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Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 9:01am

Although the study's observational design means it could not prove cause and effect, the findings possess strong biological plausibility since some of the specific metabolites highlighted in this study can only be produced by bacteria and not by the human body.

The study also relied on self-reported dietary fiber intake from participants. Dietary fiber is important to metabolic health, and we're beginning to understand why.

Zheng Wang et al, Gut Microbiota and Blood Metabolites Related to Fiber Intake and Type 2 Diabetes, Circulation Research (2024). DOI: 10.1161/CIRCRESAHA.123.323634

Part 2

Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 9:00am

How might fiber lower diabetes risk?

Eating more dietary fiber may help prevent type 2 diabetes by promoting beneficial gut bacteria and substances produced during metabolism, according to new research in Hispanic adults.

Consistent evidence suggests diabetes-protective effects of dietary fiber intake, but exactly how does that protection occur?

Consistent evidence suggests diabetes-protective effects of dietary fiber intake, but exactly how that protection occurs remained unclear until recently.

Discovering the connections between dietary fiber, gut bacteria, metabolites and type 2 diabetes—a leading risk factor for heart disease, stroke and kidney disease—could lead to more effective prevention of the condition.

For example, identifying which bacteria and metabolites in the body are linked to type 2 diabetes risk paves the way for personalized diets and treatments to improve gut and metabolic health for people at risk.

The study, published in Circulation Research, looked at data from up to 11,000-plus participants in the ongoing Hispanic Community Health Study/Study of Latinos.

The researchers found that higher fiber intake was associated with specific "good" gut bacteria and certain favorable metabolites in the blood—some of which were actually produced by gut bacteria. Those gut microbes and metabolites were associated with lower risk of developing type 2 diabetes during an average follow-up of six years.

This is new evidence of why a higher intake in dietary fiber is beneficial, specifically to reduce the incidence of new-onset type 2 diabetes.

Dietary fiber is mostly found in fruits, vegetables, nuts, whole grains and cereals. It cannot be broken down, and much of it passes through the system undigested. Its most well-known job is to promote regular bowel movements. But the new research suggests fiber might also be feeding bacteria in the gut.

Bacteria can affect disease risk through a vast array of mechanisms. The complexity was both surprising and fascinating, revealing the deep and nuanced interactions within our gut microbiome.

Part 1

Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 8:53am

Do sweeteners increase your appetite? New evidence from randomized controlled trial says no

Replacing sugar with artificial and natural sweeteners in foods does not make people hungrier—and also helps to reduce blood sugar levels, a new study has found.

The double-blind randomized controlled trial found that consuming food containing sweeteners produced a similar reduction in appetite sensations and appetite-related hormone responses as sugary foods—and provides some benefits such as lowering blood sugar, which may be particularly important in people at risk of developing type 2 diabetes.

The use of sweeteners in place of sugar in foods can be controversial due to conflicting reports about their potential to increase appetite. Previous studies have been carried out but did not provide robust evidence.

However, the researchers say their study, which meets the gold standard level of proof in scientific investigation, provides very strong evidence that sweeteners and sweetness enhancers do not negatively impact appetite and are beneficial for reducing sugar intake.

The trial consisted of three two-week consumption periods, where participants consumed biscuits with either fruit filling containing sugar, natural sugar substitute Stevia, or artificial sweetener Neotame, each separated by a break of 14-21 days. Day 1 and day 14 of the consumption periods took place in the lab.

The results from the sweetener types showed no differences in appetite or endocrine responses compared to sugar, but insulin levels measured over two hours after eating were reduced, as were blood sugar levels.

: Acute and two-week effects of Neotame, Stevia Rebaudioside M and sucrosesweetened biscuits on postprandial appetite and endocrine response in adults with overweight/obesity – a randomised crossover trial from the SWEET Consortium, eBioMedicine (2024).

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Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 8:45am

The researchers decided to take a movie to find out how the junctions become broken in these cells and found that the junctions fractured when the cells were stretched. The research group further showed that tight junction membrane proteins regulate the conformation change of a protein called ZO-1 in response to mechanical force, suggesting that this mechanosensor is important for cells to resist mechanical stress.
This study shows that tight junctions in addition to adherens junctions and desmosomes are important for cells to resist mechanical stress. An interesting question is why we need so many junctions to resist force and how these junctions collaborate to provide mechanical resistance. Scientists would like to tackle these issues in the future.

