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Rosiglitazone For Type 2 Diabetes Does Not Increase Risk Of Cardiovascular Disease Or Death But Increases Heart Failure And Fractures In Women
Using rosiglitazone (Avandia) in combination with standard diabetes treatments (metformin or a sulfonylurea) to lower blood glucose in type 2 diabetics does not increase the risk of cardiovascular disease or death. However, the study confirms that using rosiglitazone more than doubles the risks of heart failure, and also increases the risk of fractures, mainly in women. The findings of the RECORD study are published in an Article Online First and in an upcoming edition of The Lancet. They are being simultaneously presented at the American Diabetes Association (ADA) meeting in New Orleans, USA.

London Hospitals Selected To Target Superbugs
Two London teaching hospitals have been chosen to take the lead in the fight against hospital bugs nationwide. They will try out new disinfection products for a three month period and if successful these may be used in other hospitals across the NHS. Barts and The London NHS Trust and the Royal Free Hampstead NHS Trust will now trial new technologies designed to combat infections.
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UK Patients To Benefit From Access To Innovative Lung Cancer Treatment
The National Institute for Health and Clinical Excellence (NICE) have today published their
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Researchers Identify A Novel Mechanism That Could Be Targeted To Prevent Cancer Spread

Researchers have discovered a key to the function of a specific protein that helps control the levels of other critical proteins within cells, including a protein that suppresses the spread of cancer. The new information about the mechanism of action of the protein, called gp78, may enable researchers to explore new types of therapies to prevent the spread of cancer. The study, by researchers at the National Cancer Institute (NCI), part of the National Institutes of Health, was published in the June 26, 2009, issue of Molecular Cell. In all human cells, damaged or unnecessary proteins are destroyed through a complex process that involves their being tagged with chains of a small protein called ubiquitin. The ubiquitin-tagged proteins are then directed to a sophisticated cellular structure known as the proteasome, which degrades the proteins. The addition of ubiquitin to targeted proteins, a process called ubiquitylation, takes place in a multistep process in which several types of proteins, or enzymes, function in a sequential, bucket brigade-like manner. First, ubiquitin is activated by an enzyme known as E1. The activated ubiquitin is then transferred to E2, another enzyme. The E2 binds in turn to another protein known as E3, or ubiquitin protein ligase, which is critical for the transfer of ubiquitin to the targeted protein. This process occurs in a highly regulated manner that allows the recognition and targeting of specific proteins. To achieve the necessary specificity, human cells have about 40 different types of E2 enzymes and more than 500 E3 proteins. A majority of E3s have an internal structural component, or domain, known as a RING finger, which binds weakly to E2s and allows ubiquitylation to proceed. An earlier study by one of the lead authors of the current report, Allan M. Weissman, M.D., of NCI"s Center for Cancer Research (CCR), discovered that a RING finger E3, known as gp78, has a unique region called G2BR that strongly binds to its E2. Weissman and other NCI scientists previously showed that higher levels of gp78 promote the spread of cancer by tagging a protein for degradation that suppresses metastasis and that the ubiquitin ligase activity of gp78 was required for this degradation. Other targets of gp78 include proteins that are involved in cystic fibrosis and in the regulation of lipid metabolism. In this new work, a team of CCR researchers, led by R. Andrew Byrd, Ph.D., Xinhua Ji, Ph.D., and Weissman, used advanced structural techniques to study the structure of gp78 and its associated E2 enzyme to gain insight into how the complex functions in cells. The researchers determined the structural basis for the interaction between gp78 and its E2 and uncovered a previously unknown mechanism by which ubiquitylation can be regulated. They found that the gp78 G2BR binds its E2 in an area that is distinct from the sites where the gp78 RING finger domain binds to the E2. This binding causes subtle changes in the shape of the E2 that allow the gp78 RING finger domain and the E2 to join together 50 times more tightly than they otherwise would. Further research showed that this increased binding strength enhances ubiquitylation of target proteins by gp78. This discovery may allow researchers to consider possible approaches to blocking the function of gp78 in cancer cells, leading to new types of treatment for cancer and other diseases. "Our study provides a previously unappreciated mechanism by which ubiquitylation can be regulated," said Weissman. "It is likely that other pairs of E2s and E3s interact through domains, which have yet to be characterized, that are similar to the gp78 G2BR and its corresponding binding site on its E2. This introduces the possibility of entirely new therapeutic avenues in cancer and other diseases." This team is currently working to further define the interactions of E2s and RING finger domains. They also are collaborating with other NCI scientists to design and construct potential inhibitors of gp78, based on their discovery, for testing in animal models. NCI leads the National Cancer Program and the NIH effort to dramatically reduce the burden of cancer and improve the lives of cancer patients and their families, through research into prevention and cancer biology, the development of new interventions, and the training and mentoring of new researchers. For more information about cancer, please visit the NCI Web site at http://www.cancer.gov or call NCI"s Cancer Information Service at 1-800-4-CANCER (1-800-422-6237). The National Institutes of Health (NIH) -- The Nation"s Medical Research Agency -- includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. It is the primary federal agency for conducting and supporting basic, clinical and translational medical research, and it investigates the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit http://www.nih.gov. Reference: Das R, Mariano J, Tsai YC, et al. Allosteric activation of E2-RING finger mediated ubiquitylation by a structurally-defined specific E2 binding region of gp78. Molecular Cell. Vol. 34, No. 6. June 26, 2009. The National Institutes of Health


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