Those ‘Hard White Bumps’ On Your Face Have A Name — And There’s An $11 Fix

If you’ve ever noticed clusters of small, whitish bumps under the skin around your face, it’s likely an incredibly common skin condition called milia. Per Cleveland Clinic, milia is totally harmless, non-contagious (spoiler alert: it’s just dead skin cells), and though it’s distinctively not a type of acne, it can have similar OTC treatments, namely: topical adapalene, a retinoid derived from vitamin A. As luck would have it, we spotted a highly-rated, user-loved adapalene gel for a whopping 45% off, dropping it to under $11. Reviewers say it works “exactly the same” at as its brand-name counterparts, for a lot less money, crediting it for “erasing my chicken skin bumps” and much, much more.

According to dermatologists, milia is just dead skin cells trapped under skin — something more common with aging, as skin cell turnover slows with age. (Psst: this is also why exfoliation is *so* important for mature skin!)

As we age, our natural cell turnover slows, so dead skin cells are more likely to accumulate and get trapped,” a board-certified dermatologist previously told HuffPost. “At the same time, many patients start using thicker creams for dryness, which can further occlude the skin and contribute to milia formation.” According to Cleveland Clinic, as milia isn’t harmful, you certainly don’t need to treat it. Yet, if you don’t like how the bumps look, adapalene gel can be a great OTC way to start treating them before or instead of prescription options/ professional treatments. This fragrance-free, clear gel comes in an easy-to-apply tube. The brand says you want to a pea-sized amount, spread evenly over cleansed skin once a day.

In previous HuffPost reporting on adapalene, a cosmetic surgeon called it the “gentlest in the retinoid family,” which was prescription-only until 2018, saying it works to increase the skin’s cellular turnover rate, helping remove dead cells and minimize oil glands. “Adapalene gel is a miracle worker for skin. I have used it for years,” a 74-year-old reviewer wrote. “I love that this gel is not prescription any more.”

Reviewers say this humble, prescription-strength treatment “really helps with milia” with one reporting it “worked removing the hard white bumps on my face after only 3 applications.”

Many reviewers credit the gel for helping “to slough off dead skin” — keeping skin bump-free and smooth. “Works great on the little white bumps that my daughter gets sometimes on her face,” one said. “Worked removing the hard white bumps on my face after only 3 applications,” another said.

Others call the stuff a “game changer” and “like having a magic wand for my face,” that “transformed” skin “from a battleground to a beacon of clarity.”

“I have mature skin and don’t have breakouts to speak of. I do―did―have some chicken-skin texture on my temples and under my chin,” one fan writes. After trying tretinoin and salicylic and glycolic acids, the reviewer tried this adapalene gel. “Ohhhh Myyy! It’s not as irritating as some of the other products are to me. It’s erasing my chicken skin bumps!”

It’s also celebrated for helping reviewers with their “fight against ‘old age’ face,” tackling wrinkles, dark spots, rosacea and even stubborn hormonal acne.

In this economy, we want out prodcuts to be multi-use, even when they’re only $11. (Which BTW, many point out is “the best price you’ll find for a tube this size.”) As a gentle retinoid, adapalene helps with increasing collagen production and evening skin tone and texture, offering a variety of anti-aging and generally skin-clearing benefits, too. Fans say in addition to keeping their skin smooth, it “truly helped my skin look and feel younger,” and a 45-year-old reviewer joking, “you’ll be looking 16 again!”

“The main purpose I bought this was to remove the white flakes(?) that form at the creases of my nostrils. It does this beautifully. It also prevents blackheads, making my pores virtually invisible,” one writes, calling the gel a “miracle skin healer.” “Since I have been using this regularly, my skin is smoother and fine wrinkles have disappeared. I don’t need moisturizer because it stimulates oil production. My skin is MUCH healthier when I use this daily.”

Another writes, “I use this as a wrinkle remover an age spot fader,” adding, “I’ve seen fine line wrinkles disappear along with age spots,” after about six to eight weeks of consistent use.

Reviewers love this adapalene gel for bringing major skin benefits at a minor cost. Read more 5-star reviews and grab some for yourself for under $11.

