My Medical Choice


LOS ANGELES

MY MOTHER fought cancer for almost a decade and died at 56. She held out long enough to meet the first of her grandchildren and to hold them in her arms. But my other children will never have the chance to know her and experience how loving and gracious she was.

We often speak of “Mommy’s mommy,” and I find myself trying to explain the illness that took her away from us. They have asked if the same could happen to me. I have always told them not to worry, but the truth is I carry a “faulty” gene, BRCA1, which sharply increases my risk of developing breast cancer and ovarian cancer.

My doctors estimated that I had an 87 percent risk of breast cancer and a 50 percent risk of ovarian cancer, although the risk is different in the case of each woman.

Only a fraction of breast cancers result from an inherited gene mutation. Those with a defect in BRCA1 have a 65 percent risk of getting it, on average.

Once I knew that this was my reality, I decided to be proactive and to minimize the risk as much I could. I made a decision to have a preventive double mastectomy. I started with the breasts, as my risk of breast cancer is higher than my risk of ovarian cancer, and the surgery is more complex.

On April 27, I finished the three months of medical procedures that the mastectomies involved. During that time I have been able to keep this private and to carry on with my work.

But I am writing about it now because I hope that other women can benefit from my experience. Cancer is still a word that strikes fear into people’s hearts, producing a deep sense of powerlessness. But today it is possible to find out through a blood test whether you are highly susceptible to breast and ovarian cancer, and then take action.

My own process began on Feb. 2 with a procedure known as a “nipple delay,” which rules out disease in the breast ducts behind the nipple and draws extra blood flow to the area. This causes some pain and a lot of bruising, but it increases the chance of saving the nipple.

Two weeks later I had the major surgery, where the breast tissue is removed and temporary fillers are put in place. The operation can take eight hours. You wake up with drain tubes and expanders in your breasts. It does feel like a scene out of a science-fiction film. But days after surgery you can be back to a normal life.

Nine weeks later, the final surgery is completed with the reconstruction of the breasts with an implant. There have been many advances in this procedure in the last few years, and the results can be beautiful.

I wanted to write this to tell other women that the decision to have a mastectomy was not easy. But it is one I am very happy that I made. My chances of developing breast cancer have dropped from 87 percent to under 5 percent. I can tell my children that they don’t need to fear they will lose me to breast cancer.

It is reassuring that they see nothing that makes them uncomfortable. They can see my small scars and that’s it. Everything else is just Mommy, the same as she always was. And they know that I love them and will do anything to be with them as long as I can. On a personal note, I do not feel any less of a woman. I feel empowered that I made a strong choice that in no way diminishes my femininity.

I am fortunate to have a partner, Brad Pitt, who is so loving and supportive. So to anyone who has a wife or girlfriend going through this, know that you are a very important part of the transition. Brad was at the Pink Lotus Breast Center, where I was treated, for every minute of the surgeries. We managed to find moments to laugh together. We knew this was the right thing to do for our family and that it would bring us closer. And it has.

For any woman reading this, I hope it helps you to know you have options. I want to encourage every woman, especially if you have a family history of breast or ovarian cancer, to seek out the information and medical experts who can help you through this aspect of your life, and to make your own informed choices.

I acknowledge that there are many wonderful holistic doctors working on alternatives to surgery. My own regimen will be posted in due course on the Web site of the Pink Lotus Breast Center. I hope that this will be helpful to other women.

Breast cancer alone kills some 458,000 people each year, according to the World Health Organization, mainly in low- and middle-income countries. It has got to be a priority to ensure that more women can access gene testing and lifesaving preventive treatment, whatever their means and background, wherever they live. The cost of testing for BRCA1 and BRCA2, at more than $3,000 in the United States, remains an obstacle for many women.

I choose not to keep my story private because there are many women who do not know that they might be living under the shadow of cancer. It is my hope that they, too, will be able to get gene tested, and that if they have a high risk they, too, will know that they have strong options.

Life comes with many challenges. The ones that should not scare us are the ones we can take on and take control of.

Onions — A Powerful Anti-Cancer Food Staple


Story at-a-glance

  • People with the highest consumption of onions have a lower risk of several types of cancer, including ovarian, endometrial, liver, colon, kidney, esophageal, laryngeal, prostate, colorectal and breast cancer
  • Onions contain several anti-cancer compounds, including quercetin, anthocyanins, organosulfur compounds such as diallyl disulfide (DDS), S-allylcysteine (SAC) and S-methylcysteine (SMC) and onionin A (ONA)
  • ONA may offer protection against epithelial ovarian cancer, the most common type of ovarian cancer; quercetin helps protect against ovarian, breast, colon, brain and lung cancer.

If you’re interested in using food to lower your risk of cancer, remember to eat lots of onions. Research shows that people with the highest consumption of onions (as well as other allium vegetables) have a lower risk of several types of cancer, including:1,2,3,4

  • Liver, colon5 and renal cell (kidney)
  • Esophageal and laryngeal
  • Prostate6 and colorectal
  • Breast7
  • Ovarian and endometrial

Onions contain several anti-cancer compounds, including quercetin, anthocyanins, organosulfur compounds such as diallyl disulfide (DDS), S-allylcysteine (SAC) and S-methylcysteine (SMC) and onionin A (ONA).

Onion Compound Suppresses Ovarian Cancer

Starting with the latter, ONA was recently found to offer protection against epithelial ovarian cancer (EOC),8 the most common type of ovarian cancer. As noted by Medical News Today:9

“With a [five]-year survival rate of approximately 40 percent, effective treatments for the illness are needed.

Although new cases of EOC ranks 10th among female malignancies, the team says the number of deaths due to this type of ovarian cancer ranks fifth in the United States.

