The beauty ideal fuelling an illicit drugs trade

For Altou, a 19-year-old model, having a ‘slim thick’ body is the key to getting more likes and more work.She’s one of thousands of women worldwide who have taken Apetamin, an appetite-stimulant promoted by social media influencers as a quick fix for the extreme hourglass figure popularised by celebrities like Kim Kardashian. It’s widely available online. But a new BBC Three documentary, Dangerous Curves: Get Thicc, Get Sick?, reveals that many don’t realise Apetamin is actually an unlicensed medicine – and its misuse is causing serious harm.The UK’s Medicines and Healthcare products Regulatory Agency (MHRA) told the BBC, ‘Apetamin is an unauthorised medicine which should not be sold, supplied or advertised without a licence. Taking unauthorised medicines can have serious health consequences’.The MHRA is investigating the sale of this product following the BBC’s enquiries.Dangerous Curves: Get Thicc, Get Sick? is on BBC iPlayer nowProduced by Jamie Ryan & Naomi PallasFilmed by Naomi PallasEdited by Owen KeanAssistant Producer: Jade ThompsonGraphics by Gerard GrovesExecutive Producer: Nisha Lilia Diu

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Predicting the next pandemic virus is harder than we think

The observation that most of the viruses that cause human disease come from other animals has led some researchers to attempt “zoonotic risk prediction” to second-guess the next virus to hit us. However, in an Essay publishing April 20th in the open access journal PLOS Biology, led by Dr Michelle Wille at the University of Sydney, Australia with co-authors Jemma Geoghegan and Edward Holmes, it is proposed that these zoonotic risk predictions are of limited value and will not tell us which virus will cause the next pandemic. Instead, we should target the human-animal interface for intensive viral surveillance.
So-called zoonotic viruses have caused epidemics and pandemics in humans for centuries. This is exactly what is occurring today with the COVID-19 pandemic: the novel coronavirus responsible for this disease — SARS-CoV-2 — emerged from an animal species, although exactly which species is uncertain.
Therefore, a key question is whether we can predict which animal or which virus group will most likely cause the next pandemic? This has led researchers to attempt “zoonotic risk prediction,” in which they attempt to determine which virus families and host groups are most likely to carry potential zoonotic and/or pandemic viruses.
Dr Wille and her colleagues identify several key problems with zoonotic risk prediction attempts.
First, they’re based on tiny data sets. Despite decades of work, we have probably identified less than 0.001% of all viruses, even from the mammalian species from which the next pandemic virus will likely emerge.
Second, these data are also highly biased towards those viruses that most infect humans or agricultural animals, or are already known to zoonotic. The reality is that most animals have not been surveyed for viruses, and that viruses evolve so quickly that any such surveys will soon be out of date and so of limited value.
The authors instead argue that a new approach is needed, involving the extensive sampling of animals and humans at the places where they interact — the animal-human interface. This will enable novel viruses to be detected as soon as they appear in humans and before they establish pandemics. Such enhanced surveillance may help us prevent something like COVID-19 ever happening again.
Story Source:
Materials provided by PLOS. Note: Content may be edited for style and length.

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Designing healthy diets with computer analysis

A new mathematical model for the interaction of bacteria in the gut could help design new probiotics and specially tailored diets to prevent diseases. The research, from Chalmers University of Technology in Sweden, was recently published in the journal PNAS.
“Intestinal bacteria have an important role to play in health and the development of diseases, and our new mathematical model could be extremely helpful in these areas,” says Jens Nielsen, Professor of Systems Biology at Chalmers, who led the research.
The new paper describes how the mathematical model performed when making predictions relating to two earlier clinical studies, one involving Swedish infants, and the other adults in Finland with obesity.
The studies involved regular measurements of health indicators, which the researchers compared with the predictions made from their mathematical model — the model proved to be highly accurate in predicting multiple variables, including how a switch from liquid to solid food in the Swedish infants affected their intestinal bacterial composition.
They also measured how the obese adults’ intestinal bacteria changed after a move to a more restricted diet. Again, the model’s predictions proved to be reliably accurate.
“These are very encouraging results, which could enable computer-based design for a very complex system. Our model could therefore be used to for creating personalised healthy diets, with the possibility to predict how adding specific bacteria as novel probiotics could impact a patient’s health,” says Jens Nielsen.

