Public asked to help prevent spread of hemlock woolly adelgid – shorelinemedia.net

Efforts are underway to survey 906 hemlock-dense acres at Ludington State Park following the discovery of hemlock woolly adelgid, and with the prevention of further infection a top priority, state park and DNR officials say now is the best time for the public to keep an eye out for the invasive species.

Hemlock wooly adelgids are insects that latch onto hemlock trees, feeding on sap and draining nutrients, according to Ludington Sate Park Manager Jim Gallie.

The insects are easiest to spot during the winter, before the small, white, ovisacs which look like cotton balls stuck to the underside of hemlock branches hatch.

The insects have been identified on five trees at the state park, and those trees have been treated by members of the Michigan Civilian Conservation Corps. Now, that seven-person crew is taking on the daunting task of surveying the rest of the parks trees.

They treated it and intensified their surveying efforts in the area, Gallie told the Daily News. Its something people need to be aware of (because) they can have a devastating effect.

Gallie said infected trees have been found along the parks island, canoe and logging trails, and theyve been treated with prophylactic chemicals to make sure the insects dont reproduce.

Heidi Frei, forest health specialist with the DNR Parks and Recreation Division who directs the crew members, said the hemlock woolly adelgid was first detected in Michigan in 2017. Its believed to have entered the state through the nursery industry, hitching a ride on trees being brought in from outside the state. It can be spread from tree to tree by birds, deer, wind gusts and even human beings.

According to Frei, Ludington State Park has been a high priority for her team since the species was first detected in the state, but there was no sign of it at the park until October. She said its remarkable that the insects were spotted at the park in such low numbers, and she commended the crew members for the discovery.

Frei said its important for the public to know that the invasive species is in the area.

Though the density of the species in the infected trees is currently quite low, Frei said it could quickly become a much bigger problem due to the rapid reproduction rate of the insects.

Its definitely something people should be aware of and should be looking for, she said. The more eyes out there, the better. If folks have hemlock trees on their property and theyre able to check their trees, or if theyre hiking we really need folks to stop and take a look.

One useful resource is the Michigan Invasive Species Information Network (MISIN), which is run by Michigan State University and funded by the state. Frei said people can download the MISIN smartphone application to report possible sightings of HWA, or to compare a speck of white they see on a hemlock tree to photos of HWA to help people confirm that theyre seeing the insects.

Frei also recommended reaching out to the Mason-Lake Conservation District, which is ramping up its HWA treatment and inspection efforts this year, according to Executive Director Dani McGarry.

The conservation district works directly with homeowners to help deal with hemlock woolly adelgid infections. This year, its using more resources than before.

Were basically doubling the amount of staff and time were spending on the survey and treatment of private lands, McGarry said. Were trying to focus our survey efforts within 5 miles of the lakeshore, but we can visit anyone who thinks they