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Horseshoe crabs are really relatives of spiders, scorpions
Blue-blooded and armored with 10 spindly legs, horseshoe crabs have perhaps always seemed a bit out of place.
First thought to be closely related to crabs, lobsters and other crustaceans, in 1881 evolutionary biologist E. Ray Lankester placed them solidly in a group more similar to spiders and scorpions. Horseshoe crabs have since been thought to be ancestors of the arachnids, but molecular sequence data have always been sparse enough to cast doubt.
University of Wisconsin-Madison evolutionary biologists Jesús Ballesteros and Prashant Sharma hope, then, that their recent study published in the journal Systematic Biology helps firmly plant ancient horseshoe crabs within the arachnid family tree.
By analyzing troves of genetic data and considering a vast number of possible ways to examine it, the scientists now have a high degree of confidence that horseshoe crabs do indeed belong within the arachnids.
“By showing that horseshoe crabs are part of the arachnid radiation, instead of a lineage closely related to but independent of arachnids, all previous hypotheses on the evolution of arachnids need to be revised,” says Ballesteros, a postdoctoral researcher in Sharma’s lab. “It’s a major shift in our understanding of arthropod evolution.”
Arthropods are often considered the most successful animals on the planet since they occupy land, water and sky and include more than a million species. This grouping includes insects, crustaceans and arachnids.
Horseshoe crabs have been challenging to classify within the arthropods because analysis of the animals’ genome has repeatedly shown them to be related to arachnids like spiders, scorpions, mites, ticks and lesser-known creatures such as vinegaroons. Yet, “scientists assumed it was an error, that there was a problem with the data,” says Ballesteros.
Moreover, horseshoe crabs possess a mix of physical characteristics observed among a variety of arthropods. They are hard-shelled like crabs but are the only marine animals known to breathe with book gills, which resemble the book lungs spiders and scorpions use to survive on land.
Only four species of horseshoe crabs are alive today, but the group first appeared in the fossil record about 450 million years ago, together with mysterious, extinct lineages like sea scorpions. These living fossils have survived major mass extinction events and today their blood is used by the biomedical industry to test for bacterial contamination.
Age is just one of the problems inherent in tracing their evolution, say Ballesteros and Sharma, since searching back through time to find a common ancestor is not easy to accomplish. And evidence from the fossil record and genetics indicates evolution happened quickly among these groups of animals, convoluting their relationships to one another.
“One of the most challenging aspects of building the tree of life is differentiating old radiations, these ancient bursts of speciation,” says Sharma, a professor of integrative biology. “It is difficult to resolve without large amounts of genetic data.”
Even then, genetic comparisons become tricky when looking at the histories of genes that can either unite or separate species. Some genetic changes can be misleading, suggesting relationships where none exist or dismissing connections that do. This is owed to phenomena such as incomplete lineage sorting or lateral gene transfer, by which assortments of genes aren’t cleanly made across the evolution of species.
Ballesteros tested the complicated relationships between the trickiest genes by comparing the complete genomes of three out of the four living horseshoe crab species against the genome sequences of 50 other arthropod species, including water fleas, centipedes and harvestmen.
Using a complex set of matrices, taking care not to introduce biases in his analysis, he painstakingly teased the data apart. Still, no matter which way Ballesteros conducted his analysis, he found horseshoe crabs nested within the arachnid family tree.
He says his approach serves as a cautionary tale to other evolutionary biologists who may be inclined to cherry-pick the data that seem most reliable, or to toss out data that don’t seem to fit. Researchers could, for example, “force” their data to place horseshoe crabs among crustaceans, says Sharma, but it wouldn’t be accurate. The research team tried this and found hundreds of genes supporting incorrect trees.
Ballesteros encourages others to subject their evolutionary data to this kind of rigorous methodology, because “evolution is complicated.”
