Dogs infected with Leishmania parasites smell more attractive to female sand flies

Dogs infected with the Leishmania parasite smell more attractive to female sand flies than males, say researchers.
The study published in PLOS Pathogens is led by Professor Gordon Hamilton of Lancaster University.
In Brazil, the parasite Leishmania infantum is transmitted by the bite of infected female Lutzomyia longipalpis sand flies.
Globally over 350 million people are at risk of leishmaniasis, with up to 300,000 new cases annually. In Brazil alone there are approximately 4,500 deaths each year from the visceral form of the disease and children under 15 years old are more likely to be affected.
Leishmania parasites are transmitted from infected dogs to people by sand flies when they bite. Visceral leishmaniasis affects the internal organs and is fatal if not treated.
As only female sand flies transmit the parasite, researchers wanted to understand if infection made dogs more attractive to the insect.
Professor Gordon Hamilton of Lancaster University said: “In this study we showed that infected dog odour is much more attractive than uninfected dog odour to the female sand flies. Only the females can transmit the pathogen and male sand flies, which do not transmit the parasite, are not affected by the changed odour.
“This clear-cut difference in attraction of female and male sand flies suggests that the females are preferentially attracted by parasite infected hosts and this could lead to enhanced infection and transmission opportunities for the parasite.”
The researchers had previously found that dogs infected with Leishmania parasites smelled different compared to uninfected dogs.
Professor Hamilton said: “Domestic dogs are the reservoir of infection, therefore understanding how the infection affects the attractiveness of dogs to the insect vector is important in understanding the epidemiology of the disease and offers opportunities for new control and diagnostic methodologies.”
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Materials provided by Lancaster University. Note: Content may be edited for style and length.

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Vaccines alone may not be enough to end pandemic

Even as vaccines are becoming more readily available in the U.S., protecting against the asymptomatic and pre-symptomatic spread of the virus (SARS-CoV-2) that causes COVID-19 is key to ending the pandemic, say two Georgetown infectious disease experts.
In their Perspective, “SARS-CoV-2 Transmission Without Symptoms” published March 18 in the journal Science, Angela L. Rasmussen, PhD, and Saskia V. Popescu, PhD, MA, faculty affiliates of the Center for Global Health Science and Security at Georgetown University Medical Center, make the case that symptomless transmission silently drives viral spread and is key to ending the pandemic.
“Determining the true transmission capability of asymptomatic and pre-symptomatic cases is inherently complex, but knowledge gaps should not detract from acknowledging their role in the spread of SARS-CoV-2,” the authors write.
“We can’t rely on vaccination alone to control the pandemic,” says Rasmussen. “Vaccines are great for protecting people against disease, but we don’t yet know how well they work to protect against transmission.”
Rasmussen says that from a biological perspective, it would be unlikely that a vaccine that protects well against disease would not protect against infection. “But just like the vaccines don’t offer a hundred percent protection against getting sick, they also aren’t a hundred percent likely to protect against transmission.”
In addition, while vaccines reportedly will become widely available in the U.S. by summer, that is not the case in the rest of the world where the pandemic continues unabated.
“Asymptomatic and pre-symptomatic transmission poses a unique challenge for public health and infection prevention mitigation efforts,” says Popescu. “Ultimately this is something we will need to continuously keep our eye on as we move into the next phase of the COVID-19 pandemic and a reduction of disease due to vaccinations.”
Rasmussen and Popescu conclude, “Until there is widespread implementation of robust surveillance and epidemiological measures that allow us to put out these smokeless fires, the COVID-19 pandemic cannot be fully extinguished.”
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Materials provided by Georgetown University Medical Center. Note: Content may be edited for style and length.

