Merck KGaA opens Shanghai Innovation Center and invests $ 14 million in the China Seed Fund – asume tech

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One of the largest German pharmaceutical companies sets up a seed capital fund to promote start-ups in China.

Darmstadt-based Merck KGaA announced on Friday that it had a seed capital fund worth 100 million Chinese yuan, or 14.1 million dollars, under the umbrella of its $ 334.2 million venture capital arm M Ventures has set up. Merck KGaA operates in the United States under the name of EMD Serono to avoid confusion with New Jersey-based Whitehouse Station Merck & Co., which trades outside of North America under the name of MSD.

In addition to founding the Seed Fund, Merck KGaA has opened an Innovation Center in Shanghai and is planning another one in the southern metropolis of Guangzhou, which will open next month.

"Our 100 million RMB China Seed Fund underlines our commitment to invest in the Chinese market," said CEO Stefan Oschmann at the opening of the Shanghai Center, citing the abbreviation for Renminbi, the official name of the Chinese currency. "Our innovation centers in China will accelerate our innovation development across the country."

Biotechnology and pharmaceuticals are top priorities in the Chinese government's industrial development strategy. Numerous drug manufacturers operate in the country and are expanding abroad to Western countries.

In January, Beijing-based BeiGene of the Food and Drug Administration received groundbreaking approval for the treatment of zanubrutinib, a Bruton tyrosine kinase inhibitor, which is being developed for the treatment of non-Hodgkin's lymphoma and chronic lymphocytic leukemia. ibrutinib) and AstraZeneca's Calquence (acalabrutinib). The company partnered with Summit, Celgene, New Jersey, to develop its PD-1 inhibitor tislelizumab, although the company regained rights to the drug in June, as Celgene acquired the company from Bristol-Myers Squibb, that has its own PD-1 inhibitor, opdivo (nivolumab).

Merck KGaA announced that its Shanghai hub, which was founded last year, will occupy a place in the city's New Bund World Trade Center. Partnerships have already been established, not only in the areas the company specializes in, but also in the areas of artificial intelligence for health solutions. To date, six startups from China and other Asian countries have participated in its Accelerator program.

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Merck KGaA opens Shanghai Innovation Center and invests $ 14 million in the China Seed Fund - asume tech

Health policy will be the focus of the HLTH – asume tech

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In the second year HLTH Conference From 27 to 30 October at the MGM Grand in Las Vegas, health policy will be the focus of a series of discussions discussing fundamental health challenges. Discussions include the drug pricing debate, which balances regulatory needs for health technology with drug development and innovation. and the proper role of the government in health care.

On the morning of October 29th Dr. Amy AbernethyThe Deputy Chief Commissioner of the FDA will explain her view on technology, innovation, the medical ecosystem, and how this fits in with the regulatory approach of the FDA. Later that day, he was CEO of US International Development Financial Corp. Adam Boehler teamed up with the A Healthy Dose Podcast by Stephen Kraus, a health partner of Bessemer Venture Partners and Trevor PriceFounder and CEO of Oxeon Partners to provide insights into entrepreneurship, investment, government policy, Medicaid & Medicare and more.

On Wednesday, October 30, Deputy Secretary of Health and Human Services Eric Hargan discusses value-based care initiatives. Joe Grogan, Director of the National Policy Council, will give an insight into the Trump Administration's mission to give Americans more options and more control over their health. senator Michael Bennet, a presidential candidate will work out his plan for universal health insurance.

Deputy Chairman of the Council of Economic Advisers Tomas Philipson and Centers for Medicare and Medicaid Administrator Seema Verma Philipson will address the role of the government in two separate talks on Sunday, October 28. Philipson will focus on pricing for prescription drugs and the role of government policy in improving patient access to medicines and reducing healthcare costs. Verma will talk about what role the government can play in combating dissatisfaction with the current health care system.

For the first time ever, MedCity News and HLTH have teamed to unveil MedCity's annual ENGAGE patient engagement event at the HLTH conference on October 28. ENGAGE at HLTH will examine how technology, vendors, and payers affect the patient experience and, most importantly, the patient's perspective on healthcare.

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Syros sees strategic shift after the failure of the previously promising cancer drug – asume tech

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A biotech company developing drugs to treat cancer by controlling gene expression is shifting its focus to the failure of a drug that has been tested in patients with solid tumors.

Syros of Cambridge, Massachusetts, said Thursday that data from the extension of his phase I trial of SY-1365, an intravenous CDK7 inhibitor, did not show that a patient had achieved an objective response to treatment. The best response was a stable disease in 13 out of 31 patients whose efficacy could be assessed, meaning that their tumors did not continue to grow, but did not contract. The study enrolled patients with breast cancer, ovarian cancer and advanced solid tumors enrolled in single drug and combination cohorts.

The shares of Syros gave after the news against the Nasdaq by 32.3 percent.

The company has therefore decided to shift its focus from SY-1365 to another drug, the oral CDK7 inhibitor SY-5609, which more selectively and effectively inhibits CDK7 than SY-1365, and has shown stronger antitumor activity in preclinical tests. The Company plans to discontinue the development of SY-1365 and initiate a Phase I trial of SY-5609 in the first quarter of 2020.

Patients in the single drug expansion cohorts received SY-1365 initially twice weekly at 80 mg per square meter of body area, while patients in the combination cohorts received it once weekly at 53 mg per square meter. Adverse reactions believed to be related to intravenous administration including headache, nausea and vomiting prompted the company to investigate extended cohort infusion times and lower doses in the single-agent cohorts.

