Researchers find connections between neuroinflammation and Alzheimer’s disease

Study by Brigham investigators revealed how genetic changes in certain types of brain cells may contribute to the inflammatory response seen in Alzheimer’s disease

Immune-regulating brain cells known as microglia are known to play a role in the progression of Alzheimer’s disease (AD). A new study by investigators from Brigham and Women’s Hospital, a founding member of the Mass General Brigham healthcare system, explores how the genetics of microglia contribute to neuroinflammation and, in turn, AD. The team revealed that a reduction of INPP5D, a gene found in microglia, results in neuroinflammation and increases the risk for AD. Their results, which have important implications for the design of microglia-centered therapeutics for Alzheimer’s disease and related disorders, are published in Nature Communications.

“We know that microglia play important roles in the healthy and diseased brain, but, in many cases the molecular mechanisms underlying this relationship are poorly understood,” said corresponding author Tracy Young-Pearse, PhD, from the Department of Neurology at Brigham and Women’s Hospital. “If we’re able to identify and understand the significance of specific genes that play a role in neuroinflammation, we can more readily develop effective, targeted therapeutics.”

Neuroinflammation is important to monitor in people with neurodegenerative diseases, but it can be difficult to detect, especially in the early stages of AD. The earlier neurologists can identify it, the earlier they can treat it. Microglia are clearly involved in the process of neuroinflammation, but there are many unanswered questions regarding the molecular pathways involved.

The team used a variety of experimental approaches to probe the relationship between levels of INPP5D and a specific type of brain inflammation, activation of the inflammasome. As part of their study, the team compared human brain tissue from patients with AD and a control group. They found lower levels of INPP5D in the tissues of patients with AD and when INPP5D was reduced, it activated inflammation. In parallel, they used living human brain cells derived from stem cells to study the intricate molecular interactions within microglia that mediate inflammatory processes with a reduction of INPP5D. These studies identified specific proteins that could be inhibited to block inflammasome activation in microglia.

Although the team’s work represents the most comprehensive analysis of INPP5D in the AD brain, it remains to be determined whether INPP5D should be targeted with therapeutics. The team notes that their findings suggest INPP5D activity in AD brains is complex and future studies are needed to understand if INPP5D can be targeted to prevent cognitive decline in patients with AD.

“Our results highlight an exciting promise for INPP5D, but some questions still remain,” said Young-Pearse. “Future studies examining the interaction between INPP5D activity and inflammasome regulation are essential to improve our understanding of microglia in AD and to help develop a comprehensive toolbox of therapeutics that can be deployed to treat each of the molecular roads that lead to AD.”

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Network of robots can successfully monitor pipes using acoustic wave sensors

An inspection design method and procedure by which mobile robots can inspect large pipe structures has been demonstrated with the successful inspection of multiple defects on a three-meter long steel pipe using guided acoustic wave sensors.

The University of Bristol team, led by Professor Bruce Drinkwater and Professor Anthony Croxford, developed approach was used to review a long steel pipe with multiple defects, including circular holes with different sizes, a crack-like defect and pits, through a designed inspection path to achieve 100% detection coverage for a defined reference defect.

In the study, published today in NDT and E International, they show how they were able to effectively examine large plate-like structures using a network of independent robots, each carrying sensors capable of both sending and receiving guided acoustic waves, working in pulse-echo mode.

This approach has the major advantage of minimizing communication between robots, requires no synchronization and raises the possibility of on-board processing to lower data transfer costs and hence reducing overall inspection expenses. The inspection was divided into a defect detection and a defect localization stage.

Lead author Dr Jie Zhang explained: “There are many robotic systems with integrated ultrasound sensors used for automated inspection of pipelines from their inside to allow the pipeline operator to perform required inspections without stopping the flow of product in the pipeline. However, available systems struggle to cope with varying pipe cross-sections or network complexity, inevitably leading to pipeline disruption during inspection. This makes them suitable for specific inspections of high value assets, such as oil and gas pipelines, but not generally applicable.