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Double duty: Gut's immune system helps regulate food processing, too

The small intestine is ground zero for survival of animals. It is responsible for absorbing the nutrients crucial to life and it wards off toxic chemicals and life-threatening bacteria.
In a new study published March 18 in the journal Science, Yale researchers report the critical role played by the gut’s immune system in these key processes. The immune system, they found, not only defends against pathogens but regulates which nutrients are taken in.
The findings may provide insights into origins of metabolic disease and malnutrition that is common in some undeveloped regions of the world.
“We were surprised that the immune system was so involved in nutrition,” said first author Zuri Sullivan, a former graduate student in the immunology department at Yale and now a Howard Hughes Medical Institute Hanna H. Gray postdoctoral fellow at Harvard. “And the study lays the groundwork for understanding how this reciprocal interaction works.”
Working in the lab of senior author Ruslan Medzhitov, Yale’s Sterling Professor of Immunobiology and an investigator at the Howard Hughes Medical Institute, Sullivan became interested in how the diets of humans and other animals can dramatically change the organization of their digestive tracts. For instance, the digestive systems of carnivores and herbivores are organized differently to accommodate their specialized diets. Omnivores have the most complex system, which must adapt to a diverse diet of proteins, fats, and carbohydrates depending upon what’s available in the environment.
Sullivan, Medzhitov, and a group of colleagues decided to study how the large numbers of immune cells present inside intestinal tracts might influence nutrition. For instance, a specific immune system signaling molecule, known as interleukin-22 (IL-22), plays a key role in combatting bacterial pathogens such as those that cause food poisoning. The presence of IL-22 also seems to prevent the uptake of certain nutrients in the digestive system when pathogens are present.
In a series of experiments, the researchers discovered that a specific group of immune system cells — gamma delta T cells — can suppress expression of interleukin-22 in mice and allow the cells on the intestinal wall to activate digestive enzymes and nutrient transporters.
In addition to providing insights into malnutrition in some parts of the world — where bacterial infections lead to chronic expression of IL-22 and suppress the uptake of nutrients. The findings might also eventually help researchers develop ways to combat high rates of metabolic diseases, such as Type 2 diabetes and obesity in the developed world, Sullivan said.
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Materials provided by Yale University. Original written by Bill Hathaway. Note: Content may be edited for style and length.

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Parsing dopamine's different pain sensitivity role in males, females

Males and females, generally speaking, experience and respond to pain differently, but scientists have yet to understand all the brain circuits involved in these differences. Now, new research from the UNC School of Medicine lab of Thomas Kash, PhD, shows how neurons use dopamine to regulate pain differently in male and female mice.
The discovery, published in the journal Neuron, could help the scientific community devise better pain management strategies, particularly for women, who are disproportionally affected by pain throughout their lifespans.
“We focused on this neural pathway because our previous work and that of others show that specific neurons release dopamine to regulate pain responses,” said Kash, the John R. Andrews Distinguished Professor of Pharmacology. “Unfortunately, that research was done only in male mice. So we decided to look at both male and female mice, and what we found was very surprising.”
Dopamine, long known as the brain’s pleasure chemical, can actually regulate a wide variety of behaviors. The dopamine neurons that Kash and his lab looked at had previously been shown to be important for both the rewarding properties and the pain-relieving properties of heroin. Beyond this, several studies have shown that these neurons can regulate attention, suggesting a link between drug abuse, pain, and attention.
Previously, using male mice, the Kash lab found that dopaminergic neurons played a key role in how opiates dampen pain, likely through the release of dopamine and glutamate. In the new experiments, his lab focused on a neural pathway starting at the midbrain region called the periaqueductal grey, including part of the dorsal raphe. That brain region is involved in behavioral adaptation — how animals learn to respond to their environment. The neurons that make dopamine in that region operate in conjunction with a brain structure called the bed nucleus of the stria terminalis, or BNST, forming a neural pathway.
“We found that activating this pathway reduced pain sensitivity in male mice, but made female mice move more, especially in the presence of something capturing their attention,” said first author Waylin Yu, PhD, a former graduate student in the Kash lab and current postdoctoral researcher at UC San Francisco. “We think this is because of the different ways males and females respond to pain.”
In particular, these experiments seem to indicate that dopamine helps males simply not feel as much pain, while in females, dopamine helps the mice focus attention elsewhere while in the presence of pain.
More research is needed, but the Kash lab research shows that activating specific neural projections to the BNST reduces acute and persistent inflammatory pain, providing further evidence that dopamine signaling can enhance the blocking of pain stimuli, thus counteracting severe pain.
“We hope to investigate how this pathway can regulate more emotional behaviors associated with chronic pain, and then also look at the dynamics of the system, such as how this pathway works in real time during behavior measurements,” Kash said. “These neurons are also implicated in the actions of opioids such as morphine, so we plan to investigate that domain, as well.”
The National Institutes of Health funded this research.

