Human fetal lungs harbor a microbiome signature

The lungs and placentas of fetuses in the womb — as young as 11 weeks after conception — already show a bacterial microbiome signature, which suggests that bacteria may colonize the lungs well before birth. This first-time finding deepens the mystery of how the microbes or microbial products reach those organs before birth and what role they play in normal lung and immune system development.

A team led by University of Alabama at Birmingham researcher Charitharth Vivek Lal, M.D., found that a human fetal microbiome DNA signature is present in lungs as early as the first trimester. This fetal lung microbiome showed changes in diversity during fetal development, suggesting microbiome maturation with advancing gestational age. Finally, a placental microbiome was also present in human fetal tissue, and this microbiome signature showed some taxonomic overlap with the corresponding human fetal lung microbiome.

“We speculate that maternal-fetal microbial DNA transfer — and perhaps of other microbial products and whole live or dead bacteria — is a realistic possibility,” said Lal, an associate professor in the UAB Pediatrics Division of Neonatology. “This may serve to ‘prime’ the developing innate immune system of the fetus and help in establishment of a normal host-commensal relationship.”

Denise Al Alam, Ph.D., investigator in The Saban Research Institute of Children’s Hospital Los Angeles and assistant professor of pediatrics at University of Southern California, is the first-author who spearheaded the concept of the study, which is published in the American Journal of Respiratory and Critical Care Medicine.

Study details

Researchers, including Lal and colleagues, have previously seen that the lungs of infants, sampled immediately after birth, are colonized with bacteria. Furthermore, similar microbiome profiles are found after either cesarean or vaginal delivery, which suggested that microbes somehow are able to reach the lungs before birth.

In the new study, 31 samples of lung, placenta and intestine tissue from fetuses between 11 and 20 weeks of gestation were collected. Duplicate, independent tests done in labs at Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, and at UAB detected bacterial DNA in all samples. The two labs used different DNA extraction kits and different microbiome analysis pipelines.

Bacterial DNA was detected through targeted analysis of the bacterial gene for 16S ribosomal RNA, which is a standard method to distinguish different microbial taxa. The initial 16S analysis in Singapore showed 48 unique taxa in the lung samples, 11 unique taxa in placenta samples and 24 shared taxa.

The 16S analysis of the same samples at UAB showed two separate human fetal lung microbiome groups, based on fetal age — one group at 11 to 15 weeks’ gestation, and the other at 16 to 20 weeks’ gestation. Furthermore, the two gestational age groups showed a significant change in microbiome diversity with time.

“Overall, at both lab sites,” Lal said, “analysis of the bacterial taxa distribution and diversity showed some overlap in microbiome signatures of fetal lungs and matched placentas.”

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Materials provided by University of Alabama at Birmingham. Original written by Jeff Hansen. Note: Content may be edited for style and length.

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Transformational innovation needed to reach global forest restoration goals

The U.N. and other international organizations agree that forest restoration is a critical part of the collective global effort to combat climate change, reduce extinctions, and improve the lives of people in rural communities. Dozens of nations have pledged to restore 230 million hectares of forest so far as part of projects such as the Bonn Challenge and REDD+. The Bonn Challenge goal is to restore 350 million hectares by 2030.

The leaders behind this work agree that ambitious goals are important if humanity is going to avoid the worst effects of climate change. However, a new paper in Conservation Letters has generated the first comprehensive data set that describes how countries are doing so far — and it’s not looking good. The paper looked at 62 countries that have made restoration commitments, and reports that 54 percent of the Bonn Challenge’s goal area for 2020 has not yet been pledged. It then digs into the data to understand why some countries are doing better than others, and what could help those that are struggling.

Aiming high

The authors found that most of the gap between goals and reality exists in the global South, a group of nations generally south of the equator previously referred to as developing countries. These are also the countries that pledged to restore the greatest amounts of land, the paper reports. For example, Rwanda pledged to restore 81 percent of its total land area, and Burundi pledged 79 percent. One-third of the countries pledged greater than 10 percent of their total area, which would require significant shifts in land use and food production.

