The pain of gout has been with us for millennia at least, but scientists have gone back much further in time – more than 20 million years – to bring back a gene that could help treat the condition and others like it.
When there’s too much uric acid in the blood, it forms crystals in the joints and the kidneys – which then leads to gout and other problems, including kidney disease and liver damage. This overload is known as hyperuricemia.
A gene called uricase could help, by producing an enzyme that helps reduce levels of uric acid. Unfortunately, our human ancestors lost that gene millions of years ago. So, biologists Lais Balico and Eric Gaucher from Georgia State University in the US wondered whether it could be restored.
Related: Huge Study Reveals Where Gout Comes From, And It’s Not What We Thought
“Without uricase, humans are left vulnerable,” says Gaucher. “We wanted to see what would happen if we reactivated the broken gene.”
Evolutionary pressures phased out the uricase gene in several different primate lineages some 20 to 29 million years ago. The thinking is that back then, extra uric acid was beneficial for converting fruit sugar into fat, to help survive food shortages.
That meant it was less advantageous to have uricase, because it limited uric acid. But now that long periods without food aren’t as much of a problem, the uric acid is harming rather than helping the body.
Gaucher and Balico used the CRISPR gene-editing technique to reconstruct the ancient version of the uricase gene, based on the working versions still active in other mammals, and computer models of how the gene may have evolved over time.
They then tested their new gene on engineered human liver cells in the lab, which successfully produced uricase. This had the desired effect, reducing levels of uric acid and the fatty deposits caused by fruit sugar. Similarly positive results were seen in more complex 3D liver spheroids.
“By reactivating uricase in human liver cells, we lowered uric acid and stopped the cells from turning excess fructose into triglycerides – the fats that build up in the liver,” says Gaucher.
This still needs to be demonstrated in animals, but the way that the uricase enzyme found its way into tiny cell compartments called peroxisomes in tests is promising, the team says: it means the uricase is finding its way to the right parts of the cell.
The potential benefits of this kind of treatment go well beyond gout. High uric acid levels have also been linked with different types of cardiovascular disease and high blood pressure, as well as kidney stones.
“Hyperuricemia is a dangerous condition,” says Gaucher. “By lowering uric acid, we could potentially prevent multiple diseases at once.”
However, a lot more research is going to be needed to figure out how to get this uricase gene working safely again in humans – if indeed a tweak like this can be made without interfering with other essential biological processes.
It’s thought that around 1 in 5 people in the US have hyperuricemia, and it can be affected by diet – red meat and alcohol don’t help, for example. While treatments are available, they don’t work for everyone, and sometimes come with unwanted side effects.
“Our genome-editing approach could allow patients to live gout-free lives and potentially prevent fatty liver disease,” says Gaucher.
The research has been published in Scientific Reports.
September 5, 2025
HANOI – Dengue fever cases have surged dramatically across Việt Nam this year, with more than 65,000 infections and 11 deaths recorded so far, according to the Ministry of Health. The number of cases is up by nearly 21 per cent compared to last year, signalling a worrying escalation of the mosquito-borne disease nationwide.
August alone saw 21,640 new cases and six deaths, underscoring the urgent challenge facing health authorities. The southern region, especially Hồ Chí Minh City (including former provinces of Bình Dương and Bà Rịa–Vũng Tàu), has been hit hardest.
Vice director of the city Department of Health Dr Huỳnh Minh Chính revealed that more than 26,000 cases have been reported in the region this year — a staggering increase of over 220 per cent compared to the same period last year.
Other localities have also seen rising numbers, heightening concerns about the spread of the epidemic. In response, the Ministry of Health issued a directive in mid-August urging provincial and city authorities to strictly implement the Prime Minister’s Official Dispatch No 116/CD-TTg dated July 20, aimed at bolstering dengue fever prevention and control measures.
Local governments have been tasked with closely monitoring the epidemic, reviewing the situation regularly, and promptly introducing control measures to halt the spread. Health departments are also required to update their dengue prevention plans, enhance coordination across sectors and strengthen surveillance to quickly identify new cases, especially in areas with previous outbreaks or high risk.
Healthcare facilities are being called on to organise effective patient admission and treatment protocols and to train medical staff at grassroots levels in the diagnosis, care and treatment of dengue fever. Monitoring systems are being reinforced to ensure timely responses and resource allocation to combat the disease.
The ministry emphasised that the most effective way to prevent dengue remains controlling the mosquito population. This includes eliminating mosquito larvae by covering all water containers, sleeping under mosquito nets even during the day, wearing long-sleeved clothing to avoid bites and using repellents such as creams, lamps, or electric mosquito rackets.
