Tuesday, August 29, 2017
The National Research Corporation (NRC) Health has selected the NIH Clinical Center as a recipient of its 2017 Excellence Award, having earned the highest ratings in overall satisfaction by patients and their families in the category of Emotional Support, among 426 eligible facilities. Each year, NRC Health recognizes top-performing hospitals and health systems that have exhibited an exceptional commitment to understanding each individual patient’s complete care journey.
“Compassion for our patients and their families is one of our guiding principles,” said NIH Clinical Center Chief Executive Officer James K. Gilman, M.D. “Our staff understand that as a world class research facility we must provide the very best in safe, high quality patient-centric care and support. This is a particularly meaningful award in which every Clinical Center employee will take great pride.”
Friday, August 25, 2017
Researchers from the NIH Clinical Center Rehabilitation Medicine Department have created the first robotic exoskeleton specifically designed to treat crouch (or flexed-knee) gait in children with cerebral palsy by providing powered knee extension assistance at key points during the walking cycle.
Crouch gait, the excessive bending of the knees while walking, is a common and debilitating condition in children with cerebral palsy. Despite conventional treatments (including muscle injections, surgery, physical therapy, and orthotics), crouch gait can lead to a progressive degeneration of the walking function, ultimately resulting in the loss of walking ability in roughly half of adults with the disorder.
Tuesday, August 22, 2017
National Institutes of Health scientists have filled a research gap by developing a laboratory model to study ticks that transmit flaviviruses, such as Powassan virus. Powassan virus was implicated in the death of a New York man earlier this year. The unusual model involves culturing organs taken from Ixodes scapularis ticks and then infecting those organ cultures with flaviviruses, according to researchers at Rocky Mountain Laboratories, part of NIH’s National Institute of Allergy and Infectious Diseases (NIAID). The researchers say the culture model will greatly increase knowledge about how flaviviruses infect ticks and could become a tool to evaluate medical countermeasures against tick-borne viruses.
Caption: Langat virus infection (bright green) in the tick midgut (black) is shown at six days after infection in this fluorescence image.
Thursday, August 17, 2017
NIH researchers reveal novel insights into how sex-specific reproductive systems arise.
A protein called COUP-TFII determines whether a mouse embryo develops a male reproductive tract, according to researchers at the National Institutes of Health and their colleagues at Baylor College of Medicine, Houston. The discovery, which appeared online August 18 in the journal Science, changes the long-standing belief that an embryo will automatically become female unless androgens, or male hormones, in the embryo make it male.
Humphrey Hung-Chang Yao, Ph.D., head of the Reproductive Developmental Biology Group at the National Institute of Environmental Health Sciences (NIEHS), part of NIH, studies how male and female mouse embryos acquire their sex-specific reproductive systems. He said all early-stage mammalian embryos, regardless of their sex, contain structures for both male and female reproductive tracts. For a mouse or human to end up with the reproductive tract of one sex after birth, the other tract has to disintegrate.
The normal female mouse embryo (top) contains only the female reproductive tract, highlighted in pink. The female mouse embryo without COUP-TFII (bottom) has both male, in blue, and female reproductive tracts.
Wednesday, August 16, 2017
Previously unknown category of neuron responds to pulling of a single hair.
Researchers from the National Institutes of Health have identified a class of sensory neurons (nerve cells that electrically send and receive messages between the body and brain) that can be activated by stimuli as precise as the pulling of a single hair. Understanding basic mechanisms underlying these different types of responses will be an important step toward the rational design of new approaches to pain therapy. The findings were published in the journal Neuron.
“Scientists know that distinct types of neurons detect different types of sensations, such as touch, heat, cold, pain, pressure, and vibration,” noted Alexander Chesler, Ph.D., lead author of the study and principal investigator with the National Center for Complementary and Integrative Health’s (NCCIH) Division of Intramural Research (DIR). “But they know more about neurons involved with temperature and touch than those underlying mechanical pain, like anatomical pain related to specific postures or activities.”
Tuesday, August 15, 2017
After herpesviruses infect a cell, their genomes are assembled into specialized protein structures called nucelosomes. Many cellular enzyme complexes can modulate these structures to either promote or inhibit the progression of infection. Scientists studying how one of these complexes (EZH2/1) regulated herpes simplex virus (HSV) infection unexpectedly found that inhibiting EZH2/1 suppressed viral infection. The research group, from the National Institute of Allergy and Infectious Diseases (NIAID) at the National Institutes of Health, then demonstrated that EZH2/1 inhibitors also enhanced the cellular antiviral response in cultured cells and in mice.
Once a person has been infected with a herpesvirus, the virus persists in a latent form, sometimes reactivating to cause recurrent disease. Two-thirds of the global population are infected with HSV-1, and at least 500 million are infected with HSV-2, according to the World Health Organization.
The spread of herpes simplex virus infection (green, top) is suppressed in cells treated with EZH2/1 inhibitors (GSK126 or GSK343).
Friday, August 11, 2017
NIH-led clinical trial suggests that drug slows progression of rare neurological disease.
An experimental drug appears to slow the progression of Niemann-Pick disease type C1 (NPC1), a fatal neurological disease, according to results of a clinical study led by researchers at the National Institutes of Health. The study appears in The Lancet.
NPC1 is a rare genetic disorder that primarily affects children and adolescents, causing a progressive decline in neurological and cognitive functions. The U.S. Food and Drug Administration has not approved any treatments for the condition.
Caption: Niemann-Pick disease type C1, a lipid storage disorder, as seen in a mouse cerebellum.
Monday, August 7, 2017
A new study identifies genes that are necessary in cancer cells for immunotherapy to work, addressing the problem of why some tumors don’t respond to immunotherapy or respond initially but then stop as tumor cells develop resistance to immunotherapy.
NCI researchers have identified genes that are essential for cancer cells to be killed by T cells.
The study, from the National Cancer Institute (NCI), was led by Nicholas Restifo, M.D., a senior investigator with NCI’s Center for Cancer Research, with coauthors from NCI; Georgetown University, Washington D.C.; the Broad Institute of MIT and Harvard University, Cambridge, Massachusetts; New York University, New York City; and the University of Pennsylvania, Philadelphia. It was published online in Nature on August 7, 2017. NCI is part of the National Institutes of Health (NIH).
Thursday, August 3, 2017
In a new study from the National Cancer Institute (NCI), part of the National Institutes of Health, researchers found a higher than expected prevalence of cancer at baseline screening in individuals with Li-Fraumeni syndrome (LFS), a rare inherited disorder that leads to a higher risk of developing certain cancers. The research demonstrates the feasibility of a new, comprehensive cancer screening protocol for this high-risk population.
Caption: Part of a representative image of a whole body MRI of an LFS patient. Arrow denotes lesion found to be lung adenocarcinoma
Thursday, August 3, 2017
Study analyzes how virus is spread sexually and from mother to fetus.
National Institutes of Health scientists have developed a mouse model to study Zika virus transmitted sexually from males to females, as well as vertically from a pregnant female to her fetus. They are using the model to study how and when the virus is spread, including how the virus crosses the placenta, as well as to investigate potential treatments to block virus transmission.
Caption: Placenta from Zika-infected mouse showing heavy virus infection (green fluorescence) on the maternal side and limited infection on the fetal side. The yellow line designates maternal vs fetal tissue, and the insert shows infection of virus (arrow) on the fetal side of the placenta.