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Thursday, May 2, 2024

Scientists track 'doubling' in origin of cancer cells

 Working with human breast and lung cells, Johns Hopkins Medicine scientists say they have charted a molecular pathway that can lure cells down a hazardous path of duplicating their genome too many times, a hallmark of cancer cells.

The findings, published in Science, reveal what goes wrong when a group of molecules and enzymes trigger and regulate what's known as the "cell cycle," the repetitive process of making new cells out of the cells' genetic material.

The findings could be used to develop therapies that interrupt snags in the cell cycle, and have the potential to stop the growth of cancers, the researchers suggest.

To replicate, cells follow an orderly routine that begins with making a copy of their entire , followed by separating the genome copies, and finally, dividing the replicated DNA evenly into two "daughter" cells.

Human cells have 23 pairs of each chromosome—half from the mother and half from the father, including the sex chromosomes X and Y—or 46 total, but cancer cells are known to go through an intermediate state that has double that number—92 chromosomes. How this happens was a mystery.

"An enduring question among scientists in the cancer field is: How do cancer cell genomes get so bad?" says Sergi Regot, Ph.D., associate professor of molecular biology and genetics at the Johns Hopkins University School of Medicine. "Our study challenges the fundamental knowledge of the cell cycle and makes us reevaluate our ideas about how the cycle is regulated."

Regot says cells that are stressed after copying the genome can enter a dormant, or senescent stage, and mistakenly run the risk of copying their genome again.

Generally and eventually, these dormant cells are swept away by the immune system after they are "recognized" as faulty. However, there are times, especially as humans age, when the immune system can't clear the cells. Left alone to meander in the body, the abnormal cells can replicate their genome again, shuffle the chromosomes at the next division, and a growing cancer begins.

In an effort to pin down details of the molecular pathway that goes awry in the cell cycle, Regot and graduate research assistant Connor McKenney, who led the Johns Hopkins team, focused on human cells that line breast ducts and lung tissue. The reason: These cells generally divide at a more rapid pace than other cells in the body, increasing the opportunities to visualize the cell cycle.

Regot's lab specializes in imaging individual cells, making it especially suited to spot the very small percentage of cells that don't enter the dormant stage and continue replicating their genome.

For this new study, the team scrutinized thousands of images of single cells as they went through cell division. The researchers developed glowing biosensors to tag cellular enzymes called cyclin dependent kinases (CDKs), known for their role in regulating the cell cycle.

They saw that a variety of CDKs activated at different times during the cell cycle. After the cells were exposed to an environmental stressor, such as a drug that disrupts , UV radiation or so-called osmotic stress (a sudden change in  around cells), the researchers saw that CDK 4 and CDK 6 activity decreased.

Then, five to six hours later, when the cells started preparations to divide, CDK 2 was also inhibited. At that point, a  called the anaphase promoting complex (APC) was activated during the phase just before the cell pulls apart and divides, a step called mitosis.

"In the stressed environment in the study, APC activation occurred before mitosis, when it's usually been known to activate only during mitosis," says Regot.

About 90% of breast and lung cells leave the cell cycle and enter a quiet state when exposed to any environmental stressors.

In their experimental cells, not all of the cells went quiet.

The research team watched as about 5% to 10% of the breast and  returned to the , dividing their chromosomes again.

Through another series of experiments, the team linked an increase in activity of so-called stress activated protein kinases to the small percentage of cells that skirt the quiet stage and continue to double their genome.

Regot says there are ongoing clinical trials testing DNA-damaging agents with drugs that block CDK. "It's possible that the combination of drugs may spur some cancer cells to duplicate their genome twice and generate the heterogeneity that ultimately confers drug resistance," says Regot.

"There may be drugs that can block APC from activating before mitosis to prevent  from replicating their genome twice and prevent tumor stage progression," says Regot.

Other researchers who contributed to the study include Yovel Lendner, Adler Guerrero-Zuniga, Niladri Sinha, Benjamin Veresko and Timothy Aikin from Johns Hopkins.