Adapalene has been a game changer for me. I have mature skin and don’t have breakouts to speak of. I do―did―have some chicken-skin texture on my temples and under my chin. I have used retinols including tretinoin and salicylic and glycolic acids, mostly for wrinkles and some stubborn rosacea spots with good but not stellar results. One day, I watched a dermatologist’s video on the best products for aging skin, and she recommended Adapalene followed by Am-Lactin. Ohhhh Myyy! It’s not as irritating as some of the other products are to me. It’s erasing my chicken skin bumps! I’m still waiting on some of the rosacea areas to calm down, but they are much better. I’ve begun using it on my neck and decolletage, but not every day. Amazing! I have been cautious and am alternating with skin barrier protection and moisturizers (and sunscreen!). I am so pleased with my results and the improved value with this combo vs. the other products I was using. As always, your mileage may vary. Start gently and see if you have found the right product for you.” — Desert Dweller

“Such a reasonably priced product for this ingredient. Works great on the little white bumps that my daughter gets sometimes on her face.”Kate

This gel really helps with milia. I saw a reputable dermatologist state this too. I used it on my fever blister and it worked well. Use it sparingly. Don’t need to gob it on. Great for drying up teenage blemishes too. I would order this again.” — roberta

I love that this gel is not prescription any more. I have used it since my dermatologist recommended when I was back in my forties and had adult acne. It doesn’t chase away all of the wrinkles, but it helps keep the skin of a 74-year-old rosy. The prices could be lower?” — RJ51

This is the best price you’ll find for a tube this size. I’m 45 and use as part of my fight against ‘old age’ face. It’s less irritating than Retin A and of course is more convenient since it’s over the counter. This and a good moisturizer and you’ll be looking 16 again! It smooths, gets rid of acne, stimulates collagen to help with minor wrinkles and prevent as many wrinkles as you’d get if you used nothing, and it reduces dark spots. Of course this all takes consistency and time, but it’s worth it and far less expensive than doing nothing and waking up one day and forking out big bucks for cosmetic procedures. Great price. Great size. Fast delivery. Same effectiveness as any other brand of adapalene (I work in a pharmacy and have tried tons.) It also is in my teenage son and daughter’s bathrooms. Wash with gentle cleanser, add this adapalene, and moisturize. Teenagers are not good with using multiple products and being consistent. This is one easy and effective thing you can have them use.” — Ashleigh Walli

Want to make exfoliation quick and easy? Try a pre-soaked pad. Check out these favs by Senior Shopping Writer and skin care lover Lourdes Uribe.

Sephora

The O.G. that launched 1,000 imitators

Each Dr. Dennis Gross treatment contains two pads: one to exfoliate and smooth your skin, and one that provides anti-aging benefits. The pads are pre-dosed with five acids, including glycolic, salicylic and lactic, that each work to reduce dullness and uneven texture, pores and hyperpigmentation. They are on the stronger side, so you should work you way up to using these regularly.

Promising review: “I loved it! I started seeing a noticeable difference in just five days. My skin looks smoother, brighter, and more even. It didn’t irritate my skin, and I really feel like it’s improving my texture and giving me a healthy glow. Totally worth it!” — aroojbano

Amazon

A K-beauty cult-fave

The Medicube pads are designed to help exfoliate, balance and brighten skin while reducing oil production, minimizing breakouts and refining the look of pores. They are formulated with powerful alpha and beta hydroxy acids like white willow bark, vitamin C and calming botanical extracts like lavender to soothe skin.

My skin is softer, smoother and has a really noticeable glow. Most importantly, I’ve detected a decrease in melasma, which has plagued me since my pregnancy. They’re incredibly potent, and it’s very obvious to me why they’re so popular. I’ve tried out other exfoliating pads and can confidently say that these are just as, if not more, effective at a fraction of the price. They’ve been a game-changer for my skin in the last couple of months, and I just hope they don’t sell out now that the secret’s out!

Sephora

An affordable and accessible option from a dependable brand

These gentle First Aid Beauty pads are formulated with glycolic and lactic acids, so you can enjoy the many potent benefits from these trusted ingredients. Lemon peel and Indian gooseberry brighten and even tone gently, leaving skin glowing, smooth and ready for the rest of your skin care and makeup products.

Promising review: “A must have! Absolutely repurchase this over and over! The best exfoliating pads i’ve tried! Love to use this before doing my makeup and it makes my skin smooth, hydrated, and glowy. I also have sensitive skin and this actually helps my skin with breakouts and sensitivity!” — Kenz227

The Real Deal: We use deal trackers and commerce experience to sift through “fake” hike-and-drop deals and other deceptive sales tactics. Products will usually be rated at least 4 stars with a minimum 15% discount. (And when there’s an exception, we’ll tell you why.)