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A leap forward in research on CAR T cell therapy

In cancer immunotherapy, cells in the patient’s own immune system are activated to attack cancer cells. CAR T cell therapy has been one of the most significant recent advances in immunotherapies targeted at cancer.
In CAR T cell therapy, T cells are extracted from the patient for genetic modification: a chimeric antigen receptor (CAR) is transported into the cells using a viral vector, helping the T cells better identify and kill cancer cells. When the antigen receptor cells identify the desired surface structure in the patient’s cells, they start multiplying and killing the target cells.
CAR T cell therapy was introduced to Finland in 2018, and the treatment form has been used in support of patients suffering from leukaemia and lymphomas.
So far, the application of CAR T cell therapy to solid tumours has been difficult: targeting the therapy at just the tumour is difficult when the cancer type is not associated with any specific surface structure. In many cancer types, there is an abundance of a specific protein on the tumour’s surface, but as the protein also occurs in low numbers in normal tissue, CAR T cell therapy is not able to discriminate between target protein levels. This is why genetically modified cells are quick to attack also healthy cells and organs, which can result in fatal adverse effects associated with the treatment.
A study recently published in the Science journal has found a solution to applying CAR T cell therapy to solid tumours as well: through collaboration, American and Finnish researchers identified a new way of programming CAR T cells so that they only kill cancer cells, leaving alone healthy cells that have the same marker protein as cancer cells.
New technique based on ultrasensitive identification of HER2 cells, further investigation underway
HER2 is a protein characteristic of, among others, breast cancer, ovarian cancer and abdominal cancers. The protein can also occur in great numbers on the surface of tumour cells, since, as a result of gene amplification, HER2 expression can be multiplied in tumours.
A new CAR T cell engineering technique developed by the researchers is based on a two-step identification process of HER2 positive cells. Thanks to the engineering, the researchers were able to produce a response where CAR T cells kill only the cancer cells in the cancer tissue.
“Our solution requires the preliminary identification of the surface structures associated with the cancer. When the preliminary recognition ability that induces the CAR construct is adjusted to require a binding affinity that is different from the affinity used by CAR to direct the killing of these cells, an extremely accurate ability to differentiate between cells based on the amount of target protein on their surface can be programmed in this two-step ‘circuit’ which controls the function of killer T cells,” says Professor of Virology Kalle Saksela from the University of Helsinki.
Further studies for the application of the technique are already ongoing. Postdoctoral Researcher Anna Mäkelä, who works at Professor Saksela’s laboratory, is coordinating a project funded by the Academy of Finland investigating the use of CAR T cell therapy on various cancer types and their surface structures.
“We are very excited about these results, and we are currently developing the technique so that it could be used to treat ovarian cancer. As the work progresses, the aim is to apply the technique itself and the targeting molecules of CAR constructs even more broadly to malignant solid tumours. Our goal is to develop ‘multi-warhead missiles’, against which cancer cells will find it difficult to develop resistance,” Mäkelä says.
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Progesterone therapy may improve COVID-19 outcomes for men, study finds

