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“Unraveling the Secrets of Focal Cortical Dysplasia: How Disturbed Signaling Pathways Could Promote Epileptic Seizures”

Focal cortical dysplasia (FCD) type 2 is a congenital malformation of the cerebral cortex that is often associated with difficult-to-treat epilepsy. In the affected areas, nerve cells and their layer structures are arranged in an atypical manner, which often makes drug therapy more difficult. A research team has now found evidence of profound changes in the dopamine system in FCD type 2.

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Focal cortical dysplasia (FCD) type 2 is a congenital malformation of the cerebral cortex that often leads to difficult-to-treat epilepsy. This condition affects the way nerve cells and their layer structures are arranged in the brain, making it challenging for drug therapy to be effective. A recent study conducted by researchers from the University Hospital Bonn (UKB) and the University of Bonn, in collaboration with the German Center for Neurodegenerative Diseases (DZNE), has shed light on profound changes in the dopamine system associated with FCD type 2.

The research team, led by doctoral student Norisa Meli, found that the dopaminergic supply in the affected brain areas is altered. Furthermore, an increased expression of certain dopamine receptors was observed both in human tissue and a corresponding mouse model. These findings suggest a disrupted dopaminergic system in FCD type 2.

The changes in the dopamine system could play a crucial role in the development of epileptic seizures, which often accompany this condition. Moreover, many individuals with FCD type 2 experience concentration problems or mood swings, highlighting the complex neuropathology involved.

Professors Sandra Blaess and Albert Becker emphasized that dopamine modulates the excitability of neuronal networks and their formation in the developing cortex. Their results demonstrate that this modulation may be disturbed in FCD type 2, a previously underinvestigated aspect of the condition.

The study combines comprehensive molecular analyses of human tissue samples with a preclinical mouse model replicating the genetic changes in FCD type 2. The researchers hope that these findings will contribute to more targeted and effective treatment strategies in the long term.

The work was funded by the German Research Foundation, the BONFOR program of the Medical Faculty of the University of Bonn, the iBehave project (Netzwerke 2021 — an initiative of the Ministry of Culture and Science of the State of North Rhine-Westphalia). Additionally, the work was supported by the Epilepsy Surgery Biobank of the Medical Faculty of the University of Bonn and the Open Access funding of the University of Bonn.

Diabetes

A Double-Edged Approach: Targeting Inflammation for a Potential Type 1 Diabetes Treatment

A new strategy may help prevent or slow the progression of Type 1 diabetes.

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The article presents a promising strategy to prevent or slow the progression of Type 1 diabetes by targeting an inflammation-related protein known to drive the disease. Researchers have found that applying a molecular method to block inflammation signaling through the tyrosine kinase 2 (TYK2) protein reduces harmful inflammation in the pancreas, protecting insulin-producing beta cells and calming the immune system’s attack on those cells.

Type 1 diabetes is a lifelong condition where the immune system mistakenly attacks and destroys insulin-producing beta cells in the pancreas. This leads to high blood sugar levels, requiring ongoing insulin therapy and careful monitoring to avoid severe health complications.

The study, co-led by Indiana University School of Medicine researchers, presents a potential new strategy using a medication that inhibits TYK2, which is already approved for the treatment of psoriasis, an autoimmune condition causing skin inflammation. This finding is exciting because there is already a drug on the market that can do this for psoriasis, which could help move toward testing it for Type 1 diabetes more quickly.

Past genetic studies have shown that people with naturally lower TYK2 activity are less likely to develop Type 1 diabetes, further supporting the group’s approach for future treatments using this TYK2 inhibitor approach.

The researchers hope their findings will support future clinical trials to safely assess the efficacy of a new drug or drug combination in humans. They emphasize the importance of initiating translational studies to evaluate the impact of TYK2 inhibition alone or in combination with other already approved drugs in individuals at-risk or with recent onset Type 1 diabetes.

The study’s lead author, Farooq Syed, PhD, notes that their preclinical models suggest that the treatment might work in people as well. The next step is to initiate translational studies to evaluate the impact of TYK2 inhibition alone or in combination with other already approved drugs in individuals at-risk or with recent onset Type 1 diabetes.

The research team hopes to support future clinical trials to safely assess the efficacy of a new drug or drug combination in humans, offering hope for a potential treatment approach for Type 1 diabetes.

