Category: 8. Health

  • This Model Beats Docs at Predicting Sudden Cardiac Arrest

    This Model Beats Docs at Predicting Sudden Cardiac Arrest

    An artificial intelligence (AI) model has performed dramatically better than doctors using the latest clinical guidelines to predict the risk for sudden cardiac arrest in people with hypertrophic cardiomyopathy.

    The model, called Multimodal AI for ventricular Arrhythmia Risk Stratification (MAARS), is described in a paper published online on July 2 in Nature Cardiovascular Research. It predicts patients’ risk by analyzing a variety of medical data and records such as echocardiogram and radiology reports, as well as all the information contained in contrast-enhanced MRI (CMR) images of the patient’s heart.

    Natalia Trayanova, PhD, director of the Alliance for Cardiovascular Diagnostic and Treatment Innovation at Johns Hopkins University in Baltimore, led the development of the model. She said that while hypertrophic cardiomyopathy is one of the most common inherited heart diseases, affecting 1 in every 200-500 individuals worldwide, and is a leading cause of sudden cardiac death in young people and athletes, an individual’s risk for cardiac arrest remains difficult to predict.

    Current clinical guidelines from the American Heart Association and American College of Cardiology, and those from the European Society of Cardiology, identify the patients who go on to experience cardiac arrest in about half of cases.

    “The clinical guidelines are extremely inaccurate, little better than throwing dice,” Trayanova, who is also the Murray B. Sachs Professor in the Department of Biomedical Engineering at Johns Hopkins, told Medscape Medical News.

    Compared to the guidelines, MAARS was nearly twice as sensitive, achieving 89% accuracy across all patients and 93% accuracy for those 40-60 years old, the group of people with hypertrophic cardiomyopathy most at risk for sudden cardiac death.

    Building a Model

    MAARS was trained on data from 553 patients in The Johns Hopkins Hospital, Baltimore, hypertrophic cardiomyopathy registry. The researchers then tested the algorithm on an independent external cohort of 286 patients from the Sanger Heart & Vascular Institute hypertrophic cardiomyopathy registry in Charlotte, North Carolina.

    The model uses all of the data available from these patients, drawing on electronic health records, ECG readings, reports from radiologists and imaging technicians, and raw data from CMR.

    “All these different channels are fed into this multimodal AI predictor, which fuses it together and comes up with the risk for these particular patients,” Trayanova said.

    The inclusion of CMR data is particularly important, she said, because the imaging test can identify areas of scarring on the heart that characterize hypertrophic cardiomyopathy. But clinicians have yet to be able to make much use of those images because linking the fairly random patterns of scar tissue to clinical outcomes has been a challenge.

    But that is just the sort of task that deep neural networks  are particularly well-suited to tackle. “They can recognize patterns in the data that humans miss, then analyze and combine them with the other inputs into a single prediction,” Trayanova said.

    Clinical Benefits

    Better predictions of the risk for serious adverse outcomes will help improve care, by ensuring people get the right treatments to reduce their risk, and avoid the ones that are unnecessary, Trayanova said  The best way to protect against sudden cardiac arrest is with an implantable defibrillator — but the procedure carries potential risks that are best avoided unless truly needed.

    “More accurate risk prediction means fewer patients might undergo unnecessary ICD implantation, which carries risks such as infections, device malfunction, and inappropriate shocks,” said Antonis Armoundas, PhD, from the Cardiovascular Research Center at Massachusetts General Hospital in Boston.

    The model could also help personalize treatment for patients with hypertrophic cardiomyopathy, Trayanova said. “It’s able to drill down into each patient and predict which parameters are the most important to help influence the management of the condition,” she said.

    Robert Avram, MD, MSc, a cardiologist at the Montreal Heart Institute, Montreal, Quebec, Canada, said the results are encouraging. “I’m especially interested in how a tool like this could streamline risk stratification and ultimately improve patient outcomes,” he said.

    But it is not yet ready for widespread use in the clinic. “Before it can be adopted in routine care, however, we’ll need rigorous external validation across diverse institutions, harmonized variable definitions, and unified extraction pipelines for each modality, along with clear regulatory and workflow-integration strategies,” Avram said.

