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Brain Tumor

A New Path Forward: Unlocking Brain Cell Activity with Potassium Channels to Treat Depression

A mechanism involving potassium channels in the brain that control brain cell activity could provide a new and fundamentally different way of treating depression symptoms in adults with major depressive disorder.

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The groundbreaking research by scientists at the Icahn School of Medicine at Mount Sinai has shed new light on a promising approach to treating major depressive disorder in adults. A mechanism involving potassium channels in the brain that control brain cell activity could provide a fundamentally different way of addressing depression symptoms.

The study, published in two papers in Biological Psychiatry and Molecular Psychiatry, provides new insights into how the drug ezogabine may impact the brain to improve depression. Ezogabine was approved by the U.S. Food and Drug Administration in 2011 as an anticonvulsant medication for partial-onset seizures in adults with epilepsy.

Researchers found that increasing KCNQ channel activity could represent a new approach to treating depression, building on previous neuroscience research in mice conducted at The Friedman Brain Institute at Mount Sinai. Dr. Murrough’s research team was the first to test this hypothesis in humans with depression.

Their study revealed that ezogabine was associated with significant improvements in depression symptoms and the ability to experience pleasure (anhedonia) in patients who were treated with the drug compared to those who received placebo. The two new papers provide details from new analyses of the human brain imaging data collected from that initial clinical trial.

The first paper, published in Molecular Psychiatry, sheds light on the effects of ezogabine on a specific brain pathway. This study examined the impact of ezogabine on the ventral tegmental area (VTA) of the brain, which is involved in the release of dopamine, a neurotransmitter essential for motivation, pleasure, and reinforcement of behaviors.

The results showed an important role for KCNQ channel openers like ezogabine in normalizing hyperactivity of the VTA in people with both depression and anhedonia. “Up to half of people with depression do not respond to first-line treatment, which may be due to the lack of interventions that directly affect the neurobiology underlying symptoms like anhedonia,” says Laurel S. Morris, PhD, Adjunct Professor of Psychiatry at the Icahn School of Medicine.

By specifically targeting VTA activity and connectivity, ezogabine could open the door to decidedly improved outcomes for people who struggle daily with depression and anhedonia.

In a second paper, published in Biological Psychiatry, research revealed that ezogabine was able to normalize connectivity between the brain’s key reward regions and larger-scale brain networks including the posterior cingulate cortex, which plays a key role in internally directed thought and negative emotions.

Patients who experienced greater improvement in their depression and anhedonia when treated with ezogabine showed decreased connectivity between brain reward regions and the cingulate cortex. Together, these two complementary studies suggest that KCNQ channel openers can potentially alleviate the specific known neurobiological changes that occur in animal models of depression as well as change the function of larger brain networks that might be uniquely used in humans to regulate thought processes such as rumination.

“These findings suggested to us that drugs targeting the KCNQ channel may trigger antidepressant effects by reducing interactions between the reward centers in the brain and those related to negative thinking and emotion,” Dr. Murrough explains. “This hypothesis will require confirmation in larger clinical trials.”

Dr. Murrough is a named inventor on a pending patent application for the use of ezogabine and other KCNQ channel openers to treat depression and related disorders.

Brain Tumor

A New Biomarker for Skin Cancer: Unlocking the Secrets of Metastasis Risk and Treatment Opportunities

Researchers have identified C5aR1 as a novel biomarker for metastasis risk and poor prognosis in patients with cutaneous squamous cell carcinoma (cSCC), the most common type of metastatic skin cancer. The new study’s findings in The American Journal of Pathology, published by Elsevier, found that C5aR1 promotes the invasion of cSCC tumor cells. Its elevated presence suggests that C5aR1 might serve as a useful prognostic marker for metastatic disease and, potentially, a target for future therapies in advanced cSCC.

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A New Biomarker for Skin Cancer: Unlocking the Secrets of Metastasis Risk and Treatment Opportunities

Cutaneous squamous cell carcinoma (cSCC), the most common type of metastatic skin cancer, affects a significant number of people worldwide. Despite its relatively low incidence rate compared to other types of cancers, cSCC is responsible for nearly 25% of annual skin cancer deaths. The prognosis for patients with metastatic cSCC is poor, with limited treatment options available.

Researchers have identified C5aR1 as a potential biomarker for metastasis risk and poor prognosis in patients with cSCC. This novel finding, published in The American Journal of Pathology, has significant implications for the diagnosis and treatment of this aggressive form of skin cancer.

The complement system, a part of the human innate immune system, plays a crucial role in tumor suppression by inducing inflammation or causing immunosuppression. However, studies have shown that the complement system can also contribute to tumor progression and metastasis. This complex interplay between the complement system and cancer cells has prompted researchers to investigate the interaction between C5a (a signaling molecule) and its protein receptor C5aR1.

The study’s findings reveal that C5a binds to C5aR1, activating signaling pathways within the cell, leading to changes in cell behavior. The investigators examined C5aR1 in the context of cSCC progression and metastasis by combining in vitro 3D spheroid co-culture of cSCC cells and skin fibroblasts, human cSCC xenograft tumors grown in SCID mice, and a large panel of patient-derived tumor samples.

The results showed that C5aR1 expression is linked to metastasis risk and poor survival in patients with cSCC. High C5aR1 expression was observed in both tumor cells and stromal fibroblasts, suggesting that the interplay between tumor cells and their surroundings plays a crucial role in cancer progression.

The researchers concluded that C5aR1 is a potential metastatic risk marker, a novel prognostic biomarker, and promising therapeutic target for cSCC. This discovery has significant implications for the diagnosis and treatment of this aggressive form of skin cancer, offering new hope for patients and their families.

