Athlete’s foot is a frequent infection that millions of people suffer from annually. I once had it during my military service where we had to wear boots almost an entire day. Once during a noon intercession, I performed my ablutions to pray and I placed my feet under the sunlight to dry them. I was also hoping that ultraviolet rays from the sun would be good for the infection. Soon, flies swarmed in between my toes. When I could not bear the excessive itching, I tried to kill the flies until I was stopped by a friend who reminded me of the great sage Bediuzzaman’s comments where he called flies “cleaning workers.” At that time, I also remembered Prophet Muhammad’s (peace be upon him) words on flies. So, I patiently endured the nuisance, and repeated the same procedure for the next three or four days. Eventually, my feet were healed and there was no trace of the fungi.

In one of his very interesting hadiths, the Prophet, peace and blessings be upon him, is reported to have said the following about flies: “If a fly falls into your drink, dip it into your drink, then throw it away, for on one of its wings is a disease, and on the other is a cure. It dips the wing with the disease to protect itself” [1]. This hadith has been a reason for much controversy mainly due to germ disease theory.  According to Jonathan C. Brown, “even before modern medicine, the Hadith of the Fly was raising skeptical eyebrows and prompting Sunni defensiveness as early as the writings of Ibn Qutayba (d. 276/889)” [2]. Brown also mentions that this hadith “could be false or it could be true, since scientists used the flesh of a snake to help prepare antidotes to its poison” [3].

Before the microscope was invented it was impossible to define microbes or talk about the anatomy or microbiology of flies as we can today. However, the introduction of experimentation and observation as an important scientific method with the Renaissance served as a turning point in Western scientific revolution. Thus, the “proof-based medicine” conception that relies on experimentation and observation emerged as a precursor to today’s medicinal and scientific research. The importance of perceptions that rely on causes relating to the material world in persuading the human mind cannot be denied. It is harder to make people believe in something unless they are provided with concrete results that appeal to our five senses. We should not rush to deny any claim solely based upon our preconceptions and prior knowledge without doing any research about it; rather, we should pass our judgment on it after experimentation and observation.

Some people may automatically reject the idea that when a fly falls in our food or drink that we should immerse this microbe-carrying insect completely and they may say that this would not eliminate the microbes. Indeed, it may sound reasonable to assume that this disgusting insect that feeds on all sorts of dirt would cause only diseases. If you have an ample supply of food or water and if you do not have the stomach for it, you can of course refrain from eating or drinking such a food or drink. But, you can hardly advise someone who has very little water or food in a desert or at the time of famine to throw away what they have because of a fly.

We should examine different types of flies in laboratory settings using the method of experimentation and observation. First of all, it is very difficult to prove that someone can contract an illness from eating food in which a fly had fallen into although he or she had immersed that fly completely in that food. If it is proven that someone becomes ill due to a fly’s alighting in their food, then strong objections can be raised. If it is said that there many diseases caused by flies, no one will deny it. The point is not whether flies carry germs, but whether this advice for being protected from the germs carried by flies is correct or not. As a matter of fact, the advice by the Prophet seeks to protect us from diseases that may be caused by germs carried by flies. The great scholar Bediuzzaman’s words on flies also give us an alternative perspective to consider about these “tiny birds”:

“…Flies are dutiful about cleaning away noxious substances or germs that cause disease. By sucking up and absorbing harmful germs, they destroy them, and they cause noxious or poisonous substances to change into other harmless forms, thus preventing the spread of many contagious diseases. A sign that they are both laborers for health and cleansing operatives and chemists, serving many instances of wisdom, is the fact that they exist in extremely great numbers. For the things that are valuable and beneficial are multiplied.” [4]

The hadith of the Prophet and Bediuzzaman’s commentary encourage us to explore more about flies and whether they can be a source of healing in any way.

Flies are very ubiquitous on earth. There are approximately 125,000 species of flies, but only ten species live in our homes and are of concern to us. They feed on garbage and organic waste materials that act as a breeding ground for microbes such as bacteria, fungi, and viruses. The female fly lays down more than 100 eggs in the dung of some animals or in garbage. After one day, the larva emerges to feed on the surrounding organic materials. In two weeks, they become full-grown flies. In four generations, one female fly can lay 1.5 million eggs, but fortunately the majority die due to weather circumstances or become food for birds, reptiles, amphibians, and other insects. A fly can live for 60 days at most.

Given the ecological balance in nature, one comes to accept that there should be species that will remove all sorts of organic waste, garbage, dead animals or plants, and similar things by eating them. Houseflies feed on the rotting corpses of animals while female horseflies suck blood. How can flies, which act as health workers that are charged with the duty of cleaning the world, digest so many diverse amounts of garbage and waste?

Flies get their nourishment differently from other animals. What other animals do for digestion is done by flies outside their bodies. They do not have teeth-like structures in their mouths in order to chew solid, dry food and therefore have to turn such food into liquid form or split it into 0.45-mm or smaller pieces. In this liquid form, flies can easily suck up their food using their suitably shaped mouths. To do this, flies vomit a saliva-like liquid, containing enzymes and acids, and that disintegrates the solid food into something that can easily be digested in a couple of seconds. In this process, some of the microbes in that waste food can be disintegrated while the rest will be sent to the stomach.

These foods and microbes taken inside in the form of vomit are sent to a sac called a “crop” if they are not small enough to go through the digestive tract. Flies produce fresh saliva regularly during which the vomit moves between their mouths and crops. Eventually, the sufficiently liquefied food is sent to the stomach which contains enzymes and acidic content as well as partially disintegrated microorganisms.

What does scientific research tell us?

Based on the theory that flies must have remarkable antimicrobial defenses and resistance to survive the bacteria from rotting dung, meat, and fruit, a team at the department of biological sciences at Macquarie University in Australia set out to identify those antibacterial properties.

“Our research is a small part of a global research effort for new antibiotics, but we are looking where we believe no one has looked before,” said Joanne Clarke, who presented the group’s findings at the Australian Society for Microbiology Conference in Melbourne.

Clarke’s research showed that flies produce their own antibiotics, and this was tested on four different fly species. Such research may lead to better treatments for human infections from Escherichia coli and other virulent bacteria even, perhaps, Staphylococcus aureus (MRSA).

Upon preliminary results, a global pharmaceutical company decided to support the research over the next six months by trying to isolate antibiotic compounds from the material collected from the flies. The research team is trying to identify the specific antibacterial compounds. As antibiotics that will eventually be invented and chemically synthesized come from the body surface of flies, not from other fungi or bacteria, it is believed that any gene that gives resistance to microbes will not be easily transferred to pathogens and the new antibiotic form will have longer and more effective treatment duration [5].

Later, Russian doctors had developed interest in this topic and observed that flies contain many substances that can be more effective than traditional medications and certain fly larvae have very strong therapeutic effects [6].

Noting that flies should be kept away from hospitals, Professor Juan Alvarez Bravo at the University of Tokyo expressed his support for such research, saying, “But soon we will witness a rapid treatment for many diseases, which consists of extracts from flies” [7].

Some researchers at Auburn University of the United States discovered a protein in the fly’s saliva which can accelerate the lengthy process of healing wounds and chronic skin cracking. Entomologists Ed and Mary Cupp managed to isolate the protein which houseflies inject into their prey to increase blood flow in the skin of their prey. Mary Cupp and surgeon Steven Swaim demonstrated that surgical incisions, skin ulceration, and diabetic foot lesions treated with solutions that combine antibiotics and this protein heal faster and stronger than incisions treated with antibiotics alone [8, 9].

In another study, it was found that epithelial cells forming the inner layers of the front and back intestines of the fly protect it from the bacteria it swallows thanks to a special cuticular lining, and in this way, bacteria never directly touch the intestinal epithelium and cannot give any damage to it. In this study, it was noted that people nurtured a radical approach to flies and that fly control has been abused for the sake of human health, suggesting that flies may be the source of novel germicides that make use of their antimicrobial digestive enzymes, lysozyme, and antimicrobial peptides [10].

Viruses cause many diseases in cattle, sheep, and birds. These diseases include encephalitis, aphthous fever (foot and mouth diseases), and duck plague which can be transferred to people through infected animals. Some crops such as potatoes, tomatoes, bananas, and sugarcane can also be destroyed by viral infections.

Flies carry the viruses of many diseases which are consequently transferred to man’s food, drink, and body. Of these viral diseases are common flu, measles, mumps, chickenpox, warts, yellow fever, infectious liver diseases, some cases of paralysis, some types of cancer, and some chronic diseases of the central nervous system.

El-Naggar, Zaghloul, from Egypt, indicates that some of the disease-causing viruses may directly infect living beings and cause damage to their cells, while there is a type of virus which infects bacteria cells known as “bacteriophage.” These viruses, which can kill the bacteria they infect in a short time, are known as “virulent bacteriophage.” Those viruses that do not kill the bacteria they infect are called “temperate bacteriophage” [11].

After a bacteriophage infects a bacterium, more than 100 viruses are released from that bacterium and each of these viruses can infect new bacteria. The spreading of infection may continue until all vulnerable bacteria cells die. After it was discovered that bacteriophages are parasites of bacteria, they started to be used in treating the diseases caused by bacteria. However, their use in this manner declined after the discovery of antibiotics. Yet, the interest in phage treatment was revived after the emergence of bacterial resistance to antibiotics [12].

Researchers from Stanford University announced that they found a substance in flies that can improve the human immune system [13].