    Armoundas said he would like to see the model tested on larger sample sizes, with greater diversity in healthcare settings, geographical regions, and demographics, as well as prospective, randomized studies and comparisons against other AI predictive models.

    “Further validation in larger cohorts and assessment over longer follow-up periods are necessary for its full clinical integration,” he said.

    Armoundas, Avram, and Trayanova reported having no relevant financial conflicts of interest.

    Brian Owens is a freelance journalist based in New Brunswick, Canada.

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  • Australian man dies from ‘extremely rare’ bat bite virus

    Australian man dies from ‘extremely rare’ bat bite virus

    SYDNEY – An Australian man has died from an “extremely rare” rabies-like infection transmitted by a bat bite, health officials said on July 3.

    The man in his 50s was bitten by a bat carrying Australian bat lyssavirus several months ago, the health service in New South Wales said.

    “We express our sincere condolences to the man’s family and friends for their tragic loss,” NSW Health said in a statement.

    “While it is extremely rare to see a case of Australian bat lyssavirus, there is no effective treatment for it.”

    The man from northern New South Wales, who has not been identified, was this week listed as being in a “critical condition” in hospital.

    Officials said he was treated following the bite and they were investigating to see whether other exposures or factors played a role in his illness.

    The virus – a close relative to rabies, which does not exist in Australia – is transmitted when bat saliva enters the human body through a bite or scratch.

    First symptoms can take days or years to appear.

    Early signs of the disease are flu-like – a headache, fever and fatigue, the health service said.

    The victim’s condition rapidly deteriorates, leading to paralysis, delirium, convulsions and death.

    There were only three previous cases of human infection by Australian bat lyssavirus since it was first identified in 1996 – all of them fatal.

    People should avoid touching or handling bats, as any bat in Australia could carry lyssavirus, the New South Wales health service said.

    Only wildlife handlers who are trained, protected, and vaccinated should interact with the flying mammals, it warned.

    “If you or someone you know is bitten or scratched by a bat, you need to wash the wound thoroughly for 15 minutes right away with soap and water and apply an antiseptic with anti-virus action,” it said.

    “Patients then require treatment with rabies immunoglobulin and rabies vaccine.”

    The virus has been found in species of flying foxes and insect-eating microbats, NSW Health said.

    The species of bat involved in the latest fatality has not been identified.

    “Australian bat lyssavirus is very closely related to rabies and will cause death in susceptible people if they become infected and are not treated quickly,” said Professor James Gilkerson, infectious diseases expert at the University of Melbourne.

    Australian bat lyssavirus was first identified in May 1996 by scientists at the national science agency Csiro, who examined brain tissue from a flying fox that had been showing “nervous signs” in New South Wales.

    Later that year, a bat handler in Queensland became ill.

    “The initial numbness and weakness suffered in her arm progressed to coma and death,” the science agency said in an online document on the virus.

    “Two further cases in Queensland – a woman in 1998 and an eight year old boy in 2013 – resulted in death after being bitten or scratched by a bat,” it said.

    There are subtle differences between the lysssavirus in flying foxes and insectivorous bats, the science agency has found.

    Infected bats can transmit the virus to people, other bats and other mammals. AFP

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  • Prenatal exposure to air pollution and climatic factors associated with adverse birth outcomes in India

    Prenatal exposure to air pollution and climatic factors associated with adverse birth outcomes in India

    Prenatal exposure to ambient fine particulate matter and climatic factors, such as temperature and rainfall, are associated with adverse birth outcomes in India, according to a study published July 2nd, 2025, in the open-access journal PLOS Global Public Health by Mary Abed Al Ahad from the University of St Andrews, U.K.

