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Cancer: The fruit shown to 'selectively' kill cancer - may be 'more effective' than chemo

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Cancer: The fruit shown to 'selectively' kill cancer - may be 'more effective' than chemo

The effects of diet on cancer remain largely understudied, but early research has shown that one fruit, purported to have medicinal qualities, can slow the spread of the disease. Other research suggests it may enhance the performance of traditional therapies, or selectively kill several types of cancer cells. Doctors, however, have advised against its use in cancer prevention due to a lack of research on humans.

Graviola comes from the trees of rainforests in Africa, South America and Southeast Asia, where it is commonly consumed.

The fruit's pulp is used widely in juices, and smoothies, but can be bought in its organic form from certain tropical fruit suppliers in the UK.

According to WebMD: "Soursop is high in vitamin C, and antioxidants known to boost immune health."

Research shows it strengthens the immune system by improving the ability to defend against pathogens and promoting the destruction of free radicals.

cancer

 Getty cancer

Some studies have studied the effects of the fruit on cancer, suggesting it may help selectively kill malignant cells.

Writing in the Journal of Yoga, Physical Therapy and Rehabilitation, Constantino Mazzanobile, from the Department of Mental Health at the New York University, cited research showing that Graviola's effects on cancer were not only compared with Adriamycin but surpassed it blatantly in laboratory studies.

The research, published in the Journal of Natural Products, suggested that two compounds extracted from the seeds demonstrated effects comparable to Adriamycin - a drug widely used in chemotherapy.

Mr Mazzanobile: "A compound in the plant has selectively destroyed the cancerous cells of the colon with a power of 10,000 times higher than adriamycin.

"Even researchers at Purdue University found that extracts of Graviola leaves have eliminated the cancer cells in at least six types of cancer and have been especially effective against cells of prostate cancer and pancreatitis."

This holds significance in light of recent figures showing a sharp rise in the prevalence of prostate cancer in the UK, which now affects one in eight men.

Doctor Quinton Fivelman, Chief Scientific Officer at London Laboratory, said: "For the first time, prostate cancer is the most common cancer in Britain, ahead of breast cancer and lung cancer."

The soursop extract, however, appears to also work on cancer cells in the colon and breast, leaving healthy cells intact, which chemotherapy cannot do.

Other laboratory studies have shown that Graviola extracts can kill some types of liver cancer cells.

Cancer: The signs

EXPRESS.CO.UK Cancer: The signs

This was confirmed by one body of research published in the journal BMC Complementary and Alternative Medicine in 2016, which highlighted the toxic effects soursop had on cancer cells.

The researchers wrote: "[...] Crude extract samples exhibited different levels of cytotoxicity toward breast cancer cell lines."

They continued: "The results suggest that [the extract] is a promising candidate for cancer treatment, especially in breast cancer and deserves much further research as an alternative to conventional drugs [...]."

Animal studies have also shown that the pulp extract has an effect on prostate cancer cells in mice, which are the cells most often found to be resistant to chemotherapy drugs.

It appears, however, that there is a lack of evidence to support the use of the fruit extract to treat or stave off cancer in humans. This means there is not enough information regarding the fruit's efficacy and safety.

Soursop Getty Soursop

Side effects reported in connection to the fruit, however, have concerned scientists, with some research suggesting that chemicals in the fruit may cause nerve changes and movement disorders.

"The nerve changes may cause symptoms like Parkinson's disease," says Cancer Research UK.

Laboratory research has found that some substances in Graviola can cause nerve damage. It crosses into the brain from the bloodstream."

With no evidence of the fruit's safety and efficacy of the fruit in humans, experts advise against its consumption to prevent cancer. 

Reference: Daily Express: Solen Le Net

Haemophilia B ‘cured’ by ‘miraculous’ treatment in major breakthrough

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Haemophilia B ‘cured’ by ‘miraculous’ treatment in major breakthrough

A new treatment is able to effectively cure people with the rare clotting disorder haemophilia B, according to doctors, in a major breakthrough.

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Getty Images gettyimages-10140534-170667a.jpeg

The therapy - described by one patient as “transformational” - corrects a rare genetic mutation that causes severe bleeding that can last for long periods, either spontaneously or as a result of an injury.

The rare disorder is caused by a change on the factor IX gene on the X-chromosome.

Normally, when a person cuts themselves, clotting factors mix with blood cells called platelets to make the bleeding stop.

But people with haemophilia lack clotting factors and are at risk of heavy bleeding.

The level of the IX gene in the blood of haemophiliacs is too low complete the clotting process. As a result, bleeding can also occur inside the body, from joints and from the skin.

But a medical team from Royal Free Hospital and University College London now say the majority of adults living with haemophilia B could be cured within three years.

During the trial to test the therapy, developed with biotechnology company Freeline Therapeutics, participants were given an engineered virus which delivered the instructions for manufacturing the missing factor IX gene to the liver - which in turn triggers the production of the clotting protein.

