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Saturday, October 22, 2022

Timing of eating controls energy use

 DAMIEN LAGARDE AND LAWRENCE KAZAK


DOI: 10.1126/science.ade6720


Abstract

Obesity occurs when energy intake exceeds energy expenditure. Excess calories from food are stored by white adipocytes or dissipated by thermogenic (brown and beige) adipocytes. Molecular clocks control the rhythmic expression of numerous genes to regulate diverse physiological outputs such as energy intake and use during the day. This regulation is bidirectional because nutritional overload dampens circadian oscillations in gene expression and promotes mistimed feeding, which contributes to weight gain (1). Diet-induced obesity is modeled in mice by using energy-dense, high-fat diets. When the time window of high-fat food intake is restricted [time-restricted feeding (TRF)], weight gain is attenuated, but the underlying mechanisms are not resolved. On page 276 of this issue, Hepler et al. (2) reveal that TRF during the active period of the circadian clock (at night) protects mice from diet-induced obesity by enhancing adipocyte thermogenesis.

Was a study that created a hybrid COVID-19 virus too risky?

 This week, Twitter exploded with outrage about a study that seemed to have created a Frankenstein COVID-19 virus: a version of SARS-CoV-2 that combines Omicron, the fast-spreading but relatively mild variant that’s now everywhere, and a deadlier strain from early in the pandemic. The labmade virus killed 80% of mice infected with it, compared with no deaths with the unmodified Omicron variant, according to a preprint posted online on 14 October by Boston University (BU) researchers.

Totally irresponsible” and “This is madness,” tweeted critics worried that the hybrid virus, known as a chimeric virus, could escape the lab and cause a deadly outbreak. Richard Ebright, a molecular biologist at Rutgers University, Piscataway, pointed to the work, partially funded by the National Institutes of Health (NIH) and conducted at BU’s National Emerging Infectious Diseases Laboratories, as an example of controversial “gain-of-function” (GOF) research that makes risky pathogens more dangerous.

An official from NIH’s National Institute of Allergy and Infectious Diseases (NIAID) added to concerns by telling STAT her division was unaware of the specific experiments. She said they likely should have been evaluated to see whether they needed to go through a special review for NIH-funded GOF studies that create so-called enhanced potential pandemic pathogens. BU officials, however, say NIH funds weren’t used directly for the study and they are “in continued conversation” with NIAID.

But several virologists argued on Twitter that the study is not as alarming as it first appears. For one thing, the hybrid virus was less lethal than the early variant modified in the study. They also noted that other researchers have published the results of similar experiments that did not draw similar concerns. And it’s not clear the study is very different from other chimeric virus studies that NIAID has exempted from review.

Here’s a quick guide to the controversy.

What did the BU researchers do, and why?

They took the gene for Omicron’s surface protein, or spike protein, which SARS-CoV-2 uses to enter cells and added it to the genome of a “backbone” virus—a variant of SARS-CoV-2 from Washington state that was identified soon after the pandemic first emerged in Wuhan, China, in early 2020. The objective was to tease apart whether Omicron’s spike protein explains why it is less pathogenic (meaning it causes less severe disease). The answer could lead to improved COVID-19 diagnostic tests and better ways to manage the disease, the preprint authors say.

Somewhat surprisingly, the hybrid virus killed eight of 10 infected mice, whereas mice infected with Omicron got sick but did not die. This suggests the mutations that make Omicron less pathogenic must involve changes in proteins other than the spike protein, the authors say.

What are critics of the study saying?

They question the scientific value of the study and argue its potential risks and benefits were not properly reviewed before it took place.

Under current U.S. government policy, any proposal to conduct a federally funded experiment that is “reasonably anticipated” to make an already highly virulent and transmissible virus more dangerous is supposed to get a special review. BU has said the experiment didn’t meet that criterion (see below). Some researchers, however, believe it does. They note that although the new hybrid was less lethal to mice than the original Washington variant, it is likely more transmissible.

