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Behavior

Starting Statin Therapy on Time Saves Lives: Study Shows Dramatic Reduction in Heart Attack and Stroke Risk for Diabetic Patients

Taking a statin medication is an effective, safe, and low-cost way to lower cholesterol and reduce risk of cardiovascular events. Despite clinicians recommending that many patients with diabetes take statins, nearly one-fifth of them opt to delay treatment. In a new study, researchers found that patients who started statin therapy right away reduced the rate of heart attack and stroke by one third compared to those who chose to delay taking the medication.

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Starting statin therapy as soon as possible can dramatically reduce the risk of heart attack and stroke for patients with diabetes, according to a new study published in the Journal of the American Heart Association. Despite clinicians’ recommendations, nearly one-fifth of diabetic patients choose to delay taking statins, which is a proven and effective way to lower cholesterol levels.

Researchers from Mass General Brigham conducted an analysis of electronic health records of 7,239 patients with diabetes who started statin therapy over a nearly 20-year period. The study found that those who delayed statin therapy for more than a year were significantly more likely to experience heart attacks or strokes compared to those who started taking the medication right away.

The median age of the patients in the study was 55, and about half of them were women. The researchers used artificial intelligence methods to gather data from the electronic health records and found that nearly one-fifth (17.7%) of the patients declined statin therapy when it was first recommended by their clinicians. However, they later accepted the therapy after a median of 1.5 years.

The study’s findings are clear: starting statin therapy on time can save lives. For diabetic patients who delayed taking the medication, the rate of heart attacks or strokes was 8.5%, compared to just 6.4% for those who started taking statins immediately.

Clinicians should use this information to guide shared decision-making conversations with their patients, said senior author Alexander Turchin, MD, MS. “Time is of the essence for your heart and brain health,” he added.

The researchers’ findings are timely, given that heart attacks and strokes remain the leading causes of complications and mortality for patients with diabetes. Statin therapy has been proven to reduce risk by preventing plaque buildup in blood vessels, which can lead to delivery problems for the heart and brain.

The study’s authors emphasize the importance of early intervention and encourage diabetic patients to discuss their individual risks and treatment options with their clinicians. By starting statin therapy on time, patients with diabetes can significantly reduce their risk of heart attack and stroke, and improve their overall health and well-being.

Behavior

Unraveling the Mind: How a Scent Can Change Your Decisions

Mice taught to link smells with tastes, and later fear, revealed how the amygdala teams up with cortical regions to let the brain draw powerful indirect connections. Disabling this circuit erased the links, hinting that similar pathways in humans could underlie disorders like PTSD and psychosis, and might be tuned with future brain-modulation therapies.

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The human brain is a masterful machine that makes decisions based on associations between stimuli in our environment. But did you know that these decisions can also be influenced by indirect associations between seemingly unrelated events? A recent study by the Cellular Mechanisms in Physiological and Pathological Behavior Research Group at the Hospital del Mar Research Institute has shed new light on this process, revealing how a specific scent can alter our mind’s decision-making processes.

The research team, led by PhD student José Antonio González Parra and supervised by Dr. Arnau Busquets, conducted experiments with mice to understand the mechanisms behind indirect associations between different stimuli. They trained the mice to associate two distinct smells – banana and almond – with sweet and salty tastes respectively. Later, a negative stimulus was linked to the smell of banana, causing the mice to reject the sweet taste associated with it.

The researchers used genetic techniques to observe which brain areas were activated throughout this process. They found that the amygdala, a region linked to responses such as fear and anxiety, played a crucial role in encoding and consolidating these associations. Other brain areas also interacted with the amygdala, forming a brain circuit that controls indirect associations between stimuli.

Dr. Busquets explained that if amygdala activity was inhibited while the mice were exposed to the stimuli, they were unable to form these indirect associations. This finding has significant implications for treating mental disorders linked to amygdala activity, such as PTSD and psychosis.

The researchers believe that the brain circuits involved in decision-making processes in humans are similar to those in mice. Therefore, understanding these complex cognitive processes can help us design therapeutic strategies for humans, including brain stimulation or modulation of activity in specific areas.

In conclusion, this study has revealed how a scent can change our mind’s decisions by altering indirect associations between stimuli. By exploring the neural mechanisms behind this process, we may be able to develop innovative treatments for mental disorders that affect millions of people worldwide.