Why horseshoe crabs are water dwellers while other arachnids colonized land remains an open question. These animals belong to a group called Chelicerata, which also includes sea spiders. Sea spiders are marine arthropods like horseshoe crabs, but they are not arachnids.
“What the study concludes is that the conquest of the land by arachnids is more complex than a single tradition event,” says Ballesteros.
It’s possible the common ancestor of arachnids evolved in water and only groups like spiders and scorpions made it to land. Or, a common ancestor may have evolved on land and then horseshoe crabs recolonized the sea.
“The big question we are after is the history of terrestrialization,” says Sharma.
For Ballesteros, who is now studying the evolution of blindness in spiders living deep within caves in Israel, his motivations get to the heart of human nature itself.
“I get to look with childish curiosity and ask: ‘How did all this diversity come to be?'” he says. “It’s incredible what exists, and I never thought I would have the privilege to be able to do this.”
The study was funded by the M. Guyer postdoctoral fellowship and supported by National Science Foundation grant IOS-1552610.

THOR wrangles complex microbiomes into a model for improving them
“Microbial communities run the world,” says Jo Handelsman, director of the Wisconsin Institute for Discovery at the University of Wisconsin-Madison.
“People always laugh when I say that,” she adds. “But it’s true.”
Our rich new understanding of microbial communities and their influence on human health or crop productivity has led to the dream of changing these communities to produce benefits. In pursuit of that dream, millions of Americans now take probiotics, beneficial microbes they hope will improve their gut.
But the immense complexity and resiliency of these microbiomes leave researchers unsure how to produce predictable and long-lasting changes for the better.
New research by Handelsman and her collaborators addresses that complexity head-on. The team developed a community they named THOR, three species of bacteria isolated from soybean roots and grown together. The complex community of microbes developed new behaviors together that couldn’t be predicted from the individual members alone — they grew tougher structures known as biofilms, changed how they moved across their environment, and controlled the release of a novel antibiotic.
Each of the three members of THOR has a sequenced genome, and an array of tools are available to easily study the bacteria in isolation and together, which opens up opportunities to start unraveling the complexity of microbial communities like THOR and others. A better understanding of these microbiomes could help scientists figure out how to improve them.
The work is published March 5 in the journal mBio. The work was led by Handelsman lab postdoctoral researcher Gabriel Lozano with collaborators at the UW-Madison Department of Plant Pathology, Yale University and other institutions.
The thunderous name THOR stems from the members of the community: The Hitchhikers Of the Rhizosphere. Years ago, Handelsman’s lab noticed that several bacteria came along for the ride when members of common Bacillus bacteria were isolated from the microbiome of soybean roots, known as the rhizosphere. These hitchhikers only showed themselves when Bacillus bacteria were grown in the cold for several weeks.
Those tight associations between different species suggest they could serve as a model community to test how complex traits emerge when multiple species share the same space. The researchers settled on species from the Pseudomonas and Flavobacterium groups of bacteria to grow and study alongside Bacillus.
Combined, the members of THOR boasted some 15,000 genes and were capable of producing thousands of small molecules, creating “layers of complexity” over time and across space, says Handelsman.
When grown alone, the Pseudomonas member of THOR produces a biofilm, a hearty structure that protects the bacteria from its environment. Biofilms gum up implants used in medicine and make bacteria resistant to antibiotics. When all three members of THOR were grown together, the community produced two times as much biofilm and the biofilm lasted longer than when Pseudomonas was alone.
“Even when their populations are small, these other species are sparking larger biofilms,” says Handelsman.
Other complex traits emerged in THOR as well. The Bacillus member reduced the production of antibiotics made by Pseudomonas, protecting Flavobacterium from their effects. And the other members of THOR induced Bacillus colonies to grow out like the branches of a tree, spreading over and around the other bacteria in complex patterns.
Many efforts to manipulate microbiomes are focused on improving human health, and model communities like THOR could help scientists understand how complex microbial relationships can be altered to benefit us.