Some scientists also question the study’s relevance to protecting human health. They note that findings made in mice often do not translate to humans. Given such limitations, the argument for doing this work “generally doesn’t feel overly convincing to me,” tweeted virologist Francois Balloux of University College London.

Some researchers also feel the public should have a greater say in such work. Gene therapy researcher Alina Chan of the Broad Institute, an outspoken critic of GOF research, called the study “a bit worrying to me” because she fears the impact if the hybrid virus leaked into Boston, where she lives. Local residents “were not consulted,” she tweeted. (BU says the experiments were approved by a biosafety committee that includes community representatives as well as Boston’s public health board.)

What are the counterarguments?

The study was “far less alarming” than some suggest, tweeted virologist Stuart Neil of King’s College London, emphasizing that the hybrid virus was less lethal than the original Washington state strain.

It was also tested in mice that are “exquisitely sensitive” to SARS-CoV-2 because they have been engineered so their lung cells are packed with the receptor that SARS-CoV-2 uses to break into human cells, Neil noted. The scientists forced a huge amount of virus up the noses of the mice, far more than a person would typically encounter. As a result, the mouse mortality rate of 80% was far higher than the human mortality from the original SARS-CoV-2 variant, which is about 1% or less.

Also reassuring, Neil noted, is that the experiments were conducted in a biosafety level-3 (BSL-3) lab, which has a series of sealed doors, negative air pressure cabinets, and workers in protective suits. That is just short of the safety precautions seen in the most secure BSL-4 laboratories, which are reserved for extremely deadly pathogens such as Ebolavirus.

Florian Krammer, a virologist at the Icahn School of Medicine at Mount Sinai, believes the experiment is less concerning because similar hybrid SARS-CoV-2 variants have already emerged naturally and later faded into the background. One such naturally emerging virus, for example, featured the Omicron spike protein on a Delta strain backbone. “Mother Nature did it already a while ago IN HUMANS and nobody cared,” he tweeted.

Should the experiment have undergone stricter review?

BU has said it did not think the study met the federal review criteria because “It did not amplify the [backbone] SARS-CoV-2 virus strain or make it more dangerous. In fact, this research made the virus replicate less dangerous,” BU said in a statement. Today, BU added that NIAID funds were only used for “tools and platforms” and that BU was not required to report the study.

Emily Erbelding, director of the NIAID division that helped fund the work, said the hybrid virus experiments weren’t described in BU’s grant proposal or progress reports. But she said if BU had informed NIAID about its plans, the institute probably would have evaluated it to determine whether it qualified for review by a special Department of Health and Human Services (HHS) committee.

In the past, however, NIAID has deemed similar research exempt from review. For example, the agency has exempted studies that made chimeras of certain bat coronaviruses that are distant cousins of SARS-CoV-2. In that case, the agency noted that the researchers did not anticipate that the hybrid viruses would be more transmissible or pathogenic than the starting viruses.

Other groups have done experiments that were similar to the BU study but did not get reviewed. For example, a recently published study conducted at the U.S. Food and Drug Administration also created a hybrid of Omicron and an early SARS-CoV-2 variant and got essentially the same result: Most infected mice died. And earlier this year, a privately funded team in Texas reported it had created similar COVID-19 chimeras to test vaccines.

That work encountered “no problem” from GOF critics, Krammer notes. The reaction to the BU experiment was different, some say, because the researchers highlighted the 80% mouse fatality rate in the preprint abstract, instead of simply noting the hybrid virus was still lethal even with the swapped-in Omicron spike protein. It was “not the smartest launch of a preprint,” tweeted virologist Marion Koopmans of Erasmus University Medical Center, who faulted the BU team for a “communication” error. Even Chan lamented that “a single line taken out of context can lead to explosive headlines.”

What’s next?

