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DHEA Restoration Therapy – Hormone Replacement, Estrogens …

Posted: November 16, 2016 at 3:46 pm

The natural steroid hormone dehydroepiandrosterone (DHEA) was first introduced to Life Extension supporters four decades ago at a time when the medical community was largely unaware of the scientific data supporting this hormones multifaceted benefits. Fast forward to today, when more than 3700 papers have evaluated the scientific effects of DHEA upon many different cells and tissues of the body. This multifunctional hormone and its metabolite dehydroepiandrosterone sulfate (DHEA-S) provide critical hormonal benefits in both men and women (Traish 2011; Savineau 2013). As a precursor to androgens (male hormones) and estrogens (female hormones), DHEA plays a fundamental role in the maintenance of hormonal balance and youthful vitality. It also modulates a variety of pathways throughout the body involved in various aspects of health and disease via direct actions independent of its role as a precursor to androgens and estrogens (Samaras 2013; Traish 2011; Savineau 2013).

Aging disrupts hormonal balance, with the levels of several critical hormones dramatically reduced in comparison with youthful levels, and DHEA is no exception. By age 80, levels of DHEA fall by as much as 80%90% compared to what they were during young adulthood (Samaras 2013). The gravity of this becomes clear after understanding the roles DHEA plays in supporting healthy, youthful physiology across several body systems. Studies have shown that reduced levels of DHEA-S are linked with the pathophysiology underlying numerous age-associated disease states, including cognitive decline, cardiovascular disease, bone loss, cancer, depression, sexual dysfunction, and various inflammatory disorders (Samaras 2013; Traish 2011; Savineau 2013; Dong 2012; Zaluska 2009; Labrie 2009; Straub 2000; Krysiak 2008; Lopez-Marure 2011).

Restoring youthful DHEA levels provides a unique opportunity to mitigate the consequences of dwindling hormones. Unlike direct administration of androgens (ie, testosterone replacement therapy) or estrogens (ie, estrogen replacement therapy), bolstering DHEA levels provides a reservoir of this hormone precursor that various tissues can convert into androgens and estrogens (Traish 2011; Arlt 1998; Morales 1994; Aldred 2010; Samaras 2013; Panjari 2007). However, DHEA administration cannot supplant the need to measure and restore other hormones because the rate at which it is converted to androgens and estrogens varies among individuals and with gender (Samaras 2013; Arlt 1999; Schulze 2013; Fitzpatrick 2001; Miller 2004). Therefore, restoring DHEA levels should be viewed as an integral part of a comprehensive hormone restoration regimen rather than an alternative to testosterone replacement in men and estrogen replacement in women.

In addition to its role as a hormone precursor, DHEA also modulates inflammation, which is a driving force in many diseases. This multifunctional hormone also promotes the production of the cell-signaling molecule nitric oxide within the delicate lining of blood vessels by activating an enzyme called endothelial nitric oxide synthase (eNOS). Nitric oxide is a pivotal regulator of blood flow via its ability to stimulate blood vessel dilation. Thus, it is not surprising that low DHEA levels have been linked to cardiovascular disease in the medical literature (Samaras 2013; Traish 2011).

Upon oral administration, DHEA is mostly converted to DHEA-S, which circulates in the blood far longer than DHEA. Circulating DHEA-S acts as a reserve upon which tissues can draw. Once taken up by tissues, DHEA-S is converted back to DHEA, which can then be locally converted to androgens and estrogens or exert direct action (Samaras 2013; Traish 2011).

Since DHEA-S is more abundant in the bloodstream than DHEA (Traish 2011; Savineau 2013), simple blood tests to measure DHEA-S concentrations can be integrated into any healthy aging strategy for both men and women. With regular monitoring of blood levels of DHEA-S and other hormones, individuals are provided with specific feedback about the state of their hormonal milieu (Traish 2011). This allows for development, implementation, and optimization of individualized regimens that can help maturing individuals lead full, active, healthy lives (Samaras 2013).

Bioidentical hormone replacement therapy is a method of administering hormones that are structurally identical to those produced by the human body. Treatment with DHEA, which is also bioidentical, is an integral component of any comprehensive hormone restoration regimen. On the other hand, some forms of conventional hormone replacement therapy utilize hormones that are not identical to those produced by humans and are either derived from animals or synthesized. Evidence suggests that bioidentical hormone replacement therapy may be safer and associated with greater patient satisfaction than conventional hormone replacement therapy (Holtorf 2009). Life Extensions Male Hormone Restoration and Female Hormone Restoration protocols provide a thorough overview of bioidentical hormone replacement therapy and should be referred to in conjunction with this protocol.

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Genetic Engineering in Agriculture | Union of Concerned …

Posted: November 16, 2016 at 3:45 pm

While the risks of genetic engineering are often exaggerated or misrepresented, GE crops do have the potential to cause a variety of health problems and environmental impacts. For instance, they may spread undesirable traits to weeds and non-GE crops, produce new allergens and toxins, or harm animals that consume them.

At least one major environmental impact of genetic engineering has already reached critical proportions: overuse of herbicide-tolerant GE crops has spurred an increase in herbicide use and an epidemic of herbicide-resistant "superweeds," which will lead to even more herbicide use.

How likely are other harmful GE impacts to occur? This is a difficult question to answer. Each crop-gene combination poses its own set of risks. While risk assessments are conducted as part of GE product approval, the data are generally supplied by the company seeking approval, and GE companies use their patent rights to exercise tight control over research on their products.

In short, there is a lot we don't know about the long-term and epidemiological risks of GEwhich is no reason for panic, but a good reason for caution, particularly in view of alternatives that are more effective and economical.

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Breakthroughs in Epigenetics – The New Yorker

Posted: November 16, 2016 at 3:45 pm

The authors mother (right) and her twin are a study in difference and identity. Credit Photograph by Dayanita Singh for The New Yorker

On October 6, 1942, my mother was born twice in Delhi. Bulu, her identical twin, came first, placid and beautiful. My mother, Tulu, emerged several minutes later, squirming and squalling. The midwife must have known enough about infants to recognize that the beautiful are often the damned: the quiet twin, on the edge of listlessness, was severely undernourished and had to be swaddled in blankets and revived.

The first few days of my aunts life were the most tenuous. She could not suckle at the breast, the story runs, and there were no infant bottles to be found in Delhi in the forties, so she was fed through a cotton wick dipped in milk, and then from a cowrie shell shaped like a spoon. When the breast milk began to run dry, at seven months, my mother was quickly weaned so that her sister could have the last remnants.

