Author Archives: support

Opting for sugary beverages instead of fruit juice during infancy has been associated with an increased likelihood of developing obesity in adulthood

Consuming sugar-sweetened beverages during childhood has been associated with the development of unhealthy dietary patterns, which can elevate the risk of obesity in later stages of life, as indicated by a recent investigation conducted by the School of Psychology at Swansea University.

Published in the European Journal of Clinical Nutrition, this research tracked the dietary influences on a cohort of 14,000 British children from infancy to adulthood, marking it as one of the most extensive studies of its nature to date.

Utilising the Avon Longitudinal Study of Parents and Children, the team of researchers uncovered several noteworthy findings:

Firstly, it was observed that children who consumed carbonated drinks like cola or sugar-laden fruit cordials before reaching the age of two tended to exhibit increased weight gain by the time they reached 24. Interestingly, girls who consumed pure fruit juice exhibited lesser weight gain, while boys did not display significant weight changes.

Furthermore, toddlers who consumed cola at three demonstrated higher calorie, fat, protein, and sugar intake but lower fibre consumption. Conversely, those given pure apple juice exhibited reduced fat and sugar intake but consumed higher levels of fibre.

The study also shed light on the differing dietary preferences associated with these beverage choices. Children who consumed pure apple juice tended to follow diets comprising more fish, fruits, green vegetables, and salads. In contrast, those consuming cola preferred burgers, sausages, pizza, french fries, meat, chocolate, and sweets.

Moreover, the research team identified a correlation between sugar-sweetened beverage consumption and social deprivation, noting that children from more affluent backgrounds were more likely to have access to pure fruit juice.

Lead researcher Professor David Benton remarked, “Early dietary habits establish patterns that have enduring effects on weight regulation throughout life. It is imperative to encourage the development of healthy dietary habits from infancy, promoting lower fat and sugar consumption. However, it’s important to note that pure fruit juice, as part of one’s recommended daily intake of fruits and vegetables, contributes essential nutrients such as vitamin C, potassium, folate, and plant polyphenols.”

Dr Hayley Young added, “Obesity poses significant health risks and can predispose individuals to various other medical conditions. Our findings underscore the critical role of early childhood diet in shaping the trajectory towards adult obesity. To effectively address this issue, greater emphasis must be placed on promoting healthy dietary practices during the formative years of life.”

More information: David Benton et al, Early exposure to sugar sweetened beverages or fruit juice differentially influences adult adiposity, European Journal of Clinical Nutrition. DOI: 10.1038/s41430-024-01430-y

Journal information: European Journal of Clinical Nutrition Provided by Swansea University

NUS researchers reveal a connection between unhealthy diets and increased cancer risk

A team of researchers from the National University of Singapore (NUS) has made a significant breakthrough in understanding how poor diets contribute to an increased risk of cancer and other common diseases, such as diabetes. The findings of this study promise to enhance strategies for cancer prevention and promote healthier ageing.

Professor Ashok Venkitaraman spearheaded the research at the Cancer Science Institute of Singapore (CSI Singapore) and the NUS Centre for Cancer Research (N2CR) at the Yong Loo Lin School of Medicine. The team collaborated closely with colleagues from the Agency for Science, Technology and Research (A*STAR).

Professor Venkitaraman, the Director of CSI Singapore, highlighted the complexity of cancer’s causation, which involves genetic factors and environmental influences like diet, physical activity, and pollution. He stressed the importance of clarifying these interactions to devise effective preventative measures contributing to sustained health.

Central to their research was the study of methylglyoxal, a byproduct of glucose breakdown in cells, implicated in diabetes, obesity, and poor dietary habits. This chemical was found to be particularly damaging to the DNA of patients with an inherited risk of breast or ovarian cancers linked to a defective BRCA2 gene. Such damage serves as an early indicator of potential cancer development.

Further investigations revealed that individuals without the genetic defect but with elevated methylglyoxal levels—such as those suffering from diabetes or pre-diabetes associated with poor diet—also showed signs of increased cancer risk. Professor Venkataraman explained that detecting high methylglyoxal levels through a simple blood test, like the HbA1C, could be a marker for cancer risk, paving the way for preventative treatments through medication and dietary adjustments.

Dr Li Ren Kong, a Lee Kuan Yew Fellow at N2CR and the study’s first author mentioned that their initial goal was to explore risk factors in genetically predisposed families. Still, they uncovered a crucial link between energy metabolism and cancer development. This underscores the importance of diet and weight management in cancer risk reduction.

The research also challenged a long-standing theory in cancer genetics, known as Knudson’s ‘two-hit’ hypothesis, which posits that cancer-preventing genes need to be permanently disabled for cancer to emerge. The team’s findings suggest that temporary inactivation of these genes by compounds like methylglyoxal, mainly through repeated poor dietary choices or unmanaged diabetes, could cumulatively heighten cancer risk over time. These insights could significantly redirect future cancer research.

Their groundbreaking work, published in the prestigious journal Cell on 11 April 2024, has set the stage for subsequent studies. The team plans to explore further how metabolic disorders affect cancer risks in different populations, particularly in Singapore and other Asian contexts.