COVID-19 disproportionately affects men compared with women, raising the possibility that a hormone like progesterone may improve clinical outcomes for certain hospitalized men with the disease. New research from Cedars-Sinai published online in the journal Chest supports this hypothesis.
The pilot clinical trial, involving 40 men, is believed to be the first published study to use progesterone to treat male COVID-19 patients whose lung functions have been compromised by the coronavirus. While the findings are promising, larger clinical trials are needed to establish the potential of this experimental therapy, the investigators said.
The study was prompted by multiple reports that men are at higher risk of mortality and severe illness from COVID-19 than are women, according to Sara Ghandehari, MD, director of Pulmonary Rehabilitation in the Women’s Guild Lung Institute at Cedars-Sinai and principal investigator for the trial.
“As an ICU doctor, I was struck by the gender disparity among COVID-19 patients who were very sick, remained in the hospital and needed ventilators,” she said. In addition, some published research had indicated that premenopausal women, who generally have higher progesterone levels, had less severe COVID-19 disease than did postmenopausal women, who have lower progesterone levels. While the bodies of both men and women naturally produce progesterone, women produce much more of the hormone during their reproductive years.
Protective Effect from Female Hormones
Ghandehari hypothesized that the gender differences in disease outcomes might be due, in part, to a protective effect from female hormones. In particular, preclinical studies elsewhere had pointed to progesterone as having certain anti-inflammatory properties. This finding suggested progesterone might be useful in dampening a sometimes-fatal immune response, known as a “cytokine storm,” that can worsen lung damage and attack other organs in COVID-19 patients.

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System detects errors when medication is self-administered

From swallowing pills to injecting insulin, patients frequently administer their own medication. But they don’t always get it right. Improper adherence to doctors’ orders is commonplace, accounting for thousands of deaths and billions of dollars in medical costs annually. MIT researchers have developed a system to reduce those numbers for some types of medications.
The new technology pairs wireless sensing with artificial intelligence to determine when a patient is using an insulin pen or inhaler, and flags potential errors in the patient’s administration method. “Some past work reports that up to 70% of patients do not take their insulin as prescribed, and many patients do not use inhalers properly,” says Dina Katabi, the Andrew and Erna Viteri Professor at MIT, whose research group has developed the new solution. The researchers say the system, which can be installed in a home, could alert patients and caregivers to medication errors and potentially reduce unnecessary hospital visits.
The research appears in the journal Nature Medicine. The study’s lead authors are Mingmin Zhao, a PhD student in MIT’s Computer Science and Artificial Intelligence Laboratory (CSAIL), and Kreshnik Hoti, a former visiting scientist at MIT and current faculty member at the University of Prishtina in Kosovo. Other co-authors include Hao Wang, a former CSAIL postdoc and current faculty member at Rutgers University, Aniruddh Raghu, a CSAIL PhD student.
Some common drugs entail intricate delivery mechanisms. “For example, insulin pens require priming to make sure there are no air bubbles inside. And after injection, you have to hold for 10 seconds,” says Zhao. “All those little steps are necessary to properly deliver the drug to its active site.” Each step also presents opportunity for errors, especially when there’s no pharmacist present to offer corrective tips. Patients might not even realize when they make a mistake — so Zhao’s team designed an automated system that can.
Their system can be broken down into three broad steps. First, a sensor tracks a patient’s movements within a 10-meter radius, using radio waves that reflect off their body. Next, artificial intelligence scours the reflected signals for signs of a patient self-administering an inhaler or insulin pen. Finally, the system alerts the patient or their health care provider when it detects an error in the patient’s self-administration.
The researchers adapted their sensing method from a wireless technology they’d previously used to monitor people’s sleeping positions. It starts with a wall-mounted device that emits very low-power radio waves. When someone moves, they modulate the signal and reflect it back to the device’s sensor. Each unique movement yields a corresponding pattern of modulated radio waves that the device can decode. “One nice thing about this system is that it doesn’t require the patient to wear any sensors,” says Zhao. “It can even work through occlusions, similar to how you can access your Wi-Fi when you’re in a different room from your router.”
The new sensor sits in the background at home, like a Wi-Fi router, and uses artificial intelligence to interpret the modulated radio waves. The team developed a neural network to key in on patterns indicating the use of an inhaler or insulin pen. They trained the network to learn those patterns by performing example movements, some relevant (e.g. using an inhaler) and some not (e.g. eating). Through repetition and reinforcement, the network successfully detected 96 percent of insulin pen administrations and 99 percent of inhaler uses.
Once it mastered the art of detection, the network also proved useful for correction. Every proper medicine administration follows a similar sequence — picking up the insulin pen, priming it, injecting, etc. So, the system can flag anomalies in any particular step. For example, the network can recognize if a patient holds down their insulin pen for five seconds instead of the prescribed 10 seconds. The system can then relay that information to the patient or directly to their doctor, so they can fix their technique.
“By breaking it down into these steps, we can not only see how frequently the patient is using their device, but also assess their administration technique to see how well they’re doing,” says Zhao.
The researchers say a key feature of their radio wave-based system is its noninvasiveness. “An alternative way to solve this problem is by installing cameras,” says Zhao. “But using a wireless signal is much less intrusive. It doesn’t show peoples’ appearance.”
He adds that their framework could be adapted to medications beyond inhalers and insulin pens — all it would take is retraining the neural network to recognize the appropriate sequence of movements. Zhao says that “with this type of sensing technology at home, we could detect issues early on, so the person can see a doctor before the problem is exacerbated.”