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Autism

Unpacking the Gene That Hijacks Fear: How PTEN Rewires the Brain’s Anxiety Circuit

Deleting a gene called PTEN in certain brain cells disrupts the brain’s fear circuitry and triggers anxiety-like behavior in mice — key traits seen in autism. Researchers mapped how this genetic tweak throws off the brain’s delicate balance of excitation and inhibition in the amygdala, offering deep insights into how one gene can drive specific ASD symptoms.

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The gene PTEN has emerged as one of the most significant autism risk genes. Variations in this gene are found in a significant proportion of people with autism who also exhibit brain overgrowth. Researchers at the Max Planck Florida Institute for Neuroscience have discovered how loss of this gene rewires circuits and alters behavior, leading to increased fear learning and anxiety in mice – core traits seen in ASD.

PTEN has been linked to alterations in the function of inhibitory neurons in the development of ASD. The researchers focused on the changes in the central lateral amygdala driven by loss of PTEN in a critical neuronal population – somatostatin-expressing inhibitory neurons. They found that deleting PTEN specifically in these interneurons disrupted local inhibitory connectivity in the amygdala by roughly 50% and reduced the strength of the remaining inhibitory connections.

This diminished connectivity between inhibitory connections within the amygdala was contrasted by an increase in the strength of excitatory inputs received from the basolateral amygdala, a nearby brain region that relays emotionally-relevant sensory information to the amygdala. Behavioral analysis demonstrated that this imbalance in neural signaling was linked to heightened anxiety and increased fear learning, but not alterations in social behavior or repetitive behavior traits commonly observed in ASD.

The results confirm that PTEN loss in this specific cell type is sufficient to induce specific ASD-like behaviors and provide one of the most detailed maps to date of how local inhibitory networks in the amygdala are affected by genetic variations associated with neurological disorders. Importantly, the altered circuitry did not affect all ASD-relevant behaviors – social interactions remained largely intact – suggesting that PTEN-related anxiety and fear behaviors may stem from specific microcircuit changes.

By teasing out the local circuitry underlying specific traits, researchers hope to differentiate the roles of specific microcircuits within the umbrella of neurological disorders, which may one day help in developing targeted therapeutics for specific cognitive and behavioral characteristics. In future studies, they plan to evaluate these circuits in different genetic models to determine if these microcircuit alterations are convergent changes that underlie heightened fear and anxiety expression across diverse genetic profiles.

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Amyotrophic Lateral Sclerosis

“Reviving Memories: Gene Therapy Shows Promise in Reversing Alzheimer’s Disease in Mice”

UC San Diego scientists have created a gene therapy that goes beyond masking Alzheimer’s symptoms—it may actually restore brain function. In mice, the treatment protected memory and altered diseased brain cells to behave more like healthy ones.

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The field of neuroscience has made significant strides in understanding the complex mechanisms behind Alzheimer’s disease. A recent study by researchers at the University of California San Diego School of Medicine offers a glimmer of hope for those affected by this debilitating condition. By developing a gene therapy that targets the root cause of Alzheimer’s, these scientists may have found a way to not only slow down but also potentially reverse memory loss.

Alzheimer’s disease is a progressive disorder that affects millions worldwide. It occurs when abnormal proteins build up in the brain, leading to the death of brain cells and declines in cognitive function and memory. While existing treatments can manage symptoms, they do little to halt or reverse the progression of the disease. This new gene therapy, however, promises to address the underlying issue by influencing the behavior of brain cells themselves.

The researchers conducted their study using mice as models for human Alzheimer’s patients. They found that delivering the treatment at the symptomatic stage of the disease preserved hippocampal-dependent memory – a critical aspect of cognitive function often impaired in Alzheimer’s patients. Moreover, the treated mice had a similar pattern of gene expression compared to healthy mice of the same age, suggesting that the treatment has the potential to alter diseased cells and restore them to a healthier state.

While further studies are required to translate these findings into human clinical trials, this gene therapy offers a unique and promising approach to mitigating cognitive decline and promoting brain health. As researchers continue to refine and develop this technology, we may soon see a future where Alzheimer’s patients can experience a significant reversal of memory loss – a truly remarkable prospect that could revolutionize the way we understand and treat this devastating disease.

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