But THOR’s information about the microbiome of plant roots, the rhizosphere, is just as vital. The rhizosphere helps glue soil together, preventing erosion. And soil locks up three times more carbon than floats in the atmosphere, making it an important element in addressing climate change. Knowing how individual microbes come together to produce the rich, complex behavior of the soil microbiome may be a key to maximizing the benefit we derive from these unseen communities.
“It’s one of the most critical relationships we have,” says Handelsman.

Wide variations in how well or poorly people age
A 30-year gap separates countries with the highest and lowest ages at which people experience the health problems of a 65-year-old, according to a new scientific study.
Researchers found 76-year-olds in Japan and 46-year-olds in Papua New Guinea have the same level of age-related health problems as an “average” person aged 65.
“These disparate findings show that increased life expectancy at older ages can either be an opportunity or a threat to the overall welfare of populations, depending on the aging-related health problems the population experiences regardless of chronological age.” said Dr. Angela Y. Chang, lead author and postdoctoral fellow at the Center for Health Trends and Forecasts at the University of Washington. “Age-related health problems can lead to early retirement, a smaller workforce, and higher health spending. Government leaders and other stakeholders influencing health systems need to consider when people begin suffering the negative effects of aging.”
These negative effects include impaired functions and loss of physical, mental, and cognitive abilities resulting from the 92 conditions analyzed, five of which are communicable and 81 non-communicable, along with six injuries.
The studies and additional information are available at http://www.healthdata.org
The study, published yesterday in the international medical journal The Lancet Public Health, is the first of its kind, according to Chang, whose center is housed at the UW’s Institute for Health Metrics and Evaluation. Where traditional metrics of aging examine increased longevity, this study explores both chronological age and the pace at which aging contributes to health deterioration. The study uses estimates from the Global Burden of Disease study (GBD).
Researchers measured “age-related disease burden” by aggregating all disability-adjusted life years (DALYs), a measurement of loss of healthy life, related to the 92 diseases. The findings cover 1990 to 2017 in 195 countries and territories. For example, in 2017, people in Papua New Guinea had the world’s highest rate of age-related health problems with more than 500 DALYs per 1,000 adults, four times that of people in Switzerland with just over 100 DALYs per 1,000 adults.
The rate in the United States was 161.5 DALYs per 1,000, giving it a ranking of 53rd, between Algeria at 52nd with 161.0 DALYs per 1,000 and Iran at 54th with 164.8 DALYs per 1,000.
Using global average 65-year-olds as a reference group, Chang and other researchers also estimated the ages at which the population in each country experienced the same related burden rate. They found wide variation in how well or poorly people age. Ranked first, Japanese 76-year-olds experience the same aging burden as 46-year-olds in Papua New Guinea, which ranked last across 195 countries and territories. At 68.5 years, the United States ranked 54th, between Iran (69.0 years) and Antigua and Barbuda (68.4 years).
The study is entitled “Measuring population ageing: an analysis of the Global Burden of Disease Study 2017.”
Additional findings include:
- Age-related disease burden rates decreased over time across all regions between 1990 and 2017, representing reductions in deaths and disease severity of age-related problems.
- In 2017, people in 108 countries experienced earlier accumulation of problems associated with aging, whereas those in 87 countries experienced slower onset of aging.
- Globally, the age-related diseases with the most deaths and DALYs were ischemic heart disease, brain hemorrhage, and chronic obstructive pulmonary disease (COPD).
