The common blood test that predicts how fast Alzheimer’s hits

Insulin resistance detected by routine triglyceride-glucose (TyG) index can flag people with early Alzheimer's who are four times more likely to present rapid cognitive decline, according to new research presented at the European Academy of Neurology (EAN) Congress 2025.¹

Neurologists at the University of Brescia reviewed records for 315 non-diabetic patients with cognitive deficits, including 200 with biologically confirmed Alzheimer's disease. All subjects underwent an assessment of insulin resistance using the TyG index and a clinical follow-up of 3 years. When patients were divided according to TyG index, those in the highest third of the Mild Cognitive Impairment AD subgroup deteriorated far more quickly than their lower-TyG peers, losing >2.5 points on the Mini Mental State Examination per year (hazard ratio 4.08, 95% CI 1.06-15.73). No such link appeared in the non-AD cohort.

"Once mild cognitive impairment is diagnosed, families always ask how fast it will progress," said lead investigator Dr. Bianca Gumina. "Our data show that a simple metabolic marker available in every hospital laboratory can help identify more vulnerable subjects who may be suitable candidates for targeted therapy or specific intervention strategies."

While insulin resistance has been linked to the onset of Alzheimer's disease, its role in how quickly the condition progresses has received less attention. This study aimed to fill that gap by focusing on its impact during the prodromal mild cognitive impairment (MCI) stage, when patients follow highly variable trajectories. The researchers used the TyG index, which offers a low-cost, routinely available surrogate for insulin resistance, to explore whether metabolic dysfunction could help predict the pace of cognitive decline after diagnosis.

In AD specifically, insulin resistance is believed to impair neuronal glucose uptake, promote amyloid accumulation, disrupt the blood-brain barrier, and fuel inflammation - pathways that are less relevant or differently regulated in other neurodegenerative diseases.

"We were surprised to see the effect only in the Alzheimer's spectrum and not in other neurodegenerative diseases," Dr. Gumina noted. "It suggests a disease-specific vulnerability to metabolic stress during the prodromal window, when interventions may still change the trajectory."

The researchers at University of Brescia, led by Professor Padovani and Professor Pilotto, found that high TyG was also associated with blood-brain barrier disruption and cardiovascular risk factors, yet it showed no interaction with the APOE ε4 genotype, indicating that metabolic and genetic risks may act through distinct pathways.²

Identifying high-TyG patients could refine enrolment for anti-amyloid or anti-tau trials and prompt earlier lifestyle or pharmacological measures to improve insulin sensitivity. The researchers are currently investigating whether TyG levels also track with neuroimaging biomarkers to aid earlier detection and stratification.

"If targeting metabolism can delay progression, we will have a readily modifiable target that works alongside emerging disease-modifying drugs," concluded Dr. Gumina.

References:

1. Gumina B., Galli A., Tolassi C. et al. The Triglyceride-Glucose Index as Predictor of Cognitive Decline in Alzheimer's Spectrum Disorders. Presented at the European Academy of Neurology (EAN) Congress 2025; 23 June 2025; Helsinki, Finland.
2. Padovani A., Galli A., Bazzoli E., et al. (2025). The role of insulin resistance and APOE genotype on blood-brain barrier integrity in Alzheimer's disease. Alzheimer's & Dementia. Advance online publication. https://doi.org/10.1002/alz.14556

Courtesy:

Beyond. "The common blood test that predicts how fast Alzheimer’s hits." ScienceDaily. ScienceDaily, 22 June 2025. <www.sciencedaily.com/releases/2025/06/250622224303.htm>. 

 

 

Artificial intelligence isn’t hurting workers—It might be helping

As artificial intelligence reshapes workplaces worldwide, a new study provides early evidence suggesting AI exposure has not, thus far, caused widespread harm to workers' mental health or job satisfaction. In fact, the data reveals that AI may even be linked to modest improvements in worker physical health, particularly among employees with less than a college degree.

But the authors caution: It is way too soon to draw definitive conclusions.

The paper, "Artificial Intelligence and the Wellbeing of Workers," published June 23 in Nature: Scientific Reports, uses two decades of longitudinal data from the German Socio-Economic Panel. Using that rich data, the researchers -- Osea Giuntella of the University of Pittsburgh and the National Bureau of Economic Research (NBER), Luca Stella of the University of Milan and the Berlin School of Economics, and Johannes King of the German Ministry of Finance -- explored how workers in AI-exposed occupations have fared in contrast to workers in less-exposed roles.

"Public anxiety about AI is real, but the worst-case scenarios are not inevitable," said Professor Stella, who is also affiliated with independent European bodies the Center for Economic Studies (CESifo) and the Institute for Labor Economics (IZA). "So far, we find little evidence that AI adoption has undermined workers' well-being on average. If anything, physical health seems to have slightly improved, likely due to declining job physical intensity and overall job risk in some of the AI-exposed occupations."

Yet the study also highlights reasons for caution.

The analysis relies primarily on a task-based measure of AI exposure -- considered more objective -- but alternative estimates based on self-reported exposure reveal small negative effects on job and life satisfaction. In addition, the sample excludes younger workers and only covers the early phases of AI diffusion in Germany.

"We may simply be too early in the AI adoption curve to observe its full effects," Stella emphasized. "AI's impact could evolve dramatically as technologies advance, penetrate more sectors, and alter work at a deeper level."

Key findings from the study include:

• No significant average effects of AI exposure on job satisfaction, life satisfaction, or mental health.
• Small improvements in self-rated physical health and health satisfaction, especially among lower-educated workers.
• Evidence of reduced physical job intensity, suggesting that AI may alleviate physically demanding tasks.
• A modest decline in weekly working hours, without significant changes in income or employment rates.
• Self-reported AI exposure suggests small but negative effects on subjective well-being, reinforcing the need for more granular future research.

• Due to the data supply, the study focuses on Germany -- a country with strong labor protections and a gradual pace of AI adoption. The co-authors noted that outcomes may differ in more flexible labor markets or among younger cohorts entering increasingly AI-saturated workplaces.

  "This research is an early snapshot, not the final word," said Pitt's Giuntella, who previously conducted significant research into the effect of robotics on households and labor, and on types of workers. "As AI adoption accelerates, continued monitoring of its broader impacts on work and health is essential. Technology alone doesn't determine outcomes -- institutions and policies will decide whether AI enhances or erodes the conditions of work."

   

  Journal Reference:

• Osea Giuntella, Johannes Konig, Luca Stella. Artificial intelligence and the wellbeing of workers. Scientific Reports, 2025; 15 (1) DOI: 10.1038/s41598-025-98241-3 

Courtesy:

University of Pittsburgh. "Artificial intelligence isn’t hurting workers—It might be helping." ScienceDaily. ScienceDaily, 23 June 2025. <www.sciencedaily.com/eleases/2025/06/250623072753.htm>.

 

Recycled plastic is a toxic cocktail: Over 80 chemicals found in a single pellet

A single pellet of recycled plastic can contain over 80 different chemicals. A new study with researchers from University of Gothenburg and Leipzig shows that recycled polyethylene plastic can leach chemicals into water causing impacts in the hormone systems and lipid metabolism of zebrafish larvae.

The plastic pollution crisis has reached global levels, threatening both planetary and human health, and recycling is proposed as one of the solutions to the plastics pollution crisis. However, as plastics contain thousands of chemical additives and other substances that can be toxic, and these are almost never declared, hazardous chemicals can indiscriminately end up in recycled products.

Increasing gene expressions

In a new study, researchers bought plastic pellets recycled from polyethylene plastic from different parts of the world and let the pellets soak in water for 48 hours. After which zebrafish larvae were exposed to the water for five days. The experimental results show increases in gene expression relating to lipid metabolism, adipogenesis, and endocrine regulation in the larvae.

"These short leaching times and exposure times are yet another indicator of the risks that chemicals in plastics pose to living organisms. The impacts that we measured show that these exposures have the potential to change the physiology and health of the fish," says Azora König Kardgar, lead author and researcher in ecotoxicology at the University of Gothenburg.

"Never full knowledge"

Previous research has shown similar effects to humans, including threats to reproductive health and obesity, from exposure to toxic chemicals in plastics. Some chemicals used as additives in plastics and substances that contaminate plastics are known to disturb hormones, with potential impacts on fertility, child development, links to certain cancers, and metabolic disorders including obesity and diabetes.

"This is the main obstacle with the idea of recycling plastic. We never have full knowledge of what chemicals will end up in an item made of recycled plastic. And there is also a significant risk of chemical mixing events occuring, which render the recycled plastic toxic," says Bethanie Carney Almroth, professor at the University of Gothenburg and principal investigator on the project.