Looking ahead, the researchers are eager to delve deeper into the mechanisms they’ve uncovered between metabolism, diet, and cancer. Their goal is to develop more effective strategies to prevent or delay the onset of cancer, potentially transforming the landscape of cancer research and prevention.

More information: Li Ren Kong et al, A glycolytic metabolite bypasses “two-hit” tumor suppression by BRCA2, Cell. DOI: 10.1016/j.cell.2024.03.006

Journal information: Cell Provided by National University of Singapore

The Canadian Cardiovascular Society has recently released updated guidelines for evaluating the fitness of private and commercial drivers to operate vehicles

The latest update from the Canadian Cardiovascular Society (CCS) brings forth refreshed guidelines to evaluate the suitability of private and commercial drivers to operate vehicles safely. These guidelines, encapsulated in the CCS Fitness to Drive Guidelines, reflect the most recent insights into driving restrictions, particularly concerning the risk of sudden cardiac incapacitation. Employing the CCS Risk of Harm formula alongside available empirical evidence, these guidelines delineate the probability of such incapacitation and acceptable risk thresholds, thereby furnishing essential direction on when it is prudent to allow individuals to resume driving activities.

The recommendations outlined in the Fitness to Drive Guidelines are strategically crafted to assist physicians and healthcare practitioners in advising individuals grappling with heart-related ailments about the associated risks and appropriate durations for driving abstinence. Spearheaded by a panel of national experts, these updated, evidence-based guidelines have found their place in the esteemed Canadian Journal of Cardiology under the auspices of Elsevier.

Dr. Peter G. Guerra, the lead co-chair of the revamped guidelines from the Montréal Heart Institute, University of Montréal, underscores the pivotal role cardiovascular conditions play in compromising driving capability. Such conditions, owing to their potential to impede blood circulation to the brain, can precipitate alterations in mental acuity through various mechanisms like myocardial infarction, cardiac arrhythmias, and heart failure. Consequently, healthcare providers frequently find themselves tasked with evaluating the fitness of individuals with cardiac ailments to operate vehicles.

The Fitness to Drive Guidelines not only build upon but also enhance the efficacy of their predecessors, which have served as stalwart pillars of guidance for over two decades. These guidelines assimilate fresh insights from therapies, interventions, and disease entities in their evolution. Among the factors considered are percutaneous therapies for valvular disease, genetic disorders, and recent research elucidating the risk of shock or incapacitation in patients with implantable defibrillators.

Dr. Christopher S. Simpson, co-chair alongside Dr. Guerra, elaborates on the methodological approach to formulating these guidelines. Given the absence of randomised trials on Fitness to Drive, observational studies were leveraged to gauge the risk of driving impairment across various scenarios. Recommendations were then moulded on the foundation of the CCS Risk of Harm formula, a validated assessment tool of paramount significance. Notably, more stringent recommendations were tailored for commercial drivers, considering their prolonged periods behind the wheel, operation of larger vehicles, and potential transportation of a more significant number of passengers.

The Fitness to Drive Guidelines offer comprehensive recommendations for individuals with a spectrum of cardiovascular conditions. These conditions, numbering seven in total, encompass active coronary artery disease, valvular heart disease, heart failure, heart transplant, left ventricular assist devices, arrhythmia syndromes, implantable devices such as pacemakers and defibrillators, syncope episodes, and congenital heart disease.

Through meticulous analysis, expert consensus, and integration of contemporary evidence, the Canadian Cardiovascular Society continues to fortify its commitment to enhancing road safety while addressing individuals with cardiovascular disorders’ unique needs and challenges. These updated guidelines stand as a testament to the society’s unwavering dedication to safeguarding public health and fostering informed decision-making within cardiology and beyond.

More information: Peter G. Guerra et al, Canadian Cardiovascular Society 2023 Guidelines on the Fitness to Drive, Canadian Journal of Cardiology. DOI: 10.1016/j.cjca.2023.09.033

Journal information: Canadian Journal of Cardiology Provided by Elsevier

Biomedical researchers edge closer to understanding the causes of eczema

Researchers at Binghamton University, State University of New York, have unveiled a study that could potentially revolutionize our understanding of eczema and pave the way for a cure. With approximately 35 million Americans and a significant global population affected by eczema, this chronic condition, also known as atopic dermatitis, is a pressing health concern. The study’s findings shed light on the underlying causes of eczema, offering a new perspective on its management and treatment.

In a collaborative effort, Associate Professor Guy German, PhD student Zachary W. Lipsky, and Associate Professor Claudia N.H. Marques has bridged two seldom-connected areas of eczema research. Their recent publication from the Thomas J. Watson School of Engineering and Applied Science’s Department of Biomedical Engineering and the Harpur College of Arts and Sciences’ Department of Biological Sciences marks a significant step forward in our understanding of this complex condition.

The study highlights that atopic dermatitis leads to reduced levels of skin oils, particularly ceramides, a group of lipids. These lipids regulate skin hydration and protect against pathogens, either by direct antimicrobial action or indirectly through immune signalling. Moreover, the research points to increased staph bacteria on the skin, which exacerbates irritation and infection.

