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February 2006 Issue

Reduced NIH Budget Will Impact Research
The Leptin Connection: Obesity and Breast Cancer
Italians Lead EU in Use of Alternative Therapies
Hope Against Multiple Sclerosis
A Question for Judge Alito

   
         

Reduced NIH Budget Will Impact Research

By Ilene Raymond
SHPress Editor-in-Chief
February 1, 2006


Fewer federal dollars for scientific research will mean more competition for already scarce biomedical grants in fiscal year 2006.

Last December, the U.S. Congress approved a modest increase in appropriations for the National Institutes of Health (NIH), the primary government agency that funds biological and medical research. But an across the board cut of one percent imposed by President Bush reduced the NIH budget to $28.6 billion.

The result is that in fiscal year 2006, NIH research funds will grow by .05 percent, the smallest increase in 36 years, and .01 percent below that of 2005.

When adjusted for inflation, the 2006 budget falls below that of 2003, the first time in 24 years that the NIH Research and Development portfolio drops behind inflation.

"This will come as a shock to biomedical researchers, who haven't seen a declining NIH budget since 1970," says Koi Koizumi, head of research and development at the American Administration for the Advancement of Science (AAAS). "With NIH already committed to funding 2006 installments of previously awarded grants, new grants could fall dramatically."

"New ideas will not be funded," says Koizumi. "Even successful researchers will find that grants are smaller and shorter."

One example of this decline, cited in an AAAS report, can be seen in the National Cancer Institute, whose grant acceptance rate is expected to drop to one in 5 (19%) from a high of 33 percent in 1998.

"Nationally, we are going to see a real drop in the advancement of science," says Steven Goldstein, Ph.D., professor of orthopedics and former dean of research at the University of Michigan Medical School.

Goldstein expects peer review panels to lean towards more conservative projects at the cost of more risky, experimental research. Fallout may also include a drop in innovative biotechnologies that have led to profitable commercialization.

"If that happens, the NIH cuts could affect not only medical progress, but the larger economy," says Goldstein.

While all researchers will be pressured to produce competitive grant proposals, newly hired professors and post-docs may suffer the most from the downturn in NIH funding. Without a proven track record, young scientists may find the funding wells dry.

"Fewer grants mean fewer doctors," says Ken Soprano, Vice President of Technology and Scientific Research at Temple University, who notes that as funding becomes more difficult, young people could be "driven out of research."

Goldstein agrees. "When post-docs and trainees see scientists struggling with funds, they may no longer find science an attractive career."

The reduced allocations will also raise tough ethical questions on which research to fund.

"These are real cuts that will delay medical progress and deny hope," says David Moore, the Executive Director of the AdHoc Group for Medical Funding, a coalition who had proposed a six percent increase in the fiscal year 2006 budget and is leading a fight against future cuts.

"Clearly it's a time of conflicting priorities," says Moore. "But it's not the time to begin lagging in our country's commitment to medical research, which benefits every American."

For more specifics on the FY2006 NIH budget see:
http://www.aaas.org/spp/rd/nih06f.htm

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February 2006 Issue


The Leptin Connection: Obesity and Breast Cancer

By Ilene Raymond
Editor-in-Chief
February 1, 2006


Maintaining a healthy weight may reduce a woman's chances of developing breast cancer. By contrast, obesity can double the risk.

While researchers have yet to figure out the molecular connection between extra pounds and breast cancer, one possible explanation may lie in leptin, a hormone produced by fat cells. Leptin levels are significantly elevated in obese individuals and are higher in women than in men. Although leptin primarily acts in the brain, working to regulate food intake and balancing energy, leptin is also important for normal development of the breast and in lactation.

In a two-year study supported by the W.W. Smith Charitable Trust, Eva Surmacz, Ph.D., an associate professor of biology at the Sbarro Institute for Cancer Research and Molecular Medicine, will investigate the molecular role of leptin in breast cancer.

"One critical question we want to address is why breast cancer tissue contains more leptin and leptin receptors then a normal breast," she says. "What are the factors that induce this expression and are these factors associated with obesity?"

In prior investigations of leptin and breast cancer, Surmacz noted that leptin increases the growth of breast cancer cells and reduces cell death, creating resistance to anti-cancer drugs. Her latest observations link high leptin levels to highly aggressive tumors.

"Eventually, we would like to target leptin in the breast with anti-leptin drugs," says Surmacz. "In cases where obesity is an issue, using anti-obesity drugs could help reduce leptin and improve breast cancer treatment."

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February 2006 Issue


Italians Lead EU in Use of Alternative Therapies

By Pierpaolo Basso
SHPress Editor
February 1, 2006


Three-quarters of Italian cancer patients employ complementary alternative medicine (CAM) in addition to traditional therapies, according to a Europe wide study led by the University of Manchester and published in the Annals of Oncology. Rates of usage ranged from under 15 percent in Greece to the high of Italy.

