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New Guidance Says Doctors Should Discuss Vaping as One Option to Help Adults Quit Smoking

Quitting smoking is one of the best things a person can do for their health—but it's also one of the hardest habits to break. Many smokers make several attempts before they successfully quit, even when using medications or nicotine replacement products. Now, a panel of tobacco treatment experts is encouraging healthcare providers to expand the conversation about smoking cessation by discussing nicotine e-cigarettes as one possible option for adults who smoke cigarettes. The recommendations, published in JAMA , were developed by the Harm Reduction Work Group of the Society for Research on Nicotine and Tobacco’s Treatment Research Network. Rather than promoting vaping, the group says clinicians should focus on helping patients choose the quit-smoking method that best fits their individual circumstances. A Personalized Approach to Quitting Smoking cessation isn't the same for everyone. What works well for one person may not work for another, which is why the authors recommend mo...

Collagen Promoting Enzyme may Help Prevent Stroke and Heart Attack


Researchers have identified an enzyme that may help prevent heart attack and stroke. The findings may lead to new ways stop clots in the arteries from rupturing; reducing the chances that common conditions such as high blood pressure, diabetes, and high cholesterol will lead to stroke and heart attack.

When plaques form from atherosclerosis, or fatty build-up in the lining of an artery, they can become unstable, rupture, and block blood flow in smaller blood vessels. The result is stroke and heart attack. According to the new research, one possible way plaque rupture occurs, is when the collagen fibers that hold plaque together become thin, causing them to break apart.

Dr.Göran K Hansson at the Karolinska Institute and colleagues have identified that the LOX enzyme, promotes collagen. The researchers hope the enzyme can be developed to stabilize plaque in the arteries that cause atherosclerosis. The LOX enzyme was found to help collagen mature, stabilizing plaque in atherosclerotic mice.

The researchers found that inflammation leads to a lack of mature collagen in atherosclerotic plaque, making it unstable. They hope the LOX enzyme can be developed to provide stability to atherosclerotic plaque found in arteries that lead to heart attack and stroke.

The study authors say they have found “a novel mechanism” that can unravel some of the mystery about how stroke and heart attack happens. They say their findings may lead to “interesting new targets for plaque stabilization therapy.”

Further studies are planned. The research team hopes their findings about collagen and the LOX enzyme can lead to new ways to prevent heart attacks and stroke.


Abstract:

http://ajp.amjpathol.org/cgi/content/abstract/174/2/693

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