Showing posts with label Thyroid. Show all posts
Showing posts with label Thyroid. Show all posts

Thursday, October 15, 2015

The Cords Not Cut After Birth Of a Child

BY CARL ZIMMER


A team of pathologists Leiden University Medical Center in the Netherlands recently carried out an experiment that might seem doomed to failure.

They collected tissue from 26 women who had died during or just after pregnancy. All of them had been carrying sons. The pathologists then stained the samples to check for Y chromosomes.

The scientists were looking for male cells in female bodies. And their search was successful.

As reported in the journal Molecular Human Reproduction recently, the researchers found male cells in every female organ they studied: brains, hearts, kidneys and others.

In the 1990s, scientists found the first clues that cells from both sons and daughters can escape from the uterus and spread through a mother’s body. They called the phenomenon fetal microchimerism, after the chimera, a monster from Greek mythology that was part lion, goat and dragon.

But fetal cells don’t just drift passively. Studies of female mice show that fetal cells that end up in their hearts develop into cardiac tissue.

“They’re becoming beating heart cells,” said Dr. J. Lee Nelson, an expert on microchimerism at the Fred Hutchinson Cancer Research Center in Seattle.

The new study suggests that women almost always acquire fetal cells each time they are pregnant.
They have been detected as early as seven weeks into a pregnancy. In later layers, the cells may disappear, but sometimes the cells settle in for a lifetime.

In a 2012 study, Dr. Nelson and her colleagues examined the brains of 59 deceased older women and found Y chromosomes in 63 percent of them. (Many studies on fetal microchimerism focus on the cells left behind by sons, because they are easier to distinguish from the cells of their mother.)

Experts now believe that microchimerism is far from rare.

“Most of us think that it’s very common, if not universal,” Dr. Nelson said. But it remains quite mysterious.

In recent years, researchers have found many clues suggesting that microchimerism can effect a woman’s health. Tumors may be loaded with fetal cells, for example, suggesting that they might help drive cancer. Yet other studies have suggested that fetal microchimerism protects women against the disease.

“In each instance of a disease, it seems like there is this paradox,” said Amy M.Boddy, a postdoctoral fellow at Arizona State University.

Fetal microchimerism has been found in a number of mammal species, including dogs, mice and cows.

It’s likely that fetal cells have been a part of maternal life for tens of millions of years.

Microchimerism is something that humans have been evolving with since before we were humans, “said Melissa Wilson Sayres, a biologist at Arizona State.

During that time, fetal cells could have evolved into more than just bystanders. Writing in the journal  in August, Dr. Boddy, Dr.Sayres and their colleagues suggested that fetal cells may produce chemicals that influence the mother’s biology, allowing fetuses to manipulate her from within.

Some cells may help maintain the health of the mother- For example, by healing wounds. But there is also an evolutionary conflict of interest between mothers and their young.

A mother’s reproductive success depends on the total number of children she raises to adulthood over the course of her life. Devoting too many resources to a single child may leave her too frail to care for later children.

If a child can somehow coax its mother to provide more resources, on the other hand, he or she may be more likely to survive to adulthood and reproduce. Fetal cells may let children manipulate their mothers to this end, Dr. Sayres and her colleagues suggest.

Fetal cells are frequently found in breast tissue, even in milk, for instance. The researchers argue that children might thrive more if their fetal cells drove up milk production.

Mothers also nurture their babies with body heat. The thyroid gland, located in the neck, acts like a thermostat, and fetal cells in the thyroid gland in theory could cause mothers to generate more heat than they would otherwise.

This biological tension might help explain how fetal microchimerism sometimes causes harm to a mother. It may simply be an occasional side effect of the cells ‘manipulations.

There are some clues that mothers, too, pull hard in this evolutionary tug of war. The immune system kicks into high gear after giving birth, possibly to clear away left-over fetal cells. This defense may pose its own risks: Women with auto immune disorders such as rheumatoid arthritis can have relapses after pregnancy.

Some straightforward experiments could put all of these ideas to the test. Scientists could look at which genes become active in fetal cells in different parts of the body, for example. They could then see how the activity of the genes influenced a mother’s physiology, such as the production of milk.

If the preliminary results hold up, Dr. Boddy and her colleagues suggest scientists should consider how fetal cells in the brain might influence women’s behavior.

“It’s the most exciting part, but it’s the part where there’s the least research at the moment,” said Athena Aktipis, a psychologist at Arizona State and an author of the Bioessays article.” There may be a role of microchimerism in postpartum mental health.”

Dr. Nelson, who was not involved in the new paper, said that is raised a lot of ideas worth pursuing. “It’s going to be interesting to see how the data coming in over the next several years stacks up,” she said.




Taken from TODAY Saturday Edition, The New York Times International Weekly, October 3, 2015

Monday, April 11, 2011

On Japan's nuclear plant explosion: don't stockpile potassium iodide pills

Potassium iodideImage via WikipediaI would say that when scared, this is a natural response, an effort towards self-preservation
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Published On Sat Mar 19 2011

Liem Vu
Staff Reporter

While Ottawa ramped up its efforts to evacuate Canadians from northern Japan on Saturday, fears of radioactive fallout from the Fukushima nuclear plant sparked concerns at home.

