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Study finds mental illness may have an unusual evolutionary basis

New Delhi, Oct 28: A new study has found that the common syndromes of severe mental illness, such as schizophrenia, bipolar disorder, dementia, obsessive-compulsive disorder, and addiction, may have an unusual evolutionary basis. The constant prevalence of mental illness across the history of the human species suggests a Darwinian paradox. Despite causing significant disease, there seems little impact on selection for fitness. Genetic variation that predisposes to psychiatric disease is seen across all populations and is quite common. Previous selection, over evolution, may produce a bias towards certain kinds of variation that may cause disease later in life. These mechanisms may protect against inflammation or infection when young, only to predispose towards disease when one is older. In the new study, researchers at the National Institute of Mental Health and Neurological Sciences (NIMHANS), Bengaluru, and Institute of Genomics at the University of Tartu, Estonia, explored these aspects through the genetic analysis of individuals from families who have multiple affected members, considering that the increased prevalence of illness in a particular family should point to even more extreme evidence of the risky alleles. The study compared the genetic sequences of exomes (the regions that are translated into proteins) from individuals in 80 such families and compared them against African and South Asian populations. They also looked for evidence of Neanderthal genes in the sample, as the persistence of these ancient genomes in modern humans seems to correspond to some traits as well as the risk of disease.  “We observed evidence of selection in 74 genes, which were mainly involved in immunological and defence responses, including activation and regulation of interferon-gamma, cytokine and immune system, and different signalling pathways”, said Dr Ajai K. Pathak, one of the lead authors of the study. The study inferred that almost one-fourth, 20 out of the 74 putatively selected genes were implicated in the risks of illnesses such as schizophrenia, dementia, and Parkinson’s disease and general attributes such as intelligence and cognitive abilities. “There was also evidence of Neanderthal genes, but their variation and distribution were much the same in the south Indian population and did…


Kidney Disease

Researchers identify biomarker for early prediction of diabetic kidney failure

Urine based biomarker for early prediction of diabetic kidney failure identified New Delhi, February 21: Diabetic Kidney failure or Diabetic Nephropathy is among the most significant longer-term complications associated with type 2 diabetes. The risk of End-Stage Renal Disease (ESRD) and resulting premature disease and death is estimated to increase by 12-fold with diabetes. A group of researchers from various institutions have identified urine based biomarker for early prediction of diabetic kidney failure. The biomarker, Microalbuminuria (MIC) is an early non-invasive marker of kidney disease and its progression. However, it takes several years of diabetes for MIC to occur. Interventions are also much less effective in some patients with MIC who manifest advanced pathological changes. Development of sensitive early stage disease markers and alternative diagnostic approaches may help in early detection of diabetic kidney failure. “This new study is significant because the findings should cause concern in a country where most treatment costs are paid out-of-pocket by patients, and highlight the urgent need for early diagnosis, effective prevention measures and search for novel therapeutic measures” Dr Kuppan Gokulakrishnan, Assistant Professor, Department of Neurochemistry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore . Symmetric and asymmetric dimethylarginines (SDMA and ADMA) are structural isomers. Altered circulatory asymmetric and symmetric dimethylarginines have been independently reported in patients with end-stage renal failure suggesting their potential role as mediators and early biomarkers of nephropathy. These alterations can also be reflected in the urine. “There are isomers found in every human but in nephropathy patients it suddenly goes out of range. The drop is indicative that there is a disease possibility. We looked at ratio of these isomers that gave us the diagnostic properties” said Dr Venkateswarlu Panchagnula, lead researcher, National Chemical Laboratory (NCL), Pune. The researchers evaluated the efficiency of Asymmetric to Symmetric dimethylarginine Ratio (ASR) using Matrix-Assisted Laser Desorption/Ionization Mass Spectrometry (MALDI MS) from more than 500 people with varying levels of glucose intolerance as well as in patients with type 2 diabetes with or without diabetic kidney disease. The study found that the ASR profile is lower in MIC and macroalbuminuria (MAC)…