About 80 percent of patients with EOC have a relapse after initial chemotherapy treatment.”

ONA, it turns out, slowed growth of EOC. The compound also inhibited other cancerous activities, and enhanced the effects of anti-cancer drugs. Mice fed ONA also lived longer. According to the authors:

“We found that ONA reduced the extent of ovarian cancer cell proliferation induced by co-culture with human macrophages. In addition, we found that ONA directly suppressed cancer cell proliferation.

Thus, ONA is considered useful for the additional treatment of patients with ovarian cancer owing to its suppression of the pro-tumor activation of [tumor-associated macrophages] and direct cytotoxicity against cancer cells.”

The Stronger an Onion’s Flavor, the More Effective Its Anti-Cancer Effects

Previous research has revealed that the stronger the flavor of the onion, the better its cancer-fighting potential. A 2004 study, in which food scientists analyzed 10 different varieties of onion, the following were found to be particularly effective against liver and colon cancer:10,11

  • Liver cancer: shallots, Western yellow onion and pungent yellow onion
  • Colon cancer: pungent yellow onion, Western yellow onion

Northern red onions were also found to be high in anti-cancer chemicals, just not quite as potent as the others listed.

Mild-flavored onions, such as Empire Sweet, Western white, Peruvian sweet and Vidalia had the lowest antioxidant activity, making them less potent in terms of anti-cancer benefits. According to lead author, Dr. Rui Hai Liu, an associate professor of food science:

“Onions are one of the richest sources of flavonoids in the human diet, and flavonoid consumption has been associated with a reduced risk of cancer, heart disease and diabetes.

Flavonoids are not only anti-cancer but also are known to be anti-bacterial, anti-viral, anti-allergenic and anti-inflammatory …

Our study of 10 onion varieties and shallots clearly shows that onions and shallots have potent antioxidant and antiproliferation activities and that the more total phenolic and flavonoid content an onion has, the stronger its antioxidant activity and protective effect.”

Quercetin — Another Potent Anti-Cancer Compound

Quercetin, another anti-cancer compound found in onions, has been shown to decrease cancer tumor initiation and inhibit the proliferation of cultured ovarian, breast and colon cancer cells. It’s also associated with a decreased risk for brain cancer,12 and a lower risk of lung cancer if you’re a smoker.13

Quercetin has also been shown to help lower blood pressure in hypertensive patients,14 and helps prevent histamine release, making quercetin-rich foods such as onions “natural antihistamines.”

Quercetin is available in supplement form, but getting this flavonoid naturally from onions makes more sense for a couple of reasons:15

  • One animal study found that animals received greater protection against oxidative stress when they consumed yellow onion in their diet, as opposed to consuming quercetin extracts.16
  • Quercetin is not degraded by low-heat cooking, such as simmering, making onion soup an easy-to-make superfood.

Other Beneficial Compounds Found in Onions

The organosulfur compounds DDS, SAC and SMC have also been found to inhibit colon and kidney cancer, in part by inducing cancer cell apoptosis (cell death), but also by inhibiting gene transcription and protecting against ultraviolet-induced immunosuppression.17Onions are also a good source of:

Fiber, which can help lower your cancer risk, especially colon cancer

Vitamin C18

Anthocyanins (red, purple and blue plant pigments found in red onions). Research has linked anthocyanins to a reduced risk for a number of diseases, including cancer, cardiovascular disease and neurological dysfunction and decline.

They also help prevent obesity and diabetes, in part by inhibiting certain enzymes in your digestive tract, and by supporting healthy blood sugar control. They have potent anti-inflammatory effects, which helps explain their protective effects against chronic disease

The Many Health Benefits of Onions

While onions are gaining a reputation for their anti-cancer properties, the more we learn about onions, the more it becomes clear they offer whole body benefits.

That is the beauty of eating whole foods, after all, because they typically contain many beneficial phytochemicals that enhance your health in numerous synergistic ways. As for onions, research has shown that including onions in your diet may offer the following benefits:19

Prevent inflammatory processes associated with asthma

Reduce symptoms associated with diabetes

Lower levels of cholesterol and triglycerides

Reduce symptoms associated with osteoporosis and improve bone health

Maintain gastrointestinal health by sustaining beneficial bacteria

Diminish replication of HIV

Reduce risk of neurodegenerative disorders

Lower your risk of cataract formation

Antimicrobial properties that may help reduce the rate of food-borne illness

Improvement of intestinal flora, improved absorption of calcium and magnesium due to the fructans they contain

Antibacterial, antifungal, antioxidant and anti-inflammatory properties

Improved heart health. The sulfur compounds have anti-clotting properties and help improve blood lipid profiles.

The allium and allyl disulphide in onions also help decrease blood vessel stiffness by enhancing nitric oxide release.

This may reduce blood pressure, inhibit platelet clot formation, and help decrease the risk of coronary artery disease, peripheral vascular diseases, and stroke

Tips for Storing and Preparing Onions

If learning about their health benefits has inspired you to eat more onions, you’re in luck as they are incredibly versatile and come in a variety of colors and flavors. Keep in mind that the antioxidants tend to be most concentrated in the OUTER layers of the onion, so avoid overpeeling.

Ideally, peel off only the outermost paper-like layer. Peeling too many layers can reduce the onion’s quercetin and anthocyanin content by as much as 20 percent and 75 percent respectively.20 One piece of good news is that quercetin does not degrade when cooked over low heat, so when you’re making soup, for example, it simply transfers into the broth.

As for storing your onions, do NOT keep them in plastic. Whole, dry bulbs should be stored in a cool, dry and dark place with plenty of air movement to maximize shelf life.

