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A28    SCIENCE
                  Friday 22 November 2019























            In  this  Thursday  Oct.  18,  2012  file  photo,  passengers  board  a
            London-bound  EasyJet  flight  at  Amsterdam's  Schiphol  airport,
            Netherlands.
                                                     Associated Press
            Doubts cast on easyJet


            plan to be net-zero

            emissions airline                                           This May 26, 2009 file photo shows a printout from an electrocardiogram machine in Missouri.
                                                                                                                                          Associated Press
            By DANICA KIRKA              "People  have  a  choice  in   New, old drugs may offer fresh
            Associated Press             how  they  travel  and  peo-
            LONDON (AP) — European  ple are now thinking about          ways to fight heart disease
            budget airline easyJet said  the  potential  carbon  im-
            Tuesday it will become the  pact  of  different  types  of   By MARILYNN MARCHIONE                   it  also  lowers  heart  attacks  and  other
            first  major  carrier  to  oper-  transport,''  said  easyJet's   AP Chief Medical Writer            problems, not just cholesterol. Inclisiran's
            ate net-zero carbon flights,  CEO Johan Lundgren. "But      PHILADELPHIA  (AP)  —  Novel  drugs  may  maker,  The  Medicines  Company,  plans
            offsetting   climate-warm-   many  people  still  want  to   offer fresh ways to reduce heart risks be-  to seek federal approval for it later this
            ing emissions from the fuel  fly  and  if  people  choose   yond the usual medicines to lower cho-   year. Two other RNA interference drugs
            used on every flight.        to fly we want to be one of    lesterol and blood pressure.             aim at a different target — triglycerides,
            Climate  experts,  however,  the best choices they can      One new study found that heart attack  another fat in the blood that's elevated
            warn  that  such  efforts  are  make.''                     survivors benefited from a medicine long  in one quarter of Americans. Treatments
            stopgap  measures  at  best  "Aviation  will  have  to  re-  used to treat gout. Several experimental  include  very  low-fat  diets,  weight  loss,
            and  that,  with  few  op-   invent itself as quickly as it   drugs also showed early promise for in-  fish oil and drugs, but doctors say more
            tions  to  reduce  emissions  can," Lundgren said.          terfering with heart-harmful genes with-  and better therapies are needed. Each
            from planes, the real focus  Unlike  the  auto  industry,   out modifying the genes themselves —  RNA  interference  drug  was  tested  at
            should be on flying less.    which is increasingly focus-   in one case, with treatment just twice a  various doses in 40 people. A single shot
            EasyJet said it will offset the  ing on purely electric cars,   year.  The  research  was  featured  at  an  lowered  triglycerides  by  30%  to  67%,
            carbon "by investing in proj-  battery-powered  travel  is   American Heart Association conference  and  the  benefit  lasted  for  at  least  four
            ects  that  include  planting  not technically feasible for   ending Monday in Philadelphia.         months.  The  studies  were  just  intended
            trees or protecting against  planes  in  the  foreseeable   "There's  a  lot  of  excitement"  about  the  to show safety; Arrowhead Pharmaceu-
            deforestation.''             future.  Rather,  companies    new  gene-targeting  medicines,  espe-   ticals  is  developing  both  drugs.  Other
            That  is  estimated  to  cost  are  trying  to  reduce  the   cially because they seem to last so long,  research found new benefits from older
            about  25  million  pounds  weight of jets and are test-    said Dr. Karol Watson, of the University of  drugs.  AstraZeneca's  Farxiga,  originally
            ($32 million) across the air-  ing  new  fuels,  including   California, Los Angeles.                developed  to  treat  diabetes,  also  low-
            line, which last year carried  biofuels.                    Scientists  have  been  exploring  gene  ered the risk of heart problems in heart
            88.5  million  people  on  al-  Climate      campaign       therapy — altering DNA — to attack the  failure  patients  who  did  not  have  dia-
            most 560,000 flights.        groups  like  Greenpeace       root  cause  of  many  diseases.  The  new  betes.  Among  2,605  of  such  patients
            The  airline  described  the  cast  doubt  on  easyJet's    drugs  essentially  accomplish  the  same  treated for 18 months, about 9% of those
            carbon-offset  effort  as  an  plan,  pointing  to  analy-  thing without tampering with genes, said  on  Farxiga  had  worsening  heart  failure
            "interim   measure"   while  sis  that  suggests  offsetting   the University of Pennsylvania's Dr. Dan-  or heart-related death versus nearly 13%
            new  technologies  are  be-  schemes are not as effec-      iel  Rader,  who  has  consulted  for  some  of those not given the drug. That worked
            ing  developed,  including  tive  as  some  make  them      makers  of  these  drugs.  The  medicines  out to a 27% lower risk, without extra seri-
            efforts  to  develop  hybrid  out  to  be.  The  group  sug-  work by silencing or blocking messages  ous side effects. Surprising benefits also
            and  electric  planes.  The  gests that to truly help the   that genes give to cells to make proteins  were  seen  in  a  Canadian  study  of  the
            measure  is  part  of  other  environment,   authorities    that can do harm, such as allowing cho-  decades-old gout drug. The anti-inflam-
            initiatives  to  reduce  emis-  would  have  to  impose  a   lesterol  to  accumulate.  The  first  few  of  matory  drug  colchicine  —  sold  as  Col-
            sions, such as using a single  frequent flier tax to reduce   these  "RNA-interference"  drugs  recently  crys, Mitigare and in generic form — was
            engine when taxiing.         the number of flights.q        were approved for other conditions, and  tested in 4,745 people who recently had
                                                                        research is also targeting heart disease.  a  heart  attack.  After  about  two  years,
                                                                        Farthest  along  is  inclisiran,  tested  in  colchicine users had a 23% lower risk of
                                                                        1,561  people  with  heart  disease  from  suffering a new heart attack, heart-relat-
                                                                        clogged arteries who still had high LDL,  ed death, stroke, cardiac arrest or urgent
                                                                        the bad form of cholesterol, despite tak-  need  for  an  artery-opening  procedure
                                                                        ing  standard  drugs.  They  were  given  a  compared  with  a  group  given  dummy
                                                                        shot of inclisiran or a dummy drug when  pills. The benefit came mostly from pre-
                                                                        they joined the study, three months lat-  venting strokes and artery-opening pro-
                                                                        er and then every six months. The drug  cedures, and some heart doctors would
                                                                        lowered LDL by 56% without serious side  rather  have  seen  more  difference  in
                                                                        effects.  More  testing  will  show  whether  heart attacks and deaths.q
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