The dust-up is sure to add impetus to an ongoing review of the federal oversight policy for risky GOF research by a panel called the National Science Advisory Board for Biosecurity (NSABB). In September, an NSABB task force issued a draft report that recommended the review policy be expanded to sweep in some kinds of research, and some pathogens, that are now exempt. And experts on all sides of the GOF debate have said the criteria for review need to be clearer. The government is expected to release new rules as early as next year. (For more, see this week's feature in Science.)

Update, 19 October, 10:25 a.m.: NIH released this statement Tuesday evening: “The National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, did not review nor issue awards for experiments described in a pre-print article on SARS-CoV-2 research at Boston University’s National Emerging Infectious Diseases Laboratories (NEIDL). NIH is examining the matter to determine whether the research conducted was subject to the NIH Grants Policy Statement or met the criteria for review under the HHS Framework for Guiding Funding Decisions about Proposed Research Involving Enhanced Potential Pandemic Pathogens (HHS P3CO framework). More information about the history of oversight on research involving enhanced potential pandemic pathogens is available in this fact sheet.”

Merck's PREVYMIS Efficacious in Phase 3 for Preventing Cytomegalovirus AFter Transplant

 PREVYMIS showed non-inferior efficacy and more favorable safety profile compared to standard of care; results presented at IDWeek 2022

Separate Phase 3 study evaluating 200 days of therapy with PREVYMIS in HSCT recipients at high risk of late clinically significant CMV infection recently completed, meeting its primary endpoint

Merck (NYSE: MRK), known as MSD outside of the United States and Canada, announced today the presentation of findings from a Phase 3 clinical trial that assessed safety and efficacy of PREVYMIS™ (letermovir) compared to valganciclovir for cytomegalovirus (CMV) prophylaxis in 601 adult kidney transplant recipients at high risk for CMV disease (D+/R-). At 52 weeks following kidney transplant, trial results met the primary endpoint demonstrating that PREVYMIS was effective and non-inferior to valganciclovir for preventing CMV disease -- 10.4% (n=30) of participants who received PREVYMIS developed CMV disease versus 11.8% (n=35) of participants on valganciclovir (stratum adjusted difference = -1.4, [95% CI, -6.5, 3.8]). In a pre-specified safety analysis, PREVYMIS-treated participants had significantly less myelotoxicity, as measured by rates of leukopenia or neutropenia, compared to valganciclovir-treated participants; 26.0% (n=76) versus 64.0% (n=190), (95% CI, -45.1, -30.3; p-value <0.0001). The findings from this trial were presented during a late-breaking oral session at the IDWeek Annual Meeting (Abstract # LB2307). Merck plans to submit a supplemental new drug application (sNDA) with these data to the U.S. Food and Drug Administration (FDA) by the end of this year.

PREVYMIS is a first-in-class antiviral agent that was approved by the U.S. FDA in 2017 and is indicated for prophylaxis of CMV infection and disease in adult CMV-seropositive recipients [R+] of an allogeneic hematopoietic stem cell transplant (HSCT). PREVYMIS is contraindicated in patients receiving pimozide or ergot alkaloids. Increased pimozide concentrations may lead to QT prolongation and torsades de pointes. Increased ergot alkaloids concentrations may lead to ergotism. PREVYMIS is contraindicated with pitavastatin and simvastatin when co-administered with cyclosporine. Significantly increased pitavastatin or simvastatin concentrations may lead to myopathy or rhabdomyolysis.

“CMV disease is an important cause of morbidity and mortality in kidney transplant recipients. Valganciclovir has been the most commonly used drug for CMV prophylaxis in this setting, but myelotoxicity (especially neutropenia and leukopenia) is an important limitation of this drug. Myelotoxicities can be difficult to manage in patients who are already receiving complex treatment regimens with other drugs that also have bone marrow suppressive effects,” said Dr. Ajit P. Limaye, director, Solid Organ Transplant Infectious Disease Program at University of Washington School of Medicine. “I was excited to see these trial results that showed that the efficacy of PREVYMIS for prevention of CMV disease in kidney transplant patients was similar to the current standard of care treatment (valganciclovir), but with significantly less toxicity.”

https://www.marketscreener.com/quote/stock/MERCK-CO-INC-13611/news/Merck-s-PREVYMIS-trade-Demonstrates-Efficacy-in-Phase-3-Study-for-Prevention-of-Cytomegalovirus-Dis-42065345/

Nasdaq halts IPOs of small Chinese companies as it probes stock rallies

 Nasdaq Inc (NDAQ.O) has put the brakes on initial public offering (IPO) preparations of at least four small Chinese companies while it investigates short-lived stock rallies of such firms following their debuts, according to lawyers and bankers who work on such stock launches.

