Editorial: The wrong time to ease restrictions – The Register-Guard

The New York Times

When reports emerged that a new, potentially more contagious version of the coronavirus was circulating in Britain, Gov. Andrew Cuomo of New York implored major airlines to require anyone entering the state from another country to first submit a negative coronavirus test. Scientists still had much to learn about the variant, but Cuomo was following a principle that has become scripture among public health experts: To defeat the coronavirus, you must act quickly. You cannot wait for certainty to arrive.

Today, we know much more about not only B.1.1.7, the so-called U.K. variant, but also several other variants that have since emerged. For instance, we know that B.1.1.7 is more contagious than its known siblings and that it is already in New York and other states. Experts warn that if not addressed carefully, B.1.1.7 could become the dominant version of the virus in the United States in a matter of months.

In light of this knowledge, Cuomos plan to reopen New York City restaurants for indoor dining Sunday, at 25% capacity and to soon relax other strictures, like those for weddings is baffling.

This is a precarious moment in the fight against the coronavirus in the United States. Case counts are declining. The death rate is slowing down. The country finally has a president who takes the crisis seriously. The vaccination rollout has been a bumbling mess, but the situation is improving, and it will get better still: The Federal Emergency Management Agency has been activated to help administer shots, the Food and Drug Administration could authorize a third vaccine for emergency use by the end of this month, and President Joe Biden is partnering with clinics in underserved communities to correct for early vaccination inequities.

In the meantime, officials at the Centers for Disease Control and Prevention are pleading with the American public to strengthen its resolve on measures to reduce viral spread, like physical distancing, mask wearing and avoidance of settings where the virus is likely to spread most easily think a restaurants dining room or a large, indoor wedding. The CDC is also asking state leaders not to let up on closings and restrictions just yet.

Too many leaders not just Cuomo are ignoring that call. Massachusetts and New Jersey are allowing businesses, including restaurants, to expand capacity for indoor services, and Iowa just lifted its mask mandate. The impulse behind these moves is understandable. Restaurants and the people who earn their living through them are in dire straits because they have not received sufficient government assistance. State and local economies are hanging by a thread, and everyone is exhausted by restrictions and desperate to return to some semblance of normal life.

But the number of people who get sick or die from COVID-19 in the coming year will depend on the outcome of a desperate race thats underway, between human vaccination and viral mutation. State leaders should consider the dynamics of that race before they change course. Mutation is a function of viral reproduction, which is a function of viral spread. That is, the more the virus is allowed to pass from one person to the next, the more it is able to mutate. And the more it mutates, the greater the chances that it will evolve into something that is even more transmissible, or even less susceptible to existing vaccines, or even deadlier than the virus already is.

By relaxing restrictions now, state and local leaders are undermining their own vaccination efforts. To get a sense of what this looks like to scientists and public health experts, imagine a military general leading the fight against a foreign enemy and then selling that enemy deadly weapons on the side.

Its not just their own efforts they are undermining. They are also thwarting their citizens who have been making collective sacrifices all along. Average people have spent the better part of the past year waiting for leaders to take charge. America finally has those leaders in place at the national level, but the nation needs better and more consistent leadership on this issue at the state level.

The decisions those leaders make in the coming weeks will determine whether America will finally crush this pandemic, or whether the pandemic will be allowed to crush America all over again.

The New York Times Editorial Board

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Editorial: The wrong time to ease restrictions - The Register-Guard

Birds use massive magnetic maps to migrate and some could cover the whole world – Down To Earth Magazine

A gathering body of evidence has indicated that the Earths magnetic field is one of the likeliest solutions toadult birds develop a navigational map thats helps them migrate

Every year, billions of songbirds migrate thousands of miles between Europe and Africa and then repeat that same journey again, year after year, to nest in exactly the same place that they chose on their first great journey.

The remarkable navigational precision displayed by these tiny birds as they travel alone over stormy seas, across vast deserts, and through extremes in weather and temperature has been one of the enduring mysteries of behavioural biology.

We know that birds buffeted by winds so much that theyre significantly displaced from their migratory route are able to realign their course if theyve already performed one migration.

This has suggested that birds navigational abilities, some of which is built around a sense of compass direction, includes a mechanism for finding their way back home from parts of the world theyve never before visited.

Now, our new study of Eurasian reed warblers has found that this remarkable ability involves a magnetic map that works like our human system of coordinates.

Surprisingly, our study found that these birds understand the magnetic field of places thousands of miles into territory theyve never before visited suggesting some birds could possess a global GPS system that can tell them how to get home from anywhere on Earth.

Mind maps

Its long been known that adult birds develop some sort of navigational map to help them migrate. How they do this has remained controversial. Several cues have been proposed as guides for migratory birds including odours, infra-sound, and even variations in gravity.

However, a gathering body of evidence has indicated that the Earths magnetic field is one of the likeliest solutions to this mystery. It has been suggested that different parameters of the Earths magnetic field could form a grid, which birds follow, of north-south and east-west lines.

Thats because magnetic intensity (the strength of the magnetic field) and magnetic inclination (the angle formed between the magnetic field lines and the surface of the Earth, also called the dip angle) both run approximately north to south.

Magnetic declination the difference between the direction to the magnetic north pole and the geographical north pole provides the east-west axis.

Despite largely agreeing that certain birds navigate via the Earths magnetic field, scientists havent worked out precisely what sensory apparatus they use to detect it or whether multiple systems are used to detect different parameters of the field. Other animals, like turtles, can also sense the magnetic field, but the same uncertainties apply.

Read more: Migrating birds use a magnetic map to travel long distances

Regardless, if birds have learned that magnetic intensity increases as they go north, they should be able to detect their position on the north-south axis wherever they happen to be. Similarly, if they experience a declination value that is greater than anything theyve previously experienced, they should know theyre further east. On this basis, the theory is that they can calculate their position on the grid and correct their orientation.

This would mean that birds essentially navigate using a system similar to our Cartesian coordinates the basis of modern GPS navigation. If this coordinates theory is accurate, it would mean that birds should be able to use their knowledge of magnetic field parameters to estimate their location anywhere on Earth through the extrapolation or extension of their navigational rules.

To date, however, there has been no clear evidence that birds can use the magnetic field in this way. But our new study on the migratory Eurasian reed warbler or the Acrocephalus scirpaceus is the first to show clear evidence that they can in fact do this.

Untrue north

To prove the coordinates theory, we used a technique called virtual displacement. We tested birds orientation behaviour by placing them in a small cage called an Emlen funnel. When a bird tries to fly from the cage, it leaves scratches in the direction its trying to fly towards.

Remarkably, we found that this corresponded to the direction that it would be trying to migrate in the wild, which we know from previous experiments. To test whether birds plot their course from takeoff using magnetic fields, we put the Emlen funnels inside a Helmholtz coil a device that allows us to change the nature of the magnetic field in the immediate vicinity of the bird.

In doing so, we created a virtual displacement. The bird does not move: It is tested at the site where it is captured, with all other variables remaining the same apart from the magnetic field, which we changed to match a location far to the north east of their normal range. We chose the location so that it would be far beyond any magnetic field the warblers would have previously experienced.

Only if the birds were able to map their location based on the magnetic field around them would they recognise their displacement and indeed they did, shifting their takeoff to fly in the wrong direction in the real world, but the right direction in the magnetic world wed created around their Emlen funnels.

Winging it

While this cue may be relevant for reed warblers and other migratory songbirds, it is by no means the only navigation system used by birds. Other birds, including seabirds and homing pigeons, have been shown to require olfactory cues (scents and smells) to navigate. At this stage, we dont understand the reason behind these different preferences.

And, while we are closer to understanding the mystery of how birds navigate using magnetic cues, it still remains something of a mystery as to how they sense the magnetic field. Its been suggested that birds sense magnetic values through a light-sensitive molecule called cryptochrome, or through sensory cells containing magnetic iron oxide particles, but definitive evidence for either of these has not yet been provided.

However, behavioural evidence continues to underscore how the Earths magnetic field is crucial in helping some birds make their epic journeys to breed each year, providing a global positioning system that might just provide birds with a complete navigational map of the world.

Richard Holland, Professor in Animal Behaviour, School of Natural Sciences, Bangor University and Dmitry Kishkinev, Lecturer in Animal Behaviour and Behavioural Neuroscience, Keele University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Birds use massive magnetic maps to migrate and some could cover the whole world - Down To Earth Magazine

Ponce Therapeutics Inc. Commences First R & D Program in Anti-Aging Products for Skin – PRNewswire

MIAMI, Feb. 8, 2021 /PRNewswire/ -- Ponce Therapeutics, Inc. ("Ponce"), a company leveraging the growing scientific knowledge surrounding the aging process to develop anti-aging technologies, has now become operational with the launching of its first R & D program, targeting aging-associated skin disorders. The Company has secured laboratory space in Houston, TX, and has hired its first scientists for executing their R & D plan targeting the elimination of p16-expressing cells in the skin. The cell proliferation inhibitor, p16, is highly expressed in both senescent cells and in in situ carcinoma (Bowen's Disease), which will be the focus of Ponce's efforts for first product approval.

Rapha Capital Management, LLC (https://www.raphacap.com), an investment management firm located in Miami, Florida, through Rapha Capital Investment XIII, LLC ("RCI XIII") (an entity managed by Rapha Capital), led Ponce's recently closed Convertible Note financing. The $1,500,000 financing will be used to transition Ponce into an operational company and begin execution of Ponce's R & D plan. With the close of the Convertible Note financing, Kevin Slawin, founder and President of Rapha Capital Management, added the title of Executive Chairman, to his CEO role at Ponce.

Rapha Capital is an investment management firm focused on making strategic investments in early stage, non-public biotechnology companies, through special purpose joint venture entities which it manages. Rapha Capital was founded by its President, Kevin Slawin, M.D., a successful and experienced oncologic and robotic surgeon. After leaving practice, Dr. Slawin has been serving as a biotech consultant, investor, and founder, focusing on disruptive technologies in oncology, T cells and immunotherapy, and other breakthrough healthcare technologies. He is the founder of Bellicum Pharmaceuticals, Inc.("Bellicum"), a publicly traded company listed on NASDAQ, leading Bellicum to a successful $161 million IPO in December, 2014. He also plays a guiding role in several of the investments managed by Rapha Capital in certain companies, serving as a board member at 3DBio Therapeutics, Inc. (https://3dbiocorp.com/), FIZE Medical, Inc. (www.fizemedical.com), and Demeetra AgBio, Inc. (www.demeetra.com).

Kevin Slawin, MD is the founder of Ponce, and will serve as the Chairman and CEO. David Spencer, PhD. is the founding Chief Technology Officer. Ponce Therapeutics, Inc. reunites the team that founded Bellicum Pharmaceuticals and took it public in 2014 with a $55 million crossover Series C and a $161 million IPO. The team is retooling their original cell control technology with state-of-the-art advances towards their new goal of creating anti-aging products with a solid underlying scientific basis that actually work.

"The science of aging has continued to mature and can now provide a scientific basis for technologies to reverse the aging process in humans. Proof of concept data in animal models demonstrates that removal of senescent cells from organs improves their function and imbues them with a more youthful profile. Targeting p16-expressing cells for apoptotic elimination is one approach to removing senescent cells from the body and is also a valid approach to targeting Bowen's disease of the skin, which also expresses high levels of p16, profile," said Dr. Slawin. "I'm excited to begin work in the anti-aging space, which I believe will quickly rival oncology in both value and interest" he added. "Given our greater than two-decade animal model and clinical experience with regulated cell signaling and cell survival, along with recent advances in non-viral gene delivery platforms, we are now poised to leverage an increasingly detailed, mechanistic understanding of aging to arrest or even reverse it," added Dr. Spencer.

About Rapha Capital Management, LLC Rapha Capital Management, LLC is an investment management firm located in Miami, Florida, focusing on strategic investments in early stage, non-public biotechnology companies. Rapha Capital was founded by its President, Kevin Slawin, MD, a successful and experienced oncologic and robotic surgeon, biotech consultant, investor, and founder focusing on technologies in oncology, T cells and immunotherapy, as well as other breakthrough healthcare technologies. He is the founder of Bellicum Pharmaceuticals, Inc. (NASDAQ: BLCM). He is co-Inventor of the FDA,-approved "prostate health index (phi)" test licensed and marketed by Beckman Coulter and utilized around the world. He has published extensively in top medical and scientific journals including theJournal of the American Medical Association (JAMA), Journal of the National Cancer Institute (JNCI), and the New England Journal of Medicine (NEJM). He has also been routinely listed in America's Top Doctors for Cancer (Castle Connolly Medical) and The Best Doctors in America (Woodward/White). In 2003, he was awarded the F. Brantley Scott, Jr., Award for Innovation and Creativity in Urology.

