UM researchers identify protein linked to heart failure in chemo patients: Finding could save millions of lives | Canada News Media
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UM researchers identify protein linked to heart failure in chemo patients: Finding could save millions of lives

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November 4, 2022 — 

A team led by Dr. Lorrie Kirshenbaum from the Rady Faculty of Health Sciences and St. Boniface Hospital Research has identified a protein called TRAF2 that stops functioning in cancer patients taking the chemotherapy drug doxorubicin, which can result in heart failure.

“The finding could lead to new drugs that save cancer patients,” said Kirshenbaum, lead investigator and UM Canada Research Chair in molecular cardiology and director of the Institute of Cardiovascular Sciences, St. Boniface Hospital Albrechtsen Research Centre.

Dr. Lorrie Kirshenbaum

While doxorubicin is used to treat many types of cancer, particularly breast and ovarian cancer, some patients who receive the drug develop heart problems that lead to heart failure.

Using a variety of state-of-the-art approaches, the researchers discovered that doxorubicin impairs the activity of TRAF2 in the heart which leads to heart failure. The team also showed that interventions that restored the TRAF2 activity suppressed the unwanted side effects and heart failure induced by doxorubicin treatment.

“This is a significant finding that we are very excited about,” said Kirshenbaum, professor of physiology & pathophysiology and pharmacology & therapeutics, Max Rady College of Medicine, University of Manitoba. “We discovered that TRAF2 was consistently down-regulated in cancer patients with heart failure who had received doxorubicin treatment. Our pre-clinical study showed that by restoring TRAF2, we could prevent injury to the heart muscle and heart failure induced by doxorubicin.”

The results of the study, titled Proteasomal Degradation of TRAF2 Mediates Mitochondrial Dysfunction in Doxorubicin-Cardiomyopathy, were published in the American Heart Association’s cardiac journal Circulation, the top journal for cardiovascular medicine.

Kirshenbaum said the research has revealed a novel cellular pathway that connects the loss of TRAF2 to the undesirable cardiotoxic effects of doxorubicin that could lead to new ways to completely eliminate this unwanted side-effect in millions of cancer patients.

“Essentially, we’re talking about the difference of the heart tissue surviving unscathed versus experiencing premature and irreversible cell damage as a result of these powerful cancer-treating drugs,” said Dr. Richard Kitsis, professor of medicine and cell biology, director, Wilf Family Cardiovascular Research Institute, Albert Einstein College of Medicine in New York. “Enhancement of TRAF2 function in the heart may provide a novel therapeutic approach.”

Kirshenbaum and his team are currently working on new therapies and drugs that could be used to prevent cardiac injury in cancer patients undergoing doxorubicin treatment.

Dr. Peter Nickerson, UM vice-provost (health sciences), and dean of the Rady Faculty of Health Sciences, said he’s excited about the study and prospects of new therapies that could improve patient care.

“This study builds upon Dr. Kirshenbaum’s leadership in cardiovascular sciences globally, and importantly, it reflects the high calibre of CIHR funded research at the Rady Faculty of Health Sciences and St. Boniface Hospital Albrechtsen Research Centre,” Nickerson said.

The research was supported by a foundation grant to Kirshenbaum from the Canadian Institutes of Health Research and St. Boniface Hospital Foundation.

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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