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Premature Babies Face Higher Mortality Into Adulthood

Efficient prenatal, neonatal and follow-up care must be made in order to decrease the life consequences of the preterm birth.

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Premature Babies Face Higher Mortality Into Adulthood


United States: Premature babies not only face serious and immediate health consequences: New studies demonstrate that those children are prone to die early and the risk remains high well into their 30s.

Higher Risk of Early Death for Preterm Babies

“By gaining more insight on its impact, it is now easier to commence the necessary measures to prevent such occurrences and also, know the kind of treatment to give to individuals born prematurely,” said Dr. Asma Ahmed, the lead researcher who is an assistant professor of epidemiology and prevention at the Wake Forest University of School of medicine in Winston-Salem, N.C., as reported by HealthDay.

Currently, it is reported that about 10% of all births around the world are preterm, that is, babies born prior to 37 completed weeks of gestation. Preterm birth remains the leading cause of neonatal death and the 2nd leading cause of death for children younger than 5 years old.

Mortality Over Decades

While the mortality rate among preemies has reduced greatly, Ahmed noted that studies have shown that children born preterm are likely to die earlier than their full-term counterparts for at least forty years.

She and her team extracted data from approximately 5 million live births of women in Canada from 1983 to 1996. Of those, 6.9% were pre-term.

Patients were followed up till 2019, implying that the follow-up was done for 23-36 years.

The researchers associated PTB with higher mortality rates in all the age groups, which increased to the age of 36. The highest levels of risk have been observed in childhood, during the prenatal period, and during infancy, that is, from birth to one year of age and from one to five years of age.

Visual Representation.

“We also found that the risk of [early death] is higher with a lower gestational age at birth, with those born before 28 weeks facing the highest risks,” Ahmed said in a Wake Forest news release.

Numerous factors contributed to that, including infections, malignancies, birth defects, diseases of the neurological and endocrine systems, and respiratory, circulatory, and digestive issues.

“These findings suggest that preterm birth should be as a significant risk factor for mortality,” Ahmed said. “The risk remains until the third and fourth decades of life.”

Need for More Research

It is crucial to deliver clinical care to mothers and newborns during the newborn period, and follow-up care must be made available to lower those risks, she said, as reported by HealthDay.

Visual Representation.

She noted that more research is required, especially for in low- and middle-income, as indicated by high preterm birth prevalence.

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This Fungus Can Hijack the Brain—New Study Reveals How 

A recent study explores how the fungus manipulates the immune system of insects, particularly fruit flies, leading to brain cell destruction. 

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Infections often conjure images of bacteria or viruses, but certain fungi can also take their toll on us. They can hide in unsuspecting corners of the environment and interact with living organisms in ways that raise many questions. 

One particular fungus, Beauveria bassiana, has captured attention because of its interactions with insects. 

Its spores settle on an insect and then germinate and penetrate through the cuticle. The insect dies within days and forms the substrate for a white fungal mold that grows and flourishes. 

Prof. Alicia Hidalgo, from the University of Birmingham, directed a recent investigation into infections in insects by this devastating fungus, according to earth.com.  

Immune responses to brain fungus 

Fruit flies became the chosen subjects for this study because their immune system shares some features with that of more complex creatures. 

Researchers often turn to these small insects when exploring disease processes in a simple model. 

The researchers analyzed the effect of the fungus on the brains of flies and found that flies infected with B. bassiana suffered a reduction in the number of brain cells. 

They identified that the fly’s own immune system was “tricked” by the invading fungus to start destroying brain cells. 

Naegleria fowleri enters the brain through the nasal passage. Kateryna Kon

In flies, Toll receptors are agents of the immune system. When infected with the fungus, the Toll-1 receptors in the flies trigger the release of antimicrobial peptides that attack and kill pathogens. 

However, the fungus also provoked the Toll-1 receptors to produce another molecule, called Sarm, that suppresses the immune response and destroys brain cells instead. 

“We have shown a process for how fungi have evolved to trick the immune system to get into the brain,” said Prof. Hidalgo. Her findings suggest that a normal line of defense can accidentally turn against the very organ it’s meant to protect, according to earth.com. 

Sarm’s link to neurodegeneration 

When the immune system tries to confront this fungus, the Sarm molecules step up their activity; they have the potential to sabotage defenses by encouraging cell damage in the brain. 

“The key antagonist in the immune process is Sarm, a so-called master of destruction, that is causing cell death in the brain. The ability of B. bassiana to trick the fruit fly immune system into activating the master of destruction Sarm and kill cells enables spores to beat the blood-brain barrier and start feeding on brain cells,” commented Hidalgo. 

The process, known as neurodegeneration, describes the gradual breakdown of nerve cells. If immune signals become confused, the result might be nerve destruction in the brain. 

Experts note that this fungus, though hazardous to insects, is widely used for insect management in agriculture. It is developed into a type of pesticide and used to kill certain insects. 

The findings offer a curious look at how a single microbe might manipulate host biology for its own benefit, as per earth.com. 