To extend shelf life of sweet or mild onion varieties, which have a higher water content, you can store the whole bulbs in the fridge. Once an onion has been cut or peeled, it can be refrigerated in a sealed container for about a week before it starts going bad. Leaving a cut onion in room temperature can significantly reduce its antibacterial properties.21

Cooking With Onions

The video above demonstrates the best way to peel and dice an onion, while the chart below, both from the National Onion Association (NOA),22 provides a helpful summary of which types of onions are best used for various dishes.

Color Variety or Type Availability Raw Flavor/Texture Best Usage

Yellow Onion:

All-purpose and most popular. The most well-known sweet onions are yellow.

The best type of onion for caramelizing is a yellow storage variety.

Cooking brings out this variety’s nutty, mellow, often sweet, quality when caramelized.

Sweet

March to September

Crisp, juicy, mild flavor with a slightly sweet ending with little to no after-taste

Raw, lightly cooked, sautéed or grilled

Fresh, Mild

March to August

Crisp, juicy, mild to slightly pungent with a faint after-taste

Raw, lightly cooked, sautéed or grilled

Storage

August to May

Strong onion flavor, mild after-taste

Grilled, sautéed, caramelized, baked or roasted

Red Onion:

Red onions have gained popularity in the past decade, especially in foodservice on salads and sandwiches because of their color.

Sweet

March to September

Crisp, very mild onion flavor

Raw, grilled or roasted

Fresh, Mild

March to September

Bright tones, slightly less water content than yellow with a slightly pungent ending

Raw, grilled or roasted

Storage

August to May

Sharp, spicy and moderate to very pungent

Raw, grilled or roasted

White Onion:

White onions are commonly used in white sauces, potato and pasta salads and in Mexican or Southwest cuisine.

Due to the compact nature of their cell structure, white onions do not store quite as long as other varieties.

Fresh, Mild

March to August

Moderately pungent and clean finish, very little after-taste

Raw, grilled, sautéed or lightly cooked

Storage

August to May

Moderately pungent to very pungent and full flavored, but finishes with a cleaner and crisper flavor in comparison to yellow and red storage varieties

Raw, grilled, sautéed or lightly cooked

Source: National Onion Association, All About Onions

Depression Could Change The Wiring Inside Your Brain, New Study Shows


Scientists have identified a link between depression and the structure of white matter in the brain, those areas responsible for connecting up grey matter and making sure our emotions and thoughts are properly processed.

The study could be valuable in suggesting new ways to treat and manage depression, if we can work out how these white matter changes affect mood and anxiety.

Researchers from the University of Edinburgh in the UK looked at data from 3,461 adults taken from the UK Biobank database, and say the large sample size adds some useful extra weight to the findings, considering results from previous studies on brain matter and depression have been inconsistent.

“This study uses data from the largest single sample published to date and shows that people with depression have changes in the white matter wiring of their brain,” says one of the team, Heather Whalley.

A technique called diffusion tensor imaging was used to map areas of white matter in the brain – this is based on magnetic resonance imaging (MRI) and gives scientists a way of modelling the fibres in the brain in better detail than ever before.

brain dep 2Detailed brain scans revealed links between white matter and depression. Credit: Scientific Reports

Scans revealed that the white matter integrity – the quality of the white matter – was reduced in people who reported symptoms of depression, while in those with no symptoms the white matter integrity appeared to be normal.

That difference might be the result of patterns of brain activity brought on by depression, say the researchers, though it’s too early to say that’s exactly what’s happening.

Eventually, the study could open up new ways of predicting the risk of depression or understanding more about how white matter integrity helps to protect against it.

According to the World Health Organisation, more than 300 million people worldwide have difficulty with depression, across all ages. It’s actually now recognised as the leading cause of disability worldwide, to get a sense of just how big a problem it is now known to be.

Scientists are now making progress in figuring out more about the relationship between depression and the wiring of the brain. One innovative treatment in development uses magnetic pulses to alter the circuits of the brain and the way they interact.

Meanwhile specific areas of the brain have also been linked to problems with depression – a study published last year found that feelings of loss and low self-esteem were tied to the functioning of the orbitofrontal cortex, which handles sensory integration, expectation, and decision-making.

While we can’t draw any definitive conclusions out of the new research, it’s another step forward in terms of understanding depression’s impact on the brain and finding ways to put a stop to it.

“There is an urgent need to provide treatment for depression and an improved understanding of its mechanisms will give us a better chance of developing new and more effective methods of treatment,” says Whalley.

The Moon Is Seriously Loaded With Water, More Than We Ever Expected


There’s way more water locked inside the Moon than we previously thought, according to a new analysis of satellite data.

This unexpected finding about our planet’s grey companion is giving scientists new insights into how the Moon formed and what its internal structure is like. And it has potentially huge implications for any of our future lunar missions.

For a long time we thought the Moon was totally bone dry. On the surface it’s a super-dusty environment with no substantial atmosphere, temperature extremes, and not enough gravity to help retain water molecules.

But recent studies have uncovered several types of lunar water. In 2009, NASA deliberately crashed its LCROSS probe into the Moon’s south pole, discovering loads of water ice in the debris that shot up from the impact.

These ice deposits were thought to be billions of years old, trapped in the permanently shadowy and extremely cold crevasses of the lunar poles. But this water wasn’t always there.

Researchers thought it was likely produced through external forces, such as solar winds sweeping across the surface and providing the right chemical reactions. In fact, there’s a background level of extremely minuscule amounts of this kind of trapped water across the Moon’s surface.

Astronauts from several Apollo missions also brought back geological samples from various parts of the Moon’s surface, and in 2008 these samples were re-analysed to reveal trace water locked up in tiny glass beads.

Those glass beads were found in pyroclastic deposits – rock deposits of volcanic origin from some 100 million years ago when the Moon was still a highly geologically active ball with a bubbling core and surface volcanoes.