However, Syros believes that more frequent dosing or a higher dose, which would prolong the infusion time to improve the tolerability of the drug, would be needed to maintain the CDK7 targeting required for sufficient clinical activity both would be the case to a dosing schedule that is overly stressful for patients. SY-5609 can solve this dilemma better, the company said.

The lack of objective answers in the study suggests that dose reductions and longer infusion times could affect efficacy, Cowen analyst Phil Nadeau said in a statement to investors on Thursday. The news was disappointing as the preclinical data and Phase I dose-response data suggested that SY-1365 would be more effective and safer.

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What Theranos Whistleblowers Learn About Ethics in Health Startups – asume tech

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Erika Cheung and Tyler Shultz were the whistleblowers who helped expose the corruption in Theranos. They spoke at the Manova Summit in Minneapolis this week.

The Whistleblowers of Theranos, Erika Cheung and Tyler Shultz, shared some lessons from working in a culture of fear and secrecy at the Manova Global Summit on the Future of Health in Minneapolis.

"There were words we could not say at Theranos, like 'biology', 'pipette', 'research'," "recalled Shultz." And we should not talk to other people at Theranos about what you did. "

Even so, the two had no other career experience, so it took awhile for the red flags to add up, Cheung said.

Now that the former Theranos leadership is waiting for a test in 2020, Cheung and Shultz have formed an organization they call Ethics in Entrepreneurship, hoping to prevent other technology and health startups and associates from doing so do what they did.

"We're all here because we want to make a difference and we want to do good and we have good intentions, but making sure you have that strong vision and figuring out how to sustain that is a challenge," Cheung said. "You have to figure out how to stick to these morals, standards and values despite the chaos."

Although they do not yet have all the answers at the moment, they pointed to some basics that can be applied to just about any business:

In Silicon Valley, so-called vanity boards are popular, Cheung agreed, but just in a heavily regulated area like healthcare, "you need the right people to ask the right questions."

Although Shultz spent most of his 20s in the Theranos scandal, he remains optimistic.

"So many things have gone wrong (in the case of Theranos) that I think it's unlikely to happen again," he said. "Although I may be naive."

Abbe's presenter Rebecca Jarvis asked the two of them if they felt Theranos's former director, Elizabeth Holmes, was going to jail.

"There has to be some justice," Cheung said to the audience with great applause. "It must."

Photo: Andrew McGee, Manova

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Selma Blair Went Through Chemotherapy for MS Treatment and Was Told to Make Plans for Death – Parade

For the first time, Selma Blair is opening up about receiving one of the most aggressive and almost barbaric treatments in medicine for her multiple sclerosis diagnosis. Blair received a stem cell transplant but has avoided talking about it until sitting down with doctors Mehmet Oz and David Angus for TIME 100s health summit this week.

I havent talked about it much yet because I wanted to show everyone that the proof is in the pudding, but my pudding is still kind of scrambled. I dont want to scare people away, she said.

A stem cell transplant, which Dr. Angus described as aggressive and barbaric, is aggressive chemotherapy to sort of reset your immune system, he explained onstage. On top of dealing with MS symptoms, we hammer the hell out of you with a drug, he said.

Related:Selma Blair Talks About Battling MS: My Disease Isnt a Tragedy

Before, she was suffering from extreme symptoms like the inability to use one of her legs. The disease modifiers did not work for me at the time, and I was really declining more rapidly than I found acceptable, Blair, 47, said.

She was encouraged to try a stem cell transplant but she was wary. I had no intention of doing it, I was like, Im not ruining my body, whats left of it. Why would I put this horrible drug in it? Chemotherapy? I dont have cancer, she said. But I was kind of out of options and I was looking.

Celebrity interviews, recipes and health tips delivered to yourinbox.

She did agree to a micro dose of chemo, though, and immediately felt some relief. It made her think, maybe I just have too much junk in there, and that killed some junk. What do I care if it kills my whole body, because my whole body is just one macrophage of yuck.

So, she did it, but there were no guarantees this would work, instead, she said, I was warned. You kind of make your plans for death, [and] I told my son I was doing this and he said he wanted me cremated. Im here though! We dont have to worry about that!

But it was a little hard. I had a great support system, she continued. She explained that she had more chemo than cancer patients typically receive, because the aim is to kinda kill you. And its the stem cell that allow you to live with the amount of chemo. The chemo is the MS cure, if in fact it does that. But luckily, although she did have some complications, the Cruel Intentions star felt that it went pretty well.

Related:Parade Rewind with Jack Osbourne: Fatherhood,DWTS, and Living Well with Multiple Sclerosis

While shes still recovering, shes feeling pretty good. She has her cane and her bike, both of which she relies on heavily. One thing she doesnt have is her hair, but that doesnt really bother her.

That was a small thing, I never minded hair loss or any of the things that would be ego-involved, she said. My dream is to lie next to my son at night and be there as long as he needs me. And hopefully do something for people, because Ive heard so much from people with chronic diseases or MS, theyre scared. And they dont know when its gonna get worse, and I didnt know anything about it.

She knows more now, and its safe to say shes already made a major impact with that knowledge.

Do you have a friend suffering from a disease?Find out howyou can support them.

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Selma Blair Went Through Chemotherapy for MS Treatment and Was Told to Make Plans for Death - Parade

Clinic helps women have babies after cancer – WNDU-TV

A specialized team of doctors is working to help cancer patients preserve their fertility and get treatment.

