Japan could become one of the first countries in the world to end the HIV epidemic, says the president of Gilead Sciences Japan, Kennet Brysting. The idea for now could seem a little too ambitious, but it is not entirely unrealistic, given that the availability of medicines that can prevent transmission of HIV. Drugs are not the cure, but control over the spread of virus to the point where the disease is no longer a major public health threat.

What Is The Role Of Preventative HIV Medicines?

Gilead's have two key drugs, Truvada and lenacapavir. These two are playing a crucial role in prevention. Truvada is taken as a daily pill, while lenacapavir requires two injections per year. It can make the virus undetectable in infected individuals and prevent transmission to those who are not infected yet. In trials, lenacapavir showed 100% efficacy in preventing HIV infections. This is why it is describe as "almost a vaccine".

In 2024, Japan also approved Truvada for HIV prevention, but the country has yet to approve lenacapavir for the same. Until now, people in Japan had been importing generic versions of Truvada or purchasing it from clinics that source it from overseas.

HIV In Japan

Up until now, Japan reported around 25,000 HIV infections, whereas 669 new cases were reported in 2023. For seven consecutive years, the number of new infections remained under 1,000. The downward trend thus shows that the virus has been controlled, however, getting to zero new infections remains the ultimate goal.

Brysting too acknowledged that simply having effective drug is not enough. What is important is to have a proper implementation, access and healthcare support to make sure that these treatments are widely available and effective.

What Are The Challenges In Implementation?

The biggest challenges is testing rates. There is a need to increase testing rates. At this very moment, around 86% people infective with Japan have been tested, but the goal is to increase it up to 95%, with an ideal goal of 100%. Without widespread testing, many infected people may not even know that they are infected and it could transmit the virus.

Another measure issue is the cost of preventative medication. While Japan's health insurance covers treatments for diseases, it does not cover preventative drugs. Those who purchase Truvada for prevention, pay around $470 per month. Some clinics in Tokyo offer generic alternatives too, which is cheaper, but they are not ideal.

Better Healthcare Support

Brysting expressed concern that individuals importing medications might not be consulting doctors regularly, which is essential for monitoring HIV status and overall health. Truvada users need to be tested for HIV initially and every three months, along with screenings for other infections and kidney function checks. Without proper medical supervision, there is a risk of misuse and inadequate protection.

Gilead is in discussions with Japanese authorities to improve access and insurance coverage for Truvada, and progress is being made. Japan has shown efficiency in approving critical medicines, as seen during the COVID-19 pandemic when Gilead’s remdesivir was approved in just three days.

What Is The Way Ahead?

Gilead at this moment is not only focused on HIV and hepatitis C, but also expanding into oncology with innovative treatments like CAR-T cell therapy, which strengthens a patient's immune system to fight cancer.

However, Japan’s strict approval processes can slow down drug availability. Phase 3 clinical trials often need to be conducted within the country, and Japan tends to approve medicines much later than other regions. For instance, Truvada was approved for prevention in Japan 12 years after the U.S. and nearly 20 years after its approval for treatment. inancial factors also play a role. The Japanese government adjusts drug prices annually, often reducing them, which can make long-term investment challenging for pharmaceutical companies.

Scientists have identified a rare contagious skin cancer in brown bullhead catfish living in lakes across the US and Canada's Quebec, marking only the fourth known case of a naturally transmissible cancer in the animal kingdom.

A team led by the University of Vermont found that mysterious black skin lesions affecting brown bullhead catfish in Lake Memphremagog and other lakes in New England and Quebec were caused by a transmissible melanoma—the first such cancer ever identified in a freshwater fish species.

The findings, published in the journal Nature, add freshwater fish to a short list of species known to develop cancers that spread through the transfer of living cancer cells. Previously, transmissible cancers had been identified only in Tasmanian devils (facial tumor disease), dogs (canine transmissible venereal tumor), and shellfish, including clams, mussels, and other bivalve mollusks (leukemia-like transmissible cancers).

“The cancer cells behave more like parasites than conventional tumors, moving from fish to fish,” said the researchers led by the University of Vermont.

