on a person’s age and the types of cancer. Overall, our study found the increased risk of cancer was quite small.”

Researchers reviewed ten years of data in the French national healthcare database for the study. They identified 140,649 people with MS and matched them for factors such as age, sex, and residence to 562,596 people without MS. All participants were cancer-free three years before the study. They were followed for an average of eight years.

During the study, 8,368 people with MS and 31,796 people without MS developed cancer.

Researchers determined that there were 799 cancers per 100,000 person-years for people with MS and 736 cancers per 100,000 person-years for people without MS. Person-years represent the number of people in the study and the amount of time each person spends.

Researchers found people with MS had a 6% increased risk of developing any type of cancer regardless of age, sex and residence. They also found cancer risk was higher in those under 55 and lower in people 65 and older when compared to people without MS.

Researchers then looked at cancer types. People with MS had a 71% increased risk for bladder cancer, a 68% increased risk for brain cancer, and a 24% increased risk for cervical cancer. However, they also had a 20% lower risk of prostate cancer, a 10% lower risk of colorectal cancer and a 9% lower risk of breast cancer.

“While our study found a higher risk for brain cancer, it may be due in part to earlier detection in those with MS since they regularly have brain scans which may detect cancers earlier, before a person has symptoms,” said Leray. “Frequent urinary tract infections in people with MS and the use of immunosuppressant drugs may contribute to their higher risk of bladder and cervical cancers.”

Leray added, “The lower risk for colorectal and breast cancers may be due in part to fewer people with MS getting screened for cancer in older age when they may be experiencing more MS symptoms. More research is needed, including studies examining how cancer screenings may play a role.”

Individuals with type 2 diabetes at higher risk of certain cancers could be identified through a simple blood test.

Higher levels of pro-inflammatory cytokine interleukin-6 found to be associated with higher risk of a range of cancers; a healthy lifestyle and good blood sugar control could cut inflammation and cancer risk
Higher levels of the pro-inflammatory cytokine interleukin-6 are associated with a higher risk of various cancers. Adopting a healthy lifestyle and maintaining good blood sugar control may reduce inflammation and the risk of developing cancer.

At this year’s Annual Meeting of the European Association for the Study of Diabetes (EASD) in Madrid from September 9th to 13th, it will be discussed that a simple blood test could help identify individuals with type 2 diabetes who are at higher risk of certain cancers. People with type 2 diabetes are known to have a higher risk of developing cancers related to obesity, such as breast, kidney, womb, thyroid, ovarian, colorectal, pancreatic, and gastrointestinal cancers, as well as multiple myeloma. It is believed that chronic low-grade inflammation, which is common in both obesity and type 2 diabetes, plays a significant role in the development of cancer in these conditions.

Mathilde Dahlin Bennetsen and colleagues from the Steno Diabetes Center Odense explored whether differences in levels of proinflammatory cytokines could help identify individuals with type 2 diabetes at higher risk of certain cancers. This could lead to more targeted monitoring, early detection, and personalized treatment.

The study involved 6,466 members of the Danish Centre for Strategic Research in Diabetes (DD2) cohort, who were newly diagnosed with type 2 diabetes. At the start of the study, levels of the proinflammatory cytokines interleukin-6 (IL-6), tumour necrosis factor-alpha (TNF-alpha), and high-sensitivity C-reactive protein (hsCRP) were measured.

The participants were divided into three groups based on their IL-6 levels: the lowest third (IL6 < 0.94 pg/ml), the middle third (0.94-1.58 pg/ml) and the highest third (>1.58 pg/ml). They were then followed for a median of 8.8 years, during which 327 developed an obesity-related cancer. Higher levels of IL-6 at baseline were associated with a greater risk of developing an obesity-related cancer.

When the results were adjusted for age, sex, diabetes duration, alcohol consumption, waist circumference, physical activity, HbA1c (a measure of how well blood sugar is controlled), triglyceride levels, use of lipid-lowering drugs and use of diabetes medication, those in the highest group had a 51% higher risk of developing an OR cancer compared with those in the lowest group.TNF-alpha and hsCRP were only weakly associated with OR cancers compared to IL-6.

Taking smoking status into account did not alter the results. Additionally, when the researchers included baseline IL-6 levels along with other known risk factors for obesity-related cancers, it resulted in a slight but significant improvement in the ability to predict whether an individual would develop one of these cancers.