Ten months ago, the Seattle Cancer Care Alliance opened its clinic, staffed with experts in fertility and cancer, all in the same place.

Chenault is concealing her identity to protect her family's privacy.

She was diagnosed with Hodgkin's lymphoma but says maintaining her ability to have children was the most emotional part of her treatment.

"I had never really thought of a life where I wouldn't be able to have children and have a family. It's been important to me for a really long time," Chenault says.

Dr. Genevieve Neal-Perry runs the Oncoreproduction Clinic, a place where newly diagnosed women can come to freeze eggs, freeze embryos, even get Lupron to put them into temporary menopause until after chemo.

"You have a select population, and you can address their select needs and make sure that we can really provide them very direct and focused care," Neal-Perry explains.

The Livestrong Foundation offers financial aid, since insurance often won't cover fertility preservation.

Chenault chose to freeze two sets of embryos and get Lupron.

She just finished chemo and hopes to start talking about babies in six months to a year.

"I can't imagine how much harder this would have been without this response," Chenault says.

Both she and Dr. Neal-Perry say this gives patients some control in a situation where they may feel they have none.

"It really does give patients kind of a license to kind of fight, really move through the treatment and feel positive about the end of the tunnel," Neal-Perry says.

Cancer patients considering fertility preservation should ask a lot of questions about possible treatments and resources.

Both Livestrong and Walgreen's offer financial aid for meds.

MEDICAL BREAKTHROUGHS RESEARCH SUMMARY

TOPIC: MAKING BABIES AFTER CANCER

REPORT: MB #4641

BACKGROUND: Cancer treatments are important for your future health, but they may harm reproductive organs and glands that control fertility. Changes to fertility may be temporary or permanent. Chemotherapy (especially alkylating agents) can affect the ovaries, causing them to stop releasing eggs and estrogen. Radiation therapy to or near the abdomen, pelvis, or spine can harm nearby reproductive organs. Some organs, such as the ovaries, can often be protected by ovarian shielding or by oophoropexya procedure that surgically moves the ovaries away from the radiation area. Surgery for cancers of the reproductive system and for cancers in the pelvis region can harm nearby reproductive tissues and cause scarring, which can affect your fertility. Hormone therapy (also called endocrine therapy) used to treat cancer can disrupt the menstrual cycle, which may affect fertility. Side effects depend on the specific hormones used and may include hot flashes, night sweats, and vaginal dryness. Bone marrow transplants, peripheral blood stem cell transplants, and other stem cell transplants involve receiving high doses of chemotherapy and/or radiation. These treatments can damage the ovaries and may cause infertility. (Source: https://www.cancer.gov/about-cancer/treatment/side-effects/fertility-women)

SYMPTOMS: Effects to fertility may not be obvious right away. Some symptoms that may indicate infertility are irregular menstrual cycles, hot flashes, painful sex, inability to get pregnant or having several miscarriages. Patients who experience these symptoms should contact their doctor. (Source: https://www.livestrong.org/we-can-help/fertility-services/cancer-and-fertility-risks-women)

CHALLENGES: Genevieve S. Neal-Perry, MD, PhD from SCCA-UW Medicine talked about the struggles with treatment and maintaining fertility, "in many young people, having a full life means being able to be a parent and have children. As a result, some patients have pushback to say, no, my fertility is important. And as a result, doctors, physicians, scientists are listening and trying to identify what will that mean for their cancer? And several studies have shown that delaying treatment doesn't necessarily change the outcome of their cancer so that we're able to now, in addition to the advancement of science, freeze eggs, freeze embryos and give these young couples the opportunity to be parents later in life."(Source: Genevieve S. Neal-Perry, MD, PhD)

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Holy Name clinical trial tests the healing power of stem cells – NJTV News

Sixteen months ago, Bob Masterson began a Holy Name Medical Center clinical trial that he hoped would grow more arteries to restore blood flow to his legs sothe wounds on his toeswould heal. If it failed, he risked the possibility of amputation.

Masterson had aa 67% chance of getting the FDA-fast-tracked Pluristem Therapy placenta stem cell injections instead of getting a placebo.

In essence what were injecting is going to recruit the development of blood vessels, cells that are involved in the healing of wounds, said Dr. John Rundback, director of the Interventional Institute at the medical center.

When getting the procedure last year,Mastersonsays he had no idea whether he was getting the placebo or the real thing, but the results from regular visits to the hospital seem to indicate it was the latter.

Doctors want to improve National Institutes of Healthnumbers, whichfind half of all amputees die within five years, with new therapies that could come from the clinical trial of 246 patients at six hospitals.

Masterson says hes grateful for the results but doesnt consider the apparent reversal of his condition a miracle.

But, I see it as a progress in medicine,he said. Cause over my years, Ive seen a lot of people, especially with us who have diabetes, losing their limbs like it was nothing. And this gives them hope.

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How Young India is fuelling the future of stem cell therapy and signing up to save lives – YourStory

Eighteen-year-old Aisha Choudhary was just like any other adolescent eyes filled with dreams and a heart brimming with energy. The only difference was she was battling a rare genetic disease, Severe Combined Immune Deficiency (SCID). Diagnosed when she was six months old and undergoing medical treatment for years, she was iron-willed in playing the cards she was dealt.

