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Diabetes

Beyond Ozempic: A New Weight Loss Drug on the Horizon

Tufts University scientists are aiming to revolutionize the future of weight loss drugs by engineering a new compound that targets four gut hormones instead of the usual one to three. These next-gen tetra-functional peptides may overcome the limitations of current drugs like Ozempic and Mounjaro especially their nausea, muscle loss, and rebound weight gain.

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Beyond Ozempic: A New Weight Loss Drug on the Horizon

Weight loss drugs like Ozempic and Wegovy have revolutionized the way people manage their weight, with over 15 million adults in the US using them. However, these medications come with drawbacks, including side effects like osteoporosis, muscle loss, and nausea. Researchers at Tufts University are working on a new weight loss drug that could potentially surpass surgery as the gold standard for achieving significant weight loss.

The researchers, led by Krishna Kumar, have designed a next-generation compound that targets four hormone receptors related to glucose metabolism and appetite regulation. This novel approach aims to enhance weight loss while minimizing side effects.

After eating a meal, our gut and brain trigger a hormonal “fuel gauge” that regulates glucose levels and tells us when we’ve had enough to eat. The hormone glucagon-like peptide 1 (GLP-1) is released to stimulate insulin production and glucose uptake in muscles and other tissues. Ozempic uses GLP-1 with slight modifications to increase its availability in the bloodstream, leading to its success in controlling blood glucose.

However, GLP-1 also acts directly on the brain, making us feel full after a meal. This is why it has become extremely popular as a weight loss treatment. But GLP-1 can induce nausea and vomiting in some individuals, which can make it difficult to stay on track with treatment.

A second hormone released after eating is glucose-dependent insulinotropic peptide (GIP). It also makes us feel full after a meal and looks similar to GLP-1, so researchers created one peptide that incorporates structural elements of both – what’s called in drug development a chimera. This drug, called Mounjaro or Zepbound, has the added benefit of significantly reducing nausea.

The Tufts team has also identified glucagon as another hormone involved in weight regulation. Paradoxically, it increases blood glucose but at the same time increases energy expenditure and suppresses appetite. By adding glucagon to the mix, GLP-1 and GIP end up neutralizing its glucose-enhancing effect, leaving the remaining functionalities of all three hormones working together to enhance weight loss.

The new weight loss drug being developed by Tufts researchers incorporates elements of all four hormones: GLP-1, GIP, glucagon, and peptide YY (PYY). PYY is a molecule secreted by the gut after eating a meal that reduces appetite and slows food emptying. This novel approach aims to improve the chances of achieving greater and more consistent weight loss outcomes.

The researchers believe that this new drug could match the 30% weight loss outcome achieved through bariatric surgery. They are also hopeful that their discovery will help preserve bone and muscle mass, which is often lost after discontinuing current GLP-1 related drugs.

In conclusion, the Tufts researchers’ innovative approach to developing a new weight loss drug offers hope for those seeking to achieve significant weight loss without undergoing surgery. Their novel compound targets four hormone receptors related to glucose metabolism and appetite regulation, making it a promising treatment option for individuals struggling with excess weight.

Diabetes

The Ancient Longevity Switch: How Morning Coffee Could Be Slowing Down Your Ageing Process

Caffeine appears to do more than perk you up—it activates AMPK, a key cellular fuel sensor that helps cells cope with stress and energy shortages. This could explain why coffee is linked to better health and longer life.

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The scientific community has made another groundbreaking discovery that reveals how our beloved morning coffee might be doing more than just waking us up. A recent study conducted by researchers at Queen Mary University of London’s Cenfre for Molecular Cell Biology sheds light on the potential anti-ageing properties of caffeine, the world’s most popular neuroactive compound.

The research, published in the journal Microbial Cell, delves into the intricate mechanisms within our cells and how they respond to stress and nutrient availability. The scientists used a single-celled organism called fission yeast as a model to understand how caffeine affects ageing at a cellular level.

One of the key findings was that caffeine doesn’t act directly on the growth regulator called TOR (Target of Rapamycin), which is responsible for controlling energy and stress responses in living things for over 500 million years. Instead, it works by activating another crucial system called AMPK, a cellular fuel gauge that is evolutionarily conserved in yeast and humans.

“When your cells are low on energy, AMPK kicks in to help them cope,” explains Dr Charalampos (Babis) Rallis, Reader in Genetics, Genomics, and Fundamental Cell Biology at Queen Mary University of London, the study’s senior author. “And our results show that caffeine helps flip that switch.”

The implications of this discovery are significant, as AMPK is also the target of metformin, a common diabetes drug being studied for its potential to extend human lifespan together with rapamycin. The researchers demonstrated using their yeast model that caffeine’s effect on AMPK influences how cells grow, repair their DNA, and respond to stress – all of which are tied to ageing and disease.