In conclusion, the identification of C5aR1 as a potential biomarker for metastasis risk and poor prognosis in patients with cSCC is a significant breakthrough in the field of skin cancer research. Further studies are needed to fully understand the role of C5aR1 in cSCC progression and metastasis, but this discovery has the potential to unlock new treatment opportunities and improve patient outcomes.

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Animal Learning and Intelligence

The Buzz on Caffeine: How it Affects the Sleeping Brain

Coffee can help you stay awake. But what does caffeine actually do to your brain once you’re asleep? Using AI, a team of researchers has an answer: it affects the brain’s ‘criticality’.

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The article delves into the intricate relationship between caffeine and the sleeping brain, offering fresh insights from a recent study published in Nature Communications Biology. Researchers from Université de Montréal have shed new light on how caffeine can modify sleep patterns and influence the brain’s recovery during the night.

Led by Philipp Thölke, a research trainee at UdeM’s Cognitive and Computational Neuroscience Laboratory (CoCo Lab), the team used AI and electroencephalography (EEG) to study caffeine’s effects on sleep. Their findings reveal that caffeine increases the complexity of brain signals and enhances brain “criticality” during sleep – a state characterized by balanced order and chaos.

Interestingly, this effect is more pronounced in younger adults, particularly during REM sleep, the phase associated with dreaming. The researchers attribute this finding to a higher density of adenosine receptors in young brains, which naturally decrease with age. Adenosine is a molecule that accumulates throughout the day, causing fatigue.

The study’s lead author, Thölke, notes that caffeine stimulates the brain and pushes it into a state of criticality, where it is more awake, alert, and reactive. However, this state can interfere with rest at night, preventing the brain from relaxing or recovering properly.

The researchers used EEG to record the nocturnal brain activity of 40 healthy adults on two separate nights: one when they consumed caffeine capsules three hours before bedtime and another when they took a placebo at the same time. They applied advanced statistical analysis and artificial intelligence to identify subtle changes in neuronal activity, revealing that caffeine increased the complexity of brain signals during sleep.

The team also discovered striking changes in the brain’s electrical rhythms during sleep: caffeine attenuated slower oscillations such as theta and alpha waves – generally associated with deep, restorative sleep – and stimulated beta wave activity, which is more common during wakefulness and mental engagement.

These findings suggest that even during sleep, the brain remains in a more activated, less restorative state under the influence of caffeine. This change in the brain’s rhythmic activity may help explain why caffeine affects the efficiency with which the brain recovers during the night, with potential consequences for memory processing.

The study’s implications are significant, particularly given the widespread use of caffeine as a daily remedy for fatigue. The researchers stress the importance of understanding its complex effects on brain activity across different age groups and health conditions. They add that further research is needed to clarify how these neural changes affect cognitive health and daily functioning, potentially guiding personalized recommendations for caffeine intake.

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Brain Tumor

Breaking Ground in Cancer Treatment: Innovative Immunotherapy Shows Promise Against Aggressive Blood Cancers

An international clinical trial shows an innovative CAR-T cell immunotherapy is promising against aggressive T cell cancers and has manageable side effects.

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Breaking Ground in Cancer Treatment: Innovative Immunotherapy Shows Promise Against Aggressive Blood Cancers

A groundbreaking type of immunotherapy has shown promising results in treating aggressive blood cancers, according to a recent international phase 1/2 clinical trial. The innovative CAR-T cell therapy was specifically designed to target cancerous T cells and achieved complete remission in a significant number of patients who had run out of treatment options.

The study, led by researchers at Washington University School of Medicine in St. Louis, evaluated the safety and efficacy of an off-the-shelf CAR-T cell immunotherapy that targets aggressive blood cancers, including T-cell acute lymphoblastic leukemia and T-cell lymphoblastic lymphoma. The clinical trial included 28 adult and adolescent patients who had been diagnosed with these rare and aggressive cancers.

The results were published in the journal Blood and showed that most of the patients who received the full dose of CAR-T cells achieved complete remission, with an overall response rate of 91%. Eight out of 11 patients (72.7%) achieved complete remission, and six patients remained in remission at the study’s data cut-off.

The therapy, called WU-CART-007, was developed by Wugen, a WashU biotech startup company founded by researchers from Washington University School of Medicine. The clinical trial was conducted across multiple sites worldwide, including Australia, Europe, and various locations in the United States.

“This has the potential to become a transformative advance in the field,” said senior author John F. DiPersio, MD, PhD, the Virginia E. & Sam J. Golman Professor of Medicine at WashU Medicine. “The trial demonstrated a high likelihood of response to the therapy and even remission. This CAR-T cell treatment shows promise in becoming a ‘bridge-to-transplant’ therapy for patients who would otherwise not be eligible for stem cell transplantation.”

While larger studies are necessary before the researchers can determine whether this new therapy could be curative on its own, the results are promising and offer hope for those affected by these aggressive blood cancers.

Innovative CAR-T Cell Therapy

The CAR-T cell therapy evaluated in the trial is considered a “universal” therapy because it harnesses CRISPR gene editing technology to produce cells from healthy donors that can be used to treat patients with T-cell cancers. This approach eliminates the need for personalized therapies, which must be adapted from each patient’s immune cells.

Using CRISPR gene editing tools, the production process deletes the T cell receptor from the donor cells, reducing the risk of graft-versus-host disease and preventing CAR-T cell fratricide, where therapeutic T cells attack healthy tissue. The modified CAR-T cells are engineered to target a protein called CD7 on the surface of cancerous T cells to then destroy the cancer.

A larger international clinical trial is already underway, and researchers hope that this universal CAR-T cell therapy can become an approved treatment for patients with deadly T-cell cancers.

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