Since one of the most effective cures for SCID is a stem cell transplant (grafting of the parent cells from which all blood cells develop), Aishas parents, Niren and Aditi, decided to opt for that treatment mode. But their cells were not a complete match with their daughters, and they had to look at external donors. However, due to a low number of voluntary, registered stem cell donors, Aisha could not get a compatible donor whose genetic markers were a close enough match to hers. With no other alternative treatment available, Aisha had a bone marrow transplant. But, it came with a side-effect that cost her life Pulmonary Fibrosis, a disease known to damage the lung tissues.

Aishas Choudhary's role has been played by Zaira Wasim in The Sky is Pink.

Aishas journey has been captured in The Sky is Pink, a recent Bollywood movie starring Priyanka Chopra, Farhan Akhtar, Zaira Wasim, and Rohit Saraf.

The 18-year-olds life story is mirrored in the experiences of many who await stem cell donation as treatment for blood-related illnesses likeleukemia, lymphoma, and sickle cell anemia every year. With very few individuals signing up as donors and the probability of finding a match being a dismal 0.0008 percent in India (against a lean 16 percent abroad), fatalities are mounting year on year.

However, in recent times, there has been one small break in the clouds a number of youngsters, non-governmental organisations, and medical professionals have come forward and are working to spread awareness about stem cell donation and motivate a larger number of people to register as donors.

The stem cells in a human body mainly comprise red blood cells, platelets, and white blood cells. These are found in the umbilical cord of newborns and in the peripheral or circulating blood and bone marrow.

A stem cell donation is as simple and painless as a blood donation.

Certain diseases like blood cancer and leukemia tend to destroy the bone marrow or affect its functioning.For these, treatments like chemotherapy and radiotherapy are tried initially. However, in some cases, they do not prove effective for a cure. The only recourse then is replacing the patients stem cells with those of a healthy person.

One of the main criteria for a successful transplant is a good match between the stem cells of the donor and those of the patient. Therefore, a donor registry will administer a cheek swab test (tissue samples extracted from the cheek) on all potential donors to match cell characteristics. This procedure of pairing generic markers is called Human Leukocyte Antigen (HLA) in medical terms.

A cheek swab test in progress.

Each potential donors tissue is entered in the registry and given an identification number after the test is done. If the registry finds a match at any point in time, the donor is contacted to initiate the transplant.

There are many organisations today that are leading the charge in saving the lives of people suffering from serious blood disorders like cancer, thalassemia, and anaemia.

For instance, Datri, an Ahmedabad-based NGO, is working to create a wide and diverse database of potential stem cell donors by organising donation drives. Founded in 2009 by two doctors and an engineer, the organisation focuses on conducting awareness campaigns and helping individuals sign up on its registry as a committed and voluntary benefactor.

The team of the NGO Datri.

The idea for Datri was initially born in the minds of doctors Nezih Cereb and Soo Young Yang, who run a laboratory, Histogenetics, for determining tissue matches between patients and donors. Since pairing tissue types is imperative for any stem cell transplant, and confronting a severe shortage of donors, the doctor duo would run from pillar to post to meet hospitals requirements. Working with a number of the hospitals in India, they realised just how acute the shortfall was in people willing to donate stem cells. They recognised the immediate need to create a donor registry here.

Soon after, Raghu Rajagopal, an engineer from BITS Pilani and Director of ready-to-eat venture Millets and More, connected with them and they decided to start Datri.

Today, the functioning of the registry, its maintenance, and even the substantial costs involved in conducting the HLA matching are taken care of by the lab. In the last 10 years, Datri has gotten over four lakh people to register as donors and has saved around 600 lives through successful transplantation.

Every day, about 40 people are diagnosed with blood disorders in India. Though these can be cured through a stem cell transplant from a genetically matched donor, there is only a 25 percent chance of finding a match from within the family. Others have no option but to rely on unrelated donors. But the chances of getting a match is anywhere between one in 10,000 and one in two million. There is an urgent need to rope in as many potential donors as possible, which is precisely what Datri is trying to do, Raghu explains.

Another organisation that is dedicated to fighting blood disorders with stem cell treatment is DKMS-BMST. It was formed through a joint venture between two renowned NGOs DKMS, which is one of the largest international blood stem cell donor centres globally, and the Bangalore Medical Services Trust (BMST).

The team of DKMS-BMST.

DKMS was founded in Germany in 1991 by businessman Dr Peter Harf, after he lost his wife to leukemia. BMST was born in 1984 from the vision of Dr Latha Jagannathan, a medical director and managing trustee. Since both organisations had a common goal to find a matching donor for every patient with a blood disorder, they decided to come together to achieve it.

A group of youngsters registering to be stem cell donors.

So far, more than 37,000 people in India have registered as potential donors after attending DKMS-BMSTs donor drives.

In highly populous countries like India, thousands of people are in need of stem cell transplants every year to survive. Though donating stem cells is a painless and non-invasive process, it remains a lesser-known medical concept in India, with only 3.6 lakh people willing to play a part in it. Besides, the chances of stem cells of people of the same ethnicity matching are higher than those of individuals from different ethnic backgrounds. But, it is due to sheer lack of awareness that India lags severely in stem cell donations, say experts.

Students taking a cheek swab test at one of the colleges in Bengaluru.

Dr Govind Eriat, a reputed hematologist and bone marrow transplant specialist, says,

With a major hurdle to stem cell donation in India proving to be the myths surrounding the subject, the youth are coming forward to deconstruct common misconceptions.