Professor German notes the role of genetics in eczema prevalence but also identifies occupational hazards—like frequent handwashing or exposure to detergents among healthcare workers, metalworkers, hairdressers, and food processors—as factors that increase susceptibility to the condition. He poses a critical question about the consequences of reduced lipid levels on the skin due to genetic mutations or occupational exposure.

The study suggests that bacteria cannot breach the skin barrier under normal conditions. However, in conditions associated with atopic dermatitis or similar lipid deficiencies, penetration occurs within nine days. The team theorizes that staph bacteria do not merely grow around skin cells but move through them. This bacterial movement, combined with lipid depletion, compromises the skin’s barrier, increasing vulnerability to bacterial invasion and deeper skin tissue infection.

Lipsky elaborates on the protective role of skin lipids, which are traditionally associated with moisture retention. The current findings illuminate their critical function in defending against microorganisms that could cause diseases. While the study does not solve all mysteries of atopic dermatitis, it proposes that bacterial infiltration might initiate rather than result from the disease, marking a significant advancement in understanding the condition.

Further inquiries will focus on the mechanical effects of bacterial penetration on lipid-depleted skin, exploring whether it weakens the skin or enhances the likelihood of cracking and how bacteria navigate through different skin layers.

As Professor German rightly points out, every scientific answer typically raises more questions, ensuring that their research journey continues to be dynamic and exploratory. This ongoing study not only deepens the understanding of atopic dermatitis but also sets the stage for future breakthroughs in treating and managing the condition. The potential implications of this research are immense, offering hope for millions of individuals affected by eczema.

More information: Zachary W. Lipsky et al, Lipid depletion enables permeation of Staphylococcus aureus bacteria through human stratum corneum, Tissue Barriers. DOI: 10.1080/21688370.2020.1754706

Journal information: Tissue Barriers Provided by Binghamton University

The intertwining of breast cancer treatment, specifically chemotherapy, could potentially accelerate the physical deterioration in elderly individuals

A study led by UCLA suggests that older adults aged 65 or older with high-risk breast cancer who undergo chemotherapy are more prone to experiencing a significant decline in physical function. This research, published in a special issue of the Journal of Cancer Survivorship, reveals that over 30% of older women diagnosed with early-stage breast cancer and treated with chemotherapy encountered a notable reduction in their ability to perform daily activities such as walking or climbing stairs, compared to those who did not undergo chemotherapy and women of the same age without cancer.

This study stands as the first of its kind to contrast the functional decline in elderly individuals with early-stage breast cancer undergoing chemotherapy against breast cancer patients who did not receive chemotherapy, as well as age-matched women without cancer. Dr Mina Sedrak, the study’s first author and an associate professor of medicine at the David Geffen School of Medicine at UCLA, highlights the importance of this comparison in understanding whether such decline signifies an acceleration of the ageing process itself.

Breast cancer, particularly in older women, often leads to accelerated ageing and a decline in physical abilities. This phenomenon, termed accelerated ageing, can significantly impact individuals’ quality of life, independence, and even lifespan. Given the projected increase in the number of older breast cancer survivors — expected to surpass 6 million by 2040 — comprehending the mechanisms of accelerated ageing and devising strategies to mitigate it becomes paramount.

To delve deeper into the repercussions of breast cancer treatment on ageing-related declines in physical function, the researchers conducted a multicenter prospective study. They compared changes in physical function over time in women aged over 65, involving 444 women with early-stage breast cancer receiving chemotherapy, 98 receiving non-chemotherapy treatments, and 100 women without cancer of similar age.

Participants underwent two assessments: completing questionnaires on demographics and health status and a geriatric assessment. For breast cancer patients, additional data on cancer-specific and treatment-related characteristics were obtained from medical records. The second assessment, including another round of the geriatric evaluation, occurred within 30 days of completing chemotherapy for the chemotherapy group or at matched time points for the other two groups.

The analysis revealed that 30% of elderly adults receiving chemotherapy for breast cancer experienced a significant decline in physical function, compared to 8% among those who did not receive chemotherapy and 5% among those without cancer. Among those experiencing a notable decline, climbing stairs was the activity most adversely affected (75.7%), followed by walking one mile (73.0%) and engaging in moderate activity (68.6%).

These findings suggest that the combination of high-risk breast cancer and chemotherapy contributes to an accelerated decline in physical function among older adults with early-stage breast cancer. Dr. Sedrak emphasizes the impact of cancer and its treatment on physical function in older women, underscoring the importance of preserving physical function throughout the cancer journey.

The research team now aims to elucidate the biological mechanisms underlying the interplay between cancer treatment and fundamental ageing processes. Specifically, they are investigating cellular senescence and identifying mechanisms that could be targeted by drugs to potentially reverse these processes, offering hope for improving the quality of life for elderly breast cancer patients.