    Ambient air pollution poses a global threat to human health, with a disproportionate burden of its detrimental effects falling on those residing in low and middle-income countries. Referred to as the silent killer, ambient air pollution is among the top five risk factors for mortality in both males and females. With a diameter of less than 2.5 microns, ambient fine particulate matter 2.5 (PM2.5), which primarily originates from the burning of fossil fuels and biomass, is considered the most harmful air pollutant. In the 2023 World Air Quality Report, India was ranked as the third most polluted country out of 134 nations based on its average yearly PM2.5 levels.

    Ambient air pollution has been associated with a range of pediatric morbidities, including adverse birth outcomes, asthma, cancer, and an increased risk of chronic diseases. Most studies investigating the association between ambient air pollution and adverse birth outcomes have primarily been conducted in high-income countries. Despite the alarming rise in air pollution levels in India, there has been a paucity of research exploring its impact on adverse birth outcomes.

    To address this knowledge gap, the researchers investigated the impact of ambient air pollution on adverse birth outcomes at the national level, focusing on low birth weight and preterm birth, and used different geospatial models to highlight vulnerable areas. The analysis provided evidence of the association between in-utero exposure to PM2.5 and adverse birth outcomes by leveraging satellite data and large-scale survey data. The individual-level analysis revealed that an increase in ambient PM2.5 is associated with a greater likelihood of low birth weight and preterm birth. Climatic factors such as rainfall and temperature were also linked to adverse birth outcomes. Children residing in the Northern districts of India appeared to be more susceptible to the adverse effects of ambient air pollution.

    According to the authors, the geostatistical analysis underscores the need for targeted interventions, particularly in Northern districts. In addition, the National Clean Air Program should be intensified, with stricter emission standards and enhanced air quality monitoring. Climate adaptation strategies, such as developing heat action plans and improving water management, should be incorporated into public health planning to mitigate the effects of extreme temperatures and irregular rainfall. Public health initiatives should be implemented to raise awareness of the risks of air pollution and climate change, particularly among pregnant women. 

    Source:

    Journal reference:

    Jana, A., et al. (2025). In-utero exposure to PM2.5 and adverse birth outcomes in India: Geostatistical modelling using remote sensing and demographic health survey data 2019–21. PLOS Global Public Health. doi.org/10.1371/journal.pgph.0003798.

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  • Surgery vs Radiation in Early Glottic Cancer

    Surgery vs Radiation in Early Glottic Cancer

    TOPLINE:

    In a study of patients with T1 glottic squamous cell carcinomas, a group who received transoral microlaryngeal surgery alone had a higher risk for recurrence than a group who received radiotherapy alone, while 5-year overall survival rates remained similar between the two groups. Patients with T1b tumors had lower survival rates and higher rates of laryngectomy than those with T1a tumors.

    METHODOLOGY:

    • Radiotherapy is the standard treatment for T1 glottic squamous cell carcinomas, but microlaryngeal surgery has emerged as an alternative, prompting researchers to assess their comparative effectiveness.
    • This retrospective observational study included data of 777 patients (12% women; median age, 69 years) with T1a (n = 652) and T1b glottic squamous cell carcinomas (n = 125) from the Swedish Head and Neck Cancer Register, who were treated between 2008 and 2019.
    • Overall, 367 patients (47.2%) underwent microlaryngeal surgery alone, 382 (49.2%) received radiotherapy as a single-modality treatment, while 28 (3.6%) received both treatments.
    • Study outcomes were 5-year overall survival and risk for recurrence (defined as reappearance more than 6 months after diagnosis) or laryngectomy.

    TAKEAWAY:

    • Overall survival at 5 years was higher in patients with T1a tumors than in those with T1b tumors (78.5% vs 66.2%; P = .005).
    • Compared with radiotherapy alone, microlaryngeal surgery alone showed no significant difference in 5-year overall survival among patients with T1a (79.8% vs 77.5%; P = .53) and T1b (63.8% vs 65.9%; P = .610) tumors. The 5-year survival rate was 72.7% in patients who received both surgery and radiotherapy (all T1a), which was not significantly different from what was seen for those who received radiotherapy alone.
    • Most recurrences (80% for T1a and 91% for T1b; 90.5% local) occurred within 3 years, with median times to recurrence of 17.9 months (T1a) and 15 months (T1b).
    • At 3 years, recurrence rates were significantly higher after surgery alone than radiotherapy alone — 19.0% vs 6.4% for T1a tumors, and 56% vs 10% for T1b tumors (P < .001 for both comparisons).
    • The 3-year cumulative incidence of laryngectomy was significantly higher in the T1b vs T1a group (P = .01). Laryngectomy occurred in 5.0% and 5.2% of patients with T1a tumors after surgery alone and radiotherapy alone, respectively, compared with 16.0% and 10.6% among patients with T1b tumors.