The work by Rehab Mohammed Atta from the Microbiology and Immunology Department, National Research Center, Cairo, Egypt, is quite remarkable [14]. In this research, the extracts taken separately from the left and right wings of flies were used against the bacteria and fungi calculated on nutrient “agar” media in the laboratory. It was demonstrated there was both bacterial and fungal growth for the left wing extract plates while no bacterial or fungal growth was reported for the right ones.

Given the fact that the garbage and rotting corpses on which flies feed from contain numerous dangerous bacteria, it is quite reasonable that it contains antibacterial materials necessary for its survival. In this case, the fly’s needs might be of service as sources of antibiotics that can prevent epidemics among human beings, and this may be the reason why they were created in the first place: not to be a source of nuisance but a source of healing for us.

Aj-Taili, et al., from the department of medical microbiology, Qassim University in Saudi Arabia, conducted an experiment using water, honey, and various fruit juices in different cups. They found no germ in the solution in which the whole body of fly was immersed while the solution in which only one wing of the fly was dipped indicated the presence of germs [15].

In sum, we can say that antibacterial materials produced in the bodies of flies protect them against the microbes in their environments and that these microbes can prevent epidemics among human beings. At the very least, this topic deserves in-depth research. Atta’s study confirms the virtue of the hadith that says, “The best way to release this vital antidote is to dip the fly in a liquid because these substances are concentrated on the outer surface of the fly body and wing.” Abduldaem al-Kaheel refers to this study in his website: “This is logical because the fly has a lot of harmful bacteria on the outside of her body and therefore in order to continue in her life, it should also carry anti-bacterial materials; these materials were furnished by God to protect it from viruses and diseases.” In the light of these studies, the need for conducting more research for obtaining antibiotics from the right wing of the fly is clear [16].

References

1. Abu Dawud, At’imah, 49. Also see Bukhari, Tib, 57, Bed’u al-Khalk 17; Ibn Majah, Tib, 31, Nasa’i, Far’, 11.
2. Brown, Jonathan A. C. 2009. Hadith: Muhammad’s Legacy in the Medieval and Modern World, p. 264.
3. Ibid. p. 255.
4. Nursi, Bediuzzaman Said. 2008. The Gleams. The Light, Inc. p. 376.
5. Danny Kingsley, ABC Science Online, 1 October 2002, The new buzz on antibiotics. Clarke, J., Gillings, M. and Beattie, A. (2002). Hypothesis-driven drug discovery. Microbiology Australia, pp. 8–10.
6. Petersburg State University, (2006). The fly effect: Russian Scientists Invent new medicine with the help of flies.
7. Bravo, J. A. (1994). The ointment in the fly: antibiotics. New antibiotic derived from a common fly. The Economist (US).
8. Ed and Mary Cupp (2005). Protein in Fly Saliva Speeds Healing of Incisions Wounds. Auburn University. R Am Ex Ars Medica, Inc., 7:23.
9. Protein in Fly Saliva Speeds Healing of Incisions, Wounds 20-Jan-2005. www.newswise.com/articles/protein-in-fly-saliva-speeds-healing-of-incisions-wounds
10. Nayduch, D. and Burrus, R.G. (2017). Flourishing in Filth: House Fly–Microbe Interactions Across Life History. Special Collection: Filth Fly–Microbe Interactions. Annals of the Entomological Society of America, 2017, Vol. 110, No. 1.
11. El-Naggar, Zaghloul, (2010). Housefly Falls into One’s Drink! 09 September 2010. www.quranandscience.com/quran-science/sunnah-science/204-housefly-falls-into-ones-drink-274
12. Aydogan, D.Y., Hadimli, H.H. (2016). Bakteriyofaj Tedavisi (Bacteriophage Treatment), Etlik Vet. Mikrobiyol. Derg.; 27 (1): 38–47.
13. Stanford University Medical Center, 2007. Fruit Fly Insight Could Lead to New Vaccines. Science Daily. www.sciencedaily.com/releases/2007/03/070308220904.htm
14. Atta, R. M. (2014): Microbiological Studies on Fly Wings (Musca domestica) Where Disease and Treat. World Journal of Medical Sciences 11 (4): 486–489.
15. Aj-Taili, S.I., A.A.R. Al-Misnid and K.D. Al-Uteybi, (2002). Wing One and the Other Disease Carrying the Cure. Qassim University. Danny Kingsley.
16. Abduldaem al-Kaheel, 1995. New facts: fly have a cure, www.kaheel7.com/eng.

“Free radicals” are a special type of atom that have been linked to many age-related diseases. They form as a result of a process called Oxidative Stress, which takes place when an oxygen molecule splits into single atoms with unpaired electrons. The nature of electrons is such that they like to be in pairs and as a result will “freely” and “radically” search throughout the body for another electron to pair with. They could almost be considered romantic if they were not so dangerous!

Their main danger comes from the damage that they cause to cells or cell membrane, proteins, and DNA. Cellular damage occurs when free radicals travel through cells and disrupt the structures of other molecules. The gradual accumulation of them, and the increased damage that builds as more and more of them collect, is what helps cause many of the aforementioned aging diseases. Our body is under constant assault from oxidative stress, and cells may function poorly or die if it occurs too frequently and without proper bodily maintenance.

Free radicals are a waste byproduct that form as a result of various chemical reactions that take place during our bodies’ normal metabolic processes. They are then “dumped,” and their eventual buildup will often harm our bodies much like how factory waste harms the environment However, they are not entirely useless; it is impossible for our bodies to turn air and food into chemical energy without a chain reaction of free radicals. Free radicals are also a critical part of the immune system, as they additionally move through our veins and can confront foreign invaders [1].

What are free radicals?

Understanding free radicals necessitates an elementary knowledge of chemistry.

Electrons orbit around atoms in levels called shells. Each shell is filled by a fixed number of electrons, and when the first shell is full then electrons will start to fill the next shell.

If there is an atom whose outer shell is not full then it may bond with another atom by using the electrons to fill its outer shell. These types of atoms are known as free radicals.

Atoms that have a full outer shell become stable, however free radicals are unstable. They are “desperate” to acquire the full number of electrons that are necessary to fill all of their shells and will therefore react quickly with other substances.

Take the example of oxygen molecules. If they split into single atoms that have unpaired electrons then they too will become unstable free radicals that seek other atoms or molecules to bond to. If this procedure continually occurs, then it will begin a process called oxidative stress.

Smoking, UV rays, air pollution, fast food, pesticides, ionizing radiation, drugs, and inflammation have all been linked to the formation of free radicals. We must be diligent when it comes to understanding how these influences can affect our bodily health, and then fight back with natural antioxidants.

Free radicals are heavily linked to aging

One of the effects of oxidative stress is that it can damage our body’s cells and thus promote many of the diseases and symptoms related to aging, such as wrinkles and gray hair. They will take electrons from other atoms in order to become more stable, a process that may cause diseases or signs of aging [2].              

In 1956, the “Free Radical Theory of Aging” was outlined as a way to understand how exactly our bodies age over time. Everybody ages, and as we age our body loses its ability to fight the effects of free radicals. Over time our bodies produce more free radicals and more oxidative stress, which increases the rate at which cells are damaged and thus can bring about degenerative processes.

Many age-related diseases such as muscular degeneration, certain cancers, atherosclerosis, cardiovascular disease, emphysema, Alzheimer’s disease, Parkinson’s disease, ulcers and all inflammatory diseases such as arthritis and lupus, and many others are linked to free radicals. Free radicals can be found in the food we eat such as fried foods, the medicines we take, the air we breathe, and the water we drink. Free radicals are also found in alcohol, tobacco smoke, pesticides, and air pollutants.

Several studies and theories have been linked to oxidative stress and the buildup of free radicals including: [3]

• Genetic degenerative diseases, such as Huntington’s disease or Parkinson’s
• Age-related changes in appearance, such as loss of skin elasticity, wrinkles, graying hair, hair loss, and changes in hair texture
• Cataracts and age-related vision decline
• Diabetes
• Cancer, which is associated with chromosomal effects and oncogene activation due to the reaction of free radicals [2]
• Central nervous system diseases, such as Alzheimer’s and various forms of dementia
• Cardiovascular diseases due to clogged arteries
• Autoimmune and inflammatory disorders, such as rheumatoid arthritis and cancer

The free radical theory of aging is comparatively new; however, several studies boost its credibility. Researchers focused on cell’s mitochondria, the “powerhouse” that process nutrients to power the entire cell. Experiments on rats, for example, showed a noteworthy increase in free radicals as the rats aged. These alterations coincided with age-related declines in their health. These experiments also showed that free radicals produced in the mitochondria harm the substances that the cells need in order to work properly. This damage causes mutations that produce more free radicals, thus accelerating the process of damage to the cell. This helps explain aging since aging quickens over time. The gradual, but increasingly rapid buildup of free radicals, offers one explanation for why even healthy bodies age and depreciate over time [2].

Antioxidants can stave off free radicals

Antioxidants, molecules that prevent other molecules from oxidizing and thus undergoing oxidative stress, can help to avert the harmful effects of free radicals. They can also decrease or even nullify the effects of free radicals, as they can provide an electron to free radicals and thereby reduce their reactivity. The uniqueness of antioxidants is that they can donate an electron without becoming reactive free radicals themselves.

There is no single antioxidant that can combat the effects of every free radical. Free radicals have different effects in different areas of the body, and every antioxidant performs differently due to its chemical properties. Antioxidants such as vitamins C and E, beta-carotene, glutathione, and plant estrogens called phytoestrogens all scavenge the body and help remove free radicals. Honey can also function similar to antioxidants by removing free radicals. Additionally, selenium, a trace metal that is required for proper function of one of the body’s antioxidant enzyme systems, is sometimes included in this category. The body cannot manufacture these micronutrients so they must be supplied in the diet.

