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26.02.2010: Strict avoidance oif allergenic foods beyond 4-6 month is being challenged [1]
Shaker
and Woodmansee 2009 stresses that 4 to 6% of US children have an
allergic reaction to at least one food, being influenced by a
combination of genetic influences, characteristics of food antigen
processing, and timing of food introduction. The authors point out that
early introduction of allergenic foods is being under trial because
strict avoidance of allergenic foods beyond 4-6 months may not be
effective.
Current management of food allergy is summarized
by the authors to depend on accurate diagnosis, appropriate counseling
regarding strict allergen avoidance, emergency preparedness,
instruction on the use of self-injectable epinephrine, and ongoing
surveillance for the possible development of tolerance.
Kim and
Sicherer 2010 writes that strict allergen avoidance has been considered
to be the best strategy to prevent food allergy. It was found, however,
that children with milk and egg allergy tolerate extensively heated
forms of these foods, oral exposure can lead to desensitization, and
delaying introduction of highly allergenic foods to infants and young
children does not prevent the development of food allergy, and may even
increase risks. Biomarkers are being identified to select those
patients who can profit from an early exposure to allergens. The
authors stress that, depending on the specific case, strict avoidance
is inevitable. [2]
Egg allergy [3]
Benhamou
and colleagues 2009 write that egg allergy in children below the age of
three are the most frequent of allergies. Ovomucoid is the major
allergen of egg, and egg white proteins allergy may occur without
clinical symptoms. The diagnosis of egg allergy comprises IgE tests and
standardized food challenges. Treatment of egg allergy includes strict
avoidance of eggs and their products, also tolerance induction
protocols, in particular with egg proteins with reduced allergenic
properties in specific cases, are promising.
Food colour allergy [4]
Patent
Blue V, also called Food Blue 5 or Sulphan Blue, is a dark bluish
synthetic dye used as a food coloring. As a food additive, it has E
number E131. It is not widely used, but can be found in certain jelly
sweets. Patent Blue V is banned as a food colour in Australia, USA, and
Norway.
In medicine, Patent Blue V is used in lymphangiography as a
dye to colour lymph vessels. It is also used in dental disclosing
tablets as a stain to show dental plaque on teeth.
It may cause
allergic reactions, with symptoms ranging from itching and nettle rash
to nausea, hypotension, and in rare cases anaphylactic shock; it is not
recommended for children.
The EuroPrevall researche project [5]
EuroPrevall
is a multi-disciplinary research project looking at the prevalence cost
and basis of food allergy in Europe to estimate the currently unknown
prevalence of food allergy and exposure to known or suspected risk
factors for food allergy across Europe. A protocol for the sampling
strategy, the use of questionnaires, and collection of blood samples
for immunological analyses is presented bei Kummeling and colleagues
2009.
Basic information on adverse reactions to foods in
groups aged 7-10 years and 20-54 years were collected, together with a
questionnaire on potential risks and exposures. Blood sample were taken
to allow serological analysis. Subjects reporting adverse reactions to
foods and sensitized to the same food(s) were called in for a full
clinical evaluation that included a double blind placebo controlled
food challenge. The authors hope that data of these studies will
improve disease prevention, diagnosis and management.
The EuroPrevall-INCO project for China, India and Russia [6]
To
assess global variations in the prevalence of food allergies the
EuroPrevall-INCO project has been developed to evaluate the prevalence
of food allergies in China, India and Russia using the methodology of
the EuroPrevall protocol applied in the EU, and compare the data with
different European countries. The authors hope that these Asian data
added to Europe findings will improve knowledge about the development
of food allergy.
The Avon Longitudinal Study of Parents and Children [7]
The
Avon Longitudinal Study of Parents and Children was conceived to assess
the sensitization within a large birth cohort, the associations between
sensitization to different allergens and determine whether small groups
of allergen may be responsible for atopy, an allergic hypersensitivity
affecting parts of the body not in direct contact with the allergen.
Roberts
and colleagues performed skin allergy tests at 7 years of age with
positive sensitization found with grass pollens (8.5%), house dust mite
(Dermatophagoides pteronyssinus 7.8%, Dermatophagoides farinae 3.6%),
cat (4.9%), dog (2.7%), horse (1.4%), rabbit (1.4%), peanut (1.4%) and
mixed tree nuts (1.0%). The authors concluded that aeroallergens are
the most important ones, and peanuts and tree nuts are most frequent
food allergens. Strong associations within and between different
allergen classes such as pollens, animals, foods, peanut and tree nuts
were noted.
Vegetables and allergies [8]
It
was suggested that vitamin E and zinc intake during pregnancy might
reduce the risk of wheeze and/or asthma in the offspring. Miyake and
colleagues 2010 examining such associations found that higher maternal
intake of green and yellow vegetables, citrus fruit, and beta-carotene
during pregnancy was significantly associated with a reduced risk of
eczema, but not wheeze, and vitamin E consumption during pregnancy
reduced the risk of infantile wheeze, but not eczema.
The authors,
however, found no protection against wheeze nor eczema generated by
higher maternal intake of total vegetables, vegetables other than green
and yellow vegetables, total fruit, apples, alpha-carotene, vitamin C,
or zinc.
[1] Shaker M, Woodmansee D: An update on food allergy. Curr Opin Pediatr. 2009 Oct;21(5):667-74.
http://www.ncbi.nlm.nih.gov/pubmed/19629009
[2]
Kim JS, Sicherer S: Should avoidance of foods be strict in prevention
and treatment of food allergy? Curr Opin Allergy Clin Immunol. 2010 Feb
16.
http://www.ncbi.nlm.nih.gov/pubmed/20164762
[3]
Benhamou AH, Caubet JC, Eigenmann PA, Nowak-Węgrzyn A, Marcos CP, Reche
M, Urisu A: State of the art and new horizons in the diagnosis and
management of egg allergy. Allergy. 2009 Nov 12.
http://www.ncbi.nlm.nih.gov/pubmed/19912153
[4] Wikipedia: Patent Blue V.
http://en.wikipedia.org/wiki/Patent_blue_V
[5]
Kummeling I, Mills EN, Clausen M, Dubakiene R, Pérez CF,
Fernández-Rivas M, Knulst AC, Kowalski ML, Lidholm J, Le TM, Metzler C,
Mustakov T, Popov T, Potts J, van Ree R, Sakellariou A, Töndury B,
Tzannis K, Burney P: The EuroPrevall surveys on the prevalence of food
allergies in children and adults: background and study methodology.