The authors hypothesize multiple reasons for the large pledges from global South countries. “It could be that global South countries are more aware of the risks they face from climate change, and are therefore more interested in doing something about it,” says Matthew Fagan, assistant professor of geography and environmental systems at UMBC and lead author on the paper. “They also generally have lower labor and land costs, making it easier for them to do restoration.” On the other hand, they could be trying to access more dollars from international donor organizations to reach these aspirational goals, or could have underestimated the challenges of restoration at that scale.

The paper also attempted to predict which countries would have the greatest difficulty meeting their goals based on a dozen factors the team analyzed, such as population growth, government corruption, and previous deforestation rates.

Justin Drew ’20, computer science, and a co-author on the paper, compiled the data for all 12 factors by writing computer code to pull quantitative information from public international databases. He also scoured the internet for information on individual countries’ progress. Drew collected reliable information on the 12 factors for all 62 countries making restoration commitments, and progress information for 12 of them. “When we asked how they did based on these twelve factors, we found they did about as well as we expected,” says Fagan. Countries with the lowest combined score considering all the implementation factors tended to be farther from meeting their goals.

Local engagement

But all is not lost. “We’ve identified countries that need help” to achieve their ambitious environmental goals, says Fagan. “It’s clear that there’s a whole set of countries that are facing headwinds, and if we expect them to be able to accomplish their goals, then the international community needs to support them.”

Increased financial aid is important, but so are other means of support. That might mean providing technical tools and training to help governments and local communities make informed decisions about restoration efforts. Above all, it means listening to local communities’ needs and working in collaboration to create solutions.

“Restoration efforts have a better chance of achieving sustained improvement when local communities have a voice early in the process, feel empowered to participate actively throughout, and can experience direct and long-term benefits from these efforts,” says Maggie Holland. She is an associate professor of geography and environmental systems at UMBC and a co-author on the paper.

In one location, the best solution might be planting trees on agricultural land, such as shade-grown coffee. Other places, it might be tree plantations, reclaiming agricultural land for forest, or thinning existing forests to prevent fires.

“Different efforts will yield different benefits for mitigating climate change, for helping people, for restoring ecosystem health and conserving biodiversity,” Holland says. She suggests that more social science research on the results of different strategies is needed to deploy them most effectively.

There are other, less direct, efforts that can also have a huge effect on forests. “Even if countries haven’t necessarily made big strides in restoration, in some cases they’re making big policy changes that will hopefully result in restoration in the longer term,” Fagan says. For example, bringing electricity to more rural communities reduces the need for fuel wood and charcoal. That reduces forest loss while also improving human health by removing smoke from homes.

Investing in the foundation

Ultimately, the researchers argue that while it may sound good to pledge huge areas of land, that might not be the best strategy to reach the goals of combating climate change, improving people’s lives, and protecting species from extinction. If countries feel pressured to meet their ambitious goals, they might employ the easiest restoration strategies, such as thinning forest. The U.S., for example, has already met its goal of 15 million hectares, and the vast majority of it was through this method. That may have some beneficial effects, like decreasing the chance of forest fires, but it’s not the same as planting trees on agricultural land or shifting land use patterns.

In addition to supporting countries in need, “I think the wealthier countries need to get on this bandwagon and do more themselves as well,” Fagan says. Ambitious, but realistic, and locally appropriate goals are the best way to succeed, Fagan and Holland agree.

Overall, Fagan is “guardedly optimistic.” “There’s a lot of potential and a lot of interesting policy work going on. I believe, though, that there’s a time to build your castles in the air, and now it’s time to put foundations under them. We’re underinvesting in the foundations, and we need to spend more international aid money on helping countries figure out how to meet these commitments,” he says.

“I’d like to hope that this article helps generate more support for that kind of work,” Fagan shares, “because I think it is possible to make this kind of change.”