Foods that are rich in antioxidants include citrus fruits such as oranges and limes, berries, and many other fruits that are rich in vitamin C. Carrots are known for their high beta-carotene content, while the soy in soybeans, and some meat substitutes, are high in phytoestrogens. Apricots, spinach, mangoes, pumpkins, broccoli, and eggplants are all also helpful, along with a plethora of other fruits and vegetables [4].

More research needed

A 2010 study on antioxidant supplementation for the prevention of prostate cancer found no benefits. Furthermore, a 2012 study found that antioxidants did not lower the risk of lung cancer. On the other hand, the study found that people who were already at a heightened risk of cancer, such as smokers, actually had a slightly elevated risk of cancer due to antioxidants.

Some investigators have found that supplementation with antioxidants is injurious when people take more than the recommended daily allowance (RDA). A recent analysis found that high doses of beta-carotene, or vitamin E, appreciably increased the risk of dying. One study found that long-term use of beta-carotene could reasonably reduce the risk of age-related mental problems [4]. But perhaps one of the most important discoveries is that antioxidants are unable to “cure” the effects of free radicals completely [5].  

Additionally, we do not yet fully understand why free radicals form in the first place. They may result as an early sign of cells fighting diseases, or that free radical formation is simply a natural expectation that comes with aging. It is not possible to understand them completely without more conclusive research, which should be encouraged considering the significant impacts that free radicals can have upon our bodies.

References

1. https://www.rice.edu/~jenky/sports/antiox.html
2. https://www.medicalnewstoday.com/articles/318652#How-do-free-radicals-damage-the-body
3. http://www.mytruehealth.info/mytruehealth_antioxidants_freeradicals.html
4. https://www.medicalnewstoday.com/articles/318652#Antioxidants-and-free-radicals
5. https://www.medicalnewstoday.com/articles/318652#What-we-do-not-know

Sometimes, your back itches slightly and scratching it at that perfect spot fills you with an odd sense of happiness. Other times, you notice a biting itch on your arm and a chickpea-like redness shows up there. Oh, those mosquitoes! It is rarely likely to catch a mosquito in the act, and sometimes it even feels as if their bites just appear out of thin air. As you scratch the blister to soothe the itchiness, your eyes scan the room to locate its infamous proboscis. You see it on a wall, plump with the blood it sucked from you. You cannot help thinking: Why do their bites always leave so much itching? Or even, what is the purpose of itching at all?

Itching is an unpleasant feeling we perceive by our skin and mucous membranes, and an occasionally uncomfortable and sometimes very excruciating feeling.

Itching, just like pain, is a sensation intrinsic to our body to protect itself [1].  It is the way our skin “talks” to us. Indeed animals, even fish, itch too. When itched, our skin instinctively and in its own tongue tells us, “There is something that bothers me and I want you to push it away from me immediately!” If it was not for itching, we would not notice a spider walking on our arm. We would not be disturbed by lice and scabies mites or even fungi that settled on our skin, and we would not try to protect ourselves from these pests either.

An ordinary scabies patient has an average number of about 15-20 adult scabies mites on their skin. In the case of Norwegian or crusted scabies, which is most commonly observed among the elderly, the bedridden, people with seriously weakened immune systems, or those who are unable to itch themselves sufficiently, there are thousands of parasites under the thick crusts of the skin [2]. Itching accelerates the blood circulation on the itched parts, and tissues virtually prepare to fight infection by the rushing blood cells and substances [3]. Yet, millions of people also suffer from chronic itching and scratch their itches much more than usual. To understand this, we need to set on a journey from our skin to our brain.

Human skin consists of three layers: epidermis, dermis and subcutis (also known as hypodermis). The dermis layer in the middle makes glove-like protrusions upward into the epidermis. At the top of these protrusions are mechanoreceptors and nerve endings that allow our skin to sense stimulus (such as temperature, sharpness, pressure, vibration, pain, or itching) [3]. With these receptors, our skin functions as one of our five sensory organs and more like an “alarm system” of our body against changing conditions outside. This alarm system has been created so perfectly that each component knows exactly what stimulus to detect.

Previously, it was thought that pain and itching were sensed by the same receptors (nociceptors) and that mild stimuli were responsible for itching while strong stimuli were responsible for pain [4]. Yet, a contradiction existed because while pain triggered an avoidance reflex, itching activated the scratching reflex. In recent years, it was discovered that the receptors (pruriceptors) that perceive the itching sensation on the skin are the free boundary terminations of C-fibers with myelin-free, slow conduction velocity extending in the form of tree branches toward the upper layer of the skin. Furthermore, it was found that the skin cells themselves behave like itch receptors [3, 4]. When we receive a stimulus that induces itching, such as a mosquito bite which leaves anticoagulant substances on our skin, the mast cells in the skin tissue spring to defense against those alien substances. This ensues the secretion of the bodily defense system called mediators, substances that are produced and stored by mast cells as precursor for emergency conditions. Histamine is the most known of these substances and is the most important mediator in itching conditions [5]. Histamine binds to receptors found for itself in myelin-free C fibers that are tasked for detecting itching on the skin. If we consider histamine as a key, the lock that it fits into is on the nerve that senses itching. Thus, the itching nerve is stimulated by histamine.

The nerves receiving this stimulus connect to the spinal cord at their respective levels and transfer the message to another nerve. Each of these transfer processes is mediated neurotransmitters. The last message transmitted to the brain through these nerves is assessed by the brain and labeled as “itching” [6]. The brain determines the coordinates of the itching location and orders the scratching action to the related muscle system. A new journey that conveys messages from the brain to the arm muscles ends with scratching. Considering the swift rubbing action when we feel an ant walking on our face and scratch to push it away, we may value how fast and perfect our brain and transmission system work.

It is also rather odd how soothing itching can be despite its initially uncomfortable feeling, almost as if our body is rewarding us for saving it from a threat. There are several reasons for this contradiction. Scratching causes a low-intensity pain on the skin. Pain and itch are positioned on the skin alternately. The transmission of the sensation of pain is prioritized while the transmission of itching is prevented [7]. Consequently, our brain senses the pain and, in response, secretes the hormone called serotonin to soothe the body. Although this makes us feel relaxed for a short time, the brain continues to transmit virtual sense of itching by connecting to the receptors that are located on the spinal cord along the same nerve path with the receptors for serotonin [8]. This condition, which may be termed as a vicious cycle of itching-scratching, unsurprisingly infuriates patients. Scratching the same area on the skin continuously causes the production of new mediators and oversensitivity of itching nerves, which can thus turn itching into a chronic distress. Chronic itching can often result as a complication from skin diseases such as scabies, lice, eczema, fungal diseases, or drug allergies. It can also result from a systemic disease such as chronic renal failure, cholestatic liver diseases, thyroid problems, iron deficiency anemia, blood diseases and, rarely, cancers [7]. Itching in systemic diseases can be triggered by mediators on the skin but also by neurotransmitters in the intermediate pathway. This kind of itching cannot be controlled by drugs called antihistamines which block the histamine pathway. Sometimes the brain will receive false itching alarms due to post-shingles contraindications or nerve damage in the vertebrae. Such episodes of itching need to be addressed to prevent adverse outcomes. At times, the reason an itch can occur can even be psychological when there seems to be no need for an itch. According to research, scratching activates the brain’s reward center which triggers the addiction mechanism. Patients in that case are thrilled as they itch constantly [9].

As doors in this mysterious journey of science are opened one after another, we discover that nothing has been created without a purpose, including apparently discomforting sensations such as itching, which, it turns out, is how our skin communicates with us!

References

1. Arıcan O. Kasintinin patofizyolojisi, klinigi ve tedavisi Turkderm 2005;39(2):88-97
2. Jonston G, Sladden M. 2005 Scabies: diagnosis and treatment BMJ;17;331(7517):619-22
3. Guyton AC, Hall JE. Tıbbi Fizyoloji 10. Baski 2001.p815-42
4. Schmelz M. Itch and pain. Neurosci Biobehav Rev 2010;34(2):171-6
5. Arck P, Raus R. From the Brain-skin connection. Neuroimmunomodulation 2006;13(5-6)347-56
6. Metz M, Stander S. Chronic pruritus pathogenesis clinical aspects and treatment. J Eur Acad Dermatol Veneral 2010;24(11)1249-60
7. Metz M, Grundman S, Stander S. Pruritus: an overview of current concepts. Vet Dermatol 2011;22(2):121-31
8. Chen ZF et all. Descending control of itching transmission by Serotonergic System via 5-HT1A-facilitated GRP-GRPR signaling. Neuron Vol.84(4) Nov.19-2014

9. Chan YH et all. Brain’s Reward Circuits Mediate Itch Relief. A functional MRI Study of Active Scratching. Dec. 2013

To this day, natural breast milk is still regarded as the best nutritional choice for babies. Recent research on stem cells, genetics, and epigenetics [1] from the last three decades, along with information obtained from studies about childhood and youth and testimonials from organizations that guide health policies worldwide, all support this claim. Modern medicine agrees that breastfeeding is the healthiest, most inexpensive, highest quality, and most appropriate choice for protecting both a mother and baby’s health [2]. The World Health Organization holds breastfeeding as an essential gold standard for the immunological development of a child, starting from the first six months to two years of age [3].

