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Biotech Science

Scientists Find New Painkiller From Saliva 398

dptalia writes "Scientists have found a new pain killer based on human saliva. Apparently 1 gram of the new drug provides as much pain blocking as 3 grams of morphine. The drug blocks the breakdown of the body's natural pain killing mechanism. Scientists say the molecule is simple and synthesis is expected to be simple."
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Scientists Find New Painkiller From Saliva

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  • by malkavian ( 9512 ) on Tuesday November 14, 2006 @07:28AM (#16835992)
    So, the behaviour observed in animals where they lick wounds, and even in humans, that 'kiss it better' (introduce saliva to the wound), or suck on a sore wound to make it feel better, by instinct, hasn't given the clue that there's something in saliva that helps?
    There's a whole store of herb and animal lore that's been systematically quashed for decades (well, since the great witch hunts really), and science is only just getting round to looking at it now.
    There's a lot to be said for 'complimentary' medicine for lesser ailments (although the modern pharmaceutical treatments are definitely magnitudes more effective for front line serious treatment). Rather than just decrying it, perhaps it should be investigated more thoroughly?
  • by Anonymous Coward on Tuesday November 14, 2006 @07:53AM (#16836144)
    I understand they might be comparing relative potency, but comparing to THREE GRAMS of morphine is kinda excessive.

    300 mg morphine will render just about any human being unconscious and apnoeic pretty quickly.

    3000 mg will knock you out cold, stop you breathing, and drop your blood pressure precipitously, more or less instantaneously.

    In which sense, numerous things have have the same pain-killing effect as three grams of morphine.

    Being hit by a freight train, for instance.

  • by lachlan76 ( 770870 ) on Tuesday November 14, 2006 @07:56AM (#16836164)
    Actually, I believe that the instinct to lick a wound is because saliva contains Lysozyme [wikipedia.org], which makes it easier for white blood cells to engulf a bacterium. Its presence in tears is one of the reasons that you cry when you get something in your eyes.
  • by value_added ( 719364 ) on Tuesday November 14, 2006 @09:18AM (#16836634)
    So, the behaviour observed in animals where they lick wounds, and even in humans, that 'kiss it better' (introduce saliva to the wound), or suck on a sore wound to make it feel better, by instinct, hasn't given the clue that there's something in saliva that helps?

    I've been moaning about that for years, and without exception, every pet owner and every vet considered me nuts. I noticed that if you lay a plate of food on the ground and have a dog lick it clean, a thin clear coating builds up on the surface of the plate. Give it a day or two, and washing the plate hot soapy water doesn't remove the coating as you'd think it would.

    Mind you I don't know what's in saliva, and as this article suggests, few have stopped to consider the subject long enough to study it. What I do know is that the standard procedure of treating a dog for an injury or skin problem involves topical antiobiotics in combination with a cone that's placed over the dog's head (if a dog has any self respect, it's lost in minutes after the cone goes on). Licking, according to established wisdom, defeats the purpose, infects the wound or injury, saliva is full of germs, blah blah blah. Dogs have been around longer than veterinary medicine, and I doubt there's many wild animals that have membership in an HMO. Put another way, they've been doing fine for longer than we know. And for reasons we can only hope to discover. I let my own dogs lick any itches or wounds they have, and have yet to find something that hasn't healed as it should. I can't say the same for pets of relatives and friends who went the cone-head route.

    I could add something on how oral sex relates to the topic at hand, but instead I'll continue with Stuff I Learned About Dogs that similarly runs contrary to a veterinary advice, established wisdom, or published literature. I expect Science will catch up to this, as it will in other areas.

    1. Dogs don't need a lot of water. Unless you feed them a steady diet of dried corn meal packaged up as dog food.

    2. Dogs don't need or want a steady diet, and feeding your dog "table scraps" (aka "real food") doesn't cause upset and diarrhea. By comparison, if you eat nothing but Corn Flakes every day for 10 years, chances are an ordinary hamburger will cause problems.

    3. Dogs are creatures of habit, but seek out a change in regimen when possible. Don't feed your dog in a bowl. Hide the food around the house and make them search for it. Great fun. Even better, roll some soft-boiled eggs across the kitchen floor and let them catch their food. The expression on their face after that first bite is priceless.

