Health24.com | Coronavirus science | Week in review: Obesity, sudden hearing loss, and test swab found in a lung

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READ | Risk of severe Covid-19 high for obese people, regardless of other factors

As the Covid-19 pandemic continues, obesity has been one of the top triggers for severe cases. Outside of the disease, obesity has always had a detrimental effect on health through chronic inflammation, a higher risk of heart disease and a weakened response to viral infections.

But how much does it matter in relation to other conditions, age, sex and race when it comes to contracting a severe coronavirus infection?

To answer this question, Brazilian researchers conducted a meta-analysis of nine studies from five countries on severe Covid-19, which included more than 6 500 patients. More than half were male and had comorbidities such as hypertension (51.51%), diabetes (30.3%), cardiovascular disease (16.66%), lung disease (15.99%), renal disease (7.49%), cancer (5.07%), and immunosuppression (1.8%). A high proportion of patients were smokers and suffered from dyslipidemia – a condition involving high levels of cholesterol or fat in the blood.

They wanted to investigate the prevalence of obesity as a contributing factor in severe Covid-19 cases that required admission to ICU. They also looked at the best treatments that helped obese patients recover from the virus.

The studies they analysed included case studies and series, clinical trials and randomised controlled trials that mentioned obesity. They found that in more than half of severe cases, people suffered from obesity. In terms of other comorbidities, just less than half had hypertension, while type 2 diabetes, lung disease, smokers, cardiovascular disease were each around the 20% mark.

Not only is obesity a major factor for severe Covid-19, the condition also indicates that these patients are also more likely to be infected with the coronavirus in the first place.

PICS | Swab gets stuck inside woman’s lung during coronavirus test

A 51-year-old patient ended up with a snapped coronavirus test swab inside her lung after it was inserted into a breathing tube in her neck, a BMJ case report revealed.

The woman was undergoing brain surgery in a UK hospital to remove a fragment of her skull. As part of her treatment, a tracheostomy tube – placed into the windpipe to assist with breathing – was fitted.

After the operation, medical staff at the University Hospitals of Leicester NHS (National Health Service) Trust sent the patient to undergo a coronavirus test as part of normal protocol before discharging her to a nursing home.

Since the patient had been breathing through the hole in her neck and could have potentially become infected with the virus through this airway, medical staff took a swab through her tracheostomy tube.

However, a nurse carrying out the test felt the swab snap during the procedure, and part of it ended up in the patient’s windpipe.

The test swab is designed to snap into a test tube to be sent to the lab.

READ | ‘Silent’ mutations gave Covid-19 virus an evolutionary edge

Understanding the features of SARS-CoV-2, the virus that causes Covid-19, is crucial for predicting the future, and in a recent study, scientists may have come one step closer.

According to Duke University (DU) researchers, a number of “silent” mutations in the roughly 30 000 letters of the virus’s genetic code may have given it an advantage and caused it to thrive in the human population after crossing over from bats and other wild animals.

“We’re trying to figure out what made this virus so unique,” said lead author Alejandro Berrio, a postdoctoral associate in biologist Greg Wray’s lab at DU.

In their paper, they explain how the subtle changes, or mutations, influenced how the virus unfolded its RNA molecules within human cells.

The study was published in the journal PeerJ.

For their study, the researchers wanted to identify adaptive changes that occurred in the SARS-CoV-2 genome in humans, but not in closely related coronaviruses found in bats and pangolins.

READ | Covid-19: Sudden hearing loss, while rare, occurs in some patients – and needs to be caught early

The first case of sudden hearing loss due to Covid-19 infection was reported in the United Kingdom and doctors are urging people to become aware of the symptom because prompt treatment could completely or at least partially reverse it.

While the report states that the condition is uncommon, doctors warned that if the condition remains undetected, and subsequently untreated, the damage is likely to be irreversible.

The case study was published in BMJ Case Reports and details how a 45-year-old patient, who suffers from asthma, was admitted to hospital following 10 days of Covid-19 symptoms.

In hospital, the patient needed to be intubated and was transferred to the intensive care unit (ICU).

He remained intubated for 30 days and his stay in hospital was further complicated because of a number of other conditions, including pneumonia and anaemia. After going through several courses of medication, including remdesivir, intravenous steroids and plasma exchange (to treat Covid-19), he was extubated and transferred out of the ICU.