Breastfeeding has many benefits. It strengthens the emotional bond between the mother and her baby. It helps ensure that the baby grows in a healthy manner, by establishing its first feeling of trust; positively effects the baby’s intelligence level; and helps bolster the baby’s immune system.

One of the most studied issues in recent studies is the effect of breast milk on respiratory diseases such as asthma. The effects of breastfeeding on asthma, allergic diseases, and respiratory infections has been a topic of concern for the medical world for at least the last 80 years. Recent studies agree that breast milk has a preventive role against lower respiratory tract infections in infancy (0–2 years). However, there are some complications in these studies. Given the challenges in patient standardization, only food-allergy studies can be standardized. Due to the complexity of the environmental and genetic factors that trigger allergies, it should be considered normal that the effect of breast milk has not yet been fully established to protect against a wide range of allergic diseases, particularly asthma [4].

Asthma is the most common chronic disease in childhood and has a complex structure. It has been on the rise lately, and scientists are scrambling to figure out what is causing this increase as well as the best ways to combat the disease. Asthma can be caused by a wide variety of sources, such as genetics, smoking, microscopic ticks and mites in house dust, allergenics such as grass or pollen, obesity, urban life, air pollution, synthetic nutrition, and imbalance in intestinal flora [5]. In addition, premature birth, low birth weight, a young mother, and early exposure to respiratory infections are factors that increase the risk of asthma [6]. Consequently, it is difficult to independently measure the effect of a single determinant in asthma. In a significant study on 3,963 children in the Netherlands, children were breastfed for at least four months and then followed for up to eight years after birth. The outcomes of the study revealed that breast milk significantly reduced the risk of asthma, independent of other variables. It has been observed that the rate of chronic asthma development decreases as the breastfeeding duration increases [7].

Today, breast milk’s benefits have been proven in protecting babies from respiratory infections both early on and later in life. Breastfeeding provides an emergency line of defense against infectious diseases by helping infants whose immune systems are not yet developed enough to fight infections.

Breastfeeding facilitates a beneficial germ exchange between mothers and babies and helps to develop a strong immune system. Enzymes, hormones, bioactive molecules, and growth factors in breast milk are all extremely vital for babies. These crucial molecules help develop the baby’s immune system by interacting with the proximate elements. Thanks to numerous features in its ingredients, breast milk has a significant role in supporting the baby’s immune system with the development of appropriate microorganisms in the intestine. The strength of the microbial structure in the baby’s intestine depends on the way of delivery, diet, and the variety of foods consumed by the mother. This healthy structure in the intestines is essential for the development of the immune system and for building an increased tolerance to new foods that will be taken orally. In infancy, beneficial microbiota in the intestines starts to develop healthily by breastfeeding in the first four to six months.

A comparative study between the intestinal flora of infants fed with breast milk and formula milk showed that the diversity and density of the desired microorganisms increased in a shorter time and in sufficient amount in the breastfed infants. Today, increased hygiene standards have changed the intestinal flora of infants, especially in Western societies. This, however, has increased the risk of diseases such as asthma [8].

Cytokines (a group of proteins and peptides that allow cells to communicate with each other) in breast milk also serve the development and smooth functioning of the immune system and play an important role in protecting the baby against bacterial infections, wheezing, and allergies. Human milk, especially “first milk,” was found to contain more than 20 cytokines [9]. First milk arrives in the first few hours after birth as a miraculous gift to babies when they are most vulnerable to illnesses and helps to protect against diseases. Ig A antibodies in the first milk also protect against infectious diseases that are commonly experienced in early life, besides obesity, diabetes, and allergic diseases that may come later [10].

Infants fed with ready-made foods have lower amounts and types of bacteria in their intestines than those fed with breast milk, which can consequently increase the risk of eczema and asthma. The issue of delaying foods with high allergy potential, especially when switching to supplementary foods, is still being debated. Some researchers suggest that complementary foods should not be introduced to infants up to 12 months. However, the common opinion is that positive intestinal bacteria that develops with sustained breastfeeding can reduce the risk of allergies to additional foods. Another consensus is that the transition to supplementary foods should not be earlier than six months [11].

As breast milk is the most important food for newborns, mothers should diligently endeavor to complete the suggested period of breastfeeding. Breastfeeding, if continued until the age of two and especially in the first six months, is accepted by international pediatric authorities as the cornerstone of nutrition.

Character formation and breast milk

We are physically and emotionally affected by what we eat or drink. Based on this assumption, it can be argued that breastfeeding might also have an influence on the character formation of babies [12]. Although it has been determined that intelligence and brain development are influenced by the emergence or inhibition of some genetic characters in the baby by epigenetic means, no research based on long-term observations has been conducted. In any case, it would be wise for parents to provide the best food both for themselves and their babies. Inasmuch as they make sure the food is hygienic and natural, they should also be cautious that it is obtained through legitimate means. If, for any reason, the mother’s milk is not enough or is suspended, a milk-mother with necessary qualities may be contracted.

Breastfeeding for two years is prescribed in the Qur’an: “Mothers are to suckle their children for two complete years” (2:233). “We have enjoined on human in respect with his parents: his mother bore him in strain upon strain, and his weaning was in two years” (31:14). Likewise, the Prophet Muhammad, peace be upon him, speaking about his son Ibrahim, who died before he could turn two, said, “He has a milk-mother in Paradise, she will suckle him for his remaining milk, (will complete the term of two years).” (Muslim, Fadail, 63, 2316)

References

1. The inherited and non-genetic changes which occur in the disclosure of genetic information i.e. gene expression, without any no change to the structure of DNA.
2. Ballard O, Morrow AL: Human milk composition: nutrients and bioactive factors. Pediatr Clin North Am, 2013; 60: 49–74.
3. World Health Organization Recommendations on Postnatal Care of the Mother and Newborn. Geneva, WHO, 2013.
4. Matheson M, Allen KJ, Tang MLK: Understanding the evidence for and against the role of breastfeeding in allergy prevention. Clin Exp Allergy, 2012; 42: 827–851.
5. Ding G, Ji R, Bao Y: Risk and protective factors for the development of childhood asthma. Paediatr Resp Rev, 2015; 16: 133–139.
6. Oddy WH, de Klerk NH, Sly PD, Holt PG: The effects of respiratory infections, atopy and breastfeeding on childhood asthma. Eur Respir J, 2002; 19: 899–905.
7. Scholtens S, Wijga AH, Brunekreef B, Kerkhof M, Hoekstra MO, Gerritsen J et al..: Breastfeeding, parental allergy and asthma in children followed for eight years: the PIAMA
8. birth cohort study. Thorax 2009; 64: 604–609.
9. Adlerberth I, Wold AE: Establishment of the gut microbiota in Western infants. Acta Paediatr, 2009; 98: 229–238.
10. Goldman AS, Rudloff HE: Are cytokines in human milk? Adv Exp Med Biol, 1991; 310: 93–97.
11. World Health Organization Recommendations on Postnatal Care of the Mother and Newborn. Geneva, WHO, 2013.
12. World Health Organization: Global Strategy for Infant and Young Child Feeding. Geneva, 2003.
13. Ibrahim Canan, Peygamber’in Sunnetinde Terbiye, Istanbul: Isik Yayinlari, 2014, pp. 95.

Embryonic stem cells are cells in the early stages of embryonic development when a fertilized egg cell is divided first into two cells and then into four, eight, and sixteen. Each grows into a brand new cell type and multiplies as per the codes present in its DNA program as tissues form and organization starts. 

After twenty years of research and accompanying debates on the human embryo, we are finally on the threshold of both reshaping our present concepts in biology and moving on to clinical case studies. The first human embryonic stem cells were produced in 1998. Studies researching the question, “Can we treat diabetes by reprogramming the DNA in these cells at the beginning of life?” switched first to how human genes worked and which genes are responsible for the development of particular tissues and then to the embryonic stem cells for these areas and ultimately to replacing or reprogramming a “faulty or deficient” gene.

The most controversial topics in genetics and embryonic studies are related to bioethics. Many scientists are grappling with questions like whether is it ethically correct to intervene with the genetic programming of a fertilized human egg (zygote)? If so, what should be the limits? Are we trespassing a divine domain?

Embryonic stem cells have been an excellent source of information that we lacked throughout history about how living organisms started to develop. Like astronomers who trace their knowledge to the Big Bang in order to obtain fundamental information about the origin of the universe, biologists have been researching how the molecules in a single cell went through sequential and planned changes, how they transformed and acquired new functions that triggered the mind-blowing developments in diverse, miraculous living organisms. Scientists have found out how primordial embryonic cells transformed into more than 200 cell types that constitute various tissues and organs. The number of studies has skyrocketed about which molecule types can be used to regenerate the damaged tissue, say, after a traffic accident. Embryonic studies that focus on the regeneration or reparation of medulla cells (spinal cord) have been a source of hope for some patients with permanent paralysis because of a broken back injury or severed spine in a traffic accident or those who are still stranded in wheelchairs. Similarly, the preliminary findings of research into Parkinson’s and diabetes are extremely promising, and a new study reports of two blind people with macular degeneration (which causes blindness) who have been treated.

Initial studies

In 1981 researchers successfully obtained stem cells from a rat embryo culture. They soon realized that the cells held a secret potential: they could grow into 200 different types of cells. Later Wisconsin-Madison University biologist James Thomson derived stem cells from primates for the first time. Three years afterwards, Thomson derived the first human embryonic stem cells from donated but unused embryos.