Such water, locked up in the Moon’s own geology, is considered to be of local origin or ‘indigenous’, meaning it could have stuck around ever since the Moon was still a chunk of matter violently torn off our young Earth.

But scientists couldn’t tell whether these beads actually indicated a ‘wet’ layer right underneath the Moon’s dusty crust, in the lunar mantle.

“The key question is whether those Apollo samples represent the bulk conditions of the lunar interior or instead represent unusual or perhaps anomalous water-rich regions within an otherwise ‘dry’ mantle,” says Ralph Milliken from Brown University, lead researcher of the latest study.

To answer that key question, Milliken and his team turned to orbital data from India’s Chandrayaan-1 lunar orbiter, which carried aboard the handy Moon Mineralogy Mapper.

Using orbital data from previously mapped large pyroclastic deposits on the Moon’s surface, laboratory analysis of Apollo mission samples, and a detailed model of lunar surface temperature data, the researchers found water-rich volcanic deposits all over the place.

“They’re spread across the surface, which tells us that the water found in the Apollo samples isn’t a one-off,” says Milliken.

Some of these volcanic deposits stretch for thousands of square kilometres, and the team’s data shows that there is four times more water in these than the measurable background level we mentioned above.

“[T]hese deposits are the result of magma that originally comes from deep within the lunar interior,” Milliken told Samantha Mathewson at Space.com.

So did all that water once hitch a ride from Earth or was it dumped there by comets? Unfortunately, the new findings only tell us it’s there – but it’s a step towards finding out more about the Moon’s history.

“Whether it is from the Earth or from impact delivery … we are not ready to answer that question,” one of the team, Shuai Li from Brown University, told The Guardian.

But however it got there, scientists do think all that water could one day become a valuable resource.

“The nearly ubiquitous presence of water in large and small lunar pyroclastic deposits adds to the growing evidence that the lunar mantle is an important reservoir of water,” the team writes in the study.

And if that’s the case, our future Moon colonists might well be able to extract usable water from many of these large volcanic deposits, making their off-Earth home just a little bit more habitable.

Soure: Nature Geoscience.

For The First Time, a US Company Is Implanting Microchips in Its Employees


We’re always hearing how robots are going to take our jobs, but there might be a way of preventing that grim future from happening: by becoming workplace cyborgs first.

A company in Wisconsin has become the first in the US to roll out microchip implants for all its employees, and says it’s expecting over 50 of its staff members to be voluntarily ‘chipped’ next week.

The initiative, which is entirely optional for employees at snack stall supplier Three Square Market (32M), will implant radio-frequency identification (RFID) chips in staff members’ hands in between their thumb and forefinger.

Once tagged with the implant, which is about the size of a grain of rice, 32M says its employees will be able to perform a range of common office tasks with an effortless wave of their hand.

“We foresee the use of RFID technology to drive everything from making purchases in our office break room market, opening doors, use of copy machines, logging into our office computers, unlocking phones, sharing business cards, storing medical/health information, and used as payment at other RFID terminals,” says 32M CEO, Todd Westby.

The chips make use of near-field communication (NFC), and are similar to ones already in use in things like contactless credit cards, mobile payment systems, and animal tag implants.

The same kind of human implants made headlines when they were extended to employees at Swedish company Epicenter earlier in the year, but this is the first time they’ve been offered in the US across an organisation as large as 32M, which has 85 employees.

According to Westby, when staff were informed of the program, they reacted with a mixture of reluctance and excitement, but ultimately more than half elected to take part.

The costs of the implant amount to US$300 per chip – which the company says it will pay on the employees’ behalf – and the rollout could well be a sign of things to come, meaning employees would no longer need to carry around keys, ID cards, or smartphones to operate or authenticate with other systems.

As for security concerns and whether people ought to be worried about their employer tracking their movements, Westby says the chips don’t include a GPS component and are secure against hacking.

“There’s really nothing to hack in it because it is encrypted just like credit cards are,” he told ABC News.

“The chances of hacking into it are almost non-existent because it’s not connected to the internet. The only way for somebody to get connectivity to it is to basically chop off your hand.”

As if to prove the safety of the technology, the CEO says his wife and children will also receive the implants next week, coinciding with a “chip party” being held at the company’s headquarters in River Falls, Wisconsin.

If employees later change their minds, they’ll be able to have the implant removed – but that might not be enough to alleviate Big Brother-style privacy concerns held in some quarters.

While the chips might not track workers’ location by GPS, they nonetheless could give employers a huge amount of data about what employees do and when – like how often they take breaks or use the bathroom, what kind of snacks they buy, and so on.

On its own, that information might seem fairly harmless, but it’s possible that handing over even that level of information to your employer could one day pose problems – not to mention how the privacy issues could swell as the technology evolves.

“Many things start off with the best of intentions but sometimes intentions turn,” chairman and founder of data protection firm CyberScout Adam Levin told ABC News.

“We’ve survived thousands of years as a species without being microchipped, is there any particular need to do it now? … Everyone has a decision to make; that is, how much privacy and security are they willing to trade for convenience?”

For their part, the leaders of the companies kickstarting this workplace transition don’t seem to see what all the fuss is about.

“People ask me, ‘Are you chipped?’ and I say, ‘Yes, why not?'” Epicenter CEO Fredric Kaijser told Associated Press back in April.

“And they all get excited about privacy issues and what that means and so forth. And for me it’s just a matter of I like to try new things and just see it as more of an enabler and what that would bring into the future.”

In the meantime, 32M’s inaugural chip party is being held next Tuesday.

Clear your schedule, would-be cyborgs.