Tulu and Bulu grew up looking strikingly similar: they had the same freckled skin, almond-shaped face, and high cheekbones, unusual among Bengalis, and a slight downward tilt of the outer edge of the eye, something that Italian painters used to make Madonnas exude a mysterious empathy. They shared an inner language, as so often happens with twins; they had jokes that only the other twin understood. They even smelled the same: when I was four or five and Bulu came to visit us, my mother, in a bait-and-switch trick that amused her endlessly, would send her sister to put me to bed; eventually, searching in the half-light for identity and differencefor the precise map of freckles on her faceI would realize that I had been fooled.

But the differences were striking, too. My mother was boisterous. She had a mercurial temper that rose fast and died suddenly, like a gust of wind in a tunnel. Bulu was physically timid yet intellectually more adventurous. Her mind was more agile, her tongue sharper, her wit more lancing. Tulu was gregarious. She made friends easily. She was impervious to insults. Bulu was reserved, quieter, and more brittle. Tulu liked theatre and dancing. Bulu was a poet, a writer, a dreamer.

Over the years, the sisters drifted apart. Tulu married my father in 1965 (he had moved to Delhi three years earlier). It was an arranged marriage, but also a risky one. My father was a penniless immigrant in a new city, saddled with a domineering mother and a half-mad brother who lived at home. To my mothers genteel West Bengali relatives, my fathers family was the embodiment of East Bengali hickdom: when his brothers sat down to lunch, they would pile their rice in a mound and punch a volcanic crater in it for gravy, as if marking the insatiable hunger of their village days. By comparison, Bulus marriage, also arranged, seemed a vastly safer prospect. In 1967, she married a young lawyer, the eldest son of a well-established clan in Calcutta, and moved to his familys sprawling, if somewhat decrepit, mansion.

By the time I was born, in 1970, the sisters fortunes had started to move in unexpected directions. Calcutta had begun its spiral into hell. Its economy was fraying, its infrastructure crumbling. Internecine political movements broke out frequently, closing streets and businesses for weeks. Between the citys cycles of violence and apathy, Bulus husband kept up the pretense of a job, leaving home every morning with the requisite briefcase and tiffin box, but who needed a lawyer in a city without laws? Eventually, the family sold the mildewing house, with its grand veranda and inner courtyard, and moved into a three-room flat.

My fathers fate mirrored that of his adoptive city. Delhi, the capital, was Indias overnourished child, fattened by subsidies, grants, and the nations aspirations to build a mega-metropolis. Our neighborhood, once girded by forests of thornbushes and overrun with wild dogs and goats, was soon transformed into one of the citys most affluent pockets of real estate. My family vacationed in Europe. We learned to eat with chopsticks, twisted our tongues around the word croissant, and swam in hotel pools. When the monsoons hit Calcutta, the mounds of garbage on the streets clogged the drains and turned the city into a vast, infested swamp. A stagnant pond, festering with mosquitoes, collected each year outside Bulus house. She called it her own swimming pool.

Why are identical twins alike? In the late nineteen-seventies, a team of scientists in Minnesota set out to determine how much these similarities arose from genes, rather than environmentsfrom nature, rather than nurture. Scouring thousands of adoption records and news clips, the researchers gleaned a rare cohort of fifty-six identical twins who had been separated at birth. Reared in different families and different cities, often in vastly dissimilar circumstances, these twins shared only their genomes. Yet on tests designed to measure personality, attitudes, temperaments, and anxieties, they converged astonishingly. Social and political attitudes were powerfully correlated: liberals clustered with liberals, and orthodoxy was twinned with orthodoxy. The same went for religiosity (or its absence), even for the ability to be transported by an aesthetic experience. Two brothers, separated by geographic and economic continents, might be brought to tears by the same Chopin nocturne, as if responding to some subtle, common chord struck by their genomes.

One pair of twins both suffered crippling migraines, owned dogs that they had named Toy, married women named Linda, and had sons named James Allan (although one spelled the middle name with a single l). Another pairone brought up Jewish, in Trinidad, and the other Catholic, in Nazi Germany, where he joined the Hitler Youthwore blue shirts with epaulets and four pockets, and shared peculiar obsessive behaviors, such as flushing the toilet before using it. Both had invented fake sneezes to diffuse tense moments. Two sistersseparated long before the development of languagehad invented the same word to describe the way they scrunched up their noses: squidging. Another pair confessed that they had been haunted by nightmares of being suffocated by various metallic objectsdoorknobs, fishhooks, and the like.

The Minnesota twin study raised questions about the depth and pervasiveness of qualities specified by genes: Where in the genome, exactly, might one find the locus of recurrent nightmares or of fake sneezes? Yet it provoked an equally puzzling converse question: Why are identical twins different? Because, you might answer, fate impinges differently on their bodies. One twin falls down the crumbling stairs of her Calcutta house and breaks her ankle; the other scalds her thigh on a tipped cup of coffee in a European station. Each acquires the wounds, calluses, and memories of chance and fate. But how are these changes recorded, so that they persist over the years? We know that the genome can manufacture identity; the trickier question is how it gives rise to difference.

David Allis, who has been studying the genomes face for identity and difference for three decades, runs a laboratory at Rockefeller University, in New York. For a scientist who has won virtually all of sciences most important prizes except the Nobel (and that has been predicted for years), Allis is ruthlessly self-effacingthe kind of person who offers to leave his name on a chit at the faculty lunchroom because he has forgotten his wallet in the office. (We know who you are, the woman at the cash register says, laughing.)

As a child, Allis grew up in the leeward shadow of his sister, a fraternal twin, in Cincinnati, Ohio. She was the studious one, the straight-A student; he was the popular kid, the high-school fraternity president casual about his schoolwork. We were similar but different, Allis said. At some point in college, though, Alliss studies became a calling rather than a chore. In 1978, having obtained a Ph.D. in biology at Indiana University, Allis began to tackle a problem that had long troubled geneticists and cell biologists: if all the cells in the body have the same genome, how does one become a nerve cell, say, and another a blood cell, which looks and functions very differently?

In the nineteen-forties, Conrad Waddington, an English embryologist, had proposed an ingenious answer: cells acquired their identities just as humans doby letting nurture (environmental signals) modify nature (genes). For that to happen, Waddington concluded, an additional layer of information must exist within a cella layer that hovered, ghostlike, above the genome. This layer would carry the memory of the cell, recording its past and establishing its future, marking its identity and its destiny but permitting that identity to be changed, if needed. He termed the phenomenon epigeneticsabove genetics. Waddington, ardently anti-Nazi and fervently Marxist, may have had more than a biological stake in this theory. The Nazis had turned a belief in absolute genetic immutability (a Jew is a Jew) into a state-mandated program of sterilization and mass murder. By affirming the plasticity of nature (everyone can be anyone), a Marxist could hope to eradicate such innate distinctions and achieve a radical collective good.