    IN PRACTICE:

    “The results indicated a significant difference in 5‐year overall survival in favor of T1a vs T1b tumors and that microlaryngeal surgery should be used with caution in patients who have T1b cancer,” the authors wrote.

    SOURCE:

    The study was led by Hedda Haugen Cange, MD, PhD, Sahlgrenska University Hospital, Goteborg, Sweden. It was published online on June 26, 2025, in Cancer.

    LIMITATIONS:

    The study was limited by its retrospective, observational design. Data were missing on factors like voice quality, quality of life, and comorbidities, which limited comprehensive assessment. Additionally, the small sample size for T1b tumors reduced the study’s statistical power.

    DISCLOSURES:

    The study was funded by Laryngfonden. One author reported serving on a Merck Sharp and Dohme End Point Review Committee outside the submitted work.

    This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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  • A Challenging Case of Wild-Type Transthyretin Amyloidosis (ATTR) Amyloidosis Treated With Cardiac Resynchronization Therapy

    A Challenging Case of Wild-Type Transthyretin Amyloidosis (ATTR) Amyloidosis Treated With Cardiac Resynchronization Therapy


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  • Study unveils powerful strategy to rejuvenate effectiveness of CAR T cell therapy against glioblastoma

    Study unveils powerful strategy to rejuvenate effectiveness of CAR T cell therapy against glioblastoma

    A team of researchers from the San Raffaele-Telethon Institute for Gene Therapy (SR-TIGET, Milan), led by Nadia Coltella and Luigi Naldini, has unveiled a powerful strategy to rejuvenate the effectiveness of chimeric antigen receptor (CAR) T cell therapy against glioblastoma, one of the most lethal and treatment-resistant brain tumors. The findings, published in Science Translational Medicine, highlight how gene therapy targeting immune stimulating cytokines to the tumor microenvironment (TME) and enabling their private cross-talk with CAR-T cells not only restores CAR-T killer activity but also boost a broader immune response that inhibits tumor growth and extends host survival in a preclinical glioblastoma models.

    The study builds on the prior development by the Naldini’s laboratory of a gene therapy strategy that exploit genetic engineering of hematopoietic progenitors to generate a progeny of monocyte/macrophages that selectively release their immune stimulating payload upon infiltrating a tumor. This strategy has been taken to its first-in-human clinical testing as stand-alone treatment of glioblastoma by the biotech company Genenta Science, a spin-off from the San Raffaele Institute now listed on the NASDAQ.

    “Solid tumors like glioblastoma have been notoriously difficult for CAR-T cells to penetrate and control,” explains Dr. Rossari, first author of the work, “By reprogramming a population of tumor-infiltrating macrophages to deliver cytokines directly into the tumor, we’ve morphed the immunosuppressive TME into one supportive of immune cells, thus allowing CAR T cells to better persist, become activated and attack tumor cells.”

    CAR-T cells have shown transformative results in blood cancers but have struggled in solid tumors due to the hostile, immunosuppressive TME. The team’s strategy leads to selective release of two cytokines within the TME: interferon-α (IFN-α), a pleiotropic immune stimulator that counteracts local immune suppressive cues and enforces antigen presentation and immune effectors’ activity, and an engineered mutant of interleukin-2 that can only activate a cognate mutant receptor co-introduced with the CAR into T cells, thus boosting the proliferation specifically of the administered effector engaged in fighting the tumor.