“As the cost of mobile robots has reduced over recent years, it is increasingly possible to deploy multiple robots for a large area inspection. We take the existence of small inspection robots as its starting point, and explore how they can be used for generic monitoring of a structure. This requires inspection strategies, methodologies and assessment procedures that can be integrated with the mobile robots for accurate defect detection and localization that is low cost and efficient.

“We investigate this problem by considering a network of robots, each with a single omnidirectional guided acoustic wave transducer. This configuration is considered as it is arguably the simplest, with good potential for integration in a low cost platform.”

The methods employed are generally applicable to other related scenarios and allow the impact of any detection or localization method decisions to be quickly quantified. The methods could be used across other materials, pipe geometries, noise levels or guided wave modes, allowing the full range of sensor performance parameters, defects sizes and types and operating modalities to be explored. Also the techniques can be used to assess the detection and localization performance for specified inspection parameters, for example, predict the minimum detectable defect under a specified probability of detection and probability of false alarm.

The team will now investigate collaboration opportunities with industries to advance current prototypes for actual pipe inspections. This work is funded by the UK’s Engineering and Physical Sciences Research Council (EPSRC) as a part of the Pipebots project.

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Psychological science can help counter spread of misinformation

Debunking, “prebunking,” nudging and teaching digital literacy are several of the more effective ways to counter misinformation, according to a new report from the American Psychological Association.

Written by a panel of U.S. and international experts on the psychology of misinformation, the report outlines the processes that make people susceptible to misinformation and offers solutions to combat it.

People are more likely to believe misinformation if it comes from groups they belong to or if they judge the source as credible, according to the report “Using Psychological Science to Understand and Fight Health Misinformation: An APA Consensus Statement.” It defines misinformation as “any information that is demonstrably false or otherwise misleading, regardless of its source or intention.”

The report outlines the key features of misinformation that fool people into believing and spreading it. For instance, it found that people are more likely to believe false statements that appeal to emotions such as fear and outrage. They are also more likely to believe misinformation that paints groups that they view as “others” in a negative light. And people are more likely to believe information the more it is repeated, even when it contradicts their prior knowledge. These findings suggest that it is important to stop misinformation early, the report says.

The report also describes features of social media that help misinformation spread very quickly. “Rapid publication and peer-to-peer sharing allow ordinary users to distribute information quickly to large audiences, so misinformation can be policed only after the fact (if at all),” the report says. “‘Echo chambers’ bind and isolate online communities with similar views, which aids the spread of falsehoods and impedes the spread of factual corrections.”

As a result, “most online misinformation originates from a small minority of ‘superspreaders,’ but social media amplifies their reach and influence.”

There are two levels on which misinformation can be stopped, according to the report: systemic approaches, such as legislation and technology standards, and individual approaches focused on changing individual behaviors. The latter include:

  • fact-checking, or debunking;
  • prebunking, or pre-emptive debunking to prevent people from falling for misinformation in the first place;
  • nudges, such as asking people to consider the accuracy of information before sharing it, or rewarding people to be as accurate as possible;
  • and formal education or community outreach to raise people’s awareness about healthy online behavior and media use.

The report acknowledges that there is much more to learn and recommends more research funding and industry cooperation to understand behaviors related to misinformation and create tools to correct it. The panel members who wrote the report spent more than a year reviewing the scientific literature to develop their recommendations. The report was commissioned by the Centers for Disease Control and Prevention and funded as part of a $2 million grant to develop effective solutions to COVID-19 vaccine hesitancy.

While the panel’s recommendations focus on health misinformation, they can also be used for broader topics such as politics and climate change. For instance, these findings offer direct input to one of the main issues highlighted in APA’s Health Advisory on Social Media by addressing tactics that can be used to combat misinformation.

The report recommends eight steps for policymakers, scientists, media and the public to help curb the spread of misinformation and the risks it poses to health, well-being and civic life:

  1. Avoid repeating misinformation without including a correction.
  2. Collaborate with social media companies to understand and reduce the spread of harmful misinformation.
  3. Use misinformation correction strategies with tools already proven to promote healthy behaviors.
  4. Leverage trusted sources to counter misinformation and provide accurate health information.
  5. Debunk misinformation often and repeatedly using evidence-based methods.
  6. Prebunk misinformation to inoculate susceptible audiences by building skills and resilience from an early age.
  7. Demand data access and transparency from social media companies for scientific research on misinformation.
  8. Fund basic and translational research into the psychology of health misinformation, including ways to counter it.

