An estimated 240 patients are said to have died unnecessarily in Scotland this year because of A&E delays.
Category Archives: Nutrition
Persistent cough may be tuberculosis not Covid, doctor warns
Dr Jenny Harries’ warning comes as early data shows there were 4,430 TB cases in England in 2021.
Older wildfire smoke plumes can affect climate

Aerosols carried in wildfire smoke plumes that are hundreds of hours old can still affect climate, according to a study out of the University of California, Davis.
The research, published in the journal Environmental Science and Technology, suggests that wildfire emissions even 10 days old can affect the properties of aerosols — suspended liquid or particles that are key to cloud formation.
Research in aerosols and particulate matter pollution related to wildfires has most often focused on the early hours of smoke plumes, not several days later after smoke has traveled to other areas.
Enhancing modeling
This research helps fill in a knowledge gap and can inform future predictions about the climate and atmospheric effects of wildfire over the lifetime of aerosols, particularly in rural or pristine areas with relatively clean air, said Qi Zhang, an environmental toxicology professor and lead author of the study.
“These parameters are really useful for atmospheric and chemical models,” she said. “It’s a really important component to solving the effects on climate. To capture those characteristics is super critical.”
Zhang, Ph.D. student Ryan Farley and others spent time in 2019 at the Mount Bachelor Observatory atop a volcanic mountain in Oregon. That year was relatively calm in terms of wildfire, but smoke plumes and aerosols were still observed. Some were at least 10 days old and came from as close as Northern California and as far as Siberia, Russia.
The properties and chemical composition of aerosols can do a number of things: scatter or absorb solar radiation affecting temperature, seed clouds to produce rain or snow, or change the reflectivity of clouds — all of which affect climate.
Aerosol properties change with age
Scientists found that particulate matter concentrations were low, but oxidized organic aerosols from burning biomass — such as trees, grasses and shrubs — were detected throughout the samples.
The aerosols, which have a life cycle of about two weeks, were larger in aged samples compared to those found shortly after a fire starts.
“The properties of the smoke determine the effects on the climate,” Zhang said. “The really aged aerosols can behave very differently than the fresh ones. You want to capture these aerosols over the lifetime to properly account for the effects.”
Aerosols in the background
Older aerosols produced by wildfires can be present but not obvious and still affect climate.
“It’s not something you just notice but it’s in the background,” she said.
Knowing that information becomes ever more important as “biomass burning has become more and more frequent,” Zhang said.
Shan Zhou and Sonya Collier from UC Davis also participated in the research as did scientists from University of Montana and University of Washington.
The National Science Foundation, the U.S. Department of Energy’s Atmospheric System Research Program, the California Agricultural Experiment Station and UC Davis funded the research.
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Materials provided by University of California – Davis. Original written by Emily Dooley. Note: Content may be edited for style and length.
Study examines disparities in air pollution affecting American Indian communities

A new study at Columbia University Mailman School of Public Health highlights disparities in fine particulate matter (PM2.5) trends between American Indian (AI) and non-AI populated counties of the U.S. PM2.5 is one of several air pollutants regulated by the U.S. Environmental Protection Agency (EPA), with the current annual standard set at 12?g/m3. Downward trends in PM2.5 concentrations were steeper among the non-AI populated compared to AI-populated counties. Although AI-populated counties had lower PM2.5 concentrations than non- AI populated counties in 2000, by 2018, their levels were higher. With most U.S. air pollution research conducted in urban settings, this is the first study to detail the extent of particulate air pollution levels and its potential health consequences among rural AI communities. The findings are published in the American Journal of Public Health.
“Our results underscore the need to strengthen air pollutionregulations and prevention implementation in tribal territories and areas where AI populations live,” said Maggie Li, PhD candidate in the Department of Environmental Health Sciences at Columbia Mailman School, and first author.”Until now, insight into PM2.5 exposure burdens in AI communities has been limited, in turn contributing to the lack of air pollution epidemiological studies which include this population in the contiguous U.S.”
