Joel P Joseph Biological Sciences, Health and Lifestyle, Medicine

TB talk: an interview on World Tuberculosis Day

On World Tuberculosis Day (March 24, 2020), I interviewed Priyadharshini M V, project assistant in Mycobacterium Diseases in Animal Network (MyDAN) lab at Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Chennai. She holds an M.Tech in Biotechnology and worked as a medical geneticist in Centre for Medical Genetics, Chennai, prior to her work at TANUVAS. In this interview, she elaborates on TB, the challenges and mitigation strategies in India, and how the general public can contribute to the fight to eradicate TB. 

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Left: Priyadharshini M V. Right: A depiction of Mycobacterium tuberculosis in a patient’s lung. Picture retrieved from livescience.com

Could you please tell a little bit about TB and how badly India is affected by TB?

TB is an airborne disease caused by the bacterium Mycobacterium tuberculosis (Mtb). It is the leading cause of death from an infectious disease worldwide and claims about 3 lives every minute. TB is curable and preventable. The bacteria usually attack the lungs (pulmonary TB) but can also attack other parts of the body like the kidney, spine, and brain.

Not everyone infected with TB bacteria becomes sick. So, there are two TB-related conditions: latent TB infection (LTBI) and TB disease (active TB). Many people who have latent TB infection never develop TB disease, but there are a few exceptions. If it is not treated properly, TB can be fatal. There are also the multidrug-resistant (MDR) and extensively drug-resistant (XDR) forms of TB that occur, but they are still rare.

India accounts for about a quarter of the global TB burden. Worldwide, India is the country with the highest burden of TB – both TB and MDR TB. There are an estimated 79,000 multi-drug resistant TB patients among the notified cases of pulmonary TB each year. India is also the country with the second-highest number (after South Africa) of estimated HIV associated TB cases.

How does a person get infected with TB? What are the symptoms of the disease?

The TB bacteria are introduced into the air when a person with TB disease of the lungs or throat coughs, sneezes, speaks, or sings. People nearby may breathe in these bacteria and become infected.

TB disease in the lungs may cause symptoms like a bad cough that lasts 3 weeks or longer, pain in the chest, coughing up blood or sputum (phlegm from deep inside the lungs). There are also other symptoms like weakness or fatigue, weight loss, loss of appetite, chills, fever, sweating at night.

Could you describe some measures taken by the government to curb this disease?

The Government of India aims to eliminate TB by 2025. This was announced by Shri J P Nadda, Union Minister of Health and Family Welfare, in March 2017. For this, a lot of things set out in the National Strategic Plan 2017 – 2025 needs to be done.

According to the World Health Organisation (WHO), the elimination of TB means that there should be less than one case of TB for a population of one million people. TB treatment and care in India is provided in the public sector by the government’s Revised National TB Control Programme (RNTCP), which is responsible for implementing the government’s five-year plans to combat TB. India’s remarkable achievements in TB control in the last ten years include testing more than 80 million people, detecting and treating 15 million TB patients, and saving millions of lives as a result of the efforts of the RNTCP.

What are some of the plans in this new strategy of the government?

The financial resources for TB control for 2017-2025 are doubled, the diagnostic tool CB-NAAT is to be rolled out across the country, and the two drugs Bedaquiline and Delamanid are also scheduled for a broader rollout. First and second-line drug susceptibility testing is in use or at least on the agenda. Also, patients with TB are tested for HIV and patients with HIV are tested for TB. Drug treatment is moving from intermittent therapy to daily fixed-dose combinations.

 

Why, in your opinion, has the battle against TB in India been difficult?

India’s progress against the disease has not been consistent. As per WHO reports, it has been a persisting problem in developed countries. People infected with HIV are 19 times more likely to develop active TB. The risk of active TB is also greater in people suffering from conditions that impair their immune system. Malnourished or undernourished people are 3 times more likely to contract TB when compared to the others. So, it’s pretty obvious that India, being a third world country with two-third of its population in poverty and having the third-largest population suffering from AIDS, has been struggling to combat and eradicate TB. Shortage of resources and research is another big limitation.

How can the general public contribute to the fight against TB?

There are two important things one can do to contribute to the fight against TB: One is to create awareness about the disease and the other is to get the people who fall in the high-risk group to test for TB. People with HIV infection, people who were infected with TB bacteria in the last 2 years, babies, young children, people who inject illegal drugs, people who are sick with other diseases that weaken the immune system, people who were not treated correctly for TB in the past, and the elderly are at high risk of developing TB disease.

People who anticipate repeated or prolonged exposure or an extended stay over a period of the year may undergo annual testing. Additional preventive measures could include using personal respiratory protective devices. Tuberculosis germs don’t thrive on surfaces. You can’t get the disease from shaking hands with someone who has it or by sharing their food or drink.

If one has latent TB, he/she must take all of his/her medication, so he/she doesn’t develop active TB, which is contagious. People with active TB must limit their contact with other people at work, school, or home. They must cover their mouth when they laugh, sneeze, or cough and wear a surgical mask when they’re around other people during the first weeks of treatment.

People travelling to a place where TB is common must avoid getting close to or spending a lot of time in crowded places with people who have TB. Children in countries where TB is common should get the BCG vaccine.

Joel P Joseph Health and Lifestyle, Medicine

Be empathetic: A message on World Down Syndrome Day

March 21, 2020: On World Down Syndrome Day, I interviewed Suruthi Abirami, a genetic counsellor, about her personal experience in helping people who are fighting this disorder. Suruthi Abirami currently works as a genetic counsellor and geneticist at Anderson Diagnostics and Labs, Chennai. She completed her postgraduate diploma in medical and genetic counselling from Kamineni Hospitals Pvt. Ltd. and her M.Tech in Genetic Engineering from SRM Institute of Science & Technology. She is a Level 1 Genetic Counsellor certified by the Board of Genetic Counselling, India.

