Decoding humans' survival from coronaviruses

An international team of researchers co-led by the University of Adelaide and the University of Arizona has analysed the genomes of more than 2,500 modern humans from 26 worldwide populations, to better understand how humans have adapted to historical coronavirus outbreaks.
In a paper published in Current Biology, the researchers used cutting-edge computational methods to uncover genetic traces of adaptation to coronaviruses, the family of viruses responsible for three major outbreaks in the last 20 years, including the ongoing pandemic.
“Modern human genomes contain evolutionary information tracing back hundreds of thousands of years, however it’s only in the past few decades geneticists have learned how to decode the extensive information captured within our genomes,” said lead author Dr Yassine Souilmi, with the University of Adelaide’s School of Biological Sciences.
“This includes physiological and immunological ‘adaptions’ that have enabled humans to survive new threats, including viruses.
“Viruses are very simple creatures with the sole objective to make more copies of themselves. Their simple biological structure renders them incapable of reproducing by themselves so they must invade the cells of other organisms and hijack their molecular machinery to exist.”
Viral invasions involve attaching and interacting with specific proteins produced by the host cell known as viral interacting proteins (VIPs).

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Leopard gecko skin tumors traced to cancer gene

The leopard gecko’s name was Mr. Frosty, and he was hard to miss.
Yellow bands striped his back, and uncommonly white skin peeked out from speckles on his head and tail. “It’s this really striking coloration pattern,” says Howard Hughes Medical Institute Investigator Leonid Kruglyak, a geneticist at the University of California, Los Angeles (UCLA).
A California reptile shop began breeding Mr. Frosty in 2016 and produced a colony of lemon-yellow lizards. The color variety was known as Lemon Frost — with their bold bands and snazzy spots, the rare animals could fetch upwards of $2,000.
But the gaudy geckos had one problem. Roughly 80 percent develop bulbous white skin tumors within the first five years of life. In some individuals, these tumors can become massive, making it difficult for the animals to move and potentially causing infection if ruptured. Kruglyak and his colleagues suspected a genetic root — possibly a single mutation in a single gene. “It seemed likely that the same thing that was giving the geckos such unusual coloration was also causing the tumors,” he says.
Now, using a variety of genetic analyses, his team has traced the tumors and coloring to a gene implicated in skin cutaneous melanoma, a deadly cancer in humans, the team reports June 24, 2021 in the journal PLOS Genetics.
“To identify the genetic basis of this trait in reptiles is really marvelous,” says Douglas Menke, a developmental geneticist at the University of Georgia who was not involved with the work. Genetic studies in reptiles are uncommon, he says, and those with biomedical relevance even rarer. Like mice and zebrafish studied in the lab, the leopard gecko could one day serve as model for scientists researching melanoma, he says.

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When did the first COVID-19 case arise?

Using methods from conservation science, a new analysis suggests that the first case of COVID-19 arose between early October and mid-November, 2019 in China, with the most likely date of origin being November 17. David Roberts of the University of Kent, U.K., and colleagues present these findings in the open-access journal PLOS Pathogens.
The origins of the ongoing COVID-19 pandemic remain unclear. The first officially identified case occurred in early December 2019. However, mounting evidence suggests that the original case may have emerged even earlier.
To help clarify the timing of the onset of the pandemic, Roberts and colleagues repurposed a mathematical model originally developed by conservation scientists to determine the date of extinction of a species, based on recorded sightings of the species. For this analysis, they reversed the method to determine the date when COVID-19 most likely originated, according to when some of the earliest known cases occurred in 203 countries.
The analysis suggests that the first case occurred in China between early October and mid-November of 2019. The first case most likely arose on November 17, and the disease spread globally by January 2020. These findings support growing evidence that the pandemic arose sooner and grew more rapidly than officially accepted.
The analysis also identified when COVID-19 is likely to have spread to the first five countries outside of China, as well as other continents. For instance, it estimates that the first case outside of China occurred in Japan on January 3, 2020, the first case in Europe occurred in Spain on January 12, 2020, and the first case in North America occurred in the United States on January 16, 2020.
The researchers note that their novel method could be applied to better understand the spread of other infectious diseases in the future. Meanwhile, better knowledge of the origins of COVID-19 could improve understanding of its continued spread.
Roberts adds, “The method we used was originally developed by me and a colleague to date extinctions, however, here we use it to date the origination and spread of COVID-19. This novel application within the field of epidemiology offers a new opportunity to understand the emergence and spread of diseases as it only requires a small amount of data.”
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Genetic study of liver cancer reveals new drug target