Waddingtons hypothesis was perhaps a little too inspired. No one had visualized a gene in the nineteen-forties, and the notion of a layer of information levitating above the genome was an abstraction built atop an abstraction, impossible to test experimentally. By the time I began graduate school, it had largely been forgotten, Allis said.

Had Allis started his experiments in the nineteen-eighties trying to pin down words like identity and memory, he might have found himself lost in a maze of metaphysics. But part of his scientific genius lies in radical simplification: he has a knack for boiling problems down to their tar. What allows a cell to maintain its specialized identity? A neuron in the brain is a neuron (and not a lymphocyte) because a specific set of genes is turned on and another set of genes is turned off. The genome is not a passive blueprint: the selective activation or repression of genes allows an individual cell to acquire its identity and to perform its function. When one twin breaks an ankle and acquires a gash in the skin, wound-healing and bone-repairing genes are turned on, thereby recording a scar in one body but not the other.

But what turns those genes on and off, and keeps them turned on or off? Why doesnt a liver cell wake up one morning and find itself transformed into a neuron? Allis unpacked the problem further: suppose he could find an organism with two distinct sets of genesan active set and an inactive setbetween which it regularly toggled. If he could identify the molecular switches that maintain one state, or toggle between the two states, he might be able to identify the mechanism responsible for cellular memory. What I really needed, then, was a cell with these properties, he recalled when we spoke at his office a few weeks ago. Two sets of genes, turned on or off by some signal.

Allis soon found his ideal subject: a bizarre single-celled microbe called Tetrahymena. Blob-shaped cells surrounded by dozens of tiny, whiskery projections called cilia, Tetrahymena are improbable-lookingeach a hairy Barbapapa, or a Mr. Potato Head who fell into a vat of Rogaine. Perhaps the strangest thing about this strange organism is that it carries two very distinct collections of genes, he told me. One is completely shut off during its normal life cycle and another is completely turned on. Its really black-and-white. Then, during reproduction, an entirely different nucleus wakes up and goes into action. So we could now ask, What signal, or mechanism, allows Tetrahymena to regulate one set of genes versus the next?

By the mid-nineteen-nineties, Allis had found an important clue. Genes are typically carried in long, continuous chains of DNA: one such chain can carry hundreds of thousands of genes. But a chain of DNA does not typically sit naked in animal cells; it is wrapped tightly around a core of proteins called histones. To demonstrate, Allis stood up from his desk, navigated his way through stacks of books and papers, and pointed at a model. A long plastic tube, cerulean blue, twisted sinuously around a series of white disks, like a python coiled around a skewer of marshmallows.

Histones had been known as part of the inner scaffold for DNA for decades, Allis went on. But most biologists thought of these proteins merely as packaging, or stuffing, for genes. When Allis gave scientific seminars in the early nineties, he recalled, skeptics asked him why he was so obsessed with the packing material, the stuff in between the DNA. His protozoan studies supplied an answer. In Tetrahymena, the histones did not seem passive at all, he said. The genes that were turned on were invariably associated with one form of histone, while the genes that were turned off were invariably associated with a different form of histone. A skein of silk tangled into a ball has very different properties from that same skein extended; might the coiling or uncoiling of DNA change the activity of genes?

In 1996, Allis and his research group deepened this theory with a seminal discovery. We became interested in the process of histone modification, he said. What is the signal that changes the structure of the histone so that DNA can be packed into such radically different states? We finally found a protein that makes a specific chemical change in the histone, possibly forcing the DNA coil to open. And when we studied the properties of this protein it became quite clear that it was also changing the activity of genes. The coils of DNA seemed to open and close in response to histone modificationsinhaling, exhaling, inhaling, like life.

Allis walked me to his lab, a fluorescent-lit space overlooking the East River, divided by wide, polished-stone benches. A mechanical stirrer, whirring in a corner, clinked on the edge of a glass beaker. Two features of histone modifications are notable, Allis said. First, changing histones can change the activity of a gene without affecting the sequence of the DNA. It is, in short, formally epi-genetic, just as Waddington had imagined. And, second, the histone modifications are passed from a parent cell to its daughter cells when cells divide. A cell can thus record memory, and not just for itself but for all its daughter cells.

By 2000, Allis and his colleagues around the world had identified a gamut of proteins that could modify histones, and so modulate the activity of genes. Other systems, too, that could scratch different kinds of code on the genome were identified (some of these discoveries predating the identification of histone modifications). One involved the addition of a chemical side chain, called a methyl group, to DNA. The methyl groups hang off the DNA string like Christmas ornaments, and specific proteins add and remove the ornaments, in effect decorating the genome. The most heavily methylated parts of the genome tend to be dampened in their activity.

In the ensuing decade, Allis wrote enormous, magisterial papers in which a rich cast of histone-modifying proteins appear and reappear through various roles, mapping out a hatchwork of complexity. (His twin, Cathy Allis, is an ace crossword-puzzle constructor, having supplied Times readers with nearly a hundred puzzlesan activity that is similar but different.) These protein systems, overlaying information on the genome, interacted with one another, reinforcing or attenuating their signals. Together, they generated the bewildering intricacy necessary for a cell to build a constellation of other cells out of the same genes, and for the cells to add memories to their genomes and transmit these memories to their progeny. Theres an epigenetic code, just like theres a genetic code, Allis said. There are codes to make parts of the genome more active, and codes to make them inactive.

And epigenetics could transform whole animals. The idea that cells can acquire profoundly different properties by manipulating their epigenome was becoming known, Danny Reinberg told me. But that you could create different forms of a creature out of the same genome using epigenetics? That was a real challenge.

Reinbergs lab is at New York Universitys School of Medicine. His office by the East River around Thirty-first Streetis like Alliss: another nest of books and offprints, a wide river view, and another model of DNA twisted around histones, although this room is filled with Reinbergs private botanical obsession: huge, overgrown succulents from other climes that assert themselves with a defiant muscularity. Intense, articulate, with a cultivated stubble, Reinberg resembles an athletea gymnast, or a wrestlerwhose skill depends on compaction and repetition. He grew up in Santiago, Chile, the child of parents who ran a jewelry business. He scored an A-minus in his first biochemistry class in college, in Valparaiso, but felt that he hadnt really mastered the material, so he applied to take the class again. The professor looked at him as if he were mad before relenting.