For instance, 21-year-old Tejaswini Patel, a student of Information Science at New Horizon College of Engineering, Bengaluru, has been busting the false ideas on stem cell donation, starting among her family and friends. She says,

She adds, with a notable sense of pride, In the last two years alone, around 400 students from my college have registered themselves as donors.

(Edited by Athirupa Geetha Manichandar)

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Fit and healthy teacher dies 20 days after discovering he had leukaemia at 33 – The Sun

WHEN teacher Matt Meads started suffering with stomach pains, night sweats and tiredness - he quickly dismissed it as end of school year fatigue.

He was fit and healthy, and avoided drinking and smoking.

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But just three weeks after first falling ill, Matt died - aged just 33 - and after just three chemo sessions.

He and his wife Abi were devastated when they discovered his symptoms were actually a sign ofleukaemia.

Heartbroken Abi, 27, from Nottingham, is now sharing his story to raise awareness and to urge others to be vigilant for signs of acute lymphoblastic leukaemia, a rare and aggressive form of blood cancer.

"I've got so many people around me offering help and support but I still feel really lonely because I've lost my best mate, my husband, my soulmate," Abi said.

It comes as blood cancer charity Bloodwise warns thousands of people are dying of the disease because it's diagnosed too late.

Matt and Abi first suspected something was wrong on July 6, when he began feeling more and more fatigued.

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And when he started vomiting to the point of being unable to keep ice cubes down, Abi urged him to go to the doctor.

At first he was told by his GP he had gastroenteritis or constipation but he soon returned to the hospital for a second time where they did a blood test.

Abi, who works as a teacher too, said: "Obviously I wish it was spotted sooner.

"I don't feel any anger towards to the hospital.

"I genuinely believe they did everything they could for him.

"He would say he was feeling sick."He would send a text saying he wasn't feeling well so was going to bed. I was out with some friends.

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"He said something about feeling hot as well, but we didn't put that down to anything because it was the middle of summer and everyone was feeling hot.

"He was sleeping a lot, particularly at weekends which he would spend mostly asleep.

"But we're both teachers, it was coming up to the end of the school year and we had both got a lot of work on.

"We put it down to the job, and just tried to keep going because we had five weeks off soon.

"We thought it was the usual fatigue that we feel at the end of the year.

"There were sickness bugs going around at both of our schools so it wasn't anything out of the ordinary.

"He was referred to A&E for the second time thinking it was gallstones.

I've got so many people around me offering help and support but I still feel really lonely because I've lost my best mate, my husband, my soulmate

"They did some blood tests on him, sent him for a CT scan. The doctor came back and basically said that it was leukaemia."

Despite the devastating diagnosis, Abi said her brave husband remained positive as he came to terms with what was really happening.

She added: "Matt was a really positive person and was always somebody who believed what would be would be, it is what it is and all that stuff.

"So when the doctor told him he was quite composed.

"He didn't really give anything away about what he was feeling.

"It was obviously a massive shock for him but he didn't really respond in the way I would have done. He was listening to the doctor.

8

8

"The doctor actually stopped at one point because he was explaining what would happen next.

"He actually stopped at one point to ask him if he was okay, it was really big news and is he taking it all in?

"Matt's response was, 'yes, but there's nothing I can do about it. It is what it is'.

"He was definitely really brave."

And Abi says the diagnosis came as even more of a shock given how healthy he was.

8

She was forced to watch her husband go from happy and sporty to intensive care within days, before he passed away from a pulmonary embolism after just three chemotherapy sessions.

She said: "We knew he was poorly, but maybe not quite how poorly he was.

"I certainly wasn't expecting a phone call from the hospital.

"I don't know how I am now. It's hard. I don't think I really started to grieve until after the funeral.

"It's hard to think ahead for anything. It's a case of taking everything one day at a time.

"Some days are better than others. Some days are horrific and I don't want to get out of bed.

What is Acute Lymphoblastic Leukaemia?

Acute lymphoblastic leukaemia (ALL) is a type of blood cancer that starts from young white blood cells called lymphocytes in the bone marrow.

Adults and children can get it but it is most often diagnosed in younger people.

It'svery rare, with around 650 people diagnosed with the condition each year in the UK.

Many symptoms of ALL are vague and non specific. It may feel like the flu as symptoms are caused by too many abnormal white blood cells and not enough normal white cells, red cells and platelets.

Symptoms can include:

Recently blood cancer charity Bloodwise warned thousands of patients in England could be unnecessarily dying from blood cancer because they are diagnosed too late.

Experts analysed NHSdata and found 28 per cent of patients are told they have the disease after needing emergency treatment for their symptoms.

Figures show there are around 40,000 cases of blood cancer - a group of diseases including leukaemia, lymphoma and myeloma - each year in the UK.

Around 77 per cent of patients will survive for three years if they are diagnosed after visiting their GP, Bloodwise says.

In contrast, the same survival rate plummets to just 40 per cent for patients who are diagnosed as an emergency.

This is because symptoms develop over a few weeks and become more severe as the number of immature white blood cells increases.

"Matt was a really happy person. He was really positive.

"He was kind, caring, loving, wicked sense of humour. He would make a joke about anything and was very quick-witted.

"As a teacher he would have done anything for his students. He would have done anything for his family.

"He was just a really positive person who would have done anything for anybody.

"He loved his sport. He would go to the gym, he loved being outside and walking. He liked cycling. He was careful about what he ate.