The stock exchange operator's actions come amid a surge in the shares of Chinese companies that raise small amounts, typically $50 million or less, in their IPO. These stocks rise as much as 2,000% in their debuts, only to nosedive in the days that follow, bruising investors who are bold enough to speculate on penny stocks.

Douglas Ellenoff, a corporate and securities attorney at Ellenoff Grossman & Schole LLP, said he was informed by the Nasdaq that certain IPOs will not be allowed to proceed "until they determined what has been the aberrational trading activity in certain Chinese issuers earlier this year."

"These were last-minute phone calls, just as we thought we were going to go somewhere with the deals," Ellenoff said.

Nasdaq started asking the advisers of small Chinese IPO candidates questions in mid-September. The questions concerned the identity of their existing shareholders, where they reside, how much they are investing and if they were offered interest-free debt so they can participate, according to one of the bankers, Dan McClory, who is head of equity capital markets at Boustead Securities.

The lawyers and bankers spoke to Reuters on condition that the names of the four companies whose IPOs were halted not be disclosed.

It is not clear what action the Nasdaq will take once it completes its probe and whether all or some of the halted IPOs will be allowed to continue. A Nasdaq spokesman declined to comment.

Seven sources who work on IPOs of small Chinese companies spoke to Reuters on the condition that neither they nor their clients be identified. These sources said that the ephemeral stock rallies were caused by a few overseas investors who concealed their identities and snapped up most of the shares in the offerings, creating the perception that the debuts were in demand.

As a result, Chinese IPOs in the United States have returned this year on average a staggering 426% in their first day of trading, compared with 68% for all other IPOs, according to data from Dealogic.

The Securities and Exchange Commission (SEC) and other U.S. financial regulators have yet to announce a case of successfully prosecuting such pump-and-dump schemes because Chinese companies and their overseas bankers have so far been effective in carrying them out secretly, the seven sources said.

An SEC spokesperson did not immediately respond to a request for comment.

LOOPHOLES

Nasdaq's intervention underscores how liquidity standards it adopted in the last three years to prevent stock manipulation in small IPOs have loopholes that Chinese companies are exploiting. The rules dictate that a company going public should have at least 300 investors holding at least 100 shares each, totaling a minimum of $2,500.

Yet these requirements have not been sufficient to prevent trading manipulation in some penny stocks. Small Chinese companies have been attracted to Nasdaq's exchange rather than the New York Stock Exchange because the former has traditionally been the venue of red-hot technology startups - an image these companies often try to project.

"Almost all of these microcap IPOs are 'story' stocks, where the promoters try to convince unsophisticated retail investors that this could be the next Moderna or this could be the next Facebook," said Jay Ritter, a University of Florida professor who studies IPOs.

There have been 57 listings of small Chinese companies in the last five years, up from 17 listings in the prior five years, according to Dealogic. So far this year there have been nine such listings despite the U.S. IPO market facing its worst drought in nearly two decades due to market volatility fueled by the Federal Reserve raising interest rates to fight inflation.

McClory said the trend highlights the looser regulatory requirements for listings in the United States compared with China. "It is virtually impossible for these companies to list onshore in China, and now the Hong Kong market has completely shut down as well," he said.

https://www.reuters.com/markets/europe/nasdaq-halts-ipos-small-chinese-companies-it-probes-stock-rallies-2022-10-22/

Fauci, Biden Officials Ordered To Be Deposed In Social Media Collusion Case

 A federal judge on Friday ordered Dr. Anthony Fauci, former White House Press Secretary Jen Psaki, and other officials from the Biden administration and the FBI, to testify under oath at depositions in a lawsuit over alleged collusion to censor information on social media during the pandemic.