    4. If given the opportunity, dogs will discover they enjoy fruits and many vegetables (green leafy stuff being the exception, and apples and tomatoes perennial favourites). The best food for dogs is pizza. Yeah, pizza. Pizza has lots of fat (more important than protein for any active dog), it's chewy (all dogs like to chew), and if there's lots of toppings, the scavenger instinct is satisfied. Best served warm, of course.

    Obviously, I have way too much free time on my hands. Maybe I can become a scientist.
  • Re:Indeed (Score:5, Interesting)

    by mutube ( 981006 ) on Tuesday November 14, 2006 @09:36AM (#16836772) Homepage
    Very true. Relevant bit from http://en.wikipedia.org/wiki/CO2 [wikipedia.org] for info.

    Bicarbonate ions are crucial for regulating blood pH. As breathing rate influences the level of CO2 in blood, too slow or shallow breathing causes respiratory acidosis, while too rapid breathing, hyperventilation, leads to respiratory alkalosis.

    It is interesting to note that although it is oxygen that the body requires for metabolism, it is not low oxygen levels that stimulate breathing, but is instead higher carbon dioxide levels. As a result, breathing low-pressure air or a gas mixture with no oxygen at all (e.g., pure nitrogen) leads to loss of consciousness without subjective breathing problems. This is especially perilous for high-altitude fighter pilots, and is also the reason why the instructions in commercial airplanes for case of loss of cabin pressure stress that one should apply the oxygen mask to oneself before helping others--otherwise one risks going unconscious without being aware of the imminent peril.

    If you're going to kill through suffocation, there are few more cruel ways than using CO2.
  • Unlikely proposition (Score:5, Interesting)

    by ajs318 ( 655362 ) <(ku.oc.dohshtrae) (ta) (2pser_ds)> on Tuesday November 14, 2006 @10:01AM (#16836996)
    I find it doubtful that you could have an effective painkiller that wasn't usable recreationally.

    The human body's pain regulatory system is tightly bound up with a behaviour-rewarding system. Certain actions which are evolutionarily beneficial (to the species or the tribe, even if not to the individual) trigger a release of endorphins, the body's own homebrew morphine analogues which are also produced in response to pain. When an individual is not in pain, stimulation of the endorphin receptors produces a highly pleasurable sensation.

    Opiates such as morphine or heroin are chemically similar enough to endorphins to bind to the same receptors. This makes them good painkillers. It also makes them good ways to induce pleasurable sensations for recreational purposes.

    Beside any psychological effect (which may well be habit-forming in its own right), continued over-use of opiates can cause a reduction in the body's endorphin production. When the artificial painkillers wear off, the body is not ready with natural painkillers and so normal bodily functions produce heightened sensations -- the blood can be felt flowing through arteries, the ends of bones can be felt moving past one another, and so on. The exact manifestation of symptoms is a person-to-person variable. Most people find this state unbearable and so seek out more opiates rather than wait for the body's endorphin production to stabilise. This is physical dependence (the body cannot function normally without drugs). At £1 a breath, a heroin habit is not a cheap habit unless you are a rich rock star.

    Some people have found that they can naturally produce endorphins in more than sufficient quantities to mask pain, and actually deliberately harm themselves to trigger an endorphin release. (Gripping ice cubes tightly in the hands is one of the least-dangerous ways to cause temporary pain sensations and so trigger endorphin production, and is recommended by some agencies for persistent self-harm practitioners). Others have found that by deliberately performing (what they perceive to be) altruistic acts (such as helping an old lady across the road, whether or not she actually wants to cross the road), they can stimulate endorphin production.

