Thursday, February 9, 2017

Probiotics and its benefits

By Sarika Garg


Probiotics are live pathogens that are destined to furnish health benefits. The concept of ‘Probiotics’ was pioneered in the early 20th century when the ‘father of probiotics’, Noble laureate Elie Metchnikoff, suggested that people’s health could be refined by the consumption of favorable microorganisms. The idea was sustained by scientists and with the continued efforts, the term ‘Probiotics’, meaning ‘for life’, eventually came into practice.

Major population considers bacteria, fungi and other microbes as deleterious. But little do they know that several microorganisms assist our bodies function perfectly. For instance, intestinal bacteria destroy disease causing microbes, produce vitamins and help in food digestion. Numerous microorganisms live in our bodies and in point of fact, outstrip the human cells by 10 to 1.   

Probiotics may carry various microorganisms but the most common are Lactobacillus and Bifidobacterium groups of bacteria. Strengths of probiotics have been found to be eulogized in health magazines as well as on various products. Live bacteria naturally occur in certain foods viz. fermented vegetables and live-cultured yoghurt. Probiotics are also available as dietary supplements and in the form of products viz. skin creams.

Intensive research has been carried out on probiotics and the studies revealed that it might help cure a variety of maladies, including:

1.      Lower cholesterol levels
A study suggested that Lactobacillus reuteri, a probiotics strain found in dairy and meats, lowered the LDL levels in participants by 12% compared to the placebo group. Probiotics are known to alter gut microbiome to lower triglyceride levels or increase HDL cholesterol.

2.      Cavities and tooth decay
Detrimental effects of acid production from sugar could not be better understood by a sweet tooth person. Probiotics recognition has provoked much inquisitiveness for their role in oral health. Studies have reported the colonization of probiotics in the mouth and their effect on bio-film keeping the pathogens away. High calcium content in probiotics possibly play role in demineralization of teeth.

3.      Diarrhea
Several studies suggested that consumption of probiotics can help against diarrhea. Saccharomyces boulardii (or S. boulardii) is a potent probiotic that can help perpetuate the natural flora in the intestines and thereby curing and preventing the disagreeable diarrhea.

4.      Atopic dermatitis
Atopic dermatitis, also known as eczema, is a chronic inflammatory skin disease that is known to affect nearly 20% of children. A large number of studies have investigated the potential efficacy of probiotics in the prevention and treatment of eczema. A study published reported that mothers’ consumption of probiotics two months prior to giving birth and during first two months of breastfeeding showed a significant reduction in the risk of developing skin inflammation in the 
babies.

Despite the fact that some probiotics have shown promising results in research studies, compelling scientific evidence is inadequate to support specific uses of probiotics for health conditions. None of the probiotics have been approved by U.S. Food and Drug Administration (FDA) for treating any health issue. While probiotics have a good safety record in individuals, the information on the long-term safety of probiotics is limited. 

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Wednesday, February 8, 2017

Top 10 Landmarks in the Neuroscience World

By Sarika Garg


Neuroscience is the science of the nervous system, the study of which involves numerous researchers and doctors from different disciplines, extending from molecular biology and psychology to anatomy, physiology and pharmacology.  The nervous system comprises of the brain, spinal cord and peripheral nerves. It is made up of billions of nerve cells, called neurons, and trillions of supporting cells, called glial cells. The human brain is one of the most splendid organs in the human body. Thinking, feeling, planning, movements, memory, etc., everything is developed and controlled by our brain (Link 1). Alongside the most magnificent functions, several mysteries are associated with it making it the most intricate structure in the universe.  Many astonishing facts have been unraveled due to the tremendous progress made in medical science and technology. In this scientific era, it will be interesting to know that how much of the human brain was known in an ancient era and how the significant events occurred thereafter. Literature reports divulge that ancient Egyptian civilization was the first to have described 48 cases of brain injuries around the year 1700 B.C. Despite this creation of first medical document ever in the history of mankind, ancient Egyptians believed the ‘heart’ as the most important and the ‘brain’, on the other hand, the most inconsequential organ of the human body (Link 2). Please find below some of the notable events in the neuroscience world which helped brain garner much substantial attention. 

