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Healthcare online Keeping you up-to-date
VOL.  23     ISSUE:  4   April 2025 Medical Services Department

SQUARE Pharmaceuticals PLC.

Features

EDITORIAL TEAM

A S M Shawkat Ali

MBBS, M. Phil

Rezaul Hasan Khan

MBBS, MPH, MSc, Fellow IPM

Rubyeat Adnan

MBBS, MPH

Moshfiqur Rahman

MBBS

Sm Fuad Hasan

MBBS

 

EDITORIAL

Hope that you are enjoying this online healthcare bulletin.

Our current issue focused on some interesting features like -

"Gut Cells !", "Birth Control Pills !", "Parkinsonian Diseases !", "Heart Disease !",  "Liver Damage !", "Type 2 DM !".

In our regular feature, we have some products information of SQUARE Pharmaceuticals PLC. as well.

We will appreciate your feedback !

Click on to reply mode.

Yours sincerely,

 

Editorial Team

Reply Mode      : e-square@squaregroup.com

The views expressed in this publication do not necessarily reflect those of its editor or SQUARE Pharmaceuticals PLC.

 Gut Cells !

Researchers discover key gut cells that may prevent food allergies

Researchers have found that a small group of immune cells in the mouse intestine can prevent allergic reactions to food. This exciting discovery suggests that targeting these cells could lead to new treatments for food allergies. At Washington University School of Medicine in St. Louis, researchers identified special immune cells that stop the immune system from attacking harmless food allergens. Without these cells, mice developed gut inflammation and allergic reactions. Their findings were published online in Cell on April 3 and will be printed on May 15. Normally, the immune system tolerates common foods like peanuts, milk, and shellfish without reacting. However, when this tolerance breaks down, allergic reactions occur, sometimes leading to life-threatening emergencies. Researchers aimed to find the immune cells responsible for maintaining this important tolerance. They focused on RORγt+ dendritic cells, a small group of cells that help teach the immune system not to attack food particles. Colonna’s lab was the first to find these cells in humans in 2023. Researchers then studied mice and found that without these cells, mice developed strong allergic reactions. By removing RORγt+ dendritic cells, we broke tolerance to food. Now, researchers hope to boost these cells' activity to prevent allergies. Because these cells are also found in people, this discovery could help treat food allergies and other gut diseases like celiac disease and inflammatory bowel disease. Recently, the FDA approved an injectable medicine that blocks allergic responses but avoiding allergens.

SOURCE: Daily science April 2025

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 Birth Control Pills !

Birth control pills increase risk of ischemic stroke 

Birth control pills do not increase the risk of hemorrhagic strokes. Ischemic strokes, which account for about 85 percent of all strokes, are caused by blood clots. Hemorrhagic strokes are caused by bleeding in the brain. Several mechanisms have been proposed to explain why oral contraceptives increase stroke risk, including by raising blood pressure and by making blood hypercoagulable (more likely to clot). When prescribing hormonal contraceptives, physicians should consider the type and dose of estrogen or progestin and route of administration (such as pill or patch). Lead researcher said that the ideal drug is one with the lowest estrogen and progestin doses that will be effective in preventing pregnancy while minimizing adverse effects. For healthy young women without any stroke risk factors, the stroke risk associated with oral contraceptives is very small. These risk factors include high blood pressure, cigarette smoking and migraine headaches, especially migraines with sensory disturbances called aura (such as flashes of light and tingling in the hands or face). However, women may not always be adequately screened. One previous study found that, among women with one or more stroke risk factors, only 15 percent recalled being advised not to start oral contraceptives and only 36 percent remembered being told to stop. Fifteen percent of women were still taking oral contraceptives despite being told to discontinue. These findings highlight the need to improve physician counseling and patient compliance.

SOURCE: Daily science, April 2025

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 Parkinsonian Diseases !

New blood marker can identify Parkinsonian diseases

Recent findings highlight a promising new marker called DOPA decarboxylase (DDC). In studies, DDC was found to be elevated in individuals with Parkinson’s disease as well as in people suffering from other conditions that result in dopamine deficiency in the brain. Interestingly, DDC levels remained normal in other brain diseases such as Alzheimer’s disease. Notably, elevated levels of DDC were observed years before individuals with Parkinson’s exhibited any symptoms. Advanced techniques were utilized, allowing thousands of proteins to be measured simultaneously from a small sample. A total of 428 individuals were studied to identify biomarkers that could indicate whether motor disturbances or cognitive difficulties are linked to damage in the brain’s dopamine system.The findings showed that if a disorder of the dopamine system is present, DDC levels rise, regardless of the disease stage. A major advantage of this discovery is that DDC can be measured in blood, where it shows a significant increase, particularly in Parkinson’s disease. To validate these results, an additional group of 152 individuals was examined, and blood plasma samples from 174 individuals were analyzed confirming that DDC is significantly elevated in the blood. Currently, damage to the dopamine system can also be detected through PET camera examinations. However, this method is expensive, complex, and typically only available at specialized memory clinics. Given that symptoms of various neurodegenerative diseases often overlap, there is a considerable risk of misdiagnosis and subsequent improper treatment. Therefore, safer, simpler diagnostic tools are urgently needed.
Looking ahead, there is a strong belief that in the future, different brain diseases could be diagnosed and even treated before symptoms appear. Blood markers like DDC could play an essential role in identifying at-risk individuals early, providing a simple, cost-effective method for detection.