Suruthi

Suruthi Abirami at Kamineni Hospitals Pvt. Ltd., Hyderabad

Could you please briefly share your journey as a genetic counsellor so far?

My journey of helping families with genetic disorders make informed decisions has been incredible. In a country like India, the challenging part for me is to consider the psycho-social and religious aspects of the families while making decisions. I counsel roughly about 20 patients in a week. I also provide scientific support for clinicians around the country. I help them understand the situation and offer the best genetic testing for the patient.

How has your experience with Down syndrome patients been?

With many new technologies that are available these days, most of the pregnant women around the country are offered prenatal screening for Down Syndrome and other genetic conditions. That means pregnant women are screened to see if the baby they are expecting has a risk of having Down syndrome. If the screening shows a high risk, a confirmatory test is done, and the couple is counselled to make informed decisions. So, most of my counselling in case of Down syndrome is for couples with a high risk of having a child with Down syndrome. I mostly counsel them before the child is born. When the confirmatory test is positive, I counsel them about the condition, prognosis and management.

From your experience, how prevalent is this rare disease in India?

Down syndrome is no longer a rare disease in India. India lacks statistical data, but I think about 1 in 750 to 1000 births in India may have Down syndrome. By educating the public about the prenatal screening for Down syndrome, the situation can be improved.

What kind of problems do these Down syndrome patients deal with?

The main problem is social stigma and acceptance. The average life expectancy of individuals with Down syndrome is 60 years. But they need constant medical care because they suffer from different levels of intellectual disability, cardiac issues, thyroid dysfunction, poor muscle tone and low immune system.

What message would you like to share with the community on World Down Syndrome Day?

As we celebrate people with Down Syndrome today, I urge everyone to be empathetic. Show love and acceptance for people with Down syndrome and other genetic disorders. They deserve a life just like all of us and recognizing them as one among us means a lot to this community. At the end of the day, that is what every single person in this world with a rare disease or genetic disorder wants.

Joel P Joseph Biological Sciences, Health and Lifestyle, Medicine

COVID-19: key terms you should know

2019 nCOV cryoEM structure

Side and top views of the structure of a protein – S protein – of 2019-nCoV.          Retrieved from the paper by Wrapp and others published in the journal Science.

With new COVID-19 cases being reported in India, there has been a deluge of information – news stories, articles and awareness campaigns – around it. Containment, social distancing, transmission, flattening the curve, epidemic, and pandemic are some terms that you will now find in most articles. In this short post, I try to explain some of these terms.

COVID-19, SARS-CoV-2, 2019-nCOV: COVID-19 (Coronavirus Disease) is an infectious disease caused by the most recently discovered coronavirus. Coronaviruses are a family of viruses that have RNA as their genetic material. Other viruses of this family include MERS (Middle East Respiratory Syndrome coronavirus), SARS (Severe Acute Respiratory Syndrome coronavirus) and viruses that cause common cold (E.g. Rhinoviruses). The new coronavirus was initially called 2019-nCOV (2019 novel coronavirus) when it was first identified in China. The virus is now named SARS-CoV-2 (Severe Acute Respiratory Syndrome coronavirus 2). WHO announced the name of the new coronavirus disease as COVID-19 on February 11, 2020.

Endemic: A disease, or an infectious agent that causes it, is called an endemic when it is usually present in or is restricted to a community in a certain geographical area. For example, Kyasanur Forest Disease (KFD), commonly known as monkey fever is a viral disease endemic to South India. This is a disease seen in specific areas in South India. KFD is an endemic prevalent in Shimoga district of Karnataka.

Epidemic: When the number of disease cases is in excess than the normally expected numbers, then the disease is called an epidemic. The numbers of normally expected cases are defined specifically for each case. When the number or density of susceptible cases exceed a threshold (called an epidemic threshold), the event is defined as an epidemic.

Outbreak: When the disease cases that occur are more than what is normally expected, it is called an outbreak. For example, there were two outbreaks of Nipah in Kerala (2018 and 2019). Although epidemic and outbreak have overlapping definitions, an outbreak can be seen as the process of occurrence of an epidemic.

Pandemic: When a disease epidemic spreads across a continent or worldwide, it is called a pandemic. WHO characterized COVID-19 as a pandemic on March 11, 2020.

Infected person: A person who has the infectious agent, which causes the disease, in his body.

Incubation period: This is the time in which the infectious agent (say, a virus) is present in the host (an infected person), but the person has no symptoms. The incubation period for COVID-19 is 14 days or less. According to a study, the average incubation time for COVID-19 is 5.5 days. Less than 2.5% of the cases develop symptoms in 2.2 days and 97.5% of the cases develop symptoms in 11.5 days. Only 1 in 10,000 cases developed symptoms after 14 days.

Convalescent period: This is the time when an infected person recovers from the illness.

Transmission: The way in which a disease spreads from one person to another is called transmission. If the disease is transmitted from an infected person to a healthy person, it is called contact transmission. Contact transmission can be direct – when there is physical contact between the infected person and the healthy person, or indirect – where the infectious agent spreads by indirect means without direct physical contact. Indirect transmission can include droplet transmission or transmission by fomites.

Droplet Transmission: When an infectious agent (say, a virus) is transmitted through respiratory droplets that are propelled into the air by sneezing or coughing, it is called droplet transmission. When an infected person coughs or sneezes, droplets of moisture of different sizes contaminated with infectious agents are propelled out in the air. When these droplets contact the eyes, nose or mouth of a healthy person, he/she can get infected. Droplets are usually heavier and settle down to the ground quickly because of gravity. These droplets can be propelled to about 1 metre depending on the size of the particle and the force with which it is expelled.

Aerosol Transmission: When an infectious agent (say, a virus) is transmitted through aerosols (suspension of fine particles in the air) propelled into the air by sneezing or coughing, it is called aerosol transmission. When an infected person coughs or sneezes, aerosols of moisture of different sizes contaminated with infectious agents are propelled out in the air. Aerosols are lighter and can remain in the air for sometime before it falls. They can be propelled up to 3 metres depending on the size of the particle and the force with which it is expelled. SARS-CoV-2 is reported to be stable in aerosols for 3 hours.