Allergy. 2009 Oct;64(10):1493-7. Epub 2009 Apr 6.
http://www.ncbi.nlm.nih.gov/pubmed/19385958
[6]
Wong GW, Mahesh PA, Ogorodova L, Leung TF, Fedorova O, Holla AD,
Fernandez-Rivas M, Clare Mills EN, Kummeling I, van Ree R, Yazdanbakhsh
M, Burney P: The EuroPrevall-INCO surveys on the prevalence of food
allergies in children from China, India and Russia: the study
methodology. Allergy. 2009 Nov 4.
http://www.ncbi.nlm.nih.gov/pubmed/19889114
[7]
Roberts, G; Peckitt,C; Northstone,K; Strachan, D; Lack, G; Henderson,
J; Goldin, J. and the ALSPAC Study Team: Relationship between
aeroallergen and food allergen sensitization in childhood. Clinical
& Experimental Allergy Volume 35 Issue 7, Pages 933 - 940.
Published Online: 6 Jul 2005
http://www3.interscience.wiley.com/journal/118705101/abstract
[8]
Miyake Y, Sasaki S, Tanaka K, Hirota Y. Consumption of vegetables,
fruit, and antioxidants during pregnancy and wheeze and eczema in
infants. Allergy 2010 Jan 22. Doi: 10.1111/j.1398-9995.2009.02267.x
http://www.ncbi.nlm.nih.gov/pubmed/20102358
22.02.2010: Gene controlling root-hair cells growth may increase plant yield in nutrient poor soils [1]
Plants
interact with the environment releasing chemicals which solubilise
nutrients such as iron and phosphate. Root-hair cells are responsible
for such plant activities. Long-haired beans, barley and wheat grow
better than those with short hairs.
Yi and colleagues 2010 found
that Arabidopsis thaliana increase the size of their root hairs when
growing in phosphate poor soils. This was due to the expression of the
basic helix-loop-helix (bHLH) transcription factor called RSL4 gene
which regulates the growth of these hairs following
endogenous and environmental signals such as low phospahte availiability or auxin.
Their
findings may lead to cultivars which can grow on soils poor in iron and
phosphate, such as soils in Australia, the sub-Saharan Africa and
China. It also could reduce the need of fertilisers, decreasing the
amount of polluting phosphate that runs off into rivers and lakes.
[1]
Yi, Keke; Menand, Benoit; Bell, Elizabeth ; Dolan, Liam: A basic
helix-loop-helix transcription factor controls cell growth and size in
root hairs. Nature Genetics, 2010; DOI: 10.1038/ng.529
http://www.nature.com/ng/journal/vaop/ncurrent/abs/ng.529.html
16.02.2010: Mycoplasma [1]
Mycoplasma
is a genus of bacteria which lack a cell wall. Without a cell wall,
they are unaffected by many common antibiotics such as penicillin or
other beta-lactam antibiotics that target cell wall synthesis. They can
be parasitic or saprotrophic. Several species are pathogenic in humans,
including Mycoplasma pneumoniae, which is an important cause of
atypical pneumonia and other respiratory disorders, and Mycoplasma
genitalium, which is believed to be involved in pelvic inflammatory
diseases.
Mycoplasma contamination is a problem in cell culture
Mycoplasma
species are often found in research laboratories as contaminants in
cell culture. Mycoplasmal cell culture contamination occurs due to
contamination from individuals or contaminated cell culture medium
ingredients, such as serum or trypsin. Mycoplasma cells are physically
small - less than 1 µm - and cannot be eliminated by sterile
filtration.. Mycoplasmas may induce cellular changes, including
chromosome aberrations, changes in metabolism and cell growth. Severe
Mycoplasma infections may destroy a cell line. Detection techniques
include PCR, plating on sensitive agar and staining with a DNA stain
including DAPI or Hoechst.
Mycoplasma pneumoniae reduced its
genome size by discarding the complete anabolic and metabolic pathways
acquiring an obligate parasitic lifestyle.
Mycoplasma detection using PCR method validated according European Pharmacopoeia standards [2]
Zhi
and colleagues 2010 report the completion of the validation of a
nucleic acid amplification technique (NAT) for use in detection of
mycoplasma contaminants in biologics drugs, meeting or exceeding
European Pharmacopoeia compliance requirements. This method may replace
or supplement the existing culture-based methods with a PCR-based
method and will become important for the biopharmaceutical industry.
Mycoplasma detection in fermenters [3]
Asarnow
and colleagues 2010 describe a method based on a simple extraction
procedure followed by a qualitative "touchdown" (TD) PCR protocol with
primers specific to the 16S rRNA gene. The method was developed and
validated an assay to monitor rFVIII production fermenters for
mycoplasma contamination. The method was validated according to The
International Conference on Harmonisation of Technical Requirements for
Registration of Pharmaceuticals for Human Use (ICH) guidelines, and may
replace the culture-based mycoplasma detection.
Mycoplasma gallisepticum infection detection in chicken [4]
Kahya
and colleagues 2010 compared a real-time PCR (rPCR) test to serology
and culture for the detection of Mycoplasma gallisepticum infection in
chicken breeder flocks. Agreements between serology and culture, and
serology and rPCR were 83.9% and 90.3%, respectively.
Based on the
data of their study the authors advise the use of rPCR and/or culture
for confirmation of serology results during screening infection of
flocks.
Detection and eradication of mycoplasma in cell lines [5]
Molla
Kazemiha and colleagues 2010 assessing the mycoplasma infection status
of 200 cell lines using PCR assay with generic-specific universal
primers found 20% of the cell lines contaminated with mycoplasma.