"Everything the doctors warn you about, he didn't do. He didn't drink, he didn't smoke, he had a good diet, he exercised.

If you've got any of the symptoms which are lasting or you can't explain why you've got them, you need to go to the doctor and get checked out and be persistent in asking for a blood test

"He always put sun-cream on because he was paranoid he might catch skin cancer or something.

"He did everything he could to try and prevent anything from happening to him.

"As the doctors said there was nothing he could have done to prevent this."

Abi is now speaking out to urge others to get checked out and insist for a blood test if they have persistent symptoms of blood cancer.

She said: "If you've got any of the symptoms which are lasting or you can't explain why you've got them, you need to go to the doctor and get checked out and be persistent in asking for a blood test.

8

"You know your own body. It's as simple as having a blood test.

"If you've got it for days and it's not getting any better, if you're in any doubt, get it checked.

"We didn't know what the symptoms were.

"The only one I knew was bruising, but Matt didn't have any bruises until he was in hospital. So the one thing I knew wasn't relevant.

"I didn't realise about the night sweats, fatigue or heavy breathing.

"We never expected it would be that.

"We had thought worst case scenario it was gallstones or an impacted bowel, so when he came and said leukaemia it was just unexpected.

"When you're poorly you have all these possibilities going through your head but you never think it's going to be that.

Warning

terror vision I heard a pop and lost my eye when I dried my face with a towel

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"I had a really good chat with Matt's consultant where I questioned whether I should have done more, if I had spotted things sooner, whether if I had been more pushy in getting him to hospital.

"But the symptoms are vague and it can come on within days. It doesn't have to be something that has been happening for weeks or months."

You can donate on Abi's fundraising page in memory of Matt here.

More here:
Fit and healthy teacher dies 20 days after discovering he had leukaemia at 33 - The Sun

New universe of miniproteins is upending cell biology and genetics – Science Magazine

By Mitch LeslieOct. 17, 2019 , 2:00 PM

Mice put human runners to shame. Despite taking puny strides, the rodents can log 10 kilometers or more per night on an exercise wheel. But the mice that muscle biologist Eric Olson of the University of Texas Southwestern Medical Center in Dallas and colleagues unveiled in 2015 stood out. On a treadmill, the mice could scurry up a steep 10% grade for about 90 minutes before faltering, 31% longer than other rodents. Those iron mice differed from counterparts in just one small waythe researchers had genetically altered the animals to lack one muscle protein. That was enough to unleash superior muscle performance. "It's like you've taken the brakes off," Olson says.

Just as startling was the nature of the crucial protein. Muscles house some gargantuan proteins. Dystrophin, a structural protein whose gene can carry mutations that cause muscular dystrophy, has more than 3600 amino acids. Titin, which acts like a spring to give muscles elasticity, is the biggest known protein, with more than 34,000 amino acids. The protein disabled in the mice has a paltry 46. Although researchers have probed how muscles work for more than 150 years, they had completely missed the huge impact this tiny protein, called myoregulin, has on muscle function.

Olson and his colleagues weren't the only ones to be blindsided by Lilliputian proteins. As scientists now realize, their initial rules for analyzing genomes discriminated against identifying those pint-size molecules. Now, broader criteria and better detection methods are uncovering minuscule proteins by the thousands, not just in mice, but in many other species, including humans. "For the first time, we are about to explore this universe of new proteins," says biochemist Jonathan Weissman of the University of California, San Francisco.

Biologists are just beginning to delve into the functions of those molecules, called microproteins, micropeptides, or miniproteins. But their small size seems to allow them to jam the intricate workings of larger proteins, inhibiting some cellular processes while unleashing others. Early findings suggest microproteins bolster the immune system, control destruction of faulty RNA molecules, protect bacteria from heat and cold, dictate when plants flower, and provide the toxic punch for many types of venom. "There's probably going to be small [proteins] involved in all biological processes. We just haven't looked for them before," says biochemist Alan Saghatelian of the Salk Institute for Biological Studies in San Diego, California.

The venom of this predatory water bug has more than a dozen small proteins.

Small proteins also promise to revise the current understanding of the genome. Many appear to be encoded in stretches of DNAand RNAthat were not thought to help build proteins of any sort. Some researchers speculate that the short stretches of DNA could be newborn genes, on their way to evolving into larger genes that make full-size proteins. Thanks in part to small proteins, "We need to rethink what genes are," says microbiologist and molecular biologist Gisela Storz of the National Institute of Child Health and Human Development in Bethesda, Maryland.

Despite the remaining mysteries, scientists are already testing potential uses for the molecules. One company sells insecticides derived from small proteins in the poison of an Australian funnel-web spider. And a clinical trial is evaluating an imaging agent based on another minute protein in scorpion venom, designed to highlight the borders of tumors so that surgeons can remove them more precisely. Many drug companies are now searching for small proteins with medical potential, says biochemist Glenn King of the University of Queensland in St. Lucia, Australia. "It's one of the most rapidly growing areas."

Other short amino acidchains, often called peptides or polypeptides, abound in cells, but they are pared-down remnants of bigger predecessors. Myoregulin and its diminutive brethren, in contrast, are born small. How tiny they can be remains unclear. Fruit flies rely on a microprotein with 11 amino acids to grow normal legs, and some microbes may crank out proteins less than 10 amino acids long, notes microbial genomicist Ami Bhatt of Stanford University in Palo Alto, California. But even the largest small proteins don't measure up to average-size proteins such as alpha amylase, a 496amino-acid enzyme in our saliva that breaks down starch.

