Credit: Canva
Low-dose CT chest scans could help detect pneumonia in at-risk patients while exposing them to only small amounts of radiation, a new study has found. The research, published in Radiology: Cardiothoracic Imaging, shows that ultra-low-dose scans can effectively detect pneumonia in patients with compromised immune systems, enabling doctors to treat the infection before it becomes life-threatening. According to the researchers, these scans expose patients to just 2% of the radiation dose used in a standard CT scan.
"This study paves the way for safer, AI-driven imaging that reduces radiation exposure while preserving diagnostic accuracy,” lead researcher Dr Maximiliano Klug, a radiologist with the Sheba Medical Center in Ramat Gan, Israel, said in a news release. He added that CT scans are the gold standard for detecting pneumonia but there are concerns regarding the risk posed by repeated exposure to radiation. There is a solution- ultra-low-dose CT scan. However, the problem is that these scans can be grainy and hard to read, researchers said.
Study Gives Solution To This
To overcome that, Klug's team developed an AI program that could help "de-noise" low-dose scans, making them sharper and easier to read. Between September 2020 and December 2022, 54 patients with compromised immune systems who had fevers underwent a pair of chest CT scans -- a normal dose scan and an ultra-low-dose scan. The AI program cleaned up the low-dose scan, and then both sets of images were given to a pair of radiologists for assessment. Radiologists had 100% accuracy in detecting pneumonia and other lung problems with the AI-cleaned low-dose scans, but 91% to 98% accuracy in examining the scans that hadn’t been improved through AI, results show.
"This pilot study identified infection with a fraction of the radiation dose," Klug said. "This approach could drive larger studies and ultimately reshape clinical guidelines, making denoised ultra-low dose CT the new standard for young immunocompromised patients.
How Can You Detect Pneumonia?
Pneumonia is a lung infection that causes the air sacs in the lungs to fill with fluid or pus and can be caused by bacteria, viruses, or fungi. The symptoms can range from milk to severe, which includes:
Coughing with or without cough
Fever
Chills
Trouble breathing
Chest pain, especially when breathing deeply or coughing
Sweating or chills
Rapid heart rate
Loss of appetite
Bluish skin, lips, and nails
Confusion.
How to detect Pneumonia in coughing newborns and toddlers?
Pneumonia can severely affect newborns and young children as their lungs are comparatively more sensitive. As per Dr Goyal, young children can cough for various reasons including seasonal infections and tonsillitis, which is very common in this age group. But if they look visibly irritable and have poor sleep patterns, then parents must reach out to an expert. "I am not saying that parents must visit a hospital but any local paediatrician would be able to detect pneumonia in your kid.
Credit: iStock
Moderna has launched the first-in-human Phase 1 clinical trial of its investigational vaccine against the Bundibugyo ebolavirus (BDBV), the strain behind the ongoing Ebola outbreak in the Democratic Republic of the Congo.
The biotechnology company said Health Canada has authorized the study, which will evaluate its vaccine candidate, mRNA-1469, in healthy adult volunteers at three clinical sites across Canada.
The trial comes as the Bundibugyo Ebola outbreak continues to worsen, with 3,748 confirmed cases and 1,657 deaths reported across 49 health zones in five provinces of the Democratic Republic of the Congo, according to World Health Organization (WHO) data as of August 1.
The epidemic is now the second-largest and fastest-spreading Bundibugyo Ebola outbreak on record.
Also read: Russia's New Ebola Vaccine To Protect Against Rare Bundibugyo Strain, Says Health Minister
mRNA-1469 is an investigational vaccine developed using Moderna's messenger RNA (mRNA) platform—the same technology used in its COVID-19 vaccine.
The vaccine builds on the company's broader research into filoviruses, the family of viruses that includes Ebola.
"Vaccinating the first participants with mRNA-1469 marks an important milestone in advancing a vaccine candidate against Bundibugyo ebolavirus, for which no approved vaccine currently exists," said Stéphane Bancel, Chief Executive Officer of Moderna.
The Phase 1 study is being conducted at three clinical sites in Canada and is expected to enroll around 80 healthy adult volunteers.
