Screening tools to detect lung, heart disease developed by two high school students

Two Michigan high school students, sisters Ilina and Medha Krishen, have developed screening tools using electronic stethoscopes to detect lung and heart disease. The sisters will present their findings at CHEST 2014 in Austin, Texas next week. Credit: The Krishen family

Two Michigan high school students, sisters Ilina and Medha Krishen, have developed screening tools using electronic stethoscopes to detect lung and heart disease. The sisters will present their findings at CHEST 2014 in Austin, Texas next week.

Ilina Krishen became aware of the dangers of smoking and chemical air pollution when she saw the effects of lung disease on family members. Curious to find a way to detect early lung damage in people exposed to noxious air pollutants, Ilina, a high school senior at Port Huron Northern High School in Michigan, developed a screening mechanism using an electronic stethoscope. An electronic stethoscope overcomes the problem of low sound levels by electronically amplifying body sounds, using an electromagnetic diaphragm that captures the diaphragm movement as an electrical signal.

Ilina recruited 16 smokers, 13 firefighters, and 25 nonsmokers for her test. The electronic stethoscope recorded one breath cycle from each volunteer. Frequency peaks were used to analyze the frequency distribution of breath sounds. Differences of peaks above 125 Hz were analyzed.

Ilina found that the number of peaks was significantly higher in smokers and firefighters, even if the firefighters were nonsmokers. She realized that although firefighters wear protective masks when fighting fires, they often do not wear masks when making a second check of the building after the fire is out. "The firefighters are exposed to many poisonous chemicals that remain in the air after the fire has gone out," said Ilina. "Screening with an electronic stethoscope may be able to detect early changes in lung function in individuals without symptoms of lung disease."

Medha Krishen, Ilina's sister and a junior at Port Huron Northern High School, also presented a study that used an electronic stethoscope to screen student athletes for hypertrophic cardiomyopathy (HCM).

Medha studied 13 individuals: 10 with a normal cardiac sports physical and three with a diagnosis for HCM. Heart sounds were recorded in 5-second periods while the athletes were lying down, standing, and after exercise. Frequency peaks of a frequency amplitude plot were analyzed. Studies showed a significant difference in the distribution of frequency peaks in the two groups between the lying down position and after exercise. Normal athletes showed a lower percentage of peaks above 131 Hz after exercise, while the athletes at risk showed a rise in frequency peaks following exercise.

"When I was in fifth grade, a family friend died after exercise, and I always wanted to learn more about how to prevent something like that happening," said Medha. "My study analyzing heart sound frequencies may be a useful technique that school staff could use to screen for HCM."

The sisters are both athletes -- Ilina is a varsity tennis player, and Medha is an accomplished figure skater -- and they take a personal interest in the health of athletes. They are also nonsmokers and hope to encourage others not to smoke. After Ilina completed her study and showed her study subjects the results of her tests "two or three of the smokers have quit smoking, and that makes me feel good," says Ilina.

Source: American College of Chest Physicians

Mode of action of protein channelrhodopsin-2 decoded: Findings facilitate manufacture of optogenetic tools

The pore of the ion channel is opened by removing the amino acid E90. Water molecules enter and tilt Helix H2, thus opening the continuous channel. Credit: © RUB, graphics: Eisenhauer

Researchers have shed light upon the mode of action of the light-controlled channelrhodopsin-2 with high spatiotemporal resolution. This biomolecule is used in optogenetic applications, which is deployed to control the activity of living cells with light.

"The model we developed makes it possible to create customised optogenetic tools for individual applications," says Prof Dr Klaus Gerwert from the Department of Biophysics at the Ruhr-Universität Bochum. Together with colleagues at the Humboldt Universität zu Berlin from the team headed by Prof Dr Peter Hegemann, the Bochum researchers report about their finding in the magazine "Angewandte Chemie."