    Unless the pain-relieving and pleasure-inducing properties of endorphins are separable, any painkiller that attempts to mimic their action will be both usable recreationally and doubly habit-forming.
  • by 93,000 ( 150453 ) on Tuesday November 14, 2006 @10:08AM (#16837054)
    Very true. Around 15 yrs ago my father was on morphine for nearly a year for chronic pain, and had no trouble going off. As his doctor said back then (perhaps not so scientifically): The pain uses up all of the drug, so there's none leftover to get addicted on.
  • Re:Make it stop! (Score:1, Interesting)

    by Anonymous Coward on Tuesday November 14, 2006 @10:33AM (#16837328)
    Heroin has fewer side-effects and better potency than morphine, and in a sane culture, it would be medically used, like [nih.gov] in the UK.
  • Re:Make it stop! (Score:4, Interesting)

    by shaneh0 ( 624603 ) on Tuesday November 14, 2006 @11:48AM (#16838276)
    A lot of other medications have fewer side-effects than Morphine. Among them are CR-Oxycodone, Fentanyl, and dilaudid. There's little benefit to prescribing heroin given all of the other options. In fact, the only clear benefit is price. It's cheaper than all of the drugs I mentioned. And to the large majority, price isn't the biggest concern.

    The real problem is diversion. A significant percentage of all prescribed opiates are diverted to the black market. There are obviously only estimates and anecdotes, but for some drugs (CR OxyCodone) I've seen numbers as high as 30%. The drugs that are diverted the most have more to do with street price than they do with the frequency of prescription. This is why CR OxyCodone is more of a problem than, say, Hydrocodone (Vicodin) or OxyCodone (Percocet).

    It's the opinion of the FDA that heroin would be a nightmare of diversion problems. Furthermore, there isn't a CR form of heroin nor is there, to my knowledge, any Antagonist/Agonist combo that could help prevent diversion. Creation of such a formulary would probably increase the use of prescription heroin but it would cost a lot of money to produce and is, I'm guessing, seen as a risk by the pharma companies due to the serious stigma surrounding the drug.

    In short, there's no clinical need for heroin in our current healthcare system. It's primary advantage (cost) doesn't outweigh it's many disadvantages. This is reinforced by the veritable nightmare of diversion that's plagued CR OxyCodone since it's release in the mid nineties.

  • Re:Make it stop! (Score:2, Interesting)

    by Anonymous Coward on Tuesday November 14, 2006 @12:17PM (#16838742)
    Off Topic, don't care.

    I'm posting as AC for personal reasons. I too was a sufferer of inexplicable chronic pain, but I beat it. My doctor and I worked through a few things, but nothing seemed to work. I cannot comment on all cases, but I can comment on my own. Besides the pain, I suffered from a few other things: chronic insomnia, chronic depression, and obesity. I know now all four were related. I couldn't work out because it hurt too much, which made me fatter, which made it difficult to sleep, which made it hurt more. Eventually I too thought of taking my life just to end the pain, but I did not. I asked my doctor about my depression, and we started treating it in a myriad of ways: exercise, eating healthy, and medication. The exercise was almost unbearable at first, but I stuck with it. I cut out almost all alcohol, fast food, and pre-packaged food. After I lost 40 pounds, I started to sleep better. The pain started to subside, and the meds helped with my depression. I do know that depression can manifest itself as physical pain, and there is no doubt that some of my pain was due to that. After 100 pounds, the day-to-day pain was gone. My fibro-mialga was gone too. After 130 pounds, all pain is gone, and I no longer need the depression meds. I can't say that there was a single cause, but everything together led to a destructive cycle. If you suffer from chronic pain and are overweight and depressed, I suggest massive life changing events. I am a lot happier with myself, though there is some fear that the love of food will take over and put me into another death spiral. Still, I can't live in that fear, and must just keep up with my new life.
  • Re:Make it stop! (Score:3, Interesting)

    by illegalcortex ( 1007791 ) on Tuesday November 14, 2006 @12:37PM (#16839064)
    Errr, the people who would be taking it? How many drugs do you think got weeded out that might have made you feel fine now but in 10% of the population made the pain permanently worse? Or caused you to be fine but three years later your fingers fall off? Or caused you to have schitzoid delusions, decide the government was trying to poison you through your orange juice and go down to the minimart and start blowing people away?

    There have been some very notable drug failures in the past. It's not just an "off chance", it's a very real possibility. I don't want the next step after animal testing to be the general population. I know it sucks that we ask people with very serious problems to "take one for the team" by waiting 5-10 years. But you have to keep it in perspective. They have benefitted from all the OTHER people in the past who have done the same. The whole reason our medical science has progressed to the point it has is through rigorous scientific testing. If you get stuck with the short term perspective, it seems completely unfair. But you have to see the long term perspective.

