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Chronic Illness

Diabetes Pill Shows Promise in Reducing Liver Scarring

A diabetes drug may soon double as a treatment for liver disease. Dapagliflozin, an SGLT-2 inhibitor typically used for type 2 diabetes, significantly improved liver inflammation and scarring in patients with metabolic dysfunction-associated steatohepatitis (MASH) during a clinical trial in China. Participants on the drug saw better liver outcomes and fewer side effects than those on a placebo. Although more research is needed, especially in diverse populations, this finding hints at a transformative role for existing medications in tackling liver diseases.

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The diabetes pill dapagliflozin has shown promising results in reducing liver scarring in a clinical trial published in The BMJ. The study found that treatment with dapagliflozin improved metabolic dysfunction-associated steatohepatitis (MASH), a condition where excess fat accumulates in the liver, leading to inflammation, and liver fibrosis, a build-up of scar tissue.

The trial involved 154 adults diagnosed with MASH after a liver biopsy at six medical centers in China. Almost half had type 2 diabetes, and almost all had liver fibrosis. The participants were randomly assigned to receive either 10 mg of dapagliflozin or a matching placebo once daily for 48 weeks.

The results showed that treatment with dapagliflozin improved MASH in 53% of participants without worsening of fibrosis, compared to 30% in the placebo group. Resolution of MASH without worsening of fibrosis occurred in 23% of participants in the dapagliflozin group, compared to 8% in the placebo group.

Fibrosis improvement without worsening of MASH was also reported in 45% of participants in the dapagliflozin group, compared to 20% in the placebo group. The percentage of participants who discontinued treatment due to adverse events was 1% in the dapagliflozin group and 3% in the placebo group.

The researchers acknowledged that the trial was conducted in a Chinese population, which limits its broader generalizability, and that female and older patients were under-represented. However, they pointed out that results were consistent after further analyses, suggesting they are robust.

The study’s findings indicate that dapagliflozin may affect key aspects of MASH by improving both steatohepatitis and fibrosis. Large-scale and long-term trials are needed to further confirm these effects.

In the coming years, researchers expect exciting developments in the field of pharmacological treatment for MASH, with more drugs becoming available and therapeutic decisions becoming increasingly tailored to individual patient profiles. Ideally, such treatments should provide cardiovascular benefit, have an established safety profile, and be accessible to broad and diverse patient populations.

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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Cancer

A Silent Killer Unmasked: The Hidden Gene in Leukemia Virus that Could Revolutionize HIV Treatment

Scientists in Japan have discovered a genetic “silencer” within the HTLV-1 virus that helps it stay hidden in the body, evading the immune system for decades. This silencer element essentially turns the virus off, preventing it from triggering symptoms in most carriers. Incredibly, when this silencer was added to HIV, it made that virus less active too — hinting at a revolutionary new strategy for managing not just HTLV-1 but other deadly retroviruses as well. The discovery opens the door to turning the virus’s own stealth tactics against it in future treatments.

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A groundbreaking discovery has been made by a research team from Kumamoto University that could revolutionize our understanding and treatment of HIV. The team, led by Professor Yorifumi Satou, has identified a previously unknown genetic “silencer” element in the human T-cell leukemia virus type 1 (HTLV-1) that keeps the virus in a dormant, undetectable state.

HTLV-1 is a cancer-causing retrovirus known to lead to adult T-cell leukemia/lymphoma (ATL), an aggressive and often fatal disease. Despite most infected individuals remaining asymptomatic for life, a fraction eventually develops leukemia or other inflammatory conditions. The virus achieves long-term persistence by entering a “latent” state, where its genetic material hides inside the host’s genome with minimal activity – evading immune detection.

In this study, the research team identified a specific region within the HTLV-1 genome that functions as a viral silencer. This sequence recruits host transcription factors, particularly the RUNX1 complex, which suppresses the virus’s gene expression. When this silencer region was removed or mutated, the virus became more active, leading to greater immune recognition and clearance in lab models.

What’s remarkable is that when the HTLV-1 silencer was artificially inserted into HIV-1 – the virus that causes AIDS – the HIV virus adopted a more latent-like state, with reduced replication and cell killing. This suggests that the silencer mechanism could potentially be harnessed to design better therapies for HIV as well.

“This is the first time we’ve uncovered a built-in mechanism that allows a human leukemia virus to regulate its own invisibility,” said Professor Satou. “It’s a clever evolutionary tactic, and now that we understand it, we might be able to turn the tables in treatment.”

The findings offer hope not only for understanding and treating HTLV-1, especially in endemic regions like southwestern Japan, but also for broader retroviral infections.

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Chronic Illness

The Hidden Link Between Sleep Schedule and Disease Risk

A global study of over 88,000 adults reveals that poor sleep habits—like going to bed inconsistently or having disrupted circadian rhythms—are tied to dramatically higher risks for dozens of diseases, including liver cirrhosis and gangrene. Contrary to common belief, sleeping more than 9 hours wasn’t found to be harmful when measured objectively, exposing flaws in previous research. Scientists now say it’s time to redefine “good sleep” to include regularity, not just duration, as biological mechanisms like inflammation may underlie these powerful sleep-disease links.

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The recent publication of a groundbreaking international study has shed new light on the often-overlooked connection between our sleep schedules and the risk of various diseases. The research, led by teams from Peking University and Army Medical University, analyzed objective sleep data from an impressive 88,461 adults in the UK Biobank, revealing significant associations between sleep traits and a staggering 172 diseases.

One of the key findings is that poor sleep regularity – including inconsistent bedtimes and irregular circadian rhythms – is a critical factor in disease risk. The study used actigraphy data to monitor participants’ sleep patterns over an average of 6.8 years, identifying that 92 diseases had more than 20% of their risk attributed to subpar sleep behavior.

Perhaps most concerning are the links between certain sleep habits and specific diseases. For instance, going to bed after 00:30 was found to increase the risk of liver cirrhosis by an alarming 2.57 times, while low interdaily stability (a measure of consistency in daily sleep patterns) raised the risk of gangrene by a staggering 2.61 times.

Interestingly, the study also challenged previous claims that “long sleep” (more than 9 hours) is inherently bad for our health. While subjective reports have suggested links between long sleep and stroke or heart disease, the objective data revealed only one such association – in this case, with an increased risk of certain diseases.

It’s possible that misclassification may be to blame for these previous findings: a shocking 21.67% of participants who reported sleeping more than 9 hours actually slept less than 6 hours, highlighting how often actual sleep time is confused with time spent in bed.

The lead author of the study, Prof. Shengfeng Wang, emphasized that the results underscore the importance of considering sleep regularity beyond just duration. As we strive to maintain good health, it’s essential to prioritize a consistent and predictable sleep schedule – a crucial factor often overlooked until now.

Future research will delve deeper into the causality of these associations and explore the impact of sleep interventions on chronic disease outcomes. By shedding more light on this critical aspect of our overall well-being, we can work towards developing targeted strategies for promoting healthy sleep habits and reducing disease risk.

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