Channelrhodopsin-2 has revolutionised optogenetics

Discovered by Peter Hegemann in green algae, channelrhodopsin-2 is the central light-activated channel protein in optogenetics. If this ion channel is applied to nerve cells, the channels can be opened by light, thus activating the cell. "The application of channelrhodopsin-2 in optogenetics has revolutionised neurobiology in the recent years," says Klaus Gerwert. The magazine "Nature Methods" awarded this process as "Method of the Year" in 2010. "However, scientists had not been aware of what is actually happening inside a protein and thus ultimately triggers its activation," continues the Bochum researcher. But it is the understanding of processes on the atomic level that is essential for optimising the protein specifically for its applications.

"EHT" model describes the mode of action of channelrhodopsin-2

With time-resolved vibrational spectroscopy and bio-molecular simulations, the Bochum-Berlin team has now closed that gap. The EHT (E90-Helix2-tilt) model describes the mode of action of channelrhodopsin-2 as follows: the light-sensitive group of the protein, i.e. the retinal, is twistedunder incidence of light. This twist then continues in the protein and opens a pore ultra fast, which is closed by amino acid E90 in the dark. E90 marks the narrowest place in the pore and opens it through a downward move , similar to the motion of a swing door, so that water can enter an empty vestibule above the narrowest place in the pore. The entering water then tilts the protein helix H2, which eventually triggers a protein-traversing open ion channel. When forming this model, the Bochum researchers benefitted from their comprehensive experience that they had gained resolving the mechanism of light-driven proton pump bacteriorhodopsin in detail.

"Protein engineering": pioneering novel optogenetic tools

"With this structural model, the next step, i.e. protein engineering, will become possible," explains Klaus Gerwert. Through mutation of the amino acid E90, the protein's properties can be controlled in a targeted manner. The conductivity or the selectivity for certain ions could be customised for specific applications, and the protein could be specifically activated with different wavelengths.

Source: Ruhr-Universitaet-Bochum

2014 Antarctic ozone hole holds steady

This image shows ozone concentrations above Antarctica on Sept. 11, 2014. Credit: NASA

The single-day maximum area was similar to that in 2013, which reached 24.0 million square kilometers (9.3 million square miles). The largest single-day ozone hole ever recorded by satellite was 29.9 million square kilometers (11.5 million square miles) on Sept. 9, 2000. Overall, the 2014 ozone hole is smaller than the large holes of the 1998-2006 period, and is comparable to 2010, 2012, and 2013.

With the increased atmospheric chlorine levels present since the 1980s, the Antarctic ozone hole forms and expands during the Southern Hemisphere spring (August and September). The ozone layer helps shield life on Earth from potentially harmful ultraviolet radiation that can cause skin cancer and damage plants.

The Montreal Protocol agreement beginning in 1987 regulated ozone depleting substances, such as chlorine-containing chlorofluorocarbons and bromine-containing halons. The 2014 level of these substances over Antarctica has declined about 9 percent below the record maximum in 2000.

"Year-to-year weather variability significantly impacts Antarctica ozone because warmer stratospheric temperatures can reduce ozone depletion," said Paul A. Newman, chief scientist for atmospheres at NASA's Goddard Space Flight Center in Greenbelt, Maryland. "The ozone hole area is smaller than what we saw in the late-1990s and early 2000s, and we know that chlorine levels are decreasing. However, we are still uncertain about whether a long-term Antarctic stratospheric temperature warming might be reducing this ozone depletion."

Scientists are working to determine if the ozone hole trend over the last decade is a result of temperature increases or chorine declines. An increase of stratospheric temperature over Antarctica would decrease the ozone hole's area. Satellite and ground-based measurements show that chlorine levels are declining, but stratospheric temperature analyses in that region are less reliable for determining long-term trends.

Scientists also found that the minimum thickness of ozone layer this year was recorded at 114 Dobson units on Sept. 30, compared to 250-350 Dobson units during the 1960s. Over the last 50 years satellite and ground-based records over Antarctica show ozone column amounts ranging from 100 to 400 Dobson units, which translates to about 1 millimeter (1/25 inch) to 5 millimeters (1/6 inch) of ozone in a layer if all of the ozone were brought down to the surface.