Contaminating species were M. hyorhinis, M. fermentas, M. arginini, M.
orale and A. laidlawii. Cell lines were treated with BM-Cyclin
eradicating 100 % of the contamination. Mycoplasma removal agent
eliminated 70 % of mycoplasma, and Ciprofloxacin 42%. The authors noted
a regrowth after 4 month with 12% of BM-Cyclin treatment, 62.5% of
mycoplasma removal agent and 82.5% Ciprofloxacin.
Genotyping of Mycoplasma pneumoniae [6]
Schwartz
and colleagues 2009 stress the importance of Mycoplasma pneumoniae,
accounting for up to 25% of community-acquired pneumonia. Mycoplasma
pneumoniae are classified in type 1 and type 2 based on sequence
variation within the gene encoding the major adhesion molecule P1. The
authors present a real-time PCR assay that can distinguish between the
two types using high-resolution melt-curve analysis with reference
strains M129 (type 1) and FH (type 2). The authors claim that this
assay is rapid, reliable and convenient.
A rapid and sensitive flow cytometric technique quantifying viable mycoplasma [7]
Mohammadpour and colleagues 2010 developed a rapid and sensitive flow
cytometric method using a vital fluorescent dye to enumerate viable
Mycoplasma agassizii cells. This mycoplasma threatened desert tortoise
of the Southwestern United States, causing upper respiratory tract
disease .
Detection of living Mycoplasma agassizii was performed
using nonfluorescent molecule 5-carboxyfluorescein (5-CF) diacetate
acetoxymethyl ester, which penetrates the cell membranes of the
mycoplasma, and is converted in the cytoplasm to the fluorescent
molecule 5-CF by the action of intracellular esterases. Labelled
mycoplasma cells can be counted in less than 1 h. The authors stress
the importance of this technique in the field of basic immunological,
biochemical and pharmacological studies
[1] Wikipedia: Mycoplasma
http://en.wikipedia.org/wiki/Mycoplasma
[2]
Zhi Y, Mayhew A, Seng N, Takle GB: Validation of a PCR method for the
detection of mycoplasmas according to European Pharmacopoeia section
2.6.7. Biologicals. 2010 Feb 9.
http://www.ncbi.nlm.nih.gov/pubmed/20149967
[3]
Asarnow D, Warford A, Fernandez L, Hom J, Sandhu G, Candichoy Z, Luna
G, Goldman M, Rarich R. Validation and international regulatory
experience for a mycoplasma touchdown PCR assay. Biologicals. 2010 Feb
9.
http://www.ncbi.nlm.nih.gov/pubmed/20149683
[4]
Kahya S, Temelli S, Eyigor A, Carli KT: Real-time PCR culture and
serology for the diagnosis of Mycoplasma gallisepticum in chicken
breeder flocks. Vet Microbiol. 2010 Jan 28.
http://www.ncbi.nlm.nih.gov/pubmed/20149561
[5]
Molla Kazemiha V, Shokrgozar MA, Arabestani MR, Shojaei Moghadam M,
Azari S, Maleki S, Amanzadeh A, Jeddi Tehrani M, Shokri F: PCR-based
detection and eradication of mycoplasmal infections from various
mammalian cell lines: a local experience. Cytotechnology. 2010 Feb 6.
http://www.ncbi.nlm.nih.gov/pubmed/20135349
[6]
Schwartz SB, Thurman KA, Mitchell SL, Wolff BJ, Winchell JM. Genotyping
of Mycoplasma pneumoniae isolates using real-time PCR and
high-resolution melt analysis. Clin Microbiol Infect. 2009
Aug;15(8):756-62.
http://www.ncbi.nlm.nih.gov/pubmed/19392882
[7]
Mohammadpour HA, Tracy CR, Redelman D, Dupre' SA, Hunter KW: Flow
cytometric method for quantifying viable Mycoplasma agassizii, an agent
of upper respiratory tract disease in the desert tortoise (Gopherus
agassizii). Lett Appl Microbiol. 2010 Jan 8.
http://www.ncbi.nlm.nih.gov/pubmed/20132436
14.02.2010:
Polyphenolic extracts of green tea, chokeberry and honeysuckle fruits
reduce digestibility and absorption of nutrients [1]
Polyphenols
are compounds present in teas and fruits. They are effective to
scavenge free radicals and reduce the risk of a variety of diseases.
Frejnagel and Wroblewska assessed the effects of high doses of
polyphenol extracts (0,4%) from green tea chokeberry and honeysuckle
fruits on nutrient absorption in male Wistar rats. Absorption from the
small intestine of nutrients like Zn and Cu was heavily and
digestibility slightly decreased. However no harmful outcomes resulted
from the consumption of polyphenol-rich extracts,concluded the authors.
[1]
Frejnagel S, Wroblewska M: Comparative Effect of Green Tea, Chokeberry
and Honeysuckle Polyphenols on Nutrients and Mineral Absorption and
Digestibility in Rats. Ann Nutr Metab. 2010 Feb 11;56(3):163-169.
http://www.ncbi.nlm.nih.gov/pubmed/20150725
14.02.2010: Mercury in aquatic systems
Mercury in seafood [1]
Seafood
is the most important source of human exposure to mercury which may
spread globally when released from environmental stores due to human
activities or through natural processes. In form of methylmercury it
accumulate in the food chain where fish and marine mammals are the most
prominent examples. Balshaw and colleagues 2007 report mercury
concentration in marine animal to be one-million times that of the
surrounding water body, exceeding 1 microg g(-1). Other seafood,
however, have mercury content which ranges from 0.1 to 0.2 microg
g(-1), usually below 0.5 microg g(-1). The primary source of human
exposure to environmental mercury is through seafood consumption.
Highest concentrations of methylmercury in predator fish from Tapajós compared with other rivers [2]
Kehrig
and colleaugues 2008 assessed the mercury assimilation by a predator
fish (Cichla spp.) of three Amazon rivers (Negro, Madeira, Tapajós) and
two hydroelectric reservoirs (Balbina, Tucuruí). The authors found
methylmercury concentrations varying from 0.04 to 1.43microgg(-1) w.w.,
growing accordingly to the fish body weight. The authors report that
methylmercury concentrations was highest in one of the two reservoirs
and in Rio Tapajós. The researchers associate this with gold mining and
deforestation of these sites.
