Science and Medicine

Do Men’s and Women’s Hearts Burn Fuel Differently?

“Because the heart is the body’s number-one consumer of fat, when it starts using fat differently, there are consequences throughout the entire body,”

Researchers at the University of Illinois at Chicago College of Medicine will study gender differences in how the heart uses and stores fat—its main energy source—and how changes in fat metabolism play a role in heart disease, under a new $2 million, 4-year grant from the National Heart, Lung and Blood Institute.

When stressed, the heart changes how it uses fuel for energy. These changes may play a major role in the development of heart disease and are different in men and women, says E. Douglas Lewandowski, director of the UIC Center for Cardiovascular Research. The changes occur long before any symptoms, he said, and may be key to early diagnosis and treatment.

Lewandowski, who is principal investigator on the grant, uses imaging techniques he developed to see fat molecules and the rate at which they are being burned in beating hearts. In healthy hearts, the balance between using fat for energy and storing it in tiny droplets within the cells is in a dynamic equilibrium.

When a female heart is stressed, such as through chronic disease like hypertension, it becomes much less efficient at metabolizing fat, Lewandowski says. When a male heart is stressed, it starts using more sugar as fuel. These changes in the heart can also affect how fat is stored and used in other parts of the body.

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Sticky Questions About Role of Alzheimer’s Gene

“About 60 percent of the patients we see in the Alzheimer’s clinics have at least one copy of APOE 4,”

Scientists’ picture of how a gene strongly linked to Alzheimer’s disease harms the brain may need to be revised.

People with harmful forms of the APOE gene have up to 12 times the risk of developing Alzheimer’s disease compared with those who have other variations of the gene.

Many researchers believe that the memory loss and cognitive problems of Alzheimer’s result from the buildup over many years of brain amyloid plaques. The plaques are made mostly of a sticky substance called amyloid beta.

For years, researchers have thought that the APOE gene increases Alzheimer’s risk by producing a protein that binds to amyloid beta. Scientists thought that this bond could make it easier for plaques to form.

But a new study shows that APOE and amyloid beta don’t bind together in cerebrospinal fluid and in fluids present outside cells grown in dishes.

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Diabetes Care Improves, but Costly Gaps Remain

About 18.8 million adults have diagnosed diabetes

People with diabetes are getting better control of the disease, but a new study suggests that other health issues that can complicate the condition are not as well tended to.

According to a recent study published in the New England Journal of Medicine, Americans with diabetes had increasingly better control of their blood sugar and cholesterol levels and attended more preventive check-ups from 1999 to 2010.

However, one in five Americans with diabetes still smokes and approximately 40 percent don’t receive education at diagnosis, annual vaccinations, or annual checks for diabetes complications.

Led by Mohammed K. Ali, assistant professor in the departments of Global Health and Epidemiology at Emory University and Consultant for the US Centers for Disease Control and Prevention (CDC), the CDC team analyzed national health data of people with diabetes, collected continually from 1999 to 2010, to understand how well Americans are controlling their blood sugars, blood pressure, cholesterol, and tobacco use. These factors are the four main risk factors for major diabetes complications.

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