The researchers compared ambient PM2.5 average concentrations and trends in AI-populated vs. non-AI-populated counties in the contiguous U.S. from 2000 to 2018. They conducted their analysis at the county level, the most relevant unit to inform regulatory action. Population data and household income were obtained from the U.S. 2010 Census.
Average concentrations were 1.46 ?g/m3 lower for modeled PM2.5 in AI-populated counties vs. non-AI-populated counties in 2000; however, towards the end of the study period, PM2.5 concentrations in AI-populated counties became significantly higher compared to non-AI-populated counties. By 2018, concentrations were on average 0.66µg/m3higher in AI-populated counties than non-AI-populated counties. “Although we observed that average PM2.5 concentrations were higher in non-AI-populated counties at baseline and across most of the study period, the gap between AI- and non-AI-populated counties decreased over time; after approximately 2015, average PM2.5 concentrations were higher in AI-populated counties,” observed Li.
Short- and long-term exposure to particulate matter ? 2.5 µm (PM2.5) increases the risk of cardiovascular and respiratory disease, among other health outcomes. In the U.S., socioeconomically disadvantaged communities are often exposed to higher PM2.5 exposure levels. They bear a disproportionate burden of disease, even at levels well below air quality standards set by the U.S. Environmental Protection Agency.
“Our findings build upon existing studies showing that socioeconomically disadvantaged communities experience disproportionate burdens of environmental hazards, such as ambient air pollution. Native Americans may be particularly susceptible to the adverse health effects of PM2.5 and air pollution, but research quantifying air pollution exposures and impacts on health among this population is lacking,” said Marianthi-Anna Kioumourtzoglou, ScD, assistant professor of environmental health sciences at Columbia Mailman School, and senior author. “These communities already face a large disease burden attributable to environmental pollution due, for instance, to extensive mining and water contamination on Tribal Lands.”
Cardiovascular disease, one of the outcomes associated with exposure to PM2.5, and the leading cause of death in AI populations, occurs at significantly higher rates than in white populations. “There is a critical need for future investigations of health impacts associated with air pollution exposure in AI populations, as well as of interventions to ensure the observed inequalities can be eliminated,” noted Ana Navas-Acien, MD, PhD, professor of environmental health sciences at Columbia Mailman School, and a senior co-author.
Co-authors are Markus Hilpert, Jenni A. Shearston, and Jeff Goldsmith, Columbia University Mailman School of Public Health; Jada Brooks, the University of North Carolina School of Nursing at Chapel Hill; Steven Chillrud, Lamont-Doherty Earth Observatory, Columbia University; Tauqeer Ali, University of Oklahoma Health Sciences Center; Jason Umans, Georgetown-Howard Universities Center for Clinical and Translational Sciences; Lyle Best and Joseph Yracheta, Missouri Breaks Industries Research, Inc.; Aaron van Donkelaar and Randall Martin, Department of Energy, Environmental & Chemical Engineering, Washington University at St. Louis.
Support for the study was provided by the National Institute of Environmental Health Sciences, grants T32 ES007322, P30 ES09089, R01 ES030616, and P42ES010349.
Do older adults using statins have lower risk of developing Parkinsonism later?

Parkinsonism is a term for a group of neurological conditions that cause movement problems including tremors, slowed movement and stiffness, with Parkinson’s disease being one of the better knowns causes. A new study suggests that older people taking statin drugs have a lower chance of developing parkinsonism later compared to people who were not taking statins. The research is published in the March 23, 2022, online issue of Neurology®, the medical journal of the American Academy of Neurology. Statins are drugs used to lower cholesterol in the blood and protect against atherosclerosis, a buildup of plaque in the arteries that can lead to hardening of the arteries, heart attack and stroke.
“Our results suggest people using statins may have a lower risk of parkinsonism and that may be partly caused by the protective effect statins may have on arteries in the brain,” said study author Shahram Oveisgharan, MD, of Rush University Medical Center in Chicago. “Our results are exciting, because movement problems in older adults that come under the umbrella of parkinsonism are common, often debilitating and generally untreatable.”
