BioQuakes

AP Biology class blog for discussing current research in Biology

Tag: #healthissues

The Chemotherapy-Free Way Of Curing Cancer

Introduction 

Chemotherapy has been one of the only ways to cure cancer for a long time, but this is not the case anymore. According to a report in the journal Nature, CAR-T cell therapy has shown long-lasting success in treating blood cancer, with two patients remaining cancer-free over a decade later. This can be a new efficient way to cure cancer and it will also allow for less severe side effects like our fast-growing cells to still function properly. 

Life of a Cancer Cell

How it works 

The treatment uses genetically engineered immune cells to target and kill cancerous cells. CAR-T cells are a type of immune cell that is engineered in a laboratory to recognize and attack cancerous cells. The process of creating CAR-T cells involves extracting T-cells, from blood. These T-cells are then genetically modified in the laboratory to produce antigen receptors. These are engineered to recognize and bind to cancer cells. After CAR-T cells binds it triggers death to the cancer cell, ultimately getting rid of the cancer.

 

Connection to AP Biology

CAR-T cell therapy reflects what we learned in AP Biology. Unlike chemotherapy which kills fast-growing cells. CAR-T cell therapy selectively targets cancerous cells which eliminates possible symptoms. This is also similar to the topic of the immune system in AP Bio. For example, we learned that Cytotoxic T cells are part of the adaptive group of the immune system. When the Cytotoxic T cell sees an infected cell it binds to it and causes apoptosis (self destruction of cell )to occur.

How a killer T cell destroys a cell infected with viruses

Potential Drawbacks

Though the treatment seems ideal, there are still drawbacks. The treatment does not work for everyone and can have dangerous side effects. Researchers are working on expanding the therapy’s effectiveness by understanding how and why it works. CAR-T cell therapy is still new but has potential in the near future for curing cancer. 

Side effects listed:

  • High fever and chills.
  • Trouble breathing.
  • Severe nausea, vomiting, and/or diarrhea.
  • Feeling dizzy or lightheaded.
  • Headaches.
  • Fast heartbeat.
  • Feeling very tired.
  • Muscle and/or joint pain.

 

 

Fears of a Winter COVID-19 Surge

         In March 2020, our planet was invaded, as we were threatened by the very initial strain of the SARS-CoV-2 virus. This event was commonly referred to as the Coronavirus pandemic. Little did we know then that there would also be several increasingly virulent variants facing us in the immediate future. This highly infectious and adaptive virus forced virtually everyone on Earth to quarantine and patiently wait for a worldwide team of multi-disciplined scientists and medical practitioners to develop an approvable and effective vaccine. For at least a year, we sat before our TV sets and awaited the daily numbers of the newly infected, hospitalized, and deaths. Populations throughout the world were being sent to hospitals in an effort to survive this dangerous virus. The hospitals and healthcare workers across the globe were stretched way beyond capacity, and the untold emotional effects on care providers, in itself, reached epidemic proportions.

SARS-CoV-2 without background
The SARS-CoV-2 virus enters and attacks our lungs through our normal respiratory process. The virus causes our lungs to become inflamed, making it challenging for us to breathe. This can lead to pneumonia, an infection of the tiny air sacs inside your lungs where your blood exchanges oxygen and carbon dioxide. These viral effects made it difficult for middle-aged and older adults to cope and often left them vulnerable to the disease. Once the vaccines were advancing to a stage of government approval and being administered to the general population, we began to see statistically significant improvements in the overall ability of our immune systems to “take on” the virus and win the battle. As people were receiving the vaccine, most people were choosing the mRNA vaccines. These vaccines teach your cells to produce a harmless piece of the coronavirus spike protein that triggers an immune response to build antibodies. A spike protein is a specialized combination of amino acids designed to help the immune system know how to respond to the spike protein. In this way, one begins to build immunity to COVID-19, which results in mitigating the adverse effects of the virus or, in some cases, not succumbing to the effects of the virus. Once it does its job, the mRNA quickly breaks down, and the body clears it away in a few days.
All vaccines leave the body with a supply of T-lymphocytes and B-lymphocytes that will remember how to fight that virus in the future. Since COVID-19 is highly adaptive, as evidenced by the emergence of its numerous variants, biomedical researchers have to quickly produce a new vaccine to prevent a new SARS-CoV-2 virus variant from spreading.

Janssen COVID-19 vaccine (2021) F (cropped) 2
New concerns are now arising in the medical community with the threat of yet another new variant strand of SARS-CoV-2 emerging onto the scene as winter approaches. According to the Centers for Disease Control and Prevention, we could be looking at two new omicron subvariants becoming increasingly more dominant in the United States, raising fears that they could start another surge of COVID-19 infections. The new subvariants known as BQ.1 and BQ.1.1 are raising concerns because it appears to be proficient at evading the defenses of currently available vaccination formulations. According to the CDC, in recent weeks, BQ.1 and BQ.1.1 has quickly risen to 44% of all new infections nationwide and is approaching nearly 60% in some parts of the country, such as New York and New Jersey. Additionally, this viral landscape takes on even greater significance as we seem to be in a “viral trifecta” with the more common Influenza (flu) Virus and the Respiratory Syncytial Virus (RSV) taking the stage front and center this Fall and Winter season. Perhaps the best advice is to see your health care practitioner and see if a vaccination or booster shot is right for you!

