24-Feb-2021: JNCASR  Scientists develop a new molecule that could be a potential drug candidate for the treatment of Alzheimer’s

Scientists have developed a small molecule that disrupts the mechanism through which neurons become dysfunctional in Alzheimer’s disease (AD). The molecule could be a potential drug candidate to halt or cure the leading cause of dementia (70-80%) worldwide.

In the Alzheimer's brain, abnormal levels of naturally forming protein clump together to form plaques that collect between neurons and disrupt cell function. This is caused by production and deposition of the amyloid peptide (Aβ) that accumulates  in the central nervous system. The multifactorial nature of Alzheimer’s disease (AD) attributed to multifaceted amyloid toxicity has kept researchers from developing effective treatment.

A team of scientists led by Professor T. Govindaraju from Jawaharlal Nehru Centre for Advanced Scientific Research (JNCASR), an autonomous institute of the Department of Science & Technology, Government of India, designed and synthesized a set of novel small molecules and identified a lead candidate which they found could reduce the toxicity of Amyloid Beta (Aβ) toxicity.

The detailed studies established the molecule called TGR63 as the lead candidate to rescue neuronal cells from amyloid toxicity. Remarkably, the molecule was also found to reduced amyloid burden in the cortex and hippocampus, or a complex part embedded deep into the temporal lobe, thereby reversing cognitive decline. This research has been published recently in the journal Advanced Therapeutics.

Currently available treatments provide only temporary relief, and there are no approved drugs that directly act on the disease mechanisms of Alzheimer’s disease. Thus, there is an unmet need to develop drug candidates to halt or cure Alzheimer’s disease.

Mice brain affected with Alzheimer’s disease when treated with TGR63 showed a significant reduction of amyloid deposits, validating its therapeutic efficacy. The mice also showed reduction of learning deficiency, memory impairment, and cognitive decline as revealed by distinct behavioural tests. These key attributes have validated the potential of TGR63 as a promising drug candidate for the treatment of AD.

AD severely affects the patients, families, caregivers and hence is a major societal and economic burden globally. The novel drug candidate TGR63 developed by the JNCASR team has potential as a promising drug candidate for AD treatment. 

21-May-2020: IIT Guwahati discovers new ways to prevent memory loss due to Alzheimer

Researchers at Indian Institute of Technology (IIT) Guwahati has worked on out-of-the-box ideas that can help prevent or reduce short-term memory losses associated with Alzheimer’s disease.

The research team was headed by Prof. Vibin Ramakrishnan, Professor, Department of Biosciences & Bioengineering, IIT Guwahati, and Prof. Harshal Nemade, Professor, Department of Electronics and Electrical Engineering, IIT Guwahati. They studied the neurochemical principles of Alzheimer’s, and explored new ways to prevent accumulation of neurotoxic molecules in the brain that are associated with short-term memory loss.

The IIT Guwahati team reports interesting methods such as application of low-voltage electric field, and the use of ‘trojan peptides’ to arrest aggregation of neurotoxic molecules in the brain. The scientists are assisted by research scholars Dr. Gaurav Pandey and Mr. Jahnu Saikia in their work. The results of their studies have been published in reputed journals such as ACS Chemical Neuroscience, RSC Advances of Royal Society of Chemistry, BBA and Neuropeptides.

The development of a cure for Alzheimer’s disease assumes importance India as it has the third highest number of Alzheimer’s patients in the world, after China and US, with more than four million people falling prey to the memory loss associated with it. While current treatments only alleviate some of the symptoms of the disease, there is no disruptive therapeutic approach yet that can treat the underlying causes of Alzheimer’s.

“Approximately hundred potential drugs for treatment of Alzheimer’s disease have failed between 1998 and 2011, which shows the gravity of the problem,” says Dr. Ramakrishnan, who participates in worldwide efforts at finding cures for the disease.

A defining hallmark of Alzheimer’s is the accumulation of amyloid beta peptides in the brain. Dr. Ramakrishnan and Dr. Nemade seek methods to reduce the accumulation of these peptides, in order to arrest the progression of Alzheimer’s.

In 2019, the IIT Guwahati scientists found that application of a low-voltage, safe electrical field can reduce the formation and accumulation of toxic neurodegenerative molecules that cause short-term memory loss in Alzheimer’s disease.  They found that external electric/magnetic field modulates the structure of these peptide molecules, thereby preventing aggregation.

“Upon exposure to electric field, we could retard the degeneration of nerve cells to an extent of 17–35%. Objectively, this would translate to about 10 years delay in the onset of the disease”, says Dr. Ramakrishnan.

Working further in this area, the scientists explored the possibility of using ‘Trojan peptides’ to arrest aggregation of these neurotoxic molecules. The idea of using ‘Trojan peptide’ comes from mythological “Trojan Horse” used as subterfuge by the Greeks in the battle of Troy. The researchers have designed Trojan peptides by adopting a similar approach of ‘deceit’ to impede the aggregation of the amyloid peptide, arrest the formation of toxic fibrillar assemblies, and reduce poisoning of nerve cells that leads to memory loss.