What does this fungus mean for humans? 

“It is important to stress that B. bassiana cannot affect humans,” explained Dr. Deepanshu Singh, now a post-doc at the University of Manchester. The fungus targets insects, but it stays clear of mammals. 

Still, other fungi are known to reach the human brain under certain conditions. These discoveries hint that parallel strategies might pop up in different species, especially when fungal organisms are trying to survive inside a host. 

A broader perspective on fungal threats 

Some scientists believe that future work could explore whether similar immune system misdirection happens in other animals. 

Understanding how these pathogens find loopholes in the immune system may help researchers develop new interventions. 

Fungal infections often get less attention than bacterial or viral illnesses, yet they can still pose serious threats. 

The possibility that a fungus might slip into the human central nervous system and confuse its defenses encourages further research. 

Implications for neurodegenerative diseases 

The discovery that a fungal infection can manipulate immune responses to attack brain cells raises questions about similar mechanisms in humans, as per earth.com. 

Some neurodegenerative diseases, such as Alzheimer’s disease and Parkinson’s disease, involve immune system dysfunction and excessive inflammation in the brain. 

If certain pathogens can trigger destructive immune pathways, this could offer new insights into how inflammation contributes to neurodegeneration. 

Researchers may investigate whether similar immune evasion tactics occur in human infections, potentially linking fungal exposure to long-term neurological effects. 

Possible next steps in fungal research 

Scientists hope to identify molecules that can protect nerve cells when the immune system is tricked. Pinpointing the exact signals could spark novel medical approaches for people at risk of certain fungal infections. 

Research also continues on ways to control fungal spread in agricultural settings without harming beneficial insects, according to reports by earth.com. 

B. bassiana remains a useful tool for pest management, though its tactics highlight the complexity of the microbe-host relationship. 

The study is published in PLOS Biology. 

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USDA Report: 35 Cats Infected with Bird Flu in Just 2 Months! 

A cat in New Jersey was euthanized after testing positive for bird flu, raising concerns about the spread of the virus among domestic animals. 

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United States: In an unsettling development, a feline residing in New Jersey has been humanely euthanized following a grievous affliction attributed to a laboratory-confirmed case of avian influenza, as disclosed by the state’s health authorities on Friday. 

Intriguingly, there was no known contact between the affected cat and any infected poultry, livestock, unpasteurized dairy, or uncooked meat sources. However, as the animal was permitted to wander outdoors, the precise vector of exposure—whether through interactions with wild avifauna or other creatures—remains an enigma. 

Distressingly, additional felines inhabiting the same premises in Hunterdon County have exhibited symptoms of illness, further amplifying concerns regarding the transmission of the pathogen among domesticated pets, according to 6abc.com 

Data compiled by the United States Department of Agriculture (USDA) underscores the gravity of the situation, revealing that since 2022, nearly 100 domestic cats nationwide have contracted avian influenza. Alarmingly, 35 of these cases have emerged within the past two months alone, signaling a potential uptick in infections. 

At present, no human infections have been conclusively linked to exposure to afflicted felines, offering a modicum of reassurance amid the unfolding crisis, as per 6abc.com. 

In response to these developments, the New Jersey Health Department has promulgated a series of precautionary measures aimed at safeguarding pets from potential contagion: 

Refrain from offering felines raw or unpasteurized dairy products, as well as any uncooked or inadequately prepared meat-based diets. 

Restrict cats to indoor environments to mitigate their risk of encountering wild birds and other wildlife that may harbor infectious agents. 

Prevent any direct or indirect contact between felines and livestock, poultry, or their associated habitats. 

Exercise extreme caution when handling sick or deceased birds and other wildlife, as they may serve as vectors for the virus. 

Adhere to rigorous hygiene protocols by thoroughly cleansing hands after handling pets, as well as after any interactions with poultry, livestock, or wildlife. 

Change attire, including footwear, and wash any exposed skin meticulously after engaging with diseased or deceased animals suspected of carrying the H5N1 virus prior to interacting with household pets, according to 6abc.com. 

Seek immediate veterinary consultation if a cat exhibits symptoms suggestive of Highly Pathogenic Avian Influenza (HPAI) or if there is any suspicion of viral exposure. 

The resurgence of avian influenza among domestic animals underscores the need for heightened vigilance and adherence to biosecurity measures to forestall further transmission. Continued surveillance and prompt intervention remain imperative in mitigating the spread of this formidable pathogen.

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HEALTH

WARNING: Heat May Be Speeding Up Your Biological Clock!

Scientists found that prolonged heat exposure alters epigenetics, changing how genes are activated in response to stress.

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WARNING: Heat May Be Speeding Up Your Biological Clock!

Sweltering heat has a way of draining our energy. After enduring a blistering day, exhaustion and irritability often settle in. 

However, the consequences of prolonged heat exposure stretch far beyond mere fatigue—it may, in fact, hasten our biological aging. Continuous heat stress influences our epigenetics, altering how our cells activate or deactivate gene switches in reaction to environmental stressors. 