Like Allis, Reinberg became interested in epigenetics in the nineteen-nineties. He explored how modified histones were copied when a cell divides, right down to the molecular level. Allis described Reinbergs early work as some of the most elegant experiments in the field. But Reinberg sought a more advanced instance of epigenetic instructiona whole animal, not just a cell, whose form and identity could be shifted by shifting the epigenetic code. So imagine that you tighten some parts of the DNA and loosen other parts by changing the structures of the histones, Reinberg said. Can you change the form or nature of an animal simply by coiling and uncoiling various parts of its genome?

One blistering summer day in 2005, Reinberg found himself stuck in a van ferrying a group of scientists to an epigenetics meeting outside Mexico City. The traffic was jammed for mileshe shrugged, signalling South American resignationand I sat next to another scientist, Shelley Berger, whose work I had long admired, and we started talking. Berger, a molecular biologist who studies epigenetics at the University of Pennsylvania, had just returned from Costa Rica, where she had been looking at ant colonies.

Ants have a powerful caste system. A colony typically contains ants that carry out radically different roles and have markedly different body structures and behaviors. These roles, Reinberg learned, are often determined not by genes but by signals from the physical and social environment. Sibling ants, in their larval stage, become segregated into the different types based on environmental signals, he said. Their genomes are nearly identical, but the way the genes are usedturned on or off, and kept on or offmust determine what an ant becomes. It seemed like a perfect system to study epigenetics. And so Shelley and I caught a flight to Arizona to see Jrgen Liebig, the ant biologist, in his lab.

The collaboration between Reinberg, Berger, and Liebig has been explosively successfulthe sort of scientific story (two epigeneticists walk into a bar and meet an entomologist) that works its way into a legend. Carpenter ants, one of the species studied by the team, have elaborate social structures, with queens (bullet-size, fertile, winged), majors (bean-size soldiers who guard the colony but rarely leave it), and minors (nimble, grain-size, perpetually moving foragers). In a recent, revelatory study, researchers in Bergers lab injected a single dose of a histone-altering chemical into the brains of major ants. Remarkably, their identities changed; caste was recast. The major ants wandered away from the colony and began to forage for food. The guards turned into scouts. Yet the caste switch could occur only if the chemical was injected during a vulnerable period in the ants development.

Since 2012, Reinberg, continuing his partnership with Berger and Liebig, has been cultivating ant colonies in his own lab. One afternoon in April, I put on sky-blue sterile gloves and an apron, and accompanied a postdoctoral researcher in Reinbergs lab, Hua Yan, to the ant room. It is a neatly kept, gently lighted space with the slightly dank smell of sugar and dead maggotsant food. In a nightmarish inversion of an American picnic idyll, the ants live inside Tupperware containers, and the people watch from outside.

The most mature colonies in Reinbergs collection belong to a species called the jumping ant, a pugnacious social insect from southern India. Like most ant species, jumping ants segregate into castes. When the queen is removed from the colony, the workers, sensing opportunity, launch a vicious, fight-to-the-death campaign against one anotherstinging, biting, sparring, lopping off limbs and heads, until a few workers win and become queenlike. The behavior of these pseudo-queens, as Reinberg calls them, changes dramatically; their life spans increase. The pseudo-queen (the scientific term is gamergate, not to be confused with the vicious, fight-to-the-death campaign against female video-game-makers) acquires reproductive fecundity, and dominates the colony.

I looked through a transparent Tupperware lid at a teeming colony of jumping ants, and thought, inevitably, of the city around us. The workers scurried around the edges of the container with inexhaustible energy, gathering food and garbage. The gamergates, in contrast, moved lazily above their brood in the center of the container. The workers worked. The gamergates loungedwaking late, moving little. When a worker approached a gamergate, the dominant ant Tasered it with her antennae, warning the worker to keep off her royal territory. The worker retreated, its antennae lowered.

The remarkable thing about workers and gamergates, Yan told me, is that they are almost genetically identical. The gene sequence before and after the transition is the same. Yet, as DNA methyl groups or histone modifications get shifted around those gene sequences, the worker transforms into a gamergate, and virtually everything about the insects physiology and behavior changes. Were going to solve how the change can have such a dramatic effect on longevity, Reinberg said. Its like one twin that lives three times longer than the otherall by virtue of a change in epigenetic information.

The impact of the histone-altering experiment sank in as I left Reinbergs lab and dodged into the subway. (How could I resist the urge, that spring afternoon, to categorize the passengers on the No. 6 train into the three basic New Yorker archetypes: worker, soldier, queen?) All of an ants possible selves are inscribed in its genome. Epigenetic signals conceal some of these selves and reveal others, coiling some, uncoiling others. The ant chooses a life between its genes and its epigenesinhabiting one self among its incipient selves.

Epigeneticists, once a subcaste of biologist nudged to the far peripheries of the discipline, now find themselves firmly at its epicenter. Fifteen years ago, a meeting on cell biology would hold a session on histones or DNA methylationand no one would be at that session, Allis told me. Now there are meetings on the epigenetics of human memory, of ants, of cancer, of mental illness. Part of the reason for the excitement is that epigenes may be vastly more tractable than genes. Gene therapy was all the rage when I began my career, but manipulating genes has turned out to be much harder than envisioned, Allis said. Genes, after all, are the permanent repository of a cells information system, and thus more tamperproof. (If genes are hardware, epigenes are firmware.) But by altering epigenesthe manner in which DNA is coiled or uncoiled, methylated or demethylatedone should be able to alter which genes are activated.

Medical epigeneticists are most excited about the implications for cancer. In some cancers, such as leukemias, malignant cells have markedly aberrant patterns of DNA methylation or histone modification. Clearly, theres a signal that epigenetic information is important for a cancer cell, Allis said. But can a drug safely change the epigenome of a cancer cell without touching a normal cell? In my own leukemia- and lymphoma-focussed clinic, dozens of epigenetic drugs are on trial. Some alter methylation, while others perturb the histone-modification system. One woman with pre-leukemia had a spectacular remission on a drug called azacitidine, but, oddly, she began to have sudden spurts of anxiety. Were these symptoms related to the drugs effect on the epigenomes of brain cells?

