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How botox works in the cosmetic industry Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link From botulism to beauty: the evolution of botulinum toxins and botox 09/07/25, 14:10 Last updated: Published: 03/10/23, 14:07 How botox works in the cosmetic industry Botulinum neurotoxins (BoNTs) rank amongst the most potent and lethal neurotoxins known to science. Yet, it's a fascinating journey to discover how these deadly substances have found their way into one of the most renowned cosmetic procedures in the world: Botox. BoNTs originate from the bacterium Clostridium botulinum , which produces some of the most potent neurotoxins in existence. They are central to the development of botulism, a condition that relentlessly targets the body's nervous system, resulting in challenges in breathing and muscle paralysis. Despite their perilous origins, these toxins have undergone a fascinating metamorphosis into a popular cosmetic procedure. They have been studied substantially due to their ability to block nerve functions leading to muscle paralysis and their unique pharmacological properties in therapeutic and cosmetic uses. They affect the neurotransmission process by blocking the release of acetylcholine that allows muscle contraction in the body. The toxins bind pre-synaptically to recognition sites on cholinergic nerve terminals resulting in the inhibition of neurotransmitter release. The toxin consists of a heavy chain and a light chain connected by a disulphide bond. This disulphide bond is vital in the entry of the metalloprotease chain in the cytosol. BoNTs have a unique binding characteristic as a dual receptor binder, which allows them to achieve a high affinity for neurons. These proteins possess the remarkable ability to specifically target and interfere with the neurotransmission process. At their core, BoNTs are proteases, enzymes specialised in cleaving specific proteins involved in nerve signal transmission. When administered as Botox, BoNTs are skillfully harnessed to their advantage due to these properties. By injecting small, controlled amounts into specific facial muscles, they temporarily disrupt the nerve signals that stimulate muscle contraction. This action leads to muscle relaxation, smoothing out wrinkles and lines on the skin's surface. Importantly, the effects are localised, preserving the natural expressiveness of the face. In 1989, BoNTs made their debut in the medical community by being recognised as a safe and effective treatment by the FDA for blepharospasm, which affects eye muscle control. However, in 2002 the FDA extended its endorsement, propelling Botox into the realm of beauty. This pivotal decision forever reshaped the landscape of cosmetic procedures, solidifying Botox's status as an iconic treatment for rejuvenation and enhancement. In conclusion, the evolution of botulinum toxins and the rise of Botox is a captivating journey that traverses the realms of science, medicine, and evolving beauty ideals. Written by Anam Ahmed Project Gallery

Unveiling the dance between genes and the environment Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link An introduction to epigenetics 09/07/25, 10:47 Last updated: Published: 04/10/23, 17:01 Unveiling the dance between genes and the environment In recent times, a new area of genetics termed epigenetics has emerged. It seeks to uncover the relationship between our genes and environment. At the core of this novel field is the principle that gene expression can be altered without modifications to the DNA sequence itself. Epigenetic changes to DNA involve the addition of methyl or acetyl groups. Methyl groups decrease gene expression by making DNA more tightly bound around histones, forming heterochromatin, whereas acetyl groups do the opposite; they increase gene expression by loosening histone-bound DNA, forming euchromatin. The addition of these chemical groups to DNA is mediated by enzymes that act on signals our bodies receive from our environment such as diet, stressors, and exercise. Epigenetic mechanisms of gene regulation have gained notoriety in the scientific community as it is suggested that these changes can be passed down to future generations through germline cells. This means that our grandparents’ diets can influence whether we develop diabetes or not. This neo-Lamarckian concept of evolution challenges the current Darwinian understanding of evolutionary genetics where phenotypic traits are believed to emerge due to genetic mutations and natural selection. Understanding epigenetic modifications opens new doors for potential clinical therapies as by modifying harmful epigenetic changes, we may be able to treat various diseases. This field also highlights the importance of a healthy lifestyle, proper nutrition, and avoiding stressors like smoking and radiation, not only for us but for future generations as well. A noteworthy study on exercise A study conducted by Sailani et. al delves into the effects of lifelong exercise on DNA methylation patterns in genes related to metabolism, skeletal muscle properties, and myogenesis. They used two groups with different levels of physical activity. Individuals from one group reported being physically active by playing various sports and engaging in other forms of activity such as cycling, hiking, running, and swimming; the other group were reported to be physically inactive but healthy. The active group exhibited promoter hypomethylation in genes related to insulin sensitivity, muscle repair and development, and mitochondrial respiratory complexes. Compared to the inactive individuals, a significant increase in hypomethylation was seen in 714 promoters in the active group. Bearing in mind that the inactive group were healthy despite being inactive, this significant difference in methylation pattern is remarkable to see and hits home the gravity of epigenetic influence in our lives. As a result of hypomethylation, these genes would have a higher rate of expression in the active individuals. An example of one such gene is GYG2 which codes for the glycogenin 2 enzyme involved in glycogen synthesis. With enhanced glycogen synthesis we can expect to see improved physical performance and recovery in the active individuals. Along with improved skeletal muscle properties and metabolic profiles, we can assume that the active group will have a higher life expectancy and quality of life than the inactive group. As we can see, epigenetics holds a lot of promise for the future of genetic research. By understanding the extent to which epigenetic modifications affect our lives, we can take measures to encourage positive changes to our genomes for greater health, happiness, and vitality. Written by Malintha Hewa Batage Related articles: How epigenetic modifications give the queen bee her crown / Complex disease I- schizophrenia / Famine-induced epigenetic changes Project Gallery

