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  • Gut microbiota and metabolic imbalance linked to pregnancy risks in PCOS

    Gut microbiota and metabolic imbalance linked to pregnancy risks in PCOS

    Gut microbiota and metabolic imbalance linked to pregnancy risks in PCOS | Image Credit: © Ekaterina – © Ekaterina – stock.adobe.com.

    There are distinct gut microbiota and metabolic signatures associated with premature endometrial aging and adverse pregnancy outcomes in patients with polycystic ovary syndrome (PCOS), according to a study presented at the 41st Annual Meeting of the European Society of Human Reproduction and Embryology (ESHRE).1

    Key microbial and metabolic differences identified

    In PCOS patients, Parabacteroides merdae (P. merdae), a benefitial gut bacterium, was reduced, while branched-chain amino acids (BCAAs) were more prevalent. This may lead to worse endometrial function and adverse reproductive outcomes in this population.

    “In clinical practice, we noticed that even younger women with PCOS who achieved pregnancy still faced unexpectedly high rates of miscarriage and other complications”, said Aixia Liu, MD, lead study author.

    Systemic risks of PCOS

    PCOS presents in up to 20% of reproductive-aged women worldwide and is a major driver of infertility. Fertility treatment reduces these risks, but the odds of complications such as gestational diabetes, miscarriage, and preterm birth are still higher in these patients. According to investigators, the factors behind this risk have remained unknown.

    Symptoms of PCOS include hyperandrogenism, ovulatory dysfunction, and polycystic ovarian morphology.2 Increased rates of type 2 diabetes mellitus, gestational diabetes, cerebrovascular and cardiovascular events, endometrial cancer, and other adverse health outcomes have been reported in PCOS patients, highlighting the need for tailored treatment.

    Comparing PCOS and non-PCOS cohorts

    Across 44 cities in China, 220 women aged under 35 years were recruited for the trial.1 Of these, 110 had PCOS and another 110 were matched controls. Investigators profiled differences between these cohorts through both gut microbiome sequencing and metabolomics.

    Ageing and decidualization were evaluated through laboratory studies on endometrial stromal cells (ESCs). Overall, PCOS patients presented with significantly reduced microbial diversity. Investigators noted this population had less P. merdae, which has been linked to metabolic health.

    BCAAs were also reported in serum metabolomics of patients with PCOS vs those without PCOS, with this trend especially pronounced for isoleucine. PCOS patients also presented with reduced levels of short-chain fatty acids.

    Increased pregnancy risk and endometrial dysfunction

    The odds of an adverse pregnancy outcome were increased 1.95-fold in the PCOS group vs the non-PCOS group. These included miscarriage, preterm birth, low birth weight, macrosomia, hypertensive disorders, gestational diabetes, and perinatal death.

    Endometrial tissue also had increased isoleucine levels in PCOS patients. Additionally, investigators exposed ESCs to isoleucine in the lab and found increased markers of cellular senescence, alongside a weakened ability for decidualization.

    Implications for early uterine aging and personalized interventions

    According to Liu, this indicated ageing-like changes in the uterus far sooner than expected. Therefore, even women aged under 35 years may experience adverse impacts on endometrial health.

    This data indicated possible efficacy of P. merdae and BCAAs as biomarkers for identifying patients with high-risk PCOS and providing personalized care. Liu recommended future research to assess the impact of dietary interventions, probiotics, and BAAA-restricted diets on these effects and pregnancy outcomes.

    “The study provides compelling evidence that metabolic and microbial imbalances in PCOS are not only systemic but may directly impair endometrial receptivity, even in younger women,” said Anis Feki, MD, PhD, Chair-Elect of ESHRE.

    References

    1. Gut bacteria and amino acid imbalance linked to higher miscarriage risk in women with PCOS. European Society of Human Reproduction and Embryology. June 29, 2025. Accessed July 2, 2025. https://www.eurekalert.org/news-releases/1088637.
    2. Azziz R, Carmina E, Chen Z, et al. Polycystic ovary syndrome. Nature Reviews Disease Primers. 2016. doi:10.1038/nrdp.2016.57

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  • Infos with two days to go

    Infos with two days to go

    Third in the overall standings and winner of the white jersey on his first attempt last year, Remco Evenepoel will line up at the start in Lille with the desire to continue his progress, while acknowledging the difficulty of the task ahead: “My goal is to win the three Grand Tours in my career. I have one in the pocket, so two to go. I was third last year, so I think the ability is there, but Tadej and Jonas are of course the top favourites this year again. I’ll try to make it harder for them but it’s very difficult to say where I am exactly compared to them.”