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Drug development platform could provide flexible, rapid and targeted antimicrobials

When disease outbreaks happen, response time in developing and distributing treatments is crucial to saving lives. Unfortunately, developing custom drugs as countermeasures is often a slow and difficult process.
But researchers at the University of Colorado Boulder have created a platform that can develop effective and highly specific peptide nucleic acid therapies for use against any bacteria within just one week. The work is detailed in Nature Communications Biology and could change the way we respond to pandemics and how we approach increasing cases of antibiotic resistance globally.
The Facile Accelerated Specific Therapeutic (FAST) platform was created by Associate Professor Anushree Chatterjee and her team within the Department of Chemical and Biological Engineering. It can quickly produce new antibiotics for any system or disease — from highly adaptive microbial super bugs to radiation poisoning in astronauts — that are specifically designed to selectively target just the bacteria of interest. The paper demonstrates significant growth inhibition and other positive responses in resistant bacteria such as E. coli, which are adapting to current treatments much faster than new drugs can hit the market.
Traditional drug discovery methods usually take 10 or more years and are specific to one bug or another. That is because they are based on identifying molecules from one bacteria that can then be used against other bacteria to promote human health. Unfortunately, evolution over billions of years has resulted in bacteria strains today that are increasingly resistant to this kind of approach — aided in part by recent over prescription of antibiotics by doctors. FAST, on the other hand, can be used for any bug and enables speedy identification and testing of molecules that target new mechanisms in pathogens — getting ahead of that curve.
Kristen Eller, a PhD candidate in the Chatterjee Group, is the first author on the new paper. She said the FAST system utilizes bacteria’s genetic makeup to design specific and targeted antibiotics that stop their natural means of producing essential proteins, causing them to die. She added that the platform also provides a unique strategy to deliver these treatments to bacteria that are traditionally hard to target because they reside within our own host cells. To get around this, the platform essentially utilizes bacteria’s natural ability to invade our own cells and manipulates it instead to be a carrier of the therapeutic.
“The applications for the real world are immense in that we have created a platform — not just a single therapeutic,” she said. “It is adaptive, dynamic and can be altered to target any bacterial species that is a threat while also being modulated to develop antivirals as needed.”
Recently, another paper published in PNAS showed the use of the FAST platform to create novel antibiotics against a clinical isolate of carbapenem-resistant E. coli that was found to be resistant to pretty much all antibiotics.
Chatterjee said that last aspect is particularly important as particular strains evolve, change and become more resistant over time. The goal, she said, is to rapidly create tailored treatments specific to the region in question, the person seeking treatment or even the global health situation for example.
“The technology we use to treat these kinds of health issues has to be smart enough to keep up with evolving organisms and also quick enough to respond to real-time crisis,” she said. “Within this platform there are multiple steps where you can design and create new drug targets, which is really key.”
Chatterjee said the platform could eventually be modified to develop antivirals for treatment of common colds, the flu and most pressingly, COVID-19. For now, her team is working on collecting more data to develop potential COVID-19 treatments and beginning to work towards clinical trials.
“We need to think out of the box when it comes to keeping up with pathogens because they are always advancing and changing,” she said. “If we can establish these processes and techniques now, then we will be much better prepared next time there is a pandemic or outbreak.”
Story Source:
Materials provided by University of Colorado at Boulder. Original written by Josh Rhoten. Note: Content may be edited for style and length.