The study looked 2,841 people with an average age of 76 who did not have parkinsonism at the start of the study. Of those, 936 people, or 33%, were taking statins.
Researchers followed up with participants annually for an average of six years to check the statins they were taking and to test for signs of parkinsonism.
People were considered to have parkinsonism if they met the requirement for mild impairment for two or more of the following symptoms: tremor, stiffness, parkinsonian gait, which is marked by small shuffling steps and a general slowness of movement, and bradykinesia, a hallmark of parkinsonism which is difficulty moving the body quickly on command.
By the end of the study, 1,432 people, or 50%, developed signs of parkinsonism. Out of 936 people taking statins, 418 people, or 45%, developed parkinsonism six years later, compared to 1,014 out of 1,905 people, or 53%, of those who had not been taking statins.
After controlling for age, sex and vascular risks like smoking and diabetes that could affect risk of parkinsonism, researchers found that people who had been taking statins, on average, had 16% lower risk of developing parkinsonism six years later compared to those who had not been taking statins. About 79% of people on statin therapy were taking moderate or high intensity statins. Researchers found that people taking higher intensity statins had a 7% lower risk of developing parkinsonism compared to those on low intensity statins.
Researchers also examined the brains of 1,044 people who died during the study. They found those who had been using statins had, on average, 37% lower odds of having atherosclerosis compared to those who had not been using statins.
“More research is needed, but statins could be a therapeutic option in the future to help reduce the effects of parkinsonism in the general population of older adults, not just people with high cholesterol or who are at risk for stroke,” Oveisgharan said. “At a minimum, our study suggests brain scans or vascular testing may be beneficial for older adults who show signs of parkinsonism but don’t have classic signs of Parkinson’s disease or do not respond to Parkinson’s disease medications.”
A limitation of the study is that parkinsonism evaluations were not performed by movement disorder specialists, so cases of Parkinson’s disease may have been misclassified.
The study was supported by the National Institutes of Health.
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Materials provided by American Academy of Neurology. Note: Content may be edited for style and length.
Covid pressure on hospitals ‘as serious as it gets’
Scotland’s biggest health board says it is facing a perfect storm of high patient numbers and staff absences.
5 Keys to Social Alignment
What is an aligned social circle? When people ponder improving their social lives, what do they actually want?
For the past two weeks, I’ve been reading and taking detailed notes on feedback from some questions that I posed to my email list. I asked people to tell me about their social circles, including what’s working and what isn’t working for them – and especially how they would like to improve or upgrade their social lives and friendship circles.
I spent days pulling out patterns and compressing the key issues to figure out what people really want in this area of life. Eventually I condensed it down to 5 core upgrades that people want to make, and I’m happy to share this now – because these are the changes we’ll be exploring together in the upcoming Guild course.
1. Growth-oriented friends
- Enjoy dynamic relationships with people who actively seek growth opportunities.
- Co-invest in helping each other grow, and celebrate your gains together.
- Connect with people who care about you and who are willing and able to challenge you.
- Build intimacy with a growth-oriented primary partner.
- Embrace people who introduce you to fresh ideas and possibilities.
- Mastermind with your friends on creative and business projects.
The most obvious change that people want to see is more close friendships (and romantic relationships) with others who are very growth-oriented. They want friends who are taking action and at least trying to upgrade their lives. This was so important that some people said they’d still appreciate more growth-oriented friends even if the values alignment wasn’t perfect in other areas.
People expressed disappointment with social circles that are too static, inflexible, and complacent. While some stability is appreciated, many people crave more flow, movement, and dynamism in their friendship circles. Otherwise they feel like they’re being sucked down into a fixed mindset by osmosis.
Multiple people also said they don’t want to be surrounded by those who always agree with them. They want people to challenge them, not necessarily confrontationally, but with exposure to new ideas and new ways of thinking. People want to see more boldness and courage in their friends, and they’re eager to receive some stimulating invites into mutual growth experiences.