Drugs targeting the gene MAGEA3 may help block the growth of hepatocellular carcinoma (HCC), the most common type of primary liver cancer and one of the leading causes of cancer deaths in the country. That’s one conclusion of a new study analyzing the genetics of HCC tumors published June 24th in the journal PLOS Genetics by Augusto Villanueva of the Icahn School of Medicine at Mount Sinai and colleagues.
Scientists have previously discovered several genes that drive the growth of HCC tumors, yet treatment benefit from approved drugs is still limited. In the new study, Villanueva and colleagues collected 44 tumor biopsies from 12 HCC patients. The researchers used RNA sequencing to study which genes were more highly expressed in high-grade regions of a tumor compared to low-grade regions of the same tumor.
One family of genes — cancer testis antigens (CTAs) -was recurrently over-expressed in the most aggressive regions of tumors. CTAs, most of which are located on the X chromosome, are usually expressed in male germ cells within the testes and are believed to play roles in spermatogenesis as well as protecting germ cells from stressors and cell death. Villanueva’s team found that CTAs, and especially MAGEA3, are associated with poor prognosis in HCCs. Moreover, when the group blocked the expression of MAGEA3 in isolated HCC cells, the cells could no longer proliferate and eventually died. When the group overexpressed MAGE3 in the liver cells of mice prone to HCC, the animals died of cancer more quickly. Future studies are needed to replicate the results in larger patient populations and probe whether MAGEA3 itself, or its downstream targets, are more effective to target therapeutically.
“The study uncovered the role of cancer testis antigens, specifically MAGEA3, in liver cancer progression,” Villanueva adds. “It demonstrates how selective inhibition of MAGEA3 has anti-tumoral effects on experimental models of this disease. Overall, the study provides the proof-of-principle to test MAGEA3 inhibition in early phase clinical trials for patient with primary liver cancer.”
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Glial cells help mitigate neurological damage in Huntington's disease

The brain is not a passive recipient of injury or disease. Research has shown that when neurons die and disrupt the natural flow of information they maintain with other neurons, the brain compensates by redirecting communications through other neuronal networks. This adjustment or rewiring continues until the damage goes beyond compensation.
This process of adjustment, a result of the brain’s plasticity, or its ability to change or reorganize neural networks, occurs in neurodegenerative conditions such as Alzheimer’s, Parkinson’s and Huntington’s disease (HD). As the conditions progress, many genes change the way they are normally expressed, turning some genes up and others down. The challenge for researchers like Dr. Juan Botas who studies HD, has been to determine which of the gene expression changes are involved in causing the disease and which ones help mitigate the damage, as this may be critical for designing effective therapeutic interventions.
In his lab at Baylor College of Medicine, Botas and his colleagues look to understand what causes the loss of communication or synapses between neurons in HD. Up until now, research has focused on neurons because the normal huntingtin gene, whose mutation causes the condition, contributes to maintaining healthy neuronal communication. In the current work, the researchers looked into synapses loss in HD from a different perspective.
Focusing on glia to understand Huntington’s disease
The mutated huntingtin gene is not only present in neurons, but in all the cells in the body, opening the possibility that other cell types also could be involved in the condition.
“In this study we focused on glia cells, which are a type of brain cell that is just as important as neurons to neuronal communication,” said Botas, professor of molecular and human genetics and of molecular and cellular biology at Baylor and a member of the Jan and Dan Duncan Neurological Research Institute at Texas Children’s Hospital.

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Versatile, fast and reliable SARS-CoV-2 antibody assay

During the continued progression of the Corona pandemic, rapid, inexpensive, and reliable tests will become increasingly important to determine whether people have the associated antibodies — either through infection or vaccination. Researchers at the Technical University of Munich (TUM) have now developed such a rapid antibody test. It provides the result in only eight minutes; the aim is to further reduce the process time to four minutes.
There are currently more than 20 different test procedures available for determining whether a person has antibodies against the new Corona virus. The waiting times for the results range between ten minutes and two and a half hours.
Matrix effects reduce the sensitivity of many of the methods. The more sensitive assays require numerous steps, making them expensive. In addition, most tests can identify only a single kind of antibody, forcing a choice between testing either for immunity through vaccination or through survived infection.
An interdisciplinary research team at the Technical University of Munich, led by the Chair of Analytical Chemistry and Water Chemistry, has now developed a low-cost automated rapid test that is highly sensitive and highly specific in detecting the three most important antibodies. The project, called CoVRapid, was funded by the Bavarian Research Foundation (BFS).
Modification of a proven process
The measurement is carried out on a foil-based sensor chip using the MCR microarray analysis platform of the Munich-based supplier GWK Präzisionstechnik GmbH. The device displays its measurement results within a few minutes after injecting a blood sample.