    “The private ‘cross-talk’ between genetically engineered macrophages and CAR T cells established in the TME ensures that the immune stimulants act only where needed, sparing the rest of the body from systemic toxicity, and specifically on the relevant target cells involved in the tumor attack, again preventing collateral damage and aberrant effects,” says Dr. Alvisi, co-first author of the study.

    In a mouse model of glioblastoma that mimics the pathology and immunological barriers seen in human patients, the targeted cytokines rescued the activity of CAR-T cells that, given alone, were ineffective – as mostly seen in clinical trials. In turn, the rescued CAR T cells now synergized with cytokine delivery, significantly enhancing their effect on delaying tumor growth and extending mouse survival. Strikingly, even tumors with only a fraction of cells expressing the CAR-targeted antigen B7-H3 were effectively controlled, indicating engagement of endogenous T cells on top of the CAR-T to fight the tumor.

    “We observed not only reactivation of the CAR-T cells but also the recruitment of the host’s own T cells against a wider range of tumor antigens,” says Dr. Nadia Coltella, senior co-corresponding author. “This phenomenon, known as antigenic spreading, was mostly dependent on IFN-α activity in the TME and is a key feature for creating effective immunity as it may overcome immune evasion by tumors targeted only through a single antigen by the CAR-T cells.”

    “This work represents another important step forward in our decade-long commitment to develop a novel gene and cell therapy strategy effective against tumors, as we have been able to do for several genetic diseases along the life of our institute” adds Luigi Naldini, Director of SR-TIGET and Professor at Università Vita-Salute San Raffaele. “The tumor-targeted IFN-α delivery strategy is already being evaluated as stand-alone treatment in a first-in-human phase 1/2a trial on the most aggressive type of glioblastoma (Temferon trial) led by the biotech company Genenta Science. The study has shown feasibility, safety, biological activity in reprogramming the TME and early but promising indication of therapeutic benefit, albeit limited by the small number of treated patients and the design of a phase 1 study. A combination of Temferon with CAR-T cells administration, as prompted by our new study, could in future further enhance the benefit of the treatment and broaden its efficacy to a larger fraction of patients.”

    This study was supported also by the Italian Association for Cancer Research (AIRC), the Louis-Jeantet Foundation through the Jeantet-Collen Prize for Translational Medicine to Luigi Naldini, and a research contract from Genenta Sciences.

    Source:

    Journal reference:

    Rossari, F., et al. (2025) A cross-talk established by tumor-targeted cytokines rescues CAR T cell activity and engages host T cells against glioblastoma in mice. Science Translational Medicine. doi.org/10.1126/scitranslmed.ado9511.

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  • Research reveals secret behind scarless healing in the mouth

    Research reveals secret behind scarless healing in the mouth

    Your mouth is a magician. Bite the inside of your cheek, and the wound may vanish without a trace in a couple of days. A preclinical study co-led by Cedars-Sinai, Stanford Medicine and the University of California, San Francisco (UCSF), has discovered one secret of this disappearing act. The findings, if confirmed in humans, could one day lead to treatments that enable rapid, scarless recovery from skin wounds on other parts of the body.

    The study was published in the peer-reviewed journal Science Translational Medicine.

    Our research began with two questions: Why does your mouth heal so much better than your skin? And if we figure that out, can we use that information therapeutically?”


    Ophir Klein MD, PhD, executive vice dean of Children’s Health at Cedars-Sinai, executive director of Cedars-Sinai Guerin Children’s, the David and Meredith Kaplan Distinguished Chair in Children’s Health and co-corresponding author of the study

    The need for therapies is clear. Wounds to the lining of the mouth typically disappear in one to three days. But skin wounds may take nearly three times as long to heal and can leave unsightly scars.

    “Unfortunately, current treatments do not adequately resolve or prevent scarring because we do not fully understand the mechanism,” Klein said. “Our research helps fill in that knowledge gap.”

    In the study, investigators analyzed tissue samples from the lining of the mouth, known as the oral mucosa, and the facial skin of laboratory mice. In the oral mucosa, they found a signaling pathway between cells, involving a protein called GAS6 and an enzyme called AXL, which blocks a different cellular pathway, known as FAK, that promotes scarring.