Other researchers, following Reinberg and his colleagues, have looked at how epigenetics might change behaviorsnot just cellular memory and identity but an organisms memory and identity. The neuroscientist and psychiatrist Eric Nestler, who studies addiction, gave mice repeated injections of cocaine, and found that the histones were altered in the reward-recognizing region of the brain. When the histone modification was chemically blocked, the mice were less likely to become addicted. In 2004, a team of researchers at McGill University noticed that rats raised by low-nurturing mothers were likely to be notably stressed as young adults. The memory of childhood neglect in rats appears to be related to epigenetic changes: a gene that acts as a set point for stressan anxiety rheostatis dampened in these poorly nurtured rats, resulting in higher levels of stress hormones. McGill researchers went on to study the brains of human beings who were abused as children and later committed suicide, and found similar epigenetic alterations.

The medical impact of epigenetics remains to be established, but its biological influence has been evident for nearly a decade. Diffuse, mysterious observations, inexplicable by classical genetics, have epigenetic explanations at their core. When a female horse and a male donkey mate, they produce a longer-eared, thin-maned mule; a male horse and a female donkey typically generate a smaller, shorter-eared hinny. That a hybrids features depend on the precise configuration of male versus female parentage is impossible to explain unless the genes can remember whether they came from the mother or the fathera phenomenon called genomic imprinting. We now know that epigenetic notations etched in sperm and eggs underlie imprinted genes.

Perhaps the most startling demonstration of the power of epigenetics to set cellular memory and identity arises from an experiment performed by the Japanese stem-cell biologist Shinya Yamanaka in 2006. Yamanaka was taken by the idea that chemical marks attached to genes in a cell might function as a record of cellular identity. What if he could erase these marks? Would the adult cell revert to an original state and turn into an embryonic cell? He began his experiments with a normal skin cell from an adult mouse. After a decades-long hunt for identity-switching factors, he and his colleagues figured out a way to erase a cells memory. The process, they found, involved a cascade of events. Circuits of genes were activated or repressed. The metabolism of the cell was reset. Most important, epigenetic marks were erased and rewritten, resetting the landscape of active and inactive genes. The cell changed shape and size. Its wrinkles unmarked, its stiffening joints made supple, its youth restored, the cell could now become any cell type in the body. Yamanaka had reversed not just cellular memory but the direction of biological time.

Its one thing to study epigenetic changes across the life of a single organism, or down a line of cells. The more tantalizing question is whether epigenetic messages can, like genes, cross from parents to their offspring.

The most suggestive evidence for such transgenerational transmission may come from a macabre human experiment. In September, 1944, amid the most vengeful phase of the Second World War, German troops occupying the Netherlands banned the export of food and coal to its northern parts. Acute famine followed, called the Hongerwinterthe hunger winter. Tens of thousands of men, women, and children died of malnourishment; millions suffered it and survived. Not surprisingly, the children who endured the Hongerwinter experienced chronic health issues. In the nineteen-eighties, however, a curious pattern emerged: when the children born to women who were pregnant during the famine grew up, they had higher rates of morbidity as wellincluding obesity, diabetes, and mental illness. (Malnourishment in utero can cause the body to sequester higher amounts of fat in order to protect itself from caloric loss.) Methylation alterations were also seen in regions of their DNA associated with growth and development. But the oddest result didnt emerge for another generation. A decade ago, when the grandchildren of men and women exposed to the famine were studied, they, too, were reported to have had higher rates of illness. (These findings have been challenged, and research into this cohort continues.) Genes cannot change in an entire population in just two generations, Allis said. But some memory of metabolic stress could have become heritable.

Both Allis and Reinberg understand the implications of transgenerational epigenetic transmission: it would overturn fundamental principles of biology, including our understanding of evolution. Conceptually, a key element of classical Darwinian evolution is that genes do not retain an organisms experiences in a permanently heritable manner. Jean-Baptiste Lamarck, in the early nineteenth century, had supposed that when an antelope strained its neck to reach a tree its efforts were somehow passed down and its progeny evolved into giraffes. Darwin discredited that model. Giraffes, he proposed, arose through heritable variation and natural selectiona tall-necked specimen appears in an ancestral tree-grazing animal, and, perhaps during a period of famine, this mutant survives and is naturally selected. But, if epigenetic information can be transmitted through sperm and eggs, an organism would seem to have a direct conduit to the heritable features of its progeny. Such a system would act as a wormhole for evolutiona shortcut through the glum cycles of mutation and natural selection.

My visit with Allis had ended on a cautionary note. Much about the transmission of epigenetic information across generations is unknown, and we should be careful before making up theories about the kind of information or memory that is transmitted, he told me. By bypassing the traditional logic of genetics and evolution, epigenetics can arouse fantasies about warp-speeding heredity: you can make your children taller by straining your neck harder. Such myths abound and proliferate, often dangerously. A childs autism, the result of genetic mutation, gets attributed to the emotional trauma of his great-grandparents. Mothers are being asked to minimize anxiety during their pregnancy, lest they taint their descendants with anxiety-ridden genes. Lamarck is being rehabilitated into the new Darwin.

These fantasies should invite skepticism. Environmental information can certainly be etched on the genome. But such epigenetic scratch marks are rarely, if ever, carried forward across generations. A man who loses a leg in an accident bears the imprint of that accident in his cells, wounds, and scars, but he does not bear children with shortened legs. A hundred and forty generations of circumcision have not made the procedure any shorter. Nor has the serially uprooted life of my family burdened me, or my children, with any wrenching sense of estrangement.

In the fall of 2013, Bulu travelled to the United States. I had not seen her for nearly a decade, and I drove out to Robbinsville, New Jersey, with my family to visit her. It was October 6th, the birthday that she shared with my mother. She had cooked my favorite mealshrimp curry, a signature Tulu dish, tangy with just a hint of bitterness from lime rindand the house smelled of the heady mixture of boiled shellfish, lime, and the floral brand of hair oil that both sisters preferred, my private madeleine. Bulus face was leaner and more angular than I remembered it, but when she smiled the angles rearranged themselves and softened into a distant evocation of my mothers.

We made our way to the park outside the house, while the kids played in the garden. The October light was oblique and sepulchral, a halo-endowing, New World light that does not exist in Delhi or Calcutta. There had been an uncomfortable irony in that Bulu, who loved adventure, had spent most of her life in the same stodgy city, while Tulu, an inveterate homebody, fussy about mattresses and food, had been dragged across the globe by my travel-obsessed father. I asked Bulu about her encounter with America, the adventure of it all.

Oh, but Ive been here so many times, she said, laughing. Every time Tulu took a trip abroad, I bought a guidebook and travelled, too. There was something about the remark that reminded me of my mother. It was almost rueful, although without the aftertaste of bitterness. She shared my mothers lightness about fatean equanimity that borders nobility but comes with no pride.