“These psychological science findings help to explain how misinformation enters our thought processes,” the report states. “It is effortful and difficult for our brains to apply existing knowledge when encountering new information; when new claims are false but sufficiently reasonable, we can learn them as facts. Thus, everyone is susceptible to misinformation to some degree: we acquire it even when we know better.”

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Thalidomide: Australia gives national apology to survivors and families

PM Anthony Albanese calls the birth defects scandal one of Australia’s “darkest” medical chapters.

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Covid inquiry: Michael Gove defends Boris Johnson over lockdown decision-making

But the minister apologises for the government’s “errors” during the pandemic at the Covid inquiry.

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So THAT’s What Our Chances Of A White Christmas This Year Are

The countdown to the 25 of December is officially on because the MET Office has revealed the Christmas day forecast.

But, it’s not great news if you’re a snow-lover. (Sorry!)

Temperatures have certainly dropped recently, with most of us feeling the chill as the predicted cold snap is expected to hit the UK later this week. And yes, that forecast does include snow.

And, in the run-up to the festive period, temperatures are expected to plummet to below zero in some parts (looking at you Scotland). But, when it comes to the big day, things are looking like they might be unseasonably mild, with wetter and windy weather than normal.

This is what the meteorologists say: “Conditions are most likely to be changeable through this period.

“Wetter and windier than average conditions are slightly more likely than normal, especially in the west and northwest.

“Temperatures are most likely to be near or above average overall, although this doesn’t rule out some spells of cold weather and associated wintry hazards.”

So if you’re looking forward to building that snowman, or making snow angels, then you might be waiting a long time.

But all snow-related-hopes are not lost, as forecasters have warned that there is still a chance of us running into some “associated wintry hazards”.

A month is a long time, and things can change rapidly. While snow isn’t looking likely, it definitely hasn’t been ruled out completely.

So maybe the no-show-snow-day is a blessing in disguise?

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The Red Flag Pain Symptom That Can Be A Sign Of Prostate Cancer

According to Prostate Cancer UK, 1 in 8 men will get prostate cancer in their lifetime. It’s the most common cancer in males and accounts for 27% of all new cancer cases in males in the UK.

However, a poll by YouGov earlier this year found that two-thirds of men don’t know any of the symptoms of the cancer. While this falls somewhat among older males, it still remains very high with 62% of 50-59 year olds not knowing any of the symptoms of the cancer.

Of the recognised symptoms, the most common were having to, or feeling the need to urinate more frequently and difficulty urinating. Both of these are symptoms of prostate cancer but can also be indicators of other diseases.

The sneaky symptoms of prostate cancer that you might miss

According to Cancer Research UK, prostate cancer doesn’t usually cause symptoms in the early stages and most prostate cancers start in the outer part of the prostate gland. This means that to cause symptoms, the cancer must be large enough to press on the tube that carries urine from the bladder to the penis, which is called the urethra.

While many people do think that urinary issues such as difficulty passing are due to prostate cancer, according to Cancer Research UK, they are very unlikely to be related to the disease and are instead likely to be caused by a condition called benign prostatic hyperplasia (BPH).

Instead, the sneaky signs of prostate cancer that you should be aware of are:

  • Back or bone pain that doesn’t go away with rest
  • Tiredness
  • Weight loss for no reason
  • Pain in the testicles
  • A loss of appetite

What to do if you think you have prostate cancer

According to the NHS, it’s not known exactly what causes prostate cancer but a number of things can increase your risk of developing the condition which include:

  • age – the risk rises as you get older, and most cases are diagnosed in men over 50 years of age
  • ethnic group – prostate cancer is more common in black men than in Asian men
  • family history – having a brother or father who developed prostate cancer before age 60 seems to increase your risk of developing it; research also shows that having a close female relative who developed breast cancer may also increase your risk of developing prostate cancer
  • obesity – recent research suggests there may be a link between obesity and prostate cancer, and a balanced diet and regular exercise may lower your risk of developing prostate cancer
  • diet – research is ongoing into the links between diet and prostate cancer, and there is some evidence that a diet high in calcium is linked to an increased risk of developing prostate cancer

There is no single definitive test for prostate cancer but if you suspect you have the disease, your GP will ask for a urine test to check for infection, take a blood sample and examine your prostate.