The ozone data come from the Dutch-Finnish Ozone Monitoring Instrument on NASA's Aura satellite and the Ozone Monitoring and Profiler Suite instrument on the NASA-NOAA Suomi National Polar-orbiting Partnership satellite. NOAA measurements at South Pole station monitor the ozone layer above that location by means of Dobson spectrophotometer and regular ozone-sonde balloon launches that record the thickness of the ozone layer and its vertical distribution. Chlorine amounts are estimated using NOAA and NASA ground measurements and observations from the Microwave Limb Sounder aboard NASA's Aura satellite.

NASA and NOAA are mandated under the Clean Air Act to monitor ozone-depleting gases and stratospheric depletion of ozone. Scientists from NASA and NOAA have been monitoring the ozone layer and the concentrations of ozone-depleting substances and their breakdown products from the ground and with a variety of instruments on satellites and balloons since the 1970s. These observations allow us to provide a continuous long-term record to track the long-term and year-to-year evolution of ozone amounts.

Source:  NASA/Goddard Space Flight Center

Expect higher grass pollen, allergen exposure in coming century

A study provides the first evidence that pollen production is significantly stimulated by elevated carbon dioxide in a grass species as a result of climate change, which may have significant impact on human health. Credit: UMass Amherst

Results of a new study by scientists at the University of Massachusetts Amherst strongly suggest that there will be notable increases in grass pollen production and allergen exposure up to 202 percent in the next 100 years, leading to a significant, worldwide impact on human health due to predicted rises in carbon dioxide (CO2) and ozone (O3) due to climate change.

While CO2 stimulates reproduction and growth in plants, ozone has a negative impact on plant growth, the authors point out. In this study in Timothy grass, researchers led by environmental health scientist Christine Rogers of the UMass Amherst School of Public Health and Health Sciences (SPHHS) determined the interactive effects of CO2 and ozone at projected higher levels on pollen production and concentrations of a Timothy grass pollen protein that is a major human allergen. Findings are reported in the current issue of PLOS ONE.

Rogers and plant science colleagues at UMass Amherst, with postdoctoral researcher and first author Jennifer Albertine, write, "The implications of increasing CO2 for human health are clear. Stimulation of grass pollen production by elevated CO2 will increase airborne concentrations and increase exposure and suffering in grass pollen-allergic individuals."

Rogers notes that, "This is the first evidence that pollen production is significantly stimulated by elevated carbon dioxide in a grass species and has worldwide implications due to the ubiquitous presence of grasses in all biomes and high prevalence of grass pollen allergy. These results are similar to our other studies performed in other highly allergenic taxa such as ragweed but with more extreme outcomes and wider impacts."

For these experiments, the researchers exposed grass plants in specially designed continuously stirred tank reactor chambers that allow researchers to expose plants to different atmospheric gas concentrations. They established four experimental atmospheric treatments:

• control, current atmosphere (30 ppb O3 and 400 ppm CO2)
• elevated O3, current CO2 (80 ppb O3, 400 ppm CO2)
• current O3, elevated CO2 (30 ppb O3, 800 ppm CO2)
• elevated O3, elevated CO2 (80 ppb O3, 800ppm CO2)

At the appropriate plant development stage, Albertine and colleagues bagged flowers, captured and measured pollen amounts and extracted the allergen protein Phl p 5 from pollen samples for measurement by enzyme-linked immunosorbent assay (ELISA).

They found that elevated CO2 of 800 ppm, increased pollen production per flower by 53 percent while the different ozone levels had no effect on the amount of pollen produced. There was also a trend of increased number of plants flowering in response to elevated CO2 further increasing pollen production up to 200 percent. While elevated ozone did decrease the Phl p 5 allergen content in pollen, "the strong CO2-stimulation of pollen production suggests increased exposure to Timothy grass allergen overall," even if O3 projections are realized, the authors note.

They add that the health implications of increased ozone are "more complex" because higher levels of this greenhouse gas irritate mucous membranes and worsen the allergic airway response. Projected ozone increases "would likely elicit negative respiratory health effects independent of any health effects as a result of increased pollen by elevated CO2."

Source:  University of Massachusetts at Amherst