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ARAb StAtES diSMAyEd At WESt'S cOMPlAcENcy - Kuwait Times

ARAb StAtES diSMAyEd At WESt'S cOMPlAcENcy - Kuwait Times

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SATURDAY, MAY 4, 2013<br />

BOSTON: Carmen Blandin Tarleton, of Thetford,<br />

Vermont, speaks with reporters at Brigham and<br />

Women’s Hospital in Boston.— AP<br />

US woman disfigured in<br />

attack reveals new face<br />

BOSTON: A Vermont woman has revealed her new face, six<br />

years after her ex-husband disfigured her by dousing her<br />

with industrial-strength lye, and said she went through “what<br />

some may call hell” but has found a way to be happy. Carmen<br />

Blandin Tarleton of Thetford had face transplant surgery at<br />

Boston’s Brigham and Women’s Hospital in February and<br />

spoke publicly for the first time at a news conference at the<br />

hospital Wednesday. “I’m now in a better place, mentally and<br />

emotionally, than I ever could have imagined six years ago,”<br />

said Tarleton, a former transplant nurse. “I want to share my<br />

experience with others, so they may find that strength inside<br />

themselves to escape their own pain.” In 2007, the 44-yearold<br />

mother of two was attacked by her then-husband,<br />

Herbert Rodgers, who believed she was seeing another man.<br />

Police say he went to the house looking for that man, then<br />

went into a fury directed toward Tarleton, striking her with a<br />

bat and pouring lye from a squeeze bottle onto her face.<br />

When police arrived, Tarleton was trying to crawl to a<br />

shower to wash away the chemical. It already had distorted<br />

her face. In 2009, Rodgers pleaded guilty to maiming Tarleton<br />

in exchange for a prison sentence of at least 30 years. “I<br />

learned that ... forgiveness doesn’t condone anything he did<br />

and it’s not about him - it’s about forgiving him, it’s forgiving<br />

myself, it’s allowing myself to move forward and not getting<br />

stuck in the tragedy of that night,” said Tarleton, who has<br />

undergone 55 surgeries during the past five years.<br />

During the face transplant surgery, more than 30 surgeons,<br />

anesthesiologists and nurses worked for more than 15<br />

hours to replace her skin, muscles, tendons and nerves, the<br />

hospital said. The face donor was a Williamstown, Mass.,<br />

woman named Cheryl Denelli Righter who died of a sudden<br />

stroke, a hospital spokeswoman said. Righter’s daughter,<br />

Marinda, told Tarleton on Wednesday that she looked beautiful,<br />

adding she was certain her mother had somehow picked<br />

Tarleton. —AP<br />

LONDON: Is nanomedicine the next big<br />

thing? A growing number of top drug companies<br />

seem to think so. The ability to<br />

encapsulate potent drugs in tiny particles<br />

measuring billionths of a meter in diameter<br />

is opening up new options for super-accurate<br />

drug delivery, increasing precision hits<br />

at the site of disease with, hopefully, fewer<br />

side effects. Three deals struck this year by<br />

privately held Bind Therapeutics, together<br />

worth nearly $1 billion if experiments are<br />

successful, highlight a new interest in using<br />

such tiny carriers to deliver drug payloads<br />

to specific locations in the body.<br />

US-based Bind is one of several biotechnology<br />

firms that are luring large pharmaceutical<br />

makers with a range of smart drug<br />

nanotechnologies, notably against cancer.<br />

And nanomedicine is also being put to<br />

work in diagnosis, with tiny particles used<br />

to improve imaging in scanners, as well as<br />

rapidly detecting some serious infections.<br />

In future, researchers hope to combine<br />

both treatment and diagnostics in a new<br />

approach dubbed “theranostics” that<br />

would allow doctors to monitor patients via<br />

their medicines.<br />

After much hype but limited clinical success,<br />

scientists in the nanotechnology field<br />

finally see a turning point. “We have been<br />

hearing about the promise of nanomedicine<br />

for a long time, but it is now really<br />

starting to move,” said Dan Peer, who runs<br />

a nanomedicine laboratory at Tel Aviv<br />

University. “There is a new level of confidence<br />

in this approach among the big<br />

pharmaceutical companies ... We will see<br />

more and more products in clinical testing<br />

over the next few years and I think that is<br />

very exciting.”<br />

Nanoparticles made of polymers, gold<br />

