Feb
8
Scientists discover breakthrough method to treat neuronal diseases
February 8, 2010 | | Leave a Comment
What do example, epilepsy, head or spinal string trauma, Parkinson’s blight and Alzheimer’s disease patients have in common? They all suffer from neuronal chamber death brought encircling by the absence or malfunction of identified with genes.
For these patients, hope lies in gene therapy research, whereby scientists study ways to replace the abnormal or disease-causing gene with a normal gene. In order to deliver the therapeutic gene to the patient’s target cell, scientists need to use gene carriers called vectors.
The most common type of vectors used is the viral vector. Viruses conventionally spread diseases in the human body by delivering their genes to human cells. In gene therapy studies, scientists use this natural ability of viruses and manipulate the virus genome to remove the disease-causing genes and insert therapeutic genes.
The widespread distribution of affected neurons and the relatively inaccessible location of neurons in certain neurological disorders present obstacles to effective gene therapy. Several virus vectors are capable of overcoming these problems by using the body’s natural process of axonal transport, which allows them to migrate from a remote point of entry to target cells that are located deep within the nervous system.
“The use of axonal transport for neuronal gene transfection allows viral vectors to target neurons in remote parts of the circuit,� explains Dr Wang Shu, Group Leader of IBN’s Gene Delivery Group. “By injecting the virus into the body in a more accessible region, we can target other neurons deep within the central nervous system or minimize the damage to sensitive regions, which may be caused by the injection procedure.�
To date, viruses that can be transported via axonal transport, such as the adenovirus and HSV (herpes virus), have elicited strong immune and inflammatory responses from the body, presenting a setback to researchers. However, a new discovery by IBN’s Gene Delivery Group promises new hope for viral-based gene therapy.
Recently, Dr Wang Shu and his team at IBN have invented a new method for delivering a baculoviral vector to target cells in the central nervous system by axonal transport.
“Baculoviruses are relatively safe and do not cause as much damage to the body compared to the adenovirus and the herpes simplex virus,� explains Dr Wang Shu. “We have demonstrated for the first time that recombinant baculoviral vectors can migrate by axonal transport to neuronal cell bodies, resulting in transgene expression in projection neurons.�
Other than its potential for use in treating neurological diseases, this invention may also be used to trace neuronal pathways. By using a baculovirus that has been genetically modified for detection purposes, scientists can also view the transport path of the virus within a subject’s central nervous system.
Dr Wang Shu’s group is now working on tests using animal models of Parkinson’s disease. The outcome of their research will shed greater light on gene therapy of the disease and other neurological illnesses.
http://www.ibn.a-star.edu.sg
Feb
6
New Site Launched For Families And Scientists To Discuss Stem Cell Research (US)
February 6, 2010 | | Leave a Comment
SickKids Substructure
has launched Connecting for Kids: Offensive 2008, a community of researchers, families and people passionate about stem cubicle and other innovative types of research.
Connecting an eye to Kids: Competition 2008 is a portal for people whose children or loved ones are living with a vim-minacious plague or traumatizing injury and see emanate cell delving as a direct lead to the possibility of cures/recovery. It is also a place for the politically active, progressive community that wishes to advance the cause of grow cell research and its likely for medical breakthroughs.
Connecting for Kids: Campaign 2008 will inspire dialogue almost the moment of stem stall probe worldwide and it determination encourage those who want to see these potential medical breakthroughs advanced, to appropriate their support to our contest.
Currently stem room research is heavily restricted in the United States. The Hospital for Heartsick Children (SickKids) Research Society in Toronto is in a unique put within the global make headway cell community. The Canadian Assisted Human Reproduction Act, passed in 2004, allows scrutinize on unoccupied in vitro fertilized embryos as desire as it promises a clear benefit for Possibly manlike health. Because of Canada’s put on quell stall experimentation and an unrivaled concentration of first-class stem cell researchers at SickKids and in Toronto, the Research Institute is together to secure curb cell breakthroughs that purposefulness cause a long-standing smashing on the time to come of health care.
Researchers allow that originate apartment-based therapeutics may be used allowing for regarding diseases like cancer, Type-1 diabetes, dump diseases or conditions like heart damage, spinal cord injury, baldness and up missing teeth. Stem cells are also particularly exciting in the area of regenerative nostrum and transplantation where adult arrest cells could mitigate rejection issues.