Different chemicals

Apart from the study on the impact that recycled plastics have on zebra fish larvae, the researcher also conducted a chemical analysis of the chemicals leaching from the plastic pellets to the water. And they found a lot of different chemical compounds, but the mixture altered between different samples of pellets.

"We identified common plastics chemicals, including UV-stabilizers and plasticizers, as well as chemicals that are not used as plastics additives, including pesticides, pharmaceuticals and biocides. These may have contaminated the plastics during their first use phase, prior to becoming waste and being recycled. This is further evidence of the complicated issue of plastics waste flows, and of toxic chemicals contaminating recycled plastics," says Eric Carmona, researcher at Department of Exposure Science, Helmholtz Centre for Environmental Research in Leipzig.

"Ban hazardous chemicals"

Representatives from the nations of the world are preparing to head to Geneva, Switzerland, in August, for what is planned to be the final negotiating meeting for a Global Plastics Treaty at the Intergovernmental Negotiating Committee under the United Nations Environmental Program. The authors of the work stress that negotiators and decision-makers must include provisions to ban or reduce hazardous chemicals in plastics, and to increase transparency and reporting along plastics value chains. Plastics cannot be recycled in a safe and sustainable manner if hazardous chemicals are not addressed.

"This work clearly demonstrates the need to address toxic chemicals in plastics materials and products, across their life cycle," says Professor Bethanie Carney Almroth. "We cannot safely produce and use recycled plastics if we cannot trace chemicals throughout production, use and waste phases."

Facts: Polyethylene (PE)

Polyethylene, abbreviated PE, is a type of plastic used in a lot of packaging materials like bottle caps, plastic bags, agricultural mulch films, insulation for wiring and cables, pipes, ropes, toys and household items. It is the most widely produced and used polymer. On plastic products made of polyethylene, the number in the recycling code is either 2 or 4.

ournal Reference:

1. Azora K&ouml;nig Kardgar, Eric Carmona, Therese M. Karlsson, Sara Brosch&eacute;, Bethanie Carney Almroth. Effects of leachates from black recycled polyethylene plastics on mRNA expression of genes involved in adipogenesis and endocrine pathways in zebrafish embryos. Journal of Hazardous Materials, 2025; 495: 138946 DOI: 10.1016/j.jhazmat.2025.138946 

Courtesy:

University of Gothenburg. "Recycled plastic is a toxic cocktail: Over 80 chemicals found in a single pellet." ScienceDaily. ScienceDaily, 23 June 2025. <www.sciencedaily.com/releases/2025/06/250623072802.htm>. 

 

 

DNA floating in the air tracks wildlife, viruses -- even drugs

Dublin is known as a city where you can enjoy a few pints of Guiness, get a warm welcome from the locals and hear lively traditional music drifting out of pubs and into the city air.

But it's not just music floating on the breeze. The air of Dublin also contains cannabis, poppy, even magic mushrooms -- at least their DNA.

That's according to a new study that reveals the power of DNA, vacuumed up from the air, which can track everything from elusive bobcats to illicit drugs.

"The level of information that's available in environmental DNA is such that we're only starting to consider what the potential applications can be, from humans, to wildlife to other species that have implications for human health," said David Duffy, Ph.D., a professor of wildlife disease genomics at the University of Florida and lead author of a new study showing the widespread utility of DNA vacuumed from the air.

Housed at UF's Whitney Laboratory for Marine Bioscience, Duffy's lab developed new methods for deciphering environmental DNA, also known as eDNA, to study sea turtle genetics. They've expanded the tools to study every species -- including humans -- from DNA captured in environmental samples like water, soil and sand.

But these errant strands of DNA do not just settle into muddy soil or flow along rivers. The air itself is infused with genetic material. A simple air filter running for hours, days or weeks can pick up signs of nearly every species that grows or wanders nearby.

"When we started, it seemed like it would be hard to get intact large fragments of DNA from the air. But that's not the case. We're actually finding a lot of informative DNA," Duffy said. "That means you can study species without directly having to disturb them, without ever having to see them. It opens up huge possibilities to study all the species in an area simultaneously, from microbes and viruses all the way up to vertebrates like bobcats and humans, and everything in between."

As a proof of concept, the researchers showed that they could pick up signs of hundreds of different human pathogens from the Dublin air, including viruses and bacteria. Such surveillance could help scientists track emerging diseases. The same method can track common allergens, like peanut or pollen, more precisely than is currently possible, the scientists discovered.

In another test of the power of eDNA, Duffy's lab was also able to identify the origin of bobcats and spiders whose DNA was hoovered up from air in a Florida forest. With little more than an air filter, scientists could track endangered species and identify where they came from, all without having to lay eyes on skittish animals or root around forest floors for scat samples. When trying to save and conserve wildlife, knowing where an animal originates from can be as important as knowing where it currently is.

This powerful analysis was paired with impressive speed and efficiency. The team demonstrated that a single researcher could process DNA for every species in as little as a day using compact, affordable equipment, and software hosted in the cloud. That quick turnaround is orders of magnitude faster than would have been possible just a few years ago and opens up advanced environmental studies to more scientists around the world. The same tools can potentially identify sensitive human genetic data, which is why Duffy and his collaborators have called for ethical guardrails for the rapidly developing field of eDNA.

"It seems like science fiction, but it's becoming science fact," Duffy said. "The technology is finally matching the scale of environmental problems."

Journal Reference:

1. Orestis Nousias, Mark McCauley, Maximilian R. Stammnitz, Jessica A. Farrell, Samantha A. Koda, Victoria Summers, Catherine B. Eastman, Fiona G. Duffy, Isabelle J. Duffy, Jenny Whilde, David J. Duffy. Shotgun sequencing of airborne eDNA achieves rapid assessment of whole biomes, population genetics and genomic variation. Nature Ecology & Evolution, 2025; DOI: 10.1038/s41559-025-02711-w    

 Citation:

University of Florida. "DNA floating in the air tracks wildlife, viruses -- even drugs." ScienceDaily. ScienceDaily, 3 June 2025. <www.sciencedaily.com/releases/2025/06/250603114822.htm>.

Tea, berries, dark chocolate and apples could lead to a longer life span, study shows

New research has found that those who consume a diverse range of foods rich in flavonoids, such as tea, berries, dark chocolate, and apples, could lower their risk of developing serious health conditions and have the potential to live longer.

The study was led by a team of researchers from Queen's University Belfast, Edith Cowan University Perth (ECU), and the Medical University of Vienna and Universitat Wien.

The findings reveal that increasing the diversity of flavonoids within your diet could help prevent the development of health conditions such as type 2 diabetes, cardiovascular disease (CVD), cancer and neurological disease.

Flavonoids are found in plant foods like tea, blueberries, strawberries, oranges, apples, grapes, and even red wine and dark chocolate.

Published in Nature Food, the study tracked over 120,000 participants aging from 40 to 70 years old for over a decade. It is the first study of its kind to suggest that there is a benefit to consuming a wide range of flavonoids beyond that of simply consuming a high quantity.

ECU Research Fellow, first author and co-lead of the study Dr Benjamin Parmenter, made the initial discovery that a flavonoid-diverse diet is good for health.

"Flavonoid intakes of around 500 mg a day was associated with a 16% lower risk of all-cause mortality, as well as a ~10% lower risk of CVD, type 2 diabetes, and respiratory disease. That's roughly the amount of flavonoids that you would consume in two cups of tea."

Dr Parmenter added, however, that those who consumed the widest diversity of flavonoids, had an even lower risk of these diseases, even when consuming the same total amount. For example, instead of just drinking tea, it's better to eat a range of flavonoid-rich foods to make up your intake, because different flavonoids come from different foods.

"We have known for some time that higher intakes of dietary flavonoids, powerful bioactives naturally present in many foods and drinks, can reduce the risk of developing heart disease, type 2 diabetes, and neurological conditions like Parkinson's," study co-lead Professor Aedín Cassidy from the Co-Centre for Sustainable Food Systems and Institute for Global Food Security at Queen's said.

"We also know from lab data and clinical studies that different flavonoids work in different ways, some improve blood pressure, others help with cholesterol levels and decrease inflammation. This study is significant as the results indicate that consuming a higher quantity and wider diversity has the potential to lead to a greater reduction in ill health than just a single source."

Professor Tilman Kuhn from the Medical University of Vienna, Universitat Wien and Queen's University Belfast was also a co-lead author, noted that the importance of diversity of flavonoid intake has never been investigated until now, making this study very significant as the findings align with popular claims that eating colourful foods are invaluable to maintain good health.