More information: Connor McKenney et al, CDK4/6 activity is required during G2 arrest to prevent stress-induced endoreplication, Science (2024). DOI: 10.1126/science.adi2421.


https://medicalxpress.com/news/2024-05-scientists-track-cancer-cells.html

'Noninvasive Brain Stimulation Shows Rapid Relief for Major Depression'

 Noninvasive transcranial alternating current stimulation (tACS) may lead to rapid improvement in major depressive disorder (MDD), results of a randomized, sham-controlled trial suggested. However, independent experts said more research is needed to confirm its benefit. 

While both the active and sham tACS groups exhibited similar clinically significant improvements in self-reported depression severity, post hoc analyses showed active tACS was superior to sham in women and in those with high adherence to treatment. 

"We can feel reasonably confident that tACS is an effective treatment for people with MDD, particularly for women, as long as people use it consistently," study investigator Philip Gehrman, PhD, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, told Medscape Medical News.

"Improvements in depression were seen as early as the first week of treatment, and these benefits were maintained for the duration of the study," added co-investigator Kyle Lapidus, MD, PhD, with Affective Care in New York City.

The study was published online April 22 in the Journal of Clinical Psychiatry

Seeking FDA Approval

tACS is a form of wearable noninvasive brain stimulation that delivers a low intensity, pulsed, alternating current via scalp electrodes. The current study utilized the OAK (version 2.0) tACS device from Fisher Wallace Laboratories, which funded the study. 

photo of Transcranial Alternating Current Stimulation wearable device.
The OAK tACS device.

A total of 255 adults (185 women) meeting the criteria for MDD and having a score on the Beck Depression Inventory, Second Edition (BDI-II) between 20 and 63 (mean score, 34) were randomly allocated to at-home active or sham tACS for two, 20-minute treatment sessions daily for 4 weeks. 

Both treatment groups showed similar clinically significant improvements in mean BDI-II scores at week 2 compared with baseline (the primary efficacy outcome), with no significant difference between groups (= .056).

Post hoc analysis of participants with 100% compliance in the first 14 days showed a significantly greater improvement in BDI-II scores at week 2 in the active vs sham tACS group (= .005), and this was true at 1 week (= .022) and 4 weeks (= .018).

In preplanned subgroup analyses, treatment effects were greatest among women for whom active tACS was superior to sham tACS across time points. 

"Active tACS greatly exceeded the 17.5% threshold of minimally clinically important within-group difference established for the BDI-II. Side effects were minimal and mild," the authors reported in their article.

"The speed of response is also impressive and suggests that tACS may be able to provide rapid relief in depression with very limited side effects. Given the risks associated with unmanaged MDD, rapid relief is essential," said Lapidus.

The researchers noted that the large improvements in the sham group make it tough to know how much of the treatment effect was due to the direct effects of the tACS device vs placebo effects. Having participants in both groups engage in 20 minutes twice daily of calm activities during active and sham tACS may itself have therapeutic benefits irrespective of tACS.

Limitations of the study include reliance on self-reported patient outcome measures and the relatively short 4-week treatment period. 

"The next step is to do a longer study to prove the duration of efficacy of tACS in MDD is longer than 4 weeks," study investigator Eric Bartky, MD, with Bartky HealthCare Center, LLC, Livingston, New Jersey, told Medscape Medical News.

On that front, Fisher Wallace said a new 12-week study using their tACS device was designed by Maurizio Fava, MD, psychiatrist-in-chief at Massachusetts General Hospital, Boston, to assess the durability and effectiveness of treatment in men and women. The company intends to use the results of this 12-week study to seek US Food and Drug Administration (FDA) approval. 

Promising but Preliminary 

Reached for comment, Roger McIntyre, MD, professor of psychiatry and pharmacology, University of Toronto, Toronto, Canada, and head of the Mood Disorders Psychopharmacology Unit, said the efficacy being reported with tACS is "promising but needs to be replicated in a much larger study."

McIntyre, who wasn't involved in the study, told Medscape Medical News tACS is "an interesting approach, not only from the point of view of the therapeutic, but also the ecosystem. There is interest in identifying ways to improve access and availability to treatment for depression. Clearly that is the major problem confronting many Americans."