Prompt medical attention is critical for anyone exhibiting symptoms. The ministry warned against self-treatment at home, which risks missing early warning signs and can result in complications.
Vaccination is emerging as a new tool in the fight against dengue, with the Ministry highlighting its introduction into national vaccination programmes as a positive step towards reducing infections and fatalities. However, vaccines are not a substitute for traditional prevention measures and must be part of a comprehensive strategy.
As Việt Nam confronts this rising health threat, the Government and health authorities continue to call for community cooperation and vigilance to protect lives and curb the spread of dengue fever.
There’s growing evidence that the mix of bacteria in the gut affects obesity risk, and new research backs up the thinking that ‘good’ bacteria transferred via fecal microbiota transplants (FMT) could help boost metabolic health across several years.
In simple terms, metabolic health is how well our bodies are running, and turning food into energy. In this study, it was measured through what’s known as metabolic syndrome: a cluster of health issues including high blood pressure, high levels of sugar and fat in the blood, waist circumference, and cholesterol.
Led by a team from the University of Auckland in New Zealand, the new research follows up on a study published five years ago, for which 87 obese young adults were given fecal transplant capsules containing gut bacteria mixed to promote a healthy metabolism.
Related: Study of Over 400,000 People Links Gut Bacteria With Insomnia Risk
“Metabolic syndrome has severe consequences, including a doubling in risk of death from heart disease or stroke and a five-fold increased risk of type 2 diabetes,” says pediatric endocrinologist Wayne Cutfield, from the University of Auckland.
The transplant didn’t have a noticeable effect on weight loss, but it did seem to reduce the risk of metabolic syndrome, thus limiting the likelihood of related diseases. Now, it’s been shown that these health improvements can last for years.
“What is impressive is that just a single [FMT] treatment produced a dramatic reduction in metabolic syndrome that lasted at least four years,” says Cutfield.
“This means participants are at much lower risk of developing diabetes and heart disease over the long term.”
For the new research, follow-up tests were carried out on 55 of the original 87 study participants, 27 of whom had received the FMT treatment, with the remaining 28 given a placebo.
Again, there was no notable difference in body mass index (BMI) between the groups, but volunteers who had been given the FMT still had significantly better metabolic syndrome scores, with improved results across several health markers, including reduced body fat percentage.
In addition, the researchers found that the healthy mix of bacteria that had been transplanted four years prior were still in place to some extent. It means ongoing treatment might not always be needed.
Based on the extensive amount of research that’s been done, it seems there’s a two-way relationship between obesity and gut bacteria: what we eat of course affects the gut, but it seems the gut microbiome also influences weight and metabolism to some extent.
Taking a processed poop tablet may sound a little icky, and there are studies that suggest FMT has its own risks. However, other studies indicate various benefits, with these types of treatments used to tackle cancers, brain diseases, and aging in general.
Now we’ve seen what the long-term benefits might be, the researchers want to see tests on larger groups of people, and further work done to identify the particular mix of gut microbes that can promote metabolic health.
“Imagine being able to program your microbiome to reduce the risk of conditions before they occur,” says geneticist Justin O’Sullivan, from the University of Auckland.
“This work is paving the way for next-generation probiotics that target specific conditions through sustained changes to the microbiome.”
The research has been published in Nature Communications.
Hydrogels-materials like gelatin that can absorb and hold water-can aid wound healing and enable slow-release drug delivery, but they usually break down in acidic environments like the stomach. Inspired by the properties of gastric mucus, a team of researchers and clinicians led by Zuankai Wang of Hong Kong Polytechnic University have developed an acid-resistant hydrogel called “ultrastable mucus-inspired hydrogel” (UMIH). Publishing September 4 in the Cell Press journal Cell Reports Physical Science, they showed that UMIH improved gastrointestinal wound healing in animals and outperformed a clinically approved mucosal protectant (a material used to protect the stomach lining).
UMIH has potential for treating gastroesophageal reflux, gastric ulcers, and post-surgical wound protection and can be combined with endoscopic delivery for minimally invasive therapy. In both rat and pig models, it not only sticks firmly but also helps wounds heal faster and better.”
Bei Li, coauthor of Sichuan University
Like other hydrogels, UMIH consists of a meshwork of polymers that absorb water to create a strong but jelly-like consistency. To make it acid resistant, the researchers incorporated three key molecular components into UMIH’s structure: a protein called ELR-IK24 that binds to hydrogen ions under acidic conditions to reduce local acidity; tannic acid, which enhances the hydrogel’s ability to stick to surfaces; and a molecule called HDI that stabilizes the hydrogel’s structure under acidic conditions.
