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KOLKATA, WEDNESDAY 05 FEBRUARY 2020 16


Urban housing as carbon store
PLUS POINTS

Beyond opioids
New research absorb CO2, as well as loss of forests,
the paper says.
suggests that Mass timber that is now available,
green building the papers says, consists of specifical-
ly designed structural components
materials would that are laminated using smaller
board, as glue-laminated (gluelam)
yield a two-fold beams or cross-laminated timber
answer to the (CLT) panels. Methods of fabrication
and use, with adhesives and mechani-
climate crisis cal fasteners have made it possible to
build on the strengths of wood as a
S ANANTHANARAYANAN building material, even fire-resistant
(see box) buildings 18-storeys tall have Pain management in

T
he crisis of climate change that been found practical, the paper says. the immediate post-
the world faces calls for urgent “…engineered timber products and surgical period is an
solutions. Solar, wind or tidal structural systems offer a potential imperative aspect of
energy, and improving efficiency substitute for much of the mineral- surgical care. The use
of traditional processes are all well, based materials in urban building of morphine for sur-
but, as Greta Thunberg says, our house construction,” the authors write. gical pain manage-
is on fire. We need measures that bite Analyses by the authors suggest ment has existed for some time. How-
large chunks out of the carbon econo- that using timber for new urban hous- ever, in the late 1990s, a lack of informed
my, not ways that inch towards uncer- ing has carbon storing potential and evidence-based approaches by
tain targets. between 0.01 to 0.68 billion tons a pharmaceutical companies reassured
Galina Churkina, Alan Organschi, year, depending on how far timber the medical community that patients
Christopher PO Reyer, Andrew Ruff, replaces concrete, and the how would not become addicted to opioid
Kira Vinke, Zhu Liu, Barbara K Reck, dwellings are designed. For compari- pain relievers, which are complex chem-
TE Graedel and Hans Joachim son, the carbon absorbed by the ical derivatives of morphine. This led to
Schellnhuber, from Yale University, the Earth's whole biosphere is 2.3 billion increased prescription by healthcare
Potsdam Institute, Gray Organschi tons in a year. Over 30 years, if half the providers at greater rates with a genuine
Architecture (architects in New Haven) new constructions used wood, the aim to provide pain-associated physical
and Tsinghua University, Beijing, pre- paper says, between one billion to 11 and emotional comfort.
sent, in the journal, Nature Sustain- billion tons of CO2 would get stored. Increased prescription of opioid
ability, a strategy that could do just As for the supply of wood, the medications led to widespread misuse
this. The solution they present is to paper finds that until 50 per cent of of both prescription and non-prescrip-
replace cement and steel, which con- construction becomes wood-based, tion opioids before it became clear that
sume large energy to produce, with almost all the wood needed could be these medications could indeed be
wood, in building construction. On met from just part of the wood being highly addictive. The situation escalated
the one hand, the move would elimi- drawn for short-term purposes, with- to a national epidemic in the US and
nate one of the largest sources of out affecting the net harvest from elsewhere across the globe. In 2017, the
atmospheric CO2. On the other, re- forests. The paper cites a Food and Health and Human Services of the US
growing trees, which would be felled Agriculture Organization study that declared it as a national emergency.
to provide building material, would OVERLOOKED OPPORTUNITY WOOD RESISTS FIRE WOOD IS ALL GREEN says out of 65 countries that were eval- Immediate adaptation to these pol-
draw carbon out of the atmosphere — The world is striving to harness International building Using one cubic metre of uated, 43 harvested less wood than the icy changes were led by an ear, nose and
as good as storing carbon in the build- the sun’s energy or to capture carbon codes recognise that charring of lumber in buildings sequ- forests grew. And overharvesting, throat surgeon Dr SambaSiva Reddy
ings where the forest has moved! as efficiently as nature does. The idea is the outer surface helps large esters one ton of CO2 for an where there was any, has been declin- Bathula, who is currently affiliated with
Apart from the heat required to to cut down on carbon-intensive structural timbers survive major average period of 20 years. It ing. There is hence wood to meet the the Detroit Medical Center. In his otorhi-
produce cement and steel, the very methods of energy generation or to put fires. Accidents with light-frame reduced net emissions by 0.3 demand even with 90 per cent of new nolaryngology practice, routine pain
processes of production are sources of away, without tears, the carbon that is structures, however, have pro- tons of CO 2 if concrete is constructions being wood-based, at management is a daily issue. After per-
CO2 emission. The main component loading the atmosphere. moted the association of wood replaced and 1.2 tons of CO2 if the current average floor area. And formance of surgeries like tonsillecto-