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Scientists Found 4 Signs Of The Ideal Pillow For Your Back, Neck, And Sleep

Most adult Brits struggle to get a good night’s sleep; as many as 14% of us get by on “dangerously low” levels of shut-eye, regularly catching less than five hours of kip a night.

Meanwhile, about two-thirds of us will experience neck pain at one point or another, while almost 80% of us will get back aches.

Worse, back and neck pain can make your sleep worse, and insomnia may increase your perception of discomfort. Talk about a vicious cycle.

So, it’s a good thing a systematic review of studies has found four pillow qualities that might help with all three.

What should I look for in a pillow?

This research analysed 11 studies, with 309 participants in total. The study authors wanted to evaluate the quality of evidence for the benefits of different pillow materials, heights, shapes, and thermal (heat) properties.

They found “moderate evidence that some of the following pillow parameters could improve sleep quality/spinal alignment, and decrease sleep-related neck pain”.

These include:

  1. Latex material,
  2. A contoured design (a dip in the middle of the pillow with higher sides, especially useful for side sleepers),
  3. A height of 7-11cm for the lower, middle part of the pillow,
  4. A cooling surface.

Latex pillows seemed best at reducing neck pain, while a contoured pillow with a 7-11cm high centre helped to keep sleepers’ spines in alignment.

Meanwhile, cooling pillows have been associated with more deep sleep than their non-cooling counterparts.

The researchers added that people should try to “consider as many of the above-mentioned parameters as possible when choosing a new pillow that fits their individual needs of promoting sleep comfort”.

Which pillows seemed to perform the worst?

Another review of studies found that, generally, feather pillows tend to perform worse than rubber or spring pillows.

And a separate 2011 paper also suggested “feather pillow users provided consistently low reports of pillow comfort and sleep quality”.

But your sleeping position matters here.

For instance, those who sleep on their side might have to put their neck at an uncomfortable angle if they’re using a softer pillow, while front or back sleepers could push their head further out of alignment if using a very stiff one.

That’s why, researchers note, it’s important to factor in your individual comfort level.

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Electrical Failure Causes Widespread Rail Disruptions: What We Know So Far

Major rail disruption has taken place following an electrical failure in the Manchester Rail Operating Centre communications centre.

National Rail said on its site that the issues began just before 2pm on 6 August and are expected to last “until the end of the day” in the Greater Manchester/north-west of England area.

The BBC reports we don’t yet know what caused the issue, how severe it may be, or how long it will last.

Here’s which train lines may be affected, and what each have said, as of the time of writing:

What has National Rail said?

In a statement, it warned of “major disruption for the rest of the day due to power issues impacting signalling”.

The service added: “Currently no trains can run from Manchester Piccadilly through to Manchester Victoria and Bolton, impacting services right across the North West network.

“Some trains are running south and east of the city towards Stockport, but are also subject to delays.

“As a result, cancellations are expected on rail routes across Greater Manchester until the end of today (Thursday 6 August).”

If you’re travelling by train today, check with National Rail or your train line first.

Which lines have been affected?

Per National Rail, lines affected by the signal issue include:

  • Avanti West Coast,
  • CrossCountry,
  • East Midlands Railway,
  • London Northwestern Railway,
  • Northern,
  • TransPennine Express,
  • Transport for Wales.

What have these lines said?

This is what each line has said as of the time of writing. (Advice is subject to change, so check in regularly before travelling.)

TransPennine Express’s site reads: “All trains will be stopped due to a failure of the communication systems on the network”, adding there is “major disruption and no trains or replacement buses are operating, and we strongly advise you not to travel”.

Transport for Wales said “train services between Chester and Liverpool Lime Street are also disrupted” and trains “will not be able to run until the electrical supply has been restored”.

It added: “We have organised buses to run between Liverpool Lime Street and Chester to help you complete your journey, at no extra cost. These will arrive at 15:30 at Chester provided by Patts Coaches and arrive at Liverpool Lime Street at approximately 15:30 provided by Northwich Travel.” These arrangements will last until 6pm.

Northern’s site says there are “major disruptions” across various routes, adding, “due to failure of the electricity supply at Manchester Piccadilly all lines are blocked”. It said this is expected to last until the end of the day.