About Ponce Therapeutics, Inc.Ponce Therapeutics "Anti-aging Technologies Based on Real Science and Developed by Real Scientists" - Ponce Therapeutics is leveraging the growing scientific knowledge surrounding the process of aging to develop its first state-of-the-art biotechnology platform to restore the youthful balance of aged or "senescent" and young cells in the skin, targeting the p16-expressing senescent cells for elimination. This provides a "reboot" of one's genetic program to turn the clock on one's skin back to its youthful exuberance. Targeting p16 will also potentially allow targeting of Bowen's disease as the regulatory pathway for approval. While initially focused on skin, Ponce is planning to develop a wide-ranging portfolio of anti-aging products based on the best science in the nascent anti-aging field. Ponceis headquartered in Miami, Florida with research facilities located in Houston, TX. For more information, visitwww.poncethera.comor email [emailprotected].

For more information about Ponce Therapeutics, Inc., email [emailprotected] or visit https://www.poncethera.com

For more information about Rapha Capital Management, email [emailprotected]or visit https://www.raphacap.com

SOURCE Rapha Capital Management, LLC and Ponce Therapeutics, Inc.

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Ponce Therapeutics Inc. Commences First R & D Program in Anti-Aging Products for Skin - PRNewswire

Global Medical Aesthetics Market Insights, Size Estimation, Research Insights, COVID-19 Impact and Future Trends By 2028 KSU | The Sentinel Newspaper…

Global Medical Aesthetics Market Report Provides Future Development Possibilities By Key Players, Key Drivers, Competitive Analysis, Scope, And Key Challenges Analysis. The Reports Conjointly Elaborate The Expansion Rate Of The Industry Supported The Highest CAGR And Global Analysis. This Report Providing An In Depth And Top To Bottom Analysis By Market Size, Growth Forecast By Applications, Sales, Size, Types And Competitors For The Creating Segment And The Developing Section Among The Global Medical Aesthetics Market. Market Expansion Worldwide With Top Players Future Business Scope and Investment Analysis Report

Global Medical Aesthetics Market Research Report Will Help To Take Informed Decisions, Understand Opportunities, Plan Effective Business Strategies, Plan New Projects, Analyze Drivers And Restraints And Give Vision On The Forecast. Report Is A Specialist And Broad Research Report On The Major Regional Market Conditions, Concentrating On The United States, China, Europe, Japan, Southeast Asia, And India Regions.

Global Medical Aesthetics Market By Product type (Aesthetic Lasers, Energy Devices, Body Contouring Devices, Facial Aesthetic Devices, Aesthetic Implants, Skin Aesthetic Devices), Application (Anti-Aging and Wrinkles, Facial and Skin Rejuvenation, Breast Enhancement, Body Shaping and Cellulite, Tattoo Removal, Vascular Lesions, Psoriasis and Vitiligo, Others), End User (Cosmetic Centres, Dermatology Clinics, Hospitals, Medical Spas and Beauty Centres), Distribution Channel (Direct Tender, Retail), Geography (North America, South America, Europe, Asia-Pacific, Middle East and Africa) Industry Trends and Forecast to 2026

Global medical aesthetics market is projected to register a healthy CAGR of 12.1% in the forecast period of 2019 to 2026.

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Competitive Analysis: Global Medical Aesthetics Market

Some of the major players operating in the global medical aesthetics market are Allergan, Bausch Health Companies Inc., Lumenis, Shanghai Fosun Pharmaceutical Group Co. Ltd., Cynosure, Syneron Medical Ltd, Aerolase Corp., A.R.C. Laser Gmbh, Asclepion Laser Technologies Gmbh, Btl, Cutera, Eclipse, Lutronic, Mentor Worldwide Llc, Merz Pharma, Quanta System, Sciton Inc., Sharplight Technologies Inc, Syneron Medical Ltd., Venus Concept.

Aesthetics devices are an innovative advancement, providing a solution to patients which deal with the ingenuity of creating beauty. The medical aesthetics devices is a growing market owing to its benefits such as maintaining the youthful appearance, pain free and non-invasive beauty treatments, maintenance free skin that remains smooth and hairless without the need for shaving, waxing or unpleasant hair treatments, improving the cosmetic appearance, and technological advancement in medical aesthetics devices.

The market is showing a substantial growth in the emerging countries as these countries are adapting to the trends of urbanization. Brazil, South Africa, Thailand and many others have improved in the past one decade. People are opting different aesthetics surgeries to maintain themselves, which give them better results without any stressful physical efforts. Medical Aesthetics is one of the most trending concepts of the 21stCentury which will show a substantial increase in the future as there is a great technological advancement and innovation in the field by the companies dealing with these devices making them safer and even less invasive leading to more population opting for these procedures.

Segmentation: Global Medical Aesthetics Market

Global medical aesthetics market is segmented into 4 notable segments such as product type, type of care, accessories and end user

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Allergan

The company was founded in 2013 and headquartered at Dublin, Ireland. The company is focused on developing, manufacturing and commercializing branded device, biologic, pharmaceutical, surgical and regenerative medicine products for patients throughout the world. The main business segments are US Specialized Therapeutics, US General Medicine, International. The revenue of the company in healthcare sector 2018 was USD 16,550.8 Million. The company has global presence in North America, Asia Pacific, South America, Europe and Middle East & Africa.

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Bausch Health Companies Inc.

The company was founded in 1959 and headquartered at Quebec, Canada. The company is engaged in manufacturing and marketing a broad range of branded and generic pharmaceuticals, over-the-counter (OTC) products and medical devices. The main business segments are Bausch + Lomb/International, Branded Rx, U.S. Diversified Products. The revenue of the company in healthcare sector 2018 was USD 8,174.8 Million. The company has global presence in North America, Europe, the Middle East, Africa, Asia Pacific and Latin America.

Luimenis

The company was founded in 1991; headquarter in Yokeneam, Israel. The company is engaged in the field of minimally-invasive clinical solutions for the Surgical, Ophthalmology and Aesthetic markets, and expert in developing and commercializing innovative energy-based technologies, including Laser, Intense Pulsed Light (IPL) and Radio-Frequency (RF). The company has global presence in North America, South America, Europe, Asia, Africa and Australia.

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Global Medical Aesthetics Market Insights, Size Estimation, Research Insights, COVID-19 Impact and Future Trends By 2028 KSU | The Sentinel Newspaper...

Writing is the best medicine – The London Economic

In addition to carving out a distinguished medical career, Dr Cliff Bacchus has built a reputation as a novelist unafraid to tackle challenging social issues, most recently the practice of intermarriage between cousins.

By the time they reach their sixties, most people would be looking forward to retiring and taking things easier. For medical doctor Dr Cliff Bacchus, however, it marked the launch of a second career as a novelist.

Now aged 78, Dr Bacchus has published three critically-acclaimed novels within the last 15 years, with the latest gripping psychological thriller Curses of Cousins just released.

For the Bahamas-based author, who also runs two busy pain management clinics in the country, writing is a much-needed creative escape from the pressures of the day job.

Since 1974, he has served the medical needs of the Bahamian island that has been his adopted home since he left his native Guyana to study medicine in what was then Communist Russia.

During all that time, he has consulted the rich, the famous, and the less fortunate with equal attention, and care for all, initially as a senior medial officer working for the government before going into private practice in the early 2000s.

His standing as a physician also led him to be cast as a doctor in 2007 Bahamas-set Hollywood film Bad Girl Island after he conducted the medical examinations for the director, Stewart Raffill, and crew.

Perhaps somewhat unsurprisingly, Dr Bacchus draws heavily upon his training and experiences for his novels also including his literary debut, 2007s A Doctor and a Gentleman and 2011s Do No Harm in the sense that they are all fundamentally driven forward by a thought-provoking consideration of contemporary medical issues or ethics.

In the case of Curses of Cousins, the narrative is wrapped around an exploration of intermarriage between cousins.

It is a practice that goes on not only in certain communities within the Bahamas but around the world, including the UK. While perfectly legal, it is a semi-taboo subject within society, hardly spoken of.

The problem is that this practice also carries with it a serious risk of genetic defects in any resulting offspring. Indeed, it is believed that two children born from such unions die in the UK from resultant genetic abnormalities every single week.

In the novel, the protagonist, teacher Brooklyn Watts, sets out to find out why her family, and many other families on the fictional Bahamian island of Sigatoo, suffer chronic, incurable illnesses.

In her case, it is alopecia and multiple sclerosis (MS), and, as she quickly comes to learn, her and others ill-health, previously attributed to a curse, is in fact a direct result of the traditional island practice of cousin marriage.

Despite the pain she suffers daily from her debilitating condition, she sets out on a quest to educate the population about the risks that such marriages carry to the next generation.

For Dr Bacchus, who was named Physician of the Year by the Government of the Bahamas in 2000, it is a vitally-important health issue to address.

I got the idea for Curses of Cousins as I have had several patients with genetic-based conditions that resulted from intermarriage between cousins, he says.

Im not calling for the practice to be banned outright, but there needs to be an open acknowledgment that children of such marriages run a significant risk of inheriting genetic defects that could impact their quality of life.

With this awareness then, at least, those who still wish to enter into such relationships can understand the importance of carrying out genetic counselling and blood tests to ensure a healthy progeny.

The novel is also notable for another battle that Brooklyn must face while trying to confront ignorance, superstition, and traditionalism within her society: a war between the literal forces of good and evil for control of her mind.

I always include a metaphysical aspect to my novels, explains Dr Bacchus who, in additional to a medical degree and membership of the American Association of Family Physicians and the American Association of Anti-Aging Medicine, holds a degree in metaphysical science and is the Worshipful Master of his islands Masonic lodge.

I do believe that beyond the physical we are all attuned to a higher, cosmic consciousness.

In Curses of Cousins this war between the personifications of good and evil adds a deeper level to the readers understanding of Brooklyn, and also another perspective on the obstacles she must overcome from certain parts of society in bringing about positive change.

As well as praising his latest novel for its originality and daring to broach the pressing issue of cousin marriage, reviewers have also highlighted Dr Bacchuss realistic depiction of a female lead a rare achievement for a male author.

This, however, is something that he attributes as much to his environment as his writing skills.

He says: All my life Ive been in the company of women. My children were all girls and in all my years of practice I have worked alongside female nurses.

Its given me a better understanding of the female mind than most men, I think, and it is wonderful that readers and reviewers concur.

Brooklyn was a fascinating character to create, being independently-minded, courageous and determined to protect future generations so that they wouldnt suffer in the same way that she does.

Some readers have called her inspirational, and that makes the whole writing process more than worthwhile.

I always intended to highlight the issue of intermarriage through fiction because it stands a much better chance of reaching the widest audience, compared to a dusty old academic paper that will never be read by anyone save other doctors.

But a novel stands or falls on whether the central character engages with readers, so it looks like all those years in almost exclusively female company has paid off.

As to the future, Dr Bacchus is already working on his next novel, which will be focused on another global issue world poverty.

Writing keeps my young, he adds. Its far more relaxing the medicine while also providing the opportunity to communicate with the world.

Curses of Cousins by Cliff Bacchus is out now on Amazon , priced 9.07 in paperback and 3.02 as an eBook.

EXCLUSIVE INTERVIEW WITH DR CLIFF BACCHUS

Dr Cliff Bacchus discusses his new novel, psychological thriller Curses of Cousins, and what motivates him as an author.

Q. What was your motivation for becoming an author?

A. To expand my outreach to people around the world.

Q. Your latest novel deals with a very grave subject: the risk of genetic abnormalities from intermarriage. Why did you feel it better to cover this subject through fiction than nonfiction?

A. Through fiction, I can reach more people, and generate more interest through theme, plot structure, unique characterisation, and suspense.

Q. What do you hope readers get from reading your new novel, Curses of Cousins?

A. I want them to grasp the theme: that cousins marrying cousins may not be the best for the children you give birth to. However, this is not a concrete rule. There are many who intermarry because of custom and religion, but it is time to reflect on the subject. If it works for you, fine! It is my point of view, based on experience as a medical doctor for nearly five decades.

Q. How did you get the idea for your latest novel?

A. From my medical experience over many decades.

Q. Describe a typical day in your life

A. I rise early, write for two hours until clinic time, 8 am to 11 am. Then its clinic again from 3 pm to 5 pm, followed by a walk and watching BBC news, CNN and talk shows, or a spot of painting on canvas. Bedtime is by 12 midnight.

Who are your literary inspirations, and why?

A. Shakespeare, Jane Austin, and Sidney Sheldon. Inspirational!

Q. All your novels include a metaphysical element. Can you explain why you feel it important to weave this into your stories?

A. Metaphysics deals with abstract concepts such as being, knowing, identity, time, and space. My novels are just about that. My novels must have meaning!

Q. If you could offer one piece of advice to somebody wanting to become an author, what would it be?

A. Be prepare to work hard and love it. Be prepared to accept the lonely life and love it. Be prepared to do research and love it.

Q. What satisfaction does writing bring you?

A. Knowing that I can communicate the truth and hope for the acceptance of it.

What can readers expect next from you?