SOURCE: Science Daily, April 2025

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Heart Disease !

                                     Preventive angioplasty does not improve prognosis

For heart attack patients, treating only the coronary artery that caused the infarction works just as well as preventive balloon dilation of the other coronary arteries, according to a new large study. Heart attack is a common disease with risks of serious complications. It has long been unclear what the best strategy is for treating narrowing in coronary arteries separate from the specific vessel that caused the infarction. A new large Swedish study has investigated whether it is sufficient to treat only the coronary artery that caused the infarction, or whether long-term results are better if other narrowed vessels are also treated with balloon dilation as a preventive measure. The clinical randomized study included 1542 patients from 32 hospitals in 7 countries. Patients were followed up for five years after the procedure. The results show no difference between the groups in terms of new heart attacks, new unplanned balloon dilations or the total number of all-cause deaths. The study shows that it is possible to avoid patients coming back for new balloon dilations through preventive treatment. But for those patients where there is some circumstance that makes a complete revascularization complicated, one might choose to wait, since there was no difference in the most serious complications If problems with angina occur, these patients can then come back later for a new treatment. A positive finding of the study was that most patients do not come back with new problems, regardless of the treatment strategy chosen. Nowadays, heart attack patients are so well treated with drugs that it is difficult to find other interventions that provide further significant risk reduction. The researchers will now go on to investigate how angina and other quality of life parameters in the patients were affected by the different treatment strategies, as well as health economic aspects of the chosen strategy.

SOURCE: Science Daily, April 2025

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 Liver Damage !

                      Fast-Food fans may face liver damage

The study found that eating at least 20% of total daily calories from fast food can increase the risk of nonalcoholic fatty liver disease, a potentially life-threatening condition where fat builds up in the liver. The disease can lead to cirrhosis and its complications, including liver failure and liver cancer. People with obesity or diabetes are more vulnerable to the harmful effects of fast food on the liver, although the general population is not immune to the harm. Lead investigator at the University of Southern California hoped that this study would encourage people to seek out more nutritious, healthy food options. The researchers analyzed data on diet and fatty liver measurements for nearly 4,000 adults. Nearly 30% of them got 20% or more of their total daily calories from fast food, such as burgers, fries, pizza, and the like. They found that people with obesity or diabetes who take in one-fifth or more of their daily calories from fast food had severely high levels of fat in their liver, compared with those who eat less or no fast food. The general population had moderate increases in liver fat when one-fifth or more of their diet was made up of fast food. The findings are particularly “alarming” given the increase in fast-food consumption over the past 50 years, regardless of socioeconomic status, the researcher added.
For people who have limited options and need to eat fast food, there are healthy choices at most restaurants; they just need to be smart about reading labels, watching calories, and ordering the healthier options, added the researcher at Rush University Medical Center in Chicago.

SOURCE: WebMD Health News

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 Type 2 DM !

                Type 2 diabetics succeed in losing weight  

A register-based study identified three distinct BMI trajectory groups among patients with newly diagnosed type 2 diabetes. In a four-year follow-up, most patients followed a stable trajectory without much weight change. Only 10% of patients lost weight, whereas 3% gained weight. Mean BMI exceeded the threshold of obesity in all groups at baseline. Weight loss is a central treatment goal in type 2 diabetes, but the study shows that few patients succeed in it. The study was carried out by researchers at the University of Eastern Finland, and the results were published in Clinical Epidemiology. Patients belonging to each trajectory group were followed up for another eight years for diabetes complications. During the follow-up, 13% of all patients developed microvascular complications, 21% developed macrovascular complications and 20% of patients deceased. The risk of microvascular complications was 2.9 times higher and the risk of macrovascular complications 2.5 times higher among patients with an increasing BMI compared to those with a stable BMI. Micro- and macrovascular complications of diabetes can include, for example, retinopathy, nephropathy and neuropathy, as well as cardiovascular diseases. These results underscore the significance of continuous BMI monitoring and weight management in patients with type 2 diabetes. Tailored treatments and support with lifestyle changes are crucial for efficiently preventing weight gain and reducing the risk of diabetes complications. The study included a total of 889 adults with newly diagnosed type 2 diabetes in 2011 or 2012. The participants were grouped based on individual BMI trajectories from the diagnosis until 2014. Risks for microvascular complications, macrovascular complications, any diabetes complications and all-cause mortality from 2015 to 2022 across BMI trajectory groups were estimated.

SOURCE: Science Daily, April 2025

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Products of SQUARE Pharmaceuticals PLC.

  Product Betaburn TM
  Generic Name Beta-Sitosterol
  Strength

0.25%

Dosage form Ointment
  Therapeutic Category Topical Antibacterial
Product DK  TM
Generic Name

Vitamin D3 + Vitamin K1 + Vitamin K2

Strength 400IU+60mcg+30 mcg
Dosage form Soft Gel Capsule
Therapeutic Category Vitamin
  Product Ulrif  TM
Generic Name Sucralfate
  Strength 1g/5ml
Dosage form Suspension
  Therapeutic Category Non Systemic Antiulcerant

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