Few small proteins came to light until recently because of a criterion for identifying genes set about 20 years ago. When scientists analyze an organism's genome, they often scan for open reading frames (ORFs), which are DNA sequences demarcated by signals that tell the cell's ribosomes, its proteinmaking assembly lines, where to start and stop. In part to avoid a data deluge, past researchers typically excluded any ORF that would yield a protein smaller than 100 amino acids in eukaryotes or 50 amino acids in bacteria. In yeast, for example, that cutoff limited the list of ORFs to about 6000.

Relaxing that criterion reveals that cells carry vastly more ORFs. Earlier this year, Stanford postdoc Hila Sberro Livnat, Bhatt, and colleagues trawled genome fragments from the microbes that inhabit four parts of the human body, including the gut and skin. By searching for small ORFs that could encode proteins between five and 50 amino acids long, the researchers identified about 4000 families of potential microproteins. Almost half resemble no known proteins, but the sequence for one small ORF suggested that a corresponding protein resides in ribosomesa hint that it could play some fundamental role. "It's not just genes with esoteric functions that have been missed" when scientists overlooked small ORFs, Bhatt says. "It's genes with core functions."

For the first time, we are about to explore this universe of new proteins.

Other cells also house huge numbers of short ORFsyeast could make more than 260,000 molecules with between two and 99 amino acids, for example. But cells almost certainly don't use all those ORFs, and some of the amino acid strings they produce may not be functional. In 2011, after finding more than 600,000 short ORFs in the fruit fly genome, developmental geneticist Juan Pablo Couso of the University of Sussex in Brighton, U.K., and colleagues tried to whittle down the number. They reasoned that if a particular ORF had an identical or near-identical copy in a related species, it was less likely to be genomic trash. After searching another fruit fly's genome and analyzing other evidence that the sequences were being translated, the group ended up with a more manageable figure of 401 short ORFs likely to yield microproteins. That would still represent a significant fraction of the insects' protein repertoirethey harbor about 22,000 full-size proteins.

Weissman and colleagues found microproteins a second way, through a method they invented to broadly determine which proteins cells are making. To fashion any protein, a cell first copies a gene into messenger RNA. Then ribosomes read the mRNA and string together amino acids in the order it specifies. By sequencing mRNAs attached to ribosomes, Weissman and his team pinpoint which ones cells are actually turning into proteins and where on the RNAs a ribosome starts to read. In a 2011Cellstudy, he and his team applied that ribosome profiling method, also called Ribo-seq, to mouse embryonic stem cells and discovered the cells were making thousands of unexpected proteins, including many that would fall below the 100amino-acid cutoff. "It was quite clear that the standard understanding had ignored a large universe of proteins, many of which were short," Weissman says.

Saghatelian and his colleagues adopted a third approach to discover a trove of microproteins in our own cells. The researchers used mass spectrometry, which involves breaking up proteins into pieces that are sorted by mass to produce a distinctive spectrum for each protein. Saghatelian, his then-postdoc Sarah Slavoff, and colleagues applied the method to protein mixtures from human cells and then subtracted the signatures of known proteins. That approach revealed spectra for 86 previously undiscovered tiny proteins, the smallest just 18 amino acids long, the researchers reported in 2013 inNature Chemical Biology.

Being small limitsa protein's capabilities. Larger proteins fold into complex shapes suited for a particular function, such as catalyzing chemical reactions. Proteins smaller than about 50 to 60 amino acids probably don't fold, says chemist Julio Camarero of the University of Southern California in Los Angeles. So they probably aren't suited to be enzymes or structural proteins.

However, their diminutive size also opens up opportunities. "They are tiny enough to fit into nooks and crannies of larger proteins that function as channels and receptors," Olson says. Small proteins often share short stretches of amino acids with their larger partners and can therefore bind to and alter the activity of those proteins. Bound microproteins can also shepherd bigger molecules to new locationshelping them slip into cell membranes, for instance.

A microprotein in the poison of the deathstalker scorpion has been fused to a fluorescent dye to make tumors emit near-infrared light. (1) A tumor seen in visible light (2)Same tumor in visible and near-infrared light

Because of their attraction to larger proteins, small proteins may give cells a reversible way to switch larger proteins on or off. In a 2016 study inPLOS Genetics, plant developmental biologist Stephan Wenkel of the University of Copenhagen and colleagues genetically alteredArabidopsisplants to produce extra amounts of two small proteins. The plants normally burst into flower when the days are long enough, but when they overproduced the two microproteins, their flowering was postponed. The small proteins caused that delay by blocking a hefty protein called CONSTANS that triggers flowering. They tether CONSTANS to other inhibitory proteins that shut it down. "A cell uses things that help it survive. If a short protein does the job, that's fine," Saghatelian says.

Those jobs include other key tasks. In 2016, Slavoff, Saghatelian, and colleagues revealed that human cells manufacture a 68amino-acid protein they named NoBody that may help manage destruction of faulty or unneeded mRNA molecules. NoBody's name reflects its role in preventing formation of processing bodies (P-bodies), mysterious clusters in the cytoplasm where RNA breakdown may occur. When the protein is missing, more P-bodies form, thus boosting RNA destruction and altering the cell's internal structure. "It shows that small proteins can have massive effects in the cell," Slavoff says.