2. Full range friendships
- Replace shallowness with range and depth.
- Replace mono-dimensional compatibility with multifaceted compatibility (more value per person).
- Replace lukewarm relationships (“friendly but not friends”) with warm, heart-centered ones.
- Enjoy holistic body-mind-heart-spirit connections (connect mentally, emotionally, physically, spiritually).
- Invest in like-minded people with similar priorities, values, and interests.
- Enjoy multiple activities, experiences, and modes of connecting with the same people.
Many people reported struggling with overly compartmentalized relationships. They may have multiple social circles in different spheres such as work, family, online friends, and hobbies, but within each sphere they only connect on a few dimensions.
A common desire was to experience more range and depth in relationships. People don’t want to feel limited to some version of small talk in all of their interactions. They find it dull and tedious to be limited to surface-level communication.
People are busy, and they recognize that they only have time and energy to connect with so many friends and contacts. They don’t necessarily want more connections in terms of numbers, but they want richer and more satisfying connections.
People want friends with whom they can do co-creative projects; business and personal masterminding; and activities like movie nights, game nights, date nights, or travel adventures. And most would like for these to be the same people, so they can really invest in rich, juicy, multi-dimensional relationships.
3. Energizing and rewarding relationships
- Feel restored and renewed from your social time, not drained.
- Anticipate social time with enthusiasm and excitement.
- Enjoy a low-maintenance, self-sustaining flow of desirable invitations.
- Overcome social malaise and outreach fatigue.
- Keep your social life fresh and pleasantly stimulating (not boring or overwhelming).
- Replace a fatiguing invitation or coordination process with an aligned and motivating approach.
- Enjoy camaraderie and fun with others as a normal part of your lifestyle.
- Ensure that your social rewards amply justify your social investments.
Outreach or coordination fatigue was a big deal for some people. They’ve run through cycles where they would reach out to connect, and they get some nibbles and some basic interactions, but in the end it often didn’t feel like it was worth the effort. So then they spend more time alone because it’s easier and less draining. Rinse and repeat.
They still can’t help feeling that something is missing and that there must be a better way to create and maintain a vibrant social life that isn’t so taxing.
What people need are relationships and social activities that energize them. They also need more efficient and sustainable ways of managing their social lives. People recognize that a sporadic or half-hearted approach isn’t going to create the results they want. They’re willing to try different approaches, but they also want to see that there’s a reasonable path to success that won’t require an extraordinary investment of energy. There’s a real desire for more social efficiency with better energy flow.
4. Social and personal integration
- Replace multiple masks with shameless self-expression.
- Stop compromising to feign compatibility with partial matches or mismatches.
- Practice discernment to build intimacy with aligned matches.
- Avoid over-investing in partial matches.
- Discover the hidden strengths behind social awkwardness.
- Enjoy forgiving, resilient, anti-fragile relationships (not flakiness or skittishness).
- Love who you are and who you’re becoming because of your friends.
- Merge your character growth with your social growth.
People lament having to invest in social “skills” that feel misaligned or having to bend their personalities in different ways to connect with others. They wonder if they need to compromise more or if they just need to find different people to connect with.
What people want here is a more natural, easy-going way of connecting. Perhaps the word I saw people use most often to describe this desire was like-minded. They crave relationships with people who think similarly and who see reality similarly, so they can communicate effectively right out of the gate.
Some people blame their own social deficiencies while others blame the mismatches and partial matches they’ve had to deal with. Some don’t blame anyone and see this as a puzzle to be solved. They all want better solutions to bypass the unsatisfying parts of the social game, so they can get to the other side and experience a home base of like-minded friends and relationship partners. They want people in their lives that they can easily like, love, respect, and appreciate – without feeling like they must overstretch themselves to get there.
People especially want their personal pursuits and their social circles to be pointing in the same direction, so their friends are genuinely helping them grow.
People want friends that they can help as well. Some people noted that without the right friends, they’re missing out on the giving aspect of friendship too.