“UMIH represents a major step forward in biomaterials for gastrointestinal repair,” says Dr. Wang. “Its strong adhesion, durability, and scalable manufacturing process position it as a promising platform for clinical translation.”
In lab tests under acidic conditions (pH2), UMIH showed 15× stronger adhesive abilities compared to aluminum phosphate gel (APG), a clinically approved mucosal protectant and antacid that is used to manage gastric ulcers and acid reflux. And whereas APG degraded completely after 3 days, UMIH still maintained 50% of its structural integrity after 7 days in acidic conditions. UMIH was not associated with any toxicity issues in lab-grown gastrointestinal cells. It also inhibited the growth of E. coli and S. aureus bacteria, indicating that it has antimicrobial potential.
“UMIH achieves an adhesion strength 15 times higher than that of clinically approved materials in acidic conditions,” says coauthor Xiao Yang of the Hong Kong Polytechnic University. “It remains stable for 7 days and shows excellent biocompatibility and significant tissue repair capability.”
In pig and rat models of esophageal injury, UMIH adhered tightly to wounds and improved healing compared to control animals and animals treated with APG. UMIH was associated with less tissue damage, reduced inflammation, and it promoted the growth of new blood vessels, which is essential for healing.
Clinical trials will be needed to validate UMIH’s safety and efficacy in humans, but the researchers say that it has good potential for commercialization.
“This is a material that’s ready for both the operating room and the production line,” says coauthor Feng Lou of Sichuan University. “UMIH is low-cost, easy –to –mass produce, and built from components with established safety profiles. In [the] future, we plan to integrate UMIH with drug release systems and implantable flexible electronics to create smart gastrointestinal devices that can treat and monitor in real-time.”
Source:
Journal reference:
Yang, X., et al. (2025). Mucus-inspired hydrogels with protonation-driven adhesion for extreme acidic conditions. Cell Reports Physical Science. doi.org/10.1016/j.xcrp.2025.102772
First-year undergraduates who grew up with overly cautious or controlling parents tend to experience increased anxiety when faced with stresses associated with the transition to university, researchers from McGill University and the University of California (Los Angeles) have found.
The researchers asked 240 first-year McGill students to fill out several questionnaires in the first six weeks of the fall semester. The questionnaires used well-established scales to measure the parenting style they were raised with, current anxiety symptoms and different types of stressors they encountered during the transition to university, including housing difficulties, personal loss or even life-threatening situations.
The team then looked at associations among those variables, focusing on how the relationship between exposure to stressors and current experiences of anxiety correlated with different parental behaviours.
“We found that students whose parents are very protective experience a stronger link between exposure to stressful events and feelings of anxiety,” explained Lidia Panier, the study’s lead author. Panier, a PhD student in the Department of Psychology, is a member of the Translational Research in Affect and Cognition (TRAC) Lab led by Professor Anna Weinberg, the study’s senior author and principal investigator.
While cautioning that their study model does not allow them to conclude that overprotective parenting causes anxiety in children, the researchers note that such a conclusion would be consistent with the existing body of research.
Previous findings show that overprotective parenting leads to insecure attachment and poorer emotion regulation, both of which are linked to greater vulnerability to anxiety.”
Lidia Panier, study’s lead author
She said she believes overprotective parenting in childhood and adolescence may not be helpful in teaching kids how to adapt to stressful situations in the long term. At the same time, she noted that the overprotective parenting might in some cases be a response to a child’s anxious behaviours: parents might develop watchful attitudes or controlling habits to protect a child who often appears fearful.
“These interpretations are not mutually exclusive,” explained Panier. “A bi-directional dynamic where child behaviours influence parenting, which then affects child development, is also well-supported in the literature.”
The researcher said she hopes that future studies can clarify these links, as well as explore ways to better support young adults experiencing anxiety, especially during key transitional periods.
“It would be interesting to see if these patterns can change over time, such as whether supportive peer relationships in university can help young adults become more resilient, even if they experienced overprotective parenting,” she said.
Source:
Journal reference:
Panier, L., et al. (2025) Parental overprotection moderates the association between recent stressor exposure and anxiety during the transition to university. Development and Psychopathology. doi.org/10.1017/S095457942510028X
Some sugar substitutes may come with unexpected consequences for long-term brain health, according to a study published in the September 3, 2025, issueofNeurology®, the medical journal of the American Academy of Neurology. The study examined seven low- and no-calorie sweeteners and found that people who consumed the highest amounts experienced faster declines in thinking and memory skills compared to those who consumed the lowest amounts. The link was even stronger in people with diabetes. While the study showed a link between the use of some artificial sweeteners and cognitive decline, it did not prove that they were a cause.