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Common, serious gut disorder is under- and often misdiagnosed

Patients who regurgitate regularly but without any known cause may have a condition called rumination. Unfortunately, rumination is often confused with other gastrointestinal conditions, which means many patients may not be getting prompt treatment. But a new study by investigators at Massachusetts General Hospital (MGH) in Neurogastroenterology and Motility clearly describes this syndrome, how to distinguish it from other conditions, and how to treat it.
Rumination syndrome is a behavioral problem, in which patients effortlessly and repeatedly regurgitate food into their mouths while eating and sitting upright. It is a learned behavior that is classified as a disorder of the gut-brain interaction (DGBI). Many experts think that regurgitations develop as a habit involving an uncomfortable, mounting sensation or inner tension (similar to patients with tics) that results in contraction of the abdominal walls after eating. This pattern gets reinforced with positive associations (such as relief of anxiety and stress after regurgitation) as well as negative associations (such as the discomfort of trying to suppress the inner tension without regurgitating).
“This condition causes a lot of embarrassment and may stop people from eating with others,” explains Trisha Satya Pasricha, MD, co-lead author with Helen Burton Murray, PhD, both of MGH’s Division of Gastroenterology. “It is not well understood, and is often mistaken for other disorders.”
One reason rumination symptoms are missed is because they overlap with other DGBIs, such as functional dyspepsia (stomach pain or indigestion) or gastroparesis, which is when patients feel nauseous and full after eating just a small amount. Patients may incorrectly describe their symptoms as reflux or vomiting. As a result, the condition may go undiagnosed or misdiagnosed for a long period. That can lead to significant social constraint and possibly weight loss.
Pasricha and her colleagues screened 242 patients who were referred to specialists for gastric symptoms that could indicate they were experiencing rumination. The symptoms that brought these patients to a gastroenterologist included dyspepsia and gastroparesis.
Thirty-one of the 242 (12.8%) patients met criteria for rumination syndrome, which is determined using a gastric symptom scoring system. Almost half of those patients (48%) reported associated psychosocial impairment, meaning that they experienced difficulty in social situations because of their condition.
Comparing those patients with rumination and those without, there were no differences in race, gender, frequency of diabetes, or frequency of gastroparesis. “There is little demographically that distinguishes these patients other than their tendency to regurgitate when eating,” says Pasricha. “They are not more likely to have a history of an eating disorder or weight problems.”
However, the patients with rumination were more likely to also experience heartburn, particularly daytime symptoms. The researchers suggest that screening for heartburn and regurgitation could help identify more patients with this condition.
The treatment for rumination is behavioral and involves the practice of diaphragmatic, or deep, breathing. Two pilot trials have shown that this significantly improves gastroesophageal reflux. Comprehensive cognitive behavioral therapy for rumination syndrome (CBT-RS) is also recommended. CBT is an increasingly popular type of behavior therapy that helps people re-orient their thinking, teaching them new thought processes to replace old patterns that lead to self-harm and other poor outcomes.
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Materials provided by Massachusetts General Hospital. Note: Content may be edited for style and length.