One participant, Elliott Mason, of London, told BBC News he now feels “completely normal” as a result of a single infusion that took just one hour to drip into his system.

“I’ve not had any treatment since I had my therapy. It’s all a miracle really. Well it’s science, but it feels quite miraculous to me,” he added.

A common preventative treatment for the disorder is to replace the missing or reduce factor IX with a lab-made substitute delivered via regular injections, usually given weekly at home.

The jabs can cost between £150,000 and £200,000 per patient per year and patients can suffer debilitating joint damage.

But, according to the findings of the trial, nine out of 10 patients offered the new treatment no longer need their clotting injections.

Leader author Pratima Chowdary, a consultant haematologist at the Royal Free Hospital and professor at University College London, said: “Removing the need for haemophilia patients to regularly inject themselves with the missing protein is an important step in improving their quality of life.

“The long-term follow up study will monitor the patients for durability of expression and surveillance for late effects.”

She told the BBC that there was a “transformational impact” about a year after the therapy, when recipients realised they “don’t need to worry about [their] haemophilia at all”.

Patients on the trial had to take immune-suppressing drugs over several weeks to several months, to prevent their immune systems from rejecting the therapy.

While the treatment was generally well-tolerated, all patients experienced some form of side-effects, with an abnormal blood clot in one who received the highest FLT180a dose and had the highest levels of the protein.

Freeline co-founder Professor Amit Nathwani, from UCL, who co-authored the study, said: "Gene therapy is still a young field that pushes the boundaries of science for people with severe genetic diseases."

He said the new trial adds to "the growing body of evidence that gene therapy has the potential to free patients from the challenges of having to adhere to lifelong therapy or could provide treatment where none exists today."

The trial, the findings of which were published in the New England Journal of Medicine, is the latest in a string of advances in treating both haemophilia A, which is caused by a mutation in a different gene, and B.

Since the liver continues to develop before the age of 12, doctors hope the therapy can be offered from that point onwards.

It is not yet known what the cost of the new gene therapy will be or how long it remains effective for, though current estimates suggest at least a decade.

Around 85 per cent of haemophiliacs have haemophilia A, which is caused by a lack of the blood clotting factor VIII. 

Reference: Independent: Emily Atkinson

The signs of Lyme disease, how you get tested and why you need to watch out for ticks this summer

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The  signs of Lyme disease, how you get tested and why you need to watch out for ticks this summer

With summer in full swing, everyone's been out and about enjoying the lovely weather in some of London's best green spaces. But are you aware of the causes, symptoms and consequences of Lyme disease?

Lyme disease is an infection caused by a type of bacteria that is carried by some species of ticks, which we are more likely to be exposed to outside.

While the risk of Lyme disease should not stop you from enjoying the outdoors, it's important to be aware of the symptoms and the steps you can take to reduce the risk. 

What is Lyme disease?

Lyme disease is an infection that can be passed to people when they are bitten by an infected tick. People are most likely to encounter ticks when doing activities in the countryside or other green spaces such as woodland, some urban parks or gardens. They do not fly or jump but climb on to animals or humans as they brush past. Ticks are small, spider-like creatures which feed on the blood of birds and mammals, including humans. They vary in size, usually between 1mm to 1cm long and they have either six or eight legs.

icks are most active in the spring and summer months when the weather warms up but can be found all year round. There are estimated to be around 3,000 cases of Lyme disease diagnosed in England each year.

In the UK, Lyme disease is an uncommon infection and can be successfully treated with a full course of antibiotics. This is the case for most people who contract Lyme disease, but, if left untreated, the infection can spread to the nervous system and other areas of the skin, joints or, in rare cases, to the heart. If the nervous system or heart is affected, then injected antibiotics may be offered.

If you have developed symptoms after being bitten by a tick or spending time outdoors, immediately contact your GP or call NHS 111

Getty If you have developed symptoms after being bitten by a tick or spending time outdoors, immediately contact your GP or call NHS 111

The most common sign of Lyme disease is an expanding skin rash that begins at the site of the bite. Early symptoms include fever, chills, fatigue and headache. If left untreated it can spread to the joints, heart and nervous system.

A very small number of people treated for early Lyme disease can develop more severe symptoms months or years later, however, this is usually if the treatment they receive is delayed or not completed. If you are exposed to Lyme disease, it’s recommended that you speak to your doctor if symptoms return or don’t improve.

If you have developed symptoms after being bitten by a tick or spending time outdoors, immediately contact your GP or call NHS 111, mentioning where you have been and if you remember being bitten.

Are cases of Lyme disease increasing?

Studies in Europe estimate that one to five per cent of tick bites can lead to Lyme disease, says the UKHSA. On average, between 2.5–5.1 per cent of ticks are infected in England and Wales, although this range can fluctuate in different areas and across years.

Since data collection began in 2005, there has been a general trend of increasing cases of Lyme disease, although yearly fluctuations have been observed. In 2021, there were a total of 1,156 laboratory-confirmed cases of Lyme disease in England and Wales.