    “The stages in the Pyrenees and the Alps are very hard, with lots of elevation, and it comes towards the end of the week, so we’ll feel the fatigue. I think Col de la Loze, with its 27 kilometres of ascent, will be very painful. But the other stages are not necessarily easier, it depends on how we race”, Evenepoel added after discussing his quest to become the best climber possible after he was dominated by Pogacar, Vingegaard and Lipowitz in the Critérium du Dauphiné: “The work for the mountains is not something that happens over ten days, it’s a matter of months, and even years, especially for someone who is not physiologically a climber. I work about this all the time and I’m happy with the sensations I had at the Belgian nationals. I hope it will allow me to finish up there in the standings.”

    PRIMOZ ROGLIC : “I DREAM TO BE THE BEST”

    For his seventh participation in the Tour de France, Primoz Roglic continues his quest to complete his collection of victories with the most prestigious race in cycling, having already triumphed four times in the Vuelta (2019-20-21-24) and once in the Giro (2023). The first requirement will be to break the curse that has plagued him for several years, having abandoned the Tour in his last three participations due to crashes. Since 2019, the Slovenian has competed in 13 Grand Tours – each time, he either finished on the final podium (8 times) or abandoned (5 times).

    “To compete in the Tour, you need first to survive and I’m a good example of that in the last years”, Roglic acknowledged. “What matters is how you get on with it. I’m 36 now, I have some unfinished business with the Tour, but I can also say winning it or not won’t change who I am. It’s a privilege to still be there with younger riders and to fight with them. I don’t really need to point them out. The way Tadej [Pogacar] is riding, and also Jonas [Vingegaard] and Remco [Evenepoel]…”

    “Being who I am, you dream, you fight, you work to be the best”, Roglic added, also backing his young teammate Florian Lipowitz, who recently finished 3rd of the Critérium du Dauphiné: “He is really strong and he showed how much of a high level he has. So why not do the same here in the Tour de France?”

    HUNTING THE POLKA DOTS: “IT WILL BE DIFFICULT IF JONAS OR TADEJ WINS AT COL DE LA LOZE”

    On the 50th anniversary of the polka-dot jersey, the battle for the King of the Mountains standings will be fought over 67 categorised ascents: 9 HC summits, 4 cat.-1, 12 cat.-2, 16 cat.-3 and 26 cat.-4, granting a maximum of 358 points from Lille Métropole to the Champs-Élysées, via Col de la Loze (the highest summit of this Tour, 2,304m) and Côte de la Butte Montmartre (the final ascent of the race, 128m). As usual, long range attackers will try to get the better of the GC contenders, in line with Richard Carapaz’s triumph last year.

    The Ecuadorian climber was set to defend his polka-dot jersey before he fell sick just before the start in Lille. The peloton of the Tour 2025 will thus feature four former winners: Tadej Pogacar (2020, 2021), Jonas Vingegaard (2022), Julian Alaphilippe (2018) and Warren Barguil (2017).

    Mattias Skjelmose (Lidl-Trek) hopes to follow their tracks: “I’m not gonna fight for a top-15 in GC, I’d rather go for a stage win and potentially the polka-dot jersey. I had the opportunity to help Giulio Ciccone win it in 2023 and it was something special to see him on the podium in Paris. I thought he looked cool in that jersey, let’s see if it’s also the case with me! There aren’t too many points in the first week [34 in the first 9 stages] and then there are lots of big mountain stages. Points are doubled at Col de la Loze [40 points at the finish of stage 18] and I can imagine Jonas or Tadej winning that stage… It would make things difficult but we’ll have to see.”