The Most Debilitating Disease in the World Isn’t Just in Your Head


The World Health Organization (WHO) has announced a new condition as the leading cause of of poor health and disability around the world, which has seen an 18% spike in diagnoses over the past few years. A condition that most of us have encountered in our lives either through personal experience or the difficulties of a friend or loved one. And, in a new twist, this condition is a mental disorder.

Major Depressive Disorder, more commonly known as depression now affects more than 300 million people across the globe, causing a lack of self-esteem, the inability to enjoy activities that previously brought pleasure, low energy, pain, and in severe cases delusion and hallucination. Between 2-7% of individuals with depression will go on to commit suicide.

Depression infographic by Mental Health Association of AMerica
Infographic by Mental Health America.

While one might suppose this condition would be equal opportunity, rates of occurrence are higher in developed nations than in the developing world, whether or not this is a situation of higher rates of detection or the actual existence of many more cases overall is currently unknown. It has been shown that cases are more common in urban areas, which is a problem that countries like China, with rapidly urbanizing demographics, are trying to address.

WHO estimates that a trillion dollars in economic activity is lost every year to depression, an easily understood measure of its evils. Much more difficult to express is how horrible the condition truly is. The self-fueling despair, the utter hopelessness, the isolation it can produce, the inability to find any reason to carry on, or any reason to have been.

Unlike the previous record holders for leading causes of disability, depression is much simpler to hide than say, the inability to walk. Stigmas associated with mental disorders also make it more desirable to hide for many people, making the problems of detection and treatment that much harder.

Depression infographic by Mental Health America

Infographic by Mental Health America.

 

What can be done about this?

WHO doesn’t leave us without a suggestion or two. It points out that the typical government health budget around the world gives only a paltry 3% to mental health care, with higher rates in developed countries, perhaps shedding some light on the higher perceived rates of occurrence. WHO has called for various initiatives, campaigns, and actions by states, NGOs, and community groups to help fight depression.

They also point out that for every dollar spent in treatment and prevention of clinical depression, four dollars of economic activity is gained back; making it an extremely effective investment for any society.

Depression is now the most common disabling disease in the world, driving hundreds of thousands into despair every day. Its newfound prominence among the conditions that plague us most should concern us greatly, but it may also offer a silver lining: the stigmas associated with mental illness might be easier to end if the prominence and gravity of the disease are made clearer to all.

Enjoy the video. URL:https://youtu.be/X-fAEMgQnt8

Source:http://bigthink.com

The Illuminating Geometry of Viruses


Mathematical insights into how RNA helps viruses pull together their protein shells could guide future studies of viral behavior and function.

In icosahedral RNA viruses, the genomic material inside their protein shells plays a much more active role in viral assembly than researchers once believed.

In icosahedral RNA viruses, the genomic material inside their protein shells plays a much more active role in viral assembly than researchers once believed.

More than a quarter billion people today are infected with the hepatitis B virus (HBV), the World Health Organization estimates, and more than 850,000 of them die every year as a result. Although an effective and inexpensive vaccine can prevent infections, the virus, a major culprit in liver disease, is still easily passed from infected mothers to their newborns at birth, and the medical community remains strongly interested in finding better ways to combat HBV and its chronic effects. It was therefore notable last month when Reidun Twarock, a mathematician at the University of York in England, together with Peter Stockley, a professor of biological chemistry at the University of Leeds, and their respective colleagues, published their insights into how HBV assembles itself. That knowledge, they hoped, might eventually be turned against the virus.

Their accomplishment has gained further attention because only this past February the teams also announced a similar discovery about the self-assembly of a virus related to the common cold. In fact, in recent years, Twarock, Stockley and other mathematicians have helped reveal the assembly secrets of a variety of viruses, even though that problem had seemed forbiddingly difficult not long before.

Their success represents a triumph in applying mathematical principles to the understanding of biological entities. It may also eventually help to revolutionize the prevention and treatment of viral diseases in general by opening up a new, potentially safer way to develop vaccines and antivirals.

A Geodesic Insight

In 1962, the biologist-chemist duo Donald Caspar and Aaron Klug published a seminal paper on the structural organization of viruses. Among a series of sketches, models and X-ray diffraction patterns that the paper featured was a photograph of a building designed by Richard Buckminster Fuller, the inventor and architect: It was a geodesic dome, the design for which Fuller would become famous. And it was, in part, the lattice structure of the geodesic dome, a convex polyhedron assembled from hexagons and pentagons, themselves divided into triangles, that would inspire Caspar and Klug’s theory.

At the same time that Fuller was promoting the advantages of his domes — namely, that their structure made them more stable and efficient than other shapes — Caspar and Klug were trying to solve a structural problem in virology that had already attracted some of the field’s greats, not least among them James Watson, Francis Crick and Rosalind Franklin. Viruses consist of a short string of DNA or RNA packaged in a protein shell called a capsid, which protects the genomic material and facilitates its insertion into a host cell. Of course, the genomic material has to encode for the formation of such a capsid, and longer strands of DNA or RNA require larger capsids to shield them. It didn’t seem possible that strands as short as those found in viruses could achieve this.

Then, in 1956, three years after their work on DNA’s double helix, Watson and Crick came up with a plausible explanation. A viral genome could include instructions for only a limited number of distinct capsid proteins, which meant that in all likelihood viral capsids were symmetric: The genomic material needed to describe only some small subsection of the capsid and then give orders for it to be repeated in a symmetric pattern. Experiments using X-ray diffraction and electron microscopes revealed that this was indeed the case, making it apparent that viruses were predominantly either helical or icosahedral in shape. The former were rod-shaped structures that resembled an ear of corn, the latter polyhedra that approximated the sphere, consisting of 20 triangular faces glued together.