"If we can democratize the access and have home-based care, that clearly would be an improvement over status quo, but, of course, it will need to be guided by best practices, safety, and efficacy, and I look forward to seeing more studies with it," McIntyre added. 

Flavio Frohlich, PhD, professor, Department of Psychiatry, University of North Carolina (UNC) at Chapel Hill and director of the Carolina Center for Neurostimulation, also emphasized the need for more study. 

"In general, having portable, low amplitude, electric brain stimulation devices for psychiatric indications is really exciting. However, this study misses some of the things that we would typically see in gold standard clinical trials of depression treatments," Frohlich, who also wasn't involved in the study, told Medscape Medical News.

One is sole reliance on self-report. "While it's important to get self-reports from patients, what we're usually looking for is a clinician-administered rating scale, such as the Hamilton Depression Rating Scale, which would offer some more reassurance," Frohlich said. 

"It's also important to note that the main analysis did not show a statistically significant difference between the active and the placebo group. There were some interesting exploratory findings, but overall, I would be very cautious in drawing major conclusions from it. It's clear that much more study is needed," Frohlich added.

The study was sponsored by Fisher Wallace Laboratories Inc. Gehrman, Lapidus and Bartky disclosed financial relationships with the company. McIntyre received speaker/consultation fees from Lundbeck, Janssen, Alkermes, Neumora Therapeutics, Boehringer Ingelheim, Sage, Biogen, Mitsubishi Tanabe, Purdue, Pfizer, Otsuka, Takeda, Neurocrine, Sunovion, Bausch Health, Axsome, Novo Nordisk, Kris, Sanofi, Eisai, Intra-Cellular, NewBridge Pharmaceuticals, Viatris, AbbVie, Atai Life Sciences. McIntyre is a CEO of Braxia Scientific Corp. Frohlich is the lead inventor of intellectual property issued to UNC and licensed to Electromedical Products International (EPI). In the last 12 months, he received consulting honoraria from EPI and Insel Spital and royalties from Academic Press and the University of North Carolina at Chapel Hill.

https://www.medscape.com/viewarticle/noninvasive-brain-stimulation-shows-rapid-relief-major-2024a10008ip

Fast-food restaurant sales slump as more people eat at home

 People seem to be buying less food from quick-service restaurants (QSR).

That appears to be the case after companies such as Yum! Brands, Starbucks and McDonald’s offered their latest quarterly updates on their businesses.

In the first quarter, the corporate parent of KFC, Taco Bell and Pizza Hut said its overall same-store sales narrowed by 3%, which was "expected," said Yum! Brands CEO David Gibbs in the company’s press release Wednesday.

CFO Chris Turner told analysts and investors who tuned into the earnings call that Yum! Brands had expected the first quarter to "be our most challenged" in terms of same-store sales "due to prior year lapse, a return to a more normal inflationary environment and discrete consumer demand pressures, including markets impacted by the Middle East conflict."

Of the three major brands owned by Yum! Brands, Pizza Hut and KFC both experienced decreases in same-store sales in the first quarter, at 7% for the pizza chain and 2% for the fried chicken chain. But the same metric at Taco Bell went up 1%, according to the company.

"As far as the international consumer goes, it’s probably more of an emphasis on value than there has been in past quarters," Gibbs said about KFC. "We are seeing the same thing in the U.S."

In the earnings release, he also said Yum! Brands was "encouraged by strong 2-year same-store sales growth and positive momentum exiting the quarter" for its chains.

There was a decrease of 4% in Starbucks’ global comparable store sales for its second quarter. That, the company said Tuesday, was "driven by a 6% decline in comparable transactions, partially offset by a 2% increase in average ticket."

"Headwinds discussed last quarter have continued in a number of key markets; we continue to feel the impact of a more cautious consumer, particularly with our more occasional customer, and a deteriorating economic outlook has weighed on customer traffic and impact felt broadly across the industry," CEO Laxman Narasimhan said. "In the U.S., severe weather impacted both our U.S. and total company comp by nearly 3% during the quarter. The remainder of our challenges were attributable to fewer visits from our more occasional customers."