    FLYING NEW COLOURS IN LILLE

    The team presentation on Thursday evening at the Grand Place in Lille was the first opportunity for fans to see the new kits that riders will wear in this Tour. More than half of the participating teams are sporting new jerseys in this edition. In some cases, the change is radical.

    Visma – Lease a Bike emphasizes black with a design called “The Swarm”, which features the names of fans who bought it in the pre-sale, while Israel-Premier Tech will combine blue with electric pink in a nod to its bicycle brand, Factor. Red Bull-Bora-Hansgrohe’s new kit is white, blue and red, referencing the French football team in a Tour that takes place entirely on French soil.

    Some redesigns are more subtle. TotalEnergies’ new jersey pays tribute to their general manager Jean-René Bernaudeau by picking up the chequered pattern of the legendary Peugeot team with which he finished sixth in the 1981 edition. UAE Team Emirates draws inspiration from the “anahata”, or heart chakra. Other changes allow the inclusion of new brands, such as Ineos Grenadiers and its new sponsor TotalEnergies, as well as Groupama-FDJ, Tudor, EF Education-Easy Post, Decathlon-Ag2r La Mondiale, Lidl-Trek and Lotto.


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  • Brad Pitt on Making Sports Movies ‘F1,’ ‘Moneyball,’ Advice for Actors

    Brad Pitt on Making Sports Movies ‘F1,’ ‘Moneyball,’ Advice for Actors

    F1: The Movie may have just released, but it seems like it won’t be the last time Brad Pitt stars in a sports movie.

    Pitt was a guest on a Wednesday episode of the New Heights podcast, hosted by Kansas City Chiefs’ tight end Travis Kelce and former Philadelphia Eagles’ center Jason Kelce. During their conversation, Jason asked the Oscar winner if he wants to do another sports film after watching his “very cinematic” film, F1.

    The actor responded, “I love a sports movie when they work … It’s the greatest. I look back at Gene Hackman and Hoosiers and [Robert] Redford and The Natural, there’s even something more. Sports for me, even one game is an entire lifetime.”

    While speaking to the Kelce brothers, who have both won Super Bowl championships, he continued, “We watch you guys, we watch your fate. We watch how you deal with adversity, how you fight through it and it’s really an amazing metaphor for a lifetime.”

    Before F1, one of Pitt’s most loved projects was in 2011’s Moneyball, which The Hollywood Reporter included in its list of the best baseball movies of all time. The film was nominated for six Academy Awards, including a nom for Pitt in the best actor category.

    “When we get it right in these sports movies and I felt like we really got it right in Moneyball in a lovely, beautiful way to add to that lexicon,” he said. “I think this one does too on a really big level because the racing is probably the most visceral racing experience you’ll ever have. But like all great sports movies, when they’re great, there’s also a story there. You’re moved by it. And were funny as fuck. So, we got that to deliver it, but this kind of spiritual ending to it all, I’m really proud about.”

    Elsewhere in the podcast, Pitt explained that he enjoys watching what the new generation of actors is doing. “I like to see what they are up against and the way they negotiate and work their way through it. They enjoy it more. We were more uptight and it had to be about acting and ‘You didn’t sell out, you didn’t sell out.’ But now it’s like, ‘We can be artists in many different arenas, so let’s do it and let’s enjoy it.’”

    However, he concluded by sharing some advice. “But they also get caught up in you ‘have to have a franchise’ or ‘have to have a superhero.’ But I keep saying, ‘Don’t! Don’t! One day they’ll die.’”

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  • Magda Eriksson and Pernille Harder – rivals on the pitch, LGBTQ+ pioneers away from it

    Magda Eriksson and Pernille Harder – rivals on the pitch, LGBTQ+ pioneers away from it

    Magda and Pernille: Rivals on the field & pioneers off it

    One thing that both can agree on, regardless of the shirt they wear, is that football is just football – nothing more.

    Away from the pitch they are planning a wedding, building a life together; that is not necessarily forgotten in 90 minutes, rather put to one side as they battle it out.

    That sentiment is echoed in the openness of which they live their lives, something that resonates with fans globally.

    Such a stark contrast between the men and women’s game is not lost on them, either, recognising the importance of having a space to be themselves.

    “It’s a totally different environment to men’s football,” suggests Harder.