A week after leaving the ICU, the patient noticed a ringing in his left ear and a sudden loss of hearing. The patient was officially diagnosed with sudden onset sensorineural hearing loss (SSNHL).

READ | Lockdown: Scientists looked at personality traits to understand why some defy the rules

People with certain common personality traits are less likely to remain at home when government policies are less restrictive, a global survey done during the first wave of the Covid-19 pandemic has found.

The study researchers investigated the so-called Big Five personality traits: conscientiousness, neuroticism, agreeableness, extraversion and openness and its association with complying with lockdown measures.

“The pandemic led us to revisit one of psychology’s most fundamental and most basic questions in a high-stakes context: What determines human behaviour?” the authors wrote.

Their findings were published by the American Psychological Association.

For their study, the research team used data from the “Measuring Worldwide Covid-19 Attitudes and Beliefs” project – a global survey that aimed to assess people’s behaviours and perceptions of others’ behaviours during the pandemic.

The team analysed responses from more than 101 000 participants in 55 countries.

CORONAVIRUS CASES LATEST

SA cases update: 

The latest number of confirmed cases is 715 868.

According to the latest update, 18 968 deaths have been recorded in the country.

There have been 646 170 recoveries.

So far, more than 4.69 million tests have been conducted, with 19 997 new tests reported.

Global cases update:

For the latest global data, follow this interactive map from Johns Hopkins University & Medicine.

Late on Sunday night, positive cases worldwide were more than 42.77 million, while deaths were more than 1.51 million.

The United States had the most cases in the world – more than 8.58 million, as well as the most deaths – almost 225 000.

HEALTH TIPS (as recommended by the NICD and WHO)

• Maintain physical distancing – stay at least one metre away from somebody who is coughing or sneezing

• Practise frequent hand-washing, especially after direct contact with ill people or their environment

• Avoid touching your eyes, nose and mouth, as your hands touch many surfaces and could potentially transfer the virus

• Practise respiratory hygiene – cover your mouth with your bent elbow or tissue when you cough or sneeze. Remember to dispose the tissue immediately after use.

Image credit: Getty Images

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Coronavirus: 14-day quarantine for Covid contacts could be reduced

It comes as a senior Conservative MP criticises leaders of NHS Test and Trace, urging “decisive” change.

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Down’s syndrome: ‘In all honesty we were offered 15 terminations’

Mothers of babies with Down’s syndrome reveal the pressure they felt to terminate their pregnancies.

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The Point of No Return

In Act 1 of a story with a 3-act structure, the protagonist often reaches the point of no return. Their old world crumbles, and they stumble forward into a new world, often reactively at first. There is no going back to the old world.

In a novel or movie, there may be multiple progressive points of no return, each creating a deeper level of commitment and increasing the protagonist’s risk as well.

Once Neo takes the red pill in The Matrix, he can’t go back to his old life. The old reality has ended, and now his world is permanently changed.

Once Harry Potter learns that he’s a wizard, his world is never be the same again. He must continue on to Hogwarts. Even when he goes home afterwards, it’s not longer the old status quo.

When it comes to personal transformations, we can make progress faster by deliberately aligning ourselves with certain plot beats that are guaranteed to advance the story. One of those beats is the classic point of no return.

Many people get their stories stuck in Act 1 because they just think about the end goal – if they even have a clear one at all – and they never reach a point of no return that moves their story forward.

When you keep your options open and allow yourself to retain access to your Act 1 world, you remain stuck in Act 1. That’s what Act 1 characters do. They resist the call to adventure, to risk, and to change. They are not committed to change, so real change doesn’t occur.

Are you currently living as an Act 1 character in your story?

Suppose someone wants a more independent lifestyle, but they keep showing up to work at a job they dislike. That’s Act 1. We’re seeing the initial status quo. To advance the story, something must perturb and eventually destroy that status quo. A catalyst is needed.

Are you waiting for a catalyst to magically appear in order to progress your story? Are you waiting for Hagrid or Trinity to show up? Are you waiting for your cell phone to cough up a hologram of Princess Leia? These types of events happen in movies, but in real life you may end up waiting a very long time, perhaps years or even decades.

Are you waiting passively for a catalyst, or are you actively looking for one? Better yet, when you need a catalyst, you can create your own. Why wait?

If you want to advance your story, a good first step is to focus on graduating from Act 1, so you can progress to Act 2. Work on reaching your point of no return. Your old world must die, and you must come to accept the obviousness of that. As long as you still think you can keep your old world humming along safely, you’re still thinking like an Act 1 character, and you aren’t ready for Act 2.