Beyond sugarcane fields and dreamy beaches, Mauritius secures first place in mobile connectivity Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Mauritius's rise as African leader of mobile networks Last updated: 08/06/25, 11:12 Published: 05/06/25, 07:00 Beyond sugarcane fields and dreamy beaches, Mauritius secures first place in mobile connectivity Background: GSMA ranking In the bustling capital city of Port Louis, commuters check the latest news updates using mobile data on their phones. Across the busy, connecting streets, a handful of tourists video call their family back home, asking them what souvenirs they would like- also on mobile data. Apart from idyllic holiday scenes and solid sugar exports, the island nation of Mauritius has recently become number one in Africa for mobile connectivity- as scored by the Global System for Mobile Communications Association (GSMA). The small island is now at the forefront of telecommunication development, with the increasing rollout of 5G networks. How did this touristic country become a leader in mobile connectivity? On the 13th of August 2024, the GSMA announced its yearly index for mobile connectivity. The GSMA looks at 41 African countries and ranks them based on: internet accessibility, prices of mobile devices, relevant services and political environments. Scoring 62.7 points out of the possible 100, Mauritius took the first spot, in front of South Africa. This result also places the island country 76th in the world. Remarkably, this is the third consecutive year that Mauritius is leading in mobile connectivity in Africa. Moreover Mauritius, with a population of 1.26 million, boasts an average of 1.7 phones per person, compared to only 1.2 phones per person in the US (according to 2023 data). Connecting the island: 5G is nearly everywhere Three companies provide mobile phone networks on Mauritius island: Emtel, MTML (Chili) and state-owned My.t. At present, 5G is widely available in Mauritius, thanks to Emtel supplying it to approximately 80% of the island for both residential and commercial usage. Though Emtel is the biggest network in the country, My.t is the most popular provider currently, and it also offers 5G to its users. A closer look at 4G and 5G 3G (and 3G High-Speed Packet Access, HSPA), 4G (Long Term Evolution, LTE) and 5G are wireless mobile networks, where the ‘G’ in these networks means ‘generation’ and indicates the strength of the signal on the mobile device. Hence, each mobile network is an improvement since the last generation of network. These mobile networks aim for high quality, reliable communication, and are based on radio signals. Each generation has evolved to achieve this. Table 1 compares the differences between all of these networks. The original 1G network from 1979 used analogue radio signals, while subsequent network generations use digital radio signals. Table 1: A comparison of 2G, 3G, 4G and 5G mobile networks 2G 3G HSPA+ 4G LTE 5G Speed 64Kbps 8Mbps 50Mbps 10Gbps Bandwidth 30- 200 kHz 15- 20 MHz 100 MHz 30- 300 GHz Features Better quality video calls than before Can send and receive larger emails Higher speeds and capacities Much faster speeds and capacities; high resolution video streaming SMS and MMS Larger capacities Low cost per bit Low latency Interactive multimedia, voice, video Allows remote control of operations e.g. vehicles, robots, medical procedures It is evident from Table 1 that not only have speeds and capacities increased with each generation, but new features have also been implemented such as video calls, interactive multimedia, streaming, and remote control of operations. Introduced in 2019, 5G is thought to be the most ambitious mobile phone network- almost revolutionary in its benefits since 1G. Usually, mobile carriers operate on a 4G LTE and 5G coexistence. This means that 5G phones can switch to 4G if 5G isn’t available in the region. Top of the tower- how? Since the 5G rollout in 2021, Mauritius has been enjoying the larger capacities and speeds of the network. The same question arises: how did this touristic country become a leader in mobile connectivity? There are several factors: - Tourist hotspot - Government initiatives - Improving local infrastructure - General advancements in mobile network technologies - High penetration rates and mobile ownership - Increasing number of connections - Geography Each factor will be considered in turn. Factor 1- Tourist hotspot Every year, Mauritius attracts visitors far and wide to enjoy its mesmerising beaches, luscious escapes and tantalising wildlife. Therefore, over time, mobile network technology has had to improve to meet the communicative needs of tourists. Put differently, tourism significantly supports the telecom industry on the island. Factor 2- Government initiatives As well as providing free, public WiFi hotspots around the island, the government is committed to bridging the digital divide and increasing access to all of its population. Thus, it was announced that, eligible citizens between the ages of 18 and 25 will receive a free, monthly mobile data package (with 4G and 5G capabilities)- starting from the 1st of September 2024. It is an endeavour to include young people in the government’s digital plans, i.e. digital inclusion. Factor 3- Improvements in local infrastructure In recent years, My.t and EmTel have been upgrading their equipment to ensure better coverage and access to 5G in the country. Infrastructure must have improved so that the three mobile operators on the island were granted the license for 5G rollout in June 2021. The current goal is to fully expand 5G coverage in Mauritius. Factor 4- General advancements in mobile network technologies Since its inception in 2019, 5G has had a profound impact on consumers around the globe with its low latency, high resolution streaming, and insanely high speeds and capacities. This pioneering mobile network has rolled out to millions of people, including the citizens of Mauritius island. The government has utilised this new technology to empower its people and pave a way for the country to become a leader in mobile connectivity. Factor 5- High penetration rates and mobile ownership Early 2025 data shows that the East African nation has over 2.1 million active mobile connections, when its population is half of that, a mere 1.261 million. (More mobile connections is not a usual thing as people may have separate connections for personal and work use, for example. Embedded SIMs – eSIMs- have made this possible recently). With this statistic, Mauritius has a high degree of mobile ownership and network connection density. Factor 6- An increase in the number of connections Another recent event is that the number of mobile connections in the nation has been increasing gradually: between 2024 and 2025, the number has increased by 1.9%. Factor 7- Geography It is known that less land- especially less rural land- makes deployment of cell phone towers and installation of masts much easier. Therefore, spanning an area of 2,040 squared kilometres, the main island of Mauritius can enjoy adequate mobile coverage- being one of the smallest African countries. Small island, big signal. To summarise, the above factors contribute to the number one ranking in mobile connectivity for Mauritius. What does Mauritius’s rise mean for the future? If these advancements in infrastructure and technology continue on the island, then there is a brighter outlook for the future. 5G coverage in Mauritius is on its way to completion, ensuring all districts have access to the latest mobile network. Geography, government initiatives, improvements in infrastructure by mobile operators, high number of mobile connections and ownership, are some of the factors that enabled 5G rollout in Mauritius in the first instance. Mauritius is leading by example to the other countries in Africa and is additionally performing well on the global stage for mobile networks. This small island country, usually known for its exotic sights and sugarcane landscape, is quickly overtaking its African neighbours in the race to become the leader in mobile phone connectivity. Written by Manisha Halkhoree Related articles: The future of semiconductor manufacturing / Wireless electricity Project Gallery