The inclusion of TNF-alpha or hsCRP did not enhance the predictive models, while higher IL-6 levels were found to be associated with the development of OR cancers in patients recently diagnosed with type 2 diabetes. Ms. Bennetsen suggested that a simple blood test in the future could help identify those at higher risk of these cancers. However, additional research is necessary to determine if such testing would improve early detection and management of these cancers.

Ms Bennetsen adds: “Understanding that higher levels of inflammation can indicate a greater risk of certain cancers highlights the importance of regular check-ups and effective diabetes management.“Maintaining a healthy lifestyle and adhering to treatment plans can potentially help manage inflammation and reduce cancer risk.”

Identifying the hidden sources of saturated fat and added sugar in your diet is essential for maintaining a healthy lifestyle.

New research shows combined use of sodium glucose co-transporter 2 inhibitors (SGLT2is) and glucagon-like peptide-1 receptor agonists (GLP1-RAs) is likely to offer additional protection against heart and kidney disease in patients with diabetes

A recently compiled list of foods and drinks commonly consumed in the United States suggests why many adults inadvertently consume excessive saturated fat and added sugar in their daily diet.

The study reveals that limiting fat and sugar to the recommended 10% of daily calories is challenging due to various popular sources, such as cheese for saturated fat and soft drinks for added sugar. Unexpected sources like chicken and ketchup contribute to overconsumption, posing risks for cairdiovascular disease, diabetes, and cancer.

The analysis of data from over 35,000 U.S. adults is part of a project to develop a research tool to streamline the assessment of these dietary downsides. The work also aims to raise awareness among consumers about the unexpected sources of fat and sugar that accumulate over the overesearchers hope this will encourage shoppers to read labels and identify these hidden sources.

“Chicken breast is often promoted as a low saturated fat food, but it still contains a small amount of saturated fat. It’s important to be aware that even foods with smaller amounts of saturated fat can contribute to the overall intake, gradually adding saturated fat into the diet,” explained Christopher Taylor, the first author of the study and a professor and director of medical dietetics at The Ohio State University’s School of Health and Rehabilitation Sciences.

“Meeting less than 10% helps identify major contributors, and allows us to recognize where saturated fat and added sugar might still be present in other food options. This doesn’t mean these are bad choices – it’s about being mindful of how the morning latte might be contributing.”

Lead author Susan Schembre, an associate professor of oncology at Georgetown University’s Lombardi Comprehensive Cancer Center, raised a public health policy concern about the abundant added sugar.

“It’s present in so many unexpected foods and often in surprising amounts,” she remarked.

The researchers examined information from 36,378 adults in the United States, aged 19 and older, who took part in the National Health and Nutrition Examination Survey from 2005 to 2018. This survey gathered 24-hour dietary recalls from each participant, providing detailed information on what and when all food and beverages were consumed over the preceding two days.

Here is the rewritten text:The main sources of saturated fat were cheese, pizza, ice cream, and eggs. The leading sources of added sugar were soft drinks, tea, fruit drinks, cakes, and pies. According to the USDA’s “What We Eat in America” food list, other categories contributing to saturated fat intake include cold cuts, cream substitutes, fried potatoes, and whole milk. Categories with added sugar include tomato-based condiments, cereal bars, energy drinks, and yeast breads.

The research team also analyzed variations in the primary sources of saturated fat and added sugar across different race/ethnicity groups and age brackets, which is crucial when evaluating diets for the purpose of developing tailored health interventions, Schembre explained.

“Before you understand what you can intervene on, you have to know what people are consuming,” she said.

The team is developing an app for focused assessment of “nutrients of concern.” They have shown that this analytical method generates a comprehensive list of foods that contribute to most of the saturated fat and added sugar intake. While NHANES data is important for understanding nutrition in the United States, identifying the specific food and beverage sources of fat, added sugar, and soon, sodium, is more efficient and effective for disease interventions.

The analysis revealed that saturated fat made up at least 12% of daily calories, while added sugar intake ranged from 14% to 16% of total calories. Although dietary recommendations often highlight common culprits like pizza and ice cream, this comprehensive list provides valuable and, for some, surprising insights, according to Taylor.

“There are foods that are high in saturated fat and added sugar which are frequently consumed and often targeted. However, there is also a smaller cumulative effect of things that are generally perceived as healthy, but still contribute a little bit,” he said. “When you top it off with some of those higher sources, it ends up taking you over the threshold for 10% of the day’s calories.”

“We’re aiming to find the right balance between addressing the major issues upfront while also recognizing the subtle contributors.”