Mercury concentration higher in predator fish from river Madeira, compared with those of Rio Negro [3]
Dórea
and Barbosa 2007 comparing mercury bioaccumulation in fish found that
herbivorous fish of the Amazon rivers Madiera and Rio Negro had lower
concentrations of mercury compared with predator fish. Mercury
concentration of herbivorous fish from both rivers were found not to
differ (2 – 182 ngHg/g), despite the difference of the mercury content
of these rivers.
Predator fish, at the top of the food chain
such as Hoplias malabaricus and Cichla spp presented concentrations of
80 to 747 ngH/g. Predator fish from the river Madeira showed higher
mercury concentrations than those of the Rio Negro. The authors stress
that the Rio Madeira has been greatly impacted by agriculture, alluvial
gold extraction, and a hydroelectric reservoir, whereas the Rio Negro
is much less affected by these activities.
Mercury in fish from Alaska [4]
Jewett
and Duffy 2007 reviewed data of methylmercury concentrations in fish.
It is the most toxic form of mercury. The authors found that most fish
had muscle Hg concentrations of < or =1 mg kg(-1) (wet wt.), which
is within the USFDA's Action Level and Alaska's guideline for safe
concentrations of MeHg in fish. Pacific salmon (Oncorhynchus spp.) was
found to have less than or equal to 0.1 mg kg(-1)) Hg concentrations.
Pacific halibut (Hippoglossus stenolepis) has a mercury content less
than 0.3 mg kg(-1) Hg. The authors stress, however, that Northern pike
(Esox lucius), a predator fish, has the highest Hg values, which often
exceedes guidelines for food consumption.
Mercury concentration in fish from Victoria Lake [5]
Campbell
and colleagues 2003 found total mercury concentrations in fish of the
Victoria Lake usually below permissible World Health Organization (WHO)
concentrations. However, Nile perch was found to have up to 200 ng/g
concentrations of total mercury, but is not being considered relevant
because this fish is rarely caught.
The total mercury
concentrations of water were below Canadian drinking water guidelines
but were higher then water of Great Lakes. Sediment and soil total
mercury concentration are comparable to those in northern latitudes and
lower than data of the Amazon basin. It is believed that important
total mercury sources of the region are biomass burning and soil
erosion, whereas gold mining in Tanzania is of less concern.
The authors recommends regular monitoring and risk assessment in the
catchments of Lake Victoria to insure human safety and protect the
nature of the Lake .
[1] Balshaw S, Edwards J, Daughtry B,
Ross K. Rev Environ Health: Mercury in seafood: mechanisms of
accumulation and consequences for consumer health. 2007
Apr-Jun;22(2):91-113.
http://www.ncbi.nlm.nih.gov/pubmed/17894202
[2]
Kehrig Hdo A, Howard BM, Malm O. Methylmercury in a predatory fish
(Cichla spp.) inhabiting the Brazilian Amazon. Environ Pollut. 2008
Jul;154(1):68-76.
http://www.ncbi.nlm.nih.gov/pubmed/18262700
[3]
Dórea JG, Barbosa AC: Anthropogenic impact of mercury accumulation in
fish from the Rio Madeira and Rio Negro rivers (Amazonia). Biol Trace
Elem Res. 2007 Mar;115(3):243-54.
http://www.ncbi.nlm.nih.gov/pubmed/17625245
[4]
Jewett SC, Duffy LK: Mercury in fishes of Alaska, with emphasis on
subsistence species. Sci Total Environ. 2007 Nov 15;387(1-3):3-27.
http://www.ncbi.nlm.nih.gov/pubmed/17825359
[5]
Campbell L, Dixon DG, Hecky RE: A review of mercury in Lake Victoria,
East Africa: implications for human and ecosystem health. J Toxicol
Environ Health B Crit Rev. 2003 Jul-Aug;6(4):325-56.
http://www.ncbi.nlm.nih.gov/pubmed/12775518
10.02.2010: Two or more soft drinks per week double pancreatic cancer risk [1]
Sugar-sweetened carbonated beverages and juices have a high glycemic load relative to other foods and beverages. Mark Pereira and colleagues 2010 write two or more soft drinks per week, but not juices, may increase the level of insulin in the body double the pancreatic cancer risk compared with persons which do not drink soft drinks. However limitations of this study are seen in the fact that soft drink consumption is often associated with overweight increase, smoking, red meat intake and reduced exercise and may not be sufficiently considered in this study.
Interestingly South Chinese population differ from European and Western population regarding the effect of nutrition health related issues. Increased BMI is a robust risk factor for type 2 diabetes. This, however is not valid for South Asians which have relatively low BMIs despite a high prevalence of type 2 diabetes. Odegaard and colleagues 2009 found that Singaporean Chinese with lean or normal BMI have an increased risk of type 2 diabetes. [2]
[1] Mueller NT, Odegaard A, Anderson K,
Yuan JM, Gross M, Koh WP, Pereira MA: Soft Drink and Juice Consumption
and Risk of Pancreatic Cancer: The Singapore Chinese Health Study.
Cancer Epidemiology, Biomarkers and Prevention. Doi:
10.1158/1055-9965.EPI-09-0862
http://www.ncbi.nlm.nih.gov/pubmed/20142243
[2]
Odegaard AO, Koh WP, Vazquez G, Arakawa K, Lee HP, Yu MC, Pereira MA.:
BMI and diabetes risk in Singaporean Chinese. Diabetes Care. 2009
Jun;32(6):1104-6.
http://www.ncbi.nlm.nih.gov/pubmed/19324946
The European Commission has been under heavy pressure of lobbies by the some agrarian organisations, certifiers and last, but not least, big supermarket chains. Taking organic food into the machinery of food industry promised new brands, new green image an a boost for sales volume. Strategists of their marketing and publicity department were.
A new logo for the EU organic food will be on all packaged organic foods in your supermarket in July 2010.

Remember: If you buy organic food from your supermarket you by packaged food which has grown in large monoculture, with high carbon foot prints. Certifiers also give certificates to food transported by aircraft.