    Eriksson follows on: “Players can be themselves, love who they love, and if you come into the women’s football environment, you have to buy into that.

    “I think we have been quite lucky, that there is so much acceptance, whereas in men’s football there is a culture that still has to change… it takes time.”

    Nothing quite emphasises their point like the kiss they shared at the 2019 World Cup, Magda going over to the stands where Pernille was cheering her on – a photo taken by an attentive photographer that captured the hearts of adoring fans.

    An act so simple, yet a reaction so monumental.

    “We’ve always just been natural, not so much thinking of being inspirations together, putting pictures up of each other or anything like that,” Harder told the Guardian not long after the image circulated the internet.

    “But when we saw that photo and the comments around it, then it was really something; we had a lot of messages from a lot of young people, people of our age, but older people also.”

    Eriksson added: “I think that’s when I felt the demand for role models in that way, because of how big it was and how many people wrote to me on Instagram that they looked up to us and how much we’d helped them.

    “That’s when I understood that we’re really powerful together. Before, we hadn’t really seen ourselves as that.”

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  • Uniper to cut 400 jobs over ‘challenging’ market environment

    Uniper to cut 400 jobs over ‘challenging’ market environment

    FRANKFURT (July 3): German state-owned utility Uniper on Thursday said it was planning to cut 400 jobs, or around 5% of its staff, citing a challenging energy market environment that includes falling wholesale power prices.

    Citing “challenging market developments and regulatory delays”, Uniper also said it would look for other ways to cut costs to safeguard its profitability.

    Newspaper Rheinische Post earlier reported the job cuts.

    Shares in the company were down 1% following the news.

    Uniper’s works council chief said he expected even more job cuts to come.

    “Four hundred jobs are just the beginning, more are to be cut,” Harald Seegatz told Reuters.

    Employee representatives will scrutinise the planned layoffs and lobby for socially responsible measures, Seegatz said.

    “However, it is understandable that the delay in the power plant strategy and the fall in electricity prices make adjustments necessary in order to keep the company financially healthy,” he added.

    Uploaded by Siow Chen Ming

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  • Youth facing isolation and low resilience at higher risk for adult anxiety and depression

    Youth facing isolation and low resilience at higher risk for adult anxiety and depression

    Adolescents who experience both loneliness and low resilience are much more susceptible to developing anxiety and depression as adults.

    It has long been known that loneliness is a risk factor in the development of anxiety and depression. However, the association itself has been less well studied. This is especially true during the transition from adolescence to adulthood.

    Our research team investigated how loneliness in adolescence, both in isolation and in interaction with low resilience, affects anxiety and depression in young adulthood.”


    Nayan Deepak Parlikar, PhD candidate, Norwegian University of Science and Technology (NTNU’s) Department of Public Health and Nursing

    Adolescents who experience both loneliness and low resilience are at significantly greater risk of developing anxiety and depression compared with other groups.

    Individuals with low resilience are less able to cope with stress, adversity and other emotional challenges compared with others.

    These new findings have now been published in Social Psychiatry and Psychiatric Epidemiology.

    Worst combination

    This is the second article that Parlikar has written on the risk of developing anxiety and depression as an adult. It concentrates on the long-term consequences for young people, and on the link between loneliness and low resilience.

    “Adolescents who experience both loneliness and low resilience are at significantly greater risk of developing anxiety and depression compared with other groups,” said Parllikar.

    The study compared groups of adolescents who reported high resilience and low levels of loneliness with groups of adolescents who reported high resilience and high levels of loneliness, and adolescents with low resilience and low loneliness.

    “We found that the combination of loneliness and low resilience considerably increases the risk of developing symptoms of anxiety and depression together compared with exposure to only one of the factors,” continued Parlikar.

    The results have a number of consequences.

    Preventive measures become important

    “Health professionals working with young people should concentrate on identifying individuals with both loneliness and low resilience at an early stage. Once they have been identified, it is important to intervene quickly,” said Parlikar.

    The work may include screening in schools and health services to identify young people who are at risk.

    “It may also help to introduce programmes that promote social skills and build resilience. This can help to reduce the risk of developing anxiety and depression,” she added.

