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Please quote Nature Medicine as the source of these items.

The September 2005 issue of Nature Medicine is available online.

 September 2005 PreviousNext

Diagnostic methods promise smallpox detection

Nature Medicine

Smallpox is a significant bioterror threat, but there are no rapid, accurate methods to detect it. In the September issue of Nature Medicine, researchers report on a diagnostic method that could be used to accurately detect smallpox. The report also shows that smallpox vaccination confers protection for decades.

Routine smallpox vaccination in the US stopped in 1972, more than 20 years after the last case of smallpox in the country. Erika Hammarlund and colleagues used data from a 2003 outbreak of monkeypox in the US to develop diagnostic methods. Monkeypox, less dangerous than its deadly cousin smallpox, is caused by a virus of the same family.

The researchers' analysis showed that the monkeypox outbreak was of a larger scale than previously thought, at least in part because of protection conferred by smallpox vaccination. The data suggest that smallpox vaccination can protect against similar diseases, such as monkeypox, for up to 75 years after inoculation, the researchers say.

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Study of lymph vessels makes a leap

Nature Medicine

Studying the formation of lymph vessels—which are involved in disorders ranging from inflammation to cancer—has been hindered by the lack of a model that could be genetically manipulated. In the September issue of Nature Medicine, Annelii Ny and colleagues present tadpoles of the African clawed frog Xenopus laevis as a model for investigating the development of lymph vessels.

The researchers subjected tadpoles to lymphangiography, a radiographic technique for examining anatomy, and found that lymph vessels form via two different pathways—one pathway shared by mammals and the other shared by birds. They also studied the effects of genetically modifying the expression of two proteins that mediate the development of lymph vessels.

Based on their results, the researchers suggest that the X. laevis tadpoles could be used for detailed anatomical investigation and the roles of lymph vessels in disease.

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New treatment against SARS effective in monkeys

Nature Medicine

A paper in the September issue of Nature Medicine reports that small interfering RNAs, short RNA sequences that can inhibit gene expression, are effective against infection with the severe acute respiratory syndrome (SARS) virus in monkeys.

In 2003, the SARS virus spread through the world, causing lethal pneumonia and lung failure. Since then, the search for therapies against this pathogen has been a very active research field. Now, Patrick Lu and his colleagues show that siRNA can both prevent the onset of SARS and cure an existing infection in macaques.

The authors delivered the siRNA intranasally to groups of macaques before or after infection with the SARS virus. They found that the siRNA provided relief from the symptoms of SARS infection and reduced the virus-induced lung damage with no apparent side effects.

These results constitute the first successful therapeutic use of siRNA in primates, and significantly boost up the potential of this tool to prevent and treat SARS in people.

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Detecting prions in blood

Nature Medicine

Research published in the September issue of Nature Medicine may help minimize the spread of prion diseases in the human body.

Prion diseases, like BSE (bovine spongiform encephalopathy) and CJD (Creutzfeldt-Jakob disease) are caused by a misfolded prion protein referred to as PrPSc. Minimizing spread of the disease could be facilitated by the ability to detect PrPSc in blood. Claudio Soto and colleagues have devised an automated method, termed protein misfolding cyclic amplification, to help do just that.

The extremely small amount of PrPSc that appears in blood makes it difficult to detect it and diagnose the disease. But the researchers' new technique, analogous to polymerase chain reaction for amplifying tiny samples of genetic material, amplifies PrPSc in the test tube, which allows the detection of PrPSc with 89% sensitivity (a measure of the probability of correct diagnosis) and 100% specificity (i.e., the method detects no false positives).

This is the first time PrPSc has been biochemically detected in the blood, so the authors have raised several issues for discussion. These issues include investigating whether all diseased animals carry PrPSc in their blood, and how early and sensitive diagnosis will facilitate therapeutic intervention before the appearance of clinical signs and permanent brain damage.

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ISSN: 1078-8956
EISSN: 1546-170X
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