Do not believe on what is behind this logo, it is not the original food grown on small farms embedded in a sound environment. It is not healthier than conventionally grown food, which has to be healthy by stringent food regulations. The food under this logo wrecks the subsistence of small farms
The true meaning of organic principles have mutated to mass production. A definition for an emerging food sector is presented here:
| Organic Food | For
supermarket products according the Organic Foods Production Act 1990,
sold by market corporations, Air transport and high carbon footprint. |
| Holistic food | For small farms and special stores selling original foods. Environmental friendly. Only localy produced foods. with low carbon footprint |
Original philosophy of organic food
The original ideas of ORGANIC food was the altruistic way of life to live in harmony with nature and not harm environment and animals. This way of life is still being followed by small original farms which must be protected against to allmighty retailers. The present SURVEY tries to establish a difference between ORGANIC FOOD from the supermarket and the traditional idea of an holistic way of life. This food deserves to be protected bearing a different denomination such as HOLISTIC FOOD.
[1] European Commission: We are very happy to present the winner that the European citizens chose!
http://ec.europa.eu/agriculture/organic/logo/index_en.htm
06.02.2010: Mobile phones link to cancer heats up a controversial discussion [1]
Myung and colleagues 2009 investigated the association between mobile phone use and tumor risk using a meta-analysis of 465 articles. They report that the use of cell phones was not significantly associated with the risk for tumors, compared with people who never or rarely used a cell phone. However, mobile phone use of 10 years or longer was associated with a risk of tumors according to 13 studies. The authors concluded that mobile phone use is linked to increased risk of tumors, stressing, however, the need of more studies on this subject.
Additional research is needed, says the National Cancer Institute [2]
According to the National Cancer Institute the exposure to high levels of RF energy can heat body tissue, but RF energy exposures from cellular telephones are too low to cause significant tissue heating. Studies have not shown any consistent link between cellular telephone use and cancer, but scientists feel that additional research is needed before firm conclusions can be drawn.
The meta-analisis from Myung and co-authors was criticized for having methodologic flaws and issues and a number of limitations.
Andreas Stang, MD, Andrea Schmidt-Pokrzywniak, PhD, and Oliver Kuss criticized some of the methodology in the meta-analysis, such as the use of the Newcastle-Ottawa Scale (NOS) to assess the quality of published case–control studies, whose the validity is unknown or doubtful. [3]
Rowley (GSM Association in London), and Milligan (Mobile Manufacturers Forum in Brussels deny any influence of the fundings of the industry on the scientific conduct of the INTERPHONE studies. [4]
Samkange-Zeeb and colleagues express their concern about the fact that Myung at al. solely relied on the Newcastle-Ottawa Scale for assessing the quality of the studies included in the meta-analysis. Samkange-Zeeb ends its letter urging Myung et al and other scientists intending to conduct meta-analyses or systematic literature reviews on mobile phone use and brain tumor risk to follow the suggestion made by Rothmann9 and explore the methodologic differences between studies intensively. [5]
Rejecting critics [6]
Myung and colleagues agree that the Newcastle-Ottawa Scale (NOS) is not an ideal quality assessment tool for case-control studies because it has not yet been fully validated. However, other checklists, including the National Health Service Centre for Reviews and Dissemination, the Meta-Analysis of Observational Studies in Epidemiology, and the Downs and Black checklist, have not been fully validated either. They conclude that theNOS is quite comprehensive for case-control studies, and was therefore chosen for the quality assessment by their study.
[1] Myung SK, Ju W, McDonnell DD, Lee YJ, Kazinets G, Cheng CT, Moskowitz JM.: Mobile phone use and risk of tumors: a meta-analysis. J Clin Oncol. 2009 Nov 20;27(33):5565-72. Epub 2009 Oct 13.
http://www.ncbi.nlm.nih.gov/pubmed/19826127
[2] National Cancer Instutute: Cellular Telephone Use and Cancer Risk.
http://www.cancer.gov/cancertopics/factsheet/Risk/cellphones
[3] Stang, A.;Schmidt-Pokrzywniak, A.; Kuss, O.: Arbitrary Results of a Meta-Analysis on Cancer Risks Among Mobile Phone Users. January 25, 2010. Journal of Clinical Oncology, Correspondece. Doi: 10.1200/JCO.2009.26.7443
http://jco.ascopubs.org/cgi/reprint/JCO.2009.26.7443v1
[4] Rowley, J.T; Milligan, M J.: Studies of Mobile Phone Use and Brain Tumor Risk Are Independent of Industry Influence. JCO Early Release, published online ahead of print Jan 25 2010
Journal of Clinical Oncology, Correspondence. Doi: 10.1200/JCO.2009.26.8136
http://jco.ascopubs.org/cgi/reprint/JCO.2009.26.8136v1
[5] Samkange-Zeeb F, Schüz J, Schlehofer B, Berg-Beckhoff G, Blettner M.: Comparison of Studies on Mobile Phone Use and Risk of Tumors. J Clin Oncol. 2010 Jan 25. Doi: 10.1200/JCO.2009.26.9084;
http://jco.ascopubs.org/cgi/reprint/JCO.2009.26.9084v1
[6] Myung SK, Ju W, McDonnell DD, Lee YJ, Kazinets G, Cheng CT, Moskowitz JM.: Reply to A. Stang et al, J.T. Rowley et al, and F. Samkange-Zeeb et al. J Clin Oncol. 2010 Jan 25. Doi: 10.1200/JCO.2009.26.8375
http://jco.ascopubs.org/cgi/reprint/JCO.2009.26.8375v1
06.02.2010: Diet rich in leafy green vegetables, folate and multivitamins may reduce gene methylation of smokers' lung cells [1]
Early detection of lung cancer by monitoring gene promoter hypermethylation events in sputum may lead to an early detection of the disease. Belinsky and colleagues 2010 evaluated the effect of diet and multivitamin on the prevalence of gene promoter methylation in cells of sputum of current and former smokers. The authors studied the promoter methylation of eight genes which are commonly silenced in lung cancer and associated with risk for this disease.
Diet rich in leafy green vegetables, folate and current use of multivitamin was found to provide a significant protection against methylation.