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Membrane proteins of bacteria and humans show surprising similarities

The cells of simple organisms, such as bacteria, as well as human cells are surrounded by a membrane, which fulfills various tasks including protecting the cell from stress. In a joint project, teams from Johannes Gutenberg University Mainz (JGU) and Forschungszentrum Jülich, with participation of Heinrich Heine University Düsseldorf (HHU), have now discovered that a membrane protein found in bacteria has a similar structure and function as a group of proteins that are responsible for remodeling and rebuilding the cell membrane in humans. No connection between the two protein groups was known before. The team’s research work has been published recently in the journal Cell.
PspA plays a key role in bacterial stress response
The phage shock protein (Psp) system was discovered in bacteria approximately 30 years ago. At the time, it was identified to be a response of Escherichia coli bacteria to infection with special viruses called bacteriophages. Later it became clear that its function in protecting the cell membrane exceeds the specific response to bacteriophage infection. Osmotic stress, heat, cell toxins, or defects in the membrane envelope can also trigger the stress reaction.
“Today, we know that the Psp system is activated in response to numerous types of membrane stress. However, several molecular details still remain puzzling,” explained Professor Dirk Schneider, head of the Membrane Proteins group at JGU. “That’s why we decided to take a closer look at core proteins of the Psp system.” Together with his team, he has recently discovered how the Psp representative IM30 forms a protective carpet-like structure on a cell membrane in order to cope with membrane stress.
In their new work, the scientists scrutinized the phage shock protein A (PspA), which has a key role in the Psp system. Specifically, by using cryo-electron microscopy, it became visible how PspA forms long, spiral-shaped tubes that can enclose a biomembrane in the inner cavity. The high-resolution images now show for the very first time how PspA dissolves individual membranes locally and then reshapes them into larger units or even mediates the formation of new membrane structures.
“Thousands of PspA building blocks can be assembled to form large helical structures. Therefore, they are an ideal research object for our cryo-electron microscopic structural analysis,” said Professor Carsten Sachse from Forschungszentrum Jülich and HHU Düsseldorf. The studies were performed at Jülich together with Dr. Benedikt Junglas, a former doctoral student of Professor Dirk Schneider at JGU. At the Ernst Ruska-Centre for Microscopy and Spectroscopy with Electrons (ER-C), Forschungszentrum Jülich operates some of the most powerful electron microscopes in Europe and, as of recently, cryo-microscopes for the study of flash-frozen biological samples.
PspA remodels membranes
Under the microscope, the researchers were able to recognize or — in jargon — “resolve” the structure of PspA. The structure of a protein is essential for its function and a defect in the structure can impair the protein function. “Under the microscope, we realized that PspA has a structure similar to ESCRT-III proteins, which our laboratory had already been working on. This came as a complete surprise and showed how important it is to elucidate protein structures in detail,” said Sachse. “After billions of years, the two groups of proteins have genetically diverged so far that their similarities could only be detected based on their structure.”
ESCRT-III proteins are found in all living organisms with a true cell nucleus, including human cells. Here, the ESCRT-III protein complexes are involved in cell membrane remodeling and repair but also play a key role in a number of other cell processes. In bacteria, no proteins of the ESCRT-III family were previously known. “Therefore, PspA and ESCRT-III belong to the same group of proteins. These two perform similar tasks at membranes inside of cells,” said Schneider.
“Based on the similar structural and functional properties of PspA and the eukaryotic ESCRT-III proteins, we have identified PspA as a bacterial member of the evolutionarily conserved ESCRT-III superfamily of membrane remodeling proteins,” the authors wrote in their article for Cell.
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Adolescent marijuana, alcohol use held steady during COVID-19 pandemic