In your personal Act 1, realize that your dead-end job, your dead-end relationship, or your dead-end health habits must come to an end. You cannot keep living in Act 1 unless you want your life story to remain perpetually stuck.

With any powerful personal goal, focus first on raising your commitment level. Make it inevitable that you’ll at least get moving in that direction. A good place to begin is to accept that your old world must collapse. You’re going to have to leave it behind.

In order to do this, you must lean your character towards growth, mystery, and risk. Yes, that will probably seem scary at first. Acts 2 and 3 are way more risky and dangerous than Act 1. Act 1 is cozy and safe – and also boring if it goes on too long.

In a typical 100-minute movie, Act 1 is around 25 minutes – just the first 25%. If you remain stuck in Act 1, you’re leaving most of the value of your life untapped and unlived.

This takes courage of course. What also helps is knowing how awful it will be if you grow old and die while your character is still in Act 1 of your story. If you really want to live, you’ll go through multiple story arcs during your lifetime, and these story arcs can overlap. So sometimes you’ll be in Act 1 of one part of your story while you’re in Act 3 of another.

Do you already have regrets about how much time you’ve spent stuck in Act 1? If so, work on progressing to Act 2 by creating the death of your old world. Engineer your own point of no return, where change becomes inevitable. Demand more courage from yourself. Don’t wait for a catalyst to appear. Reading this can be enough of a catalyst if you want it to be. You’re fully capable of making a real decision to change. That starts with realizing that you’re finally done with Act 1.

One of my personal story arcs that spanned many years was a progression from financial scarcity to abundance. My transition from Act 1 to Act 2 happened in 1999. The decision wasn’t the surface idea to stop being broke financially. It was a decision to stop pretending that financial scarcity could stop me from having a fun, happy, and rewarding life. I resolved to stop stressing over money and to start having way more fun in life. I stopped giving my power away to some number in a computer database. That was the real decision that progressed me to Act 2. It was a decision to change how I related to life and money.

The point of no return is really a decision. It’s when you decide to progress your story, and you also decide that there’s no going back. The dead-end job is done. The dead-end relationship is over. The dead-end health habits are finished. The dead-end relationship with money must die.

Other people will see your outer journey, but these decisions have more to do with your inner journey. You don’t just decide to leave your job for surface reasons. You decide that you’re no longer going to be the timid and needy person who will show up for a job that isn’t right for you. You’re not going to keep being the coward who will continue taking orders from a misguided boss. You’re not going to be the drone who works for a company for misaligned values. It’s time to construct a new identity that fits who you’ve ready to become.

A real decision is harder than action. A real decision progresses you into Act 2 of your story. You’ll know when you’ve made the decision because you’ll feel this deep acceptance – and often even some sorrow – that Act 1 is finally over and done with.

Don’t wait for an external catalyst to get your story moving forward. Invite or create whatever catalyst you need to progress your story. Don’t keep living as an Act 1 character when you’re ready for Act 2.

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NASA’s OSIRIS-REx spacecraft collects significant amount of asteroid

Two days after touching down on asteroid Bennu, NASA’s OSIRIS-REx mission team received on Thursday, Oct. 22, images that confirm the spacecraft has collected more than enough material to meet one of its main mission requirements — acquiring at least 2 ounces (60 grams) of the asteroid’s surface material.

The spacecraft captured images of the sample collector head as it moved through several different positions. In reviewing these images, the OSIRIS-REx team noticed both that the head appeared to be full of asteroid particles, and that some of these particles appeared to be escaping slowly from the sample collector, called the Touch-And-Go Sample Acquisition Mechanism (TAGSAM) head. They suspect bits of material are passing through small gaps where a mylar flap — the collector’s “lid” — is slightly wedged open by larger rocks.

“Bennu continues to surprise us with great science and also throwing a few curveballs,” said Thomas Zurbuchen, NASA’s associate administrator for science at the agency’s headquarters in Washington. “And although we may have to move more quickly to stow the sample, it’s not a bad problem to have. We are so excited to see what appears to be an abundant sample that will inspire science for decades beyond this historic moment.”

The team believes it has collected a sufficient sample and is on a path to stow the sample as quickly as possible. They came to this conclusion after comparing images of the empty collector head with Oct. 22 images of the TAGSAM head after the sample collection event.