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Amyotrophic Lateral Sclerosis

The Mitochondrial Connection: Uncovering the Role of Cellular Quality Control in Insulin Resistance and Type 2 Diabetes

Researchers have revealed critical insights into how impaired mitochondrial dynamics and quality control mechanisms in skeletal muscle influence insulin sensitivity in patients with Type 2 Diabetes, or T2D. The research team focused on the significance of deubiquitinating enzymes, or DUBs, in regulating mitochondrial dynamics within skeletal muscle. Findings suggest that mitochondrial fragmentation can bypass defects in mitophagy, the process by which cells remove damaged mitochondria, to sustain skeletal muscle quality control in patients with T2D. This adaptation may help maintain mitochondrial function despite impaired mitophagy.

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The discovery of how impaired mitochondrial dynamics and quality control mechanisms contribute to insulin resistance related to type 2 diabetes has shed new light on the complex interplay between mitochondria and metabolic health. Researchers at Pennington Biomedical Research Center have made groundbreaking findings, published in the Journal of Cachexia, Sarcopenia and Muscle, that reveal critical insights into how certain enzymes regulate mitochondrial dynamics within skeletal muscle.

The study, led by Dr. John Kirwan, Executive Director of Pennington Biomedical, focused on the significance of deubiquitinating enzymes (DUBs) in maintaining mitochondrial quality control. The research team found that impaired mitophagy, the process by which cells remove damaged mitochondria, can lead to mitochondrial fragmentation as a compensatory mechanism. This adaptation allows skeletal muscle cells to sustain function despite metabolic challenges.

In individuals with type 2 diabetes, a specific protein called dynamin-related protein 1 (DRP1) is overactive, causing an imbalance in mitochondrial dynamics. Furthermore, the team discovered that certain DUBs interfere with mitophagy, making it more difficult for muscles to use insulin properly. This intricate interplay between mitochondria and insulin sensitivity has significant implications for our understanding of type 2 diabetes.

The research findings advance the knowledge on how impaired mitochondrial dynamics and quality control contribute to skeletal muscle insulin resistance and the manifestation of type 2 diabetes. Moreover, they provide crucial evidence that DUB antagonists may play a vital role in preventing or treating type 2 diabetes.

“Our study highlights the complex relationship between mitochondria and insulin,” said Dr. Kirwan. “We are excited about the potential for future interventions aimed at improving metabolic health, particularly in the context of type 2 diabetes.”

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Biochemistry

A New Era of Tissue Engineering: FRESH Bioprinting Revolutionizes the Creation of Vascularized Tissues

Using their novel FRESH 3D bioprinting technique, which allows for printing of soft living cells and tissues, a lab has built a tissue model entirely out of collagen.

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The world of tissue engineering has just taken a significant leap forward with the advent of Freeform Reversible Embedding of Suspended Hydrogels (FRESH) 3D bioprinting. This innovative technique, developed by Carnegie Mellon’s Feinberg lab, allows for the printing of soft living cells and tissues with unprecedented structural resolution and fidelity. The result is a microphysiologic system entirely made out of collagen, cells, and other proteins – a first-of-its-kind achievement that expands the capabilities of researchers to study disease and build tissues for therapy.

Traditionally, tiny models of human tissue have been made using synthetic materials like silicone rubber or plastics, but these cannot fully recreate normal biology. With FRESH bioprinting, researchers can now create microfluidic systems in a Petri dish entirely out of collagen, cells, and other proteins – a major breakthrough that will revolutionize the field.

“We’re hoping to better understand what we need to print,” said Adam Feinberg, a professor of biomedical engineering and materials science & engineering at Carnegie Mellon University. “Ultimately, we want the tissue to better mimic the disease of interest or ultimately, have the right function, so when we implant it in the body as a therapy, it’ll do exactly what we want.”

The implications of this technology are vast, with potential applications in treating Type 1 diabetes and other diseases. FluidForm Bio, a Carnegie Mellon University spinout company, has already demonstrated that they can cure Type 1 diabetes in animal models using this technology, and plans to start clinical trials in human patients soon.

As Feinberg emphasized, “The work we’re doing today is taking this advanced fabrication capability and combining it with computational modeling and machine learning… We see this as a base platform for building more complex and vascularized tissue systems.”

With FRESH bioprinting, the possibilities are endless. This technology has the potential to change the face of medicine and improve countless lives. As researchers continue to push the boundaries of what is possible, one thing is certain – we will witness some incredible breakthroughs in the years to come.

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