Researchers will assess whether mRNA-1469 is safe and well tolerated, and whether it generates immune responses strong enough to justify further clinical development.
Read More:Uganda Declared Ebola-Free As Congo Outbreak Grows To 3,262 Cases, 1,437 Deaths
mRNA-1469 is one of four initial Bundibugyo vaccine candidates being supported by the Coalition for Epidemic Preparedness Innovations (CEPI). CEPI has committed up to US$50 million to fund preclinical testing and the Phase 1 trial.
The partnership also supports manufacturing additional clinical trial doses in parallel with early-stage testing, enabling Phase 2 and Phase 3 trials to begin rapidly if the Phase 1 results are positive.
If the vaccine is eventually approved, Moderna has committed to making at least 500,000 doses available at access pricing for low- and middle-income countries under its agreement with CEPI.
Moderna's study follows the launch of the University of Oxford–Serum Institute of India (SII) vaccine trial in July, making it the second human clinical trial targeting the Bundibugyo ebolavirus.
Unlike the Zaire strain of Ebola, there are currently no approved vaccines or antiviral treatments specifically for the Bundibugyo ebolavirus, making vaccine development a global public health priority.
Alongside vaccine development, WHO says clinical studies of experimental treatments and preventive medicines are progressing rapidly against the Bundibugyo strain.
The agency noted that research protocols prepared before the outbreak began have significantly accelerated the launch of clinical trials.
"If you compare this outbreak to previous Ebola outbreaks, we have been able to start trials more quickly," said Vasee Moorthy, acting head of WHO's R&D Blueprint Programme. He added that preclinical data for several candidates has shown encouraging results.
WHO-backed treatment trial: A WHO-sponsored clinical trial is underway at three Ebola treatment centers in Ituri province in partnership with medical charities ALIMA and Doctors Without Borders (MSF).
More than 50 patients enrolled: Over 50 confirmed Ebola patients have been enrolled and randomly assigned to receive experimental treatment options, according to WHO.
Preventive antiviral study: A separate prophylaxis study led by DR Congo's National Institute for Biomedical Research (INRB) and international partners has enrolled more than 25 high-risk contacts in Ituri province, Reuters reported.
Researchers are also evaluating whether a 10-day course of Gilead Sciences' oral antiviral drug Obeldesivir can prevent Ebola disease in people exposed to the virus.
Credit: AI
Cancer recurrence remains one of the biggest challenges in cancer treatment. Dormant tumour cells are capable of surviving treatment and therapy and can reactivate months or even years later.
Now, researchers say that a new generation of experimental drugs designed to target these dormant cancer cells could offer a promising strategy to prevent the disease from recurring.
The findings come as scientists have been increasingly focusing on tumour dormancy, a state in which cancer cells stop actively multiplying but remain hidden in the body. They become resistant to chemotherapy and other conventional cancer treatments.
The research suggests that targeting the biological pathways controlling dormancy may help stop these cells from getting reactivated and forming new tumours or metastases.
According to researchers, dormant cancer cells are one of the key reasons why some patients experience relapse long after completing treatment.
"Dormant tumour cells are a major driver of cancer recurrence and metastasis," the researchers noted, stating that therapies aimed at controlling or eliminating these cells could change how cancer is treated and managed in the future.
Also read: Bone Marrow Transplant: The Quiet Revolution Transforming India's Fight Against Blood Cancers
Unlike traditional cancer treatments that mainly attack rapidly dividing cells, these new experimental drugs target the molecular signals that allow dormant cancer cells to survive and go unnoticed in the body.
Researchers are investigating several approaches, including blocking pathways that trigger dormant cells to become active again, disrupting the cells' survival mechanisms, and making them more vulnerable to conventional cancer therapies.
Some experimental treatments are also being tested alongside immunotherapy to improve the body's ability to detect and destroy these hidden cells on time.
Scientists say this approach could be especially important for cancers known to recur years after treatment, including breast, lung and certain gastrointestinal cancers.