"Eating fruits and vegetables in a variety of colours, including those rich in flavonoids, means you're more likely to get the vitamins and nutrients you need to sustain a healthier lifestyle," he said.

The first-ever dietary guidelines for flavonoids were released recently recommending increasing the consumption of flavonoids to maintain health.

"Our study provides inaugural evidence that we may also need to advise increasing diversity of intake of these compounds for optimal benefits," Dr Parmenter said.

"The results provide a clear public health message, suggesting that simple and achievable dietary swaps, such as drinking more tea and eating more berries and apples for example, can help increase the variety and intake of flavonoid-rich foods, and potentially improve health in the long-term," Professor Cassidy added.

Journal Reference:

1. Benjamin H. Parmenter, Alysha S. Thompson, Nicola P. Bondonno, Amy Jennings, Kevin Murray, Aurora Perez-Cornago, Jonathan M. Hodgson, Anna Tresserra-Rimbau, Tilman Kühn, Aedín Cassidy. High diversity of dietary flavonoid intake is associated with a lower risk of all-cause mortality and major chronic diseases. Nature Food, 2025; DOI: 10.1038/s43016-025-01176-1 

Courtesy:

Edith Cowan University. "Tea, berries, dark chocolate and apples could lead to a longer life span, study shows." ScienceDaily. ScienceDaily, 3 June 2025. <www.sciencedaily.com/releases/2025/06/250603115028.htm>. 

Personalized gene editing saved a baby, but the tech’s future is uncertain

When a baby born in Philadelphia was announced as the first person to get a gene therapy designed just for him, many people hailed the achievement as a starting point to treat virtually any genetic disease.

But there is a long road that researchers and regulators need to pave before other people with genetic disorders can get bespoke gene therapies.

Here’s what you need to know about this personalized therapy and how it may affect gene therapy moving forward.

What led to this pioneering gene editing?

On May 15, doctors and researchers at Children’s Hospital of Philadelphia (CHOP) and colleagues described the personalized gene therapy in the New England Journal of Medicine. The treated child, KJ Muldoon, has a disorder that prevents his liver from converting ammonia from broken-up proteins to urea. Urea is flushed from the body in urine.

KJ’s form of the disease stems from a mutation in both copies of his CPS1 gene. That gene contains instructions for building an enzyme called carbamoyl-phosphate synthetase 1 that is important in the urea cycle — the conversion of ammonia to urea. Without the enzyme, ammonia levels shoot up and can cause brain and nerve damage and death. This deficiency affects about 1 in 1.3 million people, about half of whom die in early infancy. Low protein diets, medications that help lower ammonia levels and ultimately liver transplants are used to treat the condition, though these measures may not entirely cure the disorder.

KJ was born prematurely in August and was too small for a liver transplant. Medications and extremely low protein diets helped keep ammonia levels in his blood down. But the levels often spiked, and doctors worried he could be left with permanent brain damage or die.

Cardiologist Kiran Musunuru of the University of Pennsylvania Perelman School of Medicine and pediatrician and medical geneticist Rebecca Ahrens-Nicklas of CHOP had already been practicing for such a scenario. They quickly assembled a coalition of academic and industry scientists to manufacture the gene therapy and make sure it was safe to give to a person, Musunuru said in a news briefing May 12.

The team also applied to the U.S. Food and Drug Administration for permission to treat the baby. The FDA recognized that “KJ was very, very sick and there wasn’t time for business as usual,” Musunuru said. The agency approved the treatment within one week of getting the application.

KJ has gotten three infusions of his personalized gene therapy. He isn’t cured — it’s not known whether all the cells in his liver have the corrective edits. Even some patients with liver transplants can have ammonia spikes after infections. But KJ can eat more protein and needs much less medication to keep his ammonia levels in check, Ahrens-Nicklas said. 

What is the personalized gene therapy?

KJ’s gene therapy is based on CRISPR, a targeted gene-editing system which is being developed to treat cancers and a wide variety of genetic diseases. This child got a molecular pencil version of CRISPR called a base editor. That editor chemically erased a mutation in KJ’s broken CPS1 gene and wrote in the correct DNA letter, or base. Base editors are being used as possible treatments for high cholesterol and other conditions. (Musunuru is a founder of the company developing the cholesterol gene therapy.)

This therapy started with messenger RNA, or mRNA, instructions for making the base editor. Messenger RNA is a go-between molecule, a copy of DNA instructions for building a protein. The mRNA is read by cellular machinery and used to produce the protein, which then carries out a particular job. In this case, making the base editor that would correct the typo in KJ’s gene.

The researchers encased mRNA instructions for making the base editor in a lipid nanoparticle, which is “basically like a soap bubble,” says Petros Giannikopoulos, a molecular pathologist at the University of California, Berkeley’s Innovative Genomics Institute. Giannikopoulos was involved in testing KJ’s base editor to make sure it didn’t cause unintended changes elsewhere in his DNA. COVID mRNA vaccines made by Moderna and Pfizer-BioNTech use similar lipid nanoparticle technology to deliver mRNA to cells. In KJ’s case, the nanoparticles specifically directed the therapy to the liver.

Fixing a DNA typo

Researchers used a CRISPR base editor to repair a typo in one baby’s gene, in this case changing an incorrect adenine (A) to the correct guanine (G). A guide RNA (orange) shepherds the base editor to the typo. The base editor is a version of a DNA-cutting enzyme called CRISPR/Cas9 that has been altered so that it nicks one of two DNA strands at the typo (therefore, called Cas9 nickase). Tacked on to the Cas9 nickase is another enzyme called a DNA adenine deaminase. It chemically converts the DNA base adenine (A) to inosine (I). Inosine isn’t a usual DNA building block so DNA repair enzymes in a cell convert it to guanine (G), fixing the typo.

J. Hirshfeld

Researchers tested the base editor in lab-grown cells in a dish. They then gave doses of the therapy to crab-eating macaques to test for toxicity. The team also genetically engineered mice to carry KJ’s mutation, then used the base editor to correct the DNA typo. It took only six months to develop and test the therapy.

KJ got his first intravenous infusion containing the therapy in February. He got a very low dose to start with. Two subsequent doses have been higher. The researchers will continue to monitor KJ, and he soon may be able to leave the hospital where he has lived since birth.

What makes KJ’s case special?

“What was very unique about this was that the therapy was manufactured for an individual patient,” Giannikopoulos says. “This child had a specific mutation…. The therapy was designed for that specific mutation. That was why this was so monumental.”

Previous CRISPR and other gene therapies, including one approved by the FDA to treat sickle cell disease and beta-thalassemia, are proactive, he says. That means “we make and preapprove something, and then wait for the patients to come along” whose mutations match the therapy. KJ’s treatment, in contrast, is reactive. “The patient was diagnosed. We sequenced and found the defect in the genome. And then we designed and manufactured and did all the work to target that specific mutation.”

That personalized approach could be used for many people with super rare diseases.

“I don’t think I’m exaggerating when I say that this is the future of medicine,” Musunuru said in the news briefing. “This is a step towards the use of genetic editing therapies to treat a wide variety of rare genetic disorders for which there are currently no definitive medical treatments.”

Giannikopoulos agrees. “What happened at CHOP was basically the birth of a new medical subspecialty,” he says.

 

Can every genetic disease be treated this way?

Probably not all of them, Giannikopoulos says. There are more than 7,000 known genetic diseases. He estimates that 15 to 20 percent of those might be fixable using currently available gene-editing technology. Ones that are caused by single letter typos in a single gene might be correctable using a base editor.

Other CRISPR editors, including a very versatile version called a prime editor, potentially can repair many types of mutations, including small deletions. Cambridge, Mass.–based Prime Medicine announced in a news release May 19 that it had successfully treated a person with a different rare disease using prime editing.

Scientists must also be able to easily get the editor where it needs to go. Diseases that affect easily accessible organs may be the most treatable, Giannikopoulos says. Immune system or blood disorders may be fixed by removing stem cells from the bone marrow, editing them in the lab and then returning them to the patient. Other organs such as the skin, eye or liver (as in KJ’s case) are relatively easy to deliver gene therapy to inside the body. Other gene therapies delivered inside the body include an approved treatment for Duchenne muscular dystrophy.

But diseases that affect multiple organs at once or those that affect hard-to-reach organs might not be easily treated. For instance, “we’re not very good at targeting the kidney right now,” Giannikopoulos says.

When to deploy gene therapy also matters. “For some diseases, you might need to intervene, maybe in utero, but we haven’t gotten there yet.”