Transmission by Fomites: Fomites are non-living objects that can be contaminated with infectious agents and can transmit the disease. These include water, plastics, metals – doorknobs, keyboards, phones, handrails etc. If an infected person sneezes or coughs and the droplets fall on fomites, the infectious agents can remain active on fomites for hours or days. When a healthy person touches an infected surface and then touches his/her nose, eyes or mouth, the infectious agent can get inside the body. A recent study has shown that SARS-CoV-2 can be viable for 3 hours in aerosols, and up to 3 days on stainless steel, copper and cardboard surfaces.

Local Transmission: When the source of infection is present with a locality, there is local transmission of the disease. That means if a person in Bangalore gets infected by someone who is in Bangalore, then there is a local transmission. This is referred to as stage II of the epidemic.

Community Transmission: When one cannot relate confirmed cases by chains of transmission (i.e., when one cannot trace the source of infection of all the different people in the chain) for a large number of cases, then it is called community transmission. In other words, if a person who has not come in contact with anyone known to be infected and has not travelled to any country when the virus is spreading tests positive, then there is community transmission. This is referred to as stage III of the epidemic.

Social distancing: It is the practice of maintaining more than the usual physical distance from other people. The purpose is to stop or slow down the spread of a disease that can be transmitted by physical contact, droplets, or fomites. The more distance you maintain from people, the lesser the risk of getting the disease.  

Flattening the curve:  This is a term used to indicate preventing a sharp peak of infections. During an epidemic, the disease spreads quickly as infected people come in contact with healthy people, who in turn come in contact with more people. Let us say there is one infected person (the person may or may not have developed symptoms). He/She hangs out with 3-4 friends. There is a possibility that these 3-4 people are now infected. These people now meet with more people, who in turn meet other people. Suddenly there is a sharp increase in the number of cases when all of these people develop symptoms within a few days. This overwhelms the healthcare system. If people practise social distancing, the chances of infection are lesser and, therefore, the sharp peak can be flattened as lesser cases are present in a given time. This can reduce the burden on the healthcare system.

Quarantine: The process of isolating people who have been exposed to an infection that can spread. The aim of quarantining is to contain – prevent the further spread of – the disease. Quarantine for 14 days is recommended for suspected COVID-19 cases.

Herd immunity: This is indirect protection for susceptible people in a community. In an outbreak, if a large proportion has become immune to the infection, they indirectly protect people who are not immune to the infection by disrupting the spread. Consider the situation with COVID-19. Let us say healthy people get infected. They become sick, isolate themselves (especially from people who are at higher risk of death by infection because of other health conditions) and eventually recover. When the number of recovered people increases in a population, they indirectly protect those who have not been infected as the chain can now be broken quickly.

Covidiot (informal use): This term is used to refer to a person who ignores the warnings regarding public health or safety and hoards goods denying them from their neighbours during the COVID-19 pandemic.

Sources:

https://www.cdc.gov/csels/dsepd/ss1978/glossary.html

https://www.who.int/emergencies/diseases/novel-coronavirus-2019

 

Joel P Joseph Biological Sciences, News

Scientists discover that structures inside mitochondria reshape continuously in living cells

Scientists from Heinrich Heine University Düsseldorf and University of California Los Angeles recently discovered that cristae – structures formed by the inner covering of mitochondria – keep remodelling continuously. The team led by Prof. Andreas S. Reichert made this discovery by seeing live cells using a high-end technique in microscopy. This technique, called stimulated emission depletion (STED) super-resolution nanoscopy, enables one to see details of an organelle in the cell – of the size of 50 nm (about 1000 times smaller than a speck of dust). The study was published in the journal EMBO Reports.     

CJ dyna,ics

STED nanoscopy images showing cristae remodelling 

Mitochondria are organelles in the cell popularly known as the powerhouse of the cell. They form a dynamic network, change their shape, fuse or split. As for their structure, mitochondria have two membranes covering them – the outer membrane and the inner membrane. The inner membrane folds inward to form structures called cristae (sing. crista), on which many important proteins reside. These proteins include ATP synthase – the machine that makes ATP, the energy currency of the cell. Curved, circular or pore-like structures called crista junctions separate the cristae and the rest of the inner membrane.

Other scientists have shown that abnormal or altered cristae in diseases like cancer, diabetes and neurodegeneration. In normal conditions, however, cristae are thought to be static. Scientists from Heinrich Heine University Düsseldorf and University of California Los Angeles led by Prof. Reichert have now found that the cristae membrane and crista junctions reshape continuously. They also found that a protein complex called the mitochondrial contact site and cristae organizing system (MICOS) orchestrate these remodelling events.

 “Prof. Reichert’s lab has been working on the mechanisms of cristae remodelling. We were working on the function of MICOS complex located at the crista junctions,” Dr Arun Kumar Kondadi, one of the first authors of the paper, said. But one could never investigate if the cristae were dynamic or not as there was no technique that enabled researchers to see the details inside an organelle. “For more than half a century, it was rather assumed that cristae are static,” Dr Kondadi said. “Super-resolution microscopy techniques paved us the way to discover something really fascinating.”

In this study, using STED super-resolution nanoscopy, researchers have shown that adjacent crista junctions come together and separate from each other reversibly in human cells. For this, the researchers stained cristae membranes using dyes (or marked proteins present on the inner membrane of mitochondria) and observed how the cristae remodel using STED super-resolution nanoscopy. These experiments showed that cristae undergo membrane remodelling continuously.