This 20-sided shape, one of the Platonic solids, can be rotated in 60 different ways without seeming to change in appearance. It also allows for the placement of 60 identical subunits, three on each triangular face, that are equally related to the symmetry axes — a setup that works perfectly for smaller viruses with capsids that consist of 60 proteins.

Reidun Twarock, a mathematician at the University of York, uses her expertise in geometry and symmetry to develop a better understanding of viral structure, infection and evolution.

Reidun Twarock, a mathematician at the University of York, uses her expertise in geometry and symmetry to develop a better understanding of viral structure, infection and evolution.

Christine Cockett

But most icosahedral viral capsids comprise a much larger number of subunits, and placing the proteins in this way never allows for more than 60. Clearly, a new theory was necessary to model larger viral capsids. That’s where Caspar and Klug entered the picture. Having recently read about Buckminster Fuller’s architectural creations, the pair realized it might have relevance to the structures of the viruses they were studying, which in turn sparked an idea. Dividing the icosahedron further into triangles (or, more formally, applying a hexagonal lattice to the icosahedron and then replacing each hexagon with six triangles) and positioning proteins in the corners of those triangles provided a more general and accurate picture of what these kinds of viruses looked like. This partitioning allowed for “quasi-equivalence,” in which subunits differ minimally in how they bond with their neighbors, forming either five-fold or six-fold positions on the lattice.

Such microscopic geodesic domes quickly became the standard way to represent icosahedral viruses, and, for a while, it seemed that Caspar and Klug had solved the problem. A handful of experiments conducted in the 1980s and ’90s, however, revealed some exceptions to the rule, most notably among groups of cancer-causing viruses called polyomaviridae and papillomaviridae.

It became necessary once more for an outside approach — made possible by theories in pure mathematics — to provide insights into the biology of viruses.

Following in Caspar and Klug’s Footsteps

About 15 years ago, Twarock came across a lecture about the different ways in which viruses realize their symmetrical structures. She thought she might be able to extend to these viruses some of the symmetry techniques she had been working on with spheres. “That snowballed,” Twarock said. She and her colleagues realized that with knowledge of structures, “we could make an impact on understanding how viruses function, how they assemble, how they infect, how they evolve.” She didn’t look back: She has spent her time since then working as a mathematical biologist, using tools from group theory and discrete math to continue where Caspar and Klug left off. “We really developed this integrative, interdisciplinary approach,” she said, “where the math drives the biology and the biology drives the math.”

Twarock first wanted to generalize the lattices that could be used so she could identify the positions of capsid subunits that Caspar and Klug’s work failed to explain. The proteins of the human papilloma viruses, for instance, were arranged in five-fold pentagonal structures, rather than hexagonal ones. Unlike hexagons, however, regular pentagons cannot be built from equilateral triangles, nor can they tessellate a plane: When slid next to each other to tile a surface, gaps and overlaps inevitably arise.

So Twarock turned to Penrose tilings, a mathematical technique developed in the 1970s to tile a plane with five-fold symmetry by fitting together four-sided figures called kites and darts. The patterns generated by Penrose tilings do not repeat periodically, making it possible to piece together its two component shapes without leaving any gaps. Twarock applied this concept by importing symmetry from a higher-dimensional space — in this case, from a lattice in six dimensions — into a three-dimensional subspace. This projection does not retain the periodicity of the lattice, but it does produce long-range order, like a Penrose tiling. It also encompasses the surface lattices used by Caspar and Klug. Twarock’s tilings therefore applied to a wider range of viruses, including the polyomaviruses and papillomaviruses that had evaded Caspar and Klug’s classification.

Moreover, Twarock’s constructions not only informed the locations and orientations of the capsid’s protein subunits, but they also provided a framework for how the subunits interacted with each other and with the genomic material inside. “I think this is where we made a very big contribution,” Twarock said. “By knowing about the symmetry of the container, you can understand better determinants of the asymmetric organization of the genomic material [and] constraints on how it must be organized. We were the first to actually float the idea that there should be order, or remnants of that order, in the genome.”

Twarock has been pursuing that line of research ever since.

The Role of Viral Genomes in Capsid Formation

Caspar and Klug’s theory applied only to the surfaces of capsids, not to their interiors. To know what was happening there, researchers had to turn to cryo-electron microscopy and other imaging techniques. Not so for Twarock’s tiling model, she said. She and her team set out hunting for combinatorial constraints on viral assembly pathways, this time using graph theory. In the process, they showed that in RNA viruses, the genomic material played a much more active role in the formation of the capsid than previously thought.

Specific positions along the RNA strand, called packaging signals, make contact with the capsid from inside its walls and help it form. Locating these signals with bioinformatics alone proves an incredibly difficult task, but Twarock realized she could simplify it by applying a classification based on a type of graph called a Hamiltonian path. Imagine the packaging signals as sticky pieces along the RNA string. One of them is stickier than the others; a protein will adhere to it first. From there, new proteins come into contact with other sticky pieces, forming an ordered pathway that never doubles back on itself. In other words, a Hamiltonian path.

The genomic RNA of the MS2 virus, when close to the capsid shell, arranges itself as a polyhedral cage (at left). In the planar representation at right, the relative positions of the RNA packaging signals (black points) in contact with the capsid’s protein building blocks are shown. Twarock uses Hamiltonian paths along segments of the RNA (yellow) to help determine the virus’s assembly mechanism.

The genomic RNA of the MS2 virus, when close to the capsid shell, arranges itself as a polyhedral cage (at left). In the planar representation at right, the relative positions of the RNA packaging signals (black points) in contact with the capsid’s protein building blocks are shown. Twarock uses Hamiltonian paths along segments of the RNA (yellow) to help determine the virus’s assembly mechanism.