Cancer recurrence can happen when a small number of cells survive surgery, chemotherapy or radiation. These cells may remain inactive for long periods of time before starting to grow again, eventually leading to a relapse or metastatic diseas.
Researchers believe that the environment of the tumour, immune responses, inflammation and changes in cellular structure and metabolism all play a role in determining whether dormant cancer cells remain inactive or become aggressive again.
While the findings encourage advanced pathways for cancer treatments, experts caution that most drugs that target tumour dormancy are still in the experimental or early clinical trial stage.
Rather than only treating visible tumours, future therapies may also focus on preventing hidden cancer cells from ever becoming active again, potentially reducing the risk of relapse years after successful treatment.
More studies are needed to determine whether they can really reduce cancer recurrence and improve long-term survival in patients.
The promising research comes after a new study found that Viagra, best known as a treatment for erectile dysfunction, may also help stop cancer from spreading.
Researchers from the Weizmann Institute of Science in Israel found that sildenafil, the active ingredient in Viagra, may enhance a newly identified cholesterol-regulating mechanism that could be used to curb cancer metastasis.
The study, published in Cancer Research, showed that sildenafil limits cancer cells' ability to use cholesterol, an essential component of cell membranes.
Cholesterol is especially important for cancer cells that break away from the primary tumor, travel through the body, and invade distant organs. When their access to cholesterol is reduced, these cells have greater difficulty forming metastases.
Credit: AI
A common amino acid found in protein-rich foods, which is also available as an dietary supplement, may have surprising potential for strengthening the body's immune response against cancer and viral infections, according to a new study.
Published in the journal Cell, researchers from Rockefeller University found that arginine plays a key role in helping immune cells detect and attack abnormal cells.
Their findings suggest that restoring arginine levels could improve the effectiveness of the body's natural defences and may one day strengthen cancer or antiviral treatments.
"Our work reveals how a lack of arginine interferes with the immune system, and suggests that upping arginine intake could prove beneficial," said Qiushuang Wu, the study's first author and a postdoctoral researcher at Rockefeller University. "Perhaps that means it could be used in combination with other therapies to treat both cancer and viral infections."
The team investigated how low arginine levels affect gene expression in models of colon cancer, influenza and SARS-CoV-2 infection.
They found that arginine deficiency disrupted the production of major histocompatibility complex class I (MHC-I) proteins, molecules that help cells, allowing the immune system to detect and fight virus-infected or cancerous cells in the body.
The researchers discovered that when arginine was low, ribosomes, the cellular machinery responsible for making proteins, stalled while producing MHC-I proteins. As a result, infected or abnormal cells became harder for the immune system to identify.
However, after giving a moderate amount of arginine, roughly equivalent to a couple of over-the-counter tablets, restored the production of these stalled proteins.
Also read: Bone Marrow Transplant: The Quiet Revolution Transforming India's Fight Against Blood Cancers
Many cancers and viral infections are known to alter amino acid levels in the body. The new findings suggest that these changes may weaken immunity in an unexpected way by limiting the production of proteins essential for a stronger immune response.
Senior author Sohail Tavazoie, head of Rockefeller University's Laboratory of Systems Cancer Biology, believes the discovery could become an asset for future clinical research, especially in cancer treatment studies.
"Arginine supplementation could be readily tested in patients receiving immunotherapies or given to high-risk populations exposed to viral pathogens," Tavazoie said. "Considering that arginine is inexpensive and readily available, we hope that therapeutic and preventative studies could be undertaken soon."
Arginine is an essential amino acid, meaning the body usually produces. Additional amounts of of arginine may be needed during illness, injury or periods of physiological distress to the body.
It is naturally found in foods such as meat, poultry, fish, dairy products, nuts, seeds and legumes. It is also sold as a dietary supplement. It also serves as a building block for nitric oxide, a molecule involved in blood flow and immune function.
While the findings are promising, the researchers emphasise that the study does not prove that taking arginine supplements can prevent or treat cancer or viral infections in people.
Reliable human clinical trials are still needed to determine whether the supplementation is safe, effective and beneficial.
© 2024 Bennett, Coleman & Company Limited