Known as microbial endocrinology, it is a complex field Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Investigating the interplay of hormones and the microbiome 10/07/25, 10:19 Last updated: Published: 08/11/24, 12:00 Known as microbial endocrinology, it is a complex field The microbiome The human body hosts a vast ecosystem of bacteria, with trillions crawling on our skin, colonising our gut, and living throughout our bodies. Most of these microbes serve to protect us against infections influencing our metabolism and even our behaviour. However, scientists have started to question the mechanisms by which these bacteria affect our bodily functions and characteristics. Scientists have studied these communities of microorganisms residing within our bodies and the genes they contain, yielding new and exciting perspectives… …Welcome to the human microbiome. The microbiome is the dynamic community of microorganisms (like fungi, bacteria and viruses) that exist in a particular environment. In humans, the term is most often used to describe the collection of microorganisms that inhabit a particular body area, such as the gastrointestinal tract, mouth or skin. While a person’s core microbiome is established within the first few years of life, its composition can shift over time in response to factors like medication, such as potent antibiotics and environmental factors. Researchers have uncovered that the gastrointestinal microbiota can influence some physiological processes, including a direct line of communication between the gut and the brain. But what facilitates this dialogue? What mechanisms enable the gut to relay signals to the brain? The answer is hormones. Hormones and the endocrine system The endocrine system is a network of glands that produce and release chemical messengers known as hormones. They travel via the bloodstream and bind to specific receptors on their target tissues. This binding of hormones to their receptors triggers a response in the target tissue. For instance, during stressful situations, epinephrine (also known as adrenaline) is produced by the adrenal medulla, the inner region of the adrenal glands. This hormone, released into the bloodstream, acts on target tissues such as the heart, where it increases heart rate. Hormones regulate most of the body’s vital functions through their release. Some of these crucial processes include growth, metabolism, and reproduction. In the following sections, however, we specifically focus on how hormones influence the microbiome. The interactions between hormones and the microbiome Exploring the relationship between hormones and the microbiome is known as microbial endocrinology; it is a complex field because there are numerous interactions to account for, and the effects of each one can have lasting impacts on human physiology. For example, epinephrine and norepinephrine can lead to more bacteria, notably E. coli and Pseudomonas aeruginosa , signifying that imbalance could harm humans. Also, parts of the host, ranging from mood to gender, impact hormones, bacterial presence and activity ( Figure 3 ). An emerging area of microbial endocrinology is how the microbiome and sex hormones engage with each other in disease and female health. One paper noted that disorders from metabolic syndrome (MetS) to type 2 diabetes (T2D) have distinctions in the levels of sex hormones and gut microbiota, indicating that they are essential to understanding in developing those conditions. The influence of gut microbiota on sex hormones can occur through various mechanisms, such as bacteria controlling the activity and expression of endocrine receptors and even bacteria metabolising sex hormones; this knowledge can help create treatments against polycystic ovarian syndrome and ovarian cancer, among other diseases that usually impact females due to gut microbiome imbalances ( Figure 4 ). Another part of microbial endocrinology being researched is how the microbiome impacts human growth. In one study involving adult male mice, decreased growth hormone (GH) led to undeveloped microbiomes, while surplus GH was linked to an expanded microbiome; this depicts that bacteria influences development via the growth hormone-insulin-like growth factor 1 (GH-IGF-1) axis; maintaining a steady dynamic between the microbiome and this axis is vital for development ( Figure 5 ), particularly in children. In puberty, hormones and the gut microbiome interact, as observed in obesity and precocious puberty. Hence, a deeper awareness of the bacteria and sex hormones during puberty is crucial to designing targeted medicines for growth disorders. Moreover, patients with GH-secreting pituitary adenoma (GHPA) have modified gut microbiota, like increased Alistipes shahii and Odoribacter splanchnicus . Still, more research is needed to investigate this. Conclusion The microbiome refers to the millions of microorganisms on and within the human body that influence various physiological functions ranging from digesting food to outcompeting pathogens for resources. Also, the microbiome can affect the endocrine system, which consists of hormones that control glucose and reproduction, among other processes. This bridge, known as microbial endocrinology, has critical applications for understanding women’s health and growth disorders; this emerging area is growing, so it can address knowledge gaps in diseases like cancer and even improve other medical treatments. Written by Sam Jarada and Fozia Hassan The interactions between hormones and the microbiome, and Conclusion sections by Sam The microbiome, and Hormones and the endocrine system sections by Fozia Related articles: The gut microbiome / Dopamine and the gut / The power of probiotics / Vitamins REFERENCES “The Human Microbiome and Its Impacts on Health - PWOnlyIAS.” PWOnlyIAS , 18 Jan. 2024, pwonlyias.com/current-affairs/gut-microbiome-and-health/ . Accessed 17 Oct. 2024. Mittal, Rahul, et al. “Neurotransmitters: The Critical Modulators Regulating Gut-Brain Axis.” Journal of Cellular Physiology , vol. 232, no. 9, 10 Apr. 2017, pp. 2359–2372, www.ncbi.nlm.nih.gov/pmc/articles/PMC5772764/ , https://doi.org/10.1002/jcp.25518 . Accessed 17 Oct. 2024. Neuman, Hadar, et al. “Microbial Endocrinology: The Interplay between the Microbiota and the Endocrine System.” FEMS Microbiology Reviews , vol. 39, no. 4, 1 July 2015, pp. 509–521, academic.oup.com/femsre/article/39/4/509/2467625 , https://doi.org/10.1093/femsre/fuu010 . Hiller-Sturmhöfel S, Bartke A. The Endocrine System: An Overview. Alcohol Health and Research World. 2024;22(3):153. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6761896/ Neuman H, Debelius JW, Knight R, Koren O. Microbial endocrinology: the interplay between the microbiota and the endocrine system. FEMS Microbiology Reviews [Internet]. 2015 Feb 19 [cited 2024 Sep 18];39(4):509–21. Available from: https://academic.oup.com/femsre/article/39/4/509/2467625?login=false Jose Antonio Santos-Marcos, Mora-Ortiz M, Tena-Sempere M, José López-Miranda, Camargo A. Interaction between gut microbiota and sex hormones and their relation to sexual dimorphism in metabolic diseases. Biology of Sex Differences. 2023 Feb 7;14(1). He S, Li H, Yu Z, Zhang F, Liang S, Liu H, et al. The Gut Microbiome and Sex Hormone-Related Diseases. Frontiers in Microbiology. 2021 Sep 28;12. Siddiqui R, Makhlouf Z, Alharbi AM, Alfahemi H, Khan NA. The Gut Microbiome and Female Health. Biology [Internet]. 2022 Nov 1;11(11):1683. Available from: https://www.mdpi.com/2079-7737/11/11/1683 Jensen E, Young JA, Jackson Z, Busken J, List EO, Ronan O’Carroll, et al. Growth Hormone Deficiency and Excess Alter the Gut Microbiome in Adult Male Mice. Endocrinology [Internet]. 2020 Feb 26 [cited 2023 Nov 9];161(4). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7341558/ Jensen EA, Young JA, Mathes SC, List EO, Carroll RK, Kuhn J, et al. Crosstalk between the growth hormone/insulin-like growth factor-1 axis and the gut microbiome: A new frontier for microbial endocrinology. Growth Hormone & IGF Research. 2020 Aug;53-54:101333. Project Gallery

