Tag Archives: Cancer

Doubts on suicide-anti-smoking drug Chantix link

in.reuters.com

Doubts on suicide-anti-smoking drug Chantix link

Despite earlier health agency warnings, there is no strong evidence that the anti-smoking drug Chantix raises the risk of suicidal thoughts or depression compared to other stop-smoking products, researchers reported Thursday in the British Medical Journal.

Back in July of this year, U.S. health officials ordered strong “black box” warnings be added to Chantix (also called varenicline) as well as anti-smoking drug Zyban, following more than five thousand reports of depression, hostility and other behavioral changes possibly associated with use of these drugs.

“There have been recent concerns that varenicline, a relatively new smoking cessation product, may increase the risk of suicidal behavior and suicide,” study co-author Dr. David Gunnell of the University of Bristol, UK, explained in an email to Reuters Health.

“We found no clear evidence of an increased risk of self-harm or depression associated with varenicline,” he said.

The findings stem from data on more than 80,660 would-be quitters in the UK who used different smoking cessation products between September 2006 and May 2008.

A total of 63,265 of these individuals used nicotine replacement products, 10,973 used Chantix, and 6,422 used Zyban, an antidepressant also called bupropion, which has been found to help smokers quit.

When researchers looked at medical records, they didn’t find any evidence of an increased risk of serious mental health problems (i.e., self-harm, suicidal thoughts or depression) while they were using these products and during the three months after the last prescription was filled.

Gunnell cautioned, however, that based on the size of the study, it’s still possible that Chantix does increase the risk of suicide – or even decrease it.

“Other studies should be undertaken to provide further evidence on this issue,” he concluded.

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Junk food makes you eat more

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Junk food makes you eat more

It triggers messages that are sent to the body’s cells, warning them to ignore appetite-suppressing hormones that regulate our weight.

The effect can last for a few days sabotaging efforts to get back to a healthy diet afterwards, the study found.

The study shows for the first time how particular products can create a vicious cycle of food bingeing.

Lead author Dr Deborah Clegg of the study by UT Southwestern Medical Centre in Dallas, said: “Normally, our body is primed to say when we have had enough, but that does not always happen when we are eating something good.

“What we have shown is that someone’s entire brain chemistry can change in a very short period of time.

“Our findings suggest that when you eat something high in fat, your brain gets ‘hit’ with the fatty acids, and you become resistant to insulin and leptin. Since you are not being told by the brain to stop eating, you overeat.”

The hormone leptin is produced in the brain and suppresses hunger while insulin is produced by the pancreas and regulates blood sugar levels.

Although the study was performed on rats and mice the scientists said their results reinforced common dietary recommendations to limit saturated fat intake as “it causes you to eat more.”

The animals received the same amount of calories in one of three forms of fat – palmitic acid, monounsaturated fatty acid or unsaturated oleic acid which is found in olive and grapeseed oils.

The biggest affect on leptin and insulin was caused by molecules from palmitic acid which is found in beef, butter, cheese and milk.

Dr Clegg, whose findings are published in The Journal of Clinical Investigation, said: “The action was very specific to palmitic acid, which is very high in foods that are rich in saturated fat.

She said it may explain why many people who overindulge on a Friday or Saturday say they are hungrier than normal on Monday.

The findings may also have implications for diabetes research because although scientists have known a high-fat diet can cause insulin resistance, little has been known about the mechanism behind it or whether specific types of fat are more dangerous.

Dr Clegg said: “We found the palmitic acid specifically reduced the ability of leptin and insulin to activate their intracellular signalling cascades. The oleic fat did not do this.”

She said the other key finding is this mechanism is triggered in the brain – long before there might be signs of obesity anywhere else in the body.

Dr Clegg said the next step is to determine how long it takes to reverse completely the effects of short-term exposure to high-fat food.

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Diabetes drug kept breast tumors away in mice

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Diabetes drug kept breast tumors away in mice

Adding the common diabetes drug metformin to chemotherapy helped shrink breast cancer tumors faster in mice and keep them away longer than chemotherapy alone, raising hope for a more effective way to treat cancer, U.S. researchers said on Monday.

They said metformin appeared to target breast cancer stem cells — a kind of master cancer cell that resists conventional treatment and may be the source of many tumors that grow back.

“What’s exciting here is we now have something that is mechanistically a different kind of killer of cancer that can synergize with chemotherapy,” Kevin Struhl of Harvard Medical School, whose study appears in the journal Cancer Research, said in a telephone briefing.

Many teams have been looking for ways to destroy the master cancer cells in the hope of making cancer easier to cure.

Last month, a team at the Broad Institute of Harvard and the Massachusetts Institute of Technology reported that a chemical called salinomycin could kill breast cancer stem cells.

What is different with his study, Struhl said, is that metformin is a widely used drug with a long safety track record. “There are tens of millions of people who take this drug,” he said.

“Although our studies are limited to mice and cells, metformin has a history of anti-cancer effects,” he said.

Metformin has already been shown to reduce the risk of some cancers, including pancreatic and breast cancer, in large studies of people with diabetes.

Struhl said metformin’s affect on cancer stem cells appeared to be separate from its ability to help the body use insulin and lower blood sugar — which also can improve breast cancer survival.

His team studied metformin and the cancer drug doxorubicin in lab dishes and found they killed both human cancer stem cells and non-stem cancer cells.

Mice that had tumors and got metformin and chemotherapy were less likely to have tumors grow back two months after treatment compared with mice that got chemotherapy alone.

“When we had both drugs together, we lost the tumors faster, but more importantly, there was no relapse,” Struhl said.

He said with metformin, it may be possible to reduce the chemotherapy dose and still get the same benefit.

That will need to be studied in people and a study is getting under way. Dr. Jennifer Ligibel, at Dana-Farber Cancer Institute and Harvard, is organizing a large trial with colleagues in Canada to study metformin in women with early stage breast cancer.

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