of cement is lime, which is produced Here is a way to use nature herself with fire catastrophe. In fact, it steel is substituted. then, materials like bamboo and other my, thyroid and sinonasal surgeries, Dr
by the reduction of limestone, or calci- to attain both the ends. Using wood in is steel that becomes plastic and plant fibres could supplement wood Bathula, a postgraduate of ENT surgery
um carbonate, by heat, in kilns. The place of cement and steel amounts to buckles at high temperature, of resources. from Guntur Medical College, has
reaction is like this: CaCO 3 —> generating, at no cost, the energy that which brought the Twin Towers cement, of con- The paper emphasises that a pre- emphasised and implemented the use
CaO+CO2. We can see that along with it would take to manufacture the down in New York in crete, which is cement condition to harvest and transfer car- of non-narcotic medications like aceta-
lime, CO2 is produced. And in good cement and steel. And when the 2011. with sand and rubble. As concrete, bon to the city is that we maintain for- minophen (paracetamol) for pain man-
quantity, 44 parts, by weight of CO2 forests, where we source the wood, are which has compressive strength, can- est sustainability and continue refor- agement.
for 56 parts of lime. grow back, the sun’s energy draws car- active now, not take bending loads, the load-bear- estation. This would need legal and Though the mechanism of pain
The production of steel is by the bon out from the atmos- burying trees would not ing beams in buildings were of wood political commitment. Forest dwellers control by acetaminophen is not well-
reduction of oxides of steel, mainly like phere. work today, but using wood as the or steel. But it was found that concrete need to be empowered. known, Dr Bathula has demonstrated
this: Fe2O3 + 3CO —> 2Fe + 3CO2. The ula- material for building construction could be strengthened with steel bars. “The history of trans-cultural that it is an efficient agent after most
process produces 132 parts, by weight, tion rise and could still achieve the same end. Why And, with the additional advantage of familiarity with wood and plant-based ENT surgeries, which are otherwise very
of CO2 for 112 parts of iron. The car- building activity. And find methods to capture and confine uniformity and specific shapes being construction material and assemblies, painful. In an objective study, he has
bon monoxide (CO) comes from coal construction, during the last cen- CO2, with the attendant risks, when possible, very strong structures are especially in Asia, Oceania and Africa, revealed that increased use of aceta-
and the production of steel is one of tury, has been more and more with we have the job done in giant trees? now built using a framework of rein- suggests an alternative future for minophen and other medications like
the largest sources of CO 2 in the concrete. We only need to keep these trees from forced concrete. buildings. In a few decades, a material ibuprofen has decreased the prescrip-
atmosphere. The paper in Nature Sustainabili- decomposing — our buildings would “The buildings and construction revolution, scaled in its application to tion of morphine milligram equivalents,
The automobile sector and use of ty points out that vegetation alone become the carbon stores — and we sector currently accounts for about global urbanisation and to the sus- both in comparison to other prescribers
coal for power and in industry, of cannot work as a carbon sequester, as would block the CO2 that comes from half of all global steel demand,” the tainable capacities of its forest sources, within the specialty as well as similar
course, are the main causes of rising microorganisms break vegetable mat- cement and steel manufacture too, the paper says. There could be marginal may balance material supply, material prescribers.
CO2. The use of concrete, which con- ter down and put carbon back in the paper suggests. improvements in efficiency, and reuse demand and environmental burdens India is one of the largest legal pro-
sists largely of cement and steel, has atmosphere. The great storage of car- Wood, which was the dominant of scrap steel is only a partial solution. and benefits, while answering the ducers of opium. Not surprisingly, India
been the other major contributor. bon, as coal and oil, in ages past, was building material in the past, has lim- Yet another cost of using concrete is challenge of urgent climate action,” has an established pattern of use of opi-
With plentiful energy and food supply perhaps because present-day micro- its to the crushing loads it can bear. extracting sand from beaches, rivers the paper says. oid group of drugs. Indeed, a sizable
(thanks to chemical fertilisers, whose bes had not evolved, and thanks to This puts a cap on how high a wooden and the sea, and the environmental number of people in India use opioid
manufacture emits huge CO2), the last conditions that buried and com- structure can get. Tall buildings were effect of mining. The result is reduc- The writer can be contacted at drugs, suffer from opioid dependence
century has seen unprecedented pop- pressed organic matter. As microbes hence of masonry, and with the advent tion in the capacity of water bodies to response@simplescience.in and seek treatment for the same. The
prevalence of opioid use was found to
be 0.7 per cent of the general popula-