According to Prof. Reichert, as quoted in the Press Release from Heinrich Heine University, the observations of this study lead us to a new model – Cristae Fission–Fusion (CriFF) model – that cristae can stay as isolated vesicles within mitochondria and then re-fuse with the inner membrane after fission. The study shows that this fusion is carried out by the MICOS complex. MIC60 – one of the proteins of the complex – initiates the process and marks the crista junction. It then recruits other proteins of the MICOS complex (MIC10, MIC13, MIC19, MIC25, MIC26 and MIC27) and completes the assembly. These crista junctions now become the sites from where cristae form. These junctions keep merging and splitting. The cristae could, therefore, pinch off from these junctions and come back to the same junction or another.

This study has opened a new field in research where one could investigate how a mitochondrion ensures quality control within itself. For all we know now, remodelling and reshaping of mitochondria in a cell can control the fate of the cell. This study has gone one step ahead to show how structures within the mitochondrial remodel continuously. How these events inside mitochondria can affect the mitochondria, and how this impact on mitochondria can influence the cell will be interesting to study.

Read the full paper here

Image Courtesy & Article Source: EMBO Reports

Joel P Joseph Women in Science

Why I do Science: Responses from Women in Science

February 11, 2020: On the occasion of International Day of Women and Girls in Science, I asked a few women in Science one question: “Why do you do Science?” Here are some interesting responses.

Women in Science

I do Science because every day is an adventure as a scientist.

– Dr Vaishnavi Ananthanarayanan (Assistant Professor, IISc)

Everything that happens around is Science. Technology is applied science. I do Science to be a part of everything I do every day.

– Sara Ashok Varghese (Junior Research Fellow, IBAB)

The curiosity to understand the nature around us and my love for solving puzzles were my prime motivation to enter science. Now that I am at ACTREC, I come across cancer patients every day at the hospital associated with the institute. Seeing these patients has added a sense of duty and responsibility towards society as well to my love for science.

– Dr Shilpee Dutt (Principal Investigator, ACTREC)

I do Science because I find the process of discovery exhilarating and humbling at the same time.

– Leeba Ann Chacko (Junior Research Fellow, IISc)

To contribute to the growth of Science, even if it is in a small way, is truly important. For me, research is like cooking. You try different ingredients and recipes to prepare the best dish. Similarly, I try to find different ways to fine-tune a technique or experiment. That’s why I love doing science.

– Dr Devi Arikketh (Associate Professor, SRMIST)

It makes me happy to try something new every single day. That’s why I do Science.

– Sneha Paturi (Research scholar, CCMB)

Biology has been the most fascinating subject for me since school. I always asked questions and decided to become a scientist to answer them. At some point later it changed, I discovered that there are other ways to inquire. Now I use visuals to provoke ideas and discussions around science, definitions, and processes.

– Dr Ipsa Jain (Science Illustrator, Ipsawonders)

I do Science because I love challenges. The harder the path, the stronger I get.

– Gautami Amarnath (PhD student, Ulm University)

I do Science because I enjoy it. My motivation to pursue Science came from my eighth-grade biology classes on the types of animal and plant tissues, which had thrilled me to no end – here was an entire world I did not know of earlier, and it was what constituted life itself! 

– Mitali Shah (PhD student, IISc)

Science is fascinating. And life science, for that matter, is the study of the process of life itself. Many processes of life remain a mystery. Learning about it every day and trying to understand even a little bit of it is greatly satisfying and fun for me.

– Mariam Susan Joseph (Project Fellow, SBRL)

I do Science because I enjoy solving problems and finding the unknown. It adds quality to life.

– Research Scholar, MAHE

I do Science because it thrills me to tap into nature’s unsolved mysteries and build solutions that help people. Also, the small milestones in the journey give me immense joy and satisfaction that no other profession can give.

– Dhanya R. (Research Scholar, IIT-M)

 

PS: These responses are almost entirely from biologists and bioengineers. I’ll try to be more inclusive in covering such occasions in the future.

 

 

 

 

Joel P Joseph Biological Sciences, Interviews, Women in Science

Musings of a woman bioscientist: Interview with Dr Shilpee Dutt

Dr Shilpee Dutt, winner of this year’s Janaki Ammal – National Woman Bioscientist Award for the young category, is a Principal Investigator at Advanced Centre for Treatment, Research and Education in Cancer (ACTREC), Mumbai. In this interview, she briefly discusses the research by Shilpee Lab and her journey so far. 

The National Women Bioscientist Award is conferred by the Department of Biotechnology, Government of India, in recognition of the contribution of women scientists in the country who are working in biology and biotechnology. The young category award is given to women scientists below 45 years of age who have contributed significantly towards unravelling challenges in various areas of biosciences and biotechnology.

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Dr Shilpee Dutt and her lab at ACTREC, Mumbai

1. How do you feel winning the Janaki Ammal – National Woman Bioscientist award?

I feel really happy that our research at ACTREC, Navi Mumbai, has been recognized at a national level. It is a teamwork and I am privileged to have students who have made this work possible. This achievement gives a lot of confidence and boost to strive for better.

2. Could you please explain your research?

Resistance to therapy is a longstanding problem in cancer therapeutics and is the major cause of cancer-related deaths. In our lab, we are trying to understand the molecular basis of therapy resistance in cancer with a focus on Glioblastoma (Brain tumours) and Leukemia (Blood cancer). Over the last 8 years, using genetic, molecular biology, biochemical approaches and mouse-xenograft models combined with studies in human patient samples, we have identified that tumour cells are very heterogeneous. We have shown that more than 95% of tumour cells die upon radiation and chemotherapy, but a small set of cells that we call ‘residual resistant’ cells survive and give rise to relapse tumour. We have also identified certain molecules that are responsible for the survival of residual cells thus providing critical information necessary for therapeutic interventions in Glioblastoma and Leukemia.

3. When was the first time you got interested in science?

Although I was always interested in science, it was my research experience at Dr Subrata Sinha’s lab (AIIMS, Delhi) for my M.Sc dissertation that I first realized research was so interesting and something I would want to pursue for the rest of my life.