“You’ve also got to understand the disease well enough to be able to intervene. Because [for] some diseases, we know what the mutation is, but we don’t really understand how the mutation is causing trouble.”

What else is needed for personalized gene therapy to become widespread?

Changes in regulations would probably be necessary, Giannikopoulos says. Currently, gene therapies are usually approved for correcting a specific mutation. But some genes may have hundreds of disease-causing mutations, so only a subset of people with a particular disease may be eligible.

Instead, Giannikopoulos and other researchers argue that the general procedure and materials, including the delivery vehicle and gene editor, should be treated as a platform or umbrella therapy. That umbrella intervention would be tested for safety and efficacy and then could be deployed as needed for a patient’s particular mutation. “Otherwise, if everything needs to be repeated in terms of the safety and efficacy for every one of these tens of thousands or potentially hundreds of thousands of specific mutations, then we’ll never get there,” Giannikopoulos says.

It may also be a struggle to get insurance to pay for expensive one-off gene therapies, he says. Funds have been a common and concerning theme for gene therapy. Even when therapies have been proven to work, companies often don’t have the resources to conduct clinical trials to get FDA approval, or to keep the treatments on the market once they have been approved. For instance, Prime Medicine is no longer developing its just-announced gene therapy.

Drastic cuts in research funding may also hinder early gene therapy development in academic laboratories in the United States.

Standardized playbooks for designing and implementing gene therapies are also needed because many doctors want to treat patients with genetic diseases, but don’t have the know-how, Giannikopoulos says. He and Musunuru are part of the U. S. National Institutes of Health–funded Somatic Cell Genome Editing Consortium that is putting together such playbooks. “That’s going to be really how to scale this, [by] teaching everybody how to fish around the world.”

Questions or comments on this article? E-mail us at feedback@sciencenews.org | Reprints FAQ

 

Citations

K. Musunuru et al. Patient-specific in vivo gene editing to treat a rare genetic disease. New England Journal of Medicine. Published online May 15, 2025. doi: 10.1056/NEJMoa2504747.

 

Couresty: https://www.sciencenews.org/article/personalized-crispr-gene-edit-therapy 

Further translation of the language of the genome

 

New research has uncovered more about the complexity of human gene regulation by identifying certain sequences of proteins called transcription factors that bind to DNA and regulate the expression of human genes.

Published today (9 April) in Nature, researchers from the Wellcome Sanger Institute, the University of Cambridge and their collaborators explored how DNA-guided transcription factors interact with each other.

This research adds to the groundwork of understanding the complex language of the gene regulatory code, and how DNA sequence patterns located close to our genes influence human development and disease risk.

Each gene has a regulatory region that contains instructions on when and where the gene is expressed. This information is written in a code that is read by transcription factors, which bind to specific DNA sequences and either increase or decrease the gene's expression.

Previous research has explored the 'language' of the genome -- the regulatory code that controls gene expression. It found that cooperation between multiple transcription factors is a key feature of transcription factor-DNA binding, with DNA actively facilitating interactions between various transcription factors.¹ With the regulatory code being far more complex than the genetic code, which explains how DNA sequence determines the structure of proteins, researchers are aiming to understand the regulatory language in more detail, focusing on the 'words' and 'grammar' -- such as the transcription factors -- that influence when and where genes are expressed.

This deeper understanding is crucial for uncovering how cells develop into specific types, how organs form and where they are located in the body during embryonic development, and for understanding what goes wrong in disease.

The interactions between transcription factors guided by DNA are poorly understood. In a new study, researchers from the Sanger Institute and the University of Cambridge used two novel algorithms to analyse 58,000 pairs of transcription factors from human cells. They did this to identify how and where transcription factors interact with each other to bolster their understanding of the genomic language.²

The researchers' results reveal new patterns and preferences in how certain transcription factors interact with each other -- also known as 'motifs'. In this study, the researchers estimate that they identified between 18 and 47 per cent of all human transcription factor pair motifs, greatly adding to their understanding of the regulatory code.

The team found that certain motifs they identified are present in developmental enhancers -- DNA regulatory elements that activate transcription of a gene -- that control important stages such as development of fingers. For example, the research notes that certain sequences of transcription factor motifs, or 'words' in the language, influence whether or not someone develops polydactyly -- too many fingers -- or syndactyly -- a fusion of fingers.

The findings also have implications for how scientists will use computational models -- such as artificial intelligence -- to predict protein structures in the future. Whilst these tools can predict the overall structure, they often cannot look into smaller details, such as how transcription factors interact with each other on DNA. These small interactions can have a big impact on human development, but computational models cannot always predict this. The researchers hope that future models will be able to incorporate the more minute transcription factor details to better predict protein structure and protein-DNA interactions.

This research marks a step forward in studying the smaller 'words' in the language of gene expression. By identifying small but key motifs in the genome, this research will help scientists understand and interpret the mechanisms influenced by transcription factors, particularly in the non-coding regions of the genome. These regions -- which make up 99 per cent of the genome -- do not code for proteins but still play a significant role in regulation of gene expression, and risk for development of disease.

Dr Ilya Sokolov, an author of the study at the Wellcome Sanger Institute, said: "By gaining a deeper understanding of how transcription factors interact when guided by DNA, we hope our research will shed light on the molecular basis of the regulatory code, particularly in the context of developmental disorders. These interactions are evolutionarily conserved across mammals and offer several advantages in development, from incorporating positional information to creating sharper gene expression responses. With advanced insights into the regulatory code, we are excited to help drive future research that will improve our understanding of human development and developmental disorders."

Professor Jussi Taipale, senior author of the study and Group Leader at the Wellcome Sanger Institute, said: "The human genome's regulatory code is very complex, far more complex than the genetic code, and this research into transcription factor interactions unlocks deeper insights into the 'language' of the genome. Not only does our study provide more information into patterns of human development but it paves the way for future work with computational models that can hopefully incorporate these new data to better understand gene regulation."

Notes

1. Arttu Jolma, Yimeng Yin, Kazuhiro R. Nitta, Kashyap Dave, Alexander Popov, Minna Taipale, Martin Enge, Teemu Kivioja, Ekaterina Morgunova, Jussi Taipale.(2015) 'DNA-dependent formation of transcription factor pairs alters their binding specificity.'Nature. DOI: 10.1038/nature15518
2. The researchers expressed a set of human transcription factors -- enriched in proteins that are conserved in mammals -- in Escherichia coli, combined them into a total of 58,754 transcription factor (TF) pairs and analysed their interactions by CAP-SELEX -- consecutive affinity purification evolution of ligands by exponential enrichment. CAP-SELEX is a method which enables the discovery of TF-TF-DNA binding preferences.

Journal Reference:

1. Zhiyuan Xie, Ilya Sokolov, Maria Osmala, Xue Yue, Grace Bower, J. Patrick Pett, Yinan Chen, Kai Wang, Ayse Derya Cavga, Alexander Popov, Sarah A. Teichmann, Ekaterina Morgunova, Evgeny Z. Kvon, Yimeng Yin, Jussi Taipale. DNA-guided transcription factor interactions extend human gene regulatory code. Nature, 2025; DOI: 10.1038/s41586-025-08844-z 

Courtesy:

Wellcome Trust Sanger Institute. "Further translation of the language of the genome." ScienceDaily. ScienceDaily, 9 April 2025. <www.sciencedaily.com/releases/2025/04/250409155027.htm>.

 

 

 

 

Novel drug delivery platform paves way to potential new treatments for Alzheimer's, other brain-related disorders

 

Oregon State University researchers have discovered a way to get anti-inflammatory medicine across the blood-brain barrier, opening the door to potential new therapies for a range of conditions, including Alzheimer's disease, multiple sclerosis, Parkinson's disease and cancer cachexia.

The delivery method involves specially engineered nanoparticles, tiny bits of matter no larger than 100 billionths of a meter.

Tested in a mouse model, the dual peptide-functionalized polymeric nanocarriers reached their intended destination, the hypothalamus, and delivered a drug that inhibits a key protein associated with inflammation.

"Our work presents a significant breakthrough," said Oleh Taratula, professor in the OSU College of Pharmacy.

Findings were published today in Advanced Healthcare Materials.

The hypothalamus is a small but vital part of the brain situated below the thalamus and above the brainstem, and it plays a key role in maintaining homeostasis -- the body's internal balance. It regulates body temperature, manages sleep cycles, hormone production and emotional responses, and controls hunger and thirst.