A. Another work of fiction as I hone the craft for better and better.

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Writing is the best medicine - The London Economic

The Role of Hormones in Immunocompetence – Anti Aging News

The growing importance of hormonal health is becoming an integral component of modern medicine especially as the focus shifts toward maintaining and boosting immunocompetence in the population. Many plausible benefits of hormonal factors on autoimmunity have received growing attention in recent years from the scientific community. Research has been conducted investigating the relationship between immune system function and sex hormones testosterone and estrogen.

Importantly, the immune systems of men and women are known to function differently with 80% of autoimmune diseases occurring in women who tend to show stronger immune responses than their male counterparts. Stronger immune responses in women produce faster pathogen clearance and improved vaccine responsiveness while also contributing to their increased susceptibility to inflammatory and autoimmune diseases.

Results from previous experimental studies have revealed that testosterone can have a medium-sized immunosuppressive effect on immune function, however, the impact of estrogen can vary depending on the immune marker measured. Such differences in immune function and responses have contributed to health- and life-span disparities between sexes yet the role of hormones in immune system aging remains to be understood.

Immune Differences and Dimorphism

The differences in immunocompetency between male and female patients are associated with varying testosterone and estrogen levels major regulators of the immune system. Differences in gene expression between the sexes contribute to the concept of immune dimorphism though they are limited to one or a few types of immune cells. Furthermore, genomic differences between sexes have been found to become more prominent after the age of 65 with men having a higher innate and pro-inflammatory activity along with lower adaptive activity.

Female and males have different energy and nutrient requirements largely based on interactions between external factors and sex hormones; interactions between hormones and a patients environment, including cigarette smoke and viral infections, can lead to variable responses in both genders. While enhanced immunity has been reported in female patients, making them less susceptible to viral infections, their hyper immune response can predispose them to immune-pathogenic effects. In addition, sex hormones can control the immune response via circadian rhythms and their ability to regulate T-cell mediated inflammation.

Microbial Composition

Emerging evidence also indicates that sex hormones can impact the guts microbial composition and thus, impact immunocompetency. Studies have shown that diet-based effects on the microbiome are more prominent in men than in women implicating that dietary interventions may have an influence on sex-based immune responses.

The gut microbiota landscape can impact the systemic levels of testosterone, changing metabolic profiles which may heighten the risk for chronic disease including diabetes. However, current knowledge of the mechanism by which microbiome-derived sex steroids impact immunity remains limited.

Previous research has shown that hormonal contraceptives can increase bacterial species, highlighting sex-hormone-dependent differences and their effects on systemic immune responses. However, the gut microbial composition can be influenced by a variety of factors outside of hormonal levels, such as genetics and dietary habits.

The mechanism underlying sex hormone expression and immunocompetency continues to be investigated; this may result in the improvement of future designs for targeted therapeutics that mitigate sex hormone-inflammatory activity or autoimmune diseases. Clinicians interested in expanding their knowledge on the role of hormones in immune function and longevity are invited to attend the cutting-edge, interactive online Role of Hormones in Immunocompetency and Longevity workshop taking place on February 20, 2021.

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The Role of Hormones in Immunocompetence - Anti Aging News

Blink! The Link between Aerobic Fitness and Cognition – Anti Aging News

Researchers from the University of Tsukuba find that spontaneous eye blink activity explains the link between physical activity and cognitive function

Although exercise is known to enhance cognitive function and improve mental health, the neurological mechanisms of this link are unknown. Now, researchers from Japan have found evidence of the missing link between aerobic fitness and cognitive function.

In a study published in Medicine & Science in Sports & Exercise, researchers from the University of Tsukuba revealed that spontaneous eye blink rate (sEBR), which reflects activity of the dopamine system, could be used to understand the connection between cognitive function and aerobic fitness.

The dopaminergic system is known to be involved in physical activity and exercise, and previous researchers have proposed that exercise-induced changes in cognitive function might be mediated by activity in the dopaminergic system. However, a marker of activity in this system was needed to test this hypothesis, something the researchers at the University of Tsukuba aimed to address.

"The dopaminergic system is associated with both executive function and motivated behavior, including physical activity," says first author of the study Ryuta Kuwamizu. "We used sEBR as a non-invasive measure of dopaminergic system function to test whether it could be the missing link between aerobic fitness and cognitive function."

To do this, the researchers asked healthy participants to undergo a measure of sEBR, a test of cognitive function, and an aerobic fitness test. They also measured brain activity during the cognitive task using functional near-infrared spectroscopy.

"As expected, we found significant correlations between aerobic fitness, cognitive function, and sEBR," explains Professor Hideaki Soya, senior author. "When we examined these relationships further, we found that the connection between higher aerobic fitness and enhanced cognitive function was mediated in part by dopaminergic regulation."

Furthermore, activity in the left dorsolateral prefrontal cortex (l-DLPFC) during the cognitive task was the same or lower in participants with higher sEBR compared with lower sEBR, even though those with higher sEBR appeared to have greater executive function, and thus higher neural efficiency.

"Although previous studies have indicated that aerobic fitness and cognitive function are correlated, this is the first to provide a neuromodulatory basis for this connection in humans. Our data indicate that dopamine has an essential role in linking aerobic fitness and cognition," says first author Kuwamizu.

Given that neural efficiency in the l-DLPFC is a known characteristic of the dopaminergic system that has been observed in individuals with higher fitness and executive function, it is possible that neural efficiency in this region partially mediates the association between aerobic fitness and executive function. Furthermore, physical inactivity may be related to dopaminergic dysfunction. This information provides new directions for research regarding how fitness affects the brain, which may lead to improved exercise regimens. For instance, exercise that specifically focuses on improving dopaminergic function may particularly boost motivation, mood, and mental function.

We revealed that spontaneous eye blink rate significantly mediated the association between higher aerobic fitness and greater cognitive function. indicates standardized regression coefficient, which represents the degree of association between variables.

More:
Blink! The Link between Aerobic Fitness and Cognition - Anti Aging News

Dean LaVeist, Black health experts call for Black Americans to get vaccinated against COVID-19 – News from Tulane

Thomas LaVeist, dean of Tulane University School of Public Health and Tropical Medicine, penned a recent New York Times op/ed signed by 59 other Black health experts calling for Black Americans to get vaccinated against COVID-19. Photo by Paula Burch-Celentano.

Black Americans are 1.5 times more likely to die from COVID-19, yet communities of color are falling behind in the nations vaccine rollout asmany Black Americans are hesitant to take new vaccines against the disease.

Thomas LaVeist, dean of Tulane University School of Public Health and Tropical Medicine, authoredaNew York Timesop/edsigned by 59 other Black health experts from the National Academy of Medicine urging Black Americans to get vaccinated.

Disinformation about the coronavirus and vaccines has pervaded social media, feeding on long-held and absolutely warranted distrust of health institutions in Black communities. The lies are an assault on our people, and it threatens to destroy us, LaVeist wrote in the op/ed. We believe this moment requires leaders to stand up and lead: to help save our people and nation, to protect Black Americans and all Americans, and to break the stranglehold Covid-19 has had on our country.

LaVeist, who holds the Weatherhead Presidential Chair in Health Equity at Tulane, is a leading expert on the topic of health disparities and the social determinants of health, including areas such as U.S. health and social policy, the role of race in health research, social factors contributing to mortality, longevity and life expectancy, and the utilization of health services in the United States.

LaVeists considerable experience in health disparities has been instrumental in the advent of COVID-19, which has been shown to impact minority communities much more severely. He has been a fervent voice in national media calling attention to this issue and was named as a co-chair of the Louisiana COVID-19 Health Equity Task Force by Louisiana Gov. John Bel Edwards.

Through the task force and through his own social marketing campaign calledThe Skin Youre In: Coronavirus and Black America, LaVeist is working to dispel myths and raise awareness in the Black community about protecting against COVID-19. He is also seeking a new normal that will create lasting change to significantly reduce health disparities in the state and the region.

Read more:
Dean LaVeist, Black health experts call for Black Americans to get vaccinated against COVID-19 - News from Tulane

Ugly Everyday Habits Proven to Take Years Off Your Life, Says Science – Eat This, Not That

Did you know that avoiding certain dental hygiene habits can affect your longevity? Or that the overconsumption of sodium, specifically, can have lethal consequences in the long run? Or that energy bars are name-checked by major studies as playing a role in your lifespan, as well? For thoseand other unhealthy everyday habits linked to a shorter liferead on. And for more ways to be healthier starting right now, make sure you're aware of the Popular Drinks Proven to Cause Lasting Damage to Your Body, According to Science.

According to a massive study of 45,000 adults over the age of 50, which was published last year in the journal JAMA Internal Medicine, people who consumed a third of their total calories from processed foodswhich include foodstuffs such as chicken nuggets, breakfast cereals, instant noodles and soups, energy bars and drinks, packaged snacks, and "any foods made using industrial processing"had a 14% higher chance of early death.

RELATED: Sign up for our newsletter for the top healthy eating tipsdelivered straight to your inbox.

A study published in the Journal of the American Medical Association found roughly 45% of all mortalities caused by heart disease, type-2 diabetes, and stroke were attributed to people either over-consuming or under-consuming ten specific foods and nutrients: "fruits, vegetables, nuts/seeds, whole grains, unprocessed red meats, processed meats, sugar-sweetened beverages, polyunsaturated fats, seafood omega-3 fats, and sodium." In the case of the latter, the scientists noted that over-eating salty foods was the single worst offender overall, and was associated with nearly 10 percent of all of the diet-related deaths from the aforementioned conditions. For some surefire ways to cut down on salty foods, make sure to avoid the 100 Worst Foods on the Planet.

According to research published in the journalActa Psychiatra Scandinavica, if you're drinking so much that you've been hospitalized for alcohol use disorder, you could be cutting your life shortby as much as 28 years. The leading health experts at the Mayo Clinic say symptoms of alcohol use disorder include strong cravings, high anxiety, sweating, trembling, nausea, giving up things you love to drink, and developing a high tolerance.

Another study, published in the journal The Lancet, regularly consuming alcohol was linked to a greater risk of heart failure, stroke, aneurysms, and deathregardless of the gender of the person drinking. According to their calculations: Adults who drink seven to 14 drinks per week may be shortening their lives by six months, adults who drink 14 to 15 drinks per week may be shortening their lives by one to two years, and heavier drinkers who consume in excess of 25 drinks every week may be shortening their lifespans by four to five years.

According to the health experts at the Mayo Clinic, poor oral health is linked to endocarditis (an infection of"the inner lining of your heart chambers or valves, which typically occurs when bacteria or other germs from another part of your body, such as your mouth spread through your bloodstream"), cardiovascular disease, and pneumoniaand one of the best ways to protect your oral health, and by default your body health, is to floss daily.

Elsewhere, studies have linked your dental hygiene with your longevity. A study of 57,000 older women published in the Journal of the American Heart Association, for instance, found that those who suffer from gum disease and tooth loss are at greater risk of early death. As Satjit Bhusri, MD, a cardiologist at Lenox Hill Hospital in New York, explained to CNN, the study "suggests [that] gum disease and tooth loss is a marker for overall lack of health and, as a result, death."

A study published in JAMA Network Open revealed something truly alarming for people who are leading overly sedentary lifestyles: Your risk of early death from not exercising at all is even more profound than if you suffer from heart disease and diabetesor if you smoke. If you're feeling inspired to exerciseand you don't have a lot of time on your handsknow that This Super-Quick Workout Is Scientifically Proven to Work, Says Mayo Clinic.

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Ugly Everyday Habits Proven to Take Years Off Your Life, Says Science - Eat This, Not That

I’m A Nutritionist & This Is What I Really Think About The New Dietary Guidelines – mindbodygreen.com

In the first DGA published during a global pandemic, you'd think COVID-19 would get some airtime. Unfortunately, it only got one sentence. I know most of us are ready to see coronavirus in our rearview mirrors, but it's not history (yet).

The past 10 months have shown us scientific discoveries in real-time, linking preventable nutrition issues (e.g., vitamin D deficiency) with COVID-19. And considering immunity is a top priority, I think it's a miss the Dietary Guidelines did not take the opportunity to inform Americans of the links between nutrition and immune function. The singular mention in the DGA explains that, "people living with diet-related chronic conditions and diseases are at an increased risk of severe illness from the novel coronavirus."

I appreciate, however, that the DGAC (remember, they wrote the 835-page Scientific Report to inform the much shorter DGA) adds more color to the issue, calling out two, concurrent epidemics in our country: "These parallel epidemics, one noninfectious (obesity and diet-related chronic diseases) and one infectious (COVID-19), appear to be synergistic."

Schneeman explains the committee faced a logistical, timing challenge: "The COVID-19 pandemic emerged as the committee moved into its final phases of work." She went on to say that, "As a committee, we were struck with the vulnerability of those with diet-related chronic diseases (e.g., obesity, type 2 diabetes, and cardiovascular disease) to the most serious outcomes from infection with the virus. In addition, the disruptions due to the pandemic have resulted in food insecurity and hunger, increasing the challenges to make healthful dietary choices."