Countries with highest equivalent age to global 65-year-olds in 2017:
2. Switzerland: 76.1
3. France: 76.0
4. Singapore: 76.0
5. Kuwait: 75.3
6. South Korea: 75.1
7. Spain: 75.1
8. Italy: 74.8
9. Puerto Rico: 74.6
10. Peru: 74.3
Countries with lowest equivalent age to global 65-year-olds in 2017:
2. Marshall Islands: 51.0
3. Afghanistan: 51.6
4. Vanuatu: 52.2
5. Solomon Islands: 53.4
6. Central African Republic: 53.6
7. Lesotho: 53.6
8. Kiribati: 54.2
9. Guinea-Bissau: 54.5
10. Federated States of Micronesia: 55.0
Countries with lowest age-related burden rate in 2017:
2. Singapore: 108.3
3. South Korea: 110.1
4. Japan: 110.6
5. Italy: 115.2
6. Kuwait: 118.2
7. Spain: 119.2
8. France: 119.3
9. Israel: 120.2
10. Sweden: 122.1
Countries with highest age-related burden rate in 2017:
2. Marshall Islands: 396.6
3. Vanuatu: 392.1
4. Afghanistan: 380.2
5. Solomon Islands: 368.0
6. Central African Republic: 364.6
7. Lesotho: 360.5
8. Kiribati: 347.5
9. Guinea-Bissau: 343.4
10. Eritrea: 325.7

Health24.com | WATCH: How loud is too loud?

Hearing Expert
Minette Lister graduated with a Bachelor of Communication Pathology (Audiology) from the University of KwaZulu-Natal, Westville in 2015. Thereafter, she completed her compulsory year of community service at Phoenix Assessment and Therapy Centre in Durban. In 2017, Minette started working for Thompson and Hoffman Audiology Inc. She is passionate about working with children and adults to diagnose and manage hearing loss using state of the art technology. Minette offers hearing screening programmes for newborn and high-risk babies, as well as school-aged children, in order to decrease the incidence of late or unidentified hearing loss.

LAMP instrument sheds light on lunar water movement
Using the Southwest Research Institute-led Lyman Alpha Mapping Project (LAMP) aboard NASA’s Lunar Reconnaissance Orbiter (LRO), scientists have observed water molecules moving around the dayside of the Moon. A paper published in Geophysical Research Letters describes how LAMP measurements of the sparse layer of molecules temporarily stuck to the surface helped characterize lunar hydration changes over the course of a day.
Up until the last decade or so, scientists thought the Moon was arid, with any water existing mainly as pockets of ice in permanently shaded craters near the poles. More recently, scientists have identified surface water in sparse populations of molecules bound to the lunar soil, or regolith. The amount and locations vary based on the time of day. This water is more common at higher latitudes and tends to hop around as the surface heats up.
“This is an important new result about lunar water, a hot topic as our nation’s space program returns to a focus on lunar exploration,” said SwRI’s Dr. Kurt Retherford, the principal investigator of the LRO LAMP instrument. “We recently converted the LAMP’s light collection mode to measure reflected signals on the lunar dayside with more precision, allowing us to track more accurately where the water is and how much is present.”
Water molecules remain tightly bound to the regolith until surface temperatures peak near lunar noon. Then, molecules thermally desorb and can bounce to a nearby location that is cold enough for the molecule to stick or populate the Moon’s extremely tenuous atmosphere, or “exosphere,” until temperatures drop and the molecules return to the surface. SwRI’s Dr. Michael Poston, now a research scientist on the LAMP team, had previously conducted extensive experiments with water and lunar samples collected by the Apollo missions. This research revealed the amount of energy needed to remove water molecules from lunar materials, helping scientists understand how water is bound to surface materials.
“Lunar hydration is tricky to measure from orbit, due to the complex way that light reflects off of the lunar surface,” Poston said. “Previous research reported quantities of hopping water molecules that were too large to explain with known physical processes. I’m excited about these latest results because the amount of water interpreted here is consistent with what lab measurements indicate is possible. More work is needed to fully account for the complexities of the lunar surface, but the present results show that work is definitely worth doing!”
Scientists have hypothesized that hydrogen ions in the solar wind may be the source of most of the Moon’s surface water. With that in mind, when the Moon passes behind the Earth and is shielded from the solar wind, the “water spigot” should essentially turn off. However, the water observed by LAMP does not decrease when the Moon is shielded by the Earth and the region influenced by its magnetic field, suggesting water builds up over time, rather than “raining” down directly from the solar wind.