5. Free-flowing social abundance
- Develop an abundant yet manageable social moat through which aligned connections bubble up with relative ease.
- Accept that alignment is often temporary, especially among growth-oriented people.
- Recognize that as one connection abates, another will soon arise.
- Upgrade from a mismatch-rich environment to an alignment-rich environment.
- Replace neediness and social scarcity with a heartset of social abundance.
- Know how to satisfy your social needs without being needy.
Many people recognize that human relationships are dynamic and that from time to time, a disconnect may happen, and it needn’t be anyone’s fault. Sometimes people grow apart, and that’s okay.
While some people would love to settle into a social circle of 6-10 good friends and leave it at that, others also recognize that a wider moat of social connections will make their lives more active, vibrant, and socially secure. Many people want that home base of really tight friends while also recognizing that a wider circle beyond that has its benefits too. That blend of comfort and variety makes for a really nice combo.
About half of our romantic relationship partners in life flow to us through our network of friends, family, and co-workers. So if you want more social flow, it’s wise to upgrade your extended social network. This can help you move beyond social scarcity, neediness, and clinginess, knowing that you always have plenty of accessible options.
So what do you think? Do these social upgrades sound good to you? Is this something you’d like to explore together during the weeks ahead? Feel free to share any feedback you have about this. I want to make sure that the experience we offer aligns with how you want to grow in this area of life.
I’ll have more info to share about the upcoming Guild course soon. I can say that it’s going to be very interactive – lots of live Zoom calls like we did with Deep Abundance Integration – so you can connect and practice with growth-oriented people. Beyond that I’m still tweaking the format and the bonuses I’d like to include. I always find it best to figure out what kinds of improvements people want to make in their lives, and then I can design the form of a course to match its intended purpose.
For some people it will take courage to enroll in this experience. The feedback made it clear that some people have trust wounds wrapped up in past relationships, and that’s still affecting them today. Some have acknowledged to me that just answering the questions I posed brought up feelings of intense anxiety, fear, or dread. I felt some of that emotional feedback pretty strongly too, like people were broadcasting these emotional waves right into me.
I’ll do my best to facilitate this shared journey with caring, compassion, gentleness, and encouragement. It’s predictable, however, that it’s going to be emotionally intense for some people. As always, every part of it will be consensual – nothing forced and no undue pushing or pressure – so you’ll always get to decide how much to engage and when you may need to step back and regroup.
I think many of us are detecting the common signal, as if life is broadcasting it to us, that now is the right time to invest in upgrading our social lives. For many people this won’t be easy, but I also know that this will be a beautiful and rewarding challenge to undertake together.
‘I was shocked to find out I now have four kidneys’
Transplant patient Stuart Middleton has both his kidneys – along with two he received from donors.
Dominant form of heart failure caused by metabolic-immune interaction, review article suggests

The dominant form of heart failure worldwide appears to be caused by a strong, bidirectional interaction between the body’s response to metabolic stress and the immune system, according to a review article written by UT Southwestern researchers and colleagues. The article, published in Nature Cardiovascular Research, argues for more research into this root cause to develop truly effective treatments.
“Heart failure with preserved ejection fraction affects millions of people around the globe, but we currently have little to offer these patients because the mechanisms behind it have been unknown. It’s been called the single greatest unmet need in cardiovascular medicine,” said the article’s senior author Joseph Hill, M.D., Ph.D., Professor of Internal Medicine and Molecular Biology and Chief of Cardiology at UT Southwestern. “We now have insight into this condition that we didn’t have even five years ago, observations that could lead to viable clinical targets.”
Dr. Hill explained that heart failure — the heart’s inability to effectively pump blood — comes in two broad types: heart failure with reduced ejection fraction (HFrEF), in which the amount of blood that leaves the heart with each beat declines, and heart failure with preserved ejection fraction (HFpEF), in which the heart is unable to fill with blood to capacity. While HFrEF has long been the most common form, HFpEF — which is associated with obesity, diabetes, and other components of metabolic syndrome — has grown in prevalence over the last several decades and overtaken HFrEF as the most common form.