The images also show that any movement to the spacecraft and the TAGSAM instrument may lead to further sample loss. To preserve the remaining material, the mission team decided to forego the Sample Mass Measurement activity originally scheduled for Saturday, Oct. 24, and canceled a braking burn scheduled for Friday to minimize any acceleration to the spacecraft.

From here, the OSIRIS-Rex team will focus on stowing the sample in the Sample Return Capsule (SRC), where any loose material will be kept safe during the spacecraft’s journey back to Earth.

“We are working to keep up with our own success here, and my job is to safely return as large a sample of Bennu as possible,” said Dante Lauretta, OSIRIS-REx principal investigator at the University of Arizona in Tucson, who leads the science team and the mission’s science observation planning and data processing. “The loss of mass is of concern to me, so I’m strongly encouraging the team to stow this precious sample as quickly as possible.”

The TAGSAM head performed the sampling event in optimal conditions. Newly available analyses show that the collector head was flush with Bennu’s surface when it made contact and when the nitrogen gas bottle was fired to stir surface material. It also penetrated several centimeters into the asteroid’s surface material. All data so far suggest that the collector head is holding much more than 2 ounces of regolith.

OSIRIS-REx remains in good health, and the mission team is finalizing a timeline for sample storage. An update will be provided once a decision is made on the sample storage timing and procedures.

NASA’s Goddard Space Flight Center in Greenbelt, Maryland, provides overall mission management, systems engineering and the safety and mission assurance for OSIRIS-REx. Lockheed Martin Space in Denver built the spacecraft and is providing flight operations. Goddard and KinetX Aerospace of Tempe, Arizona, are responsible for navigating the OSIRIS-REx spacecraft. OSIRIS-REx is the third mission in NASA’s New Frontiers Program, which is managed by NASA’s Marshall Space Flight Center in Huntsville, Alabama, for the agency’s Science Mission Directorate in Washington.

For more information, see: https://www.nasa.gov/osiris-rex

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Materials provided by NASA. Note: Content may be edited for style and length.

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Covid blood plasma donation: What is blood plasma?

The NHS wants us to donate blood plasma to help fight Covid-19. But why?

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Stars and planets grow up together as siblings

Astronomers have found compelling evidence that planets start to form while infant stars are still growing. The high-resolution image obtained with the Atacama Large Millimeter/submillimeter Array (ALMA) shows a young proto-stellar disk with multiple gaps and rings of dust. This new result, just published in Nature, shows the youngest and most detailed example of dust rings acting as cosmic cradles, where the seeds of planets form and take hold.

An international team of scientists led by Dominique Segura-Cox at the Max Planck Institute for Extraterrestrial Physics (MPE) in Germany targeted the proto-star IRS 63 with the ALMA radio observatory. This system is 470 light years from Earth and located deep within the dense L1709 interstellar cloud in the Ophiuchus constellation. Proto-stars as young as IRS 63 are still swaddled in a large and massive blanket of gas and dust called an envelope, and the proto-star and disk feed from this reservoir of material.

In systems older than 1,000,000 years, after the proto-stars have finished gathering most of their mass, rings of dust have been previously detected in great numbers. IRS 63 is different: at under 500,000 years old, it is less than half the age of other young stars with dust rings and the proto-star will still grow significantly in mass. “The rings in the disk around IRS 63 are so young,” emphasizes Segura-Cox. “We used to think that stars entered adulthood first and then were the mothers of planets that came later. But now we see that proto-stars and planets grow and evolve together from early times, like siblings.”

Planets face some serious obstacles during their earliest stages of formation. They have to grow from tiny dust particles, smaller than household dust here on Earth. “The rings in the disk of IRS 63 are vast pile-ups of dust, ready to combine into planets,” notes co-author Anika Schmiedeke at MPE. However, even after the dust clumps together to form a planet embryo, the still-forming planet could disappear by spiraling inwards and being consumed by the central proto-star. If planets do start to form very early and at large distances from the proto-star, they may better survive this process.

The team of researchers found that there is about 0.5 Jupiter masses of dust in the young disk of IRS 63 further than 20 au from its center (at a distance similar to the Uranus orbit in our solar system). That is not counting the amount of gas, which could add up to 100 times more material. It takes at least 0.03 Jupiter masses of solid material to form a planet core that will efficiently accrete gas and grow to form a giant gas planet. Team member Jaime Pineda at MPE adds, “These results show that we must focus on the youngest systems to truly understand planet formation.” For example, there is growing evidence that Jupiter may have actually formed much farther out in the Solar System, beyond the Neptune orbit, and then migrated inwards to its present location. Similarly, the dust surrounding IRS 63 shows that there is enough material far from the proto-star and at a stage young enough that there is a chance for this Solar System analogue to form planets in the way that Jupiter is suspected to have formed.