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Chemists allow boron atoms to migrate

Organic molecules with atoms of the semi-metal boron are among the most important building blocks for synthesis products that are needed to produce drugs and agricultural chemicals. However, during the usual chemical reactions used in industry, the valuable boron unit, which can replace another atom in a molecule, is often lost. Chemists at the University of Münster have now succeeded in significantly expanding the range of applications of commercially and industrially used boron compounds, so-called allylboronic esters. The study has been published in the scientific journal Chem.

Since so-called boronic acid derivatives are very versatile and reliably applicable in their variants, chemists often use them to build up important carbon-carbon couplings (C-C couplings). The most important process using boronic acid derivatives is the Nobel Prize-winning Suzuki-Miyaura coupling. Also widely used in synthesis are the so-called allylboronic esters, which also belong to this class of boron compounds.

In their current study, the chemists headed by Prof. Armido Studer of the Organic Chemical Institute at Münster University are now presenting C-C couplings in which the boron unit from the starting material is retained in the product. The scientists use methods of so-called radical chemistry for this purpose. The principle works like this: The boron unit “migrates” from one carbon atom to the neighbouring atom, thus enabling a second C-C coupling.

Using this method, the chemists can gradually incorporate individual building blocks of molecules at different points in the basic structure. “Since the boron unit remains in the product molecule, i.e. is ‘preserved’, it can be replaced by another molecular unit, which can be done using the entire spectrum of industrial methods. The commercially available allylboronic esters thus appear in a new guise,” says Armido Studer, the lead author of the study. The new method may in future be relevant for the production of drugs. In the future, the new method may be relevant for the production of pharmaceuticals, among other things.

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Materials provided by University of Münster. Note: Content may be edited for style and length.

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Neuron found in mice could have implications for effective diet drugs

Ever eaten something, gotten sick and then didn’t want to eat that food again because of how it made you feel? That’s because a signal from the gut to the brain produced that sickness, creating a taste aversion.

Conventional wisdom renders there’s one circuit in the brain that suppresses eating — it comes from the stomach and makes you feel sick if you activate it too hard. Eating a portioned meal makes your body happy, though, even while stimulating a signal to the brain to stop eating, according to Michigan Diabetes Research Center’s director, Martin Myers Jr., M.D. Ph.D.

“Therefore, there must be a circuit that stops normal feeding without the adverse effects, right?” says Myers.

Now, a Cell Metabolism study may have discovered this second circuit in mice. Myers, Randy Seeley, Ph.D, the director of the Michigan Nutrition Obesity Research Center, and a team of researchers sought to better understand which part of the brain curbs appetite and which neurons play a role in making mice want to eat or not eat.

The gut-brain signal that suppresses appetite is triggered by a type of neuron, containing calcitonin receptor (CALCR), which lives in a structure of the hindbrain called the medulla. Interestingly enough, these neurons didn’t need to be active in the brain for gut sickness to cause an aversive response.

“This suggested we might be able to dissociate the brainstem systems that stop feeding from those that cause nausea,” says Myers, whose group found they could genetically activate those CALCR neurons to do just that.

Singling out the responsible neuron

Since there are neurons that can suppress eating but also cause aversive effects, that must mean there are different types of neurons, or circuits, in the brain that can terminate feeding with differing emotional responses.

When the researchers inactivated the CALCR neurons, they were surprised to make another discovery, which contradicted the idea that the brain only controls short term meal sizes and consumption.

Turning these neurons “off” didn’t only interfere with the suppression of feeding by gut signals, but it also caused an ongoing increase in food intake. The mice became obese, suggesting that the brainstem systems don’t only control meal size, but the amount of food consumed long term. This created a predisposition to obesity because of the energy imbalance in the mice (more input than output).

Similarly, activating CALCR neurons decreased the mice’s food intake and body weight without any aversive gut effects. In the study, Myers and his team found another neuron, CCK, also decreased food intake and body weight but created an aversive internal response, unlike the CALCR neurons. The difference between the two neurons were found in their circuits.