“Our families and scientists intimately understand the importance of stem cell research in improving the haleness of our children,” said Mike O’Mahoney, president of SickKids Underlying. “Through Connecting for Kids Campaign 2008 we are giving families insight into the issues surrounding the science of derive cells and giving our scientists the inspiration to drive this alluring field forward.”
We encourage you to join the discussion, to implore questions close by this exciting and promising block, to stake what hopes you have for spring chamber explore and to encourage your friends and family to visit as well: sickkidsus.org.
Around SickKids Foundation
SickKids Foundation was established in 1972. Its mission is to stir its communities to invest in health and scientific advances to improve the lives of children and their families in Canada and around the existence. Its plan is: “Healthier Children. A Better World.™”
SickKids Foundation
Feb
3
Development Of DNA Drugs Gives Hope To Lupus Patients
February 3, 2010 | | Leave a Comment
A generation of DNA-peer compounds, class R inhibitory oligonucleotides (INH-ODNs), father been shown to effectively inhibit cells responsible an eye to the chronic autoimmune influence lupus. Researchers writing in BioMed Central’s open access journal Arthritis Research & Cure possess demonstrated the anti-riotous effects of the INH-ODNs in both in vitro and mouse experiments.
Petar Lenert, from the University of Iowa, worked with a team of researchers to develop and test the compounds. He said, “The increased potency of assort R INH-ODNs on the side of certain cells interested in lupus flare-ups will help patients by providing specific inhibition, yet allowing them to originate a safeguarding immune response when needed”.
Lenert and his colleagues found that their INH-ODN drugs, composed of double-stranded DNA-predilection analogues carrying autoimmune-inhibitory sequences, were able to selectively stunt the vocation of autoreactive B cells and dendritic cells. When given to mice with lupus, the compounds delayed demise and reduced kidney damage.
Systemic lupus erythematosus, more commonly known altogether as lupus, is thought to influence around a million people in the USA, but prevalence varies by country and ethnicity. It is much more common in women than men and there is currently no known cure. During periodic ‘flares’, the immune system of people with the fettle mounts an attack on cells and tissues throughout the body, resulting in a choice of symptoms including the symbolic ‘butterfly rash’ across the cheeks. With further testing, Lenert and his colleagues hope that class R INH-ODNs may turn another weapon in the fight against the disease.
DNA-like class R inhibitory oligonucleotides (INH-ODNs) preferentially block autoantigen-induced B-cubicle and dendritic cell activation in vitro and autoantibody casting in lupus-prone MRL-Fas lpr/lpr mice in vivo
Petar Lenert, Kei Yasuda, Liliana Busconi, Patrice Nelson, Courtney Fleenor, Radhika S Ratnabalasuriar, Peter L Nagy, Robert F Ashman, Ian R Rifkin and Ann Marshak-Rothstein
Arthritis Research & Psychoanalysis http://arthritis-inquire into.com/
Start:
Graeme Baldwin
BioMed Central
Feb
1
Good nutrition critical to child health and development, UNICEF
February 1, 2010 | | Leave a Comment
UNICEF Marks World Food Date As Trucks and Choppers Carry Comestibles Aid for Children to Reserved Pakistan -
UNICEF Executive Pilot Ann M. Veneman marked World Food Light of day by racket for increased focal point on mother and baby nutrition as the backbone of a healthy start in life. She said ensuring that women and children are seep-nourished is essential to dollop reach the Millennium Condition Goals, because sound nutrition is central to salubriousness, learning, and well-being.
“Malnutrition takes a devastating toll on children,” Veneman said. “Some 10.6 million children lay down one’s life before the time eon of five every year, half of them due to causes related to malnutrition.”
Some 300 million children worldwide are malnourished and 27 per cent of all children under five are underweight someone is concerned their maturity. More than 60,000 women per year will not survive pregnancy because of vitamin and mineral deficiencies, and an estimated 18 million babies will be born mentally impaired.
“Investing in good nutrition in regard to women and children would be a tremendous spur to global condition,” Veneman said. “Good nutrition, exceptionally in the first not too years of a child’s autobiography, offers big returns in well-being, education and productivity.”
Safeguarding children’s nutrition is especially respected in emergency situations, Veneman distinguished, because children weakened by awful nutrition are more vulnerable to the types of illnesses that spread quickly among displaced populations.
Disasters in countries where children are already living on or tight-fisted the brink of malnutrition can fast threaten child survival, she said. This scenario is a bother in Pakistan, where children in the hardest hit communities have gone days without proper food, water, shelter, or health care.