The increasing number of research studies into embryonic stem cells sparked off intense debate both in religious circles and among the science community that care passionately about the sanctity of humans. Allegedly, lab studies were conducted on human embryos without restrictions, which were grown until tissues and organs formed but were then killed. In 2001, the US president George W. Bush slashed federal funds, stating that stem cell research was not strictly ethical. Deriving embryonic cells was banned in many countries including Germany and Italy. In other countries, however, studies went full speed ahead. Indeed, reports flooded in about stem cells grown by researchers in Australia, Singapore, Israel, Canada and the USA into nerve cells, immune system cells, and heart cells.

Before long, a new idea emerged about transferring new cells into the egg cell – like nuclei of body cells used in cloning Dolly the sheep – to produce various tailor-made, fully DNA-compatible tissues and organs, as they had the same genome as the donor’s. It became a topic of everyday conversations that spare organs could be cultivated for the human body just like spare parts of cars or other machinery were produced to replace a faulty or damaged part. In fact, if it were not for claims such as “creating a new human” there would be no objections against producing a kidney, lung, or heart from the DNA of a patient and thus overcome the major problem of tissue rejection in transplantation of organs.

If faulty or defective genes could be removed and replaced by healthy genes in the DNA of stem cells, many incurable genetic diseases could easily be fixed and many prospective parents who avoid having a child because of a defective gene they carry would welcome the development enthusiastically.

We are on the threshold of reshaping our present concepts in biology and moving on to clinical case studies. Embryonic studies have been a source of hope for even patients with diseases like paralysis and blindness.

Just in time and in the right amount

Embryonic stem cells are cells in the early stages of embryonic development when a fertilized egg cell is divided first into two cells and then into four, eight, and sixteen. Each grows into a brand new cell type and multiplies as per the codes present in its DNA program as tissues form and organization starts. It is most mysterious and miraculous that the molecules that lead a stem cell to transform into a new type of cell are synthesized at exactly the right moment and in the precise amount.  Scientists are currently trying to figure out which molecule leads a cell to become a nerve, muscle, or bone cell when attached to it. They are likely to decode the molecules by monitoring the tissues that remain undeveloped because of missing genes resulting from DNA mutations observed in certain genetic diseases.

The new field that has developed in the last two decades called regenerative medicine is predicated on tapping into the potential of stem cells by repairing missing or faulty tissues, or completing a link in the chain necessary for the functioning of a dysfunctional metabolic process. In 2006, stem cell biologist Shinya Yamanaka of Kyoto University in Japan successfully transformed adult rat cells into an embryonic state. The following year, human body cells were transformed into embryonic stem cells. The ensuing research has led to the acknowledgement that it was theoretically possible to transform stem cells into any cell type, a promising cure for diseased embryos that have genetically missing parts.

The major problem, however, is keeping these delicate cells alive in a culture medium. In 2007, Yoshiki Sasai discovered a molecule called rock inhibitor that nourished the cell colonies he grew. The success rate in generating new cell colonies rose to 27%. Parmar from Swedish Lund University heralded “a new golden era” by producing new neurons from embryonic stem cells for the treatment of Parkinson’s.

As new techniques were developed for producing cells fast and reliably, these cells turned out to involve a very low risk of developing cancer. “We don’t yet know how this hidden power and balance that can be transformed into any cell type is controlled,” states Hiromitsu Nakauchi, a stem cell biologist at Tokyo University who researches making blood platelets out of stem cells derived from the embryo or somatic cells.

Experiments are underway that aim to treat disorders by activating stem cells stored in the body that have not yet differentiated through the help of proper stimulating molecules. 

Miraculous differentiation

As the techniques for producing and feeding stem cells got easier, researchers aimed at growing and forming tissues and organs. A connective tissue or an outer covering like the skin that lacks a shape but takes the shape of the underlying muscles and bones can be produced even in a Petri dish and then transplanted to a burned or missing area of the skin. The present aim is the production of organs such as the kidney or the heart that has a particular shape and is made up of a number of different tissues. If the correct signal molecules responsible for cell division and differentiation can be identified and readily used where necessary and at the right amount, then organs including any type of tissue can be produced. Researchers like James Wells at Cincinnati Children’s Hospital in Ohio have tested the damage of drugs on intestines by using the partial intestines they developed from stem cells rather than administer them to normal humans, thereby hailing the imminent age of intestine transplants.

In 2004, the doctors who did tube baby experiments for a patient in Chicago known to have a genetic disorder started to produce a series of stem cells from generated embryos. They made models at the cellular level of the emergence of such genetic disorders as thalassemia, Huntington’s disease, Marfan syndrome, and muscle dystrophy. In 2007, they used embryonic stem cells to suppress molecular changes that trigger mental disorders caused by a genetic disorder called fragile X syndrome.

Research shows that multipotent (mesenchymal) cells stimulated at the outset of tissues are even more promising than embryonic cells with respect to diseases because it is easier to repair damaged or missing tissue by guiding them. However, it is essential in a genetic disorder that cells derived at the beginning of the embryonic stage should be used in order to replace faulty genes with healthy ones and address the disorder at its outset.

Experiments are underway that aim to treat disorders by activating stem cells stored in the body that have not yet differentiated through the help of proper stimulating molecules. In this way, as many as ten illnesses are likely to be treated, some of which include diabetes, macular degeneration in the eye, and neurodegenerative diseases such as Parkinson’s.

Douglas Melton from Harvard Stem Cell Institute in Cambridge has worked for fifteen years to transform embryonic stem cells into insulin-producing β-cells. He has produced pancreatic cells that sense glucose and produce insulin and he hopes to transplant them to end the dependence of patients of diabetes type-1 on insulin shots. The last obstacle remains to be the introduction of these cells to the system so that they are not destroyed by the patient’s immune system.

Clinically, it is believed that stimulated multipotent cells have a greater advantage than embryonic cells because the produced cells and tissues have the same DNA as the patient and thus do not cause any immune reaction when they are transplanted. The problem for many genetic disorders including type-1 diabetes is that the patient has the same mutation in his or her genes, and a method should be devised for cleaning and replacing these cells.

Another problem is the cost. It is reported that preparation of a series of multipotent cells will cost about one million dollars. However, the cost is expected to decrease and cells will be developed for the treatment of Parkinson’s disease, which is caused by a loss of neurotransmitter substance, which enable communication between nerves, and dopamine.

Treatment of macular degeneration is a popular target in this field. Patients gained the ability to read, though slowly, one year after the transplantation of part of stimulated multipotent cells to a damaged retina.

Such research studies normally cause some opposition. Playing with genes and embryos involve certain ethical and health risks. Yet, as reported in a Prophetic tradition, with all our God-given abilities like intelligence, curiosity, and willpower, humans can, and hopefully will, find cures for all diseases. Research into stem cells has the potential to provide many breakthroughs in these efforts to find healing for every human. Scientists and ethicists have to work together to determine our direction not to cause any unintended harm to any single soul while moving forward with this research.

MicroRNAs as tiny regulators with big roles

Tiny RNAs, known as microRNAs, have been shown to regulate many components of the body’s cellular machinery. They are called microRNAs because they are only 22 nucleotides in size (compared to the 2200 nucleotide-long messenger RNA). Amazingly, these small non-coding RNAs can turn off the translation of their target genes. They act as control switches by targeting the 3′ untranslated regions of messenger RNAs (mRNA) for translational repression or cleavage, thus resulting in a reduction of protein levels. Because each microRNAs can regulate hundreds of messenger RNAs, there are probably few cellular processes not affected by microRNAs. For instance, microRNAs have recently emerged as playing important roles in a variety of cellular processes, such as heart development, stem cells, insulin secretion, and cholesterol synthesis. MicroRNAs were first discovered in worms more than 20 years ago. For many years, scientists thought that DNA was transcribed to RNA, and then translated to protein. Those proteins are major regulators in the cell. Now, they appreciate that there are more levels of control and a number of non-coding RNAs that regulate the level of cellular components. About one thousand microRNA genes have been discovered in the human genome. This makes the microRNAs one of the most abundant classes of regulatory genes. As a result of the discovery of this new and major level of regulation in the cell, Dr. Andrew Z. Fire and Dr. Craig C. Mello were awarded the 2006 Nobel Prize in Physiology or Medicine.

MicroRNA biogenesis

Unlike other RNAs, the production of microRNAs is quite different. As depicted in figure 1, the generation and activity of microRNAs requires special microprocessors, known as RNA polymerase II, Drosha, Exportin, Dicer, and RISC complex. RNA polymerase II transcribes (reads the microRNA DNA code) primary microRNA transcripts; then the Drosha process transforms primary microRNA into precursor microRNA in the nucleus. For activity and further processing, precursor microRNA are exported into cytoplasm by Exportin. In the cytoplasm, Dicer cuts precursor microRNA and generates mature 22 nucleotide long microRNA. Then, mature microRNA are incorporated into the RNA inducible silencing complex (RISC) where they target messenger RNAs (mRNA), either for degradation or translational repression. Even though there are extensive studies on microRNAs, it is still mostly unknown how microRNAs target specificity is determined and how they target messenger RNAs for mRNA degradation or translational repression. For a functional microRNA in the cell, it is amazing that a series of microprocessors should take place. They recognize different microRNAs as substrates and do their job as they are supposed to. It seems that the existence and regulation of microRNA processing abilities cannot be by mere chance.