These findings open up exciting possibilities for future research into how we might trigger these effects more directly – with diet, lifestyle, or new medicines. So, the next time you reach for your coffee, remember that it might be doing more than just boosting your focus – it could also be giving your cells a helping hand in slowing down your ageing process.

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Alzheimer's

Groundbreaking Study Suggests Link Between Semaglutide and Lower Dementia Risk in Type 2 Diabetes Patients

A blockbuster diabetes and weight-loss drug might be doing more than controlling blood sugar—it could also be protecting the brain. Researchers at Case Western Reserve University found that people with type 2 diabetes who took semaglutide (the active ingredient in Ozempic and Wegovy) had a significantly lower risk of developing dementia. The benefit was especially strong in women and older adults.

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A recent study by researchers at the Case Western Reserve School of Medicine has made an astonishing discovery that may revolutionize the way we approach dementia prevention. The research team found that semaglutide, a popular medication used to treat diabetes and aid in weight loss, could significantly lower the risk of dementia in people with type 2 diabetes (T2D).

Dementia is a devastating condition that affects millions worldwide, causing memory loss and cognitive decline. It occurs when brain cells are damaged, disrupting their connections and ultimately leading to this debilitating state. Encouragingly, studies indicate that approximately 45% of dementia cases could be prevented by addressing modifiable risk factors.

The study, published in the Journal of Alzheimer’s Disease, analyzed three years’ worth of electronic records from nearly 1.7 million T2D patients nationally. The researchers used a statistical approach that mimicked a randomized clinical trial to determine the effectiveness of semaglutide in preventing dementia.

Their findings suggest that patients prescribed semaglutide had a significantly lower risk of developing Alzheimer’s disease-related dementia compared to those taking other anti-diabetic medications, including GLP-1R-targeting medications. These results were even more pronounced in women and older adults.

Semaglutide, a glucagon-like peptide receptor (GLP-1R) molecule that decreases hunger and regulates blood sugar levels in T2D patients, has shown remarkable benefits beyond its primary use as a diabetes treatment. It also reduces the risk of cardiovascular diseases, further solidifying its potential in preventing dementia.

The study’s lead researcher, biomedical informatics professor Rong Xu, stated, “There is no cure or effective treatment for dementia, so this new study provides real-world evidence for its potential impact on preventing or slowing dementia development among at-high risk populations.”

While the findings are promising, it’s essential to note that further research through randomized clinical trials will be necessary to confirm the causal relationship between semaglutide and dementia prevention. Nevertheless, this groundbreaking study offers a glimmer of hope in the quest to combat dementia and improve the lives of millions worldwide.

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Cancer

The Toxic Truth About Recycled Plastic: Over 80 Chemicals Found in a Single Pellet

Recycled plastic pellets can release a hidden mix of over 80 chemicals into water, disrupting hormones and fat metabolism in zebrafish larvae. Researchers warn that unknown and toxic additives make current recycling practices dangerously unpredictable.

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The world’s plastic pollution crisis has reached alarming levels, threatening both planetary and human health. Recycling is often touted as a solution, but a new study reveals a disturbing truth: a single pellet of recycled plastic can contain over 80 different chemicals. Researchers from the University of Gothenburg and Leipzig have shown that these hazardous substances can leach into water, causing impacts on hormone systems and lipid metabolism in zebrafish larvae.

The study, which soaked plastic pellets in water for 48 hours before exposing zebrafish larvae to the resulting mixture, found increases in gene expression related to lipid metabolism, adipogenesis, and endocrine regulation. The researchers emphasized that these short leaching times and exposure periods are yet another indicator of the risks posed by chemicals in plastics.

Previous research has shown similar effects on humans, including threats to reproductive health and obesity from exposure to toxic chemicals in plastics. Some chemicals used as additives in plastics and substances that contaminate plastics can disturb hormones, with potential impacts on fertility, child development, links to certain cancers, and metabolic disorders.

“This is the main obstacle with the idea of recycling plastic,” said Professor Bethanie Carney Almroth. “We never have full knowledge of what chemicals will end up in an item made of recycled plastic. And there is also a significant risk of chemical mixing events occurring, which render the recycled plastic toxic.”

The researchers analyzed the chemicals leaching from the plastic pellets and found common plastics chemicals, including UV-stabilizers and plasticizers, as well as chemicals not used as additives, such as pesticides, pharmaceuticals, and biocides. These may have contaminated the plastics during their first use phase prior to becoming waste and being recycled.

The study’s findings have significant implications for a Global Plastics Treaty currently being negotiated under the United Nations Environmental Program. The authors stress that negotiators and decision-makers must include provisions to ban or reduce hazardous chemicals in plastics, and to increase transparency and reporting along plastics value chains.

“This work clearly demonstrates the need to address toxic chemicals in plastics materials and products across their life cycle,” said Professor Bethanie Carney Almroth. “We cannot safely produce and use recycled plastics if we cannot trace chemicals throughout production, use, and waste phases.”

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