    When the investigators inhibited the AXL enzyme in the laboratory mice, the oral mucosa wounds’ healing worsened, making them more like skin wounds. When AXL was stimulated in the skin wounds, they healed much like oral mucosa wounds, regenerating tissue more efficiently.

    “This data shows that the GAS6-AXL pathway is potentially important for scarless healing in the mouth and that manipulating it may help reduce skin scars as well,” Klein said.

    The next steps are to further determine how these preclinical findings apply to humans and to develop therapies to improve healing of skin wounds, according to Michael Longaker, MD, the Dean P. and Louise Mitchell Professor in the School of Medicine at Stanford University, and the study’s co-corresponding author.

    “Further clinical studies should be performed to assess the nature of the relationship between AXL and scarring in humans,” Longaker said.

    Source:

    Cedars-Sinai Medical Center

    Journal reference:

    Griffin, M. F., et al. (2025) Growth arrest specific–6 and angiotoxin receptor–like signaling drive oral regenerative wound repair. Science Translational Medicine. doi.org/10.1126/scitranslmed.adk2101.

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  • Apheresis May Sweep Microplastics From Veins

    Apheresis May Sweep Microplastics From Veins

    Microplastics are particles ranging from 1 micrometer to 5 millimeters in diameter, and nanoplastics, which are even smaller, are found in virtually every environment on Earth, from mountain peaks to ocean depths, and from the smallest animals in the food chain to human brain cells.

    These particles can originate from the breakdown of larger plastic items or be intentionally manufactured for use in products, such as cosmetics, synthetic fabrics, and pharmaceuticals. Recent studies suggest that the human brain may contain up to a teaspoon of microplastics and nanoplastics, with the tiniest fragments primarily composed of polyethylene, the same material commonly used in plastic bags and food packaging.

    These particles have been detected in areas such as the walls of blood vessels in the brain and within immune cells. However, it remains unclear whether microplastics contribute to the progression of neurological diseases or whether these conditions render the brain more susceptible to particle infiltration. In animal studies involving fish and rodents, prolonged exposure to nanoplastics has been linked to memory impairment, brain inflammation, and alterations in synaptic protein levels.

    Beyond the brain, microplastics have been found in human feces, arterial plaques, and even the placenta. A study published in The New England Journal of Medicine linked the presence of microplastics in the arteries to a heightened risk for heart attack, stroke, and overall mortality.

    Therapeutic Apheresis

    According to a preliminary study published in Brain Medicine by researchers at Technische Universität Dresden in Dresden, Germany, therapeutic apheresis, a medical procedure that filters tiny particles from the blood, may help remove microplastics from the human body. The technique can capture particles as small as 200 nanometers, which is approximately 5000 times smaller than a millimeter.

    In this study, the researchers evaluated the procedure in patients with myalgic encephalomyelitis, also known as chronic fatigue syndrome. They analyzed the waste fluid discarded during apheresis using a specialized infrared spectroscopy technique.

    The analysis detected substances that matched the chemical signatures of polyamide and polyurethane, two common types of industrial plastics. This suggests that microplastics may have been successfully removed from the blood of patients during the procedure.

    Notably, this study did not measure the total amount of microplastics removed or compare their levels in patients before and after apheresis. What has been demonstrated so far is the presence of microplastics in the waste material discarded by the device — an observation that suggests, but does not yet confirm, the effective removal of these substances from the human body.

    Researchers have cautioned that the detected materials may reflect chemical structures common to proteins, meaning that further analysis is required to verify the exact nature of the removed particles. Nonetheless, the findings offer hope to researchers seeking to address the growing accumulation of microplastics in the human body.

    The authors recommended conducting studies with larger groups and quantitative analyses comparing the levels of microplastics in the blood before and after the procedures. The authors concluded that “such analyses will help determine particle removal from blood and tissues and assess correlations with symptom improvement in conditions like myalgia encephalomyelitis/chronic fatigue syndrome.”