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The immune link between a leaky blood-brain barrier and schizophrenia

Like a stern bodyguard for the central nervous sytem, the blood-brain barrier keeps out anything that could lead to disease and dangerous inflammation — at least when all is functioning normally.
That may not be the case in people with schizophrenia and other mental disorders, suggest new findings from a team led by researchers from the School of Veterinary Medicine, Perelman School of Medicine, and Children’s Hospital of Philadelphia (CHOP). In these individuals, a more permissive barrier appears to allow the immune system to get improperly involved in the central nervous system, the researchers showed. The inflammation that arises likely contributes to the clinical manifestations of neuropsychiatric conditions.
“Our hypothesis was that, if the immune function of the blood-brain barrier is compromised, the resulting inflammation will have an impact on the central nervous system,” says Jorge Iván Alvarez, an assistant professor at Penn Vet and senior author on the work, published in the journal Brain. “With that in mind, we think these findings could also be used to understand how the blood-brain barrier and neurological processes impact not only schizophrenia but mental disorders at large.”
The research team pursued the study focused on a rare condition called 22q11.2 deletion syndrome (22qDS), in which people are born missing a small portion of DNA from chromosome 22. Roughly a quarter of people with this syndrome go on to develop schizophrenia. Penn and CHOP have a community of researchers who study the condition, often as a way of probing deeper into the mysteries of schizophrenia.
This disorder had not been a focus for the Alvarez lab, however, until he gave a talk at CHOP on his area of expertise — the blood-brain barrier — and was approached by an attendee afterward.
“We started talking about the fact that, in this deletion syndrome, one of the missing genes is very important for blood-brain barrier function,” Alvarez says.

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Food allergies, changes to infant gut bacteria linked to method of childbirth, ethnicity

Researchers have found a causal link between caesarean section birth, low intestinal microbiota and peanut sensitivity in infants, and they report the effect is more pronounced in children of Asian descent than others, in a recently published paper in the journal of the American Gastroenterological Association.
“It’s important to know what predicts or increases risk of food sensitivities because they predict which infants will go on to develop asthma and other types of allergies,” said Anita Kozyrskyj, pediatrics professor in the University of Alberta’s Faculty of Medicine & Dentistry and adjunct professor in the School of Public Health.
The research team analysed the gut bacteria of 1,422 infants in the CHILD Cohort Study, by examining fecal samples collected at three or four months of age and again at one year. They identified four typical trajectories for bacterial development, including one in which the infants had persistently low levels of Bacteroides, a type of bacteria known to be critical to immune system development. This profile was most common in babies born by caesarean section.
The infants were given skin prick tests at one and three years of age to assess their reaction to a variety of allergens, including egg, milk and peanut. The babies with low Bacteroides levels were found to have a threefold increase in their risk of developing a peanut sensitivity by age three — and the risk was eight times higher for babies born to mothers of Asian descent.
The team did further statistical analysis to look for what are known as “mediation” or causal effects between the exposure and the outcome. “In this case we observed that there was an association between Asian ethnicity and peanut sensitivity, and then the mediation analysis provided additional evidence for the causal association with caesarean section,” explained Kozyrskyj, noting it is the first study to identify this link.
The researchers also observed that the infants with low Bacteroides also had lower levels of sphingolipids, proteins which are key to cell development and signalling in many parts of the body, including the immune system. Gut microbiota are the main source of these proteins. Children who have this deficiency in their immune cells may be more likely to develop food allergies, Kozyrskyj said.