Most research studies are now being diverted to Antiretroviral Therapy (ART) Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Antiretroviral therapy: a key to helping HIV patients 09/07/25, 10:51 Last updated: Published: 12/10/24, 11:34 Most research studies are now being diverted to Antiretroviral Therapy (ART) Human Immunodeficiency Virus, commonly called HIV, is a sexually transmitted disease that affects approximately 40 million people worldwide and is mostly common in ages 15-49 years. It is spread through direct contact with the blood, semen, pre-seminal fluid, and vaginal fluids of an infected person through mucous membranes—contact with male and female genital tracks. Additionally, HIV can be spread through breast milk from mother to child—studies have shown that infants likely contract the virus when the milk makes contact with the mucous membranes of the gut. How does HIV affect immune cells? HIV is a retrovirus—enveloped RNA viruses that can evade the immune defense system and live within host cells indefinitely. To infect cells HIV uses several mechanisms to make contact with the host cell's membrane. This involves the binding of HIV envelope protein (Env) with the cell receptor CD4 of an immune cell (T-helper cells). Env then binds to a co-receptor on the surface of the cell membrane, triggering membrane fusion. Membrane fusion leads to formation of a fusion pore where HIV successfully enters into the cell's cytoplasm through. Following this, HIV converts its RNA to DNA using enzyme reverse transcriptase and then uses integrase enzymes to become a permanent part of the host cell’s DNA. This allows HIV to replicate at a rapid rate, eventually causing the cells to bloat and rupture, killing the cell all while also “hiding” from the immune defense system and going into latency. Such a process is what weakens the immune system as there is a significant depletion in T-helper cells—cells that fight off infections and diseases. The evolution of ART For the reasons above, HIV is almost impossible to cure. While research is still being conducted to find a cure for HIV, most studies are now being diverted to Antiretroviral Therapy (ART). ART is a revolutionary treatment introduced in the late 198 0s that aims to prevent transmission of HIV, prolong survival, improve immune function and increase CD4 cell count, and improve overall mortality. The first drug released in the late 1980’s was Zidovudine, a nucleoside reverse transcriptase inhibitor (NRTI) that essentially prevents HIV’s RNA from being converted to DNA. This restricted replication hence increasing T-helper cell count. However, while shown to improve the condition of HIV patients, zidovudine did not work well on its own and caused drug resistance from prolonged use. Combination therapy was later introduced where scientists discovered zidovudine to be effective when used alongside another NRTI (dideoxycytidine). This combination did improve CD4 cell count and the overall condition of most patients, not in patients with advanced HIV who had prior use of zidovudine alone. Now, several medications such as NRTIs, non-nucleoside reverse transcriptase inhibitors (NNRTIs), protease inhibitors, and integrase inhibitors have been introduced and are used in a combination of three (Triple-Drug Therapy) to help suppress viral load to undetectable levels in the blood and improve the overall quality of life for patients. Triple-drug therapy can be tailored by doctors to improve the patient's condition. HIV is a sexually transmitted, chronic condition that affects less than 1% of the world's population. There is no cure for HIV, however, treatments (ART) have been introduced to reduce the viral load of HIV as well as improve the overall quality of life of patients. Compared to the past where these medications had to be taken multiple times a day, often causing severe side effects, patients can now take just a single tablet daily. This has changed the course of HIV treatment, allowing people to live lengthy, normal lives with the disease. Written by Sherine A Latheef Related article: CRISPR-Cas9 to potentially treat HIV REFERENCES Guha D, Ayyavoo V. Innate immune evasion strategies by human immunodeficiency virus type 1. ISRN AIDS . 2013;2013:954806. Published 2013 Aug 12. doi:10.1155/2013/954806 AlBurtamani N, Paul A, Fassati A. The Role of Capsid in the Early Steps of HIV-1 Infection: New Insights into the Core of the Matter. Viruses . 2021;13(6):1161. Published 2021 Jun 17. doi:10.3390/v13061161 Pau AK, George JM. Antiretroviral therapy: current drugs. Infect Dis Clin North Am . 2014;28(3):371-402. doi:10.1016/j.idc.2014.06.001 Mayers, Douglas L. “Prevalence and Incidence of Resistance to Zidovudine and Other Antiretroviral Drugs.” The American Journal of Medicine , vol. 102, no. 5, May 1997, pp. 70–75, https://doi.org/10.1016/s0002-9343(97)00067-3 . Accessed 5 Dec. 2021. “Antiretroviral Drug Discovery and Development | NIH: National Institute of Allergy and Infectious Diseases.” Www.niaid.nih.gov , www.niaid.nih.gov/diseases-conditions/antiretroviral-drug-development#:~:text=D urable%20HIV%20Suppression%20with%20Triple%2DDrug%20Therapy&text=In %20December%201995%2C%20saquinavir%20became. CDC. “How HIV Spreads.” HIV , 14 May 2024, www.cdc.gov/hiv/causes/index.html . clinicalinfo.hiv.gov . (n.d.). Protease Inhibitor (PI) | NIH . [online] Available at: https://clinicalinfo.hiv.gov/en/glossary/protease-inhibitor-pi . www.who.int . (n.d.). HIV . [online] Available at: https://www.who.int/data/gho/data/themes/hiv-aids#:~:text=Globally%2C%2039.9 %20million%20%5B36.1%E2%80%93. Project Gallery

A problem synthesising haem Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Sideroblastic anaemia 11/07/25, 09:52 Last updated: Published: 22/12/23, 15:20 A problem synthesising haem This is the fourth and final article in a series about anaemia. First article: anaemia . Previous article: Anaemia of chronic disease . Sideroblastic anaemia (SA) is like haemochromatosis as there is too much iron. Due to an absence of protoporphyrin iron transport is inhibited. SA’s include hereditary and acquired conditions; these can be due to alcohol, toxins, congenital defects, malignancies, or mutations. This haem synthesizing defect can be caused by the X-linked chromosome or the lead poisoning induced mutations, these are main mutations that interrupt the 8 enzymatic cascades in the biosynthesis of protoporphyrin, thus leading to defective haemoglobin (Hg) moreover, iron accumulation in the mitochondria. X-linked protoporphyria is due to a germline mutation in the gene that produces δ-aminolaevulinic acid (δ-ala) synthase, this interrupts the first step of haem synthesis, figure 1. Lead poisoning can interrupt 2 stages of haem synthesis δ-ala dehydratase (-δ-ala dehydratase porphyria) and ferrochelatase (erythropoietic protoporphyria). The first step devastates the production of haem, due to the chromosomal abnormality that stops the production of δ-ala dehydratase, is X-linked porphyria. The second step and the final step are associated with lead poisoning, this is more common in children. Ferrochelatase is a catalyst for the incorporation of iron to haem in the final stage of haemoglobin synthesis, this causes ferrochelatase erythrocytic protoporphyrin (FECH EPP). SA clinical presentation Common features of SA are general to microcytic anaemias such as teardrop and hypochromic cells, dimorphism is common, pappenheimer bodies and mitochondrial iron clusters which are found in bone marrow smears, where iron accumulates around 2/3 of the nucleus of erythroblasts. Without knowing the aetiology of anaemia standard FBCs and iron studies would be run to initially diagnosis the anaemia, with SA the iron cannot be transported so transferrin will be reduced, alongside mean cell volume (MCV), haemoglobin and haematocrit (HCT). There will also be an increase in ferratin, % saturation and serum Fe. Microcytic anaemia presents in 20-60% of patients with FECH-EPP. morphology will present as microcytic and hypochromic with the possible presentation of Pappenheimer bodies, ringed sideroblasts, dimorphism and basophilic stippling may be present in bloods of children suspected in lead >5 µg/dL. Lead poisoning can be misdiagnosed as porphyrin as lead is shed from the body slowly, this allows approximately 80% of the lead to be absorbed. Although lead exits the blood rather quickly once it’s in the bone it can have a half-life of 30 years. Written by Lauren Kelly Related articles: Blood / Kawasaki disease Project Gallery