“The size of the disk is very similar to our own Solar System,” Segura-Cox explains. “Even the mass of the proto-star is just a little less than our Sun’s. Studying such young planet-forming disks around proto-stars can give us important insights into our own origins.”

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Materials provided by Max-Planck-Gesellschaft. Note: Content may be edited for style and length.

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Covid: The NHS workers ‘still recovering’ as second wave looms

As the second wave of the pandemic takes deep root across parts of the UK, thousands of NHS workers are struggling to recover from what they have already been through.

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New imaging method reveals HIV’s sugary shield in unprecedented detail

Scientists from Scripps Research and Los Alamos National Laboratory have devised a method for mapping in unprecedented detail the thickets of slippery sugar molecules that help shield HIV from the immune system.

Mapping these shields will give researchers a more complete understanding of why antibodies react to some spots on the virus but not others, and may shape the design of new vaccines that target the most vulnerable and accessible sites on HIV and other viruses.

The sugar molecules, or “glycans,” are loose and stringy, and function as shields because they are difficult for antibodies to grip and block access to the protein surface. The shields form on the outermost spike proteins of HIV and many other viruses, including SARS-CoV-2, the coronavirus that causes COVID-19, because these viruses have evolved sites on their spike proteins where glycan molecules — normally abundant in cells — will automatically attach.

“We now have a way to capture the full structures of these constantly fluctuating glycan shields, which to a great extent determine where antibodies can and can’t bind to a virus such as HIV,” says the study’s lead author Zachary Berndsen, PhD, a postdoctoral research associate in the structural biology lab of Scripps Research Professor Andrew Ward, PhD.

The same wavy flexibility that makes these sugary molecules resistant to antibodies has made them impossible for researchers to capture with traditional atomic-scale imaging. In the new study, which appears in the Proceedings of the National Academy of Sciences, the scientists developed techniques that, for the first time, allow these elusive molecules to be mapped in great detail on the surface of the HIV spike protein, known as “Env.”

The Scripps Research team collaborated with the lab of Gnana Gnanakaran, PhD, staff scientist at Los Alamos National Laboratory, which is equipped with high-performance computing resources that enabled fresh approaches for modeling the glycans.

The researchers combined an atomic-scale imaging method called cryo-electron microscopy (cryo-EM) with sophisticated computer modeling and a molecule-identifying technique called site-specific mass spectrometry. Cryo-EM relies on averaging tens or hundreds of thousands of individual snapshots to create a clear image, thus highly flexible molecules like glycans will appear only as a blur, if they show up at all.

But by integrating cryo-EM with the other technologies, the researchers were able to recover this lost glycan signal and use it to map sites of vulnerability on the surface of Env.

“This is the first time that cryo-EM has been used along with computational modeling to describe the viral shield structure in atomic detail,” says Srirupa Chakraborty, PhD, co-lead author and post-doctoral researcher in the Gnanakaran lab at Los Alamos National Laboratory.

The new combined approach revealed the glycans’ structure and dynamic nature in extreme detail and helped the team better understand how these complex dynamics affect the features observed in the cryo-EM maps. From this wealth of information, the team observed that individual glycans do not just wiggle around randomly on the spike protein’s surface, as once was thought, but instead clump together in tufts and thickets.

“There are chunks of glycans that seem to move and interact together,” Berndsen says. “In between these glycan microdomains is where antibodies apparently have the opportunity to bind.”

Experimental HIV vaccines rely on modified, lab-made Env proteins to elicit antibody responses. In principle, these vaccines’ effectiveness depends in part on the positioning and extent of the shielding glycans on these lab-made viral proteins. Therefore, Berndsen and colleagues applied their method to map the glycans on a modified HIV Env protein, BG505 SOSIP.664, which is used in an HIV vaccine currently being evaluated in clinical trials.

“We found spots on the surface of this protein that normally would be covered with glycans but weren’t — and that may explain why antibody responses to that site have been noted in vaccination trials,” Berndsen says.