Muscles appear to depend on a variety of microproteins. During embryonic development, individual muscle cells merge into fibers that power contraction. The 84amino-acid protein myomixer teams up with a larger protein to bring the cells together, Olson's team reported in 2017 inScience. Without it, embryonic mice can't form muscles and are almost transparent.

Later in life, myoregulin steps in to help regulate muscle activity. When a muscle receives a stimulus, cellular storage depots spill calcium, triggering the fibers to contract and generate force. An ion pump called SERCA then starts to return the calcium to storage, allowing the muscle fibers to relax. Myoregulin binds to and inhibits SERCA, Olson's team found. The effect limits how often a mouse's muscles can contractperhaps ensuring that the animal has muscle power in reserve for an emergency, such as escaping a predator. Another small protein, DWORF, has the opposite effect, unleashing SERCA and enabling the muscle to contract repeatedly.

Even extensively studied organisms such as the intestinal bacteriumEscherichia coliharbor unexpected small proteins that have important functions. Storz and her team reported in 2012 that a previously undiscovered 49amino-acid protein called AcrZ helps the microbe survive some antibiotics by stimulating a pump that expels the drugs.

And the venom produced by a variety of organismsincluding spiders, centipedes, scorpions, and poisonous mollusksteems with tiny proteins. Many venom components disable or kill by blocking the channels for sodium or other ions that are necessary for transmission of nerve impulses. Small proteins "hit these ion channels with amazing specificity and potency," King says. "They are the major components of venoms and are responsible for most of the pharmacological and biological effects."

Australia's giant fish-killing water bug, for instance, doesn't just rely on sharp claws and lancelike mouthparts to subdue prey. It injects its victims with a brew of more than 130 proteins, 15 of which have fewer than 100 amino acids, King and colleagues reported last year.

Unlike hulking proteinssuch as antibodies, microproteins delivered by pill or injection may be able to slip into cells and alter their functions. Captopril, the first of a class of drugs for high blood pressure known as angiotensin-converting enzyme inhibitors was developed from a small protein in the venom of a Brazilian pit viper. But the drug, which the Food and Drug Administration approved for sale in the United States in 1981, was discovered by chance, before scientists recognized small proteins as a distinct group. So far, only a few microproteins have reached the market or clinical trials.

Cancer researchers are trying to capitalize on a microprotein in the poison of the deathstalker scorpion (Leiurus quinquestriatus) of Africa and the Middle East. The molecule has a mysterious attraction to tumors. By fusing it to a fluorescent dye, scientists hope to illuminate the borders of brain tumors so that surgeons can safely cut out the cancerous tissue. "It lights up the tumor. You can see the margins and if there are any metastases," King says. A clinical trial is now evaluating whether the dual molecule can help surgeons remove brain tumors in children.

How important small proteins will be for medicine is still unknown, but they have already upended several biological assumptions. Geneticist Norbert Hbner of the Max Delbrck Center for Molecular Medicine in Berlin and colleagues found dozens of new microproteins in human heart cells. The group traced them to an unexpected source: short sequences within long noncoding RNAs, a variety that was thought not to produce proteins. After identifying 169 long noncoding RNAs that were probably being read by ribosomes, Hbner and his team used a type of mass spectrometry to confirm that more than half of them yielded microproteins in heart cells, a result reported earlier this year inCell.

Bacteria such as Escherichia coli also churn out many microproteins, although their functions remain unclear in many cases.

The DNA sequences for other tiny proteins also occur in unconventional locations. For example, some lie near the ORFs for bigger proteins. Researchers previously thought those sequences helped manage the production of the larger proteins, but rarely gave rise to proteins themselves. Some coding sequences for recently discovered microproteins are even nested within sequences that encode other, longer proteins.

Those genomic surprises could illuminate how new genes arise, says evolutionary systems biologist Anne-Ruxandra Carvunis of the University of Pittsburgh in Pennsylvania. Researchers had thought most new genes emerge when existing genes duplicate or fuse, or when species swap DNA. But to Carvunis, microproteins suggest protogenes can form when mutations create new start and stop signals in a noncoding portion of the genome. If the resulting ORF produces a beneficial protein, the novel sequences would remain in the genome and undergo natural selection, eventually evolving into larger genes that code for more complex proteins.

In a 2012 study, Carvunis, who was then a postdoc in the lab of Marc Vidal at the Dana-Farber Cancer Institute in Boston, and colleagues found that yeast translate more than 1000 short ORFs into proteins, implying that these sequences are protogenes. In a new study, Carvunis and her team tested whether young ORFs can be advantageous for cells. They genetically altered yeast to boost output of 285 recently evolved ORFs, most of which code for molecules that are smaller than the standard protein cutoff or just over it. For almost 10% of the proteins, increasing their levels enhanced cell growth in at least one environment. The results, posted on the preprint server bioRxiv, suggest these sequences could be on their way to becoming full-fledged genes, Carvunis says.

Slavoff still recalls being astonished when, during her interview for a postdoc position with Saghatelian, he asked whether she would be willing to go hunting for small proteins. "I had never thought that there could be this whole size of proteins that was dark to us until then."

But the bet paid offshe now runs her own lab that is searching for microproteins. Recently, she unleashed some of her postdocs and graduate students on one of the most studied organisms, the K12 strain ofE. coli.The team soon uncovered five new microproteins. "We are probably only scratching the surface," she says.

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New universe of miniproteins is upending cell biology and genetics - Science Magazine