Adolescent marijuana use and binge drinking did not significantly change during the COVID-19 pandemic, despite record decreases in the substances’ perceived availability, according to a survey of 12th graders in the United States. The study’s findings, which appeared online on June 24, 2021, in Drug and Alcohol Dependence, challenge the idea that reducing adolescent use of drugs can be achieved solely by limiting their supply. The work was led by researchers at the University of Michigan, Ann Arbor, and funded by the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health.
In contrast to consistent rates of marijuana and alcohol use, nicotine vaping in high school seniors declined during the pandemic, along with declines in perceived availability of vaping devices at this time. The legal purchase age is 21 for nicotine products and alcohol in all states, and for cannabis in states that have legalized nonmedical cannabis use.
“Last year brought dramatic changes to adolescents’ lives, as many teens remained home with parents and other family members full time,” said NIDA Director Nora D. Volkow, M.D. “It is striking that despite this monumental shift and teens’ perceived decreases in availability of marijuana and alcohol, usage rates held steady for these substances. This indicates that teens were able to obtain them despite barriers caused by the pandemic and despite not being of age to legally purchase them.”
The data for the study came from the annual Monitoring the Future (MTF) survey of substance use behaviors and related attitudes among adolescents in the United States. In a typical year, MTF surveys thousands of middle and high school students at more than a hundred schools across the country in the spring. MTF has been watching substance use trends for 46 years.
To assess the impact of the pandemic, the investigators issued a survey between mid-July and mid-August 2020, which 12th graders could complete outside of school. This summer survey followed up on investigators’ standard MTF spring survey, which gathered responses between mid-February and mid-March 2020 before stopping prematurely due to school closures caused by COVID-19. Of the 3,770 12th graders who responded in the spring, 582 submitted a follow-up survey in the summer. All data and statistical analyses used in the study were weighted to be nationally representative.
Analysis of the responses revealed that students perceived a sharp decrease in availability of marijuana and alcohol in the months after the onset of the pandemic. For marijuana, the fraction of students who reported “fairly” or “very” easy access dropped by 17 percentage points, from 76% in the spring before the pandemic to 59% during the pandemic, and for alcohol it dropped by 24 percentage points, from 86% to 62%. These were the largest year-to-year decreases in perceived availability of marijuana and alcohol ever recorded since the survey began in 1975. Prior to 2020, the largest recorded decreases were only two percentage points for marijuana, and one percentage point for alcohol. Between the spring and summer of 2020, there was also a sharp decrease in respondents who said they could “fairly” or “very” easily obtain a vaping device, going from 73% before the pandemic to 63% during the pandemic.
Despite the reported declines in marijuana and alcohol availability, the levels of use of these substances did not change significantly. Before the pandemic, 23% of students said they had used marijuana in the past 30 days, compared to 20% during the pandemic. For alcohol, 17% reported binge drinking in the past two weeks pre-pandemic, compared to 13% during the pandemic. However, there was a moderate and significant decrease in nicotine vaping — before the pandemic, 24% of respondents said they had vaped nicotine in the past 30 days, compared to 17% during the pandemic.
The study authors cite the wide availability of alcohol and marijuana, even during the pandemic, as a factor in the continued use of these substances. While pandemic-related restrictions limited social interactions, and even with record-breaking decreases in perceived availability among participants, most students said they still had access to marijuana and alcohol. In addition, the authors suggest that when the substances became less available, the students may have intensified their efforts to obtain them.
While a dip in the perceived supply of vaping devices may have contributed to the decline in nicotine vaping that occurred during the pandemic, there may have been other factors as well. The federal minimum age for tobacco product purchases, including vaping devices and liquids, rose from 18 to 21 years and went into effect in early 2020. News reports on vaping-induced lung injuries may have also had a chilling effect on usage.
“These findings suggest that reducing adolescent substance use through attempts to restrict supply alone would be a difficult undertaking,” said Richard A. Miech, Ph.D., lead author of the paper and team lead of the Monitoring the Future study at the University of Michigan. “The best strategy is likely to be one that combines approaches to limit the supply of these substances with efforts to decrease demand, through educational and public health campaigns.”
Monitoring the Future continues to survey respondents as they progress through adulthood, providing the researchers with the opportunity to explore the impact of the pandemic and the social changes it brought about on future substance use trends.