MicroRNAs as therapeutics

MicroRNAs are considered “fine tuners” of cellular processes because of their subtle effects on their targets. However, because microRNAs can target a number of genes and genetic pathways, the study of microRNAs and their regulation and role in diseases is highly promising in terms of developing new therapeutic approaches. Treatments by targeting microRNAs using microRNA inhibitors (antisense RNA nucleotides) are under intense study and several of them have been shown to be effective in animal models. A MicroRNA known as miR-122, for instance, has been shown to regulate cholesterol levels. Scientists targeted this liver-specific microRNA by using a microRNA inhibitor and they found that the downregulation of miR-122 resulted in a 40% decrease in cholesterol levels in the blood.

MicroRNAs in cancer therapy

With the discovery of new and better tools to detect and manipulate microRNA levels in cell cultures and tissues, researchers are now attempting to identify the specific features of each microRNA and their role in cancer and other devastating diseases. There are some microRNAs that are highly correlated with cancer formation. Cancer is cellular anarchy characterized by a proliferation of cells without control. A group of miRNAs known as the miR-17-92 family have been found to increase, and their higher levels result in cancer formation as found in some lymphomas and solid tumors. It is believed that better understanding and use of microRNAs or microRNA inhibitors could enable doctors to treat diseases like cancer. In the near future, microRNA studies are also expected to provide early detection of progressive diseases, better markers for cancer initiation, and cancer specific drug selections.

MicroRNAs as cancer drug boosters

The most straightforward application of microRNA research has been cancer chemotherapies. The potential of use of microRNA applications to increase the effectiveness of current cancer drugs seems highly likely. Companies and universities are looking for microRNA partners to increase the effects of drugs like Taxol, which is currently used in chemotherapy. Taxol, for example, currently works for about 30% of lung cancer patients. But, if we can find a microRNA partner with that drug to make it 40%, it will mean saving thousands of lives. This is a hopeful sign for the future of cancer treatment. On the other hand, it is known that in the case of any chemotherapy, there are unwanted side effects. Although use of higher dose of drug will kill more tumors, the side effects of this drug will cause other issues. Discovery of partners like microRNAs that boost the effectiveness of cancer drugs or decrease side effects can help to treat more patients or help them overcome unwanted side effects.

Taking microRNAs to the heart of the matter

Heart diseases represent the primary cause of death in developed countries. Recent studies have identified microRNAs associated with heart diseases, including cardiac hypertrophy, heart failure (inability of the heart to pump sufficient blood to the organism), and myocardial infarction (the death of the cardiac muscle resulting from interruption of the blood supply). Mir-1 expression levels, for example, are low in human heart disease and it is known to regulate Hand2, a protein required for the growth of heart muscle cells. The levels of another microRNA, called miR-21, have consistently increased through cardiac stress and have been shown to regulate cardiac growth as well. Importantly, miR-133 is believed to repress cardiac hypertrophy, thus the use of synthetic miR-133 molecules is possible as a therapeutic for patients with pathological hypertrophy. However, more studies to understand heart-associated miRNAs are needed in order to have clinical trials for the treatment of heart diseases.

Figure 2. MicroRNAs in the heart. Recent studies have identified microRNAs that are associated with heart diseases, including arrhythmic heartbeat (Arrhythmias), cardiac hypertrophy (enlarged heart), septation defect, and cardiac muscle overgrowth (myocyte hyperplasia).

Micromanaging insulin secretion

MicroRNAs are also associated with the onset of diabetes. Diabetes affects about 23.6 million people in the United States. It can lead to serious health issues and even early death. Diabetes is marked by high levels of blood glucose (also called blood sugar). Complications of the disease are due to defects in insulin production and insulin action. Insulin is among the major regulators of sugar levels in the blood. The human genome contains a number of microRNA genes, whose functions are only beginning to come to light. One such microRNA, miR-375, is already implicated in the secretion of insulin from pancreatic cells, thus it represents a novel pharmacological target for the treatment of diabetes.

The mentioned cases above are examples of the tiny RNAs which regulate cellular processes. The loss of the control in such a small component of the cellular machinery can lead to serious problems, like cancer. To use a metaphor, the regular and healthy government of a state does not allow for the presence of multiple governors. Similarly, regulatory tiny RNAs require a controller who knows how the human body works at the macro and micro levels. This forces us to consider that whomever is controlling the human body must be all sustaining and all knowing. With each new scientific breakthrough, the wisdom of creation becomes more and more apparent. The field of miRNAs is a young research area. New discoveries about microRNAs have brought us new hopes for novel therapies to human diseases. However, future discoveries are required before these therapies can be used in a clinical setting.

Resources

• Qur’an: The Family of Imran 191 and The Cow 255.
• Caldas & Brenton. “Sizing up microRNAs as cancer genes”. Nature, 2005.
• Scott M. Hammond. “MicroRNA therapeutics: a new niche for antisense nucleic acids” Trends in Molecular Medicine, 2006.
• Rooij et al. “Toward MicroRNA–Based Therapeutics for Heart Disease” Circulation Research, 2008.
• National Diabetes Statistics, 2007. Retrived from http://diabetes.niddk.nih.gov/DM/PUBS/statistics/
• ScienceDaily. Not ‘Junk DNA’ After All: Tiny RNAs Play Big Role Controlling Genes. 2007.
• Callis & Wang. Taking microRNAs to heart. Trends in Molecular Medicine. 2008.
• Poy et al. A pancreatic islet-specific microRNA regulates insulin secretion. Nature,2004.
• Average mRNA length: B. Lewin, Genes 5, Table 2-2. Oxford University Press.
• MicroRNA biogenesis figure: http://content.nejm.org/content/vol359/issue25/images/large/14f1.jpeg

With all of its faculties, a human being can be thought of as an index of the whole universe. Therefore, we witness correlations between the processes taking place in the human body and in the universe. Accordingly, the world we live in has a correspondence to human biology. For example, the cyclical processes in the environment (water cycle, carbon cycle, etc.) ensure the continuous recycling of the same matter, hence the cleanliness of the habitat for all. Similarly, the human body includes mechanisms to cleanse itself from harmful and unnecessary materials.

Prior to the development of such an understanding, the prevailing attitude encouraged consuming natural resources and using the environment as a “trash can.” Even today, we live in a world that promotes excessive consumption of daily goods leading to accumulation of incredible amounts of trash. For example, in developed Western societies, an average family discards more than one ton of trash every year, which is mostly paper, packaging material, and kitchen waste.

Nevertheless, as we realize the importance of the recycling systems in nature and the multi-faceted harms of trash accumulation on the environment, recycling of conventional and technological waste is encouraged by collecting plastics, glass, paper, and tins. On a larger scale, recycling centers have been developed to minimize the damage to the environment and to meet the need for raw materials.

The recycling process consists of three main steps as depicted by the famous three-arrows symbol representing 1) the collection of materials, 2) the remanufacture of new materials from the collected ones, and 3) reselling or reusing as new products. Thus, recycling centers not only contribute to the economy, but also serve as clearance sites to maintain the harmony of the environment.

Cellular recycling through “fasting”

Similar to recycling centers at the macro level, there are recycling centers in the cellular level too. These centers have the duty to help with the digestion of cellular trash (i.e. damaged cellular organelles, misfolded proteins, toxic load) so that energy can be generated and raw material obtained for the construction of new cellular units. This recycling phenomenon was simply named as autophagy (i.e. self-eating) by cell biologists. What is interesting, though, is that autophagy is primarily activated or enhanced via fasting or food deprivation.

How autophagy works

Autophagy is a process that occurs when astarving cell starts to form double membrane containers through an orchestration of several proteins. These containers are called autophagic vesicles or autophagosomes ¹. Their main role is to target and collect cellular trash. Then, they start to fuse with lysosomes, the digestion centers of the cells, to degrade the trash into building blocks—amino acids. The amino acids can then be used both for the construction of new proteins needed by the cell and in the production of ATP, which is a source of energy for the cell.

The whole process corresponds to micro-scale representation of a real world recycling concept: collection, re-manufacture and resell/reuse. Through autophagy, a cell recycles its own material and obtains energy ².

Fasting: An emerging trend

With the discovery of mechanisms initiating autophagy and its involvement in various diseases such as cancer, neurodegenerative disorders, auto-immune diseases etc., autophagy has gained a unique significance that is progressively increasing ³. After the year 2000, the number of publications on autophagy-related research began to increase exponentially. Moreover, due to the increased conviction about the link between fasting and autophagy, fasting started to become a real trend in modern civilizations. Let’s examine a few of the important recent findings that reveal the relationship between autophagy and fasting.

In a study involving mice, the response to fasting was assessed in liver cells (hepatocytes) by tracking the presence of a protein (GFP-LC3) that indicates autophagy. It was seen that the lack of food, which is the source of energy, led to the disintegration of mitochondria, which are the power plants of the cells. Subsequently, the components that made up those mitochondria were re-utilized for the building of other necessary proteins⁴. These results indicate that unnecessary mitochondria were eliminated for the sake of recycling organic materials during fasting.

Neurodegenerative diseases, such as Alzheimer’s or Parkinson, etc, are linked to the accumulation of trash in the brain cells, which is indicative of a lack of autophagy. Drugs developed for these diseases do not possess effective treatments since they are unable to penetrate into the brain cells (a concept known as the blood-brain barrier). During another study involving mice, in one track, animals were exposed to fasting, and in the other, their brain cells, (more precisely cortical neurons and Purkinje cells) were isolated and exposed to food deprivation. In both tracks, researchers observed that fasting enhanced autophagy, suggesting that fasting could be a simple, cheap, and safe therapeutic cure for prevention of neurodegenerative diseases ⁵.