4. What were the challenges you faced growing up as a girl interested in pursuing science?

There were no challenges growing up as a girl interested in pursuing science. My parents always encouraged me to do what I wanted to do. In fact, I was given a lot of freedom to think on my own and make my own decisions. The way I was brought up has moulded my personality into how it is today.

5. What was the happiest moment in your career so far?

I think the happiest moment was when I started my own lab at ACTREC. This provided me with the opportunity to ask and answer the scientific questions that I was interested in. Setting up your own lab has a lot of challenges and is quite an experience, but I must say I enjoyed every bit of it. I think there cannot be anything better than having your own lab.

6. What was the toughest or saddest moment in your career?

As a researcher, there are always moments when one feels disappointed with the experiments not working, but these are short-lived and they actually provide you with a challenge to start over again, learn from the mistakes and do better.

7. What were the struggles you faced as a woman in science?

Fortunately, I have not faced any gender bias in my scientific career. However, I know everyone is not as privileged. We know that there are fewer women in leadership positions in science as compared to men. It is important that female scientists are promoted to leadership positions. That would provide role models for young researchers and inspire them to take the same path. Providing support systems like campus child-care facilities would help women scientists to balance work and family.

8. Did you find yourself at an advantage anytime being a woman in science?

Not really

9. What is your favourite thing to do when not in the lab?

Reading (fiction), listening to music and watching movies

10. Any advice for those aspiring to pursue a career in scientific research?

Having a research experience like summer training/internship before you apply for a PhD program would help you realize how much you love doing research. Research could be slow and demanding at times, so unless you are passionate about your science you can easily give up. I would suggest pursuing scientific research only if you enjoy both the ups and downs of it.

 

Joel P Joseph Biological Sciences, Interviews, Women in Science

Musings of a woman bioscientist: Interview with Dr Kavita Babu

Dr Kavita Babu, winner of this year’s Janaki Ammal – National Woman Bioscientist Award for the young category, is an Associate Professor at Centre for Neuroscience, Indian Institute of Science (IISc), Bengaluru. Before joining IISc, she worked at the Indian Institute of Science Education and Research (IISER), Mohali. In this interview, she briefly discusses the research by Babu Lab, her journey so far and the principles that drive her. 

The National Women Bioscientist Award is conferred by the Department of Biotechnology, Government of India, in recognition of the contribution of women scientists in the country who are working in biology and biotechnology. The young category award is given to women scientists below 45 years of age who have contributed significantly towards unravelling challenges in various areas of biosciences and biotechnology.

                  Kavita Babu     Babu lab IISER

                                    Dr Kavita Babu and her lab at IISER Mohali

1. How do you feel winning the Janaki Ammal  National Woman Bioscientist award?

It feels good to get an appreciation for our science. The Janaki Ammal – National Woman Bioscientist award was possible because of the work performed by our lab members: postdoctoral fellows, graduate students and undergraduates at IISER Mohali where I set up my lab and spent more than seven and a half years. I have now started setting up my lab at the Centre for Neuroscience, IISc where I have spent the last six months and am currently on lien from IISER Mohali.

2. Could you please explain the research that led you to win this award?

Normal movement occurs when neurons from our brain can “talk” to muscles in our body. The interaction between neurons and muscles occurs at sites called neuromuscular junctions. These regions are sites where the neuron sends a chemical (neurotransmitter) that binds to a class of proteins present on the muscle (called receptors). The activation of these receptors by the neurotransmitters causes contraction or relaxation of muscles and hence movement. We study how surface proteins at the neuromuscular junction affect their functioning. Our work uses a simple non-hazardous worm (C. elegans) to study these proteins. Although we study a small worm, the proteins in these animals are similar to those found in you or me.

Research in our lab has identified proteins that are required for normal neurotransmitter release as well as receptor maintenance. These proteins although found in worms, have counterparts in humans that may be functioning in a similar manner.

3. When did you first decide to become a scientist?

I think I had decided during my undergraduate years that I would become a scientist. During my undergraduate education, I did summer internships at laboratories in TIFR, Bombay and IISc, Bangalore. Those summers convinced me that working in a lab was something I wanted to pursue.

4. What was the best moment of your career so far?

Being able to grow worms for multiple weeks and starting to perform experiments with them was a great moment. It had taken a long time for me to set up a worm lab and it was a great feeling to know that we would soon be able to start performing our experiments in full swing. I am also hoping that this moment will happen fairly soon here at the centre for Neuroscience, IISc where I am currently setting up my lab.

5. What was the greatest struggle in your career so far?

I think struggles and good moments are part of everyday life for many careers. I try to avoid dwelling into past struggles as there are so many present ones that need my attention.

6. What were the struggles you faced as a woman in science?

I think many of the struggles one faces initially while setting up a lab are the same whether you are a man or a woman in science. I try and deal with them by being very organized and fairly prompt with getting things done and avoiding worrying too much about what I can’t change. Although I realise that there are inequalities between how men and women scientists may be treated, I feel that if there is nothing I can do about it, I should just get my work done and carry on instead of worrying too much about these inequalities. Having said that it is clear that there are very few women in professorial positions in most STEM subjects and one hopes that this will change soon. The way forward would be to advocate for more women scientists as this is something that may be more difficult for some women scientists to do for themselves. All things considered, I feel that I have been fortunate in my circumstances and education to be in my current position.

7. Was there any time you were in a privileged position as a woman in science?

I don’t think so.

8. What is your favourite thing to do when not in the lab?

Watching crime and food shows, reading and walking.

9. Any advice for those who wish to pursue a career in science?

Believe in yourself. Do a lot of research on whatever career you want to pursue, there are lots of small things that you won’t know unless you talk to people. Talk to lots and lots of people pursuing careers that you are interested in. However, in the end, make your own decisions on what to pursue based on your strengths, interests and understanding of what the career you want to pursue entails. It helps to go with something that you are passionate about, but there are pros and cons to most decisions, and it helps to think through those carefully while making your final decision. But again, I know a lot of people who have made decisions in an instant and are very happy with the outcome.