Brain stated as the seat of intelligence (460-379 B.C.)

The argument of whether the heart or the brain was the seat of intelligence remained unconcluded until the end of the 5th century B.C. It was Hippocrates, a Greek physician, whose work stated that the brain is involved with sensation and is the seat of intelligence. He is considered as the founder of medicine and is referred to as the ‘Father of Western Medicine’. His oft-quoted statements showed a clear association between the mind and the brain:
Men ought to know that from the brain, and from the brain alone, arise our pleasures, joys, laughter and jests, as well as our sorrows, pains, griefs and tears. Through it, in particular, we think, see, hear and distinguish the ugly from the beautiful, the bad from the good, the pleasant from the unpleasant… I hold that the brain is the most powerful organ of the human body… wherefore I assert that the brain is the interpreter of consciousness…’ (Hippocrates: On the sacred disease. Quoted by Prioreschi [1996]) (Link 3).

Lecture on the brain anatomical procedures (177 A.D.)

Galen, a Greek physician in the Roman Empire, delivered a lecture entitled ‘On the brain’ to the Roman medical students in the year 177. In his lecture, along with the directives for a systematic brain dissection of an ox brain, he scattered knowledge about the various parts of the brain. He is credited with the earliest descriptions and speculations about the pineal, a small gland in the middle of the head which produces a hormone, melatonin. Melatonin is known to influence sexual development and sleep-wake cycles. He was a clever spectator and recognized that the brain becomes smaller in old animals. While Hippocrates set down the cornerstone of Greek medicine, Galen further developed its postulate and carried medicine to its apex (Link 4).

The discovery of the cerebrospinal fluid (1536)

Until the 16th century, on the basis of Hippocrates and Galen findings, “spiritus animalis” with its mental functions was thought to be located within the cerebral ventricles. It was believed that blood moves to all parts of the body and no theory hypothesized blood circulation. The blood enriched by animal spirits was thought to reach the body’s organs where it gave life. After reverberating through centuries, the idea of “spiritus animalis” backed off only after 18 years when a Venetian physician, Nicolo Massa, described a large amount of fluid within cerebral ventricles. In his work he mentioned that ventricles are always full or semi full of watery substance. He was the first to notice and report the existence of the intraventricular fluid intracranially while making an autopsy. .  Among several physicians and anatomists who have laid the foundations of identification of the cerebrospinal fluid’s presence, Nicola Massa is considered as the first person to have described the cerebrospinal fluid properly (Link 5)

The theory of brain function (1823-1824)

Marie Jean Pierre Flourens, a French physician, was accepted as a pioneer of the experimental methods in neuroanatomy and of the modern theory of the brain functions. He postulated that the brain-specific parts control specific functions. He conducted several ablation and stimulation methods along with many experimental investigations on mammalian species, especially rabbits and pigeons. Cerebral cortex, cerebellum and brainstem were shown to be functioned as a whole and in concomitance with every other part. Animal’s muscular coordination and sense of equilibrium vanished on removal of the cerebellum. Cerebral hemispheres and medulla were linked with the cognitive functions and vital functions, respectively. Death of the animal was noticed on desolation of the medulla oblongata (Link 6). Taking into account his achievements, he is today recognized as the founder of the modern field theory of brain function (Link 7).   