“Our research has provided a different path that may extend the onset of the Alzheimer’s disease. However, it would take testing in animal models and clinical trials before bringing in such new therapeutic approaches into human treatment” say project coordinators, Dr. Ramakrishnan and Dr. Nemade.

30-Apr-2020: JNCASR scientists develop a natural product based Alzheimer inhibitor

Scientists from Jawaharlal Nehru Centre For Advanced Scientific Research (JNCASR) an autonomous institute under the Department of Science & Technology (DST), Govt. of India have modified the structure of Berberine, a natural and cheap product similar to curcumin, available commercially, into Ber-D to use as a Alzheimer’s inhibitor. Their research work has been published in the scientific journal iSceince.

Alzheimer’s disease is the most prevalent neurodegenerative disorder and accounts for more than 70% of all dementia. The multifactorial nature of the disease attributed to multifaceted toxicity has made it difficult for researchers to develop effective medication.

Prof. T. Govindaraju, a Swarnajayanti fellow from JNCASR, led his team in the quest to discover natural product based therapeutic candidates for Alzheimer’s disease, and selected isoquinoline natural product berberine found in India and China and used in traditional medicine and other applications. However, berberine is poorly soluble and toxic to cells. So they modified berberine to Ber-D, which is a soluble (aqueous), antioxidant. They found it to be a multifunctional inhibitor of multifaceted amyloid toxicity of Alzheimer’s disease.

Protein aggregation and amyloid toxicity predominantly contribute to multifaceted toxicity observed in neuronal cells, including generation of reactive oxygen species (ROS), mitochondrial dysfunction, interfering with synaptic signaling, and activation of premature cell death. The JNCASR team developed this multifunctional inhibitor to ameliorate in cellulo multifaceted toxicity.

JNCASR scientists develop a natural product based Alzheimer inhibitor The structural attributes of Ber-D are such that they prevent the generation of reactive oxygen species (ROS) and rescue biomacromolecules from oxidative damage. Ber-D inhibits aggregations of metal-dependent and -independent Amyloid beta (Aβ) (which are the peptides of amino acids crucially involved in Alzheimer's disease as the main component of the amyloid plaques found in the brains of people with Alzheimer's disease).

The team developed Ber-D to effectively target multifaceted Aβ toxicity of Alzheimer’s disease. Berberine has 4 Phenolic hydroxyl groups which are methylated, hence water-insoluble. Natural product berberine was subjected to demethylation to obtain water-soluble polyphenolic derivative Ber-D. Treatment of berberine with demethylation agent BBr3(Boron tribromide) gave Ber-D Because of demethylation of berberine, 4 phenolic groups are free, increase water solubility, antioxidant property, and Cu-coordination to ameliorate multifaced toxicity of Alzheimer’s disease Detailed studies showed that Ber-D modulated Aβ toxicity of Alzheimer’s disease. Ber-D treatment averts mitochondrial dysfunction and corresponding neuronal toxicity contributing to premature apoptosis (cell death) making Ber-D a potential therapeutic candidate to ameliorate multifaceted Aβ toxicity in Alzheimer’s disease.

The antioxidant Ber-D efficiently quenched both Reactive nitrogen species(RNS) & reactive oxygen species (ROS) and prevent DNA damage, protein oxidation, and lipid peroxidation, which cause numerous adverse biochemical cascade reactions leading to neuronal death. Ber-D inhibits the formation of toxic Aβ fibrillar aggregates and protects mitochondria from dysfunction, one of the major causes of neuronal death. Their design strategy of synthetically transforming berberine to Ber-D, a multifunctional antioxidant and aggregation modulator, effectively ameliorate multiple Aβtoxicity both in vitro and in cellulo conditions.

These multifunctional attributes make Ber-D a promising candidate for developing effective therapeutics to treat multifaceted toxicity of Alzheimer’s disease.

22-Feb-2021: Dr. Harsh Vardhan launches Operational Guidelines for integration of Non-Alcoholic Fatty Liver Disease (NAFLD) with NPCDCS

Dr Harsh Vardhan, Union Minister of Health & Family Welfare, launched the operational guidelines for Integration of NAFLD (Non-Alcoholic Fatty Liver Disease) with NPCDCS (National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke), here today.

Expressing his elation at the timely importance of the event Dr Harsh Vardhan said, “NAFLD, the abnormal accumulation of fat in the liver in the absence of secondary causes of fatty liver, such as harmful alcohol use, viral hepatitis, or medications is a serious health concern as it encompasses a spectrum of liver abnormalities, from a simple non-alcoholic fatty liver (NAFL, simple fatty liver disease) to more advanced ones like non-alcoholic steatohepatitis (NASH), cirrhosis and even liver cancer. Over the last two decades global burden of NASH has more than doubled. Globally, NASH caused 40 lakh prevalent cases of compensated cirrhosis in 1990, which increased to 94 lakh cases in 2017. NAFLD is emerging as an important cause of liver disease in India.”