Geraets JA, Dykeman EC, Stockley PG, Ranson NA, Twarock R https://doi.org/10.1371/journal.pcbi.1004146, adapted by Lucy Reading-Ikkanda/Quanta Magazine

Coupled with the geometry of the capsid, which places certain constraints on the local configurations in which the RNA can contact neighboring RNA-capsid binding sites, Twarock and her team mapped subsets of Hamiltonian paths to describe potential positions of the packaging signals. Weeding out the unpromising ones, Twarock said, was “a matter of taking care of dead ends.” Placements that would be both plausible and efficient, enabling effective and rapid assembly, were more limited than expected. The researchers concluded that a number of RNA-capsid binding sites must occur in every viral particle and are probably conserved features of genome organization. If so, the sites might be good novel targets for antiviral therapies.

Twarock and her colleagues, in collaboration with Stockley’s team in Leeds, have employed this model to delineate the packaging mechanism for several different viruses, starting with the bacteriophage MS2 and the satellite tobacco mosaic virus. They predicted the presence of packaging signals in MS2 in 2013 using Twarock’s mathematical tools, then provided experimental evidenceto back up those claims in 2015. This past February, the researchers identified sequence-specific packaging signals in the human parechovirus, part of the picornavirus family, which includes the common cold. And last month, they published their insights into the assembly of the hepatitis B virus. They plan on doing similar work on several other types of viruses, including alphaviruses, and hope to apply their findings to gain a better understanding of how such viruses evolve.

Going Beyond the Geometry

When Twarock’s team announced their finding on the parechovirus in February, headlines claimed they were closing in on a cure for the common cold. That’s not quite right, but it is a goal they’ve kept in mind in their partnership with Stockley.

Peter Stockley, a professor of biological chemistry at the University of Leeds, studies viral assembly mechanisms to help inform antiviral and vaccine strategies.

Peter Stockley, a professor of biological chemistry at the University of Leeds, studies viral assembly mechanisms to help inform antiviral and vaccine strategies.

Courtesy of Peter Stockley

The most immediate application would be to find a way to disrupt these packaging signals, creating antivirals that interfere with capsid formation and leave the virus vulnerable. But Stockley hopes to go a different route, focusing on prevention before treatment. Vaccine development has come a long way, he acknowledged, but the number of available vaccines pales in comparison to the number of infections that pose threats. “We’d like to vaccinate people against several hundred infections,” Stockley said, whereas only dozens of vaccines have been approved. Creating a stable, noninfectious immunogen to prepare the immune system for the real thing has its limitations. Right now, approved strategies for vaccines rely on either chemically inactivated viruses (killed viruses that the immune system can still recognize) or attenuated live viruses (live viruses that have been made to lose much of their potency). The former often provide only short-lived immunity, while the latter carry the risk of being converted from attenuated viruses to virulent forms. Stockley wants to open up a third route. “Why not make something that can sort of replicate but doesn’t have pathological features to it?” he asked.

In a poster presented at the Microbiology Society Annual Conference in April, Stockley, Twarock and other researchers describe one of their current areas of focus: using the research on packaging signals and self-assembly to probe a world of synthetic viruses. By understanding capsid formation, it may be possible to engineer viruslike particles (VLPs) with synthetic RNA. These particles would not be able to replicate, but they would allow the immune system to recognize viral protein structures. Theoretically, VLPs could be safer than attenuated live viruses and might provide greater protection for longer periods than do chemically inactivated viruses.

Twarock’s mathematical work also has applications beyond viruses. Govind Menon, a mathematician at Brown University, is exploring self-assembling micro- and nanotechnologies. “The mathematical literature on synthetic self-assembly is quite thin,” Menon said. “However, there were many models to study the self-assembly of viruses. I began to study these models to see if they were flexible enough to model synthetic self-assembly. I soon found that models rooted in discrete geometry were better suited to [our research]. Reidun’s work is in this vein.”

Miranda Holmes-Cerfon, a mathematician at the Courant Institute of Mathematical Sciences at New York University, sees connections between Twarock’s virus studies and her own research into how tiny particles floating in solutions can self-organize. That relevance speaks to what she regards as one of the valuable aspects of Twarock’s investigations: the mathematician’s ability to apply her expertise to problems in biology.

“If you talk to biologists,” Holmes-Cerfon said, “the language they use is so different than the language they use in physics and math. The questions are different, too.” The challenge for mathematicians is tied to their willingness to seek out questions with answers that inform the biology. One of Twarock’s real talents, she said, “is doing that interdisciplinary work.”

10 Reasons Slowing Down Will Actually Speed up Your Life


10 Reasons Slowing Down Will Actually Speed up Your Life

“It can be said that whatever energies you experience, you will sooner or later also experience their opposites.” – Bruce Frantzis, The Great Stillness

10 Reasons Slowing Down Will Actually Speed up Your Life

SLOWING DOWN

My background in Traditional Chinese Medicine (TCM) started with the introduction of yin and yang. I have to admit when I first studied it I thought I was wasting my time. I am now 18 plus years into the field of TCM and mind/body health and I realize I am just starting to scratch the surface of how important yin and yang are to my fundamental understanding of myself and wellness.

 When I was in the party phase of my life I would drink, stay up late, dance non-stop and play until the sun rose. Then I would recover which much to my dismay required an equal amount of time. It always happened the same way. I couldn’t change the cycle.

Fast forward a few years and I have kids and I still wanted to keep busy and be very active. I pushed my body to do what I wanted to do. And do you know my body pushed right back?

I didn’t acknowledge the yin needs of my body. So I ended up feeling burned out. I collapsed. And It took me months to recover.

I have learned through blood, sweat and many tears –and trying to find the loopholes in the forces of nature, the following wisdom:

1. You can’t argue with the natural rhythms of the universe.

What goes up must come down. Yin and yang are balanced energies. And the seed of one always exists and is growing into the other. Universal energies always come back into balance. Learning to work with them will get your needs met more beautifully than working against them.