    Professionals treating the young people can adapt cognitive behavioural therapy (CBT) and other therapeutic approaches to address both loneliness and low resilience in adolescents.

    “Therapists should be aware that, when combined, these factors have a particularly high risk. Health professionals can receive special training in identifying people with low resilience.”

    More groups needed

    Group therapy can help cement networks and thus reduce loneliness. Involving the family can both strengthen resilience and reduce loneliness.

    With a school service that is under pressure, screening at the individual level is an expensive approach. So perhaps the best solution is to target all pupils, while still working to identify and help individuals who are particularly vulnerable or at risk.

    Collaboration across sectors is important for children and young people’s mental health.

    “It is important that schools, clubs and communities work together to prevent loneliness and exclusion, and to create a safe and inclusive environment. A sense of belonging has a huge impact on children and adolescents’ health and quality of life,” explained supervisor Unni Karin Moksnes.

    She is a professor at the Department of Public Health and Nursing at NTNU.

    “School plays a particularly important role, because it is an arena where all children and young people meet. Here, we can build communities that promote well-being, learning and good mental health.”

    Initiatives to promote good mental health among children and young people offer many benefits in both the short and long term. They can help improve many people’s wellbeing and better enable them to overcome challenges. Eventually, this could lead to cuts in school dropout rates, increase participation in working life, and result in fewer cases of mental illness. In other words, it is a good investment – for individuals and society alike.

    Source:

    Norwegian University of Science and Technology

    Journal reference:

    Parlikar, N., et al. (2025) The prospective association of adolescent loneliness and low resilience with anxiety and depression in young adulthood: The HUNT study. Social Psychiatry and Psychiatric Epidemiology. doi.org/10.1007/s00127-025-02888-2

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  • Rockefeller team finds flawed data in recent study relevant to coronavirus antiviral development

    Rockefeller team finds flawed data in recent study relevant to coronavirus antiviral development

    The COVID pandemic illustrated how urgently we need antiviral medications capable of treating coronavirus infections. To aid this effort, researchers quickly homed in on part of SARS-Cov-2’s molecular structure known as the NiRAN domain—an enzyme region essential to viral replication that’s common to many coronaviruses. A drug targeting the NiRAN domain would likely work broadly to shut down a range of these pathogens, potentially treating known diseases like COVID as well as helping to head off future pandemics caused by related viruses,

    In 2022, scientists in China (Yan et al.) published a structural model describing exactly how this domain works. It should have been a tremendous boon for drug developers.

    But the model was wrong.

    “Their work contains critical errors,” says Gabriel Small, a graduate fellow in the laboratories of Seth A. Darst and Elizabeth Campbell at Rockefeller. “The data does not support their conclusions.”

    Now, in a new study published in Cell, Small and colleagues demonstrate exactly why scientists still don’t know how the NiRAN domain works. The findings could have sweeping implications for drug developers already working to design antivirals based on flawed assumptions, and underscore the importance of rigorous validation.

    “It is absolutely important that structures be accurate for medicinal chemistry, especially when we’re talking about a critical target for antivirals that is the subject of such intense interest in industry,” says Campbell, head of the Laboratory of Molecular Pathogenesis. “We hope that our work will prevent developers from futilely trying to optimize a drug around an incorrect structure.”

    A promising lead

    By the time the original paper was published in Cell, the Campbell and Darst labs were already quite familiar with the NiRAN domain and its importance as a therapeutic target. Both laboratories study gene expression in pathogens, and their work on SARS-CoV-2 focuses in part on characterizing the molecular interactions that coordinate viral replication.

    The NiRAN domain is essential for helping SARS-CoV-2 and other coronaviruses cap their RNA, a step that allows these viruses to replicate and survive. In one version of this process, the NiRAN domain uses a molecule called GDP to attach a protective cap to the beginning of the virus’s RNA. Small previously described that process in detail, and its structure is considered solved. But the NiRAN domain can also use a related molecule, GTP, to form a protective cap. Determined to develop antivirals that comprehensively shut down the NiRAN domain, scientists were keen to discover the particulars of the latter GTP-related mechanism.