More information: Mina S. Sedrak et al, Functional decline in older breast cancer survivors treated with and without chemotherapy and non-cancer controls: results from the Hurria Older PatiEnts (HOPE) prospective study, Journal of Cancer Survivorship. DOI: 10.1007/s11764-024-01594-3

Journal information: Journal of Cancer Survivorship Provided by University of California, Los Angeles

Is difficulty swallowing and allergies in children and young adults due to eosinophilic esophagitis?

Eosinophilic esophagitis is characterized by inflammation of the oesophagal lining, leading to possible injury and throat narrowing. This condition can affect individuals of any age but is predominantly seen in children between 5 to 14 years and adults from 20 to 45 years. It occurs 3 to 4 times more frequently in males than females. There has been a noticeable increase in the incidence of this condition, particularly in North America and Europe. However, whether this is due to heightened awareness or an actual rise in the prevalence within the community remains to be seen.

The most common manifestations of eosinophilic esophagitis in adolescents and adults are difficulty swallowing and food lodged in the oesophagus. In contrast, children are more likely to experience symptoms such as abdominal pain, heartburn or reflux, a decreased appetite, chronic cough, vomiting, or failure to thrive. Remarkably, around 75% of patients with this condition have at least one atopic (allergic) condition, including food or environmental allergies, asthma, or eczema.

The diagnostic process typically involves taking the patient’s medical history and conducting 4 to 6 biopsies of the oesophagal tissue from at least two different areas during a gastroscopy or endoscopy. Management strategies, commonly called the “3 Ds” — diet, drugs, and oesophagal dilation — are implemented to mitigate long-term complications.

Distinguishing between eosinophilic esophagitis and eating disorders in adults is crucial as they can present similarly. Drs. Milli Gupta and Michelle Grinman from the Cumming School of Medicine at the University of Calgary highlight the importance of a detailed dietary history to understand the types of foods a patient avoids and the reasons behind such avoidance. For instance, individuals with eosinophilic esophagitis might steer clear of meat and bread due to previous choking incidents. In contrast, those with eating disorders might avoid these foods due to their caloric content.

The authors advocate for a collaborative approach in decision-making between the physician and the patient to lessen the impact of the disease and its treatment on the patient’s quality of life. They recommend a comprehensive treatment plan that may include dietary adjustments and medications tailored to the severity of the disease and the risk of future complications. Oesophageal dilation might be necessary for patients at high risk of food impaction, and consultations with a gastroenterologist and dietitian are advised to customize care.

More information: Milli Gupta et al, Diagnosis and management of eosinophilic esophagitis, Canadian Medical Association Journal. DOI: 10.1503/cmaj.230378

Journal information: Canadian Medical Association Journal Provided by Canadian Medical Association Journal

Grandmothers: The Answer to Adolescent Angst?

Recent research conducted jointly by Finland’s University of Turku and Edith Cowan University (ECU) sheds light on the profound impact of maternal grandmother investment on grandchildren who have endured multiple adverse early life experiences (AELEs). This study underscores how maternal grandmothers’ support and involvement can significantly mitigate emotional and behavioural challenges in affected children.

The findings underscore a crucial correlation: children facing cumulative AELEs are more susceptible to emotional and behavioural issues during adolescence. However, the research also highlights the pivotal role of supportive caregiving in shielding children from the adverse effects of early adversity.

Senior Lecturer at ECU, Dr David Coall, emphasises the significance of maternal grandmother investment in alleviating adolescent dysfunction stemming from early stressors. While no investment can entirely erase the effects of AELEs, the study reveals that maternal grandmother investment can notably diminish the negative impact on children’s emotional and behavioural well-being.

Interestingly, the research suggests that investments from other grandparents do not yield the same level of buffering effect. This disparity underscores maternal grandmothers’ unique and significant role in mitigating the consequences of early life stressors on grandchildren.

The study’s findings advocate for a deeper exploration into the long-term health and well-being outcomes of grandchildren, particularly in relation to the buffering effect of maternal grandmother investment. This nuanced understanding could potentially inform targeted interventions to foster resilience in children exposed to adverse early life experiences.

Dr Coall underscores the evolving nature of grandparental involvement, challenging the perception that such investments are relics of the past. With increasing life expectancy and shifting family dynamics, grandparents today have more opportunities to forge meaningful connections with fewer grandchildren, thereby enabling greater investment in each child’s well-being.

Moreover, societal shifts, such as higher divorce rates and increased single-parent households, underscore the growing importance of grandparental support in contemporary family structures. This trend is further amplified by the rise of working mothers, creating a heightened demand for intergenerational support and caregiving.

Despite geographical distances, modern technology enables grandchildren to maintain close relationships with grandparents, transcending physical barriers. Despite the challenges posed by events like the COVID-19 pandemic, virtual connections have proven invaluable in sustaining familial bonds and facilitating grandparental investment in children’s lives.

In essence, this research underscores the pivotal role of maternal grandmothers in buffering the adverse effects of early life stressors on grandchildren. By nurturing supportive relationships and providing emotional and practical support, grandmothers emerge as potent agents of resilience in navigating the complexities of adolescent development.

