Program 616,
  February 15, 2000

 

A. The FDA Recommends a New Drug for Multiple Sclerosis

Narrator: This is Science Today. The U.S. Food and Drug Administration recently recommended the approval of a drug called Novantrone to slow down the deterioration and relapse rate of multiple sclerosis. The drug works by suppressing certain white blood cells, including T-cells, which are thought to attack the myelin sheath. This is a fatty material that insulates nerve fibers in the brain. Claude Genain, a professor of neurology at the University of California, San Francisco, says myelin destruction is the essence of the disease.

Genain: Because these fibers are no longer insulated, they can not conduct anymore the nerve impulses, which carry the orders from the brain to any part of the body.

Narrator: In his own line of research, Genain discovered the body's own antibodies play a direct role in the development of the disease. This finding can lead to another possible target for drug therapy.

Genain: But one has to remember that this all happens in the context of a very coordinated attack between T cells and antibodies against the components of the brain and the myelin

Narrator: For Science Today, I'm Larissa Branin.

B. Why Bad Breath Should Not Be Ignored

Narrator: This is Science Today. There are many reasons why one may develop chronic halitosis, or bad breath. While the most common cause is bacteria, Dr. Glenn Clark, who runs the UCLA Fresh Breath/Halitosis clinic, says sometimes the cause is an underlying illness.

Clark: Diabetes, liver disease, any number of metabolic or endocrine disorders. So we'll review their medical history in a thorough fashion. If we feel it's necessary, we'll send them to their internist to have a more thorough medical work up as well.

Narrator: Too often, patients won't seek professional help for their halitosis.

Clark: It doesn't seem that they will talk about this problem to their dentist or to their physician unless it's really, really bad. Most people just won't discuss it, but when they go to a clinic that is specifically set up, they will then discuss it. It is the reason they're there. Sort of like psychological problems. You don't talk to your physician about your depression, your anxiety, unless it's a crisis.

Narrator: Yet the sooner you get help, the sooner you'll get rid of this embarrassing problem. For Science Today, I'm Larissa Branin.

C. What Women Should Know About Heart Disease

Narrator: This is Science Today. Women die of heart disease five times more than they do of breast cancer. Yet Barbara Drew, an associate professor at the University of California, San Francisco's School of Nursing, says there's still a perception that heart disease is a man's disease.

Drew: However it is the number one killer in women and women of all ethnic groups. And women have poorer outcomes from heart disease than men do. They have poorer outcomes after cardiac surgery and after most procedures.

Narrator: Drew says there are many theories why that is.

Drew: Women tend to be older by the time they develop heart disease and that may have something to do with it. They may have smaller coronary arteries which are harder to work with and women have been noted to have atypical chest pain symptoms sometimes, which cloud what is wrong with the person and make diagnosis more difficult.

Narrator: It's estimated one out of nine women aged 45-64 will develop heart disease and after 65, one out of three. For Science Today, I'm Larissa Branin.

D. Decreasing Hypertension with Dietary Potassium

Narrator: This is Science Today. Contrary to popular belief, it may be the chloride in table salt and not the sodium, which raises blood pressure. Curtis Morris, director of the University of California, San Francisco's General Clinical Research Center, found in a rat study that potassium salts from fruits and vegetables lowered blood pressure, whereas a potassium salt combined with chloride caused an increase in hypertension.

Morris: I think it's very possible that there are a number of people who have so-called borderline or high/normal blood pressures whom hypertension might be prevented or delayed by increasing dietary intake of potassium and reducing the dietary intake of salt.

Narrator: Morris says the best way to get this source of potassium, a so-called good salt, is to eat more fruits and vegetables.

Morris: Fruits and vegetables are very rich sources of dietary potassium and that potassium is not potassium chloride which, in some people, probably is a benefit.

Narrator: For Science Today, I'm Larissa Branin.

E. Sorting Through Alzheimer's Disease Research

Narrator: This is Science Today. There's so much information coming out about new treatments and possible cures for Alzheimer's Disease that Carl Cotman, director of the University of California, Irvine's Institute of Brain Aging and Dementia, says the public needs help weeding out what's accurate and what's not.

Cotman: There's just not enough neurologists, psychiatrists and specialists to ever see the bulk of the people and so really, this has to be translated ultimately to family medicine. That's really where the working grassroots basis is for so much of the health care and the elderly today.

Narrator: There's also a need for more experimentation.

Cotman: What would happen if a person was on estrogen plus an ibuprofen plus an antioxidant? This is kind of an educational cycle. Some of these dietary interactions among the elderly are still fairly undescribed and unexplored and we're constantly asked by our families and patients, well, how much should we take? When should we take it? And you know sort of what's wrong but then you gotta figure out what's right for these individuals.

Narrator: For Science Today, I'm Larissa Branin.

 

 

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