In this study, researchers specifically looked at the hypothalamus as it pertains to cachexia, a deadly weight-loss condition associated with cancers of the ovaries, stomach, lungs and pancreas and other chronic conditions such as renal failure, cystic fibrosis, Crohn's disease, rheumatoid arthritis and HIV.

People with cancer cachexia will lose weight even if they eat, and not just fat but muscle mass as well. The debilitating syndrome affects up to 80% of advanced cancer patients and kills as many as 30% of the cancer patients it afflicts.

"Inflammation of the hypothalamus plays a pivotal role in dysregulating those patients' appetite and metabolism," Taratula said. "As cachexia progresses, it significantly impacts quality of life, treatment tolerance and overall survival chances."

The systemic delivery of anti-inflammatory agents, including the IRAK4 inhibitors used in this research, to the hypothalamus presents significant challenges, Taratula said, mainly because of the restrictive nature of the blood-brain barrier.

The blood-brain barrier, often referred to as the BBB, is a protective shield separating the brain from the bloodstream. The BBB is made up of tightly packed cells lining the blood vessels in the brain and controls what substances can move from the blood to the brain.

It allows essential nutrients like oxygen and glucose to pass through and blocks harmful substances such as toxins and pathogens, keeping the brain safe from infections and damage. But it can also deny entry to therapeutic agents.

"An additional hurdle, even if you can get through the BBB to the hypothalamus, is hitting the bullseye within the hypothalamus -- the activated microglia cells that act as key mediators of inflammation," Taratula said. "Our nanocarriers show a dual-targeting capability, and once in the microglia, drug release is triggered by elevated intracellular glutathione levels. We demonstrated, for the first time, that nanocarriers can successfully deliver an IRAK4 inhibitor to the hypothalamus of mice with cancer cachexia."

The scientists observed substantial reductions in key inflammatory markers in the hypothalamus, and the nanocarriers led to a 94% increase in food intake and significantly preserved body weight and muscle mass. And the implications extend far beyond cancer cachexia, Taratula added.

"The nanoplatform's ability to deliver therapeutics across the BBB and target microglia opens new possibilities for treating neurological conditions characterized by brain inflammation, including Alzheimer's disease and multiple sclerosis," he said.

Taratula was joined in the study by College of Pharmacy colleagues Yoon Tae Goo, Vladislav Grigoriev, Tetiana Korzun, Kongbrailatpam Shitaljit Sharma, Prem Singh and Olena Taratula, and by Daniel Marks from Endevica Bio.

The National Cancer Institute of the National Institutes of Health, the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the National Research Foundation of Korea funded the research.

Journal Reference:

1. Yoon Tae Goo, Vladislav Grigoriev, Tetiana Korzun, Kongbrailatpam Shitaljit Sharma, Prem Singh, Olena R. Taratula, Daniel L. Marks, Oleh Taratula. Blood‐Brain Barrier‐Penetrating Nanocarriers Enable Microglial‐Specific Drug Delivery in Hypothalamic Neuroinflammation. Advanced Healthcare Materials, 2025; DOI: 10.1002/adhm.202500521 

Courtesy:

Oregon State University. "Novel drug delivery platform paves way to potential new treatments for Alzheimer's, other brain-related disorders." ScienceDaily. ScienceDaily, 9 April 2025. <www.sciencedaily.com/releases/2025/04/250409115422.htm>.

 

 

 

 

Driving the CAR to fight acute myeloid leukemia

One main goal of anti-cancer therapies is to kill tumor cells without affecting the surrounding normal cells. Therefore, many drugs are designed to target tumor-specific antigens, which are molecules only expressed by cancer cells. However, it has proven difficult to identify such specific antigens in certain cancer types, including acute myeloid leukemia (AML).

AML patients are often treated using allogeneic hematopoietic stem cell transplantation (allo-HCT), where they receive stem cells from a donor.

Unfortunately, despite advancements with allo-HCT, many AML patients relapse.

In a recent article published in Nature Cancer, a multi-institutional research team led by The University of Osaka describes how a molecule called HLA-DRB1 can be used as a target for chimeric antigen receptor (CAR)-based therapy for AML.

In CAR-based therapy, T cells are engineered to target and kill cells that express a specific molecule.

CAR T cells have been highly successful in individuals with B cell leukemia/lymphoma and multiple myeloma (MM). However, most of the CAR T cell targets currently in clinical trials for AML are also expressed in normal cell types, leading to potential toxicity.

"In our previous work in MM, we screened monoclonal antibodies (mAbs) to identify any that could react with human MM samples but not with normal blood cells," says Shunya Ikeda, lead author of the study.

"We aimed to use that same strategy to find AML-specific antigens."

The team began screening thousands of mAbs raised against AML cells, narrowing this list down to 32 that bind specifically to AML cells.

One mAb, named KG2032, clearly bound to AML cells in over 50% of patient samples tested.

Using a sequencing strategy, the researchers determined that KG2032 bound to HLA-DRB1.

"Interestingly, we found that KG2032 reacted with a specific HLA-DRB1 subset in which the protein has an amino acid other than aspartic acid in the 86^th position," explains Naoki Hosen, senior author of the article.

"KG2032 would therefore only be reactive to AML cells in individuals with mismatched HLA-DRB1, meaning the patient carries this amino acid residue but the allo-HCT donor does not."

This finding indicates that HLA-DRB1 can be a potential target in treating certain patients with AML who have relapsed after allo-HCT.

The team then engineered KG2032 CAR T cells without the reactive HLA-DRB1 allele to test this finding. 

The KG2032 CAR T cells displayed strong and specific anti-AML effects in vitro with cell culture experiments, as well as in vivo with a mouse model.

The treated mice did not display any overt signs of toxicity.

Engineered cord blood-derived CAR natural killer (NK) cells showed similar results.

Overall, these very promising findings indicate that KG2032-derived CAR T or NK cells may be a lifesaving intervention for AML patients who have relapsed following allo-HCT. Clinical trials are currently being planned for both cell types.

Journal Reference:

1. Shunya Ikeda, Kana Hasegawa, Yosuke Kogue, Takao Arimori, Ryuhei Kawamoto, Tansri Wibowo, Moto Yaga, Yuri Inada, Hirofumi Uehara, Miwa Matsubara, Mana Tachikawa, Makiko Suga, Shuhei Kida, Kumi Shibata, Kazuhito Tsutsumi, Kentaro Fukushima, Jiro Fujita, Tomoaki Ueda, Shinsuke Kusakabe, Akihisa Hino, Michiko Ichii, Asao Hirose, Hirohisa Nakamae, Masayuki Hino, Takafumi Nakao, Megumu Inoue, Kyoko Yoshihara, Satoshi Yoshihara, Shuji Ueda, Tetsuro Tachi, Hideki Kuroda, Koki Murakami, Noriyuki Kijima, Haruhiko Kishima, Eri Igashira, Mari Murakami, Tsuyoshi Takiuchi, Tadashi Kimura, Takashi Hiroshima, Toru Kimura, Yasushi Shintani, Chihaya Imai, Kosuke Yusa, Ryota Mori, Takayuki Ogino, Hidetoshi Eguchi, Kiyoshi Takeda, Yusuke Oji, Atsushi Kumanogoh, Junichi Takagi, Naoki Hosen. CAR T or NK cells targeting mismatched HLA-DR molecules in acute myeloid leukemia after allogeneic hematopoietic stem cell transplant. Nature Cancer, 2025; DOI: 10.1038/s43018-025-00934-1 

Courtesy:

Osaka University. "Driving the CAR to fight acute myeloid leukemia." ScienceDaily. ScienceDaily, 11 April 2025. <www.sciencedaily.com/releases/2025/04/250411112928.htm>.

 

 

 

Biomarker test can detect Alzheimer's pathology earlier

 

Years before tau tangles show up in brain scans of patients with Alzheimer's disease, a biomarker test developed at the University of Pittsburgh School of Medicine can detect small amounts of the clumping-prone tau protein and its misfolded pathological forms that litter the brain, cerebrospinal fluid and potentially blood, new research published today in Nature Medicine suggests.

The cerebrospinal fluid biomarker test correlates with the severity of cognitive decline, independent of other factors, including brain amyloid deposition, thereby opening doors for early-stage disease diagnosis and intervention.

Since amyloid-beta pathology often precedes tau abnormalities in Alzheimer's disease, most biomarker efforts have focused on early detection of amyloid-beta changes. However, the clumping of tau protein into well-ordered structures referred to by pathologists as "neurofibrillary tangles" is a more defining event for Alzheimer's disease as it is more strongly associated with the cognitive changes seen in affected people.