Joel P Joseph Biological Sciences, Medicine, News

Scientists identify a compound that protects neurons from degeneration

460711949-56a793d25f9b58b7d0ebda5c     neuron

Scientists from the Bengaluru-based institution Jawaharlal Nehru Center for Advanced Scientific Research (JNCASR), with the help of National Institute of Mental Health and Allied Sciences (NIMHANS) and Center for Cellular and Molecular Platforms (C-CAMP), have identified a molecule that could clear toxic aggregates in the brain and reduce the loss of neurons (neurodegeneration). The study was led by Dr Ravi Manjithaya, Associate Professor, Autophagy laboratory, Molecular Biology and Genetics Unit, and Associate Faculty of Neuroscience, JNCASR. The findings were recently published by the Lancet journal EBioMedicine.

Parkinson’s disease is a neurodegenerative disease that affects 10 million people worldwide. In Parkinson’s disease, misfolded proteins form clumps in a set of neurons in the brain – the neurons that release dopamine (dopaminergic neurons). These aggregates, known as Lewy bodies, majorly constitute a misfolded protein called α-synuclein and result in the loss of dopaminergic neurons. Loss of dopaminergic neurons affects the movement and cognition of a person. The person is unable to walk properly, has shaky hands and legs, and becomes forgetful, drastically affecting his/her quality of life.

Several scientists across the globe have tried to develop drugs that reverse this situation but have failed. In this study, the team of researchers identified a chemical compound that blocks a protein (c-abl kinase), thereby clearing the toxic aggregates formed. The team had to screen numerous small molecules before pinning down on the small molecule, PD180970.

The team overexpressed (forced synthesis beyond natural limit in the cell) α-synuclein in yeast cells, making it toxic for the cells and killing them. This model could mimic how α-synuclein aggregates kill neurons and the researchers tested the small molecules on this. “We screened a small molecule library and identified those that rescued growth of yeast cells expressing the Parkinson’s disease-associated protein, α-synuclein,” Dr Manjithaya said. “Later we narrowed down to molecules that were rescuing the growth defect in an autophagy-dependent manner.”

The team found that PD180970 could inhibit c-abl kinase and induce autophagy to reduce the toxicity in neurons caused by the aggregates. This was evidenced by their studies on neuronal cell lines and in mouse midbrain. In addition to clearing aggregates, preventing the inflammation of neurons is important to stop neurodegeneration. “A small molecule that induces autophagy to clear the aggregates and also has anti-inflammatory property would be more potent in curbing neurodegeneration,” Dr Manjithaya said. “This is how we think PD180970 works,” he added.

The collaborations with Dr Phalguni Alladi, Senior Scientific Officer, NIMHANS, Dr James Clement Chelliah, Neuroscience Unit, JNCASR, and Dr Taslimarif Saiyed, CEO and Director, C-CAMP, were vital in this aspect. “While my lab focuses on the autophagy aspects, my collaborator Phalguni Alladi at NIMHANS mentioned about the impact of neuroinflammation. To this end, we collaborated with Taslim’s lab at C-CAMP to test if any of our molecules had anti-inflammatory properties.” Dr Manjithaya said. “PD180970 was the most effective among the ones they tested.” PD180970 prevented neuroinflammation by inhibiting cytokines like IL-6 (interleukin-6) and MCP-1 (monocyte chemoattractant protein-1), which facilitate inflammation.

Dr Manjithaya is highly appreciative of collaborations in science. “As a young researcher, having collaborations is looked down upon in our country although it is the norm and is encouraged in the western world,” he said. “Good collaborations bring in various aspects that make a study complete. Apart from their unique expertise and direction, there is further confirmation of the work, and more importantly different – sometimes contrasting – views. That makes you think more critically about your data and gives a fresh perspective. This study is a culmination of efforts from four labs across three institutions.”

In mice where the dopaminergic neurons were degenerated by injecting a chemical called MPTP. Treatment with PD180970 along with MPTP injection improved the condition. This was supported by evidence from the changes at a molecular level in the brain and the behavioural changes that occurred in the mice.

That’s not all. The lab is working with Vipragen Bioscience to patent the molecule and take it forward to the next stage in drug development.

Read the full paper here

Pictures from verywellmind.com andeinstein.yu.edu

Joel P Joseph News, Science Outreach

A group of 20-somethings are changing the way biology is taught at school

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Chennai: Cambrionics Life Science – a community of biologists based in Chennai – is changing the way biology is taught in schools. The enterprise founded by five 20-somethings has reached over 3500 students in Tamil Nadu with their flagship program, Teaching Alternate Biological Science (T.A.B.S). T.A.B.S is a 12-week experimental learning program in Life sciences for school kids in grades 6 to 9.

The program is built on a research-based learning framework, where students spend four weeks experimenting with each model organism. The course includes model systems like Zebrafish or Drosophila, Microbes, and Plants. Through these experiments, students are exposed to various themes in biology including neurobiology, genetics, forensic biology, microbiology, developmental biology, cell biology, toxicology, astrobiology, hydroponics, aquaponics and farming.

The program is designed at three levels – beginner, intermediate and advanced, each level providing varying degrees of exposure to biology. While the beginner level is designed to inspire students and ignite a passion for biology, the intermediate level is aimed to develop critical thinking and the advanced level exposes them to various career opportunities in biology and encourages them to develop scientific solutions to a given problem.

The upcoming T.A.B.S program starts on Saturday, November 30, 2019. The 12-week program is conducted every Saturday from 4:00 PM – 6:00 PM at KK Nagar, Chennai.

To register for this module of T.A.B.S, contact the team at +91-7845133745 or register here. You could also contribute to the cause here.