“These results aid in understanding the lunar water cycle and will ultimately help us learn about accessibility of water that can be used by humans in future missions to the Moon,” said Amanda Hendrix, a senior scientist at the Planetary Science Institute and lead author of the paper. “A source of water on the Moon could help make future crewed missions more sustainable and affordable. Lunar water can potentially be used by humans to make fuel or to use for radiation shielding or thermal management; if these materials do not need to be launched from Earth, that makes these future missions more affordable.”
The funding for this research came from NASA Goddard Space Flight Center’s LRO program office, including an LRO LAMP subcontract between SwRI and PSI, and the team received additional support from a NASA Solar System Exploration Research Virtual Institute (SSERVI) cooperative agreement.
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Illuminating the genome
The CRISPR/Cas9 system has been making ripples in the scientific community ever since its mechanisms were proposed in 2012. Commonly referred to as a genome editing tool, many scientists have found different applications for the scissor-like properties of the Cas9-protein. Researchers from the Leibniz Institute of Plant Genetics and Crop Plant Research (IPK Gatersleben) have now found a way to utilise the RNA/protein complex in a slightly different way — as a cytogenetic torch. Other than in conventional in situ hybridisation, the new RNA-guided endonuclease — in situ labelling-tool (RGEN-ISL) no longer requires denaturation of the DNA. The new method therefore leaves the chromatin intact, enabling investigation of the structure of the sample. Moreover, RGEN-ISL can be combined with protein-detection methods and allows real-time visualisation of the labelling-process. Whilst initially developed for plant genomes, RGEN-ISL can be used in all organisms and shows to be a promising new tool in the field of chromosome biology.
The discovery of the type II clustered regularly interspaced short palindromic repeats (CRISPR)-associated caspase 9 (Cas9) system has been a milestone in the field of targeted genome editing. Initially derived from the bacterium Streptococcus pyogenes, the RNA/protein-complex now is an established tool for targeted genome-editing in eukaryotes.
Whilst its scissor-like properties have yielded a broad range of applications, scientists from the Leibniz Institute of Plant Genetics and Crop Plant Research (IPK Gatersleben) are now using CRISPR/Cas9 in a new cytogenetic method for shining a light into eukaryote genomes — RNA-guided endonuclease — in situ labelling (RGEN-ISL).
For the last 30 years, fluorescence in situ hybridization (FISH) has been the established and commonly used method for visualising in-situ DNA-sequences at chromosomal level. However, this method requires denaturation of the investigated DNA, thus often damaging the structure of the sample. By basing the RGEN-ISL method on CRISPR-Cas9, IPK researchers managed to bypass the denaturation-step of FISH whilst simultaneously integrating the desired fluorescent labelling properties of the conventional FISH-method. As the new cytogenetic tool preserves the structure of the sample, it opens up the option of investigating the spatio-temporal structure of the genome.
Further experimentation showed that RGEN-ISL outperforms conventional method combinations, such as FISH and immunohistochemistry, requiring less preparation and being comparatively quicker and cheaper. Additionally, the new method functions over a broad temperature-range of 4°C to 37°C and can also be combined with additional protein-detection and imaging methods. A further merit is that RGEN-ISL allows for real-time visualisation of the CRISPR/Cas9-mediated DNA-labelling, therefore revealing the kinetics of the reaction.
So far, the researchers have tested RGEN-ISL in plant samples, but also in human chromosomes, illustrating that their new method can likely be applied within all organisms. Currently, the use of method is limited to repetitive DNA-sequences, as often found in plant genomes. However, Dr Takayoshi Ishii, now working at Tottori University (Japan), who conceived the initial idea behind RGEN-ISL, assumes that this method could be adapted to visualise even single-copy sequences in the future.