The addition of methyl groups, which are simple four atom molecules, to DNA can affect whether the gene is expressed, i.e., whether the gene's signal to produce a protein is actually sent. Many genes involved in critical cell functions, including cell division, are methylated in lung tumors. Gene methylation is likely to be a major mechanism in lung cancer development and progression, as well as a potential marker for the early detection of lung cancer.
The National Cancer Institute refers to considerable debate regarding the relationship between diet and cancer prevention. Previous studies, such as the Alpha-Tocopherol, Beta-Carotene Cancer Prevention (ATBC) Trial, showed an increased risk of lung cancer in smokers who took beta-carotene supplements. In contrast, the current study shows reduced gene methylation with the intake of multivitamin supplements that are rich in phytochemicals, such as vitamin C, carotenoids, lutein, folic acid, and vitamins A and K--the same agents present in leafy greens. Some studies suggest an association between a low folate intake and increased lung cancer risk in current and former smokers. Higher folate intake has been associated with lower methylation of genes in colorectal tumors as well. [2]
Belinski and co-authors recommend that lung cancer prevention interventions be developed that take into consideration the influence of dietary factors on cancer risk.
[1] Stidley CA, Picchi MA, Leng S, Willink R, Crowell R, Flores KG, Kang H, Byers T, Gilliland FD, and Belinsky SA. Multi-Vitamins, Folate, and Green Vegetables Protect Against Gene Promoter Methylation in the Aerodigestive Tract of Smokers. Cancer Res. 2010 Jan 15;70(2):568-74. Epub 2010 Jan 12.
http://www.ncbi.nlm.nih.gov/pubmed/20068159
[2] National Cancer Institute: Diet May Protect Against Gene Changes in Smokers. News, February 12, 2010.
http://www.cancer.gov/newscenter/pressreleases/Dietaryfactorslungcancer
04.02.2010: Patents on breath Cancer genes are unconstitutional and invalid, say two civil organisations [1]
The American Civil Liberties Union (ACLU) and the Public Patent Foundation (PUBPAT) filed a lawsuit charging that patents on two human genes associated with breast and ovarian cancer are unconstitutional and invalid.
The lawsuit was filed against the U.S. Patent and Trademark Office, as well as Myriad Genetics and the University of Utah Research Foundation, which hold the patents on the genes, BRCA1 and BRCA2. The lawsuit charges that patents on human genes violate the First Amendment and patent law because genes are "products of nature" and therefore can't be patented.
According to ACLU about 20 percent of our genes are patented. A gene patent holder has the right to prevent anyone from studying, testing or even looking at a gene. As a result, scientific research and genetic testing has been delayed, limited or even shut down due to concerns about gene patents.
The ACLU stresses that mutations along the BRCA genes are responsible for most cases of hereditary breast and ovarian cancers. The patents granted to Myriad give the company the exclusive right to perform diagnostic tests on the BRCA1 and BRCA2 genes and to prevent any researcher from even looking at the genes without first getting permission from Myriad.
[1] ACLU and PUBPAT Argue Today That Patents on Breast Cancer Genes Are Unconstitutional and Invalid. American Civil Liberties Union. 02.February 2010.
http://www.aclu.org/free-speech-womens-rights/aclu-and-pubpat-argue-today-patents-breast-cancer-genes-are-unconstitution
04.02.2010: Oregano oil may improve shelf-life of processed meat [1]
Scramlin and colleagues 2010 report that oxidation of the fat content and and the rate of colour change of the meat was significantly reduced by addition of a brine containing 0,5 per cent of oregano oil, during a storage of 11 days. Off-flavours in fresh meat was increased , and more work is needed to use of oregano oil to extend shelf-life of meat products.
The adverse effects of flavour may not be tolerable in fresh meat products at this concentration. The authors recommend to reduce the concentrations of oregano oil which could become a natural antioxidant in a variety of processed products.
[1] Scramlin, S.M.; Newman, M.C.; Cox, R.B.; Sepe, H.A.; Alderton, A.L.; O'Leary, J.; Mikel, W.B.: Effects of Oregano Oil Brine Enhancement on Quality Attributes of Beef Longissimus dorsi and Semimembranosus Muscles from Various Age Animals. Journal of Food Science. Doi: 10.1111/j.1750-3841.2009.01459.x
http://www3.interscience.wiley.com/journal/123268411/abstract
03.02.2010: Food-borne infections are decreasing in Europe [1]
Campylobacteriosis remained the most frequently reported zoonotic infection in humans across the European Union, with 190.566 cases notified in 2008 (down from 200.507 in 2007). In foodstuffs, Campylobacter, which can cause diarrhoea and fever, was mostly found in raw poultry meat. In live animals, Campylobacter was found in poultry, pigs and cattle. EFSA’s BIOHAZ Panel concludes that the handling, preparation and consumption of broiler meat may directly account for 20 to 30% of human cases of campylobacteriosis in the European Union. Campylobacteriosis is generally contracted through ingestion of bacteria originating from contaminated food or contaminated water. The disease which can lead to diarrhoea, abdominal cramps and fever affects children, young adults and the elderly.
Salmonella, the second most reported zoonotic infection in humans, decreased significantly for the fifth consecutive year, with131,468 cases in 2008 compared to 151.998 in 2007, representing a 13.5% decrease. It remained however the most frequent cause of food borne outbreaks. Salmonella was found most frequently in raw chicken, turkey and pig meat. In animal populations, an important decline of the Salmonella type Enteritidis –the type most frequently affecting humans[1] – was observed in laying hen flocks.
With 1.381 confirmed cases in 2008, Listeria infections showed a decrease of 11% compared to 2007. Although less frequent in humans compared to Campylobacter and Salmonella, Listeria is known to have a high mortality rate, the most affected being vulnerable groups such as the elderly. In foodstuffs, the study found Listeria above the legal safety limit in some ready-to-eat foods, mostly in smoked fish and heat-treated meat products and cheeses.