The artificial sweeteners examined in the study were aspartame, saccharin, acesulfame-K, erythritol, xylitol, sorbitol and tagatose. These are mainly found in ultra-processed foods like flavored water, soda, energy drinks, yogurt and low-calorie desserts. Some are also used as a standalone sweetener.
“Low- and no-calorie sweeteners are often seen as a healthy alternative to sugar, however our findings suggest certain sweeteners may have negative effects on brain health over time,” said study author Claudia Kimie Suemoto, MD, PhD, of the University of São Paulo in Brazil.
The study included 12,772 adults from across Brazil. The average age was 52, and participants were followed for an average of eight years.
Participants completed questionnaires about diet at the start of the study, detailing what they ate and drank over the past year. Researchers divided them into three groups based on the total amount of artificial sweeteners they consumed. The lowest group consumed an average of 20 milligrams per day (mg/day) and the highest group consumed an average of 191 mg/day. For aspartame, this amount is equivalent to one can of diet soda. Sorbitol had the highest consumption, with an average of 64 mg/day.
Participants were given cognitive tests at the start, middle and end of the study to track memory, language and thinking skills over time. The tests assessed areas such as verbal fluency, working memory, word recall and processing speed.
After adjusting for factors such as age, sex, high blood pressure and cardiovascular disease, researchers found people who consumed the highest amount of sweeteners showed faster declines in overall thinking and memory skills than those who consumed the lowest amount, with a decline that was 62% faster. This is the equivalent of about 1.6 years of aging. Those in the middle group had a decline that was 35% faster than the lowest group, equivalent to about 1.3 years of aging.
When researchers broke the results down by age, they found that people under the age of 60 who consumed the highest amounts of sweeteners showed faster declines in verbal fluency and overall cognition when compared to those who consumed the lowest amounts. They did not find links in people over 60. They also found that the link to faster cognitive decline was stronger in participants with diabetes than in those without diabetes.
When looking at individual sweeteners, consuming aspartame, saccharin, acesulfame-k, erythritol, sorbitol and xylitol was associated with a faster decline in overall cognition, particularly in memory.
They found no link between the consumption of tagatose and cognitive decline.
“While we found links to cognitive decline for middle-aged people both with and without diabetes, people with diabetes are more likely to use artificial sweeteners as sugar substitutes,” Suemoto said. “More research is needed to confirm our findings and to investigate if other refined sugar alternatives, such as applesauce, honey, maple syrup or coconut sugar, may be effective alternatives.”
A limitation of the study was that not all artificial sweeteners were included. Also, diet information was reported by the participants, who may not have remembered accurately everything they ate.
The study was supported by the Brazilian Ministry of Health, the Ministry of Science, Technology, and Innovation, and the National Council for Scientific and Technological Development.
ADDIS ABABA – The death toll from Africa’s ongoing mpox outbreak is approaching 2,000 since the beginning of 2024, amid recent “encouraging” decline in the number of cases, according to the Africa Centers for Disease Control and Prevention (Africa CDC).
During an online media briefing on Thursday evening, Yap Boum II, deputy incident manager for mpox at the Africa CDC, said that 29 mpox-affected African countries have reported 185,994 cases since the start of last year. Of these, 51,969 were confirmed, and 1,987 related deaths were recorded.
Data from the African Union’s specialized healthcare agency showed that the continent has reported 105,697 mpox cases so far in 2025, surpassing last year’s total of 80,297.
Due to improving continental mpox response efforts, the Africa CDC witnessed a “continuous decline” in both confirmed and suspected cases over the past weeks, especially when compared to this year’s peak season recorded around May.
Data from the Africa CDC showed that the average weekly confirmed cases fell by 52 percent, from a peak of 1,441 weekly average cases in May to 695 cases over the past five weeks.
The Africa CDC further commended the increase in testing coverage as a positive development, with testing coverage moving from 30 percent to 66 percent from all suspected cases over the last six weeks.
Mpox, formerly known as monkeypox, was first detected in laboratory monkeys in 1958. It is a rare viral disease typically transmitted through body fluids, respiratory droplets and contaminated materials. The infection often causes fever, rash and swollen lymph nodes.
The Africa CDC, in August last year, declared the ongoing mpox outbreak a public health emergency of continental security. Shortly afterward, the World Health Organization designated the viral disease as a public health emergency of international concern.