DGAC member Regan Bailey, Ph.D., MPH, R.D., echoes this paradox, sharing that while "nutrition is critical to the immune defense and resistance to pathogens, both undernutrition and overnutrition can impair immune function." (Bailey is a professor in the Department of Nutrition Science at Purdue University, as well as director of the Purdue Diet Assessment Center.)

At mindbodygreen, we recently explored undernutrition in the complex problem of food insecurity, as well as overnutrition (and unhealthy nutrition patterns) in the synergy between metabolic health and immunity.

Based on these insights, I believe embracing healthful nutrition patterns, supporting food security initiatives, addressing nutrient gaps, and maximizing other lifestyle factors (e.g., physical activity, sleep, etc.) are powerful levers we can choose to pull to improve metabolic health, and thus our immune system.

Indeed, DGAC member Linda Van Horn, Ph.D., RDN, L.D., professor of preventive medicine at Northwestern University, and Chief of the Nutrition Division at Feinberg School of Medicine, underscores the fact that, "now more than ever, the importance of healthy eating, weight control, and prevention of both cardiometabolic and infectious diseases is a recognized goal, worldwide."

Ultimately, diving deeper into the nutrition/immune system relationship in the Dietary Guidelines was passed onto the next iteration (20252030). In the meantime, Donovan shares these actionable insights: "a healthy immune system depends upon an adequate intake of many nutrients, protein, long-chain polyunsaturated fatty acids (especially omega-3s), vitamins (e.g., vitamin C and the fat-soluble vitamins A, D, and E), and minerals (e.g., iron and zinc)."

In addition to these macro- and micronutrients, Donovan explains that, "the best place to get immune-supporting nutrients is from whole foods, particularly fruits and vegetables, which provide dietary fiber and phytonutrients that benefit the gut microbiome and immune function."

Read more:
I'm A Nutritionist & This Is What I Really Think About The New Dietary Guidelines - mindbodygreen.com

Op-ed: Healthy habits are more important than ever – GREENVILLE JOURNAL – Greenville Journal

By Scot Baddley, president and CEO, YMCA of Greenville

My family and I have always been grateful for the gift of health. But the past year has made us cherish our health as a gift like we never have before.

What encourages me during the uncertain times were in is understanding the invaluable benefits of a healthy lifestyle. We can take proactive measures to defend our bodies from sickness like COVID-19 and other viruses. A recent study by the Henry Ford Health System shows that physically fit people are less likely to be hospitalized due to COVID-19. When you prioritize exercise, you are training your body not just to be strong, but also to fight disease, improve mental health and increase longevity.

Plus, by taking care of yourself, youre taking care of others, too your loved ones who depend on you and the people you meet in the community.

Exercise truly is medicine. Medical experts have cited the role an active lifestyle plays in reducing risk of developing common diseases.Mladen Golubic, M.D., Ph.D., reported that 80% of chronic diseases are driven by lifestyle factors. Just by maintaining a healthy weight, exercising regularly, following a healthy diet and not smoking, you are taking steps to save your own life. It is a simple formula, yet only one in three adults get the recommended amount of physical activity each week.

The key is to get started and make exercise a habit.

Stress is an epidemic. It lurks in the shadows of a much larger and more visible epidemic, but it remains a critical threat to mental health, which can have long-term effects.

Whether we realize it or not, stress takes a toll on us. From major life changes to daily micro-stresses, sustained stress can lead to a weakened immune system, high blood pressure, heart disease and more.

While we cannot always control circumstances, by exercising you can release stress and build a healthy routine to help you take on whatever your day brings you. Exercise makes me feel better about my day, and that carries into my work and family life.

Finally, exercise can help you live a longer life. One of our members at the George I. Theisen Family YMCA can speak to this. At 84 years old, she comes to the Y every day to ride 6 miles on the stationary bike. A picture of health with no signs of slowing down, she is a living testament to the fact that regular exercise keeps her vibrant and strong.

The hardest part of obtaining the gift of health, like anything worth taking on, is making the commitment. At an all-encompassing health center like the YMCA of Greenville, getting started and making the commitment is as simple as making the decision to walk through the door and keep coming back. The Y welcomes everyone, at any stage of their life and at any stage of their health journey.

The Y meets you where you are, providing you with the encouragement, accountability and tools to be successful. When you keep coming back, you keep giving yourself and your family the gift of health.

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Op-ed: Healthy habits are more important than ever - GREENVILLE JOURNAL - Greenville Journal

ReGen Scientific First Health Institute in Canada to Introduce Evry into Proactive Brain Health Management and COVID-19 ‘Long-Hauler’ Research and…

TORONTO, Feb. 10, 2021 (GLOBE NEWSWIRE) -- ReGen Scientific, a leader in personalized, preventative, and regenerative health announced today it will become the first comprehensive health clinic in Canada to bringSynaptive Medicals Evry, a superconducting 0.5T head magnetic resonance imaging (MRI) system intended to provide MRI directly at the point-of-care, to their downtown Toronto location.

Maintaining a healthy brain during ones life is the uppermost goal in pursuing health and longevity, said Dr. Robert Francis, chairman and co-founder of ReGen Scientific. The information and images provided by Evry will inform and support our team of medical professionals in developing personalized proactive strategies to maintain and or restore brain health and cognitive performance to improve quality of life.

At the heart of ReGen Scientifics mission is to change the way health is measured and care is delivered with a hyper-personalized approach to health and wellness. With ReGen Scientifics adoption of Evry, for the first time ever, high performance MRI technology will become accessible directly at a patients point of care within a health clinic, giving doctors vital and potentially life-saving information when and where they need it most, said Cameron Piron, president and co-founder of Synaptive Medical. Our team spent years developing Evry and we are excited to partner with an already established Canadian leader in preventative health, ReGen Scientific, to bring this technology to Canadians seeking to understand the health of their brain well before issues arise.

Evry, which received Health Canada approval in February 2020 and FDA clearance in April of 2020, is currently being used in connection with multiple research studies being done at the QEII Health Sciences Centre in Halifax, Nova Scotia including neuroimaging of stroke and tumor patients, with research funding also having been received to assess and track the impact that COVID-19 may have on the brain.

There are increasing scientific studies revealing that recovery from COVID-19 is a long-haul, meaning survivors continue to suffer debilitating illness and symptoms months after having it. This has created a COVID-19 long-haulers global patient movement seeking help with understanding what has happened within their bodies.

Jean-Marc MacKenzie, CEO and co-founder of ReGen Scientific indicated, ReGen Scientific is looking forward to supporting critical medical research on COVID-19 long-haulers, but more importantly, working to identify treatments that will assist individuals overcome with any lingering effects of COVID-19.

About ReGen Scientific Inc.

ReGen Scientific, is a Toronto based leader in personalized, preventative, and regenerative health. It is accelerating the loop between discovery medical science and evolutions in clinical and functional medicine. ReGen delivers hyper-personalized care based on its Science of You, which enables individuals to take control of their health with an objective of not only extending years lived but the ability to live those years with vitality and health. ReGen Scientific will launch its much-anticipated Toronto based Health Institute, in April 2021. This medical campus will offer the latest in health informatics, genetic testing, predictive screening, regenerative treatments, therapeutics, anti-aging research and functional medicine.

About Synaptive Medical

Synaptive Medical Inc., a Toronto-based, global medical device and technology company solves surgical, imaging, and data challenges to improve the quality of human lives. Synaptives integrated suite of products bridging MRI, surgical planning, navigation, and robotic visualization delivers novel information with automated efficiency across all stages of clinical intervention.

Media Contact

Rob FrancisChief Operating OfficerReGen Scientific 416-704-3064rob@regen.care

Katrina FerroSenior Marketing Associate, Events and CommunicationsSynaptive Medical 647-243-3355katrina.ferro@synaptivemedical.com

Read more here:
ReGen Scientific First Health Institute in Canada to Introduce Evry into Proactive Brain Health Management and COVID-19 'Long-Hauler' Research and...

Outlook on the CRISPR Gene Editing Global Market to 2030 – Analysis and Forecasts – Yahoo Finance

Dublin, Feb. 08, 2021 (GLOBE NEWSWIRE) -- The "Global CRISPR Gene Editing Market: Focus on Products, Applications, End Users, Country Data (16 Countries), and Competitive Landscape - Analysis and Forecast, 2020-2030" report has been added to ResearchAndMarkets.com's offering.

The global CRISPR gene editing market was valued at $846.2 million in 2019 and is expected to reach $10,825.1 million by 2030, registering a CAGR of 26.86% during the forecast.

The development of genome engineering with potential applications proved to reflect a remarkable impact on the future of the healthcare and life science industry. The high efficiency of the CRISPR-Cas9 system has been demonstrated in various studies for genome editing, which resulted in significant investments within the field of genome engineering. However, there are several limitations, which need consideration before clinical applications. Further, many researchers are working on the limitations of CRISPR gene editing technology for better results. The potential of CRISPR gene editing to alter the human genome and modify the disease conditions is incredible but exists with ethical and social concerns.

The growth is attributed to the increasing demand in the food industry for better products with improved quality and nutrient enrichment and the pharmaceutical industry for targeted treatment for various diseases. Further, the continued significant investments by healthcare companies to meet the industry demand and growing prominence for the gene therapy procedures with less turnaround time are the prominent factors propelling the growth of the global CRISPR gene editing market.

Research organizations, pharmaceutical and biotechnology industries, and institutes are looking for more efficient genome editing technologies to increase the specificity and cost-effectiveness, also to reduce turnaround time and human errors. Further, the evolution of genome editing technologies has enabled wide range of applications in various fields, such as industrial biotech and agricultural research. These advanced methods are simple, super-efficient, cost-effective, provide multiplexing, and high throughput capabilities. The increase in the geriatric population and increasing number of cancer cases, and genetic disorders across the globe are expected to translate into significantly higher demand for CRISPR gene editing market.

Story continues

Furthermore, the companies are investing huge amounts in the research and development of CRISPR gene editing products, and gene therapies. The clinical trial landscape of various genetic and chronic diseases has been on the rise in recent years, and this will fuel the CRISPR gene editing market in the future.

Within the research report, the market is segmented based on product type, application, end-user, and region. Each of these segments covers the snapshot of the market over the projected years, the inclination of the market revenue, underlying patterns, and trends by using analytics on the primary and secondary data obtained.

Key Companies Profiled

Abcam, Inc., Applied StemCell, Inc., Agilent Technologies, Inc., Cellecta, Inc., CRISPR Therapeutics AG, Thermo Fisher Scientific, Inc., GeneCopoeia, Inc., GeneScript Biotech Corporation, Horizon Discovery Group PLC, Integrated DNA Technologies, Inc., Merck KGaA, New England Biolabs, Inc., Origene Technologies, Inc., Rockland Immunochemicals, Inc., Synthego Corporation, System Biosciences LLC, ToolGen, Inc., Takara Bio

Key Questions Answered in this Report:

What is CRISPR gene editing?

What is the timeline for the development of CRISPR technology?

How did the CRISPR gene editing market evolve, and what is its scope in the future?

What are the major market drivers, restraints, and opportunities in the global CRISPR gene editing market?

What are the key developmental strategies that are being implemented by the key players to sustain this market?

What is the patent landscape of this market? What will be the impact of patent expiry on this market?

What is the impact of COVID-19 on this market?

What are the guidelines implemented by different government bodies to regulate the approval of CRISPR products/therapies?

How is CRISPR gene editing being utilized for the development of therapeutics?

How will the investments by public and private companies and government organizations affect the global CRISPR gene editing market?

What was the market size of the leading segments and sub-segments of the global CRISPR gene editing market in 2019?

How will the industry evolve during the forecast period 2020-2030?

What will be the growth rate of the CRISPR gene editing market during the forecast period?

How will each of the segments of the global CRISPR gene editing market grow during the forecast period, and what will be the revenue generated by each of the segments by the end of 2030?

Which product segment and application segment are expected to register the highest CAGR for the global CRISPR gene editing market?

What are the major benefits of the implementation of CRISPR gene editing in different field of applications including biomedical research, agricultural research, industrial research, gene therapy, drug discovery, and diagnostics?

What is the market size of the CRISPR gene editing market in different countries of the world?

Which geographical region is expected to contribute to the highest sales of CRISPR gene editing market?

What are the reimbursement scenario and regulatory structure for the CRISPR gene editing market in different regions?

What are the key strategies incorporated by the players of global CRISPR gene editing market to sustain the competition and retain their supremacy?