The role of CRISPR-Cas9 technology Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Reaching new horizons in Alzheimer's research 10/07/25, 10:34 Last updated: Published: 12/10/23, 10:50 The role of CRISPR-Cas9 technology The complexity of Alzheimer’s Alzheimer's disease (AD) is a formidable foe, marked by its relentless progression and the absence of a definitive cure. As the leading cause of dementia, its prevalence is expected to triple by 2050. Traditional therapies mainly focus on managing symptoms; however, advances in genetics research, specifically CRISPR-Cas9 gene-editing technology, offer newfound hope for understanding and treating this debilitating condition. The disease is characterized by progressive deterioration of cognitive function, with memory loss being its hallmark symptom. Primarily affecting individuals aged 65 and over, age is the most significant risk factor. Although this precise cause remains elusive, scientists believe that a combination of genetic, lifestyle and environmental factors contributes to its development. CRISPR’s role in Alzheimer’s research After the discovery of using CRISPR-Cas9 for gene editing, this technology is receiving interest for its potential ability to manipulate genes contributing to Alzheimer’s. Researchers from the University of Tokyo used a screening technique involving CRISPR-Cas9 to identify calcium, proteins, and integrin-binding protein 1, which is involved in the formation of AD. Furthermore, Canadian researchers have edited genes in brain cells to prevent Alzheimer’s using CRISPR. The team identified a genetic variant called A673T, found to decrease Alzheimer’s likelihood by a factor of four and reduce Alzheimer’s biomarker beta-amyloid (Aβ). Using CRISPR in petri dish studies, they managed to activate this A673T variant in lab-grown brain cells. However, the reliability and validity of this finding are yet to be confirmed by replication in animal studies. One final example of CRISPR application is targeting the amyloid precursor protein (APP) gene. The Swedish mutation in the APP gene is associated with dominantly inherited AD. Scientists were able to specifically target and disrupt the mutant allele of this gene using CRISPR, which decreased pathogenic Aβ peptide. Degenerating neurons are surrounded by Aβ fibrils, the production of Αβ in the brain initiates a series of events which cause the clinical syndrome of dementia. The results of this study were replicated both ex vivo and in vivo and demonstrated this could be a potential treatment strategy in the future. The road ahead While CRISPR technology’s potential in Alzheimer’s research is promising, its therapeutic application is still in its Infancy. Nevertheless, with the aid of cutting-edge tools like CRISPR, deepening our understanding of AD, we are on the cusp of breakthroughs that could transform the landscape of Alzheimer’s disease treatment. Written by Maya El Toukhy Related articles: Alzheimer's disease (an overview) / Hallmarks of Alzheimer's / Sleep and memory loss Project Gallery

Looking at the option of nuclear fusion to generate renewable energy Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Unleashing the power of the stars: how nuclear fusion holds the key to tackling climate change 14/07/25, 15:08 Last updated: Published: 30/04/23, 10:55 Looking at the option of nuclear fusion to generate renewable energy Imagine a world where we have access to a virtually limitless and clean source of energy, one that doesn't emit harmful greenhouse gases or produce dangerous radioactive waste. A world where our energy needs are met without contributing to climate change. This may sound like science fiction, but it could become a reality through the power of nuclear fusion. Nuclear fusion, often referred to as the "holy grail" of energy production, is the process of merging light atomic nuclei to form a heavier nucleus, releasing an incredible amount of energy in the process. It's the same process that powers the stars, including our very own sun, and holds the potential to revolutionize the way we produce and use energy here on Earth. Nuclear fusion occurs at high temperature and pressure when two atoms (e.g. Tritium and Deuterium atoms) merge together to form Helium. This merge releases excess energy and a neutron. This energy an then be harvested inform of heat to produce electricity. Progress in the field of creating a nuclear fusion reactor has been slow, despites the challenges there are some promising technologies and approaches have been developed. Some of the notable approaches to nuclear fusion research include: 1. Magnetic Confinement Fusion (MCF) : In MCF, high temperatures and pressures are used to confine and heat the plasma, which is the hot, ionized gas where nuclear fusion occurs. One of the most promising MCF devices is the tokamak, a donut-shaped device that uses strong magnetic fields to confine the plasma. The International Thermonuclear Experimental Reactor (ITER), currently under construction in France, is a large-scale tokamak project that aims to demonstrate the scientific and technical feasibility of nuclear fusion as a viable energy source. 2. Inertial Confinement Fusion (ICF) : In ICF, high-energy lasers or particle beams are used to compress and heat a small pellet of fuel, causing it to undergo nuclear fusion. This approach is being pursued in facilities such as the National Ignition Facility (NIF) in the United States, which has made significant progress in achieving fusion ignition, although it is still facing challenges in achieving net energy gain. In December of 2022, the US lab reported that for the first time, more energy was released compared to the input energy. 3. Compact Fusion Reactors: There are also efforts to develop compact fusion reactors, which are smaller and potentially more practical for commercial energy production. These include technologies such as the spherical tokamak and the compact fusion neutron source, which aim to achieve high energy gain in a smaller and more manageable device. While nuclear fusion holds immense promise as a clean and sustainable energy source, there are still significant challenges that need to be overcome before it becomes a practical reality. In nature nuclear fusion is observed in stars, to be able to achieve fusion on Earth such conditions have to be met which can be an immense challenge. High level of temperature and pressure is required to overcome the fundamental forces in atoms to fuse them together. Not only that, but to be able to actually use the energy it has to be sustained and currently more energy is required then the output energy. Lastly, the material and technology also pose challenges in development of nuclear fusion. With high temperature and high energy particles, the inside of a nuclear fusion reactor is a harsh environment and along with the development of sustained nuclear fusion, development of materials and technology that can withstand such harsh conditions is also needed. Despite many challenges, nuclear fusion has the potential to be a game changer in fight against not only climate change but also access of cheap and clean energy globally. Unlike many forms of energy used today, fusion energy does not emit any greenhouse gasses and compared to nuclear fission is stable and does not produce radioactive waste. Furthermore, the fuel for fusion, which is deuterium is present in abundance in the ocean, where as tritium may require to synthesised at the beginning, but once the fusion starts it produce tritium by itself making it self-sustained. When the challenges are weighted against the benefits of nuclear fusion along with the new opportunities it would unlock economically and in scientific research, it is clear that the path to a more successful and clean future lies within the development of nuclear fusion. While there are many obstacles to overcome, the progress made in recent years in fusion research and development is promising. The construction of ITER project, along with first recordings of a higher energy outputs from US NIF programs, nuclear fusion can become a possibility in a not too distant future. In conclusion, nuclear fusion holds the key to address the global challenge of climate change. It offers a clean, safe, and sustainable energy source that has the potential to revolutionize our energy systems and reduce our dependence on fossil fuels. With continued research, development, and investment, nuclear fusion could become a reality and help us build a more sustainable and resilient future for our planet. It's time to unlock the power of the stars and harness the incredible potential of nuclear fusion in the fight against climate change. Written by Zari Syed Related articles: Nuclear medicine / Geoengineering / The silent protectors / Hydrogen cars Project Gallery