McDonald’s, known for menu items like the Quarter Pounder and Big Mac, said its first-quarter comparable sales went up 1.9%. In comparison, it showed increases of 3.4% in the prior quarter and 12.6% in 2023’s first quarter.

Chris Kempczinski, the CEO of McDonald’s, said it was "clear that broad-based consumer pressures persist around the world."

"Consumers continue to be even more discriminating with every dollar that they spend as they [face] elevated prices in their day-to-day spending, which is putting pressure on the QSR industry," he said. "It is worth noting the Q1 industry traffic was flat to declining in the U.S., Australia, Canada, Germany, Japan and the U.K. And across almost all major markets, industry traffic is slowing."

Many quick-service restaurants, including McDonald’s, Yum! Brands and Starbucks, have been emphasizing value and deals amid the current economy that has pushed some consumers to prioritize eating at home more to save money.

And some others in the industry, meanwhile, experienced comparable sales growth in their most recently reported quarters. Chipotle and Restaurant Brands International were among them.

Yum! Brands, Starbucks and McDonald’s each have a major global presence, with each having tens of thousands of locations around the world.

https://www.foxbusiness.com/markets/fast-food-restaurant-sales-slump-more-people-eat-home

Why on Earth are we AGAIN collaborating with China to manipulate viruses?

 Bad: When Chinese scientists create a killer disease in a lab and allow it to wipe out millions. 

Worse: When US taxpayers help pay for it.

Unconscionable: Doing it all again.

The  US government hasn’t learned a thing: Disease-watchers are tracking the spread of H5N1 — bird or avian flu — across the globe, as it invades mammals for the first time, leaving beaches in South America littered with dead sea lions. 

In the United States, 34 dairy cattle herds in nine states are infected.

Scientists are anxiously watching for any sign the virus is changing genetically to make human-to-human spread possible.

Against this backdrop, the US Department of Agriculture is collaborating with the Chinese Academy of Sciences, the parent organization of the Wuhan Institute of Virology — the lab that likely concocted COVID.

The collaboration is manipulating strains of bird flu, making them deadlier to humans, and then infecting ducks and geese with them. What could go wrong?

In March, the Biden administration also stealthily extended the US-China Science and Technology Agreement for another six months, despite mounting opposition.

Two centuries ago, the scientist Louis Pasteur said, “Science knows no country, because knowledge belongs to humanity.”

A noble idea but too naïve for today’s world. 

The United States must be guarded about supporting and sharing research with scientists controlled by enemy nations.

Unfortunately, we too often leave decisions about funding international collaborations to the scientists, who generally have a global mindset, making them more loyal to their colleagues than to their country.

Congress needs to take charge.

Canada is curbing its cooperation with China on infectious diseases. Conservative leader Pierre Poilievre told Parliament that “dangerous viruses” had been taken from a Canadian lab to Beijing covertly.

“We should be collaborating with like-minded democracies that we can trust, not those that want to attack our interests,” he warned.

Consider the USDA collaboration with the Chinese Academy of Sciences and the University of Edinburgh’s Roslin Institute to manipulate strains of avian flu, making them more lethal.

The USDA’s Chinese partner, Liu Wenjun, states that “the purpose of the three countries collaborating” is to exchange research data and “control global diseases.”

Can Liu be taken at his word? No. He’s not free to do the right thing, any more than the scientists at the Wuhan Institute were free to alert the world when COVID leaked.

Dr. Ben Hu, the US-funded scientist at Wuhan, is now believed to have become Patient Zero when he fell ill with COVID symptoms in November 2019.

But neither his identity nor his illness was disclosed until June 2023.

Had he been able to tell the world about his illness — something the Chinese government prevented him from doing — millions of lives might have been saved. 

Is China a trustworthy scientific partner? That question has been firmly answered.

From the first cases of the virus in Wuhan, China has blocked all investigations, barred international agencies and foreign scientists’ access to the Wuhan market and hospital data and muzzled Chinese scientists. 