How proteins work


exhibiting the helix-turn-helix motif, tion among whom, around 22.3 per cent
and transcription factors that regu- were found to be dependent on opioids.
late embryonic development are India has twice the global average preva-
eukaryotic examples. lence of illicit opiate consumption. It is
Several common structural motifs On the other hand, initially iden- estimated that currently India has about
tified in a transcription factor for the four million people who use opioids and
allow regulatory transcription 5S rRNA genes (TFIIIA), the zinc fin- around one million people who are opi-
factors to bind to DNA and ger DNA-binding motif consists of an
a helix and a two-segment sheet, held
oid dependent.
ENT surgeries involve both children
activate the process in place by the interaction of precise- and adult populations. He has men-
ly positioned cysteine or histidine tioned that only in the case of head-neck
TAPAN KUMAR acids, producing a strong negative residues with a zinc atom. The num- malignancies, there may be the require-
MAITRA charge that is generally clustered on ber of zinc fingers present per protein ment of prudent and guarded use of
one side of an a helix. Mutations that molecule varies among the transcrip- opioid medications. These nuanced

A
lthough not all transcription fac- increase the number of negative tion factors that possess them, rang- nudging strategies of Dr Bathula is in the
tors bind directly to DNA, those charges tend to increase a protein’s ing from two fingers to several dozen right direction for inspiring surgeons to
that do play critical roles in con- ability to activate transcription, or more. Zinc fingers protrude from have non-aggressive approaches for
trolling transcription. Proteins whereas mutations that decrease the the protein surface and serve as the pain management and in the process,
in this category include the general tran- net negative charge or disrupt the points of contact with specific base weaning society off unnecessary use of
scription factor TFIID and, more impor- clustering on one side of the a helix sequences in the major groove of the opioids.
tantly, the wide variety of regulatory tran- diminish the ability to activate tran- DNA. According to Global Burden of Dis-
scription factors (activators and repres- scription. In addition to acidic The leucine zipper motif is ease Study 2013, opioid use disorders
sors) that recognise and bind to spe- domains, several other kinds of acti- formed by an interaction between accounted for 5.8 million additional
cific DNA sequences found in proximal vating domains have been identified two polypeptide chains, each con- years lived with disability, an observa-
control elements, enhancers, and in transcription factors. Some are taining an a helix with regularly tion that underpins attempts to treat
silencers. What features of these reg- enriched in the amino acid gluta- spaced leucine residues. Because pain with drugs other than opioids. Dr
ulatory transcription factors enable mine, and others contain large leucines are hydrophobic amino acids Bathula’s emphasis on use of non-opioid
them to carry out their functions? amounts of proline. Hence several dif- that attract one another, the stretch medications is a step ahead. It should
Regulatory transcription factors ferent types of protein structure of leucines exposed on the outer sur- be of tremendous benefit if Indian
possess two distinct activities, the appear to be capable of creating an face of one a helix can interlock with a healthcare establishments incorporate
ability to bind to a specific DNA activation domain that can stimulate comparable stretch of leucines on the pain management units to counsel
sequence and the ability to regulate gene transcription. other a helix, causing the two helices patients for less aggressive pharmaco-
transcription. The two activities reside Several kinds of structures are to wrap around each other into a coil logic agents for recovery from pain.
in separate protein domains. The also found in the DNA-binding that “zippers” the two a helices In India, dispensing of pain med-
domain that recognises and binds to a domains of transcription factors. In together. In some transcription fac- ications like tramadol is often minimally
specific DNA sequence is called the fact, most regulatory transcription tors, leucine zippers are used to “zip” regulated. Women, who walk long miles
transcription factor’s DNA-binding factors can be placed into one of a two identical polypeptides together; to obtain drinking water, are being
domain, whereas the protein region small number of categories based on in other transcription factors, two increasingly reported to rely on pain
required for regulating transcription the secondary structure pattern, or kinds of polypeptides are joined medicines to obtain relief from low back
is known as the transcription regula- motif, which makes up the DNA- together. pain, which unfortunately may be avail-
tion domain (or activation domain binding domain. Last, the helix-loop-helix motif is able over the counter.
because most transcription factors One of the most common DNA- composed of a short a helix connect- “The use of non-opioid medication
activate, rather than inhibit, tran- binding motifs, detected in both ed by a loop to another, longer helix. on post-surgical cases is getting familiar
scription). The existence of separate eukaryotic and prokaryotic regulatory Like leucine zippers, helix-loop-helix among medical surgeons slowly but
DNA-binding and activation domains transcription factors, is the helix-turn- motifs contain hydrophobic regions steadily. Researchers in western coun-
has been demonstrated by “domain- helix. This motif consists of two that usually connect two polypep- tries are working on how to reduce pain
swap” experiments in which the helices separated by a bend in the tides, which may be either similar or of post-surgical patients with paraceta-
DNA-binding region of one transcrip- polypeptide chain. Although the different. The formation of the four- mol drugs and this will be brilliant inno-
tion factor is combined with various amino acid sequence of the motif dif- helix bundle results in the juxtaposi- vative work to avoid dependence on opi-
regions of a second transcription fac- fers among various DNA-binding pro- tion of a recognition helix derived oid or tramadol group medicines. We
tor. The resulting hybrid molecule can teins, the overall pattern is always the from one polypeptide with a recogni- don’t depend on opioid drugs for the
activate gene transcription only if it same — one a helix, called the recog- tion helix derived from the other pain management of a patient after
contains an activation domain pro- nition helix, contains amino acid side polypeptide, creating a two-part surgery,” said professor (Dr) Arunava
vided by the second transcription fac- chains that recognise and bind to spe- DNA-binding domain. Sengupta, head of ENT department at
tor. cific DNA sequences by forming Institute of Post Graduate Medical Edu-
Studies of this type have revealed hydrogen bonds with bases located in bilises the overall configuration trp repressors, the CRP protein, and The writer is associate professor and head, cation & Research in Kolkata.
that activation domains often have a the major groove of the DNA double through hydrophobic interactions many phage repressor proteins are department of botany, Ananda Mohan
high proportion of acidic amino helix, while the second a helix sta- with the recognition helix. The lac and examples of prokaryotic proteins College, Kolkata Subhendu Maiti

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