Aggression has the confluence of individual predisposition and maintenance via social context Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Unmasking aggression: a result of personal or social triggers? 14/07/25, 15:10 Last updated: Published: 01/01/25, 14:02 Aggression has the confluence of individual predisposition and maintenance via social context Introduction Anderson & Bushman (2002) define aggression as behaviour aimed at causing harm to another individual. Aggression can be measured by observing a signal of intention or aggression rating by self or others. The social theories of aggression include Dollard's frustration-aggression theory and Bandura's Social Learning Theory, while the individual factors theories account for personality traits and the influence of alcohol. However, there is no definite answer to whether social or individual factors are most important in explaining human behaviour. The interaction between social and individual factors will be explored to gain a deeper understanding of aggression. Social theories The frustration-aggression hypothesis proposed by Dollard et al. (1939) defines frustration as the emotion that follows when the occurrence of an instigated goal-response is interfered with, in turn leading to anger and aggression. According to this hypothesis, a person’s aggressive tendencies will be more intense the closer the individual is to achieving a goal before an obstacle appears. Many support this hypothesis, including Dill and Anderson (1995), who found that levels of aggression resulting from unjustified frustration were higher than justified frustration because they were caused by situational constraints rather than dispositional qualities. However, Berkowitz (1989) criticises Dollard et al.'s hypothesis, saying that frustration can only produce aggressive behaviour if it causes adverse effects. Due to the wide variety of negative and positive effects of frustration, it is important to revisit and clarify the frustration-aggression hypothesis. Additionally, aggression is often explained by the Social Learning Theory (SLT), proposed by Bandura et al. (1963), which states that aggressive behaviour is a learned behaviour reinforced by imitation and rewards or punishment. Bandura conducted the renowned Bobo Doll Study in 1961, in which children mimicked adult behaviour and attacked the doll after watching the researchers physically and verbally abuse a clown-faced inflatable toy in front of them, making this study extremely influential in understanding the role that families and household dynamics play in human behaviour. Based on this theory, exposure to TV violence can teach aggressive conduct and provide a model of behaviour to base actions upon. In SLT, rather than frustration generating an aggressive drive that can only be reduced by injurious behaviour, aversive stimulation creates general emotional arousal that can result in aggressive behaviour. Therefore, social theories encompass a broad range of disinhibitory factors and provide a broad theory explaining both impulsive and principled aggressive conduct. Individual factors theories Individual differences and variables, like personality traits, have also contributed to the study of aggressive behaviour. Hyatt et al. (2019) stated that certain personality traits such as narcissism and sadism have been meta-analytically linked to aggression shown in a lab setting. The lab paradigm captures aggression as it manifests whilst controlling for confounding variables, such as different types of aggression. However, the lab paradigm lacks construct validity because researchers don’t interpret the subjects’ intentions and motives when operationalising aggression. Further evaluation comes from Bettencourt et al. (2006), who meta-analysed personality dimensions and stated that provocation can cause aggression. They note that individuals with Type A personalities often exhibit impulsivity and emotional reactivity, which are positively associated with aggression. Thus, situational circumstances such as provocation and aggressive cues interact with these personality factors, together shaping the likelihood and intensity of aggressive behaviour. Additionally, the interplay between personality and alcohol can explain aggression. Alcohol reduces inhibitions that regulate 'normal' behaviour and increases aggression. Miller et al. (2009) concluded that alcohol may facilitate aggression in high-trait individuals specifically, those who score high on traits associated with aggression, such as impulsivity, hostility, or a predisposition toward anger—by impairing the drinker’s inhibition. Moreover, further research indicates a strong relationship between alcohol consumption and antisocial personality. Therefore, any discussion of personal factors and personality in aggression would be incomplete without considering the influence of alcohol. The interplay between social and individual trait theories Allen et al. (2018) created a model that encompasses both the social and the individual trait theories. The General Aggression Model (GAM) considers social, biological, and individual factors in aggression. This model consists of three stages: input, appraisal, and action. The input stage determines the likelihood of personal and situational factors causing aggression. For instance, individual differences, such as personality, social rejection, and provocation, are identified as risk factors for aggression. During the appraisal stage, the individual decides how to respond. Their response can be aggressive or non-aggressive, depending on the resources, time, and event. The action then influences the social encounter, which can alter personal and situational factors, leading to those factors restarting the cycle. Hence, this model proposes that individuals learn situations that lead to aggressive outcomes. To reduce aggression and offer treatment, the GAM has been applied to intergroup violence and therefore can be applied to a wide range of situations in real life. Conclusion In conclusion, aggression has the confluence of individual predisposition and maintenance via social context. For instance, as discussed previously, socialisation experiences may contribute to aggressive behaviour in individuals with certain personality traits. Thus, it is difficult to distinguish social and individual factors when explaining aggression, as most human behaviour is a multifaceted phenomenon with multiple determinants. Therefore, future research should be more holistic in the explanations of aggression, encompassing both social and individual factors. Written by Pranavi Rastogi Related articles: Emotional chemistry / Psychology of embarrassment / Brain of a bully REFERENCES Allen, J. J., Anderson, C. A., & Bushman, B. J. (2018). The general aggression model. Current Opinion in Psychology,19 , 75-80. doi:10.1016/j.copsyc.2017.03.034 Anderson, C. A., & Bushman, B. J. (2002). Human aggression. Annual Review of Psychology, 53 (1), 27-51. doi:10.1146/annurev.psych.53.100901.135231 Bandura, A., Ross, D., & Ross, S. A. (1963). Imitation of film-mediated aggressive models. Journal of Abnormal and Social Psychology, 66, 3-11 Berkowitz, L. (1989). Frustration-aggression hypothesis: Examination and reformulation. Psychological Bulletin, 106 (1), 59-73. doi:10.1037/0033-2909.106.1.59 Bettencourt, B.A. et al. (2006) ‘Personality and aggressive behavior under provoking and neutral conditions: A meta-analytic review.’, Psychological Bulletin , 132(5), pp. 751–777. doi:10.1037/0033-2909.132.5.751. Dill, J. C., & Anderson, C. A. (1995). Effects of frustration justification on hostile aggression. Aggressive Behavior, 21 (5), 359-369. doi:10.1002/1098-2337(1995)21:5<359::aid-ab2480210505> 3.0.co ;2-6 Dollard, J., Miller, N. E., Doob, L. W., Mowrer, O. H., & Sears, R. R. (1939). Frustration and aggression. doi:10.1037/10022-000 Hyatt, C. S., Chester, D. S., Zeichner, A., & Miller, J. D. (2019). Analytic flexibility in laboratory aggression paradigms: Relations with personality traits vary (slightly) by operationalization of Aggression. Aggressive Behavior, 45 (4), 377-388. doi:10.1002/ab.21830 Miller, C.A., Parrott, D.J. and Giancola, P.R. (2009) ‘Agreeableness and -related aggression: The mediating effect of trait aggressivity.’, Experimental and Clinical Psychopharmacology , 17(6), pp. 445–455. doi:10.1037/a0017727. Project Gallery

