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The Magazine

December 28, 2003




MOSAIC: Breathe easy


UPPER respiratory tract infections are a significant health burden in childhood, states the Journal of American Medical Association. The average child has six to eight colds each year, each lasting seven to nine days. Nearly one third of these require antibiotic therapy and others are given anti-allergies, decongestants and cough suppressants. Many children also receive alternative forms of treatment as homeopathy and naturopathy.

Echinacea, a herbal remedy is used extensively in United States with reported annual sales of more than $300 million. The beneficial effects of echinacea are attributed to its immunomodulating activity, most notably enhanced white blood cell functions. Studies performed to evaluate the efficacy of this herb, could not provide conclusive results. Another case controlled study on 407 children with 707 episodes of chest infections, of whom 337 received echinacea and 370 were treated with placebo did not show any statistically significant difference.

Echinacea did not prove to be effective in shortening the duration or decreasing the severity of upper respiratory tract infections in children. The herb was generally well tolerated, however, seven per cent children developed a rash.

It was interesting to note that the number of respiratory tract infection episodes subsequently, in children receiving echinacea, may be a spurious finding. It is conceivable that echinacea stimulated an immune response in these children, but it was too late to modify the infection, and provided protection against a future episode.

Due to lack of documented efficacy, the use of echinacea for treatment of respiratory tract infections in children is not recommended. — Dr Fatema Jawad

 

Lotion made from tea


A POPULAR drink may soon become a life-saving lotion: researchers at the University of Minnesota in Austin are developing a new cream composed of compounds found in tea to help fight skin cancer. Early animal tests are promising, according to the researchers. The findings were described at the 226th national meeting of the American Chemical Society.

Tea contains chemicals called polyphenols that appear to block the formation of nonmelanoma skin tumours, researchers say. Unlike sunblock, which prevents the skin from absorbing harmful ultraviolet (UV) light, tea polyphenols work after the skin is exposed to excessive sunlight. The compounds, that are found in both black and green teas, inhibit a newly discovered chemical pathway — involving an enzyme called JNK-2 — that appears to play a key role in the development of tumours.

Scientists found that the JNK-2 (or “junk-2”) enzyme increases after the skin is exposed to sunlight and stays elevated in the skin of those exposed to excess amounts of sunlight. When JNK-2 stays elevated, skin cancers are more likely to develop.

In laboratory studies using mouse models of skin cancer in which the mice were exposed to ultraviolet light, the researchers demonstrated that topical exposure to green tea polyphenols decreased levels of the enzyme, which in turn delays or blocks the skin’s response to UV light. Similar polyphenols are also found in black tea.

“This is an important step in improving the prevention of skin cancer,” says study leader Dr Zigang Dong, M.D., a professor at the university. “Topical application of certain tea polyphenols appears to block a key process that leads to skin cancer.”

Dong and his team are currently working to optimize the effectiveness of tea components against cancer. Designed to be applied after exposure to excessive sun, the skin cream could be used alone or combined with sunscreen to help maximize cancer protection. Human testing of the proposed skin cream could begin in a few years, he says.

Dong does not know yet if the tea chemicals will inhibit melanoma, the least common but most deadly type of skin cancer. Therefore more studies are needed. Dong also acknowledges that there may be other cancer-promoting pathways in the skin that are inhibited by tea but further investigation is needed to determine that.

Other researchers had previously demonstrated that drinking tea, particularly green tea, may be effective against skin cancer — mainly due to tea’s high level of antioxidants, which destroy free radicals that are thought to damage a cell’s DNA and trigger the cancer process.

“Drinking tea may help, but you’d have to drink a large amount to accumulate in the skin, perhaps as many as 10 cups a day. It’s easier to concentrate it in a cream form, and it’s probably more effective,” says Dong.

There are some skin creams already on the market that contain tea compounds, however, these products are unlikely to have undergone testing and are likely to contain non-uniform amounts of tea antioxidants, says Dong.— Samina Iqbal



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