    Alternative Approaches

    Currently, evidence that microplastics are effectively removed from the human body after ingestion is limited.

    A 2011 study examined bisphenol A (BPA) levels in blood, sweat, and urine samples from 20 individuals. In 16 cases, BPA appeared only in sweat, suggesting that induced perspiration may help eliminate certain compounds from the body. However, more studies are needed to assess its long-term safety and efficacy.

    “That is why we focus on reducing exposure to microplastics in the first place,” said Nicholas Fabiano, MD, a psychiatry resident at the University of Ottawa, Ottawa, Ontario, Canada, and co-author of a related article in Brain Medicine.

    The challenge of this research began with tracking the effects of microplastic particles. “From a clinical perspective, it is very difficult to establish a direct link between exposure to microplastics and adverse health outcomes,” said Fabiano.

    To address this, he advocated the creation of new tools to measure dietary risks, such as a dietary microplastic index. “We propose the development of a Dietary Microplastic Index that could be integrated with existing dietary risk assessment tools to estimate microplastic exposure based on the types of food consumed,” he said.

    This story was translated from Medscape’s Portuguese edition

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  • Measuring tumor force offers new clues for brain cancer treatment

    Measuring tumor force offers new clues for brain cancer treatment

    As brain tumors grow, they must do one of two things: push against the brain or use finger-like extensions to invade and destroy surrounding tissue.

    Previous research found tumors that push – or put mechanical force on the brain – cause more neurological dysfunction than tumors that destroy tissue. But what else can these different tactics of tumor growth tell us?

    Now, the same team of researchers from the University of Notre Dame, Harvard Medical School/Massachusetts General Hospital, and Boston University has developed a technique for measuring a brain tumor’s mechanical force and a new model to estimate how much brain tissue a patient has lost. Published in Clinical Cancer Research, the study explains how these measurements may help inform patient care and be adopted into surgeons’ daily workflow.

    During brain tumor removal surgery, neurosurgeons take a slice of the tumor, put it on a slide and send it to a pathologist in real-time to confirm what type of tumor it is. Tumors that originally arise in the brain, like glioblastoma, are prescribed different treatments than tumors that metastasize to the brain from other organs like lung or breast, so these differences inform post-surgical care. By adding a two-minute step to a surgeon’s procedure, we were able to distinguish between a glioblastoma tumor versus a metastatic tumor based on mechanical force alone.” 


    Meenal Datta, assistant professor of aerospace and mechanical engineering at Notre Dame and co-lead author of the study

    Datta and collaborators collected data from 30 patients’ preoperative MRIs and their craniotomies, which include exposing the brain and using Brainlab neuronavigation technology. This technology provides surgeons with real-time, 3D visualization during brain surgeries and is considered commonly available for neurological procedures. Neurosurgeons can use this technique to measure the bulge caused by brain swelling from the tumor’s mechanical forces before the tumor is resected.

    Then this patient data was used to determine whether brain tissue was displaced by a tumor’s mechanical force or replaced by a tumor. The researchers found that when there is more mechanical force on the brain (displacement), the swelling will be more substantial. But when a tumor invades and destroys surrounding tissue (replacement), the swelling will be less significant.

    The researchers created computational models based on a point system of measurements and biomechanical modeling that can be employed by doctors to measure a patient’s brain bulge, to determine the mechanical force that was being exerted by the tumor, and to determine the amount of brain tissue lost in each patient.

    Funded by the National Institutes of Health, National Science Foundation and various cancer research foundations, this study is among the first to show how mechanics can distinguish between tumor types.

    “Knowing the mechanical force of a tumor can be useful to a clinician because it could inform patient strategies to alleviate symptoms. Sometimes patients receive steroids to reduce brain swelling, or antipsychotic agents to counter neurological effects of tumors,” said Datta, an affiliate of Notre Dame’s Harper Cancer Research Institute. Datta recently showed that even affordable and widely used blood pressure medications can counter these effects. “We’re hoping this measurement becomes even more relevant and that it can help predict outcomes of chemotherapy and immunotherapy.”