    The only cases where I support short circuiting a longer testing phase is for people who are very likely to die from their illness before the process is completed. Chronic pain is on the boundary due to the suicide issue noted. But I think it falls just barely outside, considering many (most?) people go on to live decades after they would have been willing to try experimental drugs that would have had unknown side effects.
  • Re:Make it stop! (Score:1, Interesting)

    by Anonymous Coward on Tuesday November 14, 2006 @01:49PM (#16840314)
    I, like this poster, am in severe chronic pain. In 2001 (xmas eve, win), I was attacked whilst walking home and it shattered a couple vertebra and caused a subdural hematoma on my brain, which luckily cleared itself up on its own. I had reconstructive surgery on my spine, wasn't supposed to ever be able to walk again, and didn't for three weeks. Luckily, I refused to give up and was up and walking within a couple days of actually being physically capable to do so. Since, I've been living with severe, progressive chronic pain in my back, legs, head, etc. I've been through two pain clinics. The most recent was one of the best in the country. It helped. A bit. But every day life dealing with this much pain is hard, to say the least. Even though I know its all a symptom of my disability, I still feel lazy, useless, hopeless, and a whole lot of other fun stuff. Like the OP said, getting or holding a job is near impossible. I've been able to get one since I was injured, and the only reason I wasn't let go is because they were sympathetic to my ills and let me work from home quite a lot. Have I ever *seriously* thought about ending my life because of it? No. Have I ever idly sat there and wondered what would happen if I did such a thing? Yes. I'm also on morphine daily. It helps the chronic side of the pain quite a lot. It was a godsend. The acute side (flares), however, is still there and renders me completely unable to do much of anything. Way more often than I'd like. I don't have an adverse reaction to the medication, so it's not really a problem. But know what? I'm an addict because of it. And that's bulls***. Addiction to more or less anything makes the day-to-day 10x harder. So if some weirdo can synthesize something that'll help make living life easier on myself and people in chronic pain in general out of our loogies - effing do it already. Oh, and I just turned 28.
  • Re:Make it stop! (Score:5, Interesting)

    by shaneh0 ( 624603 ) on Tuesday November 14, 2006 @02:22PM (#16840836)
    Suboxone is really a remarkable drug. Unfortunately, due to stigma of other opiates--like, ironically, CR OxyCodone (brand name OxyContin)--the Congress has really crippled the prescription of Suboxone. IIRC, doctors have to have special training to prescribe it and they can only carry a limited number of patients at a given time. A very small number. Something like 30 or so. So it's very limiting, and doctors often have roles of addicts waiting for treatment. Which is tragic if you ask me. People want help but can't get it.

    If you have any opiate dependency issues, I highly recommend looking into Suboxone. It's been described as a "wonder drug." One day you're an addict, doing whatever you can to scrape by, the very next day you're in recovery. No withdrawal. No pain. No suffering.

    Every report I've seen is that it's recidivism rate is much lower than methadone maintenance.
  • by CrankyOldBastard ( 945508 ) on Tuesday November 14, 2006 @08:01PM (#16846358)
    I'd like to add an informed opinion about this point of view:

    I have Brachial Plexus Neuropathy. 10 years ago I got a MRSA infection following a Bankart Repair of my right shoulder. It took 3 months to clear up the infection, and in that time the cords of my right Brachial Plexus were damaged. Now I live in 24 hour constant pain, somewhat as if my arm is being torn off (it isn't).

    I take Oxycontin twice a day, with Endone (more oxycodone) as a top up in the case of breakthrough. I go to my Pain Specialist every 6 weeks and get a series of nerve block injections, which give me 3 to 5 days relief (not counting the relatively minor discomfort of having 2 inch needle driven into my shoulder and spine).

    I've found that light use of cannabis does increase the efficacy of the oxy. Too much (i.e. being "stoned") and it can be that the senses are heightened, which is a very very bad thing. Use every day diminishes the effectiveness.

    I've found that occasional use (when I don't want to take anymore oxy but I have to get more relief or jump in front of a bus) works well. But grass is not that effective a painkiller on it's own, and seems to me to be most effective because (a) the spatial and temporal distortions can make the pain less important (i.e. it can relieve suffering but not so much pain) and (b) it increases the effects of the opiate based medicines.

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