The survey found that CAM users were often female, young and highly educated, while those with the poorest prognoses used CAM more often than other patients. Most used CAM to combat the side effects of traditional treatments, including nausea, stress or pain. Treatments included herbal therapies, homeopathy, medicinal teas and acupuncture.

Given the popularity of CAM in Italy, the Italian Institute of Health has prepared a manual to advise citizens on the safe use of these therapies.

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February 2006 Issue


Hope Against Multiple Sclerosis

by Pierpaolo Basso
SHPress Editor
February 1, 2006


Italian researchers report that a blockade of leptin, a hormone mainly produced by fat tissue, slows the onset and progression of experimental autoimmune encephalomyelitis (EAE), an animal model of human multiple sclerosis (MS). In a study published in the Journal of Clinical Investigation, Giuseppe Matarese and colleagues from the Universita di Napoli "Federico II" found that leptin neutralization may prove a potential way to prevent and treat MS.

MS is an autoimmune disease in which the body's T-cells attack myelin, a protective fatty substance that sheathes nerves of the central nervous system. Without this protection, signals from the brain to the body are slowed or blocked, resulting in symptoms that can affect memory, vision, and muscle coordination.

Materese used two approaches: to starve mice to stave off leptin production and to neutralize leptin secretion by treating mice with anti-leptin neutralizing antibodies. In both cases EAE development was significantly inhibited by the subsequent production of anti-inflammatory cytokines, proteins which prevent and regulate organ-specific autoimmune diseases.

While Materese cautions that it will that it will take three to five years to determine the effect of leptin blockage on MS, the animal results provide a path for the development and testing of new leptin-based therapies for potential treatment of MS.

In recognition of his research, Materese was awarded the 2005 Rita Levi Montalcini Award, named for the Italian scientist who won the 1986 Nobel Prize.

For more see:
Giuseppe Matarese, et.al. "Leptin neutralization interferes with pathogenic T cell autoreactivity in autoimmune encephalomyelitis." J. Clin. Invest., Jan 2006; doid:10.1172/JCI26523
www.jci.org

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February 2006 Issue


A Question for Judge Alito

By Antonio Giordano
President: SHRO
February 1, 2006


Over the past two days, the inquiries posed to Judge Samuel Alito during his Senate hearings for Supreme Court confirmation have hit a variety of topics - the death penalty, abortion, and the unilateral power of the Presidency. Lurking beneath these political hot buttons is another important question - the effect of his appointment on scientific progress and discovery.

Like most other Italian-Americans, the nomination of Mr. Alito to the Court filled me with pride. After all, for one of 'our own' to be so honored is certainly cause for celebration. And yet, as Italian-Americans, I strongly believe that we should go beyond the point where a shared nationality makes the person 'right' for the job.

In other words, I want to approve of Mr. Alito on his merits.

Clearly, Mr. Alito - a graduate of Princeton and Yale -- possesses excellent academic and legal qualifications, and, as his hearings have shown, the patience and temperament to sit on the high Court. But as I read and listened to news reports on Mr. Alito's past, several points caught my attention. I worried about Mr. Alito's stands against quotas for minorities, the same quotas that once helped Italian-Americans enter his alma maters. I wondered about Mr. Alito's likelihood to argue against Presidential power at a time when the government engaged in wiretapping its citizens.

What most concerned me was Mr. Alito's refusal to talk about his present position on abortion. His history is public: As an attorney in the Reagan administration, he wrote a memo against abortion, while as a judge in Pennsylvania, he supported a ruling requiring a wife to notify her husband before she could receive the procedure.

That was the past. Yet when pressed to talk about his current beliefs, he refused. I understood his reasons: the issue was sure to come before the Court; he wanted to keep an open mind.

Still, I wanted more.

A practicing Catholic, I share Mr. Alito's position against 'abortion on demand'. Yet, as a physician, I must support the procedure when it involves the health of the mother.

Where did he stand?

Mr. Alito's record of restricting and opposing abortions also concerned me, not only because it might involve a patient's welfare, but also in the implications it held for research, particularly in the use of therapeutic embryonic stem cells.

In the United States, the use of embryonic stem cells remains snarled in controversy. Due to the present ban, American scientists have turned to adult stem cells, which are not as adaptable. The result has been an exodus of researchers to other countries and a drop in scientific breakthroughs on our own shores.

As cases involving stem cells, cloning, gene therapy, and molecular therapeutics enter the legal system - as surely as the recent case involving evolution vs. intelligent design - I hoped that Mr. Alito, if approved by the Senate to take his place on the Court, can maintain a truly open mind on both the subjects of abortion and the issues surrounding stem cells, particularly given the possibilities these therapies hold for the treatment of diabetes, cancer and many other diseases.

Without clear answers during the hearings, I can't be sure.

So, for the moment, put me down as supportive of his nomination, yet wishing I knew more.

For an Italian-American to be selected for the highest court in the land honors us all. But if confirmed, Mr. Alito's decisions will comprise his true legacy. For that reason, we owe it to ourselves not to rubber-stamp his confirmation simply because he is 'one of us', but because he's the best man for the job.

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