The project around the new method, which was developed under research group leader Dr Andreas Houben, was made possible through a grant to CSIRO (Australia) by the Bill & Melinda Gates Foundation (USA) as well as thanks too additional funding by the German Research Foundation — DFG (Germany).
Given its properties and broad applicability, RGEN-ISL is a promising new cytogenetic tool for furthering the understanding of the spatial organisation of the genome and the connection between chromatin structure and function, as well as for advancing the knowledge within the wide field of chromosome biology.

New method of scoring protein interactions mines large data sets from a fresh angle
Researchers from the Stowers Institute for Medical Research have created a novel way to define individual protein associations in a quick, efficient, and informative way. These findings, published in the March 8, 2019, issue of Nature Communications, show how the topological scoring (TopS) algorithm, created by Stowers researchers, can — by combining data sets — identify proteins that come together.
The approach is similar to looking at the activities and interactions of all the individuals in a community and then selecting out the most meaningful interactions, some which may be very rare. The researchers are looking for the biological equivalent of two individuals who may be the only two in the entire community that participate in an important interaction.
Not only does this help researchers identify how proteins perform biological functions or carry out biological processes, the algorithm can be applied to previously generated biological data and potentially other areas of science to glean new information.
“It’s a form of big data analysis that we are applying to proteomics data to identify and understand protein interaction networks,” says Michael Washburn, PhD, director of the Stowers Proteomics Center. “It’s complementary to a lot of techniques already in use so it can be used to ask and answer new questions.”
Protein data sets can be challenging to examine for meaningful information because they are so large. “You have thousands of proteins to look at,” says Mihaela Sardiu, PhD, a senior research specialist at Stowers. Understanding how a wide variety of proteins come together to do something, like repair DNA, is a difficult problem. “We wanted to simplify the problem.”
That meant instead of taking an overall view of everything, they hunted for less common events. Researchers did this by looking for bait (proteins already known to be involved in processes of interest) and prey (proteins that could interact with bait proteins) to see how they interacted in human DNA repair and yeast chromatin remodeling complexes. Through TopS, data is analyzed in a parallel fashion, meaning that data from several biologically-related baits are considered at the same time. A key attribute of TopS is the ability to evaluate the preference of a prey protein for a bait relative to other baits. “Instead of calculating a score by concentrating only information of a single bait, we now aggregate information from the entire data set,” explains Sardiu.
Washburn and Sardiu believe that TopS can be applied to a wide range of data sets beyond proteomics, in both basic research and beyond. Sardiu sees potential in using it for healthcare data, where physicians might be able to compare a patient’s health to others, like being able to tell if a patient’s disease is “really advanced compared to others or not,” she says.
The team has also published these findings on Github, a computer code repository, because they want to offer other researchers the opportunity to test the algorithm and see how they can apply it to their own projects.
“We’re excited to see how far this can go. It’s a potentially high impact tool and we want to see what other creative and innovative people can come up with,” says Washburn. “We think this is a really valuable potential tool for a lot of people out there who struggle with the challenge of sorting through very large-scale data.”
Other contributors from the Stowers Institute included Joshua M. Gilmore, PhD, Brad D. Groppe, Arnob Dutta, PhD, and Laurence Florens, PhD. Dutta is currently an Assistant Professor at the University of Rhode Island, Groppe is now working at Thermo Fisher Scientific, and Gilmore is a scientist with Boehringer Ingelheim.
This research was funded by the Stowers Institute and a grant from the National Institute of General Medical Sciences of the National Institutes of Health under award number R01GM112639. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
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Health24.com | Mental health help becoming less of a stigma in military
Active-duty members of the US military are much more open to the idea of mental health counselling than veterans, a new survey finds.
“There has been a fundamental shift in the military regarding attitudes on mental health, and we have seen real progress in reducing the stigmas associated with professional counselling,” said survey author Samantha Dutton. She is programme director in the College of Humanities and Sciences at the University of Phoenix.