“CCK activates what we would call a ‘yucky circuit’,” says Myers. “The neurons activate a certain cell, CGRP cells, which create that sick feeling.” Unlike CCK, activated CALCR neurons follow a “yummy circuit,” activating non-CGRP cells.

Potential implications in humans

Obesity affects more than one-third of the adult population in developed countries, which can lead to diabetes or other serious, long-term health conditions like heart disease, explains Myers, who is also the director of MDiabetes.

Unfortunately, many diet drugs work, but they make people feel nauseous after they take them. Obesity remains a condition difficult to pharmaceutically manage, since the treatment options have limited therapeutic utility. A drug that turns “on” CALCR and turns off “CGRP” could greatly benefit patients with obesity by suppressing feeding and creating a long term control of food intake and body weight.

“If we could figure out a drug for individuals with obesity that suppresses food intake to produce long term weight loss without the negative side effects, it could absolutely change someone’s life,” says Myers.

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New scheduling tool offers both better flight choices and increased airline profits

Researchers from Dartmouth and the Massachusetts Institute of Technology (MIT) have developed an original approach to flight scheduling that, if implemented, could result in a significant increase in profits for airlines and more flights that align with passengers’ preferences. The approach is presented in a paper, “Airline Timetable Development and Fleet Assignment Incorporating Passenger Choice,” recently published in Transportation Science, the leading journal in the field of transportation analysis.

Some of the most critical decision-making steps taken by airlines across the world rely on tools that do not fully incorporate passengers’ preferences and the dynamics of flight scheduling, resulting in missed profits and unsatisfied passengers, according to the authors. The new paper uses 2016 data from Alaska Airlines to introduce an original integrated optimization approach to comprehensive flight timetabling and fleet assignment while taking into consideration passengers’ preferences, such as flight departure time.

“Beyond ticket prices, perhaps the biggest thing that air passengers care about is the convenience of flight schedule. Yet, due to the associated computational complexities, nobody has really tried to completely redesign an airline’s flight schedule from scratch to take passenger preference into account,” said co-author Vikrant Vaze, assistant professor of engineering at Dartmouth. “This paper does just that, by proposing a comprehensive mathematical model and a new algorithm to solve it. It aligns the flight schedules to passenger preferences, in turn maximizing airline profits.”

The model’s flexible and comprehensive approach would enable airlines to increase the number of passengers with one-stop itineraries, and, consequently, dramatically increase the total one-stop revenue and the total operating profit compared with the most advanced approaches currently used in the industry. In addition, the paper suggests that an airline using this approach would experience a significant increase in market share.

First author Keji Wei, who was an engineering PhD candidate at Dartmouth while working on the study, received the Anna Valicek Award at the Airline Group of the International Federation of Operational Research Societies (AGIFORS) Symposium last fall for his work on this paper. Wei is now a senior operations research analyst at Sabre Corporation, a leading technology solutions provider to the travel industry.

In addition to Wei and Vaze, the paper was co-authored by Alexandre Jacquillat, an assistant professor of operations research and statistics at the MIT Sloan School of Management.

The authors note that the paper doesn’t consider factors such as business strategy and aircraft orders because the data is not available, as well as airport gate and slot availability for simplicity’s sake. However, the approach is designed to be versatile and usable for a variety of strategic planning decisions made by major airlines with a realistic computational budget.

Vaze is currently working on a follow-up paper that will incorporate revenue management considerations into scheduling and fleet assignment.

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Materials provided by Thayer School of Engineering at Dartmouth. Original written by Julie Bonette. Note: Content may be edited for style and length.

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Health24.com | Could a switch to skim milk add years to your life?

If you want to slow down the ageing process, it might not hurt to replace whole milk with skim, new research suggests.

The study of over 5 800 US adults found that those who regularly indulged in higher-fat milk had shorter telomeres in their cells – a sign of accelerated “biological ageing”.