More information: Samuli Helle et al, Investment by maternal grandmother buffers children against the impacts of adverse early life experiences, Scientific Reports. DOI: 10.1038/s41598-024-56760-5

Journal information: Scientific Reports Provided by Edith Cowan University

A study on calorie restriction unveils intricacies in the relationship between diet and the ageing process

Researchers at Penn State may have uncovered another layer of complexity in the mystery surrounding how diet influences the ageing process. A recent study, spearheaded by researchers from the Penn State College of Health and Human Development, delved into the impact of caloric restriction on telomeres – the protective caps at the ends of chromosomes composed of genetic bases.

Published in Aging Cell, the study analysed data from a two-year investigation into human caloric restriction. The findings revealed that individuals who restricted their calorie intake experienced varying rates of telomere loss compared to the control group, despite both groups ending the study with telomeres of approximately equal length. Previous research has indicated that restricting calories by 20% to 60% can contribute to extended lifespans in various animal models.

Throughout a human lifespan, each time cells replicate, some telomeres are lost as chromosomes are copied into new cells. This continual loss shortens the overall length of telomeres. Eventually, the protective cap provided by telomeres is depleted, leaving genetic information vulnerable to damage, which can hinder cellular function and reproduction. Longer telomeres indicate a younger functional age for a cell, highlighting that individuals of the same chronological age may possess different biological ages based on telomere length.

Factors such as typical ageing, stress, illness, genetics, and diet can influence the frequency of cell replication and the extent to which telomeres retain their length. Idan Shalev, associate professor of biobehavioral health at Penn State, led the team analysing genetic samples from the CALERIE study – the first randomised clinical trial of human calorie restriction. They aimed to ascertain the impact of caloric restriction on telomere length, offering insight into how this dietary intervention may decelerate ageing.

Waylon Hastings, lead author of the study and a 2020 Penn State doctoral graduate in biobehavioral health, emphasised the multifaceted mechanisms through which caloric restriction potentially extends the human lifespan. One primary mechanism involves cellular metabolism; reduced energy consumption within cells during caloric restriction leads to fewer waste products, mitigating oxidative stress and preserving cellular integrity.

The researchers evaluated telomere length in 175 study participants at the onset of the CALERIE study, after one year, and upon its conclusion after 24 months of caloric restriction. Approximately two-thirds of the participants adhered to caloric restriction, with the remaining third being the control group.

During the study, telomere loss exhibited changing trajectories. In the initial year, participants undergoing caloric restriction experienced rapid telomere loss alongside weight reduction compared to the control group. Subsequently, telomere loss slowed down during the second year as participants on caloric restriction stabilised their weight after one year. By the study’s end, both groups exhibited similar telomere lengths.

Shalev highlighted the unexpected findings, noting that while they hypothesised slower telomere loss among those on caloric restriction, the initial rapid loss followed by a slower rate was observed instead.

The results prompted numerous questions, including the potential impact of an additional year of data collection. Study participants are scheduled for a 10-year follow-up, which Shalev anticipates will provide further insights.

Despite the nuanced results, there remains promise regarding the potential health benefits of caloric restriction in humans. Previous analyses of CALERIE data have indicated potential reductions in harmful cholesterol levels and blood pressure due to caloric restriction. Although the two-year timeline did not reveal evident telomere-related benefits, further investigations may unveil them.

The research team, led by Shalev, comprised three of his trainees: Hastings, current graduate student Qiaofeng Ye, and former postdoctoral scholar Sarah Wolf. Hastings expressed gratitude for the opportunity to lead the study, acknowledging its pivotal role in shaping his career trajectory. As he prepares to embark on his role as an assistant professor in the Department of Nutrition at Texas A&M University, Hastings credits this project for providing invaluable experience in nutrition research under Shalev’s guidance.

More information: Waylon J. Hastings et al, Effect of long-term caloric restriction on telomere length in healthy adults: CALERIE™ 2 trial analysis, Aging Cell. DOI: 10.1111/acel.14149

Journal information: Aging Cell Provided by Penn State

Studies on atopic dermatitis lack patient images

Sam Polesie, an associate professor at the Sahlgrenska Academy, University of Gothenburg, and a dermatologist at Sahlgrenska University Hospital, has led a significant study on visualising patient conditions in scientific research.

Polesie emphasises a crucial shift in patient care, highlighting the increased empowerment of patients in their healthcare decisions. This participatory approach necessitates healthcare professionals to make treatment decisions with their patients. However, Polesie observes that scientific literature has not fully embraced these changes. He advocates for including more patient images in scientific publications to facilitate communication, asserting that the intricate figures currently used can be daunting for patients to comprehend, particularly when describing the severity of conditions or the potential effects of treatments. This shift could significantly empower patients in their healthcare journey.

The study, which also involved Danish researchers, revealed concerning statistics about the representation of patients in scientific journals, particularly those with psoriasis and atopic dermatitis. Despite reviewing 60 studies encompassing nearly 18,000 patients, only 16 images from six patients were used across these publications, equating to a mere 0.3 per thousand of the depicted patients.