"The discovery sheds light on how cancer can spread in the wild and raises important questions about where this cancer originated, how it will affect fish health and populations—and how cancer works in all animals including humans," they added.

How Was Cancer Identified In Fish?

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Since 2012, anglers and biologists have reported increasing numbers of brown bullhead catfish with raised black skin patches in Lake Memphremagog, which straddles Vermont and Quebec. By 2014, nearly one in three fish examined had developed the dark lesions.

Initially, researchers believed the disease might be caused by a virus. They later suspected pollution or another environmental pathogen. However, further investigation revealed that the lesions were actually melanoma.

“This was surprising, and we wanted to know how a bottom-dwelling fish was getting a cancer we associate with exposure to too much sunlight,” said Julie Dragon, a scientist at the University of Vermont.

Using whole-genome sequencing, the team identified hundreds of thousands of shared genetic variants among tumor samples that were absent from the host fish, confirming that the cancer spreads between animals through living cancer cells.

How Does The Cancer Spread?

Researchers are now trying to determine exactly how the cancer moves from one fish to another. They believe that the tumors appear only "in larger fish that are of spawning age".

Mark Henderson, a fish biologist and study co-leader in UVM’s Rubenstein School of Environment and Natural Resources said that it “maybe some part of spawning behavior leads to the spreading of the cancer between animals."

During spawning, brown bullhead gather closely in shallow water, allowing physical contact that could transfer tumor cells. Because the fish lack scales and spend much of their time on lake bottoms, scientists also believe sediments could harbor free-floating cancer cells.

The study also suggests that naturally occurring arsenic or hormonal changes may weaken the fish's immune system, making them more susceptible to infection.

Should Humans Worry?

Despite the unusual discovery, researchers stress that there is no known risk to humans.

Lake Memphremagog supplies drinking water to more than 175,000 people, but scientists say the cancer cells cannot infect or survive in another species. They also state that the fish are safe to handle for research and monitoring.

Fish remains a highly nutritious food, rich in high-quality protein, vitamin D, and omega-3 fatty acids that support heart and brain health.

Quebec's Ministry of the Environment recommends not eating fish with tumors, even though there is no evidence that doing so poses a risk to human health.

The findings raise broader questions about how pollution, habitat stress, and climate change may influence the evolution and spread of diseases in wildlife.

Researchers have developed an ultrasensitive blood test that can detect biological signs of Sjögren’s disease more than a decade before symptoms appear, potentially paving the way for earlier treatment and precision medicine.

Published in The Lancet Rheumatology, the researchers found that elevated levels of interferon-alpha (IFN-α), a key immune signaling protein, can be detected in the blood up to 14 years before a clinical diagnosis of Sjögren’s disease.

Importance Of Early Diagnosis

Observed every year on July 23, Sjögren’s Disease Day raises awareness about a chronic autoimmune disease that often goes undiagnosed for years because its symptoms, including dry eyes, dry mouth, fatigue, and joint pain, can mimic other conditions.

Diagnosis often takes years, by then damage to the salivary glands, tear glands, nerves, lungs, or kidneys already happens, making recovery impossible.

The newly developed blood test could change that by identifying people at risk long before symptoms begin. This could allow doctors to monitor patients closely and begin treatment earlier.

Also read: World Sjogren’s Day 2025: Why This “Mild” Autoimmune Condition Can Be Life-Altering

How Was The Study Conducted?

The researchers analyzed blood samples from:

• 177 people with Sjögren’s disease enrolled in the UK Primary Sjögren’s Syndrome Registry.
• More than 47,000 participants from the UK Biobank, including 257 people who later developed Sjögren’s disease.

Using an ultrasensitive single-molecule blood test, they measured interferon-alpha, a protein produced by the immune system during inflammation. The findings showed:

• About 61% of patients with Sjögren’s disease had significantly elevated IFN-α levels.
• Distinct immune protein "fingerprints" linked to IFN-α were detectable up to 14 years before diagnosis.
• People with high IFN-α formed a biologically distinct subgroup, despite having symptoms similar to other patients.
• Mouse experiments further suggested that persistently elevated IFN-α can drive immune changes associated with the disease.