The discovery of the neuron (1889)

It won’t be wrong to say that the neuroscience discipline did not exist until the 19th century pioneers Cajal and Golgi struck the right chord. Early in 1839, the cell theory was asserted according to which all tissues in the body are composed of individual cells. Later, ‘every cell comes from another cell’ theory was postulated. However, due to the dearth of good histological method to stain nervous structures, brain tissue was not considered to comply with the cell theory. In 1873 Camillo Golgi, an Italian physician, published his work on the silver nitrate staining method. This method was referred to as Golgi method and successfully stained neurons and neuroglia cells making them visible against the transparent background.  In 1887, Santiago Ramón y Cajal, a Spanish pathologist and neuroscientist confirmed the usefulness of Golgi method by carrying out the systematic study of the nervous system. He drew his observations quite accurately where he showed that the terminal and collateral fibres in the grey matter remained free, establishing simple contacts with the neuronal cell body and the dendrites of other adjacent nerve cells instead of forming a diffuse network. All his discoveries showed him the way to formulate the neuronal doctrine, a concept that the individual cells constitute the nervous system. Both Golgi and Ramón y Cajal were jointly awarded a Nobel Prize in Physiology or Medicine in 1906 in recognition of their work on the structure of the nervous system (Link 8).

The development of brain mapping (1909)

In the history of neuroscience, there has not been a single example as persuasive as the cytoarchitectonic map of the human brain. Korbinian Brodmann, a German neurologist, published his study in 1909 where he describes the dissociation of the cerebral cortex into 43 areas. He labeled his human map of the cortical area by a number between 1 and 52. His map is devoid of areas with the numbers 12-16 and 48-51 which was explained by Brodmann as the areas unidentifiable in the human cortex but well developed in other mammalian species. He utilized Nissl substance (cresyl violet) staining to divulge the distinct areal borders within the cortical sheet. His approach concluded that a particular anatomical structure corresponds to a particular function. In the 21st century, Brodmann’s map is still in use for localizing neuroimaging data obtained in the living human brain (Link 9)

The discovery of neurotransmitters (1921)

Neurotransmitters are the chemicals that allow neurotransmission. They are released from one neuron at the synaptic cleft, where they are accepted by a receptor on the next neuron. Communication between the neurons is the foundation of brain function and is accomplished by the movement of neurotransmitters. In 1921, a German scientist Otto Loewi published his work on frogs describing the chemical transmission. He conducted several experiments to characterize the substance and concluded it to be Acetylcholine. He was awarded the Nobel Prize in 1936 for his contributions (Link 10).

The invention of electroencephalography (1929)

Electroencephalography (EEG) is an electrophysiological monitoring and recording of the electrical activity of the brain. Hans Berger, a German psychiatrist, recorded the first human electroencephalograms in 1924. He published his work in 1929 where he described EEG changes associated with attention and mental effort, and alterations in the EEG associated with cerebral injury. His basic observations were later confirmed by other scientists revealing the dramatic change in humans EEG patterns during a night’s sleep. This technique provided early insight into diagnoses of sleep disorders, epilepsy, brain tumours, strokes and encephalopathies and has since been improved upon by use of modern techniques such as MRI (Link 11).

The invention of the electron microscope (1931)

By the beginning of the 20th century, with the advancement of science and technology scientists were able to analyse some structures inside the cell using light microscopes. However, the limited resolution of the microscopes restricted the detailed study of the structures inside the cells. In 1931, German scientists Max Knoll and Ernst Ruska conquered the barrier by building the electron microscope (Link 12). An electron microscopic study of the Axo-somatic and axo-dendritic synapses of the cerebral cortex and several other made significant contributions in the understanding of the nervous system (Link 13). It also won Ernst Ruska the Nobel Prize in physics in 1986. 

The discovery of optogenetics

This is the latest and most exciting development in the field of Neuroscience. So far it has been used to identify specific neurons and networks like those in the amygdala that contribute to fear conditioning, to stimulate spiral ganglion in deaf mice and restoring auditory activity. Optogenetics is the use of light sensitive proteins to monitor and control living neurons which first attracted wide attention in 2005 (Link 14). This technique was investigated by several researchers but ultimately Karl Deisseroth, Edward Boyden and Gero Miesenböck have been recognised as pioneers in this field (Link 15). The uses of this technique could range from curing Parkinson’s disease and epilepsy, restoring vision, to further understanding and mapping of the brain and the central nervous system.