Atopic dermatitis, a familiar yet variably severe chronic inflammatory skin disease, affects about 25% of children and 10% of adults. It can cause dry, itchy skin patches and severely impact a person’s quality of life in more severe cases. Polesie explains that the appearance of eczema varies significantly across different skin tones. In lighter-skinned individuals, eczema may appear red, while in those with melanin-rich skin, it tends to show up darker, often perceived as purple or greyish. This variability makes the need for diverse patient images in educational materials even more critical.

According to Polesie, there’s an urgent need to expand the visual resources available in medical education. He proposes that having a comprehensive set of images illustrating various types of atopic dermatitis across different patient groups and their responses to treatments would significantly enhance the training of healthcare professionals and medical students and also aid in educating patients themselves. This aligns with international recommendations and guidelines emphasising patient education’s importance in managing atopic dermatitis. This could open up new opportunities for healthcare professionals and medical students to enhance their understanding and skills in dermatology.

Moreover, more images are needed to improve patient education and care and hinder the advancement of artificial intelligence in dermatology. Machine learning algorithms necessitate extensive datasets of images to be effectively trained. With more comprehensive image collections, these AI systems could revolutionise dermatology, assisting dermatologists in identifying the most effective treatment options tailored to individual patients shortly. This presents an exciting prospect for the future of dermatological care.

Polesie’s findings, published in the Journal of Dermatological Treatment, underscore a significant gap in integrating visual aids in scientific documentation and education concerning dermatological conditions. If addressed, this gap could enhance patient understanding, participation, and the effectiveness of treatment regimens.

More information: Sam Polesie et al, A systematic review investigating the proportion of clinical images shared in prospective randomized controlled trials involving patients with atopic dermatitis and systemic pharmacotherapy, Journal of Dermatological Treatment. DOI: 10.1080/09546634.2024.2338280

Journal information: Journal of Dermatological Treatment Provided by University of Gothenbur

New tool developed for investigating the mechanisms of cancer, autoimmunity, and neurodegeneration through screening

The team has pioneered an innovative screening tool, scSNV-seq, that delves into the intricate relationship between genetic alterations and gene activity, potentially shedding light on the origins of various diseases, from cancer to cardiovascular conditions. This state-of-the-art tool revolutionises the field by enabling the simultaneous investigation of numerous DNA mutations previously identified in genetic studies within a single experiment. Its versatility and effectiveness pave the way for developing sophisticated diagnostic methods and treatments.

The scSNV-seq method is not just a theoretical concept but a practical tool that empowers scientists to quickly evaluate the effects of numerous genetic alterations in cells that have not been previously screened. This approach provides a holistic perspective by linking these changes directly to cellular functions, enabling researchers to identify specific mutations that contribute to diseases. This practical application is crucial for developing targeted therapies.

A recent study published in Genome Biology highlights the application of scSNV-seq by researchers at the Wellcome Sanger Institute and their collaborators at Open Targets and EMBL’s European Bioinformatics Institute (EMBL-EBI). In this study, scSNV-seq was applied to the blood cancer gene JAK1, where it precisely determined the impacts of mutations, unveiling a previously unknown “halfway house” phenotype that fluctuates between different states, a discovery not achievable with earlier methodologies.

scSNV-seq is designed for versatility across various cell types, including challenging primary cells like T cells and stem-cell-derived neurons. It accommodates different editing techniques, such as base and prime editing. When applied on a large scale, this technique has the potential to revolutionise our understanding of the genetic alterations that drive cancer and aid in decoding genetic risks for complex diseases like Alzheimer’s, arthritis, and diabetes.

Despite the exponential growth in the identification of genetic variants linked to diseases, thanks to advancements in human genetics and the increased affordability of DNA sequencing technologies, the tools available for interpreting these variants often need to be improved, sometimes relying on laborious manual processes. Additionally, when introducing specific mutations using advanced gene-editing tools, current screening methods struggle to differentiate between cells where the editing was unsuccessful and those where it introduced benign changes without affecting cellular behaviour.

To tackle these challenges, researchers developed scSNV-seq, a technique that directly correlates the genetic makeup of a cell with its gene activity. The effectiveness of scSNV-seq was demonstrated through experiments on the JAK1 gene, associated with inflammation and cancer, to observe the effects of specific DNA modifications on cell behaviour. This technique categorised genetic alterations into three groups: benign, loss of function, and altered function, and revealed mutations that resulted in an intermediate phenotype cycling between states—insights unattainable with previous methods.

Dr Sarah Cooper, the first author of the study from the Wellcome Sanger Institute, emphasised the significance of scSNV-seq in the current genetic landscape, where the rate of variant discovery surpasses our capacity to interpret their impacts. She noted that scSNV-seq is already being used to explore how genetic variants associated with Alzheimer’s and Parkinson’s diseases affect brain cells.

Dr Andrew Bassett, the senior author of the study, also from the Wellcome Sanger Institute, highlighted that their technique uniquely connects mutation effects to cellular behaviours, uncovering downstream impacts previously invisible with older technologies. He remarked that this method accelerates the identification of causal genetic mutations, enhancing diagnostics and deepening our understanding of molecular disease mechanisms, ultimately paving the way for more targeted and effective treatments.