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A Changing Gut Microbiome May Predict How Well You Age

People whose gut bacteria transformed over the decades tended to be healthier and live longer.The secret to successful aging may lie in part in your gut, according to a new report. The study found that it may be possible to predict your likelihood of living a long and healthy life by analyzing the trillions of bacteria, viruses and fungi that inhabit your intestinal tract.The new research, published in the journal Nature Metabolism, found that as people get older, the composition of this complex community of microbes, collectively known as the gut microbiome, tends to change. And the greater the change, the better, it appears.In healthy people, the kinds of microbes that dominate the gut in early adulthood make up a smaller and smaller proportion of the microbiome over the ensuing decades, while the percentage of other, less prevalent species rises. But in people who are less healthy, the study found, the opposite occurs: The composition of their microbiomes remains relatively static and they tend to die earlier.The new findings suggest that a gut microbiome that continually transforms as you get older is a sign of healthy aging, said a co-author of the study, Sean Gibbons, a microbiome specialist and assistant professor at the Institute for Systems Biology in Seattle, a nonprofit biomedical research organization.“A lot of aging research is obsessed with returning people to a younger state or turning back the clock,” he said. “But here the conclusion is very different. Maybe a microbiome that’s healthy for a 20-year-old is not at all healthy for an 80-year-old. It seems that it’s good to have a changing microbiome when you’re old. It means that the bugs that are in your system are adjusting appropriately to an aging body.”The researchers could not be certain whether changes in the gut microbiome helped to drive healthy aging or vice versa. But they did see signs that what happens in people’s guts may directly improve their health. They found, for example, that people whose microbiomes shifted toward a unique profile as they aged also had higher levels of health-promoting compounds in their blood, including compounds produced by gut microbes that fight chronic disease.Scientists have suspected for some time that the microbiome plays a role in aging. Studies have found, for example, that people 65 and older who are relatively lean and physically active have a higher abundance of certain microbes in their guts compared to seniors who are less fit and healthy. People who develop early signs of frailty also have less microbial diversity in their guts. By studying the microbiomes of people of all ages, scientists have found patterns that extend across the entire life span. The microbiome undergoes rapid changes as it develops in the first three years of life. Then it remains relatively stable for decades, before gradually undergoing changes in its makeup as people reach midlife, which accelerates into old age in those who are healthy but slows or remains static in people who are less healthy.Although no two microbiomes are identical, people on average share about 30 percent of their gut bacterial species. A few species that are particularly common and abundant make up a “core” set of gut microbes in all of us, along with smaller amounts of a wide variety of other species that are found in different combinations in every person.To get a better understanding of what happens in the gut as people age, Dr. Gibbons and his colleagues, including Dr. Tomasz Wilmanski, the lead author of the new study, looked at data on over 9,000 adults who had their microbiomes sequenced. They ranged in age from 18 to 101.About 900 of these people were seniors who underwent regular checkups at medical clinics to assess their health. Dr. Gibbons and his colleagues found that in midlife, starting at around age 40, people started to show distinct changes in their microbiomes. The strains that were most dominant in their guts tended to decline, while other, less common strains became more prevalent, causing their microbiomes to diverge and look more and more different from others in the population.“What we found is that over the different decades of life, individuals drift apart — their microbiomes become more and more unique from one another,” said Dr. Gibbons.People who had the most changes in their microbial compositions tended to have better health and longer life spans. They had higher vitamin D levels and lower levels of LDL cholesterol and triglycerides, a type of fat in the blood. They needed fewer medications, and they had better physical health, with faster walking speeds and greater mobility.The researchers found that these “unique” individuals also had higher levels of several metabolites in their blood that are produced by gut microbes, including indoles, which have been shown to reduce inflammation and maintain the integrity