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Category: sex

From Single Cells to Targetable Immune Mechanisms in Congenital Heart Disease, Ischemic Heart Disease, and Abdominal Aortic Aneurysm

In the SURMOUNT-4 trial, 82.5% of adults with obesity regained ≥25% of initial weight lost within one year of tirzepatide withdrawal; most showed reversal of cardiometabolic improvements.

This post hoc analysis was performed on the modified intent-to-treat population, comprising all randomly assigned participants who were exposed to at least 1 dose of the study drug. The analysis only included tirzepatide-treated participants randomized to placebo who achieved 10% or more weight reduction at week 36 with the maximum tolerated dose of tirzepatide. The 10% cutoff was chosen to build an analysis population of clinically meaningful weight reduction. Most participants met this cutoff (308 of 335 participants). Only participants with a nonmissing week 36 weight measurement value and at least 1 nonmissing weight measurement value after week 36 were included in the analysis.

For the calculation of percentage of weight regain from week 36 to week 88 relative to week 36, missing weight measures at week 88 were imputed by predictions using observed data through a mixed model for repeated measures adjusted for week 0 value, week 36 value, country, sex, and maximum tolerated dose of tirzepatide at week 36. All outcomes were evaluated within each category of weight regain.

Baseline demographic and clinical characteristics (at week 0) and changes from week 0 to week 36 in clinical characteristics were assessed using descriptive summary statistics. Continuous variables were presented as means and SDs and categorical variables were presented as counts and percentages. P values for comparison among categories of weight regain from week 36 to week 88 were computed using analysis of variance in continuous data and χ2 test in categorical data.

How energy, immune and vascular changes linked to ME/CFS

The study compared whole blood samples from 61 people meeting clinical diagnostic criteria for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) with samples from healthy age-and sex-matched volunteers.

White blood cells from ME/CFS patients showed evidence of ‘energy stress’ in the form of higher levels of adenosine monophosphate (AMP) and adenosine diphosphate (ADP), indicating reduced generation of adenosine triphosphate (ATP), the key energy source within cells.

Profiling of immune cell populations revealed a trend toward less mature subsets of T-lymphocyte subsets, dendritic cells and natural killer cells in people with ME/CSF.

Comprehensive analysis of plasma proteins highlighted disruptions of vascular and immune homeostasis in patients with ME/CFS. Levels of proteins associated with activation of the endothelium – the innermost lining of blood vessels – and remodelling of vessel walls were higher, while levels of circulating immunoglobulin-related proteins were lower.

Although cellular energy dysfunction and altered immune profiles have been noted before in patients with ME/CFS, previous studies have often focused on a single analytical platform without looking at concurrence and interactions.

“ME/CFS is a complex disorder with undefined mechanisms, limited diagnostic tools and treatments,” said the senior author of the study. “Our findings provide further insights into the clinical and biological complexity of ME/CFS.”

Continue reading “How energy, immune and vascular changes linked to ME/CFS” | >

Prenatal caffeine exposure induces autism-like behaviors in offspring under a high-fat diet via the gut microbiota-IL-17A-brain axis

This recently published research is compelling. “Microbiota-IL-17A-brain axis… induced ASD” both in and out of the womb has been our focus in learning about injury. ‘’ https://www.sciencedirect.com/science/article/pii/S0147651323013015 Interesting to see differences related to sex given much higher ASD rates in males, though that ratio has changed over the years.

You may be able to guess what kinds of things can affect microbiota-IL-17A-brain axis in infants, leading to neutrophil activity and brain inflammation in context of gut dysbiosis, a microbial predisposition to adverse reaction and injury. No research is published on this dynamic. Zero. microbiomevaccinesafetyproject Note: this is also the pathway explaining fever reducing symptoms in autism, a double-edged sword. https://www.facebook.com/share/p/1C3ZjUoV8k/

Prenatal caffeine exposure (PCE) is a significant contributor to intrauterine growth retardation (IUGR) in offspring, which has been linked to an increased susceptibility to autism spectrum disorder (ASD) later in life. Additionally, a high-fat diet (HFD) has been shown to exacerbate ASD-like behaviors, but the underlying mechanisms remain unclear. In this study, we first noted in the rat model of IUGR induced by PCE that male PCE offspring exhibited typical ASD-like behaviors post-birth, in contrast to their female counterparts. The female PCE offspring demonstrated only reduced abilities in free exploration and spatial memory. Importantly, both male and female PCE offspring displayed ASD-like behaviors when exposed to HFD.

Women are better at recognizing illness in faces compared to men, study finds

Most people have either been told that they don’t look well when they were sick, or thought that someone else looked ill at some point in their lives. People often use nonverbal facial cues, such as drooping eyelids and pale lips, to detect illness in others, potentially to prevent infection in themselves. A new study, published in Evolution and Human Behavior, finds that women are more sensitive to these subtle cues than men.