Joel P Joseph Biological Sciences, Interviews, Medicine

A viral conversation: Interview with Dr G Arun Kumar

Dr G. Arun Kumar, currently heading Manipal Institute of Virology (MIV) under Manipal Academy of Higher Education (MAHE), is a renowned Indian microbiologist and virologist. He also heads the Regional Reference Laboratory for Influenza viruses established by Ministry of Health and Family Welfare, Government of India at Manipal and the ICMR Virology Network Laboratory (Grade-1) at Manipal. He is the pioneering scientist, who established the virology facility in Manipal with the support of the University and the Government. His research interests include viral diseases, epidemiology and diagnostic virology and public health response during infectious disease outbreaks. He led the team that was instrumental in containing the first Nipah Virus outbreak in South India. He is an expert member of several national and international committees pertinent to public health. 

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Dr G. Arun Kumar at Manipal Institute of Virology

How did you come to join Manipal Academy of Higher Education and how was the virology facility set up there?

I came to Manipal in 1994 to pursue MSc in Medical Microbiology after my BSc in Medical Laboratory Technology from Trivandrum Medical College. It was within a year since Manipal had become a deemed university. As soon as I finished MSc, I received the CSIR-JRF fellowship and went to the All India Institute of Medical Sciences (AIIMS), Delhi, to pursue my PhD in Virology.

About six months into AIIMS, as I was preparing to register for PhD there, my Professor from Manipal, Dr P G Shivananda MD, PhD., wrote to me asking me to join them. It was a difficult decision to take as Manipal did not have a virology lab at that time. The risk-benefit analysis showed that it was risky to move to Manipal. But my professor was insistent and promised me to provide a small facility for virology. I also discussed these things with my guide Dr Pradeep Seth, MD at AIIMS, New Delhi, and he also suggested taking up Manipal’s offer. I then thought that moving to Manipal was a challenge I had to take up – to initiate something that would have a lasting impact not only on me but also on the institution.

So, I joined Manipal as a lecturer in Nov 1997. I wrote a proposal to Prof. M. S. Valliathan, the then Vice-Chancellor of MAHE, through my professor, Dr P G Shivananda, to establish a virology laboratory. After a year, INR 500,000 was granted to set up a virology facility. That is how the virology lab was set up in Manipal and I came to be associated with it.

How did this facility grow to be an internationally renowned institute?

In May 1999, we set up a small lab with viral serology, tissue culture and virus isolation facility and started working on some clinically relevant viruses. We started the work with Respiratory Syncytial Virus (RSV) as I had worked on it in AIIMS and was familiar with it. I also started my PhD on RSV and completed it in 2002. By then we were actively working on 4 to 5 viruses and were providing diagnostics for it. This was also the time when we started attending conferences and people started noticing our work.

In 2003, there was a huge outbreak of SARS in Hong Kong. Government of India started looking at developing the capacity to detect and fight this virus. A review committee emphasized the requirement for more virology labs in India. The government also wanted to prepare the country for Avian Influenza (bird flu) Virus. Fortunately for us, without our knowledge, our facility was identified as a potential lab to be supported to work on these programs.

In 2007, we got a letter from the Indian Council of Medical Research (ICMR) asking if we were willing to develop the lab to a state-level virus diagnostic and research laboratory (VRDL). Following an expert site visit and a detailed project proposal review in 2010, they sanctioned a grant of INR 5 crore for a period of five years.  Meanwhile National Centre for Diseases Control (NCDC), Delhi had included our lab under the network of regional influenza laboratories.  This enabled our facility to be notified as a reference laboratory for influenza A H1N1 when the pandemic influenza arrived in India in 2009. The ICMR- VRDL facility was established in March 2010. Subsequently, realizing the potential of the lab, MAHE elevated it as a University department – Manipal Centre for Viral Research (MCVR). Now I had to report directly to the Pro-Vice-Chancellor of the university. This removed many hurdles and facilitated a faster decision-making process. We also moved into a new building with the support of the university. In this way, we grew in close association with the State and Central Health Services in India in the area of disease surveillance

In 2013, we had another quantum leap when we received a foreign grant from the Centre for Disease Control (CDC), USA as part of the global health security agenda (GHSA). We were awarded a sum of USD 250,000 to study emerging pathogens in the human-animal interface. We started the study in Shimoga, Karnataka. It progressed well and we received an upgrade of the award in 2015 to carry out the study in ten states in India. With that our funding had increased and our capacity grew tremendously. This enabled us to become a centre for excellence in disease surveillance and outbreak investigations.

In this way, we grew with the support of the university and the Government of India. We received several grants from the government and the university provided us with the infrastructural support. Manipal provided enormous support, space and freedom to grow and implement some of the dreams I had. The support has continued and now we have been elevated as independent institute – Manipal Institute of Virology (MIV) – under the university with higher containment labs and facilities.

MCVR (now MIV) did an excellent job in checking the Nipah virus outbreak. How did you go about detecting this rare virus?

Since 2009, we have been working very closely with Kerala on the detection of Pandemic Influenza. Besides the Influenza virus, we would also run diagnostic tests for other viruses in many cases. Gradually, many doctors of Kerala gained confidence in our viral detection tests and we developed a close relationship with the doctors. Baby Memorial Hospital at Calicut was one of the hospitals we had been closely working with.

In May 2018, a patient with symptoms of Encephalitis came to Dr Anoop Kumar at Baby Memorial Hospital. His brother had died with a similar illness 12 days earlier and two others in his family were also sick. This cluster of brain fever in a family raised an alarm. There were two possibilities viz., (i) Serial Poisoning (ii) An infection. When Dr Anoop called me around lunchtime on May 17, 2018, and explained the case, I sensed that it was a serious case. I directed him to collect multiple clinical samples and asked him to send it across quickly by hand. In a usual case, the samples are collected through a nodal officer at the district and are sent as a batch by train either daily or on alternate days.