Key Topics Covered:

1 Technology Definition

2 Research Scope

3 Research Methodology

4 Market Overview4.1 Introduction4.2 CRISPR Gene Editing Market Approach4.3 Milestones in CRISPR Gene Editing4.4 CRISPR Gene Editing: Delivery Systems4.5 CRISPR Technology: A Potential Tool for Gene Editing4.6 CRISPR Gene Editing Current Scenario4.7 CRISPR Gene Editing Market: Future Potential Application Areas

5 Global CRISPR Gene Editing Market, $Million, 2020-20305.1 Pipeline Analysis5.2 CRISPR Gene Editing Market and Growth Potential, 2020-20305.3 Impact of COVID-19 on CRISPR Gene Editing Market5.3.1 Impact of COVID-19 on Global CRISPR Gene Editing Market Growth Rate5.3.1. Impact on CRISPR Gene Editing Companies5.3.2 Clinical Trial Disruptions and Resumptions5.3.3 Application of CRISPR Gene Editing in COVID-19

6 Market Dynamics6.1 Impact Analysis6.2 Market Drivers6.2.1 Prevalence of Genetic Disorders and Use of Genome Editing6.2.2 Government and Private Funding6.2.3 Technology Advancement in CRISPR Gene Editing6.3 Market Restraints6.3.1 CRISPR Gene Editing: Off Target Effects and Delivery6.3.2 Ethical Concerns and Implications With Respect to Human Genome Editing6.4 Market Opportunities6.4.1 Expanding Gene and Cell Therapy Area6.4.2 CRISPR Gene Editing Scope in Agriculture

7 Industry Insights7.1 Introduction7.2 Funding Scenario7.3 Regulatory Scenario of CRISPR Gene Editing Market7.4 Pricing of CRISPR Gene Editing7.5 Reimbursement of CRISPR Gene Editing7.5.1 CRISPR Gene Editing: Insurance Coverage in the U.S.

8 CRISPR Gene Editing Patent Landscape8.1 Overview8.2 CRISPR Gene Editing Market Patent Landscape: By Application8.3 CRISPR Gene Editing Market Patent Landscape: By Region8.4 CRISPR Gene Editing Market Patent Landscape: By Year

9 Global CRISPR Gene Editing Market (by Product Type), $Million9.1 Overview9.2 CRISPR Products9.2.1 Kits and Enzymes9.2.1.1 Vector-Based Cas99.2.1.2 DNA-Free Cas99.2.2 Libraries9.2.3 Design Tools9.2.4 Antibodies9.2.5 Other Products9.3 CRISPR Services9.3.1 gRNA Design and Vector Construction9.3.2 Cell Line and Engineering9.3.3 Screening Services9.3.4 Other Services

10 CRISPR Gene Editing Market (by Application), $Million10.1 Overview10.2 Agriculture10.3 Biom
edical10.3.1 Gene Therapy10.3.2 Drug Discovery10.3.3 Diagnostics10.4 Industrial10.5 Other Applications

11 Global CRISPR Gene Editing Market (by End User)11.1 Academic Institutions and Research Centers11.2 Biotechnology Companies11.3 Contract Research Organizations (CROs)11.4 Pharmaceutical and Biopharmaceutical Companies

12 Global CRISPR Gene Editing Market (by Region)12.1 Introduction12.2 North America12.3 Europe12.4 Asia-Pacific12.5 Latin America

13 Competitive Landscape13.1 Key Developments and Strategies13.1.1 Overview13.1.1.1 Regulatory and Legal Developments13.1.1.2 Synergistic Activities13.1.1.3 M&A Activities13.1.1.4 Funding Activities13.2 Market Share Analysis13.3 Growth Share Analysis

14 Company Profiles14.1 Overview14.2 Abcam, Inc.14.2.1 Company Overview14.2.2 Role of Abcam, Inc. in the Global CRISPR Gene Editing Market14.2.3 Financials14.2.4 SWOT Analysis14.3 Applied StemCell, Inc.14.3.1 Company Overview14.3.2 Role of Applied StemCell, Inc. in the Global CRISPR Gene Editing Market14.3.3 SWOT Analysis14.4 Agilent Technologies, Inc.14.4.1 Company Overview14.4.2 Role of Agilent Technologies, Inc. in the Global CRISPR Gene Editing Market14.4.3 Financials14.4.4 R&D Expenditure, 2017-201914.4.5 SWOT Analysis14.5 Cellecta, Inc.14.5.1 Company Overview14.5.2 Role of Cellecta, Inc. in the Global CRISPR Gene Editing Market14.5.3 SWOT Analysis14.6 CRISPR Therapeutics AG14.6.1 Company Overview14.6.2 Role of CRISPR Therapeutics AG in the Global CRISPR Gene Editing Market14.6.3 Financials14.6.4 R&D Expenditure, 2017-201914.6.5 SWOT Analysis14.7 Thermo Fisher Scientific, Inc. INC14.7.1 Company Overview14.7.2 Role of Thermo Fisher Scientific, Inc. in the Global CRISPR Gene Editing Market14.7.3 Financials14.7.4 R&D Expenditure, 2017-201914.7.5 SWOT Analysis14.8 GeneCopoeia, Inc.14.8.1 Company Overview14.8.2 Role of GeneCopoeia, Inc. in the Global CRISPR Gene Editing Market14.8.3 SWOT Analysis14.9 GeneScript Biotech Corporation14.9.1 Company Overview14.9.2 Role of GenScript Biotech in the Global CRISPR Gene Editing Market14.9.3 Financials14.9.4 SWOT Analysis14.1 Horizon Discovery Group PLC14.10.1 Company Overview14.10.2 Role of Horizon Discovery Group PLC in the Global CRISPR Gene Editing Market14.10.3 Financials14.10.4 SWOT Analysis14.11 Integrated DNA Technologies, Inc.14.11.1 Company Overview14.11.2 Role of Integrated DNA Technologies, Inc. in the Global CRISPR Gene Editing Market14.11.3 SWOT Analysis14.12 Merck KGaA14.12.1 Company Overview14.12.2 Role of Merck KGaA in the Global CRISPR Gene Editing Market14.12.3 Financials14.12.4 SWOT Analysis14.13 New England Biolabs, Inc.14.13.1 Company Overview14.13.2 Role of Integrated DNA Technologies, Inc. in the Global CRISPR Gene Editing Market14.13.3 SWOT Analysis14.14 Origene Technologies, Inc.14.14.1 Company Overview14.14.2 Role of Origene Technologies, Inc. in the Global CRISPR Gene Editing Market14.14.3 SWOT Analysis14.15 Rockland Immunochemicals, Inc.14.15.1 Company Overview14.15.2 Role of Rockland Immunochemicals, Inc. in the Global CRISPR Gene Editing Market14.15.3 SWOT Analysis14.16 Synthego Corporation14.16.1 Company Overview14.16.2 Role of Synthego Corporation in the Global CRISPR Gene Editing Market14.16.3 SWOT Analysis14.17 System Biosciences LLC14.17.1 Company Overview14.17.2 Role of System Biosciences LLC in the Global CRISPR Gene Editing Market14.17.3 SWOT Analysis14.18 ToolGen, Inc.14.18.1 Company Overview14.18.2 Role of ToolGen, Inc. in the Global CRISPR Gene Editing Market14.18.3 SWOT Analysis14.19 Takara Bio14.19.1 Company Overview14.19.2 Role of Takara Bio in the Global CRISPR Gene Editing Market14.19.3 Financials14.19.4 SWOT Analysis

For more information about this report visit https://www.researchandmarkets.com/r/c7om7t

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Outlook on the CRISPR Gene Editing Global Market to 2030 - Analysis and Forecasts - Yahoo Finance

Global CRISPR Gene Editing Market (2020 to 2030) – Focus on Products, Applications, End-users, Country Data and Competitive Landscape -…

DUBLIN--(BUSINESS WIRE)--The "Global CRISPR Gene Editing Market: Focus on Products, Applications, End Users, Country Data (16 Countries), and Competitive Landscape - Analysis and Forecast, 2020-2030" report has been added to ResearchAndMarkets.com's offering.

The global CRISPR gene editing market was valued at $846.2 million in 2019 and is expected to reach $10,825.1 million by 2030, registering a CAGR of 26.86% during the forecast.

The development of genome engineering with potential applications proved to reflect a remarkable impact on the future of the healthcare and life science industry. The high efficiency of the CRISPR-Cas9 system has been demonstrated in various studies for genome editing, which resulted in significant investments within the field of genome engineering. However, there are several limitations, which need consideration before clinical applications. Further, many researchers are working on the limitations of CRISPR gene editing technology for better results. The potential of CRISPR gene editing to alter the human genome and modify the disease conditions is incredible but exists with ethical and social concerns.

The growth is attributed to the increasing demand in the food industry for better products with improved quality and nutrient enrichment and the pharmaceutical industry for targeted treatment for various diseases. Further, the continued significant investments by healthcare companies to meet the industry demand and growing prominence for the gene therapy procedures with less turnaround time are the prominent factors propelling the growth of the global CRISPR gene editing market.

Research organizations, pharmaceutical and biotechnology industries, and institutes are looking for more efficient genome editing technologies to increase the specificity and cost-effectiveness, also to reduce turnaround time and human errors. Further, the evolution of genome editing technologies has enabled wide range of applications in various fields, such as industrial biotech and agricultural research. These advanced methods are simple, super-efficient, cost-effective, provide multiplexing, and high throughput capabilities. The increase in the geriatric population and increasing number of cancer cases, and genetic disorders across the globe are expected to translate into significantly higher demand for CRISPR gene editing market.

Furthermore, the companies are investing huge amounts in the research and development of CRISPR gene editing products, and gene therapies. The clinical trial landscape of various genetic and chronic diseases has been on the rise in recent years, and this will fuel the CRISPR gene editing market in the future.

Within the research report, the market is segmented based on product type, application, end-user, and region. Each of these segments covers the snapshot of the market over the projected years, the inclination of the market revenue, underlying patterns, and trends by using analytics on the primary and secondary data obtained.

Key Questions Answered in this Report:

Market Dynamics

Growth Drivers

Restraints

Opportunities

Companies Mentioned

For more information about this report visit https://www.researchandmarkets.com/r/rky1va

See the original post here:
Global CRISPR Gene Editing Market (2020 to 2030) - Focus on Products, Applications, End-users, Country Data and Competitive Landscape -...

Geoengineering: What could possibly go wrong? Elizabeth Kolbert’s take, in her new book – Bulletin of the Atomic Scientists

Editors note: This story was originally published by Grist. It appears here as part of theClimate Deskcollaboration. Elizabeth Kolbert is a former member of the Science and Security Board of the Bulletin of the Atomic Scientists.

In Australia, scientists collect buckets of coral sperm, mixing one species with another in an attempt to create a new super coral that can withstand rising temperatures and acidifying seas. In Nevada, scientists nurse a tiny colony of one-inch long Devils Hole pupfish in an uncomfortably hot, Styrofoam-molded pool. And in Massachusetts, Harvard University scientists research injecting chemicals into the atmosphere to dim the suns lightand slow down the runaway pace of global warming.

These are some of the scenes from Elizabeth Kolberts new book,Under a White Sky, a global exploration of the ways that humanity is attempting to engineer, fix, or reroute the course of nature in a climate-changed world. (The title refers to one of the consequences of engineering the Earth to better reflect sunlight: Our usual blue sky could turn apale white.)

Kolbert, a New Yorker staff writer, has been covering the environment for decades: Her first book,Field Notes from a Catastrophe, traced the scientific evidence for global warming from Greenland to Alaska; her second,The Sixth Extinction, followed the growing pace of animal extinctions.

Under a White Skycovers slightly different ground. Humanity is now, Kolbert explains, in the midst of the Anthropocenea geologic era in whichweare the dominant force shaping earth, sea, and sky. Faced with that reality, humans have gotten more creative at using technology to fix the problems that we unwittingly spawned: Stamping out Australias cane toad invasion with genetic engineering, for example, or using giant air conditioners to suck carbon dioxide out of air and turn it into rock. As Kolbert notes, tongue-in-cheek: What could possibly go wrong?

This interview has been condensed and lightly edited for clarity.

Osaka:Under a White Skyis about a lot of things rivers, solar geoengineering, coral reefs but its also about what nature means in our current world. What got you interested in that topic?

Kolbert: All books have complicated births, as it were. But about four years ago, I went to Hawaii to report on a project that had been nicknamed the super coral project. And it was run by a very charismatic scientist namedRuth Gates, who very sadly passed away about two years ago. We have very radically altered the oceans by pouring hundreds of billions of tons of carbon dioxide into the airand we cant get that heat out of the oceans in any foreseeable timescale. We cant change the chemistry back. And if we want coral reefs in the future, were going to have to counter what weve done to the oceans by remaking reefs so they can withstand warmer temperatures. The aim of the project was to see if you could hybridize or crossbreed corals to get more vigorous varieties.

This ideathat we have to counteract one form of intervention in the natural world (climate change) with another form of intervention (trying to recreate reefs)just struck me as a very interesting new chapter in our long and very complicated relationship with nature. And once I started to think about it that way, I started to see that as a pretty widespread pattern. Thats really what prompted the book.

Osaka: Some of these human interventions to save nature seem hopeful and positiveand others go wrong in pretty epic ways. How do you balance those two types of stories?

Kolbert: The book starts with examples that probably will strike many readers as Okay, that makes sense. That makes sense. But it goes from regional engineering solutions through biotechnology, through gene editing, and all the way up to solar geoengineering. So it kind of leads you down what we might call a slippery slope. And one of the interesting things about these cases is that they will divide up people differently. Even people who consider themselves environmentalists will come down on different sides of some of these technologies. The bind were in is so profound that theres no right answer.