Numerous treatments exist for various types of HFrEF, but these interventions have no discernible effect on HFpEF. This is because the two conditions are caused by different underlying mechanisms, said Dr. Hill, a topic that his lab has studied for years. Although HFpEF can be improved through weight loss, losing weight is something that many individuals struggle with, he added, prompting the need for treatments.
In the review article, Hill and his colleagues outline findings made over the past several years that point to joint metabolic and immune dysfunction as the root cause of HFpEF. For example, fat tissue secretes inflammatory molecules that migrate to the heart, recruiting immune cells evident in heart biopsy samples from individuals with HFpEF. At the same time, heart toxicity caused by overuse of fatty acids as fuel in individuals with metabolic syndrome appears to stimulate an immune response, leading to a vicious cycle.
Crosstalk between fat tissue, the immune system, and the heart appears to amplify both immune and metabolic stress, ultimately causing the heart to fail over time. But how this crosstalk occurs, the effects it produces, and how to block them remain unclear, Dr. Hill said. Research into this new field of immunometabolism is shedding some light on these questions, but more research will be necessary to produce effective interventions for HFpEF patients, he added.
“Research from our lab and others is raising possibilities of therapeutic targets that need to be investigated,” Dr. Hill said. “There’s a reasonable chance that we could have therapies available for this intractable condition within the next decade.”
U.S. News and World Report ranks UT Southwestern as the No.1 hospital in Texas for Cardiology and Heart Surgery and No.11 in the nation.
Dr. Hill holds the James T. Willerson, M.D., Distinguished Chair in Cardiovascular Diseases and the Frank M. Ryburn Jr. Chair in Heart Research.
Thomas G. Gillette, Ph.D., Associate Professor of Internal Medicine at UT Southwestern, contributed to the review article.
This work was supported by grants from the DZHK (German Centre for Cardiovascular Research); the Deutsche Forschungsgemeinschaft (German Research Foundation, SFB-1470-A02), IMI2-CARDIATEAM (no. 821508); the Netherlands Cardiovascular Research Initiative, Dutch Cardiovascular Alliance CVON2016-Early HFPEF, 2015-10, CVON She-PREDICTS, no. 2017-21; National Institutes of Health (HL144477, HL122309, HL126012, HL128215, HL120732, HL147933 and HL155765), and the American Heart Association (19TPA34910006).
Correcting night blindness in dogs

People with congenital stationary night blindness (CSNB) are unable to distinguish objects in dim-light conditions. This impairment presents challenges, especially where artificial lighting is unavailable or when driving at night.
In 2015, researchers from Penn’s School of Veterinary Medicine learned that dogs could develop a form of inherited night blindness with strong similarities to the condition in people. In 2019, the team identified the gene responsible.
Today, in the journal Proceedings of the National Academy of Sciences, they’ve reported a major advance: a gene therapy that returns night vision to dogs born with CSNB. The success of this approach, which targets a group of cells deep in the retina called ON bipolar cells, charts a significant step toward a goal of developing a treatment for both dogs and people with this condition, as well as other vision problems that involve ON bipolar cell function.
Dogs with CSNB that received a single injection of the gene therapy began to express the healthy LRIT3 protein in their retinas and were able to ably navigate a maze in dim light. The treatment also appears lasting, with a sustained therapeutic effect lasting a year or longer.
“The results of this pilot study are very promising,” says Keiko Miyadera, lead author on the study and an assistant professor at Penn Vet. “In people and dogs with congenital stationary night blindness, the severity of disease is consistent and unchanged throughout their lives. And we were able to treat these dogs as adults, between 1 and 3 years of age. That makes these findings promising and relevant to the human patient population, as we could theoretically intervene even in adulthood and see an improvement in night vision.”
In the earlier work, the Penn Vet team, working in collaboration with groups from Japan, Germany, and the United States, discovered a population of dogs with CSNB and determined that mutations in the LRIT3 gene were responsible for the dogs’ night vision impairment. The same gene has been implicated in certain cases of human CSNB as well.