In another study, this time involving a subset of kidney cells (proximal tubule cells), a lack of autophagy resulted in the accumulation of dysfunctional mitochondria and other cellular debris. As a result, the cells grew in size abnormally (hypertrophy), decreasing the functionality of the kidney. This suggested that autophagy was part of the continuous maintenance of proximal tubule cells and that inducing autophagy in the kidney may provide a novel therapeutic approach to minimize acute kidney injury ⁶.

As a final example, one more study revealing the association between autophagy and the immune response should be mentioned. It was found that the number of autophagic vesicles (chambers) in the macrophages, a subset of immune cells that are the first to perceive threats to our body, increased as a response to invading bacteria. These vesicles wrapped, sequestered, and digested the bacteria eaten by macrophages ⁷. Thus, fasting has the potential to improve the fighting ability of macrophages against invading pathogens by enhancing autophagic machinery.

Taken together, the autophagy process seems to be a recycling mechanism with minor variations depending on the cell type and activation triggers. Once initiated, it leads to a) reduced accumulation of cellular trash (toxic protein aggregates); b) an improved immune response for removing bacteria (intracellular pathogens); and c) the protection of the interior of the cell (cytosol). As one of the main stimulators of autophagy, fasting or food deprivation seems to be a way for improving health.

Next time you fast, keep in mind that while you are starving, your cells are feasting for your health. Just as the natural world is structured to continually cleanse and renew the earth, fasting seems to trigger similar processes inside the human body. While individuals may choose to fast for spiritual cleansing, their physical bodies experience a cleansing as well.

Abdullah Acar is freelance writer in the US with a special interest in biology.

References

1. Mizushima, N., et al., Autophagy fights disease through cellular self-digestion. Nature, 2008. 451(7182): p. 1069-75.
2. Mizushima, N. and M. Komatsu, Autophagy: renovation of cells and tissues. Cell, 2011. 147(4): p. 728-41.
3. Yang, Z. and D.J. Klionsky, Eaten alive: a history of macroautophagy. Nat Cell Biol, 2010. 12(9): p. 814-22.
4. Kim, I. and J.J. Lemasters, Mitochondrial degradation by autophagy (mitophagy) in GFP-LC3 transgenic hepatocytes during nutrient deprivation. Am J Physiol Cell Physiol, 2011. 300(2): p. C308-17.
5. Alirezaei, M., et al., Short-term fasting induces profound neuronal autophagy. Autophagy, 2010. 6(6): p. 702-10.
6. Kimura, T., et al., Autophagy protects the proximal tubule from degeneration and acute ischemic injury. J Am Soc Nephrol, 2011. 22(5): p. 902-13.
7. Fujita, N. and T. Yoshimori, Ubiquitination-mediated autophagy against invading bacteria. Curr Opin Cell Biol, 2011. 23(4): p. 492-7.

Life, illness, and death are basic human conditions. But at the same time, it is a very individual decision which specific meaning you ascribe to these elements. These meanings also affect the behavior patterns of our life and its consequences. Ascriptions of meaning can – considered without any judgment – be of religious, nationalist, pluralist, and atheistic nature, or be supported from the symbiosis of several ways of thinking.

In the training of health care professionals and in public lectures, the author of this article noticed that illness has a very negative image: the color which stands for physical and mental discomfort is a deep black, while shiny white is the color of health. Consequently, modern medicine therapies have been developed that do not necessarily try to diagnose the causes of diseases, but most of all combat the declared enemy. For this purpose, high-dose drugs, radiation and other weapons are out in the field, according to the motto: attack is the best defense.

The doctors make every effort to win the battle, but there is a risk that the emotional state of the ill person falls into despair – because it is taught to him that his new physical condition is an unnatural, undesirable condition. Thus, a melancholy forms, which reduces the quality of life dramatically. The patient regards the illness as invincible.

In the following, I will present some perspectives that renowned scholar Said Nursi (d. 1960) demonstrated decades ago. They are still powerful today. In my opinion, they harbor the potential to raise the quality of life not only of the ill, but also of healthy people.

In his treatise “The Twenty-fifth Gleam: 25 Remedies for the Sick”¹ Said Nursi throws 25 views (Turkish: Deva² ) on the phenomenon of illness. His outlook could assist in transforming the negative picture of illness into a positive one.

What makes a shift in perspective so important?

Anyone who prepares himself while he or she is a healthy person, if they later catch a more serious illness, will benefit from this text. Nursi’s thoughts on the meaning of illness and potential remedies can play an important role in preparation. Those who internalize his message can help prevent the emotional fall into depression and may instead hope for a cure.

Said Nursi’s first view presents its readers with the understanding that illness should not be seen as a problem that brings bitterness into life, but that you can also draw strength out of it. There may, as said before, be different ascriptions of meaning to human life, but ultimately all people agree that life is something precious and offers a variety of opportunities. The direction of our lives depends on which use we make of these opportunities.

Those who consider illness as something negative will experience every illness as a curse. Such an attitude has a negative impact on the patient and their environment and turns them very pessimistic. They might castigate themselves, and ask questions like: “Why is it me of all people who has ​​this disease?” In extreme cases, this can lead the patient to become delusional and withdraw from society. A shift in perspective, however, can release positive energy and let sorrow and pain melt away.

Those who recognize the opportunities offered by life and appreciate the efforts and labors of everyday life as something positive will concede that even diseases have a meaningful function – for themselves and humanity as a whole.

Nursi says that ill people perceive time differently, which enables them to observe their environment from a more passive perspective. This passivity is supposed to tear modern, urbanized people from the hustle and bustle of everyday life and move them to a pause. It decelerates the lives of those affected and leads them to horizons healthy people find difficulty to access.

Nursi’s second view goes to the role of prayer which he defines in two forms: positive and negative prayers. He refers to prayers like ritual worship, fasting, supplication, and other forms of remembrance as “positive” (müspet) prayers. “Negative” (menfi) prayer on the other hand is attaining awareness and knowledge of one’s own vulnerability and mortality – which is more likely to arise in moments of illness rather than any other time – as a result of which one turns to God in praise of His ultimate power and infinity. Nursi signifies these positive and negative prayers as the second remedy.

The insight into our own transience, which is the third remedy, allows the ill person to recall their past mistakes, many of which might have been forgotten, and allows them to reconcile with themselves and their fellow humans. According to Nursi, this allows a person to realize they are not as perfect and as infallible as they thought. Illness makes people honest: honest with themselves and with others. The confession of the own fallibility is tantamount to an admission of human weakness and mortality.

Viewed from this perspective, the question arises as to whether illness itself is a cure for mankind. It conveys us new views and leads us to reconsider our previous positions. The ill person becomes an observer, and he finally has time to start thinking. As said by Nursi, he realizes that mankind may be considered the crown of creation. But man’s frailty, his aging, and also the health problems of other people make him realize that life on earth is not all there is – a realization that opens his eyes and takes him out of the darkness into the light. Becoming aware of one’s mortality takes away any thoughtlessness. It causes a person to shed laziness and reflect on their obligations.

If the patient manages to do so, they will feel gratitude and be patient, not least in dealing with physical ailments. This gratitude and patience is what Nursi refers to as the fourth remedy. For Nursi, the body is not the property of man, but rather a loan, which he may not dispose of freely. Suffering is to be endured, since it can do some good, too. Nursi characterizes it as a kind of bonus, which God the ultimate owner of our body grants to us, and we should not protest against it.

Chronic diseases or disabilities, which are seen very negatively in today’s society, can be reinterpreted positively in this way because, as Nursi asserts, they bring a gain in knowledge compared that we cannot achieve when healthy. As a result of their illness, they understand new things that healthy people cannot, just as blind, deaf, or dumb people perceive their environment differently, and sometimes more sharply, than people without physical limitations.

Each person strives for well-being, mercy, and forgiveness, and every sorrow and misfortune also harbors rays of mercy in it. From behind the veil of the illness many quite pleasant insights can emerge. A new consciousness arises, and thus many people gain the courage to take risks and reposition oneself in life.

This maturity Nursi describes as the fifth remedy and it can be observed especially in young ill people. Because of their illness, and in contrast to their peers, they have to cope with issues that seem to contradict their youth. They do not fall into the typical noise of youth and are relieved of thoughtlessness and of the pressures of everyday life.

From this point of view, health, for some people, can be even a calamity that can make their heads spin and blind, and lets them lose sight of the fact that their life does not last forever.

Conclusion

Even these first 5 of 25 views on the subject of illness show that not everything, which is interpreted as negative, is actually negative. A shift in perspective can often work wonders.

Nevertheless, such a shift in perspective appears quite disconcerting initially in our modern society in which health equals to a gift and illness to a disaster. If we have considered diseases as the enemy for so long, why should we suddenly welcome disease? A notion that a disease may also enrich the patient and their friends and family is a useful approach. Surely, the thought that positive thinking can influence the illness (coping), and even contribute to the healing process, is quite common. However, the angle shift described by Said Nursi goes much further. And in my eyes, there is no doubt that it is able to significantly improve the quality of a patient’s life and environment.

Illness allows ill persons to pull out from everyday life, at least for some time. Thereby, it gives them new insights and opens doors that probably would have remained closed if they had stayed healthy. Illness allows a refocusing of which we can benefit from as individuals and communities.

Erdogan Karakaya is pursuing a master’s degree in history in Heidelberg, Germany.