If you’re at risk you’ll be referred to the hospital for an MRI which may be followed by a biopsy to confirm the presence of the disease.

If you notice any changes whatsoever and especially if you’re at a higher risk of prostate cancer, make an appointment with your GP.

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I Lived With A Self-Destructive Secret For 30 Years. Here’s What Happened When I Told.

CW: Eating disorders, bulimia, binge eating.

Bulimia and I have been best friends since I was 13.

At the time, my parents were fighting, and rage permeated our house. At school, I was the awkward immigrant kid, hoping someone would see me.

But I had a few wonderful hours every day after school, when my parents weren’t home and I had the house to myself. That’s when my friend and I would sit together and watch our favorite shows — Three’s Company, Love Boat, Fantasy Island — and eat anything we wanted without prying eyes. Piled-high ham and cheese sandwiches on soft white bread, handfuls of freshly-released-from-the-bag potato chips and soft, chewy Toll House chocolate chip cookies.

The problem was, the high we got from food eventually vanished and we’d be left with the hangover — the shame, guilt, disappointment. By age 15, the food highs weren’t enough, I needed a way to deal with the repercussions — the bloating and self-hate.

One day, I went to the bathroom and pushed two fingers down my throat. It was scary but also a thrill. I got relief. The consequences were flushed away. The desperate need and its violent extermination now just a memory.

Bulimia comforted me, celebrated with me, entertained me. She was always there no matter how hard things got and she knew exactly how to make it better.

This secret was part of my life for the next three decades. Thirty years of desperate highs and crippling lows. Thirty years of hiding behind locked bathroom doors and running showers to muffle the sound of vomiting. Thirty years of looking in a steamed-up bathroom mirror at a person I didn’t want to be. Thirty years of being terrified of anyone finding out the grotesque ritual that was part of my life.

Until one day, when I was 44, I told.

I had been thinking of quitting for years because of the deep self-hate it produced, and had been slowly weaning myself off by stretching out the time between purges to months.

Another reason I wanted to quit was my terrible acid reflux. I had started feeling burning in my throat and worried that maybe my years of bulimia had damaged the muscle designed to keep that bile from coming up.

So when the doctor asked me at my annual checkup if I had any particular concerns, I told her about my throat pain and added that I was worried it was because of my years of bulimia.

“When were you bulimic?” she asked.

“Oh, I —” I paused, took a breath, and said, “I still am. It’s been — most of my life.”

To my surprise, she didn’t look at me with disgust or pity, or tell me all the ways I had damaged my body. She didn’t lecture me at all. She told me that millions of people had acid reflux and that it may have nothing to do with my bulimia. She then asked straightforward questions about my plans, if any, to address it.

I told her I’d been working on it and that telling her was my first big step to quitting for good. She gave me resources that I could use and organizations that I could reach out to for help. She then went on to do my check-up, like she had done many times before.

It was only a few minutes between us, but speaking the words out loud shook me. I almost felt dizzy with the confession and had to steady myself by holding the sides of the faux-leather bench. I had kept this secret for so many years that when it came out, I felt like a different person.

That night, I kept telling. This time I told my husband, the quiet, mild-mannered man I slept next to and raised my children with. We were cuddled up on the couch watching “Brooklyn Nine-Nine” when he asked about my doctor’s appointment. I stiffened, turned off the TV and turned to face him. Then I told him my story.

I told him about the years of locking the bathroom door and turning on the shower so he couldn’t hear the sounds of vomiting. I couldn’t risk him asking me what was wrong. I told him I was scared that if he found out who I really was he wouldn’t be able to look at me the same. Love me the same.

He put his arms around me. Shocked and heartbroken that the woman he shared his life with had this secret, this pain, he held me for a long time as I cried into his shoulder.