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Scientist Finds Early Coronavirus Sequences That Had Been Mysteriously Deleted

By rooting through files stored on Google Cloud, a researcher says he recovered 13 early coronavirus sequences that had disappeared from a database last year.About a year ago, more than 200 data entries from the genetic sequencing of early cases of Covid-19 in Wuhan disappeared from an online scientific database.Now, by rooting through files stored on Google Cloud, a researcher in Seattle reports that he has recovered 13 of those original sequences — intriguing new information for discerning when and how the virus may have spilled over from a bat or another animal into humans.The new analysis, released on Tuesday, bolsters earlier suggestions that a variety of coronaviruses may have been circulating in Wuhan before the initial outbreaks linked to animal and seafood markets in December 2019.As the Biden administration investigates the contested origins of the virus, known as SARS-CoV-2, the study neither strengthens nor discounts the hypothesis that the pathogen leaked out of a famous Wuhan lab. But it does raise questions about why original sequences were deleted, and suggests that there may be more revelations to recover from the far corners of the internet.“This is a great piece of sleuth work for sure, and it significantly advances efforts to understand the origin of SARS-CoV-2,” said Michael Worobey, an evolutionary biologist at the University of Arizona who was not involved in the study.Jesse Bloom, a virologist at the Fred Hutchinson Cancer Research Center who wrote the new report, called the deletion of these sequences suspicious. It “seems likely that the sequences were deleted to obscure their existence,” he wrote in the paper, which has not yet been peer-reviewed or published in a scientific journal.Dr. Bloom and Dr. Worobey belong to an outspoken group of scientists who have called for more research into how the pandemic began. In a letter published in May, they complained that there wasn’t enough information to determine whether it was more likely that a lab leak spread the coronavirus, or that it leapt to humans from contact with an infected animal outside of a lab.The genetic sequences of viral samples hold crucial clues about how SARS-CoV-2 shifted to our species from another animal, most likely a bat. Most precious of all are sequences from early in the pandemic, because they take scientists closer to the original spillover event.As Dr. Bloom was reviewing what genetic data had been published by various research groups, he came across a March 2020 study with a spreadsheet that included information on 241 genetic sequences collected by scientists at Wuhan University. The spreadsheet indicated that the scientists had uploaded the sequences to an online database called the Sequence Read Archive, managed by the U.S. government’s National Library of Medicine.But when Dr. Bloom looked for the Wuhan sequences in the database earlier this month, his only result was “no item found.”Puzzled, he went back to the spreadsheet for any further clues. It indicated that the 241 sequences had been collected by a scientist named Aisi Fu at Renmin Hospital in Wuhan. Searching medical literature, Dr. Bloom eventually found another study posted online in March 2020 by Dr. Fu and colleagues, describing a new experimental test for SARS-CoV-2. The Chinese scientists published it in a scientific journal three months later.In that study, the scientists wrote that they had looked at 45 samples from nasal swabs taken “from outpatients with suspected Covid-19 early in the epidemic.” They then searched for a portion of SARS-CoV-2’s genetic material in the swabs. The researchers did not publish the actual sequences of the genes they fished out of the samples. Instead, they only published some mutations in the viruses.But a number of clues indicated to Dr. Bloom that the samples were the source of the 241 missing sequences. The papers included no explanation as to why the sequences had been uploaded to the Sequence Read Archive, only to disappear later.Perusing the archive, Dr. Bloom figured out that many of the sequences were stored as files on Google Cloud. Each sequence was contained in a file in the cloud, and the names of the files all shared the same basic format, he reported.Dr. Bloom swapped in the code for a missing sequence from Wuhan. Suddenly, he had the sequence. All told, he managed to recover 13 sequences from the cloud this way.With this new data, Dr. Bloom looked back once more at the early stages of the pandemic. He combined the 13 sequences with other published sequences of early coronaviruses, hoping to make progress on building the family tree of SARS-CoV-2.Working out all the steps by which SARS-CoV-2 evolved from a bat virus has been a challenge because scientists still have a limited number of samples to study. Some of the earliest samples come from the Huanan Seafood Wholesale Market in Wuhan, where an outbreak occurred in December 2019.But those market viruses actually have three extra mutations that are missing from SARS-CoV-2 samples collected weeks later. In other words, those later viruses look more like coronaviruses found in bats, supporting the idea that there was some early lineage of the virus that did not pass through the seafood market.Dr. Bloom found that the deleted sequences he recovered from the cloud also lack those extra mutations. “They’re three steps more similar to the bat coronaviruses than the viruses from the Huanan fish market,” Dr. Bloom said.The Wuhan Huanan Wholesale Seafood Market in January 2020.Dake Kang/Associated PressThis suggests, he said, that by the time SARS-CoV-2 reached the market, it had been circulating for awhile in Wuhan or beyond. The market viruses, he argued, aren’t representative of full diversity of coronaviruses already loose in late 2019.“Maybe our picture of what was present early in Wuhan from what has been sequenced might be somewhat biased,” he said.In his report, Dr. Bloom acknowledged that this conclusion would have to be confirmed with a deeper analysis of the virus sequences. Dr. Worobey said that he and his colleagues are working on a large-scale study of SARS-CoV-2 genes to better understand its origin and that they’ll now add Dr. Bloom’s 13 recovered sequences.“These additional data will play a big role in that effort,” Dr. Worobey said.It’s not clear why this valuable information went missing in the first place. Scientists can request that files be deleted by sending an email to the managers of the Sequence Read Archive. The National Library of Medicine, which manages the archive, said that the 13 sequences were removed last summer.“These SARS-CoV-2 sequences were submitted for posting in SRA in March 2020 and subsequently requested to be withdrawn by the submitting investigator in June 2020,” said Renate Myles, a spokeswoman for the National Institutes of Health.She said that the investigator, whom she did not name, told the archive managers that the sequences were being updated and would be added to a different database. But Dr. Bloom has searched every database he knows of, and has yet to find them. “Obviously I can’t rule out that the sequences are on some other database or web page somewhere, but I have not been able to find them any of the obvious places I’ve looked,” he said.Three of the co-authors of the 2020 testing study that produced the 13 sequences did not immediately respond to emails inquiring about Dr. Bloom’s finding. That study did not give contact information for another co-author, Dr. Fu, who was also named on the spreadsheet from the other study.Some scientists are skeptical that there is anything sinister behind the removal of the sequences. “I don’t really understand how this points to a cover-up,” said Stephen Goldstein, a virologist at the University of Utah.Dr. Goldstein noted that the testing paper listed the individual mutations the Wuhan researchers found in their tests. Although the full sequences are no longer in the archive, the key information has been public for over a year, he said. It was just tucked away in a format that is hard for researchers to find.“We all missed this relatively obscure paper,” Dr. Goldstein said.“You can’t really say why they were removed,” Dr. Bloom acknowledged in an interview. “You can say that the practical consequence of removing them was that people didn’t notice they existed.” He also noted that the Chinese government ordered the destruction of a number of early samples of the virus and barred the publication of papers on the coronavirus without its approval.For his part, Dr. Worobey still wants answers. “I hope we hear from the authors who generated, but then deleted, these crucial sequences so we can understand more about their motivation for doing so,” he said. “It certainly is strange at face value and really demands an explanation.”Regardless of what happened to these 13 sequences, Dr. Bloom now wonders what other clues might be discovered online. In order to reconstruct the origin of Covid-19, all those clues potentially matter.“Ideally, we need to try to find as many other early sequences as possible,” he said. “And I think this study suggests that we should look everywhere.”