Footnotes

1. Nursi, Said. 2009. 25 Remedies for the Sick, the Twenty-fifth Gleam, NJ: Tughra Books.
2. Deva in Turkish actually means cure, resort, and solution. In this article it is also understood as view or view angle.

The genera Escherichia is thought to have emerged around 102 million years ago and is known as a gram-negative pathogenic bacteria mostly found in the intestines of warm blooded animals [1]. German pediatrician and bacteriologist Theodor Escherich discovered E. coli in 1885, and for many years the bacterium was simply considered to be a commensal organism of the large intestine. It was not until 1935 that a strain of E. coli was shown to be the cause of an outbreak of diarrhea among infants [2]. The reason its pathogenic properties were discovered so late is that many of its strains are harmless. However, virulent strains of E. coli can cause various diseases in humans and in domestic animals, and are also sometimes responsible for product recalls due to contamination. Gastroenteritis, urinary tract infections, and neonatal meningitis are the most commonly observed diseases in humans, and in rare cases virulent strains are also responsible for haemolytic-uremic syndrome, peritonitis, mastitis, septicaemia and Gram-negative pneumonia [2]. Various outbreaks all around the world have been caused by E. coli, causing millions of deaths and sick people and billions of dollars have been spent fighting it. Even though death rates have decreased with the evolution of modern medicine and the discovery of antibiotics, the outbreaks are still a major concern for all countries, such as the recent outbreak in Germany in 2011 affecting 3,950 people and killing 53 [3].

Its reputation has not been one of great dignity, and it has ruined the reputation of many. You may recall in 1993, the fast food chain restaurant “Jack in the Box” suffered a major corporate crisis involving E. coli O157:H7 bacteria. Four children died of hemolytic uremic syndrome and 600 others were reported sick after eating undercooked patties contaminated with fecal material containing the bacteria at locations in Seattle and the Pacific Northwest, USA. The chain was faced with several lawsuits, each of which was quickly settled but left the chain nearly bankrupt and losing customers.

But don’t these creatures have any properties to be appreciated, I wonder…

Compared to eukaryotic cells, bacteria have a pretty basic mechanism of functioning. They don’t have sophisticated organelles, and they do not have a cell nucleus where their DNA is stored. Everything is floating along all together in the cell cytoplasm (which shocks me when I reflect upon how such a small and simple organism can cause such severe pain on “highly evolved modern humanity”). It has the basic metabolic tools for survival. And even though, at first sight, it is tempting to look down on its simplicity, today we know that it is this simplicity that gives us space for making many modifications and experiments on it, whereas in more complicated cells, like animal cells, the moment a modification is made, the entire system reacts to that and causes much trouble in the process.

The turning point of E.coli making a huge impact on our lives was in 1973, when Stanley Cohen and Herbert Boyer discovered the “Recombinant DNA Technology.” This technology allowed specific genes to be isolated from one organism and cloned to another organism by the help of bacterial plasmids. The first commercial product to be synthesized by this technology was human insulin, which is used for the treatment of diabetes [4]. This brought an amazing amount of recognition and appreciation for the technology, as the practical aspect of the technology was now proven to be commercially profitable. For the insulin to be produced, the DNA sequence that encodes human insulin was synthesized and transplanted into a plasmid that could be maintained in a non-pathogenic strain of E.coli [4]. Now the bacterial host cells acted as biological factories for the production of the two peptide chains of human insulin, which, after being combined, could be purified and used to treat diabetics who were allergic to the commercially available porcine (pig) insulin, or for diabetics from certain religious groups who abstain from pork products such as Muslims, Jews, some Christian groups, and many more who have similar concerns.

This was only the start of an incredible new technology which used bacteria to produce different proteins or enzymes to cure human diseases. Today more than 200 new drugs have been produced by recombinant DNA technology and have been used to treat over 300 million people for diseases such as cancer, multiple sclerosis, cystic fibrosis, and stroke, and to provide protection from other infectious diseases. Over 400 new drugs are in the process of being tested in human trials to treat such diseases as Alzheimer disease and heart disease (to name only two) [4].

Today E.coli is frequently used as a model organism for all kinds of microbiological experiments. In the lab, E. Coli. is one of the first micro-organisms that is thought of for testing a biological experiment. The reason is that E.coli cells are cheap to purchase and to sustain. They grow easily and rapidly in lab conditions and have non-pathogenic strains, so they are not dangerous for the researches doing the experiment. Whereas purchasing more complicated cells such as cancer cells or stem cells may be very costly, and moreover, may need special lab conditions to be sustained; so before more complicated cells are purchased, the experiments are usually tried out with E.coli or some other kind of model organism. More importantly, E. coli was one of the first organisms to have its genome sequenced; the complete genome of E. coli K12 was published by Science in 1997 [5]. Other areas in which modified E.coli has helped humanity are vaccine development, bioremediation (fighting pollution), and production of immobilised enzymes [6].

One specific example of the benefit of recombinant DNA technology for the environment is its use in the paper industry. Before the 1970’s, when there wasn’t much environmental awareness in the paper producing industry, poisonous chlorine compounds were conventionally used to achieve pulp brightness of a high order in the manufacture of high-quality paper products [7]. This chemical bleaching technique precipitated a tremendous environmental concern considering the magnitude of the industry. Plants treated with elemental chlorine produced significant amounts of dioxins. Dioxins are highly toxic, and their health effects on humans include reproductive, developmental, immune and hormonal problems. They are also known to be carcinogenic. Over 90% of human exposure is through food, primarily meat, dairy, fish and shellfish, as dioxins accumulate in the food chain in the fatty tissue of animals [7]. One alternative for these chemical bleaching processes is the use of the enzyme “xylanase,” which degrades the linear polysaccharide beta-1,4-xylan into xylose, thus breaking down hemicellulose, one of the major components of plant cell walls. Even though the use of xylanases in this industry has increased significantly with the discovery of Viikarri et al. (1986), the enzyme needs further improvements for it to be commercially acceptable [6]. To ensure the commercial utilization of hemicellulosic residues in the pulp and paper industries, the production of higher xylanase yields at low capital cost is required [6]. Such studies are ongoing with the purpose of partially mutating the amino acid sequence for the purpose of especially increasing the thermal stability of the enzyme and also increasing its metabolic activity. The gene mutation and gene expressions are generally done in either E.coli or yeast cells. Davoodi et al. has mutated the enzyme up to the point where the transition temperature increased 12 0C by introducing disulfate bonds in the enzyme [8]. The wonders this enzyme can do for the health of the environment is breathtaking, and is an area which should be further studied until finding the commercially viable kind that will eliminate chemicals from the paper industry during bleaching.

Even though some controversy remains on gene transferring, its tremendous positive impact on humanity cannot be denied. I personally think that it does need constraints and strict regulations, but this technique is one of the most remarkable techniques discovered in modern times, and E.coli has no doubt played a great role in the availability of this technology.

Even though condemning E.coli and stating its “evilness” seems like the most obvious path, we all ought to appreciate the variety and uniqueness of these creatures which also allow us to produce such large varieties of drugs. We ought to appreciate its simplicity, which allows it to have a chance of producing such sophistication. We ought to reflect upon the fact that something can be classified as “good” or “bad” only by the means in which we perceive it, and the reality of it may be completely opposite of what we had thought initially.

McPen is a freelance writer in natural sciences, Montana, US.

References

1. Battistuzzi FU, Feijao A, Hedges SB. 2004. “A genomic timescale of prokaryote evolution: insights into the origin of methanogenesis, phototrophy, and the colonization of land”. BMC Evol. Biol.
2. Todar, K. “Pathogenic E. coli”. Online Textbook of Bacteriology. University of Wisconsin–Madison Department of Bacteriology.
3. “German-grown food named likely culprit in deadly outbreak”. CNN. (5 June 2010).
4. Glick, Bernard, Jack Pasternak, and Cheryl Patten. 2010. “MOLECULAR BIOTECHNOLOGY Principles and Applications of Recombinant DNA . 4th Edition.” Washington,DC: ASM Press, pp. 3-13.
5. Blattner FR, Plunkett G, Bloch CA, Perna NT, Burland V, Riley M, Collado-Vides J, Glasner JD, Rode CK, Mayhew GF, Gregor J, Davis NW, Kirkpatrick HA, Goeden MA, Rose DJ, Mau B, Shao Y (September 1997). “The complete genome sequence of Escherichia coli K-12”. Science 277 (5331): 1453–62.
6. Cornelis P. 2000. “Expressing genes in different Escherichia coli compartments”. Curr. Opin. Biotechnol. 11 (5): 450–454.
7. Beg, Q.K., M. Kapoor, L. Mahajan, and G.S. Hoondal. 2001. “Microbial xylanases and their industrial applications: a review.” Springer.
8. Davoodi J., Wakarchuk W.W., Carey P.R., Surewicz W.K. 2007. “Mechanism of stabilization of Bacillus circulans xylanase upon the introduction of disulfide bonds.” Biophysical Chemistry, 125 (2-3) , pp. 453-461.

These findings might help researchers to design more effective drugs for various human infections by focusing on the minimization of the inflammation. Moreover, bats are capable of sustained long flights, as some bat species can fly more than 1,000 km in a single night. With such intense physical activity, cells often produce high levels of toxic (free radicals) that would usually damage DNA sequence.

This study also found that bats are equipped with a highly functional set of genes that mediates DNA repair in response to DNA damage, thus bats are protected from toxic cellular waste with this advanced mechanism. Aging, cancer and infectious diseases are the three major issues medicine is facing today and biological abilities granted to bats seem to provide important clues for us to discover new ways to combat these big health problems