As we meandered through the park over fallen leaves, Bulu reminisced about how the vicissitudes of their lives had reshaped her and her sister in different ways, while I couldnt help noting how fiercely they had converged. In calculus, the first derivative of a curve at any point refers not to the position of the point but to its propensity to change its position; not where an object is but how it moves. This shared quality was the lasting link between my mother and her twin. Tulu and Bulu were no longer recognizably identicalbut they shared the first derivative of identity.

It is easy to think of twins as comedies of nature. The rhyming names, the matching sailor suits, the tomfoolery of mistaken identities, the two-places-at-the-same-time movie plotgenetics for gags. But twins often experience parts of their lives as tragedies of nature. My mother and her sister grew up in a walled garden, imagining each other not as friends or siblings but as alternate selves. They were separated not at birth but at marriage, as sisters often are. Jeta Tulur, sheta Bulur, my grandfather would say: What is Tulus is also Bulus. But that wistful phrase, a parents fantasy of perfect parity for his children, was absurd; how could it possibly last? The grief that twins experience as they drift apart in life is unique, but it abuts a general grief: if eternal sameness will not guarantee eternal closeness, then what hope is there for siblings, or parents, or lovers?

Why are twins different? Well, because idiosyncratic events are recorded through idiosyncratic marks in their bodies. If you sequence the genomes of a pair of identical twins every decade for fifty years, you get the same sequence over and over. But if you sequence the epigenomes of a pair of twins you find substantial differences: the pattern of epigenetic marks on the genomes of their various cells, virtually identical at the start of the experiment, diverges over time.

Chance eventsinjuries, infections, infatuations; the haunting trill of that particular nocturneimpinge on one twin and not on the other. Genes are turned on and off in response to these events, as epigenetic marks are gradually layered above genes, etching the genome with its own scars, calluses, and freckles. Prospero, raging against the deformed Caliban in The Tempest, describes him as a devil, a born devil, on whose nature/Nurture can never stick. Caliban is destined to remain a genetic automaton, a windup ghoulvastly more pathetic than anything human. He experiences the world, but he has no capacity to be changed by it; he has a genome that lacks an epigenome.

It is a testament to the unsettling beauty of the genome that it can make the real world stick. Hindu philosophers have long described the experience of being as a webjaal. Genes form the threads of the web; the detritus that adheres to it transforms every web into a singular being. An organisms individuality, then, is suspended between genome and epigenome. We call the miracle of this suspension fate. We call our responses to it choice. We call one such unique variant of one such organism a self.

A strange thing happened on the way out of Reinbergs ant room. One of the ants leaped out of the Tupperware box onto my shirt. There was a momentary commotionThey bite, Yan said, matter-of-factlyand then we found the ant on my shoulder, making a desperate break for my ear. Yan pulled out a pair of forceps and, after a few attempts, she was returned to the colony.

The retrieval had been masterfully delicate, but the ant was injured: a leg had been bruised, and she waddled lopsidedly for a while. The wound would heal, I knew, but a scar would remain. She had done it: she had made difference out of similarity. The clone was somehow no longer quite a clone. I watched her make her way back to the colonythe One That Almost Got Away, to be memorialized in song and verseuntil she vanished into the metropolis of soldiers, workers, and queens.

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Cary NC Stem Cell Treatment | Cary North Carolina Cancer …

Posted: November 16, 2016 at 3:44 pm

Cary NC Stem Cell Treatment | 1.800.872.0222

A Cary North Carolina stem cell treatment is a cutting edge medical therapy in which specific diseases or injuries are treated by introducing various types of stem cells into damaged tissue. The most extensively used Cary NC stem cell treatment therapy is the transfusion of bone marrow from one patient to another to fight conditions such as leukemia and lymphoma. This type of Cary North Carolina stem cell treatment allows the recipient to regenerate their immune system and fight of the cancer. In the last few decades, physicians have discovered numerous types of stem cells and many new and promising advances in medical treatments.

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Stem cells can be taken from a variety of sources including bone marrow cells, autologous adipose cells, and umbilical cord cells. Each type of cell is useful in a Cary North Carolina stem cell treatment that targets different types of conditions. Stem cells have unique properties that allow them to be used in a Cary NC stem cell treatment primarily that they can reproduce other stem cells and are precursor cells which have the ability to change into several other different types of cells. Stem cell therapy can literally allow the body to regenerate nerves and other cell types that were previously thought unrepeatable.

Physicians can perform a Cary NC stem cell treatment in which stem cells are injected into the brain and become progenitor cells which can grow into new brain tissue and repair parts of the brain that have been damaged by Parkinsons or Alzheimers disease. Significant recovery in adults after this type of Cary North Carolina stem cell treatment is limited. Cary NC stem cell treatment has proven more affective in treatment of intra-cranial tumors in humans and in canines.

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The potential of any particular Cary North Carolina stem cell treatment to result in the regeneration of lost tissue has led to great advancements in the treatment of spinal cord injuries. In Korea, a woman treated with a Cary NC stem cell treatment in which umbilical cord stem cells were transplanted into her spinal cord. After the stem treatment, she was able to walk with difficulty after nineteen years. Lab mice with similar injuries were given the same Cary North Carolina stem cell treatment and were again able to move on their own within four months of the Cary NC stem cell treatment. Such a Cary North Carolina stem cell treatment could be used to treat muscular dystrophy, or Lou Gehrigs disease.

In most of the world, physicians use a Cary North Carolina stem cell treatment involving the injection of bone marrow stem cells into the patient to treat heart disease and repair the damage done to the patient by myocardial infarction. Research has shown the potential for many forms of Cary NC stem cell treatment to repair tissue and replace it with new cells instead of scar tissue promising an eventual Cary North Carolina stem cell treatment for scar-less wound regeneration. Scientists have proposed a Cary NC stem cell treatment to repair the corneal tissues of the eye to cure blindness and the damaged tissue in the ear. The more research that is done into the uses of the Cary North Carolina stem cell treatment, the more it promises to hold the answer to treatment of such diseases as Crohnss disease, and autism. Physicians are even working on a Cary NC stem cell treatment to cure baldness or tooth loss.

