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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.

Allergy

“The Silent Invader: How a Parasitic Worm Evades Detection and What it Can Teach Us About Pain Relief”

Scientists have discovered a parasite that can sneak into your skin without you feeling a thing. The worm, Schistosoma mansoni, has evolved a way to switch off the body’s pain and itch signals, letting it invade undetected. By blocking certain nerve pathways, it avoids triggering the immune system’s alarms. This stealth tactic not only helps the worm survive, but could inspire new kinds of pain treatments and even preventative creams to protect people from infection.

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A new study published in The Journal of Immunology has made an intriguing discovery about how a parasitic worm evades detection and what it can teach us about pain relief. Researchers from Tulane School of Medicine found that the Schistosoma mansoni worm, which causes schistosomiasis, suppresses neurons in the skin to avoid triggering an immune response.

When this worm penetrates human skin, typically through contact with infested water, it produces molecules that block a protein called TRPV1+, which is responsible for sending pain signals to the brain. This clever mechanism allows the worm to infect the skin largely undetected.

The researchers believe that the S. mansoni worm evolved this strategy to enhance its own survival and found that blocking TRPV1+ also reduced disease severity in mice infected with the parasite. The study suggests that identifying the molecules responsible for suppressing TRPV1+ could lead to new painkillers that do not rely on opioids.

Moreover, the researchers discovered that TRPV1+ is essential for initiating host protection against S. mansoni infection. When this protein is activated, it triggers a rapid mobilization of immune cells, which induces inflammation and helps fight off the parasite. This finding highlights the critical role of neurons in pain-sensing and immune responses.

The study’s lead author, Dr. De’Broski R. Herbert, emphasizes that identifying these molecules could inform preventive treatments for schistosomiasis. He envisions a topical agent that activates TRPV1+ to prevent infection from contaminated water for individuals at risk of acquiring S. mansoni.

This groundbreaking research has the potential to revolutionize our understanding of pain relief and immune responses, offering new avenues for developing innovative therapies that could benefit millions worldwide.

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Colon Cancer

Scientists Discover a Tiny Molecule That Could Revolutionize Weight Loss Treatment

Researchers at the Salk Institute have used CRISPR to uncover hidden microproteins that control fat cell growth and lipid storage, identifying one confirmed target, Adipocyte-smORF-1183. This breakthrough could lead to more effective obesity treatments, surpassing the limitations of current drugs like GLP-1.

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The fight against obesity has been an ongoing battle for decades. With over one billion people worldwide affected by this condition, scientists are constantly seeking new and effective treatments. Recently, researchers at the Salk Institute have made a groundbreaking discovery that could potentially change the game. They’ve identified a tiny molecule called Adipocyte-smORF-1183, which plays a crucial role in regulating fat cell biology and lipid accumulation.

This breakthrough was made possible by using CRISPR gene editing to screen thousands of fat cell genes. The researchers found dozens of genes that likely code for microproteins involved in either fat cell proliferation or lipid accumulation. One of these potential microproteins, Adipocyte-smORF-1183, was verified to influence lipid droplet formation in fat cells.

The discovery of this molecule is a significant step towards understanding the complex energy storage system in our bodies. It also opens up new possibilities for developing targeted therapies that can specifically address obesity and related metabolic disorders.

While more research is needed to fully understand the implications of Adipocyte-smORF-1183, this breakthrough is a promising development in the fight against obesity. As scientists continue to study this molecule and its role in fat cell biology, we may see new and innovative treatments emerge that can help millions of people worldwide manage their weight and improve their overall health.

In related news, researchers at Scripps Research Institute have also been studying microproteins involved in fat cell differentiation and proliferation. Their work has identified several potential candidates for further investigation, which could lead to new therapeutic targets for obesity and metabolic disorders.

The study was supported by various grants from the National Institutes of Health, Ferring Foundation, Clayton Foundation, and Larry and Carol Greenfield Technology Fund. Further validation or screening of new cell libraries will expand the list of potential drug candidates, setting the stage for the new-and-improved obesity and metabolic disorder therapeutics of the future.

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Chronic Illness

Scientists Uncover Hidden Brain Shortcut for Weight Loss without Nausea

Scientists have uncovered a way to promote weight loss and improve blood sugar control without the unpleasant side effects of current GLP-1 drugs. By shifting focus from neurons to brain support cells that produce appetite-suppressing molecules, they developed a modified compound, TDN, that worked in animal tests without causing nausea or vomiting.

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Scientists have made a groundbreaking discovery that could revolutionize the way we approach weight loss. A multidisciplinary team led by Robert Doyle, a chemistry professor at Syracuse University, has identified a hidden brain shortcut that can help people lose weight without experiencing nausea, a common side effect of current weight loss medications.

Current weight loss and diabetes drugs often target brain neurons that control appetite but frequently cause unpleasant side effects like nausea and vomiting. In fact, 70% of patients stop treatment within a year due to these side effects. Doyle’s team has been researching alternative targets for treating obesity and diabetes, looking beyond neurons to study “support” cells such as glia and astrocytes.

The research team discovered that support cells in the hindbrain naturally produce a molecule named octadecaneuropeptide (ODN), which suppresses appetite. In lab tests, injecting ODN directly into rats’ brains made them lose weight and improve how they processed glucose. However, injecting directly into the brain isn’t a practical treatment for people.

To overcome this limitation, researchers created a new version of the molecule named tridecaneuropeptide (TDN), which could be given to human patients through regular injections akin to today’s Ozempic or Zepbound. When tested in obese mice and musk shrews, TDN helped the animals lose weight and respond better to insulin without causing nausea or vomiting.

One goal of the research team is to produce weight loss without aiming new therapeutic molecules at neurons. The new TDN molecule bypasses neurons, taking a shortcut to directly target support cells, which researchers found also produce appetite suppression. This approach has the potential to reduce the unpleasant side effects caused by GLP-1 drugs.

“The idea is to start the process halfway through, reducing the marathon of chemical reactions and negative side effects,” says Doyle. “If we could hit that downstream process directly, then potentially we wouldn’t have to use GLP-1 drugs with their side effects. Or we could reduce their dose, improving the toleration of these drugs.”

A new company called CoronationBio has been launched to turn this discovery into a real-world treatment. The company has licensed intellectual property related to ODN derivatives for the treatment of obesity and cardio-metabolic disease from Syracuse University and the University of Pennsylvania.

Their focus is on translating candidates into the clinic, aiming to start human trials in 2026 or 2027. This breakthrough has the potential to revolutionize the way we approach weight loss, providing a more comfortable and effective solution for millions of people worldwide.

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