"Our test identifies very early stages of tau tangle formation -- up to a decade before any tau clumps can show up on a brain scan," said senior author Thomas Karikari, Ph.D., assistant professor of psychiatry at Pitt. "Early detection is key to more successful therapies for Alzheimer's disease since trials show that patients with little-to-no quantifiable insoluble tau tangles are more likely to benefit from new treatments than those with a significant degree of tau brain deposits."

Since many elderly people who have amyloid-beta plaques in their brains will never go on to develop cognitive symptoms of Alzheimer's disease during their lifetime, the widely adopted diagnostics framework developed by the Alzheimer's Association specifies the three neuropathological pillars necessary to diagnose the disease -- combined presence of tau and amyloid-beta pathology and neurodegeneration. In a quest for early and accessible biomarkers for Alzheimer's disease, Karikari's earlier work showed that a brain-specific form of tau, called BD-tau, can be measured in blood and reliably indicate the presence of Alzheimer's disease-specific neurodegeneration. Several years prior, Karikari showed that specific forms of phosphorylated tau, p-tau181, p-tau217 and p-tau212, in the blood can predict the presence of brain amyloid-beta without the need for costly and time-consuming brain imaging.

But these tools largely detect amyloid pathology, so the issue of early detection of tau still looms large. While tau-PET remains a reliable and accurate predictor of tau burden in the brain, the test's utility is limited by availability, low resolution, high cost, labor and sensitivity. At present, tau-PET scans can pick up the signal from neurofibrillary tangles only when a large number are present in the brain, at which point the degree of brain pathology has become pronounced and is not easily reversible.

In this latest research, using the tools of biochemistry and molecular biology, Karikari and team identified a core region of the tau protein that is necessary for neurofibrillary tangle formation. Detecting sites within that core region of 111 amino acids, a sequence they call tau_258-368,can identify clumping-prone tau proteins and help initiate further diagnostics and early treatment. In particular, the two new phosphorylation sites, p-tau-262 and p-tau-356, can accurately inform the status of early-stage tau aggregation that, with an appropriate intervention, could potentially be reversed.

"Amyloid-beta is a kindling, and tau is a matchstick. A large percentage of people who have brain amyloid-beta deposits will never develop dementia. But once the tau tangles light up on a brain scan, it may be too late to put out the fire and their cognitive health can quickly deteriorate," said Karikari. "Early detection of tangle-prone tau could identify the individuals who are likely to develop Alzheimer's-associated cognitive decline and could be helped with new generation therapies."

Other authors of this research are Eric Abrahamson, Ph.D., Xuemei Zeng, Ph.D., Anuradha Sehrawat, Ph.D., Yijun Chen, M.S., Tharick Pascoal, M.D., Ph.D., and Milos Ikonomovic, M.D., all of Pitt; Tohidul Islam, Ph.D., Przemys?aw Kac, M.S., Hlin Kvartsberg, Ph.D., Maria Olsson, B.S., Emma Sjons, B.S., Fernando Gonzalez-Ortiz, M.D., M.S., Henrik Zetterberg, M.D., Ph.D., and Kaj Blennow, M.D., Ph.D., all of University of Gothenburg, Sweden; Emily Hill, Ph.D., Ivana Del Popolo, M.S., Abbie Richardson, M.S., Victoria Mitchell, M.S., and Mark Wall, Ph.D., all of the University of Warwick, UK; Stijn Servaes, Ph.D., Joseph Therriault, Ph.D., Cécile Tissot, Ph.D., Nesrine Rahmouni, M.S., and Pedro Rosa-Neto, M.D., Ph.D., all of McGill University, Canada; Denis Smirnov, Ph.D., and Douglas Galasko, M.D., both of University of California, San Diego; Tammaryn Lashley, Ph.D., of University College London, UK.

This study was supported by, among others, the National Institute on Aging (grants R01AG083874, U24AG082930, P30AG066468, RF1AG052525-01A1, R01AG053952, R37AG023651, RF1AG025516, R01AG073267, R01AG075336, R01AG072641, P01AG14449, and P01AG025204, among others), the Swedish Research Council (grant 2021-03244), the Alzheimer's Association (grant AARF-21-850325), the Swedish Alzheimer Foundation, the Aina (Ann) Wallströms and Mary-Ann Sjöbloms Foundation, the Emil and Wera Cornells Foundation and a professorial endowment fund from the Department of Psychiatry, University of Pittsburgh.

Journal Reference:

1. Tohidul Islam, Emily Hill, Eric E. Abrahamson, Stijn Servaes, Denis S. Smirnov, Xuemei Zeng, Anuradha Sehrawat, Yijun Chen, Przemysław R. Kac, Hlin Kvartsberg, Maria Olsson, Emma Sjons, Fernando Gonzalez-Ortiz, Joseph Therriault, Cécile Tissot, Ivana Del Popolo, Nesrine Rahmouni, Abbie Richardson, Victoria Mitchell, Henrik Zetterberg, Tharick A. Pascoal, Tammaryn Lashley, Mark J. Wall, Douglas Galasko, Pedro Rosa-Neto, Milos D. Ikonomovic, Kaj Blennow, Thomas K. Karikari. Phospho-tau serine-262 and serine-356 as biomarkers of pre-tangle soluble tau assemblies in Alzheimer’s disease. Nature Medicine, 2025; DOI: 10.1038/s41591-024-03400-0 

Courtesy:

University of Pittsburgh. "Biomarker test can detect Alzheimer's pathology earlier." ScienceDaily. ScienceDaily, 10 February 2025. <www.sciencedaily.com/releases/2025/02/250210132601.htm>.

 

 

 

New treatment may offer quick cure for common cause of high blood pressure

 

Doctors at Queen Mary University of London, Barts Health NHS Trust, and University College London have led the development of a simple, minimally invasive Targeted Thermal Therapy (Triple T) that has the potential to transform medical management of a common, but commonly overlooked, cause of high blood pressure.

This breakthrough, published today in The Lancet, could, after further testing, help millions of people worldwide who currently go undiagnosed and untreated.

In the UK, Triple T, known scientifically as endoscopic ultrasound-guided radiofrequency ablation, was rigorously tested, in collaboration with researchers from University College London, University College Hospital NHS Trust, Cambridge University NHS Trust, and the University of Cambridge.

A hidden cause of high blood pressure

High blood pressure affects one in three adults, of whom a hormonal condition called primary aldosteronism accounts for one in twenty cases. However, fewer than one percent of those affected are ever diagnosed.

The condition occurs when tiny benign nodules in one or both adrenal glands produce excess aldosterone, a hormone that raises blood pressure by increasing salt levels in the body. Patients with primary aldosteronism often do not respond well to standard blood pressure medications and face higher risks of heart attacks, strokes, and kidney failure.

A game-changing alternative to surgery

Until now, the only effective cure for primary aldosteronism has been surgical removal of the entire adrenal gland, requiring general anaesthesia, a two-to three-day hospital stay, and weeks of recovery. As a result, many patients go untreated.

Triple T offers a faster, safer alternative to surgery, by selectively destroying the small adrenal nodule without removing the gland. This is made possible by recent advances in diagnostic scans, using molecular dyes that accurately identify and locate even the smallest adrenal nodules. Those in the left adrenal gland are seen to be immediately adjacent to the stomach, from where they can be directly targeted.

The new treatment harnesses the energy of waves, adapting two well-established medical techniques: radiofrequency or microwaves generate heat in a small needle placed into the malfunctioning tissue, causing a controlled burn; ultrasound uses reflected sound waves to create a real-time video of the procedure.

In Triple T, as in routine endoscopy, a tiny internal camera -- in this case using ultrasound as well as light -- is passed by mouth into the stomach. The endoscopist visualises the

adrenal gland and guides a fine needle from the stomach precisely into the nodule. Short bursts of heat destroy the nodule but leave the surrounding healthy tissues unharmed. This minimally invasive approach takes only 20 minutes and eliminates the need for internal or external incisions.

Successful trial shows promise

The study is called FABULAS, the name being an acronym for Feasibility study of radiofrequency endoscopic ABlation, with ULtrasound guidance, as a non-surgical, Adrenal Sparing treatment for aldosterone-producing adenomas.

FABULAS tested Triple T in 28 patients with primary aldosteronism, whose molecular scan had pinpointed a hormone-producing nodule in the left adrenal gland. The new procedure was found to be safe and effective, with most patients having normal hormone levels six months later. Many participants were able to stop all blood pressure medications, with no recurrence of the condition.