Osaka: So someone who accepts what were doing to save the Devils Hole pupfish might not necessarily accept gene-editing mosquitos or dimming the sun through solar geoengineering.

Kolbert: Exactly. And I think sometimes those linesseemclearer than they are once you start to think about it.

Osaka: At one point in the book, theres a quote that is (apocryphally) attributed to Einstein: We cannot solve our problems with the same thinking we used when we created them. But you dont say whether you agree with that sentiment or not. Is that on purpose?

Kolbert: Yeah, you can read the book and say, Im really glad people are doing these things, and I feel better. Or you can read the book and say, as one scientific quote does, This is a broad highway to hell. And both of those are very valid reactions.

Osaka: When you write about geoengineering, you point out that many scientists conclude that its necessary to avoid catastrophic levels of warming, but that it could also be a really bad ideKolbert Do you think that in 15 or 20 years youll be writing about a geoengineering experiment gone wrong, much as youre writing now about failed attempts to protect Louisiana from flooding?

Kolbert: I might argue about the timescales. Im not sure Ill be reporting on it in 15 years, but I thinkyoumight be reporting on it in 30 years.

At the moment, its still the realm of sci-fi, and Im not claiming to have any particular insight into how people are going to respond in the future. But the case thats made in the book by some very smart scientists is that we dont have very many tools in our toolbox for dealing with climate change quickly, because the system has so much inertia. Its like turning around a supertanker: It takes literally decades, even if we do everything absolutely right.

Osaka: Youve reported on climate change for a long time. How does it feel to see geoengineering being explored as a more valuableand potentially necessaryoption?

Kolbert: Well, one thing I learned in the course of reporting the book was that what we now refer to as geoengineering was actually the very first thing that people started to think about when they first realized we were warming the climate. The very first report about climate change that was handed to Lyndon Johnson in 1965 wasnt about how we should stop emittingit was: Maybe we should find some reflective stuff to throw into the ocean to bounce more sunlight back into space!

Its odd, its kind of almost freakish, and I cant explain it, except to say that it sort of fits the pattern of the book.

Osaka: Theres been a longstanding fight in environmentalism between a technology-will-save-us philosophy and a return-to-nature philosophy. Based on the reporting in this book, do you think that the technology camp has won?

Kolbert: I think the book is an attempt to take on both of those schools of thought. On some level, technologyhaswoneven people who would say dont do geoengineering still want to put up solar panels and build huge arrays of batteries, and those are technologies! But where does that leave us? It goes back to Ruth Gates and the super coral project. There was a big fight among coral biologists about whether a project like that should even be pursued. The Great Barrier Reef is the size of Italyeven if you have some replacement coral, how are you going to get them out on the reef? But Gatess point was, were not returning. Even if we stopped emitting carbon dioxide tomorrow, youre not getting the Great Barrier Reef back as it was in a foreseeable timeframe.

My impulse as an old-school environmentalist is to say Well, lets just leave things alone. But the sad fact is that weve intervened so much at this point that evennot intervening is itself an intervention.

Osaka: Now that we have a US president who takes climate change seriously, do you think we could actually start cutting carbon em
issions quickly

Kolbert: I really do want to applaud the first steps that theBiden administration has taken. I think they show a pretty profound understanding of the problem. But the question, and its a big one, is What are the limits? Will Congress do anything? What will happen in theSupreme Court? The United States is no longer the biggest emitter on an annual basis, but on a cumulative basis were still the biggest. And we still dont have resolution on how much carbon dioxdie we can put up there to avoid 1.5 or 2 degrees Celsius (3.6 degrees Fahrenheit) of warming. Those are questions with big error bars. If were lucky, I think we can avoid disastrous climate change. But if were not lucky, were already in deep trouble.

Osaka: Is there anything else you want to say about the book?

Kolbert: It sounds kind of weird after our conversation, but the book was actually a lot of fun to write. It sounds odd when youre talking about a book where the subject is so immensely serious.

Osaka: You mean like when the undergraduates in Australia are tossing each other buckets of coral sperm?

Kolbert: Yes! There is always humor in all these situations. I hope that sense of fun comes through.

See more here:
Geoengineering: What could possibly go wrong? Elizabeth Kolbert's take, in her new book - Bulletin of the Atomic Scientists

Interview: Elizabeth Kolbert on why well never stop messing with nature – Grist

In Australia, scientists collect buckets of coral sperm, mixing one species with another in an attempt to create a new super coral that can withstand rising temperatures and acidifying seas. In Nevada, scientists nurse a tiny colony of one-inch long Devils Hole pupfish in an uncomfortably hot, Styrofoam-molded pool. And in Massachusetts, Harvard University scientists research injecting chemicals into the atmosphere to dim the suns light and slow down the runaway pace of global warming.

These are some of the scenes from Elizabeth Kolberts new book, Under a White Sky, a global exploration of the ways that humanity is attempting to engineer, fix, or reroute the course of nature in a climate-changed world. (The title refers to one of the consequences of engineering the Earth to better reflect sunlight: Our usual blue sky could turn a pale white.)

Kolbert, a New Yorker staff writer, has been covering the environment for decades: Her first book, Field Notes from a Catastrophe, traced the scientific evidence for global warming from Greenland to Alaska; her second, The Sixth Extinction, followed the growing pace of animal extinctions.

Under a White Sky covers slightly different ground. Humanity is now, Kolbert explains, in the midst of the Anthropocene a geologic era in which we are the dominant force shaping earth, sea, and sky. Faced with that reality, humans have gotten more creative at using technology to fix the problems that we unwittingly spawned: Stamping out Australias cane toad invasion with genetic engineering, for example, or using giant air conditioners to suck carbon dioxide out of air and turn it into rock. As Kolbert notes, tongue-in-cheek: What could possibly go wrong?

This interview has been condensed and lightly edited for clarity.

Q.Under a White Sky is about a lot of things rivers, solar geoengineering, coral reefs but its also about what nature means in our current world. What got you interested in that topic?

A.All books have complicated births, as it were. But about four years ago, I went to Hawaii to report on a project that had been nicknamed the super coral project. And it was run by a very charismatic scientist named Ruth Gates, who very sadly passed away about two years ago. We have very radically altered the oceans by pouring hundreds of billions of tons of CO2 into the air and we cant get that heat out of the oceans in any foreseeable timescale. We cant change the chemistry back. And if we want coral reefs in the future, were going to have to counter what weve done to the oceans by remaking reefs so they can withstand warmer temperatures. The aim of the project was to see if you could hybridize or crossbreed corals to get more vigorous varieties.

This idea that we have to counteract one form of intervention in the natural world (climate change) with another form of intervention (trying to recreate reefs) just struck me as a very interesting new chapter in our long and very complicated relationship with nature. And once I started to think about it that way, I started to see that as a pretty widespread pattern. Thats really what prompted the book.

Q.Some of these human interventions to save nature seem hopeful and positive and others go wrong in pretty epic ways. How do you balance those two types of stories?

A.The book starts with examples that probably will strike many Grist readers as OK, that makes sense. That makes sense. But it goes from regional engineering solutions through biotechnology, through gene editing, and all the way up to solar geoengineering. So it kind of leads you down what we might call a slippery slope. And one of the interesting things about these cases is that they will divide up people differently. Even people who consider themselves environmentalists will come down on different sides of some of these technologies. The bind were in is so profound that theres no right answer.

Q.So someone who accepts what were doing to save the Devils Hole pupfish might not necessarily accept gene-editing mosquitos or dimming the sun through solar geoengineering.

A.Exactly. And I think sometimes those lines seem clearer than they are once you start to think about it.

Q.At one point in the book, theres a quote that is (apocryphally) attributed to Einstein: We cannot solve our problems with the same thinking we used when we created them. But you dont say whether you agree with that sentiment or not. Is that on purpose?

A.Yeah, you can read the book and say, Im really glad people are doing these things, and I feel better. Or you can read the book and say, as one scientific quote does, This is a broad highway to hell. And both of those are very valid reactions.

Q.When you write about geoengineering, you point out that many scientists conclude that its necessary to avoid catastrophic levels of warming, but that it could also be a really bad idea. Do you think that in 15 or 20 years youll be writing about a geoengineering experiment gone wrong, much as youre writing now about failed attempts to protect Louisiana from flooding?

A.I might argue about the timescales. Im not sure Ill be reporting on it in 15 years, but I think you might be reporting on it in 30 years.

At the moment, its still the realm of sci-fi, and Im not claiming to have any particular insight into how people are going to respond in the future. But the case thats made in the book by some very smart scientists is that we dont have very many tools in our toolbox for dealing with climate change quickly, because the system has so much inertia. Its like turning around a supertanker: It takes literally decades, even if we do everything absolutely right.

Q.Youve reported on climate change for a long time. How does it feel to see geoengineering being explored as a more valuable and potentially necessary option?

A.Well, one thing I learned in the course of reporting the book was that what we now refer to as geoengineering was actually the very first thing that people started to think about when they realized we were warming the climate. The very first report about climate change that was handed to Lyndon Johnson in 1965 wasnt about how we should stop emitting it was: Maybe we should find some reflective stuff to throw into the ocean to bounce more sunlight back into space!

Its odd, its kind of almost freakish, and I cant explain it, except to say that it sort of fits the pattern of the book.

Q.Theres been a longstanding fight in environmentalism between a technology-will-save-us philosophy and a return-to-nature philosophy. Based on the reporting in this book, do you think that the technology camp has won?

A.I think the book is an attempt to take on both of those schools of thought. On some level, technology has won even people who would say dont do geoengineering still want to put up solar panels and build huge arrays of batteries, and those are technologies! But where does that leave us? It goes back to Ruth Gates and the super coral project. There was a big fight among coral biologists about whether a project like that should even be pursued. The Great Barrier Reef is the size of Italy even if you have some replacement coral, how are you going to get them out on the reef? But Gatess point was, were not returning. Even if we stopped emitting CO2 tomorrow, youre not getting the Great Barrier Reef back as it was in a foreseeable timeframe.

My impulse as an old-school environmentalist is to say Well, lets just leave things alone. But the sad fact is that weve intervened so much at this point that even not intervening is itself an intervention.

Q.Now that we have a U.S. president who takes climate change seriously, do you think we could actually start cutting carbon emissions quickly?

A.I really do want to applaud the first steps that the Biden administration has taken. I think they show a pretty profound understanding of the problem. But the question, and its a big one, is What are the limits? Will Congress do anything? What will happen in the Supreme Court? The U.S. i
s no longer the biggest emitter on an annual basis, but on a cumulative basis were still the biggest. And we still dont have resolution on how much CO2 we can put up there to avoid 1.5 or 2 degrees Celsius of warming. Those are questions with big error bars. If were lucky, I think we can avoid disastrous climate change. But if were not lucky, were already in deep trouble.

Q.Is there anything else you want to say about the book?

A.It sounds kind of weird after our conversation, but the book was actually a lot of fun to write. It sounds odd when youre talking about a book where the subject is so immensely serious.

Q.You mean like when the undergraduates in Australia are tossing each other buckets of coral sperm?

A.Yes! There is always humor in all these situations. I hope that sense of fun comes through.

Will Biden deliver on climate? Get weekly analysis of federal climate policy action in the first months of Bidens term.

Here is the original post:
Interview: Elizabeth Kolbert on why well never stop messing with nature - Grist

An Introduction to PCR – Technology Networks

Polymerase chain reaction (PCR) is a technique that has revolutionized the world of molecular biology and beyond. In this article, we will discuss a brief history of PCR and its principles, highlighting the different types of PCR and the specific purposes to which they are being applied.

In 1983, American biochemist Kary Mullis was driving home late at night when a flash of inspiration struck him. He wrote on the back of a receipt the idea that would eventually grant him the Nobel Prize for Chemistry in 1993. The concept was straightforward: reproducing in a laboratory tube the DNA replication process that takes place in cells. The outcome is the same: the generation of new complementary DNA (cDNA) strands based upon the existing ones.

Mullis used the basis of Sanger's DNA sequencing as a starting point for his new technique. He realized that the repeated use of DNA polymerase triggered a chain reaction resulting in a specific DNA segment's amplification.

The foundations for his idea were laid by a discovery in 1976 of a thermostable DNA polymerase, Taq, isolated from the bacterium Thermus aquaticus found in hot springs.1 Taq DNA polymerase has a temperature optimum of 72 C and survives prolonged exposure to temperatures as high as 96 C, meaning that it can tolerate several denaturation cycles.

Before the discovery of Taq polymerase, molecular biologists were already trying to optimize cyclic DNA amplification protocols, but they needed to add fresh polymerase at each cycle because the enzyme could not withstand the high temperatures needed for DNA denaturation. Having a thermostable enzyme meant that they could repeat the amplification process many times over without the need for fresh polymerase at every cycle, making the whole process scalable, more efficient and less time-consuming.

