重新審視抗癌之戰(zhàn)
????此外還有一些預防炎癥的簡單方法,。阿古斯解釋道,,與其一次性進行大量高強度的激烈運動然后在桌子后面坐一整天,遠遠不如多走點路更好,。(走路的節(jié)奏對人體的淋巴系統(tǒng)有益,,而淋巴系統(tǒng)在一定程度上控制著免疫系統(tǒng)。)盡量穿舒服的鞋子,,它可以減輕關節(jié)的壓力,。(光腳或穿高跟鞋走路可能導致關節(jié)受損,從而引發(fā)足部炎癥,。) ????不過也有人反對阿古斯的理論,。比如加州大學舊金山分校(UCSF)的醫(yī)學教授麗塔?萊德伯格認為,現(xiàn)有證據(jù)并不支持他汀類藥物的廣泛使用,。她說:“我給病人開藥的目的是要讓病人感覺更好或活得更久,,而他汀類藥物并不能起到以上任何一種效果?!辈粌H如此,,他汀類藥物還可能導致包括肌肉疼痛和糖尿病在內(nèi)的副作用。 ????當然,,阿古斯還是認為他汀類藥物在許多情況下利大于弊,。除此之外,他還有許多別的養(yǎng)生辦法,,這些辦法好在并不需要我們做出什么超人的努力,。阿古斯的許多養(yǎng)生之道都是常識性的,也就是培養(yǎng)健康的生活方式,。 ????阿古斯也相信,,我們還需要一些新的工具才能真正了解我們的身體,。他建議我們每個人都應進行基因成像?;驁D像并不會告訴我們是否會染上某種疾病,,但會告訴我們?nèi)旧线@種病的幾率有多大,從而幫助我們做出正確的判斷,。幾年前,,他與別人合作創(chuàng)辦了一家名叫Navigenics(意為“基因導航”——譯注)的公司,專門提供基因檢測服務,,每次收費400美元,。這家公司得到了凱鵬華盈投資公司(Kleiner Perkins)風投家約翰?杜爾的資助,他是谷歌的早期投資人之一,。阿古斯也給自己的DNA畫了像,,還把結果展示在書里公之于眾——他發(fā)現(xiàn)自己存在罹患心臟病的風險。這有點奇怪,,因為他的膽固醇水平一直很低,。盡管如此,他還是開始攝入更健康的飲食,,并開始服用他汀類藥物,。 ????我們在一些新工具的幫助下或許能在更早的階段檢測到隱藏的疾病。問題的關鍵在于我們需要理解構建生命的基石——蛋白質的活動機理,。缺損的蛋白質可能是某種疾病的早期標志,,然而追蹤蛋白質是一項極其因難的工作——蛋白質的大小只有一個中子那么大。大約8年前,,阿古斯創(chuàng)辦了另一家公司,,名叫Applied Proteomics。他與超級計算機專家丹尼?希利斯合作開發(fā)了一個系統(tǒng),,有能力對幾十萬個蛋白質水平進行編目,。目前這家公司仍處于科研階段,一旦它取得成功,,就能為醫(yī)學界提供一個重要的診斷工具,。 ????阿古斯說,上個月英國的《每日鏡報》(Daily Mirror)刊發(fā)了一篇書評,,介紹了他的新書,,結果一下子有7,000多人憤怒地發(fā)博文或寫電子郵件對他進行譴責。有些人指責他想乘機宣傳自己的基因成像公司以此謀利,。阿古斯對這個問題的回答是,,他在那家DNA公司只有很少的股份。 ????實際上,,阿古斯未來面臨著更大的挑戰(zhàn)——他需要讓自己的理念被醫(yī)學界廣泛接受,。也許到那時,,他才能把聽眾席上的噓聲變成歡呼聲。 ????譯者:樸成奎 |
????There are other simple ways to fight inflammation. Agus explains that it's better to walk a lot than to do an intense burst of exercise and then sit behind a desk all day. (The rhythmic part of walking helps your lymphatics function, part of the system that controls your immune system.) Wear comfortable shoes, which lowers stress on joints. (Walking barefoot or in high heels can cause damage to the joints and thus inflame your feet.) ????His approach has its detractors. Dr. Rita Redberg, a professor of medicine at UCSF, argues that the evidence doesn't support the widespread use of statins. "I prescribe medicine to make people feel better or live longer, and statins do neither," she says. Not only that, statins can have side effects ranging from muscle aches to diabetes. ????Of course, Agus thinks statins in many cases do more good than harm and, anyway, are just one tool in his arsenal. The nice thing about his approach is that nothing requires a superhuman effort -- a lot of it is just commonsense, healthy living. ????Agus also believes we need new tools to really understand our bodies. He suggests that each of us get genetically profiled. This won't tell us whether we'll contract a certain disease but will tell us the probability of getting it, allowing us to make the proper adjustments. A few years ago he co-founded Navigenics, a company that does genetic screening at $400 a pop and is backed by venture capitalist John Doerr of Kleiner Perkins, an early investor in Google (GOOG). When Agus had his own DNA profiled -- the results are in the book for all to see -- he found he was at risk of having a heart attack. This was strange because his cholesterol had always been low. Nonetheless, it was enough to persuade him to go on a healthier diet and start taking statins. ????New tools may also make it possible to detect diseases at a much earlier stage. The key is understanding how proteins -- which are the building blocks of life -- operate. Faulty proteins can be early indicators of a disease. The trouble is, tracing proteins is incredibly hard to do -- they are the size of a single neutron. About eight years ago Agus started another company called Applied Proteomics. He joined up with supercomputer guru Danny Hillis to create a system with the horsepower to catalogue hundreds of thousands of protein levels. The company is still a work in progress, but if it succeeds, it will provide an important diagnostic tool. ????When Agus's book was reviewed by the Daily Mirror in England last month, he says he got 7,000 angry blog and e-mail responses. Some accused him of trying to cash in on his DNA-profiling firm. Agus's response? That he has only a small stake in the DNA firm. ????Agus, however, has a bigger challenge ahead. He needs to get his ideas widely accepted by the medical community. Maybe then he can turn those hisses into cheers. |