District Court Judge Terry Doughty granted a request by the National Civil Liberties Alliance (NCLA) for depositions in the lawsuit, State of Missouri ex rel. Schmitt, et al. v. Biden, et al. 


The NCLA joined the states' lawsuit in August, representing renowned epidemiologists Drs. Jayanta Bhattacharya and Martin Kulldorff, as well as Dr. Aaron Kheriaty and Jill Hines.

Earlier interrogatories in this lawsuit identified 45 federal officials from the Department of Homeland Security, the Cybersecurity and Infrastructure Security Agency, the CDC, Dr. Fauci’s NIAID, the Office of the Surgeon General, and others who communicated with social media companies about “misinformation” and censorship.

...

The plaintiffs believe those named have specific individual details by virtue of their position. For example, CDC Chief of the Digital Media Branch Carol Crawford leads the agency’s digital media activities. Interrogatory responses revealed Crawford was holding regular “Be On the Lookout” meetings with staff from the social media companies. In these meetings, attendees reviewed specific social media posts containing “misinformation.” -PJ Media

For examplea look at the timeline shows that in February of 2020, Fauci, former NIH Director Francis Collins, and several other advisers were discussing a ZeroHedge article on a pre-print paper out of India suggesting that Covid-19 had similar features to HIVWithin a day, Twitter suspended us for publishing evidence that the Wuhan Institute of Virology - which was conducting NIH-funded experiments to make bat Covid more transmissible to humans - might have something to do with the exotic new Covid-19 strain that broke out across town at a wet market.

Twitter's excuse? That we 'doxxed' a Chinese scientistusing publicly available information (i.e. not doxxing), who created a job posting related to his research on bat Covid.

And then of course there's the case of Alex Berenson, who sued his way back onto Twitter and obtained evidence of top-down censorship of his opinion (and receipts) that mRNA vaccines were a failure.

Also notable is that Peter Daszak, head of New York-based nonprofit EcoHealth Alliance, was both deeply involved in manipulating bat Covid at the WIV - and also wanted to create 'chimeric viruses, genetically enhanced to infect humans more easily,' but his $14 million request to DARPA was declined for being too risky.

And after Sars-CoV-2 broke out in the same town where Daszak was manipulating Bat Covid, The Lancet published a screed by Daszak (signed by over two-dozen scientists), which insisted Covid could have only come from a natural spillover event, likely from a wet market, and that the scientists "stand together to strongly condemn conspiracy theories suggesting that COVID-19 does not have a natural origin." The Lancet only later noted Daszak's conflicts of interest.

Did Fauci or the NIH play a role in Daszak's attempt at damage control and narrative-shaping?

In the case of Dr. Anthony Fauci, the plaintiffs seek specific underlying information regarding some communications that are already public. Younes cited the email exchange between Fauci and former NIH Director Dr. Francis Collins discussing a takedown of the authors of the Great Barrington Declaration and NCLA clients Drs. Jayanta Bhattacharya and Martin Kulldorff. Fauci also did not complete or sign his own interrogatory as is customary.

Judge Doughty noted this breach of custom in his ruling (emphasis added): “Lastly, Plaintiffs argue that Dr. Fauci’s credibility has been in question on matters related to supposed COVID-19 ‘misinformation’ since 2020. Specifically, Plaintiffs state that Dr. Fauci has made public statements on the efficacy of masks, the percentage of the population needed for herd immunity, NIAID’s funding of ‘gain-of-function’ virus research in Wuhan, the lab-leak theory, and more. Plaintiffs urge that his comments on these important issues are relevant to the matter at hand and are further reasons why Dr. Fauci should be deposed. Plaintiffs assert that they should not be required to simply accept Dr. Fauci’s ‘self-serving blanket denials’ that were issued from someone other than himself at face value. The Court agrees.” -PJ Media

"For the first time, Dr. Fauci and seven other federal officials responsible for running an unlawful censorship enterprise will have to answer questions under oath about the nature and extent of their communications with tech companies," NCLA attorney Jenin Younes told the Epoch Times.