    In the 2022 paper, researchers described a chain of chemical steps, beginning with a water molecule breaking a bond to release the RNA’s 5′ phosphate end. That end then attaches to the beta-phosphate end of the GTP molecule, which removes another phosphate and, with the help of a magnesium ion, transfers the remaining portion of the GTP molecule to the RNA, forming a protective cap that allows the virus to replicate and thrive.

    The team’s evidence? A cryo-electron microscopy image that showed the process caught in action. To freeze this catalytic intermediate, the team used a GTP mimic called GMPPNP.

    Small read the paper with interest. “As soon as they published, I went to download their data,” he says. It wasn’t there. This raised a red flag—data is generally available upon release of a structural biology paper. Months later, however, when Small was finally able to access the data, he began to uncover significant flaws. “I tried to make a figure using their data, and realized that there were serious issues,” he says. Small brought his concerns to Campbell and Darst.

    They agreed. “Something was clearly wrong,” Campbell says. “But we decided to give the other team the benefit of the doubt, and reprocess all of their data ourselves.”

    An uphill battle

    It was painstaking work, with Small leading the charge. Working frame by frame, he compared the published atomic model to the actual cryo-EM map and found something striking: the key molecules that Yan and colleagues claimed to have seen—specifically, the GTP mimic GMPPNP and a magnesium ion in the NiRAN domain’s active site—simply were not there.

    Not only was there no supporting image data, but the placement of these molecules in the original model also violated basic rules of chemistry, causing severe atomic clashes and unrealistic charge interactions. Small ran additional tests, but even advanced methods designed to pick out rare particles turned up empty. He could find no evidence to support the model previously produced by Yan and colleagues.

    Once the Rockefeller researchers validated their results, they submitted their findings to Cell. “It was very important that we publish our corrective manuscript in the same journal that published the original model,” Campbell says, noting that corrections to high-profile papers are often overlooked when published in lower tier journals.

    Otherwise, this confusion in the field could cause problems that reach far beyond the lab bench, Campbell adds—a costly reminder that rigorous basic biomedical research is not just academic, but essential to real-world progress. “Companies keep their cards close to their chests, but we know that several industry groups are studying this,” she says. “Efforts based on a flawed structural model could result in years of wasted time and resources.”


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  • Punjab moves toward major local Government reforms ahead of Elections

    Punjab moves toward major local Government reforms ahead of Elections

    Preparations for local government elections in Punjab are progressing as key amendments to the proposed local government law near finalisation.

    A major reform under consideration is the replacement of Deputy Commissioners with elected public representatives as heads of district-level authorities, a move aimed at enhancing democratic governance and accountability.

    Sources indicate that the revised draft law also includes provisions for the direct election of women and minority representatives to ensure more inclusive and effective representation.

    These proposals were discussed during a recent session of the Punjab Assembly’s Standing Committee on Local Government, chaired by Pir Ashraf Rasool.

    Felbous Christopher, a ruling party MPA and Chairman of the Standing Committee on Minority Affairs, strongly advocated for the direct election of minority representatives in local bodies. He argued that this change would foster authentic leadership and enable more efficient resolution of community issues.

    The committee approved the proposal by a majority vote.

    The draft local government bill had been sent to the committee for review in light of the approaching elections. Christopher noted that a broad consensus already exists within the assembly regarding direct elections for minority seats.

    The committee is expected to present its final report on the proposed legislation in its upcoming meeting for formal approval.


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  • Reservoir Dogs actor Michael Madsen dies aged 67

    Reservoir Dogs actor Michael Madsen dies aged 67

    Hollywood actor Michael Madsen died in his California home on Thursday morning, US media reported. He was 67.

    He was found unresponsive by authorities responding to a 911 call at his Malibu home and pronounced dead at 08:25 local time (BST), according to The Hollywood Reporter.

    He is believed to have died of cardiac arrest, according to a representative.

    Madsen was a prolific actor, best known for his roles in the Quentin Tarantino movies Reservoir Dogs, Kill Bill: Vol. 2, The Hateful Eight and Once Upon a Time in Hollywood.

    In one of the seminal movies of the 1990s, Tarantino’s Reservoir Dogs, he played psychotic thief Mr Blonde, who shocked audiences in a scene where he cut off a policeman’s ear.