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Environmental biotechnology – Wikipedia

Posted: November 15, 2016 at 3:42 pm

Environmental biotechnology is biotechnology that is applied to and used to study the natural environment. Environmental biotechnology could also imply that one try to harness biological process for commercial uses and exploitation. The International Society for Environmental Biotechnology defines environmental biotechnology as "the development, use and regulation of biological systems for remediation of contaminated environments (land, air, water), and for environment-friendly processes (green manufacturing technologies and sustainable development)".[1]

Environmental biotechnology can simply be described as "the optimal use of nature, in the form of plants, animals, bacteria, fungi and algae, to produce renewable energy, food and nutrients in a synergistic integrated cycle of profit making processes where the waste of each process becomes the feedstock for another process".[2]

Science through the IAASTD has called for the advancement of small-scale agro-ecological farming systems and technology in order to achieve food security, climate change mitigation, climate change adaptation and the realisation of the Millennium Development Goals. Environmental biotechnology has been shown to play a significant roll in agroecology in the form of zero waste agriculture and most significantly through the operation of over 15 million biogas digesters worldwide.

Consider an environment in which pollution of a particular type is maximum. Let us consider the effluents of a starch industry which has mixed up with a local water body like a lake or pond. We find huge deposits of starch which are not so easily taken up for degradation by micro-organisms except for a few exemptions. we isolate a few micro-organisms from the polluted site and scan for any significant changes in their genome like mutations or evolutions. The modified genes are then identified. This is done because, the isolate would have adapted itself to degrade/utilize the starch better than other microbes of the same genus. Thus, the resultant genes are cloned onto industrially significant micro-organisms and are used for more economically significant processes like in pharmaceutical industry, fermentations...etc.

Similar situations can be elucitated like in the case of oil spills in the oceans which require cleanup, microbes isolated from oil rich environments like oil wells, oil transfer pipelines...etc. have been found having the potential to degrade oil or use it as an energy source. Thus they serve as a remedy to oil spills.

Still another elucidation would be in the case of microbes isolated from pesticide rich soils These would be capable of utilizing the pesticides as energy source and hence when mixed along with bio-fertilizers, would serve as excellent insurance against increased pesticide-toxicity levels in agricultural platform.

But the counter argument would be that whether these newly introduced microorganisms would create an imbalance in the environment concerned.The mutual harmony in which the organisms in that particular environment existed may have to face alteration and we should be extremely careful so as to not disturb the mutual relationships already existing in the environment of both the benefits and the disadvantages would pave way for an improvised version of environmental biotechnology. After all it is the environment that we strive to protect.

Humans have been manipulating genetic material for centuries. Although many benefits are provided by these manipulations, there can also be unexpected, negative health and environmental outcomes. Environmental biotechnology, then, is all about the balance between the applications that provide for these and the implications of manipulating genetic material.[3] Textbooks address both the applications and implications. Environmental engineering texts addressing sewage treatment and biological principles are often now considered to be environmental biotechnology texts. These generally address the applications of biotechnologies, whereas the implications of these technologies are less often addressed; usually in books concerned with potential impacts and even catastrophic events.

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Genetically Modified Organisms – European Commission

Posted: November 15, 2016 at 3:42 pm

Food and feed generally originates from plants and animals grown and bred by humans for several thousand years. Over time, those plants and animals with the most desirable characteristics were chosen for breeding the next generations of food and feed. This was, for example, the case for plants with an increased resistance to environmental pressures such as diseases or with an increased yield.

These desirable characteristics appeared through naturally occurring variations in the genetic make-up of those plants and animals. In recent times, it has become possible to modify the genetic make-up of living cells and organisms using techniques of modern biotechnology called gene technology. The genetic material is modified artificially to give it a new property (e.g. a plant's resistance to a disease, insect or drought, a plant's tolerance to a herbicide, improving a food's quality or nutritional value, increased yield).

Such organisms are called "genetically modified organisms" (GMOs). Food and feed which contain or consist of such GMOs, or are produced from GMOs, are called "genetically modified (GM) food or feed".

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Cell-treatment Home

Posted: November 15, 2016 at 3:41 pm

Cell-treatment.net is a domain which I- your editor Fas Kuiters- has owned from quite some time. Since 2009 I believe.

The primary purpose of ownership of the domain name at the time- and still is- is, to describe the developments in the Regenerative Medicine world, which for me is congruent to the developments in the world of Adult Stem Cell Therapy.

The predecessor of Cell-treatment.net was online for about 4 years, until I decided to take the website off-line in 2013, since things did not go very well in the industry and the developments for the core target group, I was aiming at, at the time- patients looking for relief and cures & the general public interested in the plight of those patients- were kind of chaotic in view of regulatory agencies around the world trying to establish their footing with those regulatory frameworks.

We are now end July 2016 whilst I write these words and I can see progress and if you like, "light" at the end of the tunnel all across the Globe in respect of those regulatory procedings.

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Center for Stem Cell Biology & Regenerative Medicine …

Posted: November 14, 2016 at 9:44 am

Center Overview

The Center for Stem Cell Biology and Regenerative Medicine opened in 2009 with the recruitment of Curt I. Civin MD as its founding director. Dr. Civin is recognized as a pioneer in cancer research for developing a way to isolate blood stem cells from mature blood cells. The mission of the Center is to discover new treatments and preventive approaches, based on stem cell technology, for important, currently intractable human maladies. The Center is driven by an imperative to work quickly from bench science to the actual use of discoveries to transform clinical medicine.

Stem cell research is transforming the future of medicine. Indeed, as we all begin life as a stem cell, it is through a highly complex series of events that those few stem cells, which are capable of self-renewal and differentiation, develop into all of the specialized cells found in our adult bodies. By studying these events we gain rare insights into how the human body is made. Stem cell research also holds amazing potential for restructuring the way we practice medicine: One day, stem cells may be used to replace or repair damaged tissues and organs and to dramatically alter how we treat diseases like cancer.

The Center provides a focal point of interaction, information, leadership, and facilitation of stem cell research and regenerative medicine applications at the University of Maryland, with links to Johns Hopkins, Federal labs, and corporate researchers across the State of Maryland. To fulfill its mission with specificity, the Center has established a set of four scientific Working Groups for focused research, educational and clinical interactions. The Center is also a founding member of the Maryland Stem Cell Consortium, which created a stem cell core facility to support and accelerate research in the field.

The Center for Stem Cell Biology and Regenerative Medicine opened in 2009 with the recruitment of Curt I. Civin MD as its founding director. Dr. Civin is recognized as a pioneer in cancer research for developing a way to isolate blood stem cells from mature blood cells. The mission of the Center is to discover new treatments and preventive approaches, based on stem cell technology, for important, currently intractable human maladies. The Center is driven by an imperative to work quickly from bench science to the actual use of discoveries to transform clinical medicine.