The rise in total cases may be due to a combination of increased awareness of Lyme disease as well as improved surveillance, better access to diagnostics, increased potential for encounters with ticks due to changes in wildlife populations and habitat modification that may have resulted in changes in tick distribution across the country.

What is ‘chronic Lyme disease'?

There is no agreed definition of the term ‘chronic Lyme disease’ among doctors so it can mean different things to different people. Some people use the term chronic Lyme disease to describe a range of non-specific symptoms including chronic tiredness and unexplained neurological symptoms, even when there is no evidence of past or current Lyme disease infection.

The non-specific symptoms overlap with those of several other conditions including fibromyalgia and chronic fatigue syndrome, which can be triggered by common infections such as the glandular fever virus, and more recently Covid-19.

Should I get tested by the NHS or a privately funded laboratory? Is there a difference?

If patients have a recent tick exposure but no bull’s eye rash, guidance to NHS doctors in England is to take a blood sample and send it for testing at an NHS or UKHSA laboratory. The tests work by looking for antibodies that a person infected with Lyme disease would produce.

A blood test may be the only way to know you have high cholesterol

 Getty A blood test may be the only way to know you have high cholesterol

The antibodies take some time to reach levels that can be detected, therefore, tests carried out within the first four weeks of infection may be negative and may need to be repeated on a fresh blood sample taken four to six weeks after the first test.

The UKHSA recommends that people exercise caution with private tests and speak to their NHS doctor for advice before spending money on private tests or treatments, as some private laboratories and clinics offer tests and treatments for Lyme disease which may not be supported by scientific evidence.

Diagnostic tests done outside the NHS may also produce false positives where the test shows positive for Lyme disease when the patient does not actually have it.

How can I prevent Lyme disease?

While walking in green spaces, consider wearing clothing that covers your skin to make it more difficult for ticks to access a suitable place to bite, say health experts. Use insect repellent such as DEET and consider wearing light coloured clothing so that you can easily spot ticks and brush them off.

After spending time outside, check yourself, your clothing, your pets and others for ticks. Remove any attached tick as soon as you find it using a tick-removal tool or fine-tipped tweezers.

Reference: Helena Vesty & Lucy Williamson 

Parkinson's disease symptoms: What is your posture like? The surprising sign

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Parkinson's disease symptoms: What is your posture like? The surprising sign

The NHS says: "Parkinson's disease is a condition in which parts of the brain become progressively damaged over many years." You should see your GP if you're concerned you may have symptoms of Parkinson's disease. Parkinson's UK says that around 145,000 people live with Parkinson's in the UK, and that it is "the fastest growing neurological condition in the world".

The charity explains that Parkinson's develops when cells in the brain stop working properly and are lost over time. These brain cells produce a chemical called dopamine.

"Symptoms start to appear when the brain can't make enough dopamine to control movement properly," it says.

The main symptoms of Parkinson's disease are shaking (tremors), slow movements and stiffness.

The Parkinson's Foundation notes that some symptoms, such as loss of smell, constipation, depression and REM sleep behaviour disorder "can occur years before the diagnosis".

It states: "Your posture may become stooped, or you may have balance problems as a result of Parkinson's disease."

The Parkinson's Foundation explains: "Parkinson's affects control of automatic activities, so posture changes may occur without the brain's automatic reminders to stand up straight."

These changes may include stooped or rounded shoulders, decreased low back curve or forward lean of the head or whole body, making you look hunched.

The NHS notes: "A person with Parkinson's disease can also experience a wide range of other physical and psychological symptoms."

Although there is currently no cure for Parkinson's disease, early diagnosis is important so patients can receive the proper treatment and advice regarding care.

The NHS notes: "Most people with Parkinson's start to develop symptoms when they're over 50, although around one in 20 people with the condition first experience symptoms when they're under 40."

Researchers do not yet know exactly why people get Parkinson's, but it is thought that a combination of age, genetic and environmental factors cause the dopamine-producing nerve cells to die.

It's thought around one in 500 people are affected by Parkinson's disease, with men being slightly more likely to get Parkinson's disease than women.

There are many different therapies and factors that can help in managing the condition, the NHS says.

Indeed, you may not need any treatment during the early stages of Parkinson's disease as symptoms are usually mild.

Doing 2.5 hours of exercise a week can slow the progression of your symptoms, according to Parkinson's UK.

doctor and patient

 GETTY doctor and patient

It adds: "Medication can be used to improve the main symptoms of Parkinson's disease, such as shaking (tremors) and movement problems.

"But not all the medications available are useful for everyone, and the short- and long-term effects of each are different."

The NHS explains: "A care plan should be agreed with your healthcare team and your family or carers.

"This will outline the treatments and help you need now and what you're likely to need in the future, and should be reviewed regularly." 

Reference: daily Express: Harriet Whitehead 

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