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'Undruggable' cancer protein becomes druggable, thanks to shrub

A chemist from Purdue University has found a way to synthesize a compound to fight a previously “undruggable” cancer protein with benefits across a myriad of cancer types.
Inspired by a rare compound found in a shrub native to North America, Mingji Dai, professor of chemistry and a scientist at the Purdue University Center for Cancer Research, studied the compound and discovered a cost-effective and efficient way to synthesize it in the lab. The compound — curcusone D — has the potential to help combat a protein found in many cancers, including some forms of breast, brain, colorectal, prostate, lung and liver cancers, among others. The protein, dubbed BRAT1, had previously been deemed “undruggable” for its chemical properties. In collaboration with Alexander Adibekian’s group at the Scripps Research Institute, they linked curcusone D to BRAT1 and validated curcusone D as the first BRAT1 inhibitor.
Curcusones are compounds that come from a shrub named Jatropha curcas, also called the purging nut. Native to the Americas, it has spread to other continents, including Africa and Asia. The plant has long been used for medicinal properties — including the treatment of cancer — as well as being a proposed inexpensive source of biodiesel.
Dai was interested in this family of compounds — curcusone A, B, C and D.
“We were very interested by these compounds’ novel structure,” Dai said. “We were intrigued by their biological function; they showed quite potent anti-cancer activity and may lead to new mechanisms to combat cancer.”
Researchers tested the compounds on breast cancer cells and found curcusone D to be extremely effective at shutting down cancer cells. The protein they were targeting, BRAT1, regulates DNA damage response and DNA repair in cancer cells. Cancer cells grow very fast and make a lot of DNA. If scientists can damage cancer cells’ DNA and keep them from repairing it, they can stop cancer cells from growing.

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Infections with ‘U.K. Variant’ B.1.1.7 Have Greater Risk of Mortality

Since the genome sequence of SARS-CoV-2, the virus responsible for COVID-19, was first reported in January 2020, thousands of variants have been reported. In the vast majority of cases, these variants, which arise from random genomic changes as SARS-CoV-2 makes copies of itself in an infected person, haven’t raised any alarm among public health officials. But that’s now changed with the emergence of at least three variants carrying mutations that potentially make them even more dangerous.

At the top of this short list is a variant known as B.1.1.7, first detected in the United Kingdom in September 2020. This variant is considerably more contagious than the original virus. It has spread rapidly around the globe and likely accounts already for at least one-third of all cases in the United States [1]. Now comes more troubling news: emerging evidence indicates that infection with this B.1.1.7 variant also comes with an increased risk of severe illness and death [2].

The findings, reported in Nature, come from Nicholas Davies, Karla Diaz-Ordaz, and Ruth Keogh, London School of Hygiene and Tropical Medicine. The London team earlier showed that this new variant is 43 to 90 percent more transmissible than pre-existing variants that had been circulating in England [3]. But in the latest paper, the researchers followed up on conflicting reports about the virulence of B.1.1.7.

They did so with a large British dataset linking more than 2.2 million positive SARS-CoV-2 tests to 17,452 COVID-19 deaths from September 1, 2020, to February 14, 2021. In about half of the cases (accounting for nearly 5,000 deaths), it was possible to discern whether or not the infection had been caused by the B.1.1.7 variant.

Based on this evidence, the researchers calculated the risk of death associated with B.1.1.7 infection. Their estimates suggest that B.1.1.7 infection was associated with 55 percent greater mortality compared to other SARS-CoV-2 variants over this time period.

For a 55- to 69-year-old male, this translates to a 0.9-percent absolute, or personal, risk of death, up from 0.6 percent for the older variants. That means nine in every 1,000 people in this age group who test positive with the B.1.1.7 variant would be expected to die from COVID-19 a month later. For those infected with the original virus, that number would be six.

Adapted from Centers for Disease Control and Prevention

These findings are in keeping with those of another recent study reported in the British Medical Journal [4]. In that case, researchers at the University of Exeter and the University of Bristol found that the B.1.1.7 variant was associated with a 64 percent greater chance of dying compared to earlier variants. That’s based on an analysis of data from more than 100,000 COVID-19 patients in the U.K. from October 1, 2020, to January 28, 2021.