Mortality trends, mechanisms, and future strategies Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Illuminating Thyroid Cancer 09/07/25, 14:22 Last updated: Published: 23/06/24, 09:24 Mortality trends, mechanisms, and future strategies Introduction The thyroid gland is situated at the front of the neck, below the larynx and it is butterfly-shaped with two lobes located on either side of the trachea. The thyroid gland produces hormones such as thyroid hormone and calcitonin, which are necessary for regulating metabolism in the body. The thyroid hormone is responsible for regulating the human body's metabolic rate, growth, and development. It plays an important role in controlling heart, muscle and digestive function, brain development and bone maintenance. Calcitonin produced by the thyroid gland helps the body control calcium balance. Here in this short article, we discuss and understand the molecular mechanisms, mortality trends, and future strategies for improving diagnosis, treatment, and prevention of thyroid cancer. What is thyroid cancer? Thyroid cancer occurs due to the abnormal growth of cells in the thyroid gland. Over the past few years, the number of thyroid cancers has been continuously increasing, and it has become a topic of growing concern in both medical society and the general public. Understanding the severity of thyroid cancer is important for individuals affected by the disease, as well as for researchers, scientists, and healthcare professionals. Thyroid cancer occurs in both men and women, and it is most common in women between the ages of 30 and 60. Most cases of thyroid cancer occur without risk factors, although a few have inherited forms of thyroid cancer. After the removal of cancer or tumour cells, thyroid cancer is grouped by the appearance of the tumour cells on biopsy. The most common types of thyroid cancers are well-differentiated thyroid cancers, where the cells keep essential characteristics of normal thyroid cells when they become malicious and they can be further classified as papillary thyroid cancer, and follicular thyroid cancer. The other less common types of thyroid cancer are medullary thyroid carcinoma, poorly differentiated thyroid carcinoma, and anaplastic thyroid carcinoma, which is most difficult to treat. Understanding thyroid cancer molecular mechanisms Thyroid cancer, a complicated disease, is caused by several molecular pathways that contribute to its onset and progression. Thyroid cancer develops mostly in the thyroid gland, which regulates metabolism and growth. Several genetic abnormalities within this gland play an important role in the initiation and progression of malignant cells. The BRAF gene is important in thyroid cancer because alterations, particularly the BRAF V600E variant, are usually associated with disease development and progression, particularly in papillary thyroid carcinoma (PTC). This mutation causes the MAPK signalling pathway to be activated indefinitely, resulting in uncontrolled cell proliferation. As a result, BRAF-mutated thyroid tumours frequently exhibit aggressive behaviour and a poor prognosis, providing problems for traditional treatments. Understanding the involvement of the BRAF gene allows for the creation of targeted medicines that selectively inhibit the aberrant signalling pathways induced by BRAF mutations, presenting intriguing paths for improved treatment outcomes. Furthermore, BRAF mutations serve as important biomarkers for identifying patients who may benefit from targeted medicines, allowing personalised therapy methods customised to specific genetic profiles in thyroid cancer management. The BRAF V600E mutant, which is typically seen in papillary thyroid carcinoma (PTC), the most prevalent subtype of thyroid cancer, is one of the most extensively researched genetic variants in thyroid cancer. This mutation activates the MAPK signalling pathway, which drives excessive cell growth and proliferation. Understanding the specific genetic abnormalities found in thyroid cancer can provide vital information about the disease's underlying causes. Furthermore, mutations in the RET gene are linked to medullary thyroid carcinoma (MTC), another kind of thyroid cancer. These mutations cause the RET tyrosine kinase receptor to be constitutively activated, resulting in aberrant cell proliferation and tumour formation. By understanding the impact of genetic abnormalities in thyroid cancer, researchers can identify possible therapeutic targets and create more effective treatment techniques. Unveiling thyroid cancer mortality trends Analysing mortality rates in thyroid cancer provides valuable insights into the disease's influence on public health and healthcare systems. While average mortality rates have decreased over time, various demographic groups continue to face discrepancies in survival rates. Age, gender, and financial position are important factors in determining prognosis and access to care. For example, older persons may have worse results due to comorbidities and delays in identification and treatment. Similarly, those from poorer socioeconomic origins may experience challenges in getting healthcare services, resulting in differences in survival rates. By recognising these discrepancies and understanding the underlying causes, healthcare practitioners and governments can design focused initiatives to improve outcomes for all thyroid cancer patients. The expected increase in thyroid cancer mortality rates in the United Kingdom from around 480 deaths per year in 2023-2025 to around 640 deaths per year in 2038-2040 is a troubling trend. Mortality rates are predicted to climb by 6% overall throughout this time, reaching one death per 100,000 people per year by 2038-2040. This increase is mostly driven by a projected 10% increase in female mortality rates, with rates reaching one death per 100,000 by 2038-2040. In contrast, male mortality rates are expected to fall somewhat, by less than 1%, reaching one death per 100,000 people per year by 2038-2040. These forecasts highlight the need for ongoing research, preventive, and treatment initiatives to meet the rising burden of thyroid cancer mortality. The expected increase in thyroid cancer mortality rates in the United Kingdom from around 480 deaths per year in 2023-2025 to around 640 deaths per year in 2038-2040 is a troubling trend. Mortality rates are predicted to climb by 6% overall throughout this time, reaching one death per 100,000 people per year by 2038-2040. This increase is mostly driven by a projected 10% increase in female mortality rates, with rates reaching one death per 100,000 by 2038-2040. In contrast, male mortality rates are expected to fall somewhat, by less than 1%, reaching one death per 100,000 people per year by 2038-2040. These forecasts highlight the need for ongoing research, preventive, and treatment initiatives to meet the rising burden of thyroid cancer mortality. Intersections and insights The interaction of molecular mechanisms and mortality trends provides crucial information about thyroid cancer biology and therapeutic therapy. For example, studies on radiation-induced thyroid cancer emphasise the long-term effects of environmental exposures on disease risk. According to studies, being exposed to ionising radiation, whether from medical treatments or nuclear accidents, increases the risk of acquiring thyroid cancer later in life. Furthermore, combining genomic research findings with epidemiological data improves our understanding