This mutation affects the ON bipolar cells’ function, but, unlike in some blinding diseases, the overall structure of the retina as a whole remained intact. That gave the research team hope that supplying a normal copy of the LRIT3 gene could restore night vision to affected dogs.
Yet while Penn Vet researchers from the Division of Experimental Retinal Therapies have developed effective gene therapies for a variety of other blinding disorders, none of these earlier treatments has targeted the ON bipolar cells, located deep within the middle layer of the retina.
“We’ve stepped into the no-man’s land of the retina with this gene therapy,” says William A. Beltran, a coauthor and professor at Penn Vet. “This opens the door to treating other diseases that impact the ON bipolar cells.”
The researchers overcame the hurdle of targeting these relatively inaccessible cells with two key findings. First, through a rigorous screening process conducted in collaboration with colleagues at the University of California, Berkeley, led by John Flannery and at the University of Pittsburgh led by Leah Byrne, they identified a vector for the healthy LRIT3 gene that would enable the treatment to reach the intended cells. And, second, they paired the healthy gene with a promoter — the genetic sequence that helps initiate the “reading” of the therapeutic gene — that would act in a cell-specific fashion.
“Prior therapies we’ve worked on have targeted photoreceptors or retinal pigment epithelium cells,” says coauthor Gustavo D. Aguirre, a Penn Vet professor. “But the promoter we use here is very specific in targeting the ON bipolar cells, which helps avoid potential off-target effects and toxicity.”
The researchers suspect that restoring the functional LRIT3 gene enables signals to cross from the photoreceptor cells to the ON bipolar cells. “LRIT3 is expressed at the ‘finger’ tips of these cells,” says Beltran. “Introducing this transgene is essentially allowing the two cells to shake hands and communicate again.”
An open question is whether targeting both photoreceptor cells and ON bipolar cells together could lead to even greater improvements in night vision. Other research groups studying these conditions in mice have targeted the therapy to photoreceptor cells and found some vision to be restored, suggesting a possible path to enhance the effects of gene therapy.
And while the therapy enabled functional recovery — dogs were able to navigate a maze when their treated eye was uncovered but not when it was covered — the healthy copy of the gene was only expressed as much as 30% of ON bipolar cells. In follow-up work, the researchers hope to augment this uptake.
“We had great success in this study, but we saw some dogs get better recovery than others,” says Miyadera. “We’d like to continue working to maximize the therapeutic benefit while still ensuring safety. And we’ve seen that this treatment is durable, but is it lifelong after one injection? That’s something we’d like to find out.”
The team also plans to amend the therapy to use the human version of the LRIT3 gene, a necessary step toward translating the treatment to people with CSNB with an eventual clinical trial.
Miyadera, Beltran, and Aguirre coauthored the study with Penn Vet’s Evelyn Santana, Karolina Roszak, Sommer Iffrig, Yu Sato, Alexa Gray, Ana Ripolles Garcia, and Valerie Dufour; Charles River Laboratories’ Simone Iwabe, Ryan F. Boyd, and, Joshua T. Bartoe; and the University of California, Berkeley’s Meike Visel, John G. Flannery, and Leah C. Byrne (now at the University of Pittsburgh).
Keiko Miyadera is an assistant professor of ophthalmology in Penn Vet’s Department of Clinical Sciences & Advanced Medicine.
William Beltran is a professor of ophthalmology in Penn Vet’s Department of Clinical Sciences & Advanced Medicine and director of the Division of Experimental Retinal Therapies.
Gustavo D. Aguirre is a professor of medical genetics and ophthalmology in Penn Vet’s Department of Clinical Sciences & Advanced Medicine.
The study was supported by the Margaret Q. Landenberger Research Foundation, National Eye Institute/National Institute of Health (Grant EY-006855), Foundation Fighting Blindness, Van Sloun Foundation for Canine Genetic Research, and Sanford and Susan Greenberg End Blindness Outstanding Achievement Prize.