Q Fever increasing in Germany and The Netherlands [2]
Q fever is an infectious disease caused by the bacterium Coxiella burnetii that affects both animals and humans. It has been reported to be present in a wide range of species, including cattle, sheep and goats, as well as birds and arthropods in many areas in the world.
It was first recognised as a disease transmissible from animals to humans in abattoir workers in 1935 in Australia. In recent years, the number of confirmed cases in humans increased, in particular in Germany and The Netherlands.
Coxiella burnetii does not usually cause clinical diseases in animals, although abortion in goats and sheep has been linked to infection with this bacterium. In humans, Q fever may cause flu-like symptoms, including fever and headache, diarrhea and vomiting. In some cases it can cause pneumonia and hepatitis. Chronic Q fever (characterized by an infection lasting more than 6 months) is uncommon but a much more serious disease with complications such as inflammation of the inner lining of the heart (endocarditis).
Most human infections result from the inhalation of dust contaminated with bacteria from the placenta and birth fluids or faeces from infected animals. In some cases the disease can be transmitted by the consumption of contaminated milk or contact with infected animals, especially animals that are giving birth. Other modes of transmission, including tick bites and human to human transmission are extremely rare.
[1] EFSA and ECDC issue 2008 report on zoonoses and food-borne outbreaks in the EU
http://www.efsa.europa.eu/en/press/news/zoonoses100128.htm
[2] Q fever. EFSA
http://www.efsa.europa.eu/en/ahawtopics/topic/qfever.htm?
03.02.2010: Thiacloprid in strawberries [1]
Bayer CropScience B.V made an application to modify the existing MRL for the active substance thiacloprid in strawberries, raising the existing MRL in strawberries from 0,5 mg/kg to 1,0 mg/kg.
Residue field trials indicate that a higher EC MRL of 0,7 mg/kg for strawberries would be necessary to accommodate the intended use of thiacloprid.
EFSA concluded that no significant residues are expected provided that thiacloprid is applied according to the intended use. Residues in commodities of animal origin were not assessed in the framework of this application since the crop under consideration is not a livestock feeding item. Therefore the EFSA proposes the EC MRL of 0,7 mg/kg of thiacloprid in strawberries.
[1] Reasoned opinion of EFSA: Modification of the existing MRL for thiacloprid in strawberries. EFSA 02.02.2010.
http://www.efsa.europa.eu/en/scdocs/doc/1498.pdf
03.02.2010: “Hero Baby” brand baby milk contaminated with Enterobacter sakazakii [1]
KUWAIT: The Kuwait Municipality has ordered the withdrawal of the 'Hero Baby' brand of baby milk formula from co-operative societies. Traces of the potentially fatal 'entro bacter sakazakii' bacteria were found in these products, announced Head of the Imported Food Department, Khalid Al-Zahmoul.
This decision was based on similar moves made by the United Arab Emirates (UAE) and Saudi Arabia, which have banned the sale of this product in their markets, reported Al-Watan. Officers from the Municipality were referred to warehouses in order to ensure that the distribution process is halted. This is in addition to taking samples to be tested for traces of bacteria.
[1] Order to withdraw of baby milk. Kuwait Times 03 February 2010.
http://www.kuwaittimes.net/read_news.php?newsid=NzkxMTE0NjY2
02.02.2010: Oats may improve vitamin and minerals nutritional profile of gluten-free diet [1]
Oats may enhance levels of vitamin B1, magnesium, zink and antioxidants of gluten-free diets, according to Kemppainen and colleagues 2010. In this study 100g of kilned and unkilned oats a day were included in the diet of adult celiac patients in remission.
Kilning is a heat and moisture treatment to balance moisture, but mainly to stabilize the groat. Oat groats are high in fat (lipids) and once exposed from their protective hull, enzymatic (lipase) activity begins to break down the fat into free fatty acids, ultimately causing an off flavor or rancidity. Oats will begin to show signs of enzymatic rancidity within 4 days of being dehulled and not stabilized.
The researchers report that kilned oats increased intake of vitamin B1 and magnesium, while the unkilned oats increased intakes of magnesium and zinc.
Oats ay be acceptable for patients with celiac disease and can improve the nutritional quality of the diet. However, concerns of potential contamination of commercial oats with gluten containing cereals.
Oats as antioxidants source [2]
Lovik and colleagues 2010 write that gluten-free oats help to meet the fibre recommendations of glute-freediets. It also increased billirubin levels, which act as antioxidants.
Low serum bilirubin levels are linked to endothelial dysfunction and increased atherosclerosis. This could significantly improve heart health of coeliac diseased.
[1] Kemppainen TA, Heikkinen MT, Ristikankare MK, Kosma VM, Julkunen RJ.: Nutrient intakes during diets including unkilned and large amounts of oats in celiac disease. Eur J Clin Nutr. 2010 Jan;64(1):62-67. Doi:10.1038/ejcn.2009.113
http://www.ncbi.nlm.nih.gov/pubmed/19756027
[2} Lovika, Astrid; Gjoenb, ; Morkridc, Lars; Guttormsend, Vigdis; Uelande, Thor ,Lundinaf, Knut E.A.: Oats in a strictly gluten-free diet is associated with decreased gluten intake and increased serum bilirubin. Volume 4, Issue 6, Pages e315-e320 (December 2009). European Society for Clinical Nutrition and Metabolism.
http://www.journals.elsevierhealth.com/periodicals/yeclnm/article/PIIS1751499109000791/abstract
02.02.2010: Calcium Plus Vitamin D Supplements May Reduce Fracture Risk [1]
A report of the DIPART (Vitamin D Individual Patient Analysis of Randomized Trials) Group says that Vitamin D plus calcium, but not vitamin D alone in doses of 10 to 20 μg, reduces the risk for fractures and hip fractures. The link between vitamin D plus calcium and a reduced risk for fractures is not affected by age, sex, fracture history, or hormone replacement therapy. A better undestanding of the effect od vitamin D is essential because fragility fractures are a significant source of morbidity and mortality in older persons.