UNICEF announced that it purpose have five flights loaded with principal-protein biscuits for children jetty in Pakistan over the weekend.
Since its inception in 1946, UNICEF has been working with governments, partners and communities to help nourish millions of children, time by day and for a lifetime. Devoting more than half its budget to at cock crow childhood, UNICEF programmes feed underweight children, provide essential micronutrient supplements, encourage warm and newborn robustness, stay exclusive breastfeeding, offer infant-feeding counselling and advocate with governments to guard children’s uprightness right side to beneficial nutrition. During emergencies UNICEF is ever after one of the sooner on the ground to fitting the nutritional needs of children, saving lives and speeding recovery.
http://www.unicef.org
Jan
30
5 Helpful Tips For Constipation Treatment -Part 1
January 30, 2010 | | Leave a Comment
Got constipation? Well most of us do - once in a while for some and frequently for others. Most people who suffer from constipation will tell you that it is people of the most uncomfortable experiences they’ve had.
In this article we look at how you can get all the constipation help you probably need. While this is not all inclusive in itself, you can consort other sources for all the constipation help you might need.
There are various common reasons and causes of constipation. These include: Consumption of fast foods and foods that lack lots of fiber. This is the single major reason behind most occurrences of constipation. Because we live in an “instant” age, fast foods have become the order of the day. People just don’t know what it is to eat healthily. As long as you can grab some sandwich, burger or fried chicken and the stomach feels full, everything’s settled. As a result, foods are not readily digested. All the fiber necessary to stimulate bowel movement are almost non-existent. Inadequate fluid intake. People don’t drink fluids these days -at least not enough to compensate for bodily needs. Hence, when the faeces gets to the rectum, the little moisture remaining in it is. Because stooling requires moisture to enable easy movement, it becomes hard to freely pass stools. That’s why there is a lot of straining to eliminate the waste. Leading a sedentary life. People who don’t take care of themselves physically, tend to easily develop constipation as a result of the fact they are not involved in any sort of exercise. One of the very first recommendations for those who need constipation help is exercise. The fact that you move around helps your bowel movements and hastens the relief of constipation. Pregnancy. Women who are pregnant often suffer from constipation as a result of a change in hormonal balance in the body and also because of the pressure of the now occupied uterus on the intestine. Now we understand some of the causes of constipation, we can now move on and discuss how you can get all the constipation help you need: Eat lots of FiberDietary fiber. The simplest way to do this is increase your consumption of fruits and vegetables. The easiest way to incorporate this into your lifestyle is by increasing the quantity of fruits and vegetables in your meals and cutting down on dairy and meat products. In some cases however, some individuals may find it hard to cope with the bulk of fruits needed. When this occurs, it is best that fiber supplements such as wheat bran, oat bran, psyllium seeds be added to the daily diet. To make this routine easier, when you have the itch to grab a snack, pick a fruit instead and you’re on your way to relief. The only downside to this method is if the patient has strictures and adhesions. In this circumstance, it is advisable to consult a physician before getting on in the treatment. Also, some fibers have sugar; as a result, diabetic patients cannot take such. When this occurs, it is best that the patient gets sugar-free fibers. Fibers should not be taken in large quantities suddenly. Small quantities are best for starting. Then, it can gradually increase if the patient finds it necessary. A space of one week is adequate for each phase of increase in fiber content. Sources of fiber are fruits, vegetables, Citrucel, Konsyl Fiber, Maltsupex etc.
In 5 Helpful Tips for Treating Constipation -Part 2 we will discuss the remaining 4 tips
Chris Dowding is dedicated to helping people combat weight loss, health and fitness problems. His research has led him to finding one proven weight loss and health program that is being used with great effect across the world. To get a trial of it, and lose weight without any strict diet or fitness plan visit www.GoodHealthandWeightLossDiet.com
Jan
28
SCHIP Bill Expected To Lift Eligibility Restrictions In Federal Health Care Programs For Documented Immigrant Children, Pregnant Women
January 28, 2010 | | Leave a Comment
Congress this week is preparing to sponsor on SCHIP renewal and expansion legislation that would agree to anent four million additional children to be eligible appropriate for the program, the Revitalized York Times reports. The bill, scheduled for signify one’s opinion this week in the House, is “very much like” the legislation vetoed by President Bush in 2007, Dynasty Majority Leader Steny Hoyer (D-Md.) said. Under the bill, SCHIP would anticipate health benefits for almost 10 million children, compared with the ore than six million under the current let. While the accurate rate of the expansion is not readable, it is expected to “more than double” the over $5 billion annual cost of the program against the federal government, the Times reports. The bill would be funded by a 61-cent per pack increase in the federal cigarette tax. The prevailing SCHIP charter is set to expire Hike 31 (Pear, New York Times, 1/13).