Healthcare Inequality Within the United States

The healthcare field, that is painted to be a blessing for many Americans, happens to also be a huge source of fear for many Americans as well. Throughout history, our healthcare system has shown to ignore and strike fear into specific groups of people. For this reason, through years of trauma and story telling, the fear of these same healthcare systems tend to be passed down as generations pass by. Many Americans then grow up with the constant fear of the healthcare system and seeking assistance when something alarming may appear.

According to CenterJD:

  • The Harvard Medical Practice Study found, “there were significant differences between hospitals that serve a predominantly minority population and other hospitals. That is, Blacks were more likely to be hospitalized at institutions with more AEs [adverse events] and higher rates of negligence.”
  • The Agency for Healthcare Research and Quality, a division of the U.S. Department of Health and Human Services, found, “Blacks received poorer quality of care than Whites in 43 percent of the core measures” and “disparities in quality and access to care are growing wider in the Hispanic population.”
  • Racial and ethnic minorities are uninsured more often than non-Hispanic Whites, a status that frequently results in less than adequate care.
    • A study by the Robert Wood Johnson Foundation found that compared with the insured, those without health coverage who are hospitalized are more likely to receive fewer services, experience second-rate care, and die in the hospital.

Although this CenterJD post is from 2008, it puts into perspective how medical malpractice is not only a problem of the past during chaotic events such as WWI and WWII and how medical malpractice still very much affects our society today.

As Covid-19 is the modern issue at hand for most people in the United States, we often take into question who and how quickly is Covid-19 affecting people. Pasted below are statistics around Covid-19 in relation to race and ethnicity in America.

Evidently from the statistics given by the CDC, American Indian/Alaska Natives, Black/African Americans and Hispanic/Latino persons are way more likely to die and be hospitalized by Covid-19 than their White counterparts. This may be due to a multitude of reasons stated by the CDC. They claim that “Race and ethnicity are risk markers for other underlying conditions that affect health including socioeconomic status, access to health care, and exposure to the virus related to occupation, e.g., frontline, essential, and critical infrastructure workers.”

One very prominent example of this inequality in the healthcare field is Black women in America’s healthcare system. According to Black Women’s Health Imperative, “Black women are 3-4 times more likely to die from pregnancy-related complications and 3-4 times more likely to suffer from severe disability resulting from childbirth compared to White women.”  Black women are also much more likely to experience birth injuries and deaths due to other factors that are engraved in our societal structure. According to AJMC, When analyzing preterm birth numbers, it is evident that women living in areas of high violent crime and high air pollution that have the highest risk of preterm birth. “Black women are 4 times more likely to live in a neighborhood with high violent crime and high air pollution than White women,” which may partially explain why there is such a difference in the birth characteristics of these two groups.  Heather Burris, a current medical doctor, stated that “both physical and psychological stressors can lead to low birth weight and other health disparities” as well. This is why we must view these issues with historical context in mind. Discrimination and Racism, such as redlining, food deserts and many other forms of control by the American systems were used and ultimately affect the way that many Black Americans and other American groups function to this day.

According to Endofound, Health conditions that disproportionately affect Black women receive less government research funding than other similar diseases. They state that “estimates reveal that nearly a quarter of Black women between the ages of 18 and 30 have [uterine] fibroids — compared with 7 percent of White women. By age 35, that number increases to 60 percent. However, NIH annual funding for the condition is $17 million — compared to $86 million for cystic fibrosis, which impacts far fewer people each year (though the great majority of those impacted are Caucasian).” Cystic Fibrosis is a much rarer disease according to Cystic Fibrosis Foundation as there are around 70,000 currently living people worldwide with this condition. There are more than 200,000 cases of Uterine Fibrosis in the United States alone. Cystic Fibrosis appears to be much deadlier, however, the lack of funding in a department for an illness that is extremely common should be of concern. With more demand, more funding would seem like a plausible reaction, however, the current funding clearly shows otherwise.

 

As shown by the article’s data presented by Nature’s Alice B. Popejoy and Stephanie M. Fullerton, many racial and ethnic minority groups are still not present in genome wide association studies funded by the National Institute of Health. Popejoy and Fullerton state that “together, individuals of African and Latin American ancestry, Hispanic people (individuals descended from Spanish-speaking cultures in central or South America living in the United States) and native or indigenous peoples represent less than 4% of all samples analysed.” These numbers are ridiculous and makes it very hard for many people of color to feel as safe as their White counterparts, since there is significantly less statistical data that provides the same support and comfort in their own safety.