    During a career spanning four decades, Madsen also took on a number of tv roles.

    In both tv and film, he often portrayed the law enforcers like sheriffs and detectives, as well as the law breakers, such as a washed-out hitman in the Kill Bill franchise.

    In recent years, he lent his voices to video games, including Grand Theft Auto III and the Dishonored series.

    Michael Madsen was born in Chicago in September 1957. His father was a Navy veteran of World War Two who later became a firefighter, and his mother was a filmmaker.

    He was the brother of Virginia Madsen, who is known for several movies including Sideways, for which she was nominated for an Oscar and Golden Globe.

    He was married three times, and is survived by four children, including actor Christian Madsen.

    Madsen divorced his wife of 28 years, DeAnna, in 2024, over the death of their son Hudson, according to People magazine.

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  • Breakthrough study questions longstanding STING activation approach

    Breakthrough study questions longstanding STING activation approach

    Researchers have long focused on the STING (Stimulator of Interferon Genes) pathway as a way to harness the immune system’s natural defenses against cancer. This pathway, which plays a key role in helping the body defend against potential pathogens, can be leveraged to trigger an innate immune response that targets cancer cells. However, a study published July 3 in the journal Nature Chemical Biology, led by biochemist Lingyin Li (Bluesky: @lingyinli.bsky.social), is spearheading a new school of thought.

    Historically, research on STING has overwhelmingly focused on activating the pathway to recruit immune cells that attack tumors. However, inhibiting the pathway is understudied and mounting evidence suggests that overactivation of STING may turn the immune system against healthy cells. This dual nature of activation and inhibition of STING make the pathway a powerful but complex target for drug development – one that has yet to be viable in humans.

    Our study evaluated the effectiveness of H-151, the most advanced inhibitor of human STING, which has shown promise in reversing cognitive decline in mice but has failed to block human STING signaling in purified human blood cells,” said senior author Li, an Arc Institute Core Investigator and professor in the Biochemistry Department and ChEM-H Institute at Stanford University. “Our results show that in humans the target site of H-151 lacks a pocket that is found in mouse STING – without it, drug tailoring is incredibly challenging.” 

    H-151 is a powerful STING inhibitor because once it binds to its target, it does not let go. It also targets a section of the STING pathway that is necessary for mouse STING signalling, but not humans. This fundamental mechanistic difference explains the discrepancies in inhibitor effectiveness between the two species, highlighting the limitations of using mouse models to predict human outcomes in STING-targeted therapy development. 

    To circumvent this mismatch, Li’s team rigorously dissected the essential steps required for human STING signalling. The team found that oligomerization,the process where STING molecules assemble to trigger immune signaling, is an essential checkpoint prior to activation. Drawing inspiration from STING’s natural autoinhibitory mechanism, Li’s team proposed targeting STING by directly preventing oligomerization and developed a proof-of-concept molecule that mimics this mechanism and prevents STING from forming the large complexes necessary for immune activation in humans.

    “This work emphasizes the need to focus on developing STING inhibitors exclusively in humans,” says Xujun Cao, one of the first authors on the paper and a postdoctoral fellow in the Li Lab. “Our method for uncovering this distinct druggable pocket provides a blueprint for others seeking to identify context-independent targets that can prevent STING autoimmunity.” 

    For STING to function, it needs to oligomerize flawlessly,” says Rebecca Chan, the paper’s other first author, a former graduate student in the Li Lab. “This discovery reveals why STING activation has such a high threshold-if it were easy to activate, our immune system would be attacking our own cells all the time. It’s an exquisitely controlled process, which is actually a good thing.

    Looking ahead,the Li lab will explore whether this understanding of STING inhibition could expand treatment possibilities beyond cancer immunotherapy. Their research will focus on potential applications for neurodegeneration and autoimmune diseases, while simultaneously advancing the development of promising molecular candidates as human-ready STING inhibitors for future clinical trials.

    Source:

    Journal reference:

    Chan, R., et al. (2025). Cysteine allostery and autoinhibition govern human STING oligomer functionality. Nature Chemical Biology. doi.org/10.1038/s41589-025-01951-y.

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