Requests for potassium iodide pills — many of which have come from travellers about to fly to areas near the Pacific — have risen in the past week, according to some pharmacists.

“I’d say it’s geared up. It has really escalated. We’ve had people driving in from Mississauga and Toronto,” said Elaine Dias, owner of Courtice Pharmasave, a pharmacy located within the 10-kilometre radius of the Darlington nuclear plant.

The demand has come from concerned family members and soon-to-be tourists travelling to Hawaii, Dias added.

These concerns have prompted Health Canada to alert customers that they should not attempt to self-medicate even though potassium iodide is available without a prescription.

“Inappropriate sales and stockpiling are also creating shortages that could adversely affect those consumers who have a real medical need for potassium iodide,” said Health Canada spokesman Gary Holub.

The tablets, otherwise known as KI, are a form of salt that protects the thyroid gland from radioactive iodine, which can cause thyroid cancer. The gland is soaked in nonradioactive iodine and any traces of radioactive iodine are excreted through urine.

Dias’s pharmacy is only authorized to supply the pills to local residents in the area south of Taunton Rd. between Oshawa and Bowmanville, said Dias. For customers coming from outside the zone, Dias tries to allay customer fears by telling them that it “shouldn’t be a cause for concern” because of their location.

But for Oakville resident Dan Collins, his health concerns lie abroad as his brother John prepares to fly out to Hawaii next week.

“He’s a little concerned because he doesn’t have access to (the pills),” said the 69-year-old.

His brother tried to find the potassium iodide at three pharmacies in Brampton but found out none was available.

Collins was planning on going to California next month, but has since decided against it. He cites a number of reasons including the difficulty in tracking down the pills and recent reports about a radioactive plume drifting into the state.

“I’m just thinking it doesn’t matter where you go … you should have these pills,” said Collins, equating the tablets to the malaria medication taken before going on a trip to the Caribbean.

The Ontario Pharmacists’ Association has urged the public to exercise caution when ingesting potassium iodide. Possible side effects include severe allergic reactions, upset stomach, rashes and inflammation of salivary glands.

Health Canada said it doesn’t expect harmful radiation from the damaged Japanese nuclear plant to reach Hawaii or the West Coast.


Taken from thestar.com; source article is below:
Health Canada urges against stockpiling potassium iodide pills

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Wednesday, May 13, 2009

How do I keep my thyroid problem in check?

Thyroid
Thyroid (Photo credit: Wikipedia)

Ask the Doc
Updated 03:45 PM May 12, 2009

Question by Jun Jie
I am 23. I have been diagnosed with hyperthyroidism since 2001. I was on carbimazole treatment for 18 months, but when the treatment was stopped in 2003, I had a relapse. I also suffered from hand tremors, rapid heartbeat and leg muscle weakness.

Because of this, I was put on carbimazole again. I have been on the medication since, but have had further relapses.

I weigh 77kg and am 1.78m tall. Since maintaining a healthy body mass index has been a problem for me, I have started exercising more and watching my diet. But this causes my blood test results to goes out of range again. Could this be caused by my increase in strenuous activities?

I have been advised to consider radioiodine treatment, but am not keen to try it. Is it realistic for me to continue with carbimazole treatment? 

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Reply from Dr Stanley Liew, Specialist for Endocrinology, Raffles Hospital
Hyperthyroidism is due to an overactive thyroid gland, which results in the gland making and releasing too much thyroid hormone. The thyroid is located in front of the neck, and it makes hormones that control metabolism, the pace of the body's processes.

Some of the symptoms of hyperthyroidism are nervousness, increased sensitivity to heat and sweatiness, rapid heartbeats, hand tremors, difficulty sleeping, and weight loss.

In the majority of cases, hyperthyroidism is caused by an autoimmune disorder called Graves' disease. Normally, antibodies produced by the immune system help to protect the body against viruses and bacteria. In Graves' disease, antibodies produced by the immune system inadvertently stimulate the thyroid, making it release too much thyroid hormone.

There are a few options of treatment for hyperthyroidism. They are anti-thyroid medication, radioactive iodine and surgical removal of the thyroid. In general, anti-thyroid medication is very effective in blocking the production of thyroid hormone. 

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However, in some patients who have relapse or the return of hyperthyroidism after stopping anti-thyroid medication, radioiodine should be considered. Radioactive iodine is concentrated in thyroid glands. The quantity of radioiodine used to treat hyperthyroidism is safe and not enough to injure any other body tissue except the thyroid, which slowly shrinks over a matter of months.

In some countries, such as the United States, radioiodine is often viewed as the definitive treatment of choice. In recent years, surgery is less commonly used.

Your doctor will choose an appropriate treatment based on your particular circumstances. Based on your revelations, your thyroid seems rather active as it has relapsed a few times even when you are on anti-thyroid medication.

Therefore, radioiodine treatment would be a good choice. If you monitor your thyroid status regularly and it is well controlled and not over treated, you should not have the tendency to gain weight. Exercise is unlikely to be the cause of your abnormal thyroid status. Frequent review by your doctor and appropriate adjustment of anti-thyroid medication would usually get your thyroid better controlled.


From TODAY, Health, Ask the Doc – Tuesday, 12-May-2009