That finding, and others in the study, showed that Env’s glycan shield can vary depending on what type of cell is being used to produce it. In HIV’s infections of humans, the virus uses human immune cells as factories to replicate its proteins. But viral proteins used to make vaccines normally are produced in other types of mammalian cells.

In another surprise discovery, the team observed that when they used enzymes to slowly remove glycans from HIV Env, the entire protein began to fall apart. Berndsen and colleagues suspect that Env’s glycan shield, which has been considered merely a defense against antibodies, may also have a role in managing Env’s shape and stability, keeping it poised for infection.

The team expect that their new glycan-mapping methods will be particularly useful in the design and development of vaccines — and not only for HIV. Many of the techniques can be applied directly to other glycan-shielded viruses such as influenza viruses and coronaviruses, and can be extended to certain cancers in which glycans play a key role, the researchers say.

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PTSD and alcohol abuse go hand-in-hand, but males and females exhibit symptoms differently

Through intricate experiments designed to account for sex-specific differences, scientists at Scripps Research have collaborated to zero in on certain changes in the brain that may be responsible for driving alcohol abuse among people with post-traumatic stress disorder, or PTSD.

In studies with rodents, researchers found that males and females exhibit their own distinct symptoms and brain features of PTSD and alcohol use disorder. Such differences are not typically accounted for in laboratory-based studies yet could lead to more successful clinical treatments.

The findings, published in Molecular Psychiatry, also present a new model for identifying biomarkers that may indicate a person with PTSD is more likely to develop alcohol use disorder.

“Having PTSD significantly increases the risk of developing alcohol use disorder, as individuals use alcohol to cope with stress and anxiety. Yet the underlying biology of comorbid disorders is generally not well understood,” says Dean Kirson, PhD, a postdoctoral fellow in neurophysiology in the lab of professor Marisa Roberto, PhD, and a co-lead author with Michael Steinman, PhD. “We hope our new knowledge of sex-specific changes in the brain will help propel the development of more targeted treatments.”

About 7 percent to 8 percent of the country’s population will have PTSD at some point in their life, according to the U.S. Department of Veterans Affairs. Causes include combat exposure, physical abuse, an accident or other forms of trauma. Alcohol abuse disorder is also common, affecting some 15 million people in the United States. Those with stress and anxiety disorders such as PTSD are not only more likely to abuse alcohol, but also have increased alcohol withdrawal symptoms and relapse risk.

“Most people know or will know someone struggling with one or both of these disorders and may try to help them. However, there are very few effective treatments currently,” Roberto says. “Both are complex disorders that affect similar brain circuitry. My lab has been studying addiction and stress separately, so here we teamed up with the Zorrilla lab to apply a novel translationally-relevant behavioral model to examine what changes occur when these disorders are comorbid.”

The joint study between Roberto and Eric Zorrilla, PhD — who are co-senior authors — examined behavior, sleep patterns, inflammatory immune responses and levels of a neurotransmitter known as GABA (short for gamma-Aminobutyric acid), which lowers anxiety and increases feelings of relaxation and is a common feature of alcohol dependence.

For both male and female rats, traumatic stress and alcohol exacerbated other behaviors common in PTSD, such as social avoidance startle reactions and defensive behavior. Those who were identified as “drinking-vulnerable” prior to trauma most strongly showed avoidance of trauma-reminiscent places.

However, the scientists noted key differences in how males and females behave following trauma and saw markedly different patterns of GABA signaling. For example, males showed increased GABA receptor function, while females showed increased GABA release.

“This may be important because there is growing awareness that medicines could potentially have different levels of effectiveness in male and female patients and understanding the biology that explains why these differences exist could improve outcomes,” Steinman says.

The team also found that males exhibited an immune-based biomarker — small proteins known as cytokines, which are secreted by immune cells — that determined vulnerability to alcohol use disorder. The females did not.

“We identified profiles of specific cytokines, many not previously linked to stress behaviors, that strongly related to poor drinking outcomes,” says Zorilla, associate professor

In the Department of Molecular Medicine. “These may be important clinically or even mechanistically, but they were unique to males, so we have work ahead of us to find similar biomarkers for females.”

The Roberto and Zorrilla labs plan to conduct additional research into the mechanisms behind the biological changes they observed and test which brain systems can be targeted to treat both PTSD and alcohol abuse.

“We also plan to further investigate the role of the immune system in these disorders,” Roberto says. “These distinct biomarkers may aid in targeted treatment.”

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