Esst Midlands’ site said: “There is a failure of the electricity supply around the Manchester Piccadilly area. This is currently disrupting our trains on the Liverpool Lime Street/Nottingham/Norwich routes.” The company added: “Our services are unable to run between Sheffield and Liverpool Lime Street until the end of the day.”

London Northwestern Railway’s site lists “major problems” from services via London Euston, from Euston to Crewe, from Crewe to Stafford, and services via Birmingham New Street.

And Avanti West Coast’s site reads: “This Friday, we’re seeing some short-notice cancellations on our network, so please check your journey before you travel. We’re really sorry if this affects you and your journey, but we’re working hard to make sure we can minimise these cancellations.” Its site has a section to help you find out your live train status.

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Trump And Burnham: A Budding Bromance Or A Disaster Waiting To Happen?

“Terrific.” That was the word Donald Trump used to describe Andy Burnham this week.

It’s a far cry from the belittling way the US president played down the prime minister’s past job in Greater Manchester by calling him a “mayor of a town” just last month.

Clearly their one and only conversation over the phone on Burnham’s first day in No.10 won Trump over. So could a bromance be brewing?

The president appears to be delighted over what he saw as the PM’s more open-minded attitude towards drilling in the North Sea.

Keir Starmer refused to expand fossil fuel extraction on Trump’s instruction when he was in power while Burnham has vowed to take a “more pragmatic approach”.

The president also loves a winner, and Burnham is still popular within Labour and the wider country right now – while Starmer became the most unpopular PM on record.

However, like Starmer, Burnham is bound by Labour’s 2024 manifesto not to issue any more oil and gas exploration licences.

That means any expansion of the North Sea will likely fall short of Trump’s hopes of “opening up” the whole area.

The PM has avoided talking about the president at length so far, but claimed he won’t be afraid to call him out when he feels it is necessary.

He also refused to say he trusts the president during a BBC interview, though he did invite him to Manchester.

Burnham is perhaps wise to be cautious.

He would not be the first UK prime minister to eventually incur Trump’s wrath over domestic policies – even if they started out on the right foot.

Trump fell out with Theresa May over her “foolish” approach to Brexit, calling her EU deal a “disaster” – despite initial warmth between them.

Boris Johnson was described as “Britain Trump” by the president himself, but they faced some frictions over Chinese company Huawei’s involvement in Britain’s 5G network.

Starmer, initially described as the “Trump whisperer”, bent over backwards to appeal to the president, even inviting him for a historic second state visit to the UK.

But they came to blows over the former PM’s refusal to get involved in the Iran war.

They also clashed over immigration, Nato, Greenland, tariffs, wind turbines and North Sea drilling, meaning they were barely on speaking terms when he left office.

And Burnham – at least, for now – is further to the left than any of those three predecessors, meaning the Republican president is even more likely to disagree with him.

The prime minister’s decision to appoint Ed Miliband as foreign secretary might also be a major obstacle in their relationship.

The Trump administration has reportedly nicknamed him “Miliwatt” already in an apparent dig to his enthusiasm for net zero.

The UK-US relationship may also be put to the test when, as is expected, Trump’s domestic power diminishes when his American supporters turn on him during the US midterms.

That could mean Burnham – if he is still propped up in the UK polls – might be more outspoken if he believes the president looks weaker.

Alternatively, Trump could turn on the prime minister as soon as his honeymoon period is over.

In this week’s Commons People, we look at whether this really could be a strong alliance – and unpick all the potential pitfalls which could undo their relationship altogether.

Listen to Commons People, the podcast that makes politics easy. Every week, Kevin Schofield and Kate Nicholson unpack the week’s biggest stories to keep you informed. Join us for straightforward analysis of what’s going on at Westminster.

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Major study challenges long-held fears about acetaminophen and ibuprofen use in babies

A major new study provides strong reassurance about the use of acetaminophen (paracetamol) and ibuprofen (Advil) during a baby’s first year. Researchers found no evidence that either common pain reliever increases the risk of eczema or bronchiolitis, a respiratory illness that often affects young children.

Earlier studies had raised concerns that acetaminophen (Tylenol) given during infancy might be connected to eczema, asthma, or other health conditions later in childhood.

“Our study found that paracetamol and ibuprofen are incredibly safe to use in young children,” says lead researcher Professor Stuart Dalziel, Cure Kids Chair of Child Health Research at Waipapa Taumata Rau, University of Auckland, and Pediatrician at Starship Children’s Hospital.