In our primary investigation of this sample, in addition to the test for common Encephalitis agents like Herpes Simplex Virus and Japanese Encephalitis Virus, we tested for Nipah Virus as well. In the usual case of Encephalitis from Kerala of Karnataka, we would never consider testing for Nipah in the first set. But we considered it because of our understanding of Nipah epidemiology and knew that Nipah presents as a family cluster of encephalitis. Nipah virus testing was not new for us. In our fever study program in Assam and Tripura, we had tested samples for Nipah in the border areas close to Bangladesh (Bangladesh has been reporting Nipah cases every year since 2001) but didn’t detect any. That is why we considered it in our primary investigation and it turned out that the patient was positive for Nipah. But since this was from a different region, we were sceptical. We wanted to be sure. So we tested for about 30 other agents and by evening we were sure that it was Nipah only.

How did you tackle the situation when you realized that you were dealing with this deadly virus? What were the measures you took to rise to this public health challenge?

By the evening of May 17, 2018, we knew that we were dealing with Nipah. But you cannot announce it right away as it would have implications on national and international mobility. We also had to be absolutely sure of the agent. But the information had to be conveyed quickly to contain the virus and avoid transmission.

So immediately we sent the samples to National Institute of Virology (NIV), Pune, for a reconfirmation. In the meantime, we alerted the central and the state government authorities about the virus without naming it and urged the hospitals to isolate people who had come in contact with the patient.

Kerala responded to this situation in a very positive way. The health department instructed the hospitals about isolation procedures and patient care. The healthcare workers were pro-active, and the public also responded well.

The Hon. Health Minister of Kerala Smt. KK Shailaja teacher asked me to join them on the field as very little was known about this outbreak and had to be investigated. When we got there, we realized that there were several undiagnosed deaths in the medical college that week. Fortunately, the samples were preserved for few cases at least and they turned out to be positive for Nipah.

But these cases had no obvious connection to the first patient or the family. This was frightening. By this time the public and the government were growing restless and wanted to know what was happening. If these cases were not linked to the first cluster, we would have to consider the case of a biothreat. But Nipah is a difficult agent and is usually not used as a bioweapon. We launched a thorough epidemiological and virological investigation and traced those who had come in contact with the initial patients, isolated them and put them under surveillance. The health department of Kerala had already started isolation procedures on the night on May 18.

We then went into a detailed investigation of the first case, twelve days before the reported death. The patient was hospitalized in the Taluk hospital for one day and in the Medical College Hospital for another day. The Taluk hospital had already been evacuated, but the staff recreated the scene of the original patient in the ward. He had cough, vomiting, and irritability. His father and brother had attended to him and there were some deaths from the same ward because of human to human transmission. Nine cases were thus linked to this hospital.

When we tried to trace the other cases, we found an intriguing association with the radiology corridor of the Calicut medical college. Investigations revealed that the index case when admitted to Calicut medical college was subjected to a CT scanning on 5 May and most of the cases had exposure to index case that day. The index case was moved around the CT scan room and in the corridor for about four hours since it was difficult to get his scan due to his altered sensorium and irritability. CCTV footages helped trace this exposure.  Once this link was established, we were relieved. Health department identified all contacts of these people and isolated all symptomatic cases and the situation came under control.

After this, the health department called for a meeting with News Editors and discussed the situation. We made them aware that Nipah is transmitted by droplets, where the person had to be within one-meter vicinity of the patient for it to be transmitted and not by aerosol (Airborne). At the start of the meeting, about 60% were wearing masks and at the end of it, no one was wearing a mask as the mask was required only for persons in close contact with the patient. This communication helped a lot to clear the public fear.

In retrospect, how do you view this achievement of Nipah intervention and what do you think about it?

Looking back, I think there were some critical junctures where important decisions had to be taken. The district administration was very supportive and was with the health team all the time. There was very good participation and intervention by the state and central health services. Hon. Health minister of Kerala Smt. KK Shailaja Teacher, The Additional Chief Secretary of Health department Sri. Rajeev Sadanandan and the Director of Health Services Dr RL Sarita has provided exceptional leadership. The Nipah emergency operation room at Calicut worked flawlessly in coordinating the response. It was a very good model and I am afraid if it can be replicated in other places.

Recently, Manipal Institute of Virology was added as a centre of Excellence within Global Virus Network (GVN). Could you please tell me a little bit about GVN and how you view this addition?

Global Virus Network (GVN) was founded by Robert Gallo, who won the second Lasker Award for the discovery of HIV, in conjunction with William Hall of University College London and Reinhard Kurth of the Robert Koch Institute. It is a Non-Government network that brings virologists and institutes together in a collaborative effort to fight viral infections.

The idea of the network is to develop expertise through centres for excellence and to exchange it among them to act quickly during an outbreak. The aims of the network include collaboration among virus scholars, expansion of virologist training programs, and evidence-based policy advocacy. The network also collaborates with WHO and gives expert opinion helping in framing evidence-driven policies.

I think our addition to the GVN will help us in building our capacity, be instrumental in framing evidence-based policies and to work on one health – a concept that tells that the health of people is connected to the health of animals and the environment, which is nascent in India. This collaboration is going to help us in the study of these aspects.

What is your vision for MIV for the next 10 years?

As we are transitioning from a centre to an Institute we are redefining our vision and goals. In the next ten years, we envisage transforming MIV to the most preferred place for infectious diseases researchers especially in the area of emerging and re-emerging diseases.  We will enable and nurture basic, translational and public health virology research which is designed to contribute to achieving the sustainable developmental goals.

As a person who has been instrumental in building a centre of excellence in research, what is your advice for other academicians treading the path?

Three things are important to build a department or institution: (i) Your team: You need people who stay with you and understand your vision and philosophy (ii) An enabling leadership and environment (iii) Liaison with government systems and stakeholders.

It is also important that you grow in a niche area. For example, we specialized in disease surveillance, outbreak detection and pathogen detection, which requires quick mobilisation the team in the field.

However, it is important to periodically identify the strengths, weaknesses, opportunities and threats and strategize to reinvigorate the growth rate.