Thanh Phuong Nguyen et al, Tight junction membrane proteins regulate the mechanical resistance of the apical junctional complex, Journal of Cell Biology (2024). DOI: 10.1083/jcb.202307104

Part 2

Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 8:43am

Keeping cells together—how our body resists mechanical stress

Our body consists of ~30 trillion cells. These cells need to tightly attach to each other to maintain the integrity of our body. However, we are constantly exposed to mechanical stress, which continuously challenges the integrity of our bodies. How are cells able to resist mechanical force to maintain the integrity of our body? Why doesn't our body fall apart when we fall down on the street or when the guts move to digest the food? The secret lies in the cell-to-cell adhesion apparatus that keeps our cells together.

Cells hold on to each other through junctions that serve to connect the neighboring cells. At least three types of junctions are known: tight junctions, adherens junctions, and desmosomes. Previous studies have shown that adherens junctions and desmosomes play critical roles in maintaining the integrity of our body. However, the roles of tight junctions in resisting mechanical stress have not been demonstrated till recently.
One reason that hindered the attempts to understand the roles of tight junctions was that it had been difficult to specifically and completely eliminate its activity due to the overlapping functions of its key constituents. A few years ago, a research group succeeded in generating an epithelial cell line that specifically and completely lacks tight junction membrane proteins claudins and JAM-A, and demonstrated that these cells completely lack tight junctions.

In carefully examining these cells, the researchers found something bizarre. While normal cells are always connected to each other by a continuous belt of cell-to-cell junctions, sporadic disruption and fragmentation of cell-to-cell junctions were observed in these cells. Scientists had never seen something like this before and became curious about this issue.
Part 1

Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 8:25am

Study shows common water pollutants cause heart damage in fish

Recent findings highlight the persistence of dihalogenated nitrophenols (2,6-DHNPs) in drinking water, resisting standard treatments like sedimentation, filtration, and boiling. The research demonstrates the severe cardiotoxic effects of these contaminants on zebrafish embryos at concentrations as low as 19 μg/L, indicating potential health risks for humans.

2,6-DHNPs, a group of disinfection byproducts (DBPs), are raising alarm bells for public health. These bad actors in the water world are tougher and more toxic than many other pollutants, making it hard for typical water cleaning methods to get rid of them.

They pack a powerful punch, being significantly more harmful to marine life and cells than similar pollutants. Found in places like sewage, swimming pools, and our drinking taps, 2,6-DHNPs are everywhere, signaling a pressing need for better ways to clean our water and keep us safe.

A new study, published in Eco-Environment & Health has uncovered the severe cardiotoxic impacts 2,6-DHNPs have on zebrafish embryos, serving as a model for potential human health risks.

2,6-DHNPs, a group of DBPs resistant to traditional water purification methods like boiling and filtration. These DBPs pose a significant risk, showing a toxicity level 248 times higher than the known regulated DBPs, dichloroacetic acid, in zebrafish embryos. Using zebrafish as a biological model due to their genetic similarity to humans the study meticulously detailed how these emerging contaminants wreak havoc on cardiac health.

The zebrafish embryos exposed to 2,6-DHNPs suffered from severe heart damage characterized by increased production of harmful reactive oxygen species, cell death (apoptosis), and disrupted heart development.

This research underscores a critical environmental and public health issue: the contaminants that survive water treatment processes can lead to severe health outcomes in exposed organisms, hinting at the possible public health risks faced by these persistent waterborne chemicals.

The study revealed that 2,6-DCNP and 2,6-DBNP, two types of DBPs, exhibited significant resistance to removal in drinking water treatment plants. Boiling and filtration were found to be the most effective household water treatment methods, reducing 2,6-DCNP and 2,6-DBNP levels by 47% and 52%, respectively. Exposure to 2,6-DHNPs caused heart failure in zebrafish embryos through increased production of harmful reactive oxygen species (ROS) and delayed heart development. Notably, the antioxidant N-acetyl-L-cysteine was able to mitigate the cardiotoxic effects induced by 2,6-DHNPs.