Dalziel notes that acetaminophen and ibuprofen are among the medicines most often prescribed or purchased over the counter for babies around the world.

“These results give parents and health professionals high confidence to continue to use these important medications.”

Nearly 4,000 Babies Took Part

The trial followed almost 4,000 babies from birth across New Zealand. Half were randomly assigned to receive acetaminophen when medication was needed for fever or pain during the first year of life. The other half were assigned to receive ibuprofen.

At regular points throughout the study, parents were asked whether their children had experienced eczema, asthma symptoms, or bronchiolitis. The research team also reviewed prescription information and hospital records.

The findings from the first year of follow-up have now been analyzed and published in The Lancet Child & Adolescent Health.

No Significant Difference in Eczema or Bronchiolitis

About 16 percent of babies in the acetaminophen group developed eczema, compared with 15 percent in the ibuprofen group. Bronchiolitis affected about five percent of children in each group.

Researchers found that these differences were not statistically significant. Serious side effects were uncommon, and none were attributed to either medication.

Overall, the results showed no association between acetaminophen or ibuprofen and eczema or bronchiolitis. The findings also confirmed that both medicines were safe to use during infancy.

This is the first randomized controlled trial considered the gold standard for research to directly examine this question.

A Long-Term Study of Childhood Health

The findings are part of a larger research project called the ‘Paracetamol and Ibuprofen in the Primary Prevention of Asthma in Tamariki (PIPPA Tamariki)’ study.

PIPPA Tamariki is the largest clinical trial involving children ever carried out in New Zealand. Participants are being monitored from birth until they reach age six.

The research team plans to publish results from the children at age three, followed by additional findings when they reach age six.

The broader goal is to determine whether acetaminophen use during the first year of life is connected to health conditions that cannot be diagnosed reliably until children are older.

“We know that two-thirds of children who are wheezy at age three years don’t develop asthma by age six,” says Dalziel.

“Thus we need to wait until school age to ultimately test if paracetamol in the first year of life causes asthma.”

Developmental conditions such as autism and attention deficit hyperactivity disorder (ADHD) also tend to be identified more accurately as children grow older.

Lead author Dr. Eunicia Tan, a senior lecturer at the University of Auckland and emergency physician at Middlemore Hospital, says, “Ultimately, the study will provide important evidence regarding the link between paracetamol use and asthma, eczema, hay fever, and developmental disorders, such as autism and ADHD.”

The research was funded by the Health Research Council of New Zealand and Cure Kids. It was conducted by the University of Auckland and the Medical Research Institute of New Zealand, Wellington.

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A star’s violent death exposed a hidden supermassive black hole

University of Maryland astronomers have identified a dormant supermassive black hole positioned far from the center of its host galaxy. The discovery marks the first time scientists have found an inactive black hole at such a great distance from a galactic core.

Because the black hole was not actively consuming matter, it would ordinarily have remained invisible. Its location was exposed only when it tore apart a passing star, producing a brief but powerful burst of light. The findings were published in The Astrophysical Journal Letters on July 27, 2026.

“This is a novel result. What’s new is that, until now, we’ve started with the assumption that supermassive black holes reside in the centers of massive galaxies,” said study co-author Suvi Gezari, an associate professor of astronomy at UMD. “This discovery will have a huge impact. It means that we’re going to find many more examples of wandering black holes, and we can understand how galaxies and their black holes merge and build up over time.”

A Long Predicted Wandering Black Hole

Scientists have long predicted that some black holes could be displaced toward the outer regions of galaxies during galactic collisions and mergers. These objects are often described as “wandering” black holes.

Finding them is extremely difficult. Many are quiescent, meaning they are not consuming nearby material or producing detectable light. As a result, they can move through galactic outskirts without being noticed by telescopes on Earth.

Researchers first detected the quiescent black hole using the Zwicky Transient Facility (ZTF), which “searches the whole universe,” according to study lead author Robert David Stein. Stein is a Neil Gehrels Prize Postdoctoral Fellow at the Joint Space-Science Institute, a research partnership between UMD’s Departments of Astronomy and Physics and NASA’s Goddard Space Flight Center (GSFC).

Artificial Intelligence Finds a Stellar Flare

Using two telescopes at Palomar Observatory in San Diego County, California, ZTF surveys the entire northern sky once every two days. The observatory records hundreds of thousands of changing celestial events each night, making it impractical for researchers to examine every event individually for signs of a black hole.