NAWABSHAH – A meeting of the District Steering Committee was held under the chairmanship of Deputy Commissioner (DC) Shaheed Benazirabad, Abdul Samad Nizamani to discuss the upcoming HPV vaccination campaign. According to DC office, the campaign aims to vaccinate 136,760 girls aged 9-14 years across 86 union councils in the district from September 15 to 29, 2025. District Health Officer (DHO) Dr. Asadullah Dahri informed that teams will visit different villages to vaccinate girls, and mobile teams have been formed for this purpose. Vaccination points will also be set up in all health centers. The DC directed the officers of all concerned departments to fully cooperate for the campaign’s success.
He instructed the Education Department to ensure girl students in all government and private schools and madrasas are vaccinated. He also directed the police and Rangers to provide security arrangements. The Information Department has been tasked with providing awareness about HPV vaccination. He emphasized the need for close collaboration among all departments to make the vaccination campaign successful. The meeting decided that all departments will work together to ensure the campaign’s success and protect girls from cervical cancer.
Few people with high blood pressure were using salt substitutes, even though they are a simple and effective way to lower sodium intake and manage blood pressure, according to preliminary research presented at the American Heart Association’s Hypertension Scientific Sessions 2025. The meeting is in Baltimore, September 4-7, 2025, and is the premier scientific exchange focused on recent advances in basic and clinical research on high blood pressure and its relationship to cardiac and kidney disease, stroke, obesity and genetics.
High blood pressure occurs when the force of blood flowing through the blood vessels is consistently too high. High blood pressure can lead to other serious events such as heart attack and stroke. Using data from 2017 to 2020, 122.4 million (46.7%) adults in the U.S. had high blood pressure and it contributed to more than 130,000 deaths. Too much sodium and too little potassium in the diet are risk factors for high blood pressure.
Overall, less than 6% of all U.S. adults use salt substitutes, even though they are inexpensive and can be an effective strategy to help people control blood pressure, especially people with difficult-to-treat high blood pressure. Health care professionals can raise awareness about the safe use of salt substitutes by having conversations with their patients who have persistent or hard-to-manage high blood pressure.”
Yinying Wei, M.C.N., R.D.N., L.D., lead study author and Ph.D. candidate in the departments of applied clinical research and hypertension section, cardiology division, at UT Southwestern Medical Center, Dallas
Salt substitutes are products that replace some or all of the sodium with potassium. Potassium salt tastes similar to regular salt, except when heated it can have a bitter aftertaste. Many foods contain some sodium in their natural state, however, the largest amount of sodium comes from processed and packaged foods and meals prepared at restaurants. The American Heart Association recommends consuming no more than 2,300 mg of sodium a day, with an ideal limit of less than 1,500 mg per day for most adults, especially for those with high blood pressure. For most people, cutting back by 1,000 mg a day can improve blood pressure and heart health.
This study is the first to examine long-term trends in salt substitute use among a nationally representative sample of U.S. adults. Using data from the National Health and Nutrition Examination Survey (NHANES) from 2003 to 2020, researchers analyzed the use of products that replace salt with potassium-enriched or other alternative salts.
The investigation focused on people with high blood pressure, and an additional analysis was conducted among adults eligible to use salt substitutes, including people with normal kidney function and those not taking medications or supplements that affect blood potassium levels. Some salt substitutes contain potassium, and they can raise blood potassium to dangerous levels in people with kidney disease or those taking certain medications or potassium supplements. Excessive potassium can lead to irregular heart rhythms. People with high blood pressure who are thinking about switching from regular salt to a salt substitute should first consult with a health care professional.
The analysis found:
“Salt substitute use remained uncommon over the last two decades including among people with high blood pressure,” Wei said. “Even among individuals with treated and poorly managed or untreated high blood pressure, most continued to use regular salt.”
“This study highlights an important and easy missed opportunity to improve blood pressure in the U.S.-the use of salt substitutes,” said Amit Khera, M.D., M.Sc., FAHA, an American Heart Association volunteer expert. “The fact that use of salt substitutes remains so low and has not improved in two decades is eye-opening and reminds patients and health care professionals to discuss the use of these substitutes, particularly in visits focused on high blood pressure.” Khera, who was not involved in this study, is a professor of medicine, clinical chief of cardiology and director of preventive cardiology at UT Southwestern Medical Center in Dallas.
The study has several limitations. First, information about salt substitute use was self-reported, so there may have been underreporting or misclassification. In addition, all types of salt substitutes were included in the analysis, therefore, the analysis could not specifically separate potassium-enriched salt from other types of salt substitutes. Finally, the survey data did not capture how much salt substitute the participants used.
“Future research should explore why salt substitute-use remains low by investigating potential barriers, such as taste acceptance, cost and limited awareness among both patients and clinicians,” said Wei. “These insights may help guide more targeted interventions.”
Study details, background and design:
Source:
American Heart Association