Opt for low fat

The findings do not prove that milk fat, per se, hastens aging, stressed researcher Larry Tucker, a professor of exercise sciences at Brigham Young Universeity in Provo, Utah.

But the study does lend support to what US dietary guidelines suggest for adults: If you’re going to drink cow’s milk, opt for low-fat or skim, Tucker said.

Telomeres are bits of DNA that sit at the tips of your chromosomes – like the plastic caps at the ends of a shoelace. In essence, they help keep the chromosomes from fraying and sticking together. As people age, their telomeres gradually get shorter, and research has linked shorter telomere length to a higher risk of developing and dying from infections, cancer and heart disease.

“A variety of lifestyle factors are also related to telomere length,” Tucker said.

Obese people, for example, tend to have shorter telomeres than lean people, as do smokers versus non-smokers. And people who eat lots of fibre, vegetables and fruit typically have longer telomeres than those who shun those foods.

So for the latest study, Tucker decided to look at the relationship between telomere length and milk fat.

As diet goes, milk is “an interesting subject”, Tucker noted.

Telomere length

“There are dozens of studies that have found, as milk consumption goes up, so do disease risks,” he said. “But there are also dozens of studies that say the opposite.”

Tucker used publicly available data on 5 834 US adults who took part in a government health study. All were surveyed on their diet and lifestyle; they also gave DNA samples, which allowed measurements of telomere length.

About 60% of study participants said they drank 2% or full-fat milk, while 27% drank non-fat (“skim”) or 1% milk, and 13% never drank milk.

On average, Tucker found, people who drank higher-fat milk had skimpier telomeres, versus fans of low- or non-fat milk.

Each percentage-point increase in milk fat – 2% instead of 1%, for example – was linked to 4.5 years of biological ageing, the study found.

The occasional indulgence did not seem problematic. Among people who drank milk less than weekly, there was no connection between richer varieties and shorter telomeres.

Role of saturated fat

Instead, the link was confined to people who drank milk at least once a week – and was strongest among daily consumers, according to the report.

The findings were published online recently in the journal Oxidative Medicine and Cellular Longevity. Tucker reported no industry funding.

If there is a direct tie between higher-fat milk and ageing, it’s not clear why, he noted.

But, Tucker said, there were hints that saturated fat – the kind found mainly in animal products – might play a role.

He found that in people who had relatively little saturated fat in their diets overall, milk fat did not make a difference in telomere length. In contrast, the connection was “strong” in the one-third of people with the highest overall intake of saturated fat.

But since many lifestyle factors affect telomere length, it’s tricky to pin the blame solely on milk fat.

‘Interesting relationship’

Tucker was able to account for some other factors – including people’s diet and exercise habits, smoking and body weight. And higher-fat milk was still linked to stumpy telomeres.

“But it’s impossible to control for everything,” Tucker stressed. “We can’t say that this was caused by milk fat.”

That point was echoed by Lauri Wright, chair of nutrition and dietetics at the University of North Florida, in Jacksonville.

Still, the study highlights an “interesting relationship,” said Wright, who is also a spokesperson for the Academy of Nutrition and Dietetics.

More calories

Regardless of whether milk fat speeds biological ageing or not, she said, there are already reasons to opt for low-fat.

One is to limit saturated fat. High intake, Wright noted, is associated with heart disease, certain cancers and problems with blood sugar control.

Beyond that, she said, high-fat milk packs more calories, which can pack on pounds.

“Overall,” Wright said, “we would recommend skim or 1% milk as part of a healthy diet and lifestyle.”

Image credit: iStock

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Susan Warby death: Whistleblower letter to husband ‘revealed blunders’

The hospital reportedly demanded fingerprints and samples of handwriting to find the whistleblower.

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Health24.com | How could a baby survive 27 minutes without a heartbeat?

Britt Spivey knew something was wrong when his pregnant wife showed up at his work following what was supposed to be a routine doctor visit. Autumn started to cry and told him their unborn child had a heart defect. They needed to go to Texas Children’s Hospital in nearby Houston.