Telling him changed things. Without the secret, I was able to release the shame and stop one element of the disorder: the purging. I didn’t reach out to any organisation or read any books. The fear that my throat pain might be because of the binging, and releasing the truth to my husband were enough to push me to stop. I never did it again.

The binging ― the high – however, was still part of my life, albeit diminished. I found ways to avoid the yearnings by keeping busy. With the purging part gone, it released me from the “easy out” I had used every time the urge came up. I went back to work at a job I loved, went on long walks with friends and kept my life filled with the plethora of mom duties. I started living my life without bulimia’s constant stranglehold.

Then the pandemic hit. And like millions of people, it threw me into a dark and difficult place.

My husband and I gave the kids their own rooms to do online school. The only other office-like area went to my husband, who needed space to Zoom with this work team. I was left with the kitchen table.

I had lost the job I loved, regular daily activities of running errands and going to appointments, and friends I could spend time with who had helped me live a healthier life. I was left sitting in the kitchen with my laptop and countless idle hours of worry and anxiety. It was like being an alcoholic who lives in a bar.

So I ate and ate. And I gained a lot of weight. But it wasn’t the weight that crushed my self-esteem and mental health. It was the act of giving into this old friend — who I didn’t trust anymore, who I understood didn’t mean me well — day after day that wore away my confidence.

After two years, as the pandemic eased, I emerged along with everyone else — but I was much heavier and scared about the steps forward.

Eating disorders are unusually complex because we can’t give up food completely like with other addictive substances. And there’s such intense shame that comes with not being able to control your eating. So, we don’t like to talk about it, we don’t make big box-office movies about it and we certainly don’t have the same sympathy for it.

I’ve found I can only move forward when I stop struggling in silence and let go of the shame.

So as I did with the purging, I started being honest with myself and others close to me. One night, over dinner, I explained to my husband and teenage boys that the difficulties they’d seen me have with losing weight was not about the food itself — that’s why the dozens of weight loss programs I’d tried had failed. Rather it was about my relationship with food, my addiction and my binge eating disorder.

Once I verbalised this truth and accepted it, I was able to put down my guard and release the pain of it. A few days later, for the first time in my life I joined a binge eating disorder group and am now learning tools from counsellors that specialise in this disorder.

I don’t know how long the journey forward will be, but I do know that in order to get better, I first need to forgive myself and be honest about the fact that I can’t get better on my own. That’s the only way forward.

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How can we stop children vaping?

The number of young people using electronic cigarettes has skyrocketed in the past two years.

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Macaque trials offer hope in pneumonia vaccine development

The global impact of the coronavirus pandemic has ignited a renewed focus on emerging and re-emerging infectious diseases. Researchers at Osaka Metropolitan University are making great strides in combating pneumococcal pneumonia, one of the leading causes of respiratory deaths worldwide.

Despite the existence of vaccines against pneumococcal infections such as otitis media, sinusitis, and meningitis, the prevalence of pneumococcal pneumonia remains high. Currently, around 100 new serotypes of Streptococcus pneumoniae have been identified, and the increase in pneumococcal infections caused by serotypes not covered by the vaccine has become a concern. This situation underscores the need for a more versatile vaccine.

Building on their previous success in mucosal responses in 2019, in which they developed a mucosal vaccine that caninduce antigen-specific mucosal immune responses, mainly immunoglobulin A (IgA), on the target mucosal surface, a research team led by Professor Satoshi Uematsu and Associate Professor Kosuke Fujimoto from the Department of Immunology and Genomics at the Graduate School of Medicine, Osaka Metropolitan University, has this time set out to bridge the gap in pneumococcal pneumonia vaccination efficacy.

To successfully develop a novel pneumococcal vaccine, the research team combined its proprietary mucosal vaccine technology with pneumococcal surface proteins that can cover a wide range of serotypes. Experiments conducted on mice and macaques have demonstrated the vaccine’s efficacy in suppressing pneumococcal pneumonia in the target animal groups.

“This research has succeeded in developing a vaccine formulation that can potentially be used in humans, which will advance the development of this vaccine for clinical applications,” said Professor Fujimoto. “This next-generation vaccine technology is expected to contribute to the treatment of infectious diseases in the future.”

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