Welcome to the latest edition of Public Health Updates, covering breakthroughs in the past two weeks. Brought to you by LucidQuest.
Scientists at the Institute of Cancer Research in London have developed a liquid biopsy that measures circulating tumor DNA, or ctDNA, in the blood to predict how advanced breast cancers respond to treatment. In a study of 167 patients, low or undetectable ctDNA at the start of therapy, or after one cycle of treatment lasting four weeks, was strongly linked to better outcomes. These included longer progression-free survival and higher response rates, particularly when ctDNA became undetectable. This test may allow doctors to switch patients early to alternative targeted drugs, combinations, or clinical trials if the initial regimen is unlikely to work.
Researchers at University College London have identified fat-derived molecules called epoxy-oxylipins as natural brakes on inflammation. In a human model, volunteers received the sEH inhibitor GSK2256294, which raised epoxy-oxylipin levels. This reduced intermediate monocytes in blood and inflamed tissue, accelerating pain resolution without affecting redness or swelling. One molecule, 12,13-EpOME, works through p38 MAPK inhibition, suggesting sEH inhibitors could be repurposed for conditions like rheumatoid arthritis and cardiovascular disease as add-on therapies.
Harvard University researchers analyzed over 30 years of data from 111,000 U.S. adults in the Nurses’ Health Study and Health Professionals Follow-Up Study. They tracked nine types of aerobic and resistance exercise, including walking, jogging, running, cycling, stair climbing, swimming, rowing, racquet sports, and resistance training. Participants with the highest variety of exercise had a 19 percent lower all-cause mortality risk compared to those with the least variety, even at equivalent total activity levels. Benefits plateaued beyond a few hours weekly per activity type, supporting guidelines that combine aerobic and resistance exercise for broader health gains.
A barnacle-inspired bacterial therapy shows promise for treating inflammatory bowel disease, including Crohn’s and ulcerative colitis. Researchers engineered nonpathogenic E. coli to deliver CP43K, a barnacle-derived adhesive protein, and TFF3, a gut-barrier-healing factor, at inflammation sites in mouse models. A single rectal or oral dose enabled seven to ten days of bacterial attachment to inflamed tissue. The therapy improved weight recovery, reduced colonic shortening, bleeding, and inflammation, and promoted mucosal repair, restoring barrier integrity.
A study in Communications Medicine shows that prenatal exposure to very low doses of bisphenol A, or BPA, can feminize male rats and masculinize female rats. These rats exhibited long-term metabolic and immune effects even at doses below current human exposure levels. Female rats showed gene activity typical of males, resembling a cancer-like metabolic state, while males displayed patterns linked to metabolic syndrome. BPA also disrupted immune balance and hormone activity, with effects in females similar to polycystic ovary syndrome. These findings support recent European Food Safety Authority regulation that cut BPA’s tolerable daily intake from 50 micrograms per kilogram to 0.2 nanograms per kilogram per day.
Researchers at the Technical University of Denmark identified a natural gut compound, 4-hydroxyphenyl lactate, produced by bifidobacteria in infants, that lowers allergy and asthma risk. A study of 147 children followed from birth to age five across Sweden, Germany, and Australia found that early colonization by these bacteria reduced immunoglobulin E levels, the antibody responsible for triggering allergic reactions. Vaginal birth, exclusive breastfeeding, and early social exposure increased acquisition of these bacteria. Lab tests confirmed that naturally occurring concentrations of 4-hydroxyphenyl lactate could lower IgE production by 60 percent without affecting other immune functions.
A ten-year study of 88,000 adults published in the journal Cancer found that heavy, lifelong alcohol consumption is strongly linked to colorectal cancer. Individuals consuming over 14 drinks per week had up to a 91 percent higher risk compared to light drinkers. Risk increased with the duration and intensity of drinking, particularly for rectal cancer, which nearly doubled in frequent heavy drinkers. Reducing or stopping alcohol lowered risk of precancerous adenomas. Experts stress that alcohol is a modifiable carcinogen and early screening, starting at age 45, is essential for prevention.
A study in Cell from UC San Diego reframes heart attacks as a brain-heart neuroimmune malfunction rather than solely a vascular blockage problem. Researchers identified a three-node neural circuit connecting the heart to the brain that worsens damage after artery blockage. The nodes include TRPV1 neurons in the vagus nerve of the heart, angiotensin II receptors in the hypothalamus, and the superior cervical ganglion, which releases inflammatory cytokines such as interleukin-1 beta. Blocking these nodes, or using anti-IL-1 beta antibodies such as canakinumab, improved outcomes in mice despite persistent obstruction. These findings suggest new neuroimmune-targeted strategies for cardiac treatment.
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