According to the Times’ “The Caucus,” “Given its strong support in both parties, permission of the share out is a upon.” Hoyer said the legislation is even more noteworthy than in 2007, given the constant remunerative recession. He said, “Obviously we all differentiate that ditty of the aspects of losing a job is, in sundry instances, losing your health assurance as satisfactorily. We are awfully concerned that we will have a lot of children vulnerable in America” (Hulse, “The Caucus,” New York Times, 1/12).
The measure would repeal a rule barring documented immigrants from receiving federal health benefits during their essential five years in the U.S. The forbid originally was written into a 1996 law overhauling the nation’s welfare programs and Medicaid and was expanded to encompass SCHIP when the program was created in 1997 (Meckler, Wall In someone’s bailiwick Tabloid, 1/13). The hooker would donate states the selection of covering documented arrival pregnant women and children under Medicaid and SCHIP (New York Times, 1/13). The measure would revocation a exclude omitting documented immigrants from receiving federal health benefits during their first five years in the U.S. The rule originally was written into a 1996 law overhauling the nation’s welfare programs and Medicaid and was expanded to involve SCHIP when the program was created in 1997 (Wall In someone’s bailiwick Journal, 1/13). President-elect Barack Obama, who is expected to sign the bill, has expressed his support for repealing the provision. According to the Times, experts say between 400,000 and 600,000 documented immigrant children could reach access to coverage under the bill (New York Times, 1/13).
Two House legislative aides said the Building understanding of the bill leave deliver states the voice of whether to incorporate these immigrants in their SCHIP program. However, it is not clear whether a repeal of the bar whim be included in a Senate version being of a mind by Senate Finance Committee Chair Max Baucus (D-Mont.). According to the Wall Street Almanac, Baucus has said he wants to repeal the debar but it is unclear whether he will include a repeal in the bill he presents to the Finance Committee (Wall Street Journal, 1/13). As of Monday, Baucus had not included the preparation (New York Times, 1/13). The Baucus version is expected to be introduced to the Commerce Committee this week, with a vote “soon after,” according to the Journal. Some Republican senators at a meeting last week expressed concerns on every side repealing the ban but did not say that it would produce them to vote against the bill, according to people buddy-buddy with the issue. On the other hand, Finance Committee ranking member Chuck Grassley (R-Iowa), who supports upholding the ban, said that adding the condition to the final bill would make it “difficult for multitudinous Republicans to support final transition.” According to the Newspaper, some Republican lawmakers already prevent the SCHIP bill regardless of the prohibit (Wall Way Documentation, 1/13).
Group Endorses House SCHIP Bill
Divided We Fail, a coalition comprising business, labor and seniors’ groups, on Monday issued a letter addressed to congressional leaders endorsing the House version of the SCHIP bill. The letter states, “On behalf of Divided We Fail, we urge you to act promptly to reauthorize and strengthen the State Children’s Health Insurance Program,” adding, “The carefully crafted legislation you are considering enjoys wide bipartisan support.” The letter was signed by AARP, the Service Employees International Union, the Business Roundtable and the National Federation of Independent Business (Young, The Hill, 1/12).
Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation.
© 2008 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
Jan
26
Reform Editorials Examine Rationed Care, Taxing Health Benefits
January 26, 2010 | | Leave a Comment
Go bust enclose Street Journal: A recent decision by CMS to end Medicare coverage of virtual colonoscopies is “a preview of how health care bequeath be rationed when Democrats” initiate “a new ‘universal’ health indemnification entitlement for the middle class,” a Daily leader states. According to the editorial, the prospects of such a health system are “playing unfashionable in little in Medicare” where CMS has firm that sacrifice an surrogate to the traditional colonoscopy is “too pricey.” The think-piece states that the situation features “precisely the sort of complexity that the Democrats would favour to ignore as they seek to restructure trim care” and use comparative effectiveness up on to infer what works best for the majority of patients. According to the editorial, “The problem is that what ‘works best’ isn’t the same for everyone.” It continues that CMS “made the hard-and-dissolute acceptance that it was cheaper to cut [virtual colonoscopies] … for all beneficiaries. If some patients are worse bad, lovingly, too bad.” The editorial concludes that the situation is “merely a preview of the life-and-death decisions that will be firm by politics” if Democrats legislate their ideal system (Wall Street Journal, 5/19).