Underscoring the importance of tackling NAFLD as a step to tackling the country’s burden of non-communicable diseases, he noted, “Epidemiological studies suggest the prevalence of NAFLD is around 9% to 32% of the general population in India with a higher prevalence in those with overweight or obesity and those with diabetes or prediabetes. Researchers have found NAFLD in 40% to 80 % of people who have type 2 diabetes and in 30% to 90 % of people who are obese. Studies also suggest that people with NAFLD have a greater chance of developing cardiovascular disease. Cardiovascular disease is the most common cause of death in NAFLD. Once the disease develops, there is no specific cure available, and health promotion and prevention aspects targeting weight reduction, healthy lifestyle, and control of aforementioned risk factors are the mainstays to disease progression and prevent the mortality and morbidity due to NAFLD.”

The Minister expanding on the government’s plan to curb deaths due to NCDs linked with the condition said, “NAFLD is an independent predictor of future risk of cardiovascular diseases, type 2 diabetes and other metabolic syndromes like hypertension, abdominal obesity, dyslipidaemia, glucose intolerance. The Government of India is of the view that existing NPCDCS programme strategies can easily be aligned to prevent NAFLD through lifestyle changes, early diagnosis, and management of associated non-communicable diseases as well as NAFLD. Accordingly, doable actions have been identified with main focus on health promotion and prevention of common NCDs which would also specifically cater to the identified needs of NAFLD.”

The Health Minister also took the occasion to remind the audience that India is becoming the first country in the world to identify the need for action for NAFLD. He said, “The Government of India has realized that the existing NCD programme’s strategies can now be aligned to achieve the objectives to prevent and control NAFLD with:

  1. behavior and lifestyle changes, 
  2. early diagnosis and management of NAFLD,
  3. building of capacity at various levels of healthcare for prevention, diagnosis and treatment of NAFLD.       

He further elaborated on the importance of the Ayushman Bharat- Health and Wellness Centres (AB-HWCs) in curbing NCDs. “The Ayushman Bharat programme has so far screened 838.39 lakh people for hypertension, 683.34 lakh for diabetes and 806.4 lakh for the three common forms of cancer through the HWCs. They have so far organised 6.91 lakh yoga and wellness sessions at the community level. Apart from treating the poorest of the poor, they are also mandated to inculcate healthy living at the grassroots among the community. Along with the focus of ‘Eat Right India’ and ‘Fit India Movement’, the entire vision of the government is to move from Diagnostic Cure to Preventive Health”, he stated.

In this regard, he reminisced how he advised patients to abstain from tobacco and alcohol instead of suggesting medicines in the prescription as a young doctor. He had also made the Delhi Medical Association a ‘no-smoking zone’ during his one year of Presidency. To broaden the movement, he suggested that health journalists and media in general play an important role in spreading awareness and information on NCDs and how a fit lifestyle can help avoid them and encouraged everyone to improve their own health awareness and remain physically active. He also assured the support of the Ministry of Health and Family Welfare to the medical community in any endeavour in this direction.

Sh. Rajesh Bhushan, Health Secretary; Ms. Vandana Gurnani, AS and MD NHM; Sh. Vishal Chauhan, JS (NCD); Dr. Sunil Kumar, DGHS; Dr S.K Sarin, Director, ILBS and other senior Professors of ILBS were also present at the event. Representatives of development partners like UNDP, USAID-Nistha were also present at the event.

6-Jan-2021: Status report on Avian Influenza in Kerala in ducks and report of avian influenza in crows/wild/ migratory birds in the country

This is regarding updated status of control and containment operation Avian Influenza in villages of Thalavady South, Thakazhi, Pallipad, Karuvatta in district of Alappuzha and village of Neendoor in district of Kottayam, Kerala.

As per the report received, a total of 5 RRTs have been deployed in above-said 4 epicentres of district of Alappuzha and 8 RRTs at epicentre Neendoor in district of Kottayam for culling.

A total of 17326 birds (9066 in Pallipad, 8260 in Karuvatta) have been culled and a total of 1570 kg feed have been destroyed in epicentres of district of Alappuzha. At epicenter in district of Kottayam 4229 birds have been culled and a total of 8 kg feed and 42 eggs have been destroyed on 6.01.2021 (Details annexed).

Further, some samples of crow from Kale Hanumanji Forest Nakka, Jaipur, Rajasthan found positive for H5N8 Avian influenza virus. Accordingly, advisories have been issued to the States so as to avoid further spread of disease to poultry. Unusual moralities have been found in 7111 domestic birds in Haryana, 150 wild birds in Madhya Pradesh, 10 crows in Gujarat, 336 migratory birds in Himachal Pradesh today.

As per report received from Haryana, a total of 430267 birds have been died in Barwala, Panchkula in past 25 days and the samples have been sent to the designated laboratory for testing, the results are still awaited. State has constituted 59 RRTs to control and contain the disease.