Professor Morris Brown, co-senior author of the FABULAS study and Professor of Endocrine Hypertension at Queen Mary University of London, said: "It is 70 years since the discovery in London of the hormone aldosterone, and, a year later, of the first patient in USA with severe hypertension due to an aldosterone-producing tumour. This patient's doctor, Jerome Conn, predicted, with perhaps only minor exaggeration, that 10-20% of all hypertensions might one day be traced to curable nodules in one or both glands. We are now able to realise this prospect, offering 21st-century breakthroughs in diagnosis and treatment."

One of the trial participants, Michelina Alfieri, shared her experience:

"Before the study, I suffered from debilitating headaches for years despite multiple GP visits. As a full-time worker and single parent, my daily life was severely affected. This non-invasive treatment provided an immediate recovery -- I was back to my normal routine straight away. I'm incredibly grateful to the team for giving me this choice."

What's next?

The success of FABULAS has led to a larger randomised trial called 'WAVE', which is comparing Triple T with traditional adrenal surgery. The results are expected in 2027.

Professor Stephen Pereira, Chief Investigator of FABULAS and Professor of Hepatology & Gastroenterology at UCL Institute for Liver and Digestive Health, added: "With appropriate training, this less invasive technique could be widely offered in endoscopy units across the UK and internationally."

Clinical Endocrinology Lead at Addenbrooke's Hospital and Professor of Clinical Endocrinology at the University of Cambridge, Professor Mark Gurnell, said: "This breakthrough was made possible thanks to the collaborative development of novel PET tracer molecules, which enable non-invasive diagnosis by allowing us to precisely locate and treat adrenal nodules for the first time.

"Thanks to this work, we may finally be able to diagnose and treat more people with primary aldosteronism, lowering their risk of developing cardiovascular diseases and other complications, and reducing the number of people dependent on long-term blood pressure medication," he added.

A major step forward for hypertension treatment

For the millions of people suffering from undiagnosed primary aldosteronism, this research offers new hope. Safely targeted thermal therapy, delivered by mouth, could replace major surgery, allowing faster recovery and better outcomes.

With further studies underway, this breakthrough treatment could soon become a standard procedure worldwide, transforming care for patients with this curable form of hypertension.

The research was primarily supported by Barts Charity, National Institute for Health and Care Research (NIHR) through the Barts and Cambridge Biomedical Research Centres (BRCs), and the British Heart Foundation.

It is being followed by a larger randomised trial, called 'WAVE', which will compare TTT to traditional surgery in 120 patients. The results are expected in 2027.

Journal Reference:

1. Giulia Argentesi, Xilin Wu, Alexander Ney, Emily Goodchild, Kate Laycock, Yun-Ni Lee, Russell Senanayake, James MacFarlane, Elisabeth Ng, Jessica Kearney, Sam O'Toole, Jackie Salsbury, Nick Carroll, Daniel Gillett, John A Tadross, Alison Marker, Edmund M Godfrey, George Goodchild, Jonathan P Bestwick, Mark Gurnell, Heok Cheow, Stephen P Pereira, William M Drake, Morris J Brown, Jose Bastos, Elena D Benu, Elizabeth Cervi, Patrizia Ebano, Razeen Mahroof, Iulia Munteanu, August Palma, Patrick Wilson. Endoscopic, ultrasound-guided, radiofrequency ablation of aldosterone-producing adenomas (FABULAS): a UK, multicentre, prospective, proof-of-concept trial. The Lancet, 2025; DOI: 10.1016/S0140-6736(24)02755-7 

Courtesy:

Queen Mary University of London. "New treatment may offer quick cure for common cause of high blood pressure." ScienceDaily. ScienceDaily, 10 February 2025. <www.sciencedaily.com/releases/2025/02/250210132401.htm>.

 

 

Novel 'living' biomaterial aims to advance regenerative medicine

A biomaterial that can mimic certain behaviors within biological tissues could advance regenerative medicine, disease modeling, soft robotics and more, according to researchers at Penn State.

Materials created up to this point to mimic tissues and extracellular matrices (ECMs) -- the body's biological scaffolding of proteins and molecules that surrounds and supports tissues and cells -- have all had limitations that hamper their practical applications, according to the team. To overcome some of those limitations, the researchers developed a bio-based, "living" material that encompasses self-healing properties and mimics the biological response of ECMs to mechanical stress.

They published their results in Materials Horizons, where the research was also featured on the cover of the journal.

"We developed a cell-free -- or acellular -- material that dynamically mimics the behavior of ECMs, which are key building blocks of mammalian tissues that are crucial for tissue structure and cell functions," said corresponding author Amir Sheikhi, associate professor of chemical engineering and the Dorothy Foehr Huck and J. Lloyd Huck Early Career Chair in Biomaterials and Regenerative Engineering.

According to the researchers, previous iterations of their material -- a hydrogel, or water-rich polymer network -- were synthetic and lacked the desired combination of mechanical responsiveness and biological mimicry of ECMs.

"Specifically, these materials need to replicate nonlinear strain-stiffening, which is when ECM networks stiffen under strain caused by physical forces exerted by cells or external stimuli," Sheikhi said, explaining nonlinear strain-stiffening is important for providing structural support and facilitating cell signaling. "The materials also need to replicate the self-healing properties necessary for tissue structure and survival. Prior synthetic hydrogels had difficulties in balancing material complexity, biocompatibility and mechanical mimicry of ECMs."

The team addressed these limitations by developing acellular nanocomposite living hydrogels (LivGels) made from "hairy" nanoparticles. The nanoparticles are composed of nanocrystals, or "nLinkers," with disordered cellulose chains, or "hairs," at the ends. These hairs introduce anisotropy, meaning the nLinkers have different properties depending on their directional orientation and allow dynamic bonding with biopolymer networks. In this case, the nanoparticles bonded with a biopolymeric matrix of modified alginate, which is a natural polysaccharide found in brown algae.

"These nLinkers form dynamic bonds within the matrix that enable strain-stiffening behavior, that is, mimicking ECM's response to mechanical stress; and self-healing properties, which restore integrity after damage," Sheikhi said, noting that the researchers used rheological testing, which measures how material behaves under various stressors, to measure how rapidly the LivGels recovered their structure after high strain. "This design approach allowed fine-tuning of the material's mechanical properties to match those of natural ECMs."

Critically, Sheikhi said, this material is entirely made of biological materials and avoids synthetic polymers with potential biocompatibility issues. Beyond mitigating the limitations of previously developed materials, LivGels achieve the dual traits of nonlinear mechanics and self-healing without sacrificing structural integrity. The nLinkers specifically facilitate dynamic interactions that allow precise control of stiffness and strain-stiffening properties. Taken together, the design approach converts bulk, static hydrogels to dynamic hydrogels that closely mimic ECMs.

The potential applications include scaffolding for tissue repair and regeneration within regenerative medicine, simulating tissue behavior for drug testing and creating realistic environments for studying disease progression. The researchers said it could also be used for 3D bioprinting customizable hydrogels or for developing soft robotics with adaptable mechanical properties.

"Our next steps include optimizing LivGels for specific tissue types, exploring in vivo applications for regenerative medicine, integrating LivGels with 3D bioprinting platforms and investigating potential in dynamic wearable or implantable devices," Sheikhi said.

Roya Koshani, a chemical engineering post-doctoral scholar at Penn State, and Sina Kheirabadi, a doctoral candidate in chemical engineering at Penn State, were co-authors on the paper. Sheikhi is also affiliated with the Departments of Biomedical Engineering, of Chemistry and of Neurosurgery, and with the Huck Institutes of the Life Sciences.

Support for this research was provided by Penn State, including from: the Dorothy Foehr Huck and J. Lloyd Huck Early Career Chair; the Convergence Center for Living Multifunctional Material Systems and the Cluster of Excellence Living, Adaptive and Energy-autonomous Materials Systems Living Multifunctional Materials Collaborative Research Seed Grant Program; the Materials Research Institute; and the College of Engineering Materials Matter at the Human Level seed grants.

Journal Reference:

1. Roya Koshani, Sina Kheirabadi, Amir Sheikhi. Nano-enabled dynamically responsive living acellular hydrogels. Materials Horizons, 2025; 12 (1): 103 DOI: 10.1039/D4MH00922C

Courtesy:

 Penn State. "Novel 'living' biomaterial aims to advance regenerative medicine." ScienceDaily. ScienceDaily, 6 February 2025. <www.sciencedaily.com/releases/2025/02/250206155347.htm>.