Washington Post: President Obama should reconsider his stance against taxing health be concerned benefits in codify to fund well-being care emendation because such a plan would “help be true down vigour guardianship costs and be fairer to low-gains [U.S. residents] than the current system,” a Send editorial states. The editorial continues that it is not necessary to fully tax form benefits because a finding enjoyment in duty could inert “produce significant sums while avoiding the destabilizing effect” of enacting a broad tax. The op-ed article concludes, “Expanding coverage is important; so is paying suited for it. The more revenue sources sinistral on the bring up at this point, the better the proper outcome” (Washington Post, 5/19).
Reprinted with kind permission from http://www.kaisernetwork.org. You can view the whole Kaiser Ordinary Health Management Describe, search the archives, or significant up because email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for the benefit of kaisernetwork.org, a unconfined putting into play of The Henry J. Kaiser Family Underlying.
© 2009 Admonitory Gaming-table Company and Kaiser Family Foundation. All rights reserved.
Jan
24
Study on accident related smoke inhalation shows most effected to be non-smokers
January 24, 2010 | | Leave a Comment
New investigating at Rhode Islet Hospital studied the inveterate effects of smoke inhalation by examining the lungs of 21 survivors of The Status fire (February 20, 2003).
While the overall results of the study showed variability in the chronic effects, the study noted that the most severely impacted were non-smokers. This finding may have useful implications for future victims of smoke inhalation as early treatment efforts could be tailored according to their cigarette smoking history. The study is the first to see the variability of the chronic impact of smoke inhalation between smokers and non-smokers.
The study, led by Gerald Abbott, MD, director of chest radiology at Rhode Island Hospital, used volumetric high resolution computed tomography (HRCT) performed 35 to 48 months after the fire on a group of 21 survivors as well as a control group of ten healthy non-survivors to provide a basis of comparison between the two groups. The study showed variability in the chronic effects, ranging from no detectable effects to a significant increase in air-trapping, an abnormal retention of air in the lungs following expiration.
Air-trapping was graded according to the percentage of lung area involved and results fell within three grades, with one being the least severe and three being the most severe. Healthy, non-survivors in the study showed primarily grade one and occasionally grade two air-trapping , a familiar finding in normal individuals. Abnormal degrees of air trapping suggest the presence of a constrictive bronchiolitis involving the small airways of the lung. The study showed that the most severely affected survivors (Grade 3) were non-cigarette smokers.
“This research tells us that physicians treating patients for smoke inhalation should be aware that one of the chronic effects of smoke inhalation, air-trapping, seems to be more severe in non-smokers,” says Abbott.
The study was funded by a research grant from the Rhode Island Medical Imaging Foundation awarded to Abbott, along with the research team of Terrence T. Healey, MD, chief resident of diagnostic imaging, and two pulmonologists, Sidney Braman, MD, and Michael Stanchina, MD, of the department of pulmonary and critical care medicine at Rhode Island Hospital.
Healey presented the study’s findings at the recent meeting of The Society of Thoracic Radiology in Las Vegas and was the inaugural recipient of the prestigious Jack Wescott Award for outstanding research presented by a resident. The award included a $1,000 honorarium. Healey has been accepted for a year of fellowship training in thoracic radiology at Massachusetts General Hospital at the completion of his residency in July, 2008, and intends to return to Rhode Island Hospital to pursue a career in chest imaging.
http://www.lifespan.org
Jan
23
UK Leadership Needed To Tackle Global Cost Of Dementia
January 23, 2010 | | Leave a Comment
The Alzheimer’s Society today called for UK leadership in tackling the global rise in dementia, in response to new estimates which put the worldwide cost of dementia at US $315.4 billion per year.
Neil Hunting, chief executive of the Alzheimer’s Society, says,
‘The UK should be greatest the fight against the devastation of dementia. Dementia costs the UK £17 billion each year, or £539 per inferior merchandise, besides there is no drawing repayment for dealing with dementia today or in the future. We obligation tackle this challenge coconut on with a native dementia scenario.
‘We can’t grant to ignore the existent charge of dementia to individuals, government and services. Dementia will stick an intolerable strain on our salubriousness and collective watch over system unless we turn now.’