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Dr.Curt Civin

A major goal of our Center for Stem Cell Biology & Regenerative Medicine is to translate our fundamental discoveries into innovative and practical clinical applications that will enhance the understanding, diagnosis, treatment, and prevention of many human diseases.--Dr. Civin

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Regenerative Medicine | The Future of Plastic Surgery …

Posted: November 12, 2016 at 9:46 pm

Regenerative medicine is the science of replacing, engineering or regenerating human cells, tissues or organs to restore or establish normal form and function. This broadly encompasses the use of cells, tissues, drugs, synthetic biomaterials, and devices to help patients heal more effectively from trauma, cancer therapy, other disease processes, and birth anomalies. Regenerative medicine therapies can have goals of both healing damaged tissues and forming new tissue.

While many clinicians and scientists across all fields of medicine have been involved in regenerative medicine research and clinical advances over the last two decades, plastic surgeons have been especially instrumental in moving new therapies into the clinical arena and having a leadership role in new scientific discoveries.

Areas of ongoing research and clinical care:

Burn care: Plastic surgeons have been pioneers in the use of protein scaffolds to generate the dermal layer, or innermost layer of the skin, following burn injury.

Nerve regeneration: Plastic surgeons, in the practice of hand and upper extremity surgery, as well as lower extremity surgery, are forging new paths in the science of regenerating nerves and restoring optimal function after nerve injury. These therapies involve the use of special growth factors to stimulate nerve healing, as well as special biomaterials to serve as guides to direct the growth of nerve fibers.

Breast reconstruction: Breast reconstruction is a vital part of cancer therapy for many women. Plastic surgeons are achieving better outcomes through the use of decellularized tissue scaffolds to regenerate new tissue layers over implants in breast cancer survivors.

Wound care: Complex wounds that are difficult to heal represent a major focus for tissue engineering and regenerative medicine strategies. Skin substitutes, composed of living cells grown in a laboratory, are used to heal these types of wounds. Additionally, growth factors are being explored for improving wound healing. One of the most significant breakthroughs in regenerative therapy for wound healing has been the use of negative pressure devices. Discovered by a plastic surgeon, these devices use negative pressure and micro-mechanical forces to stimulate wound healing.

Fat grafting and adipose stem cell therapy: A significant advance in surgical regenerative medicine has been the development and refinement of techniques to transfer fat tissue in a minimally invasive manner. This allows the regeneration of fat tissue in other parts of the body, using a patient's own extra fat tissue. This technique is revolutionizing many reconstructive procedures, including breast reconstruction. Importantly, fat tissue is an important source of adult mesenchymal stem cells. Discovered by plastic surgeons, adipose derived stem cells, are easy to isolate from fat tissue, and hold tremendous promise for treating many disorders across the body.

Scar treatment: Plastic surgeons are experts in the biology of scar formation and the molecular signals that impact healing. Regenerative therapies are being developed using energy-based devices, such as laser and intense pulsed light, to improve the healing of scars.

Hand and face transplantation: The ultimate in "Tissue replacement therapy," hand and face transplantation represents a life-restoring therapy for patients with severe trauma or other disease processes that result in loss of the hands or face. Most people aren't aware of this fact, but the very first successful human organ transplant was performed by a plastic surgeon. Dr. Joseph Murray performed the first kidney transplant in 1954. Plastic surgeons have been building up on his legacy in developing this new field of hand and face transplantation. This field also blends elements of cell therapy in order to control the immune response and reduce the need for toxic immunosuppressive drugs.

Bioprosthetic interfaces connecting humans and machine: This very interesting area of regenerative practice is directed at methods of connecting severed nerve endings with powered artificial limbs. This often involves "rerouting" the severed nerve endings to different muscles so that sensors over the skin can detect the signals and transmit them to a computer that controls the artificial limb.

Bone regeneration: For patients suffering extensive face or a limb trauma, large segments of bone may be missing. Plastic surgeons are using calcium based scaffolds and biomaterials derived from bone to form new bone tissue for reconstructive purposes.

"Custom made tissue flaps." For deformities that involve complex structures such as a major part of the nose, plastic surgeons are engineering new replacement parts at another site on the body. In a process called "flap prefabrication," the structure is assembled using tissue grafts and then transferred to the deformity after healing.

Generation of new skin by tissue expansion: Another technique pioneered by plastic surgeons is the use of gradual expansion of implanted balloon devices to generate new skin tissue that can cover a deformity. This technique is revolutionizing breast reconstruction and the treatment of many birth anomalies.

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About the Center: Arizona Center for Integrative Medicine

Posted: November 12, 2016 at 9:46 pm

The University of Arizona Center for Integrative Medicine is leading the transformation of health care by training a new generation of health professionals and by empowering individuals and communities to optimize health and wellbeing through evidence-based, sustainable, integrative approaches.

The Center was founded in 1994 by Dr. Andrew Weil, and has focused its efforts in three domains: education, clinical care and research. The Center was built upon the premise that the best way to change a field is to educate the most gifted professionals and place them in settings where they can, in turn, teach others.

The Center offers a broad range of educational opportunities for health care professionals with an interest in learning and practicing the principles of integrative medicine. The majority of the Center's educational offerings are online, including our flagship program: The Fellowship in Integrative Medicine.

The Center has been serving patients at a small consultative practice at the University of Arizona, partnering with patients to facilitate healing by using a wide range of therapies from conventional and complementary traditions. In 2012, the Center opened a primary care clinic in Phoenix, Ariz.: the Arizona Integrative Health Center. The clinic is positioned to give thousands of Arizonans access to world-class integrative primary care unparalleled in the industry, with longer in-depth patient intake appointments, followed by visits with complementary providers, and unlimited classes on health and wellness topics. The clinic will also be the site for an outcomes study, through which statistically relevant data on the effect of IM will be used to open conversations on a national level about insurance reimbursement for integrative health-care services, wellness and prevention.

Arizona Center for Integrative Medicine research activities contribute rigorous scientific studies on the integration of complementary therapies with conventional medicine, with a focus on educational research, corporate health improvement research, and methods to study clinical outcomes in integrative medicine. The Center made leaps forward in 2012 with the hire of world-renowned researcher Esther Sternberg, MD, to establish a collaborative, multidisciplinary translational research program that will explore the science of the mind-body connection from varying perspectives and then translate those findings into IM practice.

The Arizona Center for Integrative Medicine

The University of Arizona Center for Integrative Medicine is leading the transformation of health care by training a new generation of health professionals and by empowering individuals and communities to optimize health and wellbeing through evidence-based, sustainable, integrative approaches.

Our commitment is to live the values of Integrative Medicine, thus creating a unique model for transforming medicine.

Creating a New Generation of Doctors from Andrew Weil, M.D. on Vimeo.

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