Groundbreaking research emerging from the United States delves into the critical question of how extreme heat impacts human beings. The revelations are unsettling: the more intense heatwaves a participant faced, the more rapidly they aged. For older adults, enduring extended bouts of extreme heat accelerated biological aging by more than two years, according to The Conversation.

With the planet’s climate steadily warming, humanity will encounter increasingly intense and frequent heatwaves. Our physiological response to this heightened thermal pressure will likely manifest as accelerated aging—a notion especially pertinent to Australia, where heatwaves are anticipated to escalate in both frequency and severity. 

The Mechanism Behind Heat-Induced Ageing 

While aging is an inevitable facet of life, the speed at which it unfolds can vary widely among individuals. Throughout our lives, our bodies are subjected to numerous stresses and shocks. For example, chronic sleep deprivation can expedite the aging process. 

Though extreme heat can directly cause illness or even mortality, its insidious effects linger. Prolonged heat strain hampers our bodies’ efficiency in performing critical life-sustaining functions. This is what scientists refer to as accelerated biological aging—a gradual decline that may precede the onset of chronic diseases and disabilities. 

Unveiling Heat’s Impact on Our Genes 

While our genetic code remains largely unaltered over our lifetime (barring random mutations), the expression of these genes can shift dramatically. Essentially, while our DNA blueprint stays intact, the cellular machinery can toggle specific genes on or off in response to environmental stress. At any given moment, only a select portion of a cell’s genes are active, busily producing proteins essential to our physiology. 

This phenomenon is known as epigenetics. A well-known mechanism in this realm is DNA methylation (DNAm), where a chemical modification can prevent certain DNA sequences from triggering protein production. 

Alterations in DNAm can significantly influence protein synthesis, which in turn affects our physiological functions and overall health—sometimes for better, often for worse. 

Heat stress can disrupt the balance of gene expression, potentially accelerating our biological clock. 

Severe thermal stress can leave a lasting imprint on cells, causing enduring shifts in DNAm patterns. Laboratory studies have observed this effect across a range of species, including fish, chickens, guinea pigs, and mice. 

Bridging the Gap Between Animal Studies and Human Research 

To date, much of what we know about heat’s influence on epigenetics comes from studies on animals and plants. The evidence is compelling—even a single heatwave can have a long-term impact on mice. 

However, human studies have been sparse and limited in scope. The latest research aims to bridge this gap, offering fresh insights into how heat exposure shapes human biology. 

Key Findings of the Study 

Researchers from the University of Southern California examined nearly 3,700 individuals with an average age of 68. 

Heat poses a greater threat to older adults than to younger individuals. As we age, our capacity to regulate body temperature diminishes, and we become more vulnerable to external stresses and shocks. It is well established that heatwaves lead to surges in illness and mortality, particularly among the elderly, as per The Conversation.

The study sought to unravel what exactly happens at a cellular level when the human body is subjected to varying degrees of heat exposure—short-term, medium-term, and long-term. 

Blood samples from participants were analyzed for epigenetic changes at thousands of genomic sites. These data helped calculate three distinct measures of biological age: PcPhenoAge, PCGrimAge, and DunedinPACE. 

By correlating these biological age markers with historical heat exposure data from participants’ geographic regions between 2010 and 2016, researchers utilized the U.S. heat index to categorize heat exposure into levels such as caution (up to 32°C), extreme caution (32–39°C), and danger (39–51°C). Advanced statistical models then helped determine how much the heat accelerated aging beyond the normal rate. 

The study’s results were striking. Over the six-year period, sustained heat exposure accelerated biological aging by 2.48 years, according to PCPhenoAge, 1.09 years per PCGrimAge, and 0.05 years per DunedinPACE. 

In practical terms, this means that instead of aging the expected six years over the study’s duration, the bodies of those exposed to the most intense heat could have aged up to 8.48 years. 

Interestingly, the biological clocks did not align perfectly, with each clock possibly capturing different aspects of biological aging. The researchers hypothesize that PCPhenoAge might offer a broader perspective on both short- and long-term heat stress, while the other two clocks may be more attuned to prolonged heat exposure. 

The robustness of this study lies in its methodology, including the large and diverse sample size and the use of the heat index rather than mere air temperature—an improvement over earlier studies. 

However, the study did not account for variables such as participants’ access to air conditioning or the amount of time spent outdoors. 

Uncharted Territory: The Need for Further Research 

Despite the profound implications of these findings, research into how heat influences human epigenetics remains in its infancy. 

In 2020, a systemic review of the scientific literature exploring environmental impacts on human epigenetics found only seven studies—most of which focused on cold exposure rather than heat, as per The Conversation.

The new research offers a vital glimpse into how our biological clock may tick faster in the face of heat stress. 

As we confront a warming world, our epigenetic responses will undoubtedly shift. The pressing question remains: Can we adapt to these changes, or will certain regions of the world become inhospitable to human longevity? 

The answers could shape the future of public health and adaptation strategies in an increasingly unpredictable climate.

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