More information: Sarah E. Cooper et al, scSNV-seq: high-throughput phenotyping of single nucleotide variants by coupled single-cell genotyping and transcriptomics, Genome Biology. DOI: 10.1186/s13059-024-03169-y

Journal information: Genome Biology Provided by Wellcome Sanger Institute

Adult fish face challenges in recovering within marine protected areas

In the vast expanse of the ocean, age holds profound significance in safeguarding marine life. A robust cohort of adult organisms is imperative for perpetuating generations in the underwater realm. However, despite the noble intentions behind their establishment, many marine protected areas (MPAs) need to fulfil their fundamental purpose: revitalising struggling fish populations. In a groundbreaking study unveiled on April 4 in Global Change Biology, researchers embarked on a pioneering quest to scrutinise the age composition of reef-dwelling fish within marine sanctuaries. Their findings were stark: across the board, the populations of adult fish within these havens either stagnated or dwindled.

Steve Canty, a marine ecologist affiliated with the Smithsonian Environmental Research Center and one of the study’s principal investigators, underscored the pivotal role of adult fish in marine ecosystems. He elucidated, “Adult fish play a pivotal role in multiple facets. They constitute the primary catch in commercial fisheries, thereby sustaining the livelihoods and nutritional needs of coastal communities. Moreover, it is the adults that foster reproduction and replenish fish stocks, wherein size assumes paramount importance. Larger and older female fish yield greater quantities of superior-quality eggs, thus emerging as linchpins in the restoration of fish populations.”

This revelation assumes heightened significance against the backdrop of the global race to achieve the “30 by 30” target, which aims to conserve 30% of the Earth’s oceans by 2030. Envisioned during the United Nations Biodiversity Conference in December 2022, this ambitious objective holds profound implications. However, its realisation hinges on the judicious selection of sites conducive to the flourishing of marine life while concurrently accommodating the needs of coastal communities.

The study, conducted in the realm of the Mesoamerican Reef, sheds light on this problem. Extending over 600 miles along the coasts of southern Mexico, Belize, Guatemala, and Honduras, the Mesoamerican Reef stands as the longest reef in the Western Hemisphere. Renowned as a biodiversity hotspot, this region harbours over 500 fish species and 60 varieties of corals and hosts one of the most extensive congregations of whale sharks on the planet. Moreover, the marine resources of this ecosystem underpin the sustenance and food security of over a million individuals.

Delving deeper, the researchers scrutinised the biomass of adult versus juvenile fish across 139 reef sites, comprising 111 protected and 28 unprotected areas. Within the Mesoamerican Reef, protected sites are categorised into three tiers: “fully protected areas,” where fishing activities are entirely prohibited; “highly protected areas,” permitting limited activities such as subsistence and catch-and-release sport fishing; and “general use zones,” where commercial fishing is often permitted albeit subject to restrictions on specific methods or equipment. Alarmingly, only a meagre 24% of the marine protected areas under scrutiny qualified as either fully or highly protected.

Melanie McField, co-author and director of the Healthy Reefs Initiative, lamented the intrinsic challenges associated with curtailing fishing activities. She remarked, “Prohibiting fishing in any marine domain poses a formidable challenge, seemingly conflicting with inherent human instincts. Nonetheless, the comprehensive protection and stringent enforcement of these areas represent the most efficacious strategy for nurturing larger fish populations capable of stimulating stock recoveries and augmenting overall fish yields beyond the confines of fully protected zones.”

Drawing upon data furnished by the Healthy Reefs Initiative, the research team meticulously analysed fish biomass trends spanning 12 years, from 2006 to 2018. Their findings painted a disturbing picture: despite their avowed objective of replenishing fish stocks, merely 8% of the surveyed sites witnessed significant upsurges in adult biomass. Conversely, the majority of sites exhibited no discernible alteration, with 28 sites reporting declines. A common thread among the declinatory sites was the prevalence of heavy coastal development in proximity, coupled with elevated sea surface temperatures. Notably, these sites predominantly fell within general use zones, characterised by lax enforcement and susceptibility to unabated exploitation.

Abel Valdivia, a marine conservation scientist affiliated with the World Wildlife Fund and co-author of the study, underscored the pernicious ramifications of minimal protection within weakly enforced MPAs. He elucidated, “Contrary to conventional wisdom, scant protection within feeble MPAs proves more deleterious than the absence of protection altogether. It engenders continued and concentrated exploitation sans efficacious oversight. Unlike open-access zones, where fishing pressure may be dispersed, inadequately protected areas succumb to unchecked coastal development, escalating sea temperatures, and deficient enforcement, thereby precipitating declines in adult biomass.”

However, amidst the bleak panorama, a glimmer of hope emanates from the 11 sites where adult fish populations experienced resurgences. Commonalities among these sites include their location within fully protected areas boasting robust enforcement measures, limited occurrences of sea surface temperature anomalies, and adjacency to regions characterised by a diminished human footprint.