To handle that enormous volume of data, the team created an artificial intelligence (AI) program trained to recognize the distinctive light pattern produced when a black hole destroys a star. This event, known as a tidal disruption event, occurs when a star passes close enough to be pulled apart by a black hole’s gravity.

Astronomers have documented many tidal disruption events near the centers of galaxies. The new AI system was designed to search for the same types of flares across the entire sky, including locations far from galactic centers.

The UMD researchers began operating the program in August 2025. Only three months later, it identified the event that led them to the wandering black hole.

“I remember the moment we discovered it very clearly. It was a Saturday, and everyone was very excited to be messaging. We dropped everything and started triggering all kinds of other instruments to get more data,” Stein said. “We weren’t really sure we would be successful so quickly, so it’s amazing that we found one so fast.”

A Supermassive Black Hole Far From the Galactic Center

The black hole sits 9.3 kiloparsecs (about 30,000 light-years) from the center of its galaxy. Its mass is comparable to that of the supermassive black hole located at the center of the Milky Way.

What makes the object especially puzzling is the apparent absence of a visible galaxy surrounding it, according to study co-author and UMD Astronomy Professor Sylvain Veilleux.

“To have such a big black hole outside of a galaxy is surprising to me,” he said. “There should be a Milky Way-like object around it — and that’s definitely not the case.”

Researchers believe the black hole’s unusual position is probably connected to a past collision between galaxies.

One explanation is that a large galaxy absorbed a smaller companion. Over time, the larger galaxy may have stripped away nearly all of the smaller galaxy’s stars, leaving only its dense central core and black hole behind.

Another possibility involves a more chaotic encounter among three black holes. A galaxy may already have contained two black holes orbiting closely around one another at its center, a system known as a binary black hole. If a third black hole arrived during another galactic merger, the resulting three-body interaction could have expelled the smallest black hole from the center.

Additional observations of the tidal disruption event may help researchers determine which explanation is more likely.

Dormant Black Holes Could Be Common

Understanding inactive black holes is important because most known black holes are dormant, including the one at the center of the Milky Way.

Scientists do not yet know whether wandering black holes exist in the outer regions of our own galaxy. However, Stein said there is no reason to worry about encountering one.

“We’re very unlikely to meet one, at least in our lifetime.”

The research team is continuing to search the sky for additional wandering black holes. Finding more of them could help scientists “understand how galaxies form and how many black holes are whizzing around,” Stein said.

The discovery also demonstrates that these elusive objects can be identified with conventional sky surveys combined with machine learning, rather than relying exclusively on more expensive observational methods.

“It is super exciting,” Gezari explained. “It’s an example of machine learning opening up a whole new area of research.”

New Observatories Could Find Hundreds More

Stein expects future searches with the NSF-DOE Vera C. Rubin Observatory to identify dozens or possibly hundreds of wandering black holes each year. The Chile-based observatory debuted last June and captures exceptionally detailed views of the sky with the world’s largest digital camera.

Veilleux also pointed to the Lowell Discovery Telescope and its Rapid infrared IMAger-Spectrometer, which debuted in June 2025 as a collaboration between GSFC, the UMD Department of Astronomy and Lowell Observatory. The instrument could enable scientists to detect tidal disruption events at far greater distances from Earth than previously thought possible.

“This is the strongest case of a wandering black hole that we know,” Veilleux said. “This is going to set the standard.”

UMD Astronomy Adjunct Professor Stephen Bradley Cenko and postdoctoral associate Jillian Chin Rastinejad coauthored the study with Stein, Gezari and Veilleux.

This research was funded by the U.S. National Science Foundation (Award Nos. 2407588 and 1106171); the Gordon and Betty Moore Foundation through the Data-Driven Investigator Program and a dedicated grant to SkyPortal; the W. M. Keck Foundation; the Heising-Simons Foundation; William and Marina Kast; the University of California Observatories; Google; Deutsche Forschungsgemeinschaft under Germany’s Excellence Strategy, EXC-2094/2, 390783311.939; the Australian Research Council under ARC LIEF grant LE130100104; Astronomy Australia Limited and the Australian Government through the Commonwealth’s Education Investment Fund and National Collaborative Research Infrastructure Strategy, particularly the National eResearch Collaboration Tools and Resources and the Australian National Data Service Projects. This content does not necessarily reflect the views of these parties and organizations.