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The researchers believe the test could help doctors identify which patients are most likely to benefit from therapies that specifically target interferon-driven inflammation.

Professor David Hunt, from the University of Edinburgh, said, "Sjögren's disease is a debilitating condition which is often overlooked. We are delighted to have shown how precision medicine technologies can be used in Sjögren's disease to help decode the immune pathways which cause disease. We hope that this is an important step towards making our ultrasensitive IFN-α blood test available to people affected by this condition."

Professor Rayk Behrendt, from University Hospital Bonn, added, "Now, for the first time, we can take treatments geared toward suppressing the interferon effect and trial them specifically on patients with elevated interferon levels. We might also find new approaches to treatment that will help a large percentage of patients over the long term."

What Is Sjögren’s Disease?

Sjögren’s disease is a chronic autoimmune disorder in which the immune system attacks the body's moisture-producing glands, particularly those that make tears and saliva.

Although dry eyes and dry mouth are the primary symptoms, the disease can also affect the joints, lungs, kidneys, nervous system, and other organs. Around 90% of patients are women, and diagnosis is often delayed because symptoms overlap with those of many other illnesses.

Researchers say the findings mark a major step toward earlier diagnosis and precision medicine for Sjögren’s disease, offering hope that future patients may receive treatment years before irreversible organ damage develops.

With long COVID continuing to affect millions, a recent study has emerged, suggesting that women are more likely to bear its neurological burden than men.

According to a new study from Northwestern Medicine, female patients reported more severe neurological symptoms, poorer cognitive function, and a greater decline in quality of life.

Published in the Annals of Clinical and Translational Neurology, the study analyzed 2,329 adults evaluated at Northwestern Medicine's Neuro COVID-19 Clinic between May 2020 and August 2025. Researchers compared neurological symptoms in patients, examining differences between men and women.

Women Reported More Neurological Symptoms

Researchers found that women, on average, reported significantly more neurological symptoms about 16 months after their COVID-19 illness than men. Among the most commonly reported symptoms were:

• Brain fog
• Fatigue
• Numbness and tingling
• Dizziness
• Headaches
• Muscle pain
• Blurred vision
• Tinnitus (ringing in the ears)
• Altered smell and taste

Women also scored worse on measures of cognitive performance and reported a greater impact on their overall quality of life.

Lead author Dr. Igor Koralnik, chief of Neuroinfectious Diseases and Global Neurology at Northwestern Medicine, said, "While previous studies showed that women are more likely to develop long COVID, this is the first study demonstrating that women also experience more severe neurological symptoms, worse cognitive function and greater reductions in quality of life than men."

First author Dr. Aurore Gorenshtein added, "Recognizing these sex-specific differences is important because it may help clinicians provide more personalized care and improve treatment strategies for people living with neurological long COVID."

Why Might Women Be More Affected?

Even though the study did not narrow down the exact causes behind these differences, researchers believe that several biological and immune-related factors could contribute. Here are some possible explanations:

• Differences in immune system responses between men and women
• Hormonal influences, particularly estrogen
• More likelihood of autoimmune conditions among women
• Differences in inflammation and nervous system responses after SARS-CoV-2 infection

Earlier Studies

The new research aligns with earlier findings from the U.S. National Institutes of Health's RECOVER Initiative, which showed that females are generally more likely than males to develop long COVID. That analysis also suggested the risk is highest among women aged 40 to 54 years, particularly before menopause.

A study recently found out that long COVID may directly injure the brain's dopamine system, offering an explanation for symptoms like fatigue, brain fog, poor memory, slowed movement, and lack of motivation that persist long after the initial infection. The latest findings shed more light on deeper effects of long COVID on brain health.

Long COVID remains a major public health challenge, with neurological symptoms among the most persistent and disabling. Brain fog, memory problems, chronic fatigue, headaches and dizziness can significantly affect employment, education and daily life.

The latest findings suggest that healthcare providers may need to consider sex-specific approaches when evaluating and managing patients with neurological long COVID, ensuring women receive earlier recognition, cognitive assessments and personalised rehabilitation.