That this variant comes with increased disease severity and mortality is particularly troubling news, given the highly contagious nature of B.1.1.7. In fact, Davies’ team has concluded that the emergence of new SARS-CoV-2 variants now threaten to slow or even cancel out improvements in COVID-19 treatment that have been made over the last year. These variants include not only B1.1.7, but also B.1.351 originating in South Africa and P.1 from Brazil.

The findings are yet another reminder that, while we’re making truly remarkable progress in the fight against COVID-19 with increasing availability of safe and effective vaccines (more than 45 million Americans are now fully immunized), now is not the time to get complacent. This devastating pandemic isn’t over yet.

The best way to continue the fight against all SARS-CoV-2 variants is for each one of us to do absolutely everything we can to stop their spread. This means that taking the opportunity to get vaccinated as soon as it is offered to you, and continuing to practice those public health measures we summarize as the three Ws: Wear a mask, Watch your distance, Wash your hands often.

References:

[1] US COVID-19 Cases Caused by Variants. Centers for Disease Control and Prevention.

[2] Increased mortality in community-tested cases of SARS-CoV-2 lineage B.1.1.7. Davies NG, Jarvis CI; CMMID COVID-19 Working Group, Edmunds WJ, Jewell NP, Diaz-Ordaz K, Keogh RH. Nature. 2021 Mar 15.

[3] Estimated transmissibility and impact of SARS-CoV-2 lineage B.1.1.7 in England. Davies NG, Abbott S, Barnard RC, Jarvis CI, Kucharski AJ, Munday JD, Pearson CAB, Russell TW, Tully DC, Washburne AD, Wenseleers T, Gimma A, Waites W, Wong KLM, van Zandvoort K, Silverman JD; CMMID COVID-19 Working Group; COVID-19 Genomics UK (COG-UK) Consortium, Diaz-Ordaz K, Keogh R, Eggo RM, Funk S, Jit M, Atkins KE, Edmunds WJ.Science. 2021 Mar 3:eabg3055.

[4] Risk of mortality in patients infected with SARS-CoV-2 variant of concern 202012/1: matched cohort study. Challen R, Brooks-Pollock E, Read JM, Dyson L, Tsaneva-Atanasova K, Danon L. BMJ. 2021 Mar 9;372:n579.Links:

COVID-19 Research (NIH)Nicholas Davies (London School of Hygiene and Tropical Medicine, U.K.)Ruth Keogh (London School of Hygiene and Tropical Medicine, U.K.)

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'Information theory' recruited to help scientists find cancer genes

Using a widely known field of mathematics designed mainly to study how digital and other forms of information are measured, stored and shared, scientists at Johns Hopkins Medicine and Johns Hopkins Kimmel Cancer Center say they have uncovered a likely key genetic culprit in the development of acute lymphoblastic leukemia (ALL).
ALL is the most common form of childhood leukemia, striking an estimated 3,000 children and teens each year in the United States alone.
Specifically, the Johns Hopkins team used “information theory,” applying an analysis that relies on strings of zeros and ones — the binary system of symbols common to computer languages and codes — to identify variables or outcomes of a particular process. In the case of human cancer biology, the scientists focused on a chemical process in cells called DNA methylation, in which certain chemical groups attach to areas of genes that guide genes’ on/off switches.
“This study demonstrates how a mathematical language of cancer can help us understand how cells are supposed to behave and how alterations in that behavior affect our health,” says Andrew Feinberg, M.D., M.P.H., Bloomberg Distinguished Professor at the Johns Hopkins University School of Medicine, Whiting School of Engineering and Bloomberg School of Public Health. A founder of the field of cancer epigenetics, Feinberg discovered altered DNA methylation in cancer in the 1980s.
Feinberg and his team say that using information theory to find cancer driver genes may be applicable to a wide variety of cancers and other diseases.
Methylation is now recognized as one way DNA can be altered without changing a cell’s genetic code. When methylation goes awry in such epigenetic phenomena, certain genes are abnormally turned on or off, triggering uncontrolled cell growth, or cancer.

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