of the barrier that lines and protects the gut. In some studies, scientists have found that giving indoles to mice and other animals helps them stay youthful, allowing them to be more physically active, mobile and resistant to sickness, injuries and other stresses in old age. Another one of the metabolites identified in the new study was phenylacetylglutamine. It is not clear exactly what this compound does. But some experts believe it promotes longevity because research has shown that centenarians in northern Italy tend to have very high levels of it.Dr. Wilmanski found that people whose gut microbiomes did not undergo much change as they got older were in poorer health. They had higher cholesterol and triglycerides and lower levels of vitamin D. They were less active and could not walk as fast. They used more medications, and they were nearly twice as likely to die during the study period.The researchers speculated that some gut bugs that might be innocuous or perhaps even beneficial in early adulthood could turn harmful in old age. The study found, for example, that in healthy people who saw the most dramatic shifts in their microbiome compositions there was a steep decline in the prevalence of bacteria called Bacteroides, which are more common in developed countries where people eat a lot of processed foods full of fat, sugar and salt, and less prevalent in developing countries where people tend to eat a higher-fiber diet. When fiber is not available, Dr. Gibbons said, Bacteroides like to “munch on mucus,” including the protective mucus layer that lines the gut.“Maybe that’s good when you’re 20 or 30 and producing a lot of mucus in your gut,” he said. “But as we get older, our mucus layer thins, and maybe we may need to suppress these bugs.”If those microbes chew through the barrier that keeps them safely in the gut, it is possible they could trigger an immune system response.“When that happens, the immune system goes nuts,” Dr. Gibbons said. “Having that mucus layer is like having a barrier that maintains a détente that allows us to live happily with our gut microbes, and if that goes away it starts a war” and could set off chronic inflammation. Increasingly, chronic inflammation is thought to underlie a wide range of age-related ailments, from heart disease and diabetes to cancer and arthritis.One way to prevent these microbes from destroying the lining of the gut is to give them something else to snack on, such as fiber from nutritious whole foods like beans, nuts and seeds and fruits and vegetables.Other studies have shown that diet can have a substantial impact on the composition of the microbiome. While the new research did not look closely at the impact of different foods on changes in the microbiome as we age, Dr. Gibbons said he hopes to examine that in a future study.“It may be possible to preserve the aging mucus layer in the gut by increasing the amount of fiber in the diet,” Dr. Gibbons said. “Or we might identify other ways to reduce Bacteroides abundance or increase indole production through diet. These are not-too-distant future interventions that we hope to test.”In the meantime, he said, his advice for people is to try to stay physically active, which can have a beneficial effect on the gut microbiome, and eat more fiber and fish and fewer highly processed foods.“I have started eating a lot more fiber since I began studying the microbiome,” he said. “Whole foods like fresh fruits and veggies have all the complex carbohydrates that our microbes like to eat. So, when you’re feeding yourself, think about your microbes too.”

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Anti-inflammatory therapies have potential to prevent heart disease in the elderly

Therapies that soothe inflammation could be an effective way to prevent heart disease in people with a common age-related blood condition, according to a new study from researchers at Columbia University Vagelos College of Physicians and Surgeons.
The researchers identified how the blood condition, called clonal hematopoiesis, worsens atherosclerosis, and their findings suggest that an anti-inflammatory drug previously tested in a wider population of people with cardiovascular disease may have potential if used only in those with clonal hematopoiesis.
“The main message from our research is that anti-inflammatory therapies for atherosclerotic heart disease may be particularly effective in patients with clonal hematopoiesis,” says Alan Tall, MD, the Tilden Weger Bieler Professor of Medicine, the study’s co-senior author with Nan Wang, MD, associate professor of medical sciences (in medicine).
Their study was published online March 17 in Nature.
Aging Contributes to Heart Disease
Although great strides have been made in reducing atherosclerotic heart disease with therapies such as statins that reduce cholesterol, many people still have increased disease despite these current treatments.

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