and even graphene - a newly-discovered<br />

form of carbon - are now in various stages<br />

of development. In cancer alone, 117 drugs<br />

are being assessed using nanoparticle formulations,<br />

though most have yet to be<br />

tried on patients, according to Thomson<br />

Reuters Pharma data. Other potential applications<br />

include treatments for inflammatory<br />

disorders, heart and brain diseases, and<br />

pain.<br />

COLLATERAL DAMAGE<br />

Companies are increasingly focused on<br />

better drug targeting to increase efficacy<br />

and lessen the collateral damage caused by<br />

medicinal “carpet bombing” - a particular<br />

problem in cancer, where toxic compounds<br />

are needed to kill tumors. The work on<br />

drug-carrying nanoparticles parallels<br />

advances in using so-called “armed antibodies”<br />

to deliver drugs direct to cancer<br />

cells - an approach championed by Roche.<br />

The Swiss group won US approval in<br />

February for Kadcyla, its first such antibodydrug<br />

conjugate, which treats breast cancer<br />

with fewer side effects like hair loss.<br />

“All these developments have prompted<br />

companies to look at new avenues<br />

because the older ways of using drugs<br />

haven’t worked so well,” said Robert<br />

Langer, a pioneer of nanomedicine who<br />

runs the world’s largest biomedical engineering<br />

laboratory at the Massachusetts<br />

Institute of Technology. Having worked on<br />

drug delivery since the 1970s, Langer has<br />

seen plenty of ups and downs. The world’s<br />

first nanomedicine was actually approved<br />

back in 1995 when US regulators gave a<br />

green light to Doxil for treating Kaposi’s sarcoma,<br />

a cancer often associated with AIDS.<br />

Doxil - a hollow fatty ball known as a<br />

liposome with a cancer-killing drug inside it<br />

- was a breakthrough. Yet few other<br />

nanomedicines have followed. Recent scientific<br />

advances have changed the game,<br />

however. Bind’s nanoparticles, for example,<br />

are programmed to reach the right<br />

spot using targeting molecules that recognize<br />

specific proteins linked to disease on<br />

the surface of cells. They also have a stealth<br />

covering that shields them from the<br />

immune system, in order to minimize<br />

adverse reactions.<br />

Since January, Amgen, Pfizer and<br />

AstraZeneca have all signed up to use<br />

Bind’s technology, which comes from work<br />

originally carried out in Langer’s lab. And<br />

Bind is not the only game in town. Another<br />

approach, using tiny particles of gold as<br />

health<br />

Big drugmakers think small<br />

with nanomedicine deals<br />

Nanomedicine promises<br />

greater precision and monitoring<br />

drug carriers, is being explored in a deal<br />

that AstraZeneca signed in December with<br />

CytImmune. “Anything you can do to<br />

improve targeting of tumors rather than<br />

normal tissue - whether that is through an<br />

armed antibody or nanoparticle approach -<br />

increases the chance of success,” said Susan<br />

Galbraith, who leads AstraZeneca’s oncology<br />

research.<br />

PARALLEL APPROACHES<br />

The work remains early stage and Peer<br />

of Tel Aviv University says all the novel carriers<br />

will have to be studied closely for<br />

potential toxicity. However, experience<br />

with liposomes is good and versions of<br />

gold nanoparticles have also been used<br />

safely for many years to treat rheumatoid<br />

arthritis. Injecting patients with gold may<br />

sound like a pricey option but with thousands<br />

of nanoparticles fitting into the width<br />

of a human hair, the amount of metal used<br />

is tiny. Gold, unlike some other metals, is<br />

not toxic and has been used in various<br />

medical treatments for many years without<br />

harmful effects. Bind CEO Scott Minick also<br />

thinks his polymer technology will have<br />

cost advantages over expensive antibody<br />

drugs.<br />

Further out, Kostas Kostarelos, professor<br />

of nanomedicine at University College<br />

London, has high hopes for graphene - a<br />

one-atom-thick form of carbon. His team is<br />

currently working with graphene nanomaterials<br />

in pre-clinical experiments. “We will<br />

see parallel development of different materials,<br />

each offering something different<br />

therapeutically,” he said. Other venturebacked<br />

nanomedicine firms include<br />

Cerulean Pharma, whose technology has<br />