For the Biden administration to renew the US-China Science and Technology Cooperation Agreement while China stonewalls is a slap in the face to the families of COVID’s victims.

And an invitation to future disasters.

The administration’s statement that it is negotiating a “good intentions clause” from China that joint research is only for peaceful purposes is disturbingly naïve.  

“Good intentions” is a laugh line.

In January, a study from Beijing announced the creation of a lab-mutated virus — a coronavirus cousin — that produces agonizing illness and a 100% death rate in “humanized” mice. 

There was no indication the lab had taken rigorous biosecurity steps.  

Reckless is an understatement. Madness is more like it.

Sparks flew in reaction to a House subcommittee hearing Wednesday on COVID’s origins. 

Globalists like Lawrence Gostin of Georgetown University cautioned against discouraging Western scientists from having “strong working relationships” with China.

Nice sentiment, but the committee majority insisted that “high risk virology research” involving collaboration with an enemy country cannot proceed without taking national security into account.

That’s a no-brainer. 

European scientists polled this week on the likeliest cause of a future pandemic point to flu viruses, but say the next biggest risk is “Disease X,” a micro-organism appearing out of the blue, like COVID-19.

Fair warning. The US should not be funding or collaborating to make the next China-created killer.  

Betsy McCaughey is a former lieutenant governor of New York and chairman of the Committee to Reduce Infection Deaths.

https://nypost.com/2024/05/02/opinion/why-on-earth-are-we-again-collaborating-with-china-to-manipulate-viruses/

Bird flu likely circulated in US cows for four months before diagnosis -paper

 Bird flu likely circulated in U.S. dairy cows on a limited basis for about four months before federal officials confirmed the disease that has now spread to nine states, according to a new federally funded research paper.

The U.S. Department of Agriculture reported the first-ever H5N1 virus infection in a dairy cow in Texas on March 25, following reports of decreased milk yields in multiple states.

The USDA has said it believes wild birds, which can carry the virus, introduced H5N1 to cattle. The outbreak then expanded as cows were shipped to other states, according to the paper released on Wednesday that was funded by USDA, Centers for Disease Control and Prevention and the National Institute of Allergy and Infectious Diseases.

"Data support a single introduction event from wild bird origin virus into cattle, likely followed by limited local circulation for approximately four months prior to confirmation by USDA," the paper said.

A team of academic scientists led by University of Arizona evolutionary biologist Michael Worobey pieced together raw genetic sequences released by USDA on April 21 without dates or locations and concluded a week ago that a single transmission event occurred in late 2023.

Scientists have criticized USDA for not releasing details of the data that would allow academic researchers around the world to trace the evolution of the virus.

One person, a Texas farm worker, has tested positive for H5N1 in the current outbreak, though the only symptom was conjunctivitis, believed to be caused by contact with cow milk. The CDC has said the general public faces a low risk for infection.

Bird flu has long been on the list of viruses with pandemic potential, and any expansion to a new mammal species is concerning to scientists.

Carol Cardona, a bird flu expert at the University of Minnesota, said the virus was able to spread during the four months it was undetected.

"By the time it was recognized, we were beyond our ability to contain the outbreak," she said.

Veterinarians observed dairy cattle displaying unexplained reductions in milk production and changes in milk quality, along with reduced feed consumption, starting in January, according to the paper. It was published an open-access preprint

server for the biological sciences called bioRxivon.

Members of USDA's network of laboratories that monitors for diseases identified influenza A virus, which includes bird flu, in milk and nasal swabs from cows at a Texas dairy, the paper said, without specifying a date.

They forwarded samples to USDA's National Veterinary Services Laboratories, which respond to animal-health emergencies, for testing as epidemiologic investigations continued elsewhere, the paper said.

USDA did not immediately respond to a request for comment.