    To get a better idea of what else mechanical force could indicate, the research team used animal modeling of three different brain tumors: breast cancer metastasis to the brain, glioblastoma and childhood ependymoma.

    In the breast cancer metastasis tumor, researchers used a form of chemotherapy that is known to work in reducing metastasis brain tumor size. While waiting for the tumor to respond to the chemotherapy, the team found that a reduction in mechanical force changed before the tumor size was shown to change in imaging.

    “In this model, we showed that mechanical force is a more sensitive readout of chemotherapy response than tumor size,” Datta said. “Mechanics are sort of disease-agnostic in that they can matter regardless of what tumor you are looking at.”

    Datta hopes that doctors employ the patient models from the study to continue to grow the field’s understanding of how mechanical force can improve patient care management.

    In addition to Datta, co-lead authors include Hadi T. Nia at Boston University, Ashwin S. Kumar at Massachusetts General Hospital and Harvard Medical School, and Saeed Siri at Notre Dame. Other collaborators include Gino B. Ferraro, Sampurna Chatterjee, Jeffrey M. McHugh, Patrick R. Ng, Timothy R. West, Otto Rapalino, Bryan D. Choi, Brian V. Nahed, Lance L. Munn and Rakesh K. Jain, all at Massachusetts General Hospital and Harvard Medical School.

    Datta is also affiliated with Notre Dame’s Eck Institute for Global Health, the Berthiaume Institute for Precision Health, NDnano, the Warren Center for Drug Discovery, the Lucy Family Institute for Data & Society and the Boler-Parseghian Center for Rare Diseases. She is also a concurrent faculty member in the Department of Chemical and Biomolecular Engineering and a faculty adviser for Notre Dame’s graduate programs in bioengineering and materials science and engineering.

    Source:

    Journal reference:

    Nia, H. T., et al. (2025). Solid Stress Estimations via Intraoperative 3D Navigation in Patients with Brain Tumors. Clinical Cancer Research. doi.org/10.1158/1078-0432.ccr-24-4159.

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  • New study uncovers links to neurodegeneration after viral infection

    New study uncovers links to neurodegeneration after viral infection

    CHENNAI: Dr. Danielle Beckman is a neuroscientist whose passion for studying the brain is helping to reveal how viral infections—like COVID-19—can affect brain health and possibly lead to long-term neurological conditions such as Alzheimer’s disease.

    Originally from Rio de Janeiro, Brazil, Dr. Beckman dreamed of being a writer. But after taking a college physiology course, she became fascinated with the brain. Her interest turned personal when her grandmother developed dementia, pushing her to understand what happens inside the brain during these conditions. Working at UC Davis under expert guidance, Dr. Beckman and her team created new monkey models that mimic how viruses interact with the human brain.

    A new study published in Genomic Press Brain Medicine reveals that these models have shown viruses like SARS-CoV-2 (the virus behind COVID-19) can reach brain cells quickly—within just seven days—and cause inflammation, a key contributor to memory problems and brain fog.

    This is different from other viruses like HIV, which affect the brain more slowly.

    Dr Beckman’s findings help explain why some people experience memory issues or “brain fog” after recovering from viral infections like COVID-19. Using advanced microscopy (a way to take detailed pictures of brain cells), Dr. Beckman has identified how viruses damage brain regions related to memory and thinking.

    Long COVID

    Dr. Beckman is also active in the Long COVID community, supporting people who are still sick months after infection. She hopes her work will lead to real treatments, especially since there are currently no approved therapies for Long COVID-related brain symptoms.

    Alzheimer’s & Beyond

    In addition to studying COVID-19, her team is working on better ways to study Alzheimer’s disease. They’ve created new monkey models that more closely reflect how the disease develops in humans—something rodents (like mice) can’t do as well. These models are helping scientists test new treatments more effectively.

    While the ultimate goal of this research is to find ways to prevent or reduce brain damage caused by viruses—both in conditions like Long COVID and in more traditional neurodegenerative diseases like Alzheimer’s, it is also laying the foundation for future treatments that could help millions around the world.

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