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People with fibromyalgia are substituting CBD for opioids to manage pain

Fibromyalgia is one of many chronic pain conditions that remains stubbornly difficult to treat.
As the ravages of the opioid epidemic lead many to avoid these powerful painkillers, a significant number of people with fibromyalgia are finding an effective replacement in CBD-containing products, finds a new Michigan Medicine study.
CBD, short for cannabidiol, is the second most common cannabinoid in the cannabis plant, and has been marketed for everything from mood stabilization to pain relief, without the intoxicating effects produced by the most common cannabinoid, THC. THC, which stands for delta-9-tetrahydrocannabinol, is the ingredient in marijuana that causes people to feel high.
The cannabis industry has exploded, aided by the legalization of medical and recreational marijuana in states around the United States and the removal of hemp-derived CBD from Schedule 1 status — reserved for drugs with no currently accepted medical use and a high potential for abuse — at the federal level.
Previous research shows that some people substitute medical cannabis (often with high concentrations of THC) for opioids and other pain medications, reporting that cannabis provides better pain relief and fewer side effects. However, there is far less data on CBD use.
“CBD is less harmful than THC, as it is non-intoxicating and has less potential for abuse,” said Kevin Boehnke, Ph.D., a research investigator in the Department of Anesthesiology and the Chronic Pain and Fatigue Research Center. “If people can find the same relief without THC’s side effects, CBD may represent a useful as a harm reduction strategy.”
Boehnke and his team surveyed people with fibromyalgia about their use of CBD for treatment of chronic pain.

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