of illness aetiology and influences public health measures. Identifying patients at high risk of getting thyroid cancer allows healthcare providers to adopt focused screening programmes and preventive measures to discover the disease at an early stage when treatment is most successful. Strategies for the future Future thyroid cancer management strategies include precision medicine, immunotherapy, and public health initiatives. These approaches have great opportunities for improving patient outcomes and lowering the impact of thyroid cancer on individuals and healthcare systems. Precision Medicine entails adjusting treatment procedures based on individual genetic profiles, resulting in more targeted and effective medications. Understanding the exact genetic abnormalities that cause thyroid cancer in each patient allows clinicians to select treatments that are most likely to be beneficial while minimising side effects. Targeted medicines, such as tyrosine kinase inhibitors, have shown promise in treating advanced thyroid cancer with specific genetic abnormalities. Furthermore, advances in molecular diagnostics, like next-generation sequencing, allow for more extensive profiling of tumour genomes, allowing doctors to pinpoint possible therapy targets with higher precision. For example, in a groundbreaking clinical trial, researchers assessed the efficacy of vemurafenib, a BRAF inhibitor, in patients with BRAF-mutated thyroid cancer. The research included a cohort of patients with advanced thyroid cancer who carried the BRAF V600E mutation, a common genetic change associated with aggressive tumour behaviour and a worse prognosis. Treatment with vemurafenib produced outstanding results, with a considerable proportion of patients having tumour reduction and improved progression-free survival. This personalised strategy, which targets the exact genetic aberration causing the cancer, demonstrates the power of precision medicine in oncology. Furthermore, advances in next-generation sequencing technologies have aided in the detection of such genetic abnormalities in thyroid tumours, allowing oncologists to tailor treatment plans to specific patients' genetic profiles. A new era in personalised cancer care can be brought about by physicians utilising precision medicine to maximise therapeutic success while minimising side effects. Immunotherapy is a breakthrough method of cancer treatment that uses the immune system to recognise and eliminate cancer cells. Immune checkpoint inhibitors, such as pembrolizumab and nivolumab, have demonstrated extraordinary success in treating a variety of malignancies, including advanced thyroid carcinoma. These medications operate by disrupting inhibitory signals that cancer cells employ to avoid detection by the immune system, boosting the body's natural ability to fight the disease. While immunotherapy has shown promise in some individuals, more research is needed to uncover biomarkers that might predict treatment response and to develop combination medicines that improve efficacy while also overcoming resistance. Case study articles: 1) The Phase 2 KEYNOTE-158 trial examined the effectiveness and safety of pembrolizumab monotherapy in patients with advanced thyroid cancer and found positive results. Pembrolizumab indicated remarkable efficacy, particularly in patients who had received many prior treatments, with large objective response rates and long-lasting responses. Furthermore, the medication demonstrated improved progression-free survival and overall survival rates. Importantly, pembrolizumab had a manageable safety profile, with treatment-related side events often mild to moderate. These data demonstrate pembrolizumab's potential as a significant treatment choice for advanced thyroid cancer, providing hope to patients who have exhausted traditional medications. Article: Oh, Y., Algazi, A., Capdevila, J., Longo, F., Miller, W., Chun Bing, J. T., Bonilla, C. E., Chung, H. C., Guren, T. K., Lin, C., Motola-Kuba, D., Shah, M., Hadoux, J., Yao, L., Jin, F., Norwood, K., & Lebellec, L. (2023). Efficacy and safety of pembrolizumab monotherapy in patients with advanced thyroid cancer in the phase 2 KEYNOTE-158 study. Cancer , 129 (8), 1195-1204. 2) The efficacy and safety evidence for the combination of lenvatinib and pembrolizumab in anaplastic thyroid cancer is based on complementary mechanisms of action and encouraging preclinical and clinical data. Lenvatinib, a multi-kinase inhibitor, targets numerous pathways involved in tumour growth and angiogenesis, whereas pembrolizumab, an immune checkpoint inhibitor, boosts anti-tumour immunity by inhibiting the PD-1 pathway. In animal models of anaplastic thyroid carcinoma, preclinical studies have shown that combining lenvatinib and pembrolizumab has synergistic effects, resulting in increased tumour regression and prolonged survival. Clinical trials of this combination therapy have yielded promising results, with high response rates and prolonged survival found in patients with advanced anaplastic thyroid carcinoma, a disease with a traditionally dismal prognosis and few therapeutic alternatives. Article: Boudin, L., Morvan, B., Thariat, J., Métivier, D., Marcy, Y., & Delarbre, D. (2022). Rationale Efficacy and Safety Evidence of Lenvatinib and Pembrolizumab Association in Anaplastic Thyroid Carcinoma. Current Oncology , 29 (10), 7718-7731. In addition to precision medicine and immunotherapy, current research is looking into new therapeutic techniques and technologies for treating thyroid cancer. One potential area of research is the creation of tailored radiotherapies, which deliver radiation to cancer cells while sparing healthy tissue. This method reduces adverse effects while increasing the therapeutic benefit of radiation treatment. Furthermore, advances in molecular imaging techniques such as positron emission tomography (PET) and magnetic resonance imaging (MRI) improve cancer staging and monitoring accuracy, allowing for more precise treatment planning and response evaluation. To reduce the incidence and fatality rates of thyroid cancer, a multimodal approach is required that addresses both primary prevention and early detection. Public health activities targeted at reducing modifiable risk factors, such as smoking cessation programmes and attempts to decrease environmental exposure to radiation and other carcinogens, can aid in the prevention of thyroid cancer. Furthermore, raising awareness of the signs and symptoms of thyroid cancer among healthcare providers and the general public can lead to earlier detection and treatment, which improves patient outcomes. Finally, maintaining equal access to high-quality healthcare services, such as cancer screening and treatment, is critical to reducing disparities in thyroid cancer outcomes across demographic groups. Finally, future thyroid cancer management options show significant promise for improving patient outcomes and lowering the disease's burden. We can make more progress against thyroid cancer by adopting precision medicine, immunotherapy, and other novel techniques. Addressing the underlying causes of thyroid cancer, as well as providing prompt and equitable access to healthcare, are critical for long-term reductions in incidence and fatality rates. Collaboration among academics, physicians, politicians, and patient advocates will be critical to achieving these objectives and improving the lives of those impacted by thyroid cancer. Conclusion Genetic, environmental, and socioeconomic variables all contribute to the complexity of thyroid cancer. Significant progress in illness management can be made by unravelling molecular pathways, monitoring mortality trends, and implementing novel interventions. Collaboration among stakeholders, such as researchers, physicians, policymakers, and patient advocates, is essential for turning scientific discoveries into practical advances in patient treatment and outcomes. Written by Sindhu Mohan Related articles: Prostate cancer research / Apocrine carcinoma / MAPK/ ERK signalling pathway Project Gallery