This panoramic vista of the Mesoamerican Reef proffers invaluable insights into the global pursuit of the “30 by 30” conservation agenda. The cornerstone of MPA efficacy lies in the implementation of stringent enforcement mechanisms and prudent management practices bolstered by robust community engagement. Furthermore, the imperative of selecting sites cognisant of climate change emerges as a linchpin in this conservation endeavour. While certain oceanic domains may inevitably succumb to the ravages of warming waters, identifying sites capable of serving as climate refuges for both adult and juvenile life stages assumes paramount importance.

Justin Nowakowski, another lead author and ecologist affiliated with the Smithsonian Environmental Research Center, underscored the disparate responses exhibited by adult and juvenile fish to management interventions and environmental perturbations. He postulated, “Adult and juvenile fish evince disparate sensitivities to stressors such as climate change, thereby undermining the local efficacy of MPAs. The crux of the matter lies in identifying optimal sites for new MPAs to maximise positive outcomes for regional fisheries. This necessitates a nuanced understanding of the distinct requirements of adult and juvenile life stages, failing which, we risk overlooking the holistic picture.”

The study furnishes a clarion call to action, urging policymakers and stakeholders to recalibrate existing conservation paradigms. By prioritising robust enforcement, community participation, and climate-resilient site selection, the aspirations encapsulated within the “30 by 30” agenda may yet metamorphose into tangible realities, fostering the rejuvenation of our planet’s marine ecosystems.

More information: Steven W. J. Canty et al, Interplay of management and environmental drivers shifts size structure of reef fish communities, Global Change Biology. DOI: 10.1111/gcb.17257

Journal information: Global Change Biology Provided by Smithsonian

Stressful experiences during middle age may be a risk factor for developing Alzheimer’s disease in later years

The study’s findings, which suggest a potential link between stressful experiences in midlife or during childhood and a higher risk of developing Alzheimer’s disease and neuroinflammation, are significant. Published in the Annals of Neurology by the Barcelona Institute for Global Health (ISGlobal), this research, supported by the “la Caixa” Foundation and in collaboration with the Barcelonaβeta Brain Research Center (BBRC), a Pasqual Maragall Foundation research centre, provides valuable insights into the complex relationship between stress and brain health.

Stressful Life Events refer to situations where objective external threats prompt behavioural and psychological responses, such as the death of a loved one, unemployment, or illness. There is growing evidence that stress could be associated with an increased risk of dementia and cognitive decline.

The research was conducted with a rigorous approach, aiming to determine whether the accumulation of stressful life events throughout an individual’s life could influence the development of pathologies related to Alzheimer’s in older age. To ensure comprehensive results, the research team engaged 1,290 volunteers from the ALFA cohort in Barcelona, also supported by the “la Caixa” Foundation. All participants were cognitively unimpaired at the study’s start but had a direct family history of Alzheimer’s disease.

The participants underwent interviews to evaluate their number of Stressful Life Events. They also underwent lumbar punctures and magnetic resonance imaging (MRI) to assess various biomarkers associated with Alzheimer’s disease.

The study highlighted midlife as a particularly vulnerable period. Statistical analysis showed that the accumulation of stressful events during this phase was linked to higher levels of β-amyloid (Aβ) protein, a critical factor in the development of Alzheimer’s disease. Eleni Palpatzis, an ISGlobal researcher and the first author of the study, noted that midlife might represent a susceptible period where psychological stress could have a lasting impact on brain health.

Additionally, the research indicated that higher levels of stressful experiences in childhood were associated with an increased risk of neuroinflammation in later life. Inflammation is a crucial molecular response in neurodegenerative diseases, and these findings align with emerging evidence that links childhood trauma to increased inflammation in adulthood.

The study also explored sex differences and the impact of stressors. It found that the accumulation of stressful life events was associated with higher levels of β-amyloid (Aβ) protein only in men. In women, however, more stressful experiences over life were linked to lower volumes of grey matter, suggesting that stress might have sex-specific effects on the brain.

Eider Arenaza-Urquijo, an ISGlobal researcher and the study’s last author, commented that the mechanisms through which life stressors affect brain health appear to differ between men and women, with amyloid protein accumulation observed in men and brain atrophy in women.

The study also highlighted that individuals with a psychiatric history might be more susceptible to the effects of stressful life events. This group showed higher levels of Aβ and tau proteins, neuroinflammation, and lower grey matter volume, potentially due to impaired stress-coping abilities making them more vulnerable.

The study’s findings, which support the notion that stress could significantly impact the development of Alzheimer’s disease, have potential implications for our understanding and management of this condition. The research provides preliminary insights into the mechanisms behind this effect, but further research is necessary to replicate and validate these initial findings, underscoring the importance of ongoing research in this field.

More information: Eleni Palpatzis et al, Lifetime Stressful Events Associated with Alzheimer’s Pathologies, Neuroinflammation and Brain Structure in a Risk Enriched Cohort, Annals of Neurology. DOI: 10.1002/ana.26881

Journal information: Annals of Neurology Provided by Barcelona Institute for Global Health (ISGLOBAL)