More via The Epoch Times;

Fauci’s ‘Self-Serving Blanket Denials’

In his ruling, Doughty said he agreed with plaintiffs that Fauci’s previous “self-serving blanket denials” about his role in censoring views on social media couldn’t be taken at face value.

“Plaintiffs argue that even if Dr. Fauci can prove he never communicated with social media platforms about censorship, there are compelling reasons that suggest Dr. Fauci has acted through intermediaries, and acted on behalf of others, in procuring the social-media censorship of credible scientific opinions.

Plaintiffs argue that even if Dr. Fauci acted indirectly or as an intermediary on behalf of others, it is still relevant to Plaintiffs’ preliminary injunction motion. The Court agrees.

“Lastly, Plaintiffs argue that Dr. Fauci’s credibility has been in question on matters related to supposed COVID-19 ‘misinformation’ since 2020. Specifically, Plaintiffs state that Dr. Fauci has made public statements on the efficacy of masks, the percentage of the population needed for herd immunity, NIAID’s funding of ‘gain-of-function’ virus research in Wuhan, the lab-leak theory, and more.

“Plaintiffs urge that his comments on these important issues are relevant to the matter at hand and are further reasons why Dr. Fauci should be deposed. Plaintiffs assert that they should not be required to simply accept Dr. Fauci’s ‘self-serving blanket denials’ that were issued from someone other than himself at face value. The Court agrees,” Doughty said in his ruling (pdf).

Censoring Lab Leak Theory

The plaintiffs argued that Fauci allegedly insisted on the censorship of “speech backed by great scientific credibility and with enormous potential nationwide impact” that contradicted Fauci’s views.

Fauci, for example, communicated in a long-shielded phone call with some scientists to discredit any theory that COVID-19 was the result of a “lab leak” in Wuhan, China. The scientists went on to write a paper severely reprimanding others who were open to the theory.

If the lab leak theory were true, in turn, it would mean Fauci could be potentially implicated in funding the research on viruses that caused the pandemic which killed millions worldwide, plaintiffs argued. This is because Fauci funded risky “gain-of-function” research at the Wuhan Institute of Virology through intermediaries such as EcoHealth Alliance.

In late January 2020 and early February 2020, Fauci was also in touch with Facebook CEO Mark Zuckerberg in oral communications about the government’s COVID-19 response. Facebook then allegedly went on censor the lab leak theory, plaintiffs argued.

‘Overwhelming’ Need to Depose Officials

The court also found that Flaherty, Slavitt, Psaki, and other officials also have personal knowledge about the alleged censorship issues and ordered them to be deposed.

Doughty said there is an “overwhelming” need for Flaherty to be deposed to determine whether fundamental rights to free speech were “abridged” as a result of alleged collusion between senior Biden administration officials and Big Tech.

Plaintiffs argued Flaherty had “extensive” oral meetings with Twitter, Meta, and YouTube on vaccine hesitancy and combatting misinformation related to COVID-19.

The judge said there is a “substantive need” for the deposition of Slavitt, who served as the White House’s senior COVID-19 advisor. Doughty noted Slavitt’s remarks on a podcast which “showed he has specific knowledge as it relates” to the issues in the lawsuit.

The court order cited a series of public comments made by Psaki when she served as White House press secretary, including calling on social media platforms for consistency in banning disfavored speakers.

“Psaki has made a number of statements that are relevant to the Government’s involvement in a number of social-media platforms’ efforts to censor its users across the board for sharing information related to COVID-19,” Doughty said in his ruling.

*  *  *

Of course, nothing like a realist to put things in perspective...