“What does it mean that success is as dangerous as failure? Whether you go up the ladder or down it, your position is shaky. When you stand with your two feet on the ground, you will always keep your balance.” ~ Lao Tzu

2. When you work with yin and yang life unfolds amazingly well.

If you balance rest and activity, one feeds the other. I promise you from experience that if you rest deeply and indulgently there will be this moment where you just bounce up and yang energy takes over. Sometimes it’s as simple as a need to go to the restroom or get some water, other times it’s that you feel a need to create or buy groceries. Either way, Yin is not to be feared.

3. Yin time allows for growth.

My favorite example of this is the bean seed. You plant it in the ground and it rests there in complete darkness (the epitome of yin). I trust, based on the seed packet, that it will grow in 7-14 days because that’s what seeds do. They start in yin and grow into yang.

4. Yin time allows healing to take place.

If you have ever lifted weights you know that you tear the muscle first and then rest it to allow it to grow and adjust to the new expectations of strength. The same is true in all areas of our life.

5. Yin time can heal even the largest of traumas.

Jill Bolte Taylor was a 37-year-old neuroanatomist top in her field when she found herself in the middle of a major stroke. This is a very yang activity in the body. It took over seven years of extreme yin time and balanced yang time to recover from this trauma. Recover she did.

6. It is in the quiet stillness that we tap into a deeper wisdom.

A calm relaxed mind is a receptive mind, open to possibilities. I am not open to universal wisdom as I rush around buying groceries or picking the kids up from school. I am open when I am breathing deeply, centered and grounded in my being. Then and only then can my inspiration breathe itself into being.

7. Yin time evaporates fear.

In the quiet stillness of your restless life, you can find a place of deep trust and faith in life. You start to see patterns and appreciate the subtle beauty of how things are unfolding. Hindsight becomes foresight and your intuition can wake up and offer you wisdom.

8. Slowing down leads to fewer regrets.

Speed leads to unconsciousness and mistakes. Pace motivated by fear can lead to disaster. Slowing down, getting clear on what you want and where you will be focusing allows you to move forward consciously, deliberately and with purpose. And this is when dreams turn into actuality.

9. Balance leads to more oxygen leads to clarity

Nowhere is balance more important than with our breath. Lack of oxygen and shallow breathing leads to illness, brain fog, anxiety, fear, aggression, crappy sex, and more. Breathing a three part breath – activating our collarbone, rib cage and diaphragm requires a balance of our yin and yang in the body. Breathe in, deep pause and breathe out, pause and the cycle continues. With oxygen, life feels doable without the unbearable.

10. Yin time is appreciation, basking, and gratitude.

Every spiritual teacher, high-performance coach, counselor I have ever seen or read recommends firmly taking time each day to focus on what good is going on in your life; if Oprah, Hillary Clinton, and Tony Robbins have time for this exercise – I certainly can find the 3 minutes.

Yin adds value to life. And we can’t bargain with it.

Each day  I schedule in yin time. I start the morning with meditation or basking in the beauty of my life. After lunch, I have a brief period of rest. And after school, I have some quiet time where I contemplate how I’m going to move forward into the evening and the next day. What is interesting is that scheduling in these intentional yin times, no more than 15 minutes total, has opened up my yang capacity. These yin times consistently help me become more productive, appreciative, well rested, and deeply connected to my life.

Scientific Proof That Your Mind Can Heal Your Body


Scientific Proof That Your Mind Can Heal Your Body

“Fact 1: Your body can manufacture and administer the precise balance of neurochemicals that can reverse illness and cure disease. Your body possesses the innate capacity to heal itself.

Fact 2: Science has proven, beyond doubt, that the contents of our thoughts and emotions directly and immediately influence our biochemistry.

 Fact 3: You can consciously influence and direct the body’s output of health chemical information through meditation and visualization techniques.” ~ Kelly Howell

In this TED Talk, M.D. physician and Author of the New York Times Bestselling book, Mind Over Medicine: Scientific Proof That You Can Heal Yourself, dr. Lissa Rankin  shares not just scientific proof that your mind can heal your body and tips for using the power of your mind to optimize the body’s natural self-repair mechanisms, but also ways in which you can reduce the stress in your life, increase your happiness levels and craft a better and more beautiful life for yourself and those around you.

Enjoy 🙂

Scientific Proof That Your Mind Can Heal Your Body

Morning Meditation for Clarity and Positive Energy


Morning Meditation for Clarity and Positive Energy

“The more of me I be, the clearer I can see.” ~ Rachel Archelaus

CLARITY AND POSITIVE ENERGY

It’s so important to give ourselves some time in the morning to just be with ourselves and gain some clarity on how we want our day to look like. Because if we rush through things, chances are that things will feel out of control and that we will end up feeling anxious, fearful and stressed out.

If you want to start your day in a healthy and balanced way, use this beautiful morning meditation for clarity to reconnect with the peace, wisdom, and serenitythat is present within. Allow its soft yet powerful words to inspire and empower you to live each day in alignment with your purpose. And decide to start each day off right.

Before you begin, find a quiet place where you won’t be disturbed for the next 20 minutes. Second, find a comfortable position to sit – it can be in a chair, crossed legged or on your knees, or lay down and when you’re ready to press play. Once the meditation session is over, you can share your experience with all of us by commenting below.

Enjoy 🙂

Morning Meditation for Clarity and Positive Energy

I have a question for you. When you wake up in the morning, do you rush through things by going straight to work, or do you have some time for yourself to nourishand give your mind, body, and soul the fuel they need to function properly? You can share your comment in the comment section below 🙂