made a highly potent cancer drug tolerable<br />

but which recently had disappointing<br />

results in a clinical study, and two companies<br />

looking at new vaccines.<br />

Selecta Biosciences has a deal on food<br />

allergy vaccines with Sanofi, while Liquidia<br />

Technologies is allied with GlaxoSmithKline<br />

on vaccines and inhaled products. MIT’s<br />

Langer is convinced more Big Pharma companies<br />

will think small in future. —Reuters<br />

Fears for man-made bird flu bug<br />

PARIS: Immunologists expressed concern<br />

yesterday about the “dangerous” work of<br />

scientists in China who created a hybrid<br />

bird flu virus that can spread in the air<br />

between guinea pigs, and now lives in a<br />

lab freezer. The team from the Chinese<br />

Academy of Agricultural Sciences and<br />

Gansu Agricultural University wrote in the<br />

journal Science they had created a new<br />

virus by mixing genes from H5N1 “bird flu”<br />

and H1N1 “swine flu”. H5N1, transmitted to<br />

people by birds, is fatal in about 60 percent<br />

of cases, but does not transmit between<br />

humans-a characteristic that has prevented<br />

a pandemic so far.<br />

Some argue that hybrid studies like<br />

these shed light on how the virus could<br />

mutate in nature to cause a human epidemic,<br />

and may help us prepare. Since<br />

2003, H5N1 has infected 628 people, killing<br />

374, according to the World Health<br />

Organization. H1N1, which erupted in<br />

Mexico, is highly transmissible and infected<br />

a fifth of the world’s population in a<br />

2009-10 pandemic, but is about as lethal as<br />

ordinary flu. The new mutant virus was<br />

easily transmitted between guinea pigs<br />

through respiratory droplets-which the<br />

Chinese team said proved the deadly H5N1<br />

virus may need but a simple genetic mutation<br />

to “acquire mammalian transmissibility”.<br />

Flu hybrids can arise in nature when<br />

two virus strains infect the same cell and<br />

exchange genes in a process known as<br />

reassortment, but there is no evidence that<br />

H1N1 and H5N1 have done so yet. Some<br />

observers fear that science is putting<br />

mankind at risk by preemptively creating<br />

such mutants. “These are manmade viruses,<br />

they have never been made in Nature.<br />

They are now sitting in a freezer,” virology<br />

professor Simon Wain-Hobson of France’s<br />

Pasteur Institute said.<br />

He pointed to a laboratory leak of foot<br />

and mouth, a cattle disease, which caused<br />

an outbreak in Britain six years ago. It was<br />

unclear how the flu hybrid, which is not<br />

deadly in guinea pigs, would affect peoplebut<br />

Wain-Hobson warned: “These could be<br />

pandemic viruses. “That is, if there was<br />

ever an error of they got out or there was a<br />

leak or whatever, this could infect people<br />

and cause anywhere between 100,000 and<br />

100 million deaths.” Wain-Hobson and others<br />

fear the risk may far outweight the scientific<br />

value of the research. The findings<br />

held little value for finding a vaccine or<br />

treatment that would take years to develop-probably<br />

long after an outbreak, they<br />

argue.<br />

“The record of containment in the highest<br />

containment laboratories is not good.<br />

There have been repeated leaks,” said<br />

Robert May, a former president of Britain’s<br />

Royal Society of science. “You do not do<br />

these things unless there is some call of<br />

extreme emergency,” he said. “We are<br />

encountering a real and present danger<br />

with extremely dubious benefits to the<br />

public.” Virologist John Oxford from the<br />

Queen Mary University of London, however,<br />

said the experiment was a valuable<br />

wakeup call. It showed that the two viruses,<br />

both still infecting people around the<br />

world, can swap genes.<br />

“Mathematics will tell you that sooner<br />

or later a person will get co-infected,” he<br />

said-possibly leading to a hybrid virus “that<br />

will start spreading”. “We need to get ourselves<br />

reorganizes, relook our pandemic<br />

plans and make sure we have H5N1 vaccine<br />

stockpiles,” Oxford said. In January,<br />

scientists in the United States and the<br />

Netherlands resumed controversial<br />

research into their own hybrid flu viruses<br />

after taking a year-long break to allay fears<br />

of the bug escaping the lab or falling into<br />

terrorist hands.— AFP

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