When patients can choose concurrent dialysis and hospice care

 Today, patients utilizing their Medicare Hospice Benefits with end-stage kidney disease (ESKD) are forced to make the traumatic choice between continuing dialysis or enrolling in hospice.

The Veterans Health Administration (VA), when compared to Medicare, has far more liberal criteria for hospice eligibility; whether such criteria improve access to concurrent dialysis and  for ESKD patients was unknown prior to a recent study by researchers at Brigham and Women's Hospital, a founding member of the Mass General Brigham health care system.

The team set out to compare how the frequency of concurrent hospice and dialysis among  with ESKD varied based on hospice payer: Medicare, VA inpatient hospice, or VA-financed community hospice. A retrospective cross-sectional study of all 70,577 VA enrollees in the U.S. Renal Data System registry was used.

Based on their analysis, the team concluded that patients who received VA-financed hospice services were more likely to receive concurrent dialysis than patients who received Medicare-financed hospice. Additionally, the researchers found that, on average, patients who stopped dialysis before entering hospice died within four days, whereas those who continued in a concurrent care model lived about 43 days.

"Because patients who are on dialysis for  die within days to weeks of stopping dialysis, they are particularly vulnerable to Medicare's 'terrible choice'—if they want to receive hospice services, they can expect to live only a very short time after  enrollment," said lead author Melissa Wachterman, MD, MPH.

"Our study will provide critical perspective as Medicare is currently considering whether it should change the Medicare Hospice Benefit to allow for concurrent care."

The research is published in JAMA Health Forum.


Explore further

Medicare kidney failure patients enter hospice too late to reap full benefits

More information: Association of Hospice Payer With Concurrent Receipt of Hospice and Dialysis Among US Veterans With End-stage Kidney Disease A Retrospective Analysis of a National Cohort, JAMA Health Forum (2022). DOI: 10.1001/jamahealthforum.2022.3708
https://medicalxpress.com/news/2022-10-patients-concurrent-dialysis-hospice.html

New protein provides a step toward preventing autoimmune disorders

 Autoimmune diseases such as rheumatoid arthritis and multiple sclerosis happen when the immune system is inadvertently activated, mistakenly attacking the body's tissues and organs. Though it is known that genetics play a role in the development of these disorders, prevention and treatment approaches also focus on external factors, such as nutrition and environment.

A team of Johns Hopkins engineers believes one answer to prevention and treatment lies inward, at the cellular level. They've designed a protein that activates and increases the number of special, regulatory T cells (called Tregs), which assist in preventing such disorders. Their results appear in Cell Reports.

"Tregs are critical for keeping our immune system in balance, and when they get out of whack, people can develop ," said Jamie Spangler, assistant professor in the departments of Chemical and Biomolecular Engineering and Biomedical Engineering and member of the research team. "[The study] showed that this molecule helps to prevent autoimmune diseases."

The molecule, which fuses the interleukin-2 cytokine and the anti-cytokine antibody F5111, promoted Treg activation and expansion and protected non-obese diabetic mice against autoimmune disease development to a statistically significant degree.

"The way in which it does this is by specifically targeting and expanding Tregs, which are used to suppress an ," said the study's lead author Derek VanDyke, Ph.D. candidate in the Department of Chemical and Biomolecular Engineering. "In the case of autoimmune disease, your own  is essentially attacking itself, so these Tregs are used to suppress that attack."

The authors say that because symptoms of autoimmune diseases are a result of the body's defense system malfunctioning, suppressing this reaction could help in preventing the disease from manifesting. Since early detection and prevention is not always possible, however, future work will explore the possibility of using this approach to reverse active disease.


Explore further

New cancer drug candidate targets immune system 'brakes'

More information: Derek VanDyke et al, Engineered human cytokine/antibody fusion proteins expand regulatory T cells and confer autoimmune disease protection, Cell Reports (2022). DOI: 10.1016/j.celrep.2022.111478
https://medicalxpress.com/news/2022-10-newly-protein-autoimmune-disorders.html