And, interrupting the path to fatty liver damage.

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Health Rounds

Health Rounds

By Nancy Lapid, Health Science Editor

Hello Health Rounds readers! Today we feature a pair of discoveries that could spur development of effective new treatments. One identified dozens of genes linked to obsessive-compulsive and chronic tic disorders. We also report on a study that may have found a way to prevent liver damage caused by fatty liver diseases, which affect millions of people.

Among our breaking news stories: US states' lawsuit seeking to curb abortion drug access paused for now; 600,000 seniors have signed up for obesity drugs under new Medicare program; Brazil's weight-loss drug demand fuels black market; measles cases in Pennsylvania rise to 460; forced birth control in Greenland didn't constitute genocide, experts find; men turn to cosmetic clinics to complete weight-loss transformation; and with more than 6,000 people infected infected with Ebola, Congo starts vaccinations for health workers.

Success after a century of failures: Inside Moderna and Merck's cancer vaccine breakthrough.

 

Industry Updates

  • Nestle to offload mainstream vitamin brands for $1 billion.
  • Mead Johnson wins US trial over preterm infant formula Enfamil.
  • Novocure cyberattack exposed US patient records.
  • Roche signs global licensing pact for Simcere blood cancer drug. 
  • UnitedHealthcare to drop some prior authorization requirements.
  • Novartis MS pill beats older drug in trials; company pauses trials of experimental cell therapy after three deaths.
  • GSK to advance mRNA flu vaccine to late-stage trial.
  • FDA approves Lilly's Mounjaro to reduce cardiovascular risk; Lilly to buy Merida Biosciences for up to $2.88 billion.
  • Samsung Biologics to launch takeover bid for PolyPeptide .
  • US FDA approves Takeda, Protagonist drug for rare blood cancer.
  • Roivant, Priovant launch newly approved rare disease drug Lisraya.
  • BioNTech halts mRNA colorectal cancer vaccine trial for safety.
  • Kimberly-Clark seeks EU approval for $40 billion Kenvue deal.
  • LeapFrog plans up to $100 mln in India healthcare investments.
 
 

More US parents refusing newborn vitamin, risking dangerous bleeding

REUTERS/Emily Elconin

The percentage of U.S. parents and caregivers refusing a standard vitamin K shot for infants at birth has accelerated sharply this year, putting more newborns at risk of life-threatening bleeding episodes.

 

Study Rounds

Genetic discovery may lead to treatments for OCD and tics

 

Researchers have identified 36 genes that substantially raise the risk for obsessive-compulsive disorder and chronic tic disorders, a discovery that could lead to new treatments.

OCD is characterized by persistent intrusive thoughts and repetitive behaviors, while chronic tic disorders, including Tourette syndrome, involve sudden, repeated movements or vocalizations that are difficult to control.

“In the past we knew about a couple of strong genes, so there were few opportunities for the pharmaceutical industry to develop drugs,” coauthor Jay Tischfield, an emeritus distinguished professor in New Jersey’s Rutgers School of Arts and Sciences, said in a statement.

“Now you’ve got over 30 targets, and that opens up new possibilities for treatment development.”

The study published on Tuesday in Nature Neuroscience analyzed DNA from nearly 4,000 people diagnosed with these conditions.

Many of the newly identified genes are shared between OCD and chronic tic disorders. At the biological level, the disorders appear to involve many of the same brain pathways, the researchers found.

“These genes don’t act individually,” said Tischfield. “They act in networks. And now you can target whole networks, which will make it easier to design new therapies.”

The researchers also found several of the identified genes were previously linked to autism and schizophrenia, reinforcing increasing evidence that multiple psychiatric conditions may stem from related disruptions in brain development and communication.

Brain cells communicate using chemical signals called neurotransmitters that carry messages from one nerve cell to another. The genes identified in the study appear to influence how those signals move through the brain's circuitry.

By revealing the biological systems behind the disorders, the findings could aid the design of drugs that target the underlying mechanisms rather than simply managing symptoms, the researchers said.

 

Blocking a protein may help prevent fatty liver injuries

A protein inside the “energy factories” of liver cells appears to trigger the damage seen in some patients with fatty liver disease, researchers have discovered.

Obesity-related liver disease affects hundreds of millions of people worldwide, but only a fraction of those livers develop scarring, become inflamed, and eventually fail, the researchers noted in a report published on Tuesday in the Journal of Clinical Investigation.

EFHD1, a calcium-binding protein in the membrane of the mitochondria, drives that process, they found. Blocking it protects against liver injury in human cells and in mice consuming a high-fat diet.

Using biochemical and imaging tests, the team found that EFHD1 tethers mitochondria to a nearby organelle called the endoplasmic reticulum and helps trigger mitochondrial division.

When mice are fed a fatty, sugary diet, excess lipids drive up EFHD1 levels, which makes the mitochondria divide so much that they start leaking their contents into the rest of the cell. Those contents include double-stranded RNA, which can also appear in the presence of certain viruses, like hepatitis C. Upon detecting the double-stranded RNA, the cell activates an antiviral defense pathway.

That response, meant to prevent viral replication in infected cells, instead shuts down healthy liver cells, worsening injury, according to the researchers.

When the researchers blocked or reduced the levels of EFHD1, measures of inflammation and liver scarring dropped by roughly 30% to 60% in mice with liver injuries resulting from diet or drug treatments and in miniature models of human livers in test tubes.

The researchers also found that mice engineered to lack EFHD1 have normal activity levels, weight gain, and other measures of metabolism, which suggests that treatments that block EFHD1 may have few side effects. They said they are currently working to develop such a drug.

“This research may help people by identifying new biological pathways which can be targeted with drugs to help stave off liver disease by limiting how fat buildup damages the liver,” study leader David Eberhardt of University of Utah Health said in a statement. 

 

Read more about fatty liver disease on Reuters.com