Veterans retain old stereotypes
“However, for veterans, that has not translated into a shift in the perception of mental health. Many of our veterans served in a culture where talking about your feelings or seeking help was not widely accepted,” she added in a university news release.
The recently released survey results bear that out: More than 90% of all veterans and active-duty service members said mental health is as important as physical health. But only 30% of veterans have sought or considered mental health counselling, compared with 72% of active-duty service members.
This difference may be because veterans retain old stereotypes and stigmas associated with mental health counselling, the researchers noted.
Importance of dealing with concerns
The survey also found that 89% of active-duty military members believe people who receive professional counselling generally get somewhat or a lot better, compared with 66% of veterans.
In addition, 91% of active-duty service members say their leaders openly discuss the importance of dealing with mental health concerns, while only 23% of veterans say that their leaders did so.
When veterans were asked what resources they would use to manage mental health, free counselling was the most common response (39%).
Fifty-eight percent of veterans said they would be encouraged to seek mental health counselling if a close colleague, friend or family member discussed their experiences receiving counselling.
Image credit: iStock

Health24.com | Low-dose aspirin doesn’t prolong survival in prostate cancer
Will an aspirin a day keep prostate cancer at bay?
Not necessarily, according to new research.
Danish scientists say low-dose aspirin doesn’t seem to reduce a man’s risk of death from prostate cancer, but it may slow down the disease in some cases.
For patients with slow-growing, non-aggressive cancer, aspirin did appear to stop the cancer from progressing. A slight benefit was also seen among men who took aspirin for more than five years, the researchers found.
A small reduction
“Aspirin is widely used due to its established protection against cardiovascular diseases,” said lead researcher Charlotte Skriver, from the Danish Cancer Society Research Center in Copenhagen. “Our results, however, do not suggest an overall protective effect of low-dose aspirin used in the year after prostate cancer diagnosis on mortality from prostate cancer.”
But growing evidence suggests aspirin might reduce the risk of developing and dying from colon and other cancers, Skriver said. It was thought that prostate cancer could be added to that list.
Researchers did see a small reduction in prostate cancer deaths among patients who took low-dose aspirin for an extended time, she said. More study is needed to confirm that finding.
Skriver said any potential benefit from low-dose aspirin needs to be weighed against the risk of gastrointestinal bleeding linked with its use.
Other benefits
For the study, her team collected data on more than 29 000 men, average age 70, who were diagnosed with prostate cancer between 2000 and 2011.
During nearly five years of follow-up, more than 7 600 men died of prostate cancer and more than 5 500 died from other causes, the study found.
The findings were published in the Annals of Internal Medicine.
Dr Teemu Murtola, a professor of surgery at the University of Tampere in Finland, wrote an editorial that accompanied the study.
“Aspirin may have other benefits, but it is probably not helpful against prostate cancer,” he said.
Murtola noted that aspirin was not associated in this large study with a lower risk of death from prostate cancer, despite promising previous laboratory studies.
Treatment not taken into account
Still, the risk was reduced among aspirin users in a subgroup of men with lowest-risk prostate cancer, he said.
“Future studies should aim to evaluate effects of very long-term, at least 10 years, of aspirin use on risk of prostate cancer death,” Murtola said.
Dr Anthony D’Amico, a professor of radiation oncology at Harvard Medical School in Boston, said the study doesn’t take into account the treatment patients received – an important point, because treatment directly affects survival.
Variables such as surgery, radiation and hormone treatment are essential to tease out the real effect of aspirin on survival, he said.
It’s not only the treatments themselves, but the combinations used and the duration that can make a difference, D’Amico said.
“This is not definitive, because there is too much lacking in terms of treatment specifics,” he said. “It’s interesting, but it doesn’t mean you should take an aspirin.”
Image credit: iStock