In past studies, participants have been asked to rate signs of illness in the faces of others, but some of these studies used manipulated photos or people who had artificially induced sicknesses in the photos. In the new study, the team wanted to see whether naturally sick individuals would be rated as sick-looking, or as having an expression of “lassitude,” by other individuals and whether the recognition differed by sex.

To do this, the team recruited 280 undergraduate students, of which 140 were male and 140 were female, to rate 24 photos. The photos consisted of 12 different faces in times of sickness and health.

Association Between Choroid Plexus Morphological Alterations, Alzheimer Pathologies, and Cognitive ImpairmentA Longitudinal Study

Question What are the main predictors for high health care costs among patients with head and neck cancer?

Findings In this population-based cohort study, advanced cancer stage and receiving multiple treatment modalities were the strongest predictors of high health care costs. Female sex, older age, and lower socioeconomic status were associated with an increased likelihood for high health care costs, although with a weaker effect size.

Meaning Future research should focus on evaluating screening strategies and early diagnosis to assess their potential effects on cost reduction and improved outcomes for patients with head and neck cancer.

Psoriasis rates rise globally, with highest burden in wealthier regions

Researchers in China report that global incidence rates of psoriasis rose slightly from 1990 to 2021 and are projected to continue rising for both men and women through 2050.

Psoriasis is a chronic inflammatory skin disease that continues to impose a growing global burden. Understanding the rate of increase is critical for informing public health strategies, improving health care access, and supporting early diagnosis worldwide.

In the study, “Global Psoriasis Burden and Forecasts to 2050,” published as a Research Letter in JAMA Dermatology, researchers used a time-series forecasting analysis to project global psoriasis incidence through 2050 and to address age, sex, and regional differences in burden.

Cerebral Microvascular Perfusion Assessed in Elderly Adults by Spin-Echo Dynamic Susceptibility Contrast MRI at 7 Tesla

Perfusion measures of the total vasculature are commonly derived with gradient-echo (GE) dynamic susceptibility contrast (DSC) MR images, which are acquired during the early passes of a contrast agent. Alternatively, spin-echo (SE) DSC can be used to achieve specific sensitivity to the capillary signal. For an improved contrast-to-noise ratio, ultra-high-field MRI makes this technique more appealing to study cerebral microvascular physiology. Therefore, this study assessed the applicability of SE-DSC MRI at 7 T. Forty-one elderly adults underwent 7 T MRI using a multi-slice SE-EPI DSC sequence. The cerebral blood volume (CBV) and cerebral blood flow (CBF) were determined in the cortical grey matter (CGM) and white matter (WM) and compared to values from the literature. The relation of CBV and CBF with age and sex was investigated.

Sons of mothers with type 1 diabetes show early signs of vascular dysfunction

“Our work shows that vascular function is affected before metabolic dysfunction appears, which challenges current assumptions,” the last author of the study.

The study found that the dysfunction is driven by oxidative stress in endothelial cells, a potential early sign of future cardiovascular disease. The findings could help clinicians better assess risk and focus on preventive measures.

“We observed that early intervention can restore vascular function in affected animals, pointing to new opportunities for disease prevention later in life,” adds the first author.

A new study i reveals that sons born to mothers with type 1 diabetes may develop early vascular dysfunction – independently of metabolic health. The finding, published in Cell Reports Medicine, may help shape future strategies to prevent cardiovascular disease early in life.

Children of women with type 1 diabetes are known to be at increased risk of developing cardiovascular diseases. This new study is, according to the researchers, the first to show that the risk is linked to early dysfunction in blood vessel cells in sons, even before any metabolic issues arise.

Researchers used a combination of animal models, Swedish and Danish health registries, and a small clinical study to explore the link. Results show a sex-specific effect: only sons displayed early vascular changes.

Continue reading “Sons of mothers with type 1 diabetes show early signs of vascular dysfunction” | >

Schizophrenia-spectrum disorders may originate in specific brain regions that show early structural damage

Researchers at the University of Seville have identified the possible origins of structural damage in the brains of patients with schizophrenia spectrum disorders (SSDs). These are regions that show the greatest morphological alterations in the early stages of the disease compared to neurotypical people of the same sex and age. The study also found that people with SSD have significant reductions in structural similarity between different regions of the temporal, cingulate and insular lobes.

The research is published in the journal Nature Communications.

Children With Autism, ADHD, And Anorexia Share a Common Microbe Imbalance

The ratio of two dominant groups of microbes in the human gut was higher across all three disorder groups than was typically seen in the control group.

A new, small study suggests children with autism, ADHD, and anorexia share similarly disrupted gut microbiomes, which, by some measures, have more in common with each other than with their healthy, neurotypical peers.

Led by researchers from Comenius University in Slovakia, the study used stool samples to assess the gut microbiomes of 117 children.

The exploratory study included 30 boys with autism spectrum disorder (ASD), 21 girls with anorexia nervosa, and 14 children with attention deficit hyperactivity disorder (ADHD). The remaining samples were from age-and sex-matched healthy and neurotypical children, providing a control group.

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