The first description of this polymerase chain reaction (PCR) using Taq polymerase was published in Science in 1985.2

In 1993, the first FDA-approved PCR kit came to market. Since then, PCR has been steadily and systematically improved. It has become a game-changer in everything from forensic evidence analysis and diagnostics, to disease monitoring and genetic engineering. It is undoubtedly considered one of the most important scientific advances of the 20th century.

The PCR is used to amplify a specific DNA fragment from a complex mixture of starting material called template DNA. The sample preparation and purification protocols depend on the starting material, including the sample matrix and accessibility of target DNA. Often, minimal DNA purification is needed. However, PCR does require knowledge of the DNA sequence information that flanks the DNA fragment to be amplified (called target DNA).

From a practical point of view, a PCR experiment is relatively straightforward and can be completed in a few hours. In general, a PCR reaction needs five key reagents:

DNA to be amplified: also called PCR template or template DNA. This DNA can be of any source, such as genomic DNA (gDNA), cDNA, and plasmid DNA.DNA polymerase: all PCR reactions require a DNA polymerase that can work at high temperatures. Taq polymerase is a commonly used one, which can incorporate nucleotides at a rate of 60 bases/second at 70 C and can amplify templates of up to 5 kb, making it suitable for standard PCR without special requirements. New generations of polymerases are being engineered to improve reaction performance. For example, some are engineered to be only activated at high temperatures to reduce non-specific amplification at the beginning of the reaction. Others incorporate a proofreading function, important, for example, when it is critical that the amplified sequence matches the template sequence exactly, such as during cloning.Primers: DNA polymerases require a short sequence of nucleotides to indicate where they need to initiate amplification. In a PCR, these sequences are called primers and are short pieces of single-stranded DNA (approximately 15-30 bases). When designing a PCR experiment, the researcher determines the region of DNA to be amplified and designs a pair of primers, one on the forward strand and one on the reverse, that specifically flanks the target region. Primer design is a key component of a PCR experiment and should be done carefully. Primer sequences must be chosen to target the unique DNA of interest, avoiding the possibility of binding to a similar sequence. They should have similar melting temperatures because the annealing step occurs simultaneously for both strands. The melting temperature of a primer can be impacted by the percentage of bases that are guanine (G) or cytosine (C) compared to adenine (A) or thymine (T), with higher GC contents increasing melting temperatures. Adjusting primer lengths can help to compensate for this in matching a primer pair. It is also important to avoid sequences that will tend to form secondary structures or primer dimers, as this will reduce PCR efficiency. Many free online tools are available to aid in primer design.Deoxynucleotide triphosphates (dNTPs): these serve as the building blocks to synthesize the new strands of DNA and include the four basic DNA nucleotides (dATP, dCTP, dGTP, and dTTP). dNTPs are usually added to the PCR reaction in equimolar amounts for optimal base incorporation.PCR buffer: the PCR buffer ensures that optimal conditions are maintained throughout the PCR reaction. The major components of PCR buffers include magnesium chloride (MgCl2), tris-HCl and potassium chloride (KCl). MgCl2 serves as a cofactor for the DNA polymerase, while tris-HCl and KCl maintain a stable pH during the reaction.The PCR reaction is carried out in a single tube by mixing the reagents mentioned above and placing the tube in a thermal cycler.The PCR amplification consists of three defined sets of times and temperatures termed steps: denaturation, annealing, and extension (Figure 1).

Figure 1: Steps of a single PCR cycle.

Each of these steps, termed cycles, is repeated 30-40 times, doubling the amount of DNA at each cycle and obtaining amplification (Figure 2).

Figure 2: The different stages and cycles of DNA molecule amplification by PCR.

Let's take a closer look at each step.

The first step of PCR, called denaturation, heats the template DNA up to 95 C for a few seconds, separating the two DNA strands as the hydrogen bonds between them are rapidly broken.

The reaction mixture is then cooled for 30 seconds to 1 minute. Annealing temperatures are usually 50 - 65 C however, the exact optimal temperature depends on the primers' length and sequence. It must be carefully optimized with every new set of primers.

The two DNA strands could rejoin at this temperature, but most do not because the mixture contains a large excess of primers that bind, or anneal, to the template DNA at specific, complementary positions. Once the annealing step is completed, hydrogen bonds will form between the template DNA and the primers. At this point, the polymerase is ready to extend the DNA sequence.

The temperature is then raised to the ideal working temperature for the DNA polymerase present in the mixture, typically around 72 C, 74 C in the case of Taq.

The DNA polymerase attaches to one end of each primer and synthesizes new strands of DNA, complementary to the template DNA. Now we have four strands of DNA instead of the two that were present to start with.

The temperature is raised back to 94 C and the double-stranded DNA molecules both the "original" molecules and the newly synthesized ones denature again into single strands. This begins the second cycle of denaturation-annealing-extension. At the end of this second cycle, there are eight molecules of single-stranded DNA. By repeating the cycle 30 times, the double-stranded DNA molecules present at the beginning are converted into over 130 million new double-stranded molecules, each one a copy of the region of the starting molecule delineated by the annealing sites of the two primers.

To determin
e if amplification has been successful, PCR products may be visualized using gel electrophoresis, indicating amplicon presence/absence, size and approximate abundance. Depending on the application and the research question, this may be the endpoint of an experiment, for example, if determining whether a gene is present or not. Otherwise, the PCR product may just be the starting point for more complex downstream investigations such as sequencing and cloning.

Thanks to their versatility, PCR techniques have evolved over recent years leading to the development or several different types of PCR technology.

Some of the most widely used ones are:

One of the most useful developments has been quantitative real-time PCR or qPCR. As the name suggests, qPCR is a quantitative technique that allows real-time monitoring of the amplification process and detection of PCR products as they are made.2 It can be used to determine the starting concentration of the target DNA, negating the need for gel electrophoresis in many cases. This is achieved thanks to the inclusion of non-specific fluorescent intercalating dyes, such as SYBR Green, that fluoresce when bound to double-stranded DNA, or DNA oligonucleotide sequence-specific fluorescent probes, such as hydrolysis (TaqMan) probes and molecular beacons. Probes bind specifically to DNA target sequences within the amplicon and use the principle of Frster Resonance Energy Transfer (FRET) to generate fluorescence via the coupling of a fluorescent molecule on one end and a quencher at the other end. For both fluorescent dyes and probes, as the number of copies of the target DNA increases, the fluorescence level increases proportionally, allowing real-time quantification of the amplification with reference to standards containing known copy numbers (Figure 3).

qPCR uses specialized thermal cyclers equipped with fluorescent detection systems that monitor the fluorescent signal as the amplification occurs.

Figure 3: Example qPCR amplification plot and standard curve used to enable quantification of copy number in unknown samples.

Reverse transcription (RT) -PCR and RT-qPCR are two commonly used PCR variants enabling gene transcription analysis and quantification of viral RNA, both in clinical and research settings.

RT is the process of making cDNA from single-stranded template RNA3 and is consequently also called first-strand cDNA synthesis. The first step of RT-PCR is to synthesize a DNA/RNA hybrid between the RNA template and a DNA oligonucleotide primer. The reverse transcriptase enzyme that catalyzes this reaction has RNase activity that then degrades the RNA portion of the hybrid. Subsequently, a single-stranded DNA molecule is synthesized by the DNA polymerase activity of the reverse transcriptase. High purity and quality starting RNA are essential for a successful RT-PCR.

RT-PCR can be performed following two approaches: one-step RT-PCR and two-step RT-PCR. In the first case, the RT reaction and the PCR reaction occur in the same tube, while in the two-step RT-PCR, the two reactions are separate and performed sequentially.

The reverse transcription described above often serves as the first step in qPCR too, quantifying RNA in biological samples (either RNA transcripts or derived from viral RNA genomes).

As with RT-PCR, there are two approaches for quantifying RNA by RT-qPCR: one-step RT-qPCR and two-step RT-qPCR. In both cases, RNA is first reverse-transcribed into cDNA, which is used as the template for qPCR amplification. In the two-step method, the reverse transcription and the qPCR amplification occur sequentially as two separate experiments. In the one-step method, RT and qPCR are performed in the same tube.

Digital PCR (dPCR) is another adaptation of the original PCR protocol.4 Like qPCR, dPCR technology uses DNA polymerase to amplify target DNA from a complex sample using a primer set and probes. The main difference, though, lies in the partitioning of the PCR reactions and data acquisition at the end.

dPCR and ddPCR are based on the concept of limiting dilutions. The PCR reaction is split into large numbers of nanoliter-sized sub-reactions (partitions). The PCR amplification is carried out within each droplet. Following PCR, each droplet is analyzed with Poisson statistics to determine the percentage of PCR-positive droplets in the original sample. Some partitions may contain one or more copies of the target, while others may contain no target sequences. Therefore, partitions classify either as positive (target detected) or negative (target not detected), providing the basis for a digital output format.

ddPCR is a recent technology that became available in 2011.5 ddPCR utilizes a water-oil emulsion to form the partitions that separate the template DNA molecules. The droplets essentially serve as individual test tubes in which the PCR reaction takes place.

The recent development of microfluidic handling systems with microchannels and microchambers has paved the way for a range of practical applications, including the amplification of DNA via PCR on microfluidic chips.

PCR performed on a chip benefits from microfluidics advantages in speed, sensitivity and low consumption of reagents. These features make microfluidic PCR particularly appealing for point-of-care testing, for example, for diagnostics applications. From a practical point of view, the sample flows through a microfluidic channel, repeatedly passing the three temperature zones reflecting the different steps of PCR. It takes just 90 seconds for a 10 L sample to perform 20 PCR cycles.6 The subsequent analysis can then be easily carried out off-chip.

The different PCR approaches all have advantages and disadvantages that impact the applications to which they are suited 7. These are summarized in Table 1.

Approach

Advantages

Limitations

PCR

Easiest PCR to perform

Low cost of equipment and reagents

Several downstream applications (e.g., cloning)

Results are only qualitative

Requires post-amplification analyses that increase time and risk of error

Products may need to be confirmed by sequencing

qPCR

Produces quantitative results

Probe use can ensure high specificity

High analytical sensitivity

Low turnaround time

Eliminates requirements for post-amplification analysis

Requires more expensive reagents and equipment

Less flexibility in primer and probe selection

Less amenable to other downstream product confirmation analyses (such as sequencing) due to the small length of the amplicon

Not suitable for some downstream applications such as cloning

RT-PCR and RT-qPCR

Can be used with all RNA types

RNA is prone to degradation

The RT step may increase the time and potential for contamination

dPCR and ddPCR

Fast

No DNA purification step

Provides absolute quantification

Increased sensitivity for detecting the target in limited clinical samples

Highly scalable

Costly

Based on several statistical assumptions

Microfluidic PCR

Accelerated PCR process

Reduced reagent consumption

Can be adapted for high throughput

Portable device for point-of-care applications

Allows single-cell analysis

Still very new technology

Requires extensive sample preparation to remove debris and unwanted compounds

Restricted choice of materials for the microfluidic device due to high temperatures

Table 1: Key advantages and disadvantages of different PCR approaches.

PCR has become an indispensable tool in modern molecular biology and has completely transformed scientific research. The technique has also opened up the investigation of cellular and molecular processes to those outside the field of molecular biology and consequently also finds utility by scientists in many disciplines.

Whilst PCR is itself a powerful standalone technique, it has also been incorporated into wider techniques, suc
h as cloning and sequencing, as one small but important part of these workflows.

Research applications of PCR include:

Gene transcription -PCR can examine variations in gene transcription among cell types, tissues and organisms at a specific time point. In this process, RNA is isolated from samples of interest, and reverse-transcribed into cDNA. The original levels of RNA for a specific gene can then be quantified from the amount of cDNA amplified in PCR.Genotyping -PCR can detect sequence variations in alleles of specific cells or organisms. A common example is the genotyping of transgenic organisms, such as knock-out and knock-in mice. In this application, primers are designed to amplify either a transgene portion (in a transgenic animal) or the mutation (in a mutant animal).Cloning and mutagenesis- PCR cloning is a widely used technique where double-stranded DNA fragments amplified by PCR are inserted into vectors (e.g., gDNA, cDNA, plasmid DNA). This for example, enables the creation of bacterial strains from which genetic material has been deleted or inserted. Site-directed mutagenesis can also be used to introduce point mutations via cloning. This often employs a technique known as recombinant PCR, in which overlapping primers are specifically designed to incorporate base substitutions (Figure 4). This technique can also be used to create novel gene fusions.