According to an article by Lauren Frayer, the NHS, which is the state funded company that funds health care for all in Britain, polls better than the queen, showing that British citizens are extremely fond of the system that is set in place to help all of its citizens. Richard Murray, a policy director for a health care think tank named the Kings Fund, says that it would be “electoral poison” for any political figure in the UK to advocate for privatizing the NHS. This feeling is mutual among many citizens of other countries with some form of universal health care as well. Many other countries such as Canada, Sweden, Spain and many more have very similar policies set in place to help aid citizens in getting better health care coverage. In a similar fashion the Affordable Care Act (ACA) in the United States made health insurance much more attainable for some citizens but also made more complications for others citizens as well. According to healthline, “more than 16 million Americans obtained health insurance coverage within the first 5 years of the ACA. A more affordable health insurance would help many groups such as the large amounts of people who live in high crime areas and high levels of poverty such as big cities like Chicago, Los Angeles and many other similar areas. Although our country is yet to promote policies that provide realistic health care policies for all, there is always room for change and progress as we try to become more united as a country.

Universal health care coverage can be achieved in a multitude of ways and this graphic by commonwealth fund displays methods of achieving the end goal of universal health care.

 

This is evidently a multi-faceted issue as the health care problems for many groups in America are not only caused by one specific source. Our country must start by fixing the issue of widespread poverty in our country because it directly correlates to so many problems within our country including health care inequality. We must use our resources to help build up and fortify the communities that are not properly funded nor given the opportunities as many of the wealthier communities in the United States due to this lack of funding and lack of emphasis to support these areas. Without proper steps towards building these communities and making health care a more realistic option, a large amount of the United States’ population will continue to suffer and struggle for years to follow.

A New and Horrifying Effect of COVID-19

The COVID-19 virus has been terrorizing innocent people from all corners of the world. The symptoms and effects of the virus have proven to be devastating especially for young children and the elderly. If that wasn’t bad enough, scientists have recently discovered that COVID-19 is linked to erectile dysfunction.

Read More

Exposure to Certain Bacteria Can Lead to the Development of Celiac Disease

In a study published by the Nature Structural and Molecular Biology, researchers have found that bacterial exposure is a potential environmental risk factor, leading to the development of Celiac Disease. Scientists believe that this discovery can lead to diagnostic or therapeutic approaches to the illness.  

Celiac Disease affects about one in 40 Australians and about half are born with about one of two genes that cause the disease. People suffering from Celiac Disease must follow a strict non-gluten diet, as any amount of gluten can trigger health problems. Scientists have known for a while that environmental factors trigger Celiac Disease, alongside the genetic predispositions, but were unaware of exactly what the environmental causes was.

To conduct the study, researchers showed how, at a molecular level, receptors that were isolated from immune T from Celiac Disease recognized pieces of protein from certain bacteria that mimic gluten. The results showed that exposure to such bacteria may play a role in the recognition of gluten by the same T cells when individuals with a predisposition eat any amount of gluten. Thus, the individual’s immune system reacts to the bacteria molecules and, in doing so, develops a reaction to gluten molecules because to the immune system the molecules are identical. 

With these results researchers have now linked microbial exposure as a possible environmental risk factor for Celiac Disease through a molecular foundation. 

The results of this study is extremely important as it can lead to new search in Celiac Disease and possibly new methods of prevention!

Can you get a disease from being outside?

The Alzheimer’s diseases and several genetic defects have been identified to connect with early onset family genetics. In this study chemists, toxicologists, and biologists have researched the environmental effects connected with health issues. The researchers examined the point that the human race would have all gone extinct if our bodies didn’t have the ability to metabolize, absorb, or excrete trace substances. In 2005, there was a lot of talk about the “exposome” causing many diseases. This research topic is very  interesting because it explains that everything you are exposed to can cause cancer. The fact that our exposome is everything we contact in our lives is concerning. Average light, invisible car exhaust and ambient street noise are all linked to birth defects. And now Alzheimer’s has been statistically linked to the environment.

Although Alzheimer’s is generally linked with age, researchers also believe it is linked to living in cities and poorer neighborhoods. According to new research unveiled at a recent global gathering of Alzheimer’s experts in London, stressful life events, poverty and racial inequities contribute to dementia risk in late life. A Study at the University of Wisconsin looked at levels of socioeconomic disadvantages such as poverty, education, housing, and employment to determine whether there was a stronger link to developing Alzheimer’s than by chance alone. They found that people in poor neighborhoods had worse cognitive performances in all aspects, which is linked to the fact that they had disproportionately higher levels of the Alzheimers disease biomarker in their spinal fluid. This could be considered an example of the effects that their exposome pose on their health. For example, in poorer neighborhoods, they have less access to healthy foods, safe exercisee options and healthy environments. This unhealthy environment leads to increased risk of diabetes,  cancer, and early death.

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