Cancer mortality continues to drop despite rising incidence in women

The American Cancer Society (ACS) today released Cancer Statistics, 2025, the organization's annual report on cancer facts and trends. The new findings show the cancer mortality rate declined by 34% from 1991 to 2022 in the United States, averting approximately 4.5 million deaths. However, this steady progress is jeopardized by increasing incidence for many cancer types, especially among women and younger adults, shifting the burden of disease. For example, incidence rates in women 50-64 years of age have surpassed those in men, and rates in women under 50 are now 82% higher than their male counterparts, up from 51% in 2002. This pattern includes lung cancer, which is now higher in women than in men among people younger than 65 years. These important findings are published today in CA: A Cancer Journal for Clinicians, alongside its consumer-friendly companion, Cancer Facts & Figures 2025, available on cancer.org.

"Continued reductions in cancer mortality because of drops in smoking, better treatment, and earlier detection is certainly great news," said Rebecca Siegel, senior scientific director, surveillance research at the American Cancer Society and lead author of the report. "However, this progress is tempered by rising incidence in young and middle-aged women, who are often the family caregivers, and a shifting cancer burden from men to women, harkening back to the early 1900s when cancer was more common in women."

Overall, in 2025, there will be an estimated 2,041,910 new cancer diagnoses in the U.S. (5,600 each day) and 618,120 cancer deaths. In addition to projecting the contemporary cancer burden,ACS researchers compiled the most recent findings on population-based cancer occurrence and outcomes using incidence data collected by central cancer registries (through 2021) and mortality data collected by the National Center for Health Statistics (through 2022).

The report also highlights lagging progress against pancreatic cancer, which is the third leading cause of cancer death in the U.S. Both incidence and mortality rates are increasing, and the five-year survival rate is just 8% for the 9 out of 10 people diagnosed with pancreatic exocrine tumors.

"With a critical need to do better, ACS is constantly working to help advance efforts to aid in the discovery of new treatments for cancer patients and care for survivors," explained Dr. William Dahut, chief scientific officer at the American Cancer Society. "As the largest non-government, non-profit funding source of cancer research in the U.S., we are currently financing more than $450 million in grants to scientists. Our goal is to find answers that help save lives."

Other highlights from the report include:

• Despite overall declines in cancer mortality, death rates are increasing in both men and women for cancers of the oral cavity and pancreas, but just for women for uterine corpus (also known as endometrial) and liver cancers.
• Additionally, alarming inequalities in cancer mortality persist, with rates in Native American people 2-3 times higher than White people for kidney, liver, stomach, and cervical cancers. Black people are twice as likely to die of prostate, stomach, and uterine corpus cancers compared to White people and 50% more likely to die from cervical cancer, which is preventable.
• Incidence rates continue to climb for common cancers, including breast (female), prostate (steepest increase at 3% per year from 2014-2021), pancreatic, uterine corpus, melanoma (female), liver (female), and oral cancers associated with the human papillomavirus.
• The rate of new diagnoses of colorectal cancer in men and women younger than 65 years of age and cervical cancer in women (30-44 years of age) has also increased.
• Cancer incidence in children (14 years of age and younger) declined in recent years after decades of increase but continued to rise among adolescents (ages 15-19 years). Mortality rates have dropped by 70% in children and by 63% in adolescents since 1970, largely because of improved treatment for leukemia.

"Progress against cancer continues to be hampered by striking, wide static disparities for many racial and ethnic groups," said Dr. Ahmedin Jemal, senior vice president, surveillance and health equity science at the American Cancer Society and senior author of the study. "It's essential to help end discrimination and inequality in cancer care for all populations. Taking this step is vital to closing this persistent gap and moving us closer to ending cancer as we know it, for everyone."

"This report underscores the need to increase investment in both cancer treatment and care, including equitable screening programs, especially for underserved groups of patients and survivors. Screening programs are a critical component of early detection, and expanding access to these services will save countless lives," said Dr. Wayne A. I. Frederick, interim chief executive officer of the American Cancer Society and the American Cancer Society Cancer Action Network (ACS CAN). "We also must address these shifts in cancer incidence, mainly among women. A concerted effort between healthcare providers, policymakers and communities needs to be prioritized to assess where and why mortality rates are rising."

Other ACS authors participating in this study include Tyler Kratzer, Angela Giaquinto, and Dr. Hyuna Sung.

Journal Reference:

1. Rebecca L. Siegel, Tyler B. Kratzer, Angela N. Giaquinto, Hyuna Sung, Ahmedin Jemal. Cancer statistics, 2025. CA: A Cancer Journal for Clinicians, 2025; DOI: 10.3322/caac.21871 

Courtesy:

American Cancer Society. "Cancer mortality continues to drop despite rising incidence in women." ScienceDaily. ScienceDaily, 16 January 2025. <www.sciencedaily.com/releases/2025/01/250116133445.htm>.

 

 

 

 

Polymer research shows potential replacement for common superglues with a reusable and biodegradable alternative

Researchers at Colorado State University and their partners have developed an adhesive polymer that is stronger than current commercially available options while also being biodegradable and reusable. The findings -- described in Science - show how the common, naturally occurring polymer P3HB can be chemically re-engineered for use as a strong yet sustainable bonding agent.

Adhesives are commonly used in automotives, packaging, electronics, solar cells and construction, among many other areas. Together they make up a roughly $50 billion industry that supports much of our modern life but also contributes to the mounting issue of plastic waste. The paper describes the team's work using experimental, simulation and process modeling to develop a replacement polymer.

The project was led by University Distinguished Professor Eugene Chen in the Department of Chemistry. Other partners on the paper include Gregg Beckham at the National Renewable Energy Laboratory and Professor Ting Xu at the University of California, Berkley and researchers from their groups.

Chen said that poly(3-hydroxybutyrate), or P3HB, is a natural, biobased and biodegradable polymer that can be produced by microbes under the right biological conditions. While the polymer is not adhesive when made that way, his lab was able to chemically re-engineer its structure to now deliver stronger adhesion than the common petroleum-derived, nonbiodegradable options when used on various substrates or surfaces such as aluminum, glass and wood. The adhesion strength of the re-engineered P3HB can also be tuned to accommodate different application needs.

The findings are part of a larger goal by Chen's group to improve and expand our ability to tackle the global plastics pollution crisis. His team is involved in many efforts to develop chemically recyclable, biodegradable and, overall, more sustainable alternatives to today's plastic materials. He said that while many people inherently recognize the life cycle issues that come with a disposable water bottle, adhesives present more daunting issues with fewer potential solutions.

"Petroleum-based thermoset adhesives such as Gorilla Glue and J-B Weld, along with thermoplastic hot melts, can be very difficult or even impossible to recycle or recover -- primarily because of their strong bonds to other materials," he said. "Our approach instead offers a biodegradable material that can be used in a variety of industries with tunable or even higher strength compared to those options."

Ethan Quinn is a Ph.D. student at CSU and served as a co-lead author on the paper with postdoctoral researcher Zhen Zhang. Quinn said he and Zhang led work around the creation and testing of the material.

"We developed a sample P3HB glue stick and were able to use it with a commercially available glue gun to test its application in sealing cardboard boxes and other properties on steel plates," Quinn said. "I knew the data supported it being stronger than other options, but I was shocked that we were able to show that it far out-performs typical hot-melt options -- holding up to 20 pounds in place compared to the 15 pounds an existing adhesive could not manage."

Chen said P3HB is biodegradable under a variety of instances, including managed and unmanaged environments. That means it will biodegrade naturally in landfills just as well as salty ocean water or soils, for example. That expands the range of possible options for dealing with the material at the end of its life cycle. The P3HB adhesive can also be recovered, reprocessed and reused.

The CSU team will now start work on ways to commercialize the polymer for broad use.

"We are working on two different approaches aiming for mass production, including ways to lower the overall cost and environmental impacts," Chen said. "The analysis performed by the NREL team has identified key areas where we could make improvements, and we will continue to work with the BOTTLE Consortium on those scaling efforts."

Journal Reference:

1. Zhen Zhang, Ethan C. Quinn, Jacob K. Kenny, Alexandra Grigoropoulos, Jason S. DesVeaux, Tiffany Chen, Li Zhou, Ting Xu, Gregg T. Beckham, Eugene Y.-X. Chen. Stereomicrostructure-regulated biodegradable adhesives. Science, 2025; 387 (6731): 297 DOI: 10.1126/science.adr7175 

Courtesy:

Colorado State University. "Polymer research shows potential replacement for common superglues with a reusable and biodegradable alternative." ScienceDaily. ScienceDaily, 16 January 2025. <www.sciencedaily.com/releases/2025/01/250116161241.htm>.