Figure 4: Diagram depicting an example of recombinant PCR.Sequencing- PCR can be used to enrich template DNA for sequencing. The type of PCR recommended for the preparation of sequencing templates is called high-fidelity PCR and is able to maintain DNA sequence accuracy. In Sanger sequencing, PCR-amplified fragments are then purified and run in a sequencing reaction. In next-generation sequencing (NGS), PCR is used at the library preparation stage, where DNA samples are enriched by PCR to increase the starting quantity and tagged with sequencing adaptors to allow multiplexing. Bridge PCR is also an important part of the second-generation NGS sequencing process.Both as an independent technique and as a workhorse within other methods, PCR has transformed a range of disciplines. These include:

Genetic research- PCR is used in most laboratories worldwide. One of the most common applications is gene transcription analysis9, aimed at evaluating the presence or abundance of particular gene transcripts. It is a powerful technique in manipulating the genetic sequence of organisms animal, plant and microbe - through cloning. This enables genes or sections of genes to be inserted, deleted or mutated to engineer in genetic markers alter phenotypes, elucidate gene functions and develop vaccines to name but a few. In genotyping, PCR can be used to detect sequence variations in alleles in specific cells or organisms. Its use isnt restricted to humans either. Genotyping plants in agriculture assists plant breeders in selecting, refining, and improving their breeding stock. PCR is also the first step to enrich sequencing samples, as discussed above. For example, most mapping techniques in the Human Genome Project (HGP) relied on PCR.Medicine and biomedical research- PCR is used in a host of medical applications, from diagnostic testing for disease-associated genetic mutations, to the identification of infectious agents. Another great example of PCR use in the medical realm is prenatal genetic testing. Prenatal genetic testing through PCR can identify chromosome abnormalities and genetic mutations in the fetus, giving parents-to-be important information about whether their baby has certain genetic disorders. PCR can also be used as a preimplantation genetic diagnosis tool to screen embryos for in vitro fertilization (IVF) procedures.Forensic science- Our unique genetic fingerprints mean that PCR can be instrumental in both paternity testing and forensic investigations to pinpoint samples' sources. Small DNA samples isolated from a crime scene can be compared with a DNA database or with suspects' DNA, for example. These procedures have really changed the way police investigations are carried out. Authenticity testing also makes use of PCR genetic markers, for example, to determine the species from which meat is derived. Molecular archaeology too utilizes PCR to amplify DNA from archaeological remains.Environmental microbiology and food safety- Detection of pathogens by PCR, not only in patients' samples but also in matrices like food or water, can be vital in diagnosing and preventing infectious disease.PCR is the benchmark technology for detecting nucleic acids in every area, from biomedical research to forensic applications. Kary Mullis's idea, written on the back of a receipt on the side of the road, turned out to be a revolutionary one.

References1. Chien A, Edgar DB, Trela JM. Deoxyribonucleic acid polymerase from the extreme thermophile Thermus aquaticus. J Bacteriol 1976;127(3):1550-57 doi: 10.1128/JB.127.3.1550-1557.1976

2. Saiki RK, Scharf S, Faloona F, et al. Enzymatic amplification of beta-globin genomic sequences and restriction site analysis for diagnosis of sickle cell anemia. Science 1985;230(4732):1350 doi: 10.1126/science.2999980

3. Arya M, Shergill IS, Williamson M, Gommersall L, Arya N, Patel HRH. Basic principles of real-time quantitative PCR. Expert Review of Molecular Diagnostics 2005;5(2):209-19 doi: 10.1586/14737159.5.2.209

4. Bachman J. Chapter Two - Reverse-Transcription PCR (RT-PCR). In: Lorsch J, ed. Methods in Enzymology: Academic Press, 2013:67-74. doi : 10.1016/B978-0-12-420037-1.00002-6

5. Morley AA. Digital PCR: A brief history. Biomol Detect Quantif 2014;1(1):1-2 doi: 10.1016/j.bdq.2014.06.001

6. Taylor SC, Laperriere G, Germain H. Droplet Digital PCR versus qPCR for gene expression analysis with low abundant targets: from variable nonsense to publication quality data. Scientific Reports 2017;7(1):2409 doi: 10.1038/s41598-017-02217-x

7. Ahrberg CD, Manz A, Chung BG. Polymerase chain reaction in microfluidic devices. Lab on a Chip 2016;16(20):3866-84 doi: 10.1039/C6LC00984K

8. Garibyan L, Avashia N. Polymerase chain reaction. J Invest Dermatol 2013;133(3):1-4 doi: 10.1038/jid.2013.1

9. VanGuilder HD, Vrana KE, Freeman WM. Twenty-five years of quantitative PCR for gene expression analysis. BioTechniques 2008;44(5):619-26 doi: 10.2144/000112776

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An Introduction to PCR - Technology Networks

Once bitten, twice shy: the neurology of why one bad curry could put us off for life – Newswise

Newswise A negative experience with food usually leaves us unable to stomach the thought of eating that particular dish again. Using sugar-loving snails as models, researchers at the University of Sussex believe these bad experiences could be causing a switch in our brains, which impacts our future eating habits.

Like many other animals, snails like sugar and usually start feeding on it as soon as it is presented to them. But through aversive training which involved tapping the snails gently on the head when sugar appeared, the snails' behaviour was altered and they refused to feed on the sugar, even when hungry.

When the team of Sussex Neuroscience researchers led by Dr Ildiko Kemenes looked a little closer, they discovered a neuronal mechanism that effectively reversed the snails' usual response to sugar after the conditioning training had taken place.

Dr Ildiko Kemenes, Reader in Neuroscience in the University of Sussex's School of Life Sciences, explained: "There's a neuron in the snail's brain which normally suppresses the feeding circuit. This is important, as the network is prone to becoming spontaneously activated, even in the absence of any food. By suppressing the feeding circuit, it ensures that the snail doesn't just eat everything and anything. But when sugar or other food stimulus is present, this neuron becomes inhibited so that feeding can commence.

"After the aversive training, we found that this neuron reverses its electrical response to sugar and becomes excited instead of inhibited by it. Effectively, a switch has been flipped in the brain which means the snail no longer eats the sugar when presented with it, because sugar now suppresses rather than activates feeding."

When researchers presented the trained snails with a piece of cucumber instead, they found that the animal was still happy to eat the healthy option - showing that the taps were associated with only the particular type of food they were trained to reject.

George Kemenes, Professor of Neuroscience at the University of Sussex and a senior member of the investigator team, added: "Snails provide us with a similar yet exceptionally basic model of how human brains work.

"The effect of the inhibitory neuron which suppresses the feeding circuit in the snail is quite similar to how, in the human brain, cortical networks are under inhibitory control to avoid 'runaway' activation which may lead to overeating resulting in obesity.

"In our research, the negative experience the snail had with the sugar could be likened to eating a bad takeaway curry which then puts us off that particular dish in future.

"We believe that in a human brain, a similar switch could be happening where particular groups of neurons reverse their activity in line with the negative association of a particular food. "

The research, funded by the Biotechnology and Biological Sciences Research Council (BBSRC) and published inCurrent Biology, also revealed that when the neuron was removed entirely from trained snails, they returned to eating sugar again.

Dr Ildiko Kemenes said: "This suggests that the neuron is necessary for the expression of the learned behaviour and for altering the response to sugar.

"However, we cannot rule out that the sugar-activated sensory pathway also undergoes some changes, so we don't make the assumption that this is all that's happening in the brain."

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Once bitten, twice shy: the neurology of why one bad curry could put us off for life - Newswise

Overweight/Obesity in Young Adulthood Linked to Increased Risk of MS – Neurology Advisor

Overweight/obese levels of BMI at age 20, paired with history of infectious mononucleosis (IM) or high Epstein-Barr nuclear antigen 1 (EBNA-1) antibody levels, synergize in elevating the risk of multiple sclerosis (MS), and the effect strengthens with increasing antibody levels, according to study results published in Neurology: Neuroimmunology & Neuroinflammation. Results also indicated significant 3-way additive interactions between DRB1*15:01 allele, BMI at age 20 years, and each aspect of Epstein Barr virus (EBV) infection.

The study researchers sought to find out whether these MS risk factors had an additive interaction for the inflammatory disease, and to analyze 3-way interactions between BMI at age 20, EBV infection, and the human leukocyte antigen (HLA)-DRB1* 15:01 allele.

They used data from the Epidemiological Investigation of Multiple Sclerosis (EIMS) and Genes and Environment in Multiple Sclerosis (GEMS) studies, 2 Swedish population-based case-control studies on environmental and genetic risk factors for MS. In the former, newly diagnosed cases of MS were recruited from neurology clinics and matched with 2 randomly selected controls from the countrys national population register, frequency matched in 5-year age strata, sex, and residential area. GEMS presented prevalent cases of MS from the Swedish National MS Registry, each of whom was matched with 1 control in the same way as in EIMS.

The study researchers also included controls from the Epidemiological Investigation of Rheumatoid Arthritis, which was designed in the same manner and with a similar study population as EIMS. Participants provided blood samples for the genotyping and self-reported contraction of IM, body height, and weight.

The combination of two risk factors, overweight/obesity at age 20 years and a history of IM, synergistically increased the risk of MS 5-fold. In contrast, nonoverweight subjects with IM history had a 90% increased risk of MS and those with overweight/obesity at age 20 years (BMI I 25 kg/m2) without IM history had a 40% increased MS risk.

BMI at age 20 years and high EBNA-1 antibody levels, even without history of IM, had a similar interaction that increased with elevated EBNA-1 antibody levels.

2-way interactions were present between DRB1*15:01 and overweight/obesity at age 20 years, between DRB1*15:01 and each aspect of EBV infection, and between overweight/obesity at age 20 years and each aspect of EBV infection. DRB1*15:01, BMI at age 20 years, and each aspect of EBV infection (IM history and high EBNA-1 antibody levels, respectively) had significant 3-way interactions.

These findings held significant for both EIMS and GEMS when investigators restricted the analysis to subjects with complete data on HLA alleles and EBNA-1 antibody levels.

Limitations of the study included selection bias and recall bias in the studies and risk of misclassification when dichotomizing subjects into those with and without self-reported IM history.

The study researchers concluded, The obese state both induces a chronic immune-mediated inflammation and affects the cellular immune response to infections, which may contribute to explain our findings. They added that their data reinforce the importance of intervention efforts against childhood and adolescent obesity to reduce MS incidence.

Disclosure: Several authors declared affiliations with the pharmaceutical industry. Please see the original reference for a full list of authors disclosures.

Reference

Hedstrm AK, Brenner N, Butt J, et al. Overweight/obesity in young adulthood interacts with aspects of EBV infection in MS etiology. Neurol Neuroimmunol Neuroinflamm. Published online December 15, 2020. doi:10.1212/NXI.0000000000000912

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Overweight/Obesity in Young Adulthood Linked to Increased Risk of MS - Neurology Advisor

Acute neurologic manifestations in children with hemolytic uremic syndrome linked to increased mortality – 2 Minute Medicine

1. In a largemulti-centerstudy of children with hemolytic uremic syndrome, those with any acute neurologic manifestation (ANM) had increased risk of mortality.

2. Brain infarction, brain hemorrhage, anoxic brain injury, and brain edema were independently associated with mortality.

Evidence Rating Level: 2 (Good)

Study Rundown:Hemolytic uremic syndrome (HUS) is a microangiopathic hemolytic anemia characterized by anemia, thrombocytopenia, and renal dysfunction. One of the most serious complications of HUS is neurologic injury, which can lead to devastating sequelae including death. Previously, only small studies examined acute neurologic manifestations (ANMs) of HUS, with widely varying conclusions. This study characterized ANMs and their association with in-hospital mortality in nearly 4,000 children with HUS using a database containing information from over 40 childrens hospitals in North America. Overall, ANMs occurred in 10.4% of patients. Mortality was significantly higher in patients with any ANM (13.9%) compared to those without an ANM (1.8%). Furthermore, mortality was higher in patients with 2 ANMs (17.6%) than in those with 1 ANM (11.9%). Researchers also examined risk of mortality with specific ANMs and specific combinations of ANMs. One important limitation of this study was the lack of differentiation between typical and atypical HUS, which are considered to be different disease processes. Overall, this robust analysis of data obtained from a large database provides valuable information in identifying which children with HUS are at risk for worse outcomes.

Click to read the study in Pediatrics

Relevant Reading: Neurological involvement in children with E. coli 0104:H4-induced hemolytic uremic syndrome

In-Depth [retrospective cohort]: Data was obtained from the Pediatric Health Information System database, which contains information from over 40 tertiary childrens hospitals in North America. Overall, 3915 children (52.5% female, 75.5% white, median age 3.8 years) with HUS were included in the study. The median age of patients with ANMs was 3.3 years. In addition to increased mortality in patients with ANMs, average length of stay was also longer in those with ANMs compared to those without (27.8 vs. 13.8 days, p<0.001). The three most common ANMs were encephalopathy (60% of all patients with ANMs), seizures (26.4%), and stroke (22.5%). Mortality varied between specific ANMs encephalopathy (4.3%), seizures (8.9%), meningitis (21.7%), stroke (22.2%), intracranial hemorrhage (40%), cerebral edema (25%), and anoxic brain injury (40%). Patients < 30 days old were at increased risk of mortality, as were those who required mechanical ventilation or ECMO. ANMs independently associated with mortality were brain infarction (OR 2.64, p=0.03), brain hemorrhage (OR 3.09, p=0.005), anoxic brain injury (OR 3.92, p=0.006), and brain edema (OR 4.81, p=0.002).

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