"Overall, it's wonderful that these data have been shared," virologist Angela Rasmussen of the University of Saskatchewan's Vaccine and Infectious Disease Organization, who worked on sequencing the virus with Worobey, said in a post on X.

https://www.marketscreener.com/news/latest/Bird-flu-likely-circulated-in-US-cows-for-four-months-before-diagnosis-paper-46610664/

"Sticky Inflation" Mentions On Earnings Calls Hits New High As Big Brands Warn About Buckling Consumers

On Wednesday, Fed Chairman Jerome Powell dismissed the idea that the economy could slide into "stagflation" despite multiple warning signs of a slowing economy and inflation reaccelerating higher. 

"I was around for stagflation, and it was 10% unemployment, it was high-single-digit inflation," Powell said, noting, "Right now we have 3% growth, which is pretty solid growth, I would, say by any measure, and we have inflation running under 3%." 

Powell then claimed he didn't see "stag" or the "flation" anywhere. 

However, Powell has been very wrong before. He missed the initial surge in inflation in the months following the virus pandemic after the government helicopter dropped trillions of dollars on the economy. More recently, Powell prematurely pivoted on the interest rate hiking cycle before having to backtrack. 

Meanwhile, America's largest companies are warning consumers are buckling due to the weight of inflation. This comes amid the failure of Bidenomics, where a new Gallup poll has shown a parabolic surge in households complaining about inflation-related financial problems. 

On Wednesday, Starbucks logged the largest single-day crash since early Covid, nearly exceeding the 16.2% level that would've made it the worst drawdown since the Dot Com bust. The reason is simple: Earnings were a complete disaster as misses were reported across the board due to headwinds of a "cautious consumer." 

Earlier in the week, McDonald's CEO Chris Kempczinski warned the burger chain faced "broad-based consumer pressures persist around the world." 

"Consumers continue to be even more discriminating with every dollar that they spend as they faced elevated prices in their day-to-day spending," Kempczinski said. 

Clearly, a $15 Big Mac combo meal is too expensive for many working poor folks. Plus, the food quality is junk. 

Moving on to the 3M Company, the maker of Scotch tape and Post-it Notes, top executives told analysts during an earnings call that it "continued seeing softness in consumer discretionary spend." 

As for Newell Brands, the owner of Rubbermaid, Yankee Candle, Coleman, Paper Mate, and many others, warned, "Consumers continuing to carefully manage their discretionary spend as the cumulative impact of inflation on food, energy and housing cost has outpaced wage growth." 

Looking at Bloomberg data, the term "sticky inflation" has surged to a record 17 mentions in earnings calls. Other topics on the rise include "inflation" and "interest rates" and "labor costs." 

But don't worry, Powell has glanced over the mounting stagflation threat because it's an election year... 

https://www.zerohedge.com/markets/sticky-inflation-mentions-earnings-calls-hits-new-high-big-brands-warn-about-buckling

Amgen expects data from weight-loss drug trial later this year

 Shares of Amgen rally 11% after Q1 earnings

Shares of Amgen Inc. rallied more than 11% in the extended session Thursday after the drugmaker posted adjusted earnings above expectations and said that plans for further trials for its weight-loss drug are proceeding apace.

Amgen said that it expects data from an ongoing phase 2 study of MariTide, an injectable weight-loss drug, late in the year. The drugmaker said that plans for a "comprehensive" phase 3 program remain on track.

Amgen (AMGN) lost $113 million, or 21 cents a share, in the quarter, contrasting with earnings of $2.8 billion, or $5.28 a share, in the first quarter of 2023.

It pinned the loss on higher operating expenses, including those related to its acquisition of Horizon Therapeutics. The acquisition, which ran against regulatory hurdles, was completed in October.

Adjusted for one-time items, Amgen earned $3.96 a share, above expectations of $3.88 a share, according to FactSet.

The drugmaker's revenue rose 22% to $7.45 billion, meeting the FactSet consensus. Product sales were up 22%.

Sales of Repatha, Amgen's cholesterol drug, increased 33% year over year to $517 million, the company said. Its Prolia osteoporosis drug generated sales of $999 million in the quarter, up 8% year-over-year.

https://www.morningstar.com/news/marketwatch/20240502869/amgen-expects-data-from-weight-loss-drug-trial-later-this-year