[1] Patient level pooled analysis of 68 500 patients from seven major vitamin D fracture trials in US and Europe. DIPART (Vitamin D Individual Patient Analysis of Randomized Trials) Group. 2010 Jan 12;340:b5463. doi: 10.1136/bmj.b5463.BMJ.
http://www.ncbi.nlm.nih.gov/pubmed/20068257?dopt=Abstract
01.02.2010: Sibutramine linked to heart attack and strokes [1]
The Sibutramine Cardiovascular OUTcomes (SCOUT) Trial
The SCOUT trial has been designed to determine the impact of weight loss with sibutramine on cardiovascular endpoints in a large group of overweight and obese subjects at high risk for cardiovascular disease. Sibutramine is a neurotransmitter inhibitor and belongs to the family of amphetamines. It reduces appetite and cravings hence leading to weight loss. However, it must be supported by a healthy diet and regular exercise.
Results from the SCOUT study indicating cardiovascular events occurred in 11.4% of patients using sibutramine compared to 10% of patients using a placebo. This difference was higher than expected, suggesting that sibutramine was associated with an increased cardiovascular risk in the study population. The study reviewed by FDA indicate that the increased risk for cardiovascular events with sibutramine occurred only in patients with a history of cardiovascular disease.
The use of Sibutramine is authorised in the EU since 1999. New concerns arise after the release of the Sibutramine Cardiovascular OUTcomes (SCOUT) trial. Weight reducing medicines containing Sibutramine are Reductil, Reduxade and Zelium and other tradenames in Europe, and Meridia in the United States. Sibutramine could increase blood pressure and heart rate.
FDA reviewing safety of sibutramine [2]
The FDA is reviewing preliminary data from a recent study suggesting that patients using sibutramine have a higher number of cardiovascular events (heart attack, stroke, resuscitated cardiac arrest, or death) than patients using a placebo.
The additional data from the SCOUT study reviewed by FDA indicate that the increased risk for cardiovascular events with sibutramine occurred only in patients with a history of cardiovascular disease [3].
The European Medicines Agency (EMEA) urges ban on a weight loss pill containing sibutramine, which are sold under the names Reductil, Reduxade and Zelium in Europe and Meridia in the United States over fears that it could increase the risk of heart attacks and strokes.
Acording to EMEA, data of the SCOUT study indicate an increased risk of serious cardiovascular events, such as stroke or heart attack, with medicines containing sibutramine [4].
Abbott will suspend the marketing of Abbott medicines under the brand names Reductil, Merindia, Sibutral, Ectiva and Raductil, containing sibutramine in all EU member Countries, Iceland and Norway. Sibutramine remains available outside the EU. Abbott followed the recommendations of the Committee for Medicinal Products for Human Use (CHMP) of the European Medicine Agency (EMA), after evaluation of data of the SCOUT study [5].
[1] ESH '07: Blood Pressure Effects of Sibutramine in Hypertensive Patients: The SCOUT Trial
Medscape.
http://www.medscape.com/viewarticle/561243_3
[2] Early Communication about an Ongoing Safety Review of Meridia (sibutramine hydrochloride), (U.S. Food and Drug Administration), November 20, 2009
http://www.fda.gov/Drugs/DrugSafety/ucm191650.htm
[3] Follow-Up to the November 2009 Early Communication about an Ongoing Safety Review of Sibutramine, Marketed as Meridia. U.S. Food and Drug Administration, January 21. 2010.
http://www.fda.gov/Drugs/DrugSafety/ucm198206.htm
[4] European Medicines Agency recommends suspension of marketing authorisations for sibutramine. Weight-loss medicine associated with increased risk of cardiovascular events to be removed from all markets in the European Union. authorisations for 21 January 2010
http://www.ema.europa.eu/pdfs/human/referral/sibutramine/3940810en.pdf
[5] Abbott to Suspend Marketing of Obesity Medicine Sibutramine in European Union Countries. Abbot News.
https://www.abbott.se/media/pdf/Sibutramine-news-release-01-21-10.pdf
01.02.2010: Sibutramine linked to heart attack and strokes [1]
The SCOUT Trial
Results from the SCOUT study indicating cardiovascular events occurred in 11.4% of patients using sibutramine compared to 10% of patients using a placebo. This difference was higher than expected, suggesting that sibutramine was associated with an increased cardiovascular risk in the study population. The study reviewed by FDA indicate that the increased risk for cardiovascular events with sibutramine occurred only in patients with a history of cardiovascular disease.
The use of Sibutramine is authorised in the EU since 1999. New concerns arise after the release of the Sibutramine Cardiovascular OUTcomes (SCOUT) trial. Weight reducing medicines containing Sibutramine are Reductil, Reduxade and Zelium and other tradenames in Europe, and Meridia in the United States. Sibutramine could increase blood pressure and heart rate.
According to the European Medicines Agency (EMEA) data of the SCOUT trial are so alarming that the Agency urges to impose a ban on a weight loss pill containing sibutramine. The Agency advises doctors not to use sibutramine-containing medicines in patients with coronary artery disease, congestive heart failure, peripheral arterial occlusive disease, arrhythmia and cerebrovascular disease (stroke or transient ischemic attack). [2]
Abbot says that it will comply with the recommendations of the Committee for Medical Products for Human Use (CHMP) and suspend the marketing of abbot medicines containing sibutramine in all European Union member countries, Iceland and Norway. Outside the EU, sibutramine remains available. [3]
Food and Drug Administration said that the drug increased the chances of a heart attack or stroke for people with cardiovascular disease. [4]
[1] ESH '07: Blood Pressure Effects of Sibutramine in Hypertensive Patients: The SCOUT Trial
Medscape.
http://www.medscape.com/viewarticle/561243_3
[2] European Medicines Agency updates on ongoing safety review of sibutramine
Weight-loss medicine assessed over cardiovascular concerns. 18 December 2009.
http://www.ema.europa.eu/pdfs/general/direct/pr/81787609en.pdf
[3] Abbott to Suspend Marketing of Obesity Medicine Sibutramine in European Union Countries. Abbot Park III. January 21, 2010
https://www.abbott.se/media/pdf/Sibutramine-news-release-01-21-10.pdf
[4] Follow-Up to the November 2009 Early Communication about an Ongoing Safety Review of Sibutramine, Marketed as Meridia. See the FDA Release Here