Hongjie Sun et al, Dihalogenated nitrophenols in drinking water: Prevalence, resistance to household treatment, and cardiotoxic impact on zebrafish embryo, Eco-Environment & Health (2024). DOI: 10.1016/j.eehl.2024.02.004

Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 7:54am

What causes a landslide? | Natural Disasters

Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 7:10am

The study is based on electronic medical records and registry data for 15,760 women with obesity in Stockholm and Gotland (the so-called Stockholm Gotland Perinatal Cohort). Of the women in the study, 11,667 had obesity class 1; 3,160 had obesity class 2; and 933 had obesity class 3. The study included singleton pregnancies that delivered between 2008 and 2015. The women were followed for a median of eight years after delivery.

Ten known adverse outcomes associated with weight gain during pregnancy were studied: pre-eclampsia, gestational diabetes, excess postpartum weight retention, maternal cardiometabolic disease, unplanned cesarean delivery, preterm birth, large for gestational age and small for gestational age at birth, stillbirth and infant death. These adverse outcomes were assigned weights according to their severity and combined into an adverse composite outcome.

Overall, the study shows no increased risks of the adverse composite outcome with weight gain below current IOM guidelines in women with obesity classes 1 and 2. For women with obesity class 3, on the contrary, weight gain values below the guidelines or weight loss were associated with reduced risk of the adverse composite outcome. For example, an absence of weight gain (i.e., 0kg) was associated with a risk reduction of about 20%.

Based on this, researchers have concluded that weight gain below current recommendations is likely safe in pregnancies with obesity, and might even be beneficial for those with class 3 obesity.
The results also indicate that there is a need for specific recommendations for women with class 3 obesity. Unlike today, this group could receive separate recommendations.

Kari Johansson et al, Safety of low weight gain or weight loss in pregnancies with class 1, 2, and 3 obesity: a population-based cohort study, The Lancet (2024). DOI: 10.1016/S0140-6736(24)00255-1

Part 2

Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 7:08am

Women with obesity do not need to gain weight during pregnancy, new study suggests

The guidelines for weight gain during pregnancy in obese women have long been questioned. New research  supports the idea of lowering or removing the current recommendation of a weight gain of at least 5 kg. The results are published in The Lancet.

International guidelines from the U.S. Institute of Medicine (IOM) state that women with obesity should gain a total of 5 to 9 kg during pregnancy, compared to 11.5 to 16 kg for normal-weight women. The guidelines have long been questioned, but there has been no evidence to warrant a re-examination.

A new study from Karolinska Institutet in Sweden now shows that there are no increased health risks for either the mother or the child with weight gain below current guidelines for women with obesity class 1 and 2 (BMI of 30–34.9 and 35–39.9 respectively). On the contrary, for women with obesity class 3 (BMI over 40), weight gain below current guidelines might even be beneficial for those with class 3 obesity.

The study supports previous calls to either lower or remove the current recommended lower limit of a weight gain of at least 5 kg.

Part 1

Comment by Dr. Krishna Kumari Challa on March 30, 2024 at 7:04am

Genetic causes of cerebral palsy uncovered through whole-genome sequencing

A new study by researchers  has identified genes which may be partially responsible for the development of cerebral palsy.

Cerebral palsy (CP), a condition that affects the development of motor skills in children, is the most common childhood-onset physical disability. CP can have different causes, such as infections, injuries, or lack of oxygen before or during birth, but the genetic contributors to CP have remained largely unknown till recently.

Novel research by scientists  provides a more detailed look into the genetic causes of the condition. Their findings suggest the existence of many genetic variants contributing to CP, which may inform future diagnosis and treatment.

Now that we have a better understanding into the complex relationship between cerebral palsy's genetic and environmental factors, we hope we can improve care for these children.

One in ten children with CP have a genetic variant associated with their condition Published in Nature Genetics, the scientists conducted whole-genome sequencing in 327 children with CP, including their biological parents, and compared it to three independent clinical cohorts as well as two pediatric control cohorts, to identify whether genetic variants may be involved in CP.

The seven-year study found that more than one in ten children (11.3 percent) had a genetic variant or likely genetic variant for their CP, and 17.7 percent of children had variants of uncertain significance that may be linked with CP after further research. Many of the variants also overlapped with other neurodevelopmental conditions, including autism spectrum disorder (ASD), which is highly prevalent in children with CP.

The findings suggest that CP and its causes may be much more diverse than previously thought and showcases the strength of combining precision medicine programs, a movement to deliver individualized care to each patient.

Comprehensive whole-genome sequence analyses provide insights into the genomic architecture of cerebral palsy, Nature Genetics (2024). DOI: 10.1038/s41588-024-01686-x. www.nature.com/articles/s41588-024-01686-x

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