The Dementia UK report recently published by the Alzheimer’s Society exposed that in less than 20 years virtually a million people in the UK on be living with dementia. This at one’s desire soar to 1.7 million people by 2050. Dementia is Possibly man of the main causes of disability in older people at the of cancer and cardiovascular virus, eventually solely £11 is spent on dementia research per herself with dementia, compared to £289 for the sake of cancer patients.
The US $315.4 billion figure was published as part of the study, ‘An Estimate of the Total Worldwide Societal Costs of Dementia in 2005′, in the American Alzheimer’s & Dementia: The Gazette of the Alzheimer’s Association this month.
– 1 in 3 older people purposefulness ambivalent their lives with a form of dementia.
– 700,000 people in the UK from a form of dementia, more than half demand Alzheimer’s disease. In less than 20 years nearly a million people hand down be living with dementia. This will hang to 1.7 million people by 2051. 1 in 5 people outstanding 80 procure dementia.
– The Alzheimer’s Society champions the rights of people living with dementia and those who care for them. The Alzheimer’s Intercourse works in England, Wales and Northern Ireland.
– As a charity, the Alzheimer’s Fellowship depends on the generosity of the supporters to help it care, research and action for people with dementia. You can vouchsafe now by business (UK) 0845 306 0898 or visiting www.alzheimers.org.uk.
Jan
20
Interferon combined with ribavirin treatment is effective for children with chronic Hepatitis C virus
January 20, 2010 | | Leave a Comment
Practically half of 118 children with chronic Hepatitis C virus (HCV) treated with a combination of interferon-alpha-2b and an optimized measure of ribavirin achieved sustained viral retort, and side effects were generally mild. These results are reported in the November 2005 big problem of Hepatology, the official almanac of the American Confederacy for the Study of Liver Diseases (AASLD).
Published by John Wiley & Sons, Inc., Hepatology is available online via Wiley InterScience.
HCV is usually asymptomatic in children though it can lead to serious liver damage. Treatment with interferon is standard and induces lasting remission in more than a third of infected children. The addition of ribavirin to treatment with interferon has been shown to markedly improve outcomes for adults with HCV, but the combination has not been extensively studied in children. Led by Regino González-Peralta, M.D. of the Division of Pediatric Gastroenterology, Hepatology, and Nutrition at the University of Florida, researchers addressed combination therapy for children with a twofold program.
The first part searched for the optimal dose of ribavirin for children with HCV while testing the drug’s safety and efficacy. Fifty-six children, ages five to 16, were randomly assigned to take interferon along with ribavirin in varying doses for 48 weeks. They were evaluated for efficacy and side effects at regular intervals, and followed-up for an additional 24 weeks. By the end of the follow-up period, 35 percent of children taking 8 mg/kg/day of ribavirin, 37 percent taking 12 mg/kg/day, and 47 percent of 15/mg/kg/day had undetectable levels of HCV in their blood. Side effects were similar among all doses. Based on this data, the researchers selected the dosage 15 mg/kg/day for further study.
In all, 118 children with HCV received the optimized treatment–interferon with 15 mg/kg/day of ribavirin. They were evaluated regularly throughout treatment and follow-up to determine viral response and assess and manage side effects. At the end of the study, 46 percent had achieved sustained viral response. Children with HCV genotype 2/3 had higher sustained virologic response rates than those with HCV genotype 1.
All subjects experienced some side effects, but most were mild, the most common being flu-like symptoms. Severe side effects included anemia, neutropenia, depression and suicidal thoughts, and one child in the study attempted suicide. The researchers responded to adverse side effects by dose modification, and 8 subjects completely discontinued treatment because of adverse events.
As in previous studies, children in this one exhibited growth inhibition while receiving the therapy, however, they typically experienced height and weight catch-up gains after it ended. Interestingly, none of the African-American children in the study had a sustained virologic response to combination therapy. “The number of African-American children studied was too small to draw firm conclusions,” say the authors. But this observation matches previous reports that African-American adults have lower response rates to combination therapy.
Overall, “our studies demonstrate that interferon alfa 2b in combination with oral ribavirin is effective and reasonably safe for the treatment of childhood chronic hepatitis C,” the authors conclude. Importantly, “sustained virologic response rates in children with chronic HCV given interferon alfa-2b with ribavirin in these studies are higher than in those using interferon alone.”
http://www.interscience.wiley.com/journal/hepatology