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A drug already used for osteoporosis blocked spinal damage in a new study

Changes in gene activity may contribute to neck and back pain by damaging the discs that act as the spine’s natural shock absorbers, according to new research.

A study using zebrafish found that altered gene activity can cause minerals to accumulate within the spine. This process resembles bone forming where it should not, eventually making spinal tissue unusually hard.

Researchers say the results reveal several biological processes that could become targets for future back pain treatments. The work also indicates that zebrafish may provide a useful model for testing potential therapies.

Why Spinal Discs Break Down

Most people experience back pain at some point. A major cause is the progressive deterioration of the discs that cushion the bones of the spine, a condition called intervertebral disc degeneration (IVDD).

Although IVDD is widespread and places a considerable burden on patients and health care systems, no medications can currently halt or reverse its progression. Surgery is still the only available long-term treatment.

Inherited factors are known to influence a person’s risk of developing IVDD. Previous research has repeatedly connected early disc problems to a gene associated with collagen IX, a protein that helps bind together the structural fibers inside spinal discs.

To investigate how defects in this gene might cause disc disease, researchers from the Universities of Edinburgh and Bristol studied zebrafish bred without a functioning copy of it.

Zebrafish Developed Human-Like Spinal Damage

As the zebrafish grew older, they developed spinal abnormalities that closely resembled disc disease in people. Their vertebrae fused, while mineral deposits caused the tissue between the bones to become abnormally hard.

The researchers discovered that this mineralization did not begin immediately. First, a supportive scaffold layer within the developing spine started to deteriorate. Mineral deposits appeared only after this early structural damage had occurred.

The team then examined patterns of gene activity in the fish to determine which genes had become more or less active.

Their analysis revealed problems with fat processing and with mTOR, a pathway that regulates growth. They also found changes involving phosphate control and vitamin A signaling. Each of these processes has been associated with abnormal mineral accumulation.

Existing Osteoporosis Drug Reduced Mineral Buildup

The researchers also identified several approaches that reduced the spinal damage.

A bisphosphonate, a type of bone-protecting medication already used to treat osteoporosis, prevented minerals from accumulating. Spinal fusion was also reduced when the fish received less food or were treated with drugs that suppressed fat metabolism.

According to the researchers, the results highlight phosphate regulation and fat metabolism as especially promising areas for the development of future medicines.

The study was funded by Arthritis UK and BBSRC and published in the journal Communications Biology.

New Possibilities Beyond Surgery

Study lead, Dr. Erika Kague, from the University of Edinburgh’s Institute of Genetics and Cancer, said: “For decades, surgery has been the only real answer for disc disease. By understanding the biology that drives the spine to harden, our zebrafish studies point to several ways of slowing it down, including a drug already used safely in patients. There’s more work to do, but for a condition that’s affected people for generations without a treatment in sight, this is super exciting.”

Dr. Caroline Aylott, Head of Research Delivery at Arthritis UK, said: “For the 9.5 million people across the UK living with back pain, this research brings fresh hope that potential new therapeutic approaches are on the horizon.

“We are proud to fund research that is unlocking the science behind the processes leading to spinal disc degeneration. Back pain is one of the UK’s most common conditions that has blighted millions over generations. Dr. Erika Kague and her team at the University of Edinburgh have uncovered important genetic evidence that could pave the way for new treatments, bringing us one step closer to a future where fewer people have to live with the daily pain and challenges that back pain can bring.”

Dr. Jef Grainger, Executive Director of Bioscience Advancing Knowledge at BBSRC, said: “This research shows how publicly funded discovery bioscience can generate the knowledge needed to address major health challenges. By revealing new knowledge of how healthy biological processes break down in aging-related spinal disc degeneration, the study opens up promising avenues for future treatment development. It’s a great example of how BBSRC-supported research helps turn scientific discovery into knowledge and innovations that have the potential to improve people’s lives.”

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Sunshine to meal times: How to beat jet lag

With bags packed and boarding passes at the ready, what can you do to keep your body clock on track?

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Half of vaccines are binned – ‘fridge-free’ versions could change that

Scientists have kept vaccines stable at room temperature for a year, which could transform global vaccination.

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Walk-in mental health centres to open in banks and libraries across England

Government plans network of nearly 200 specialist services to help those facing mental health crises.

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