There, a more detailed scan showed the gravity of the situation.

Very small aorta

Normally, a heart has two collecting chambers and two pumping chambers. Images showed their daughter, Halle, would be born with only one good pumping chamber. She also had a very small aorta that carried blood out to the body. She would need three surgeries over four years, and they would begin shortly after birth.

“I just wanted to know, ‘Is my baby going to be OK?'” Britt said.

Anatomy had been one of Autumn’s favourite subjects in high school and college, so she dug into the details and researched what lay ahead.

When Halle arrived, she was full term and looked like a healthy newborn. The couple got to take a few pictures before the medical staff whisked her off to the ICU. At 3 days old, Halle had her first open-heart surgery.

Doctors carefully rebuilt the way the blood comes out of Halle’s heart and gets to her body. They also put in a shunt, or small tube, that takes some of the blood going to the body and sends it back to the lungs.

Things progressed well for six weeks until complications led to an emergency surgery and a temporary pacemaker. The second planned surgery happened when she was about four months old and weighed 11 pounds. They also gave her a new pacemaker.

Essentially in heart failure

Halle had been in the hospital this entire time. Around five months old, she was moved to a different floor to begin preparing to go home.

“It was like having a brand new baby,” Autumn said.

Everything looked good until four days before Halle’s expected discharge. She was fussy, not sleeping and vomiting. An echocardiogram showed she was essentially in heart failure.

Autumn called Britt, who was at home in College Station 90 miles away with their kindergartener, Charlie, and his mom.

“You need to get here,” Autumn said, explaining Halle was headed to intensive care.

Britt was racing to the hospital when Autumn called and said the doctor was performing chest compressions. Autumn had been watching through a window, but they pulled her in the room and the doctor said they were going to do compressions for a little bit longer.

“Next thing I hear is, ‘Last pulse check,'” Autumn said.

It had been 27 minutes.

Overwhelming joy and shock

“I’m on the phone, leaning over the bed, telling her goodbye, that I love her and how proud I am of her, and I reached over and grabbed her hand and kissed her hand and I heard, ‘Get a line in!'” Autumn said.

Halle had a heart rate. It was 183.

“It’s the most overwhelming joy and shock and all that rolled up into one,” Britt said.

“It feels like I’m talking about some movie,” Autumn said, “because in movies people kiss the hand, then wake up. That’s not a real-life thing, but that’s what totally happened!”

Halle was not out of the woods, though.

The next morning, doctors showed them a new problem. Her right leg was starting to turn black. It was a complication of medicine leaking out from the IV. It caused her blood vessels to constrict and her leg didn’t have blood flow for the 27 minutes she was without a heartbeat. Eventually, her leg was amputated through the knee.

‘She’s just completely normal’

Now three, Halle will need another surgery when she’s four to help increase the oxygen saturation level of her blood, which is 75% to 85% instead of the normal level of nearly 100%. She takes a baby aspirin, a blood pressure medicine, and that’s about it.

“She’s just completely normal,” Britt said. “She’s funny. She has energy. She’s spunky. She’s got spirit. I really think that’s the craziest thing of everything.”

Autumn said Halle’s amputation doesn’t hold her back. It has become a conversation starter Autumn uses to bring awareness to congenital heart defects. “You don’t think of kids with heart disease, you think of adults.”

The couple is hopeful Halle will live a long and happy life, especially when they hear stories about other survivors, like a woman who recently celebrated her 58th birthday.

“In 20 years, what else are they going to come up with?” Britt said. “Halle may not always get to do the things that other people get to do, but we’re going to make the best of it like we have with everything else.”

Image credit: iStock

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Social media data needed for ‘harm’ research, say doctors

Understanding usage by children is key to studying potential harms and benefits, psychiatrists say.

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Stroke consultant shortage ‘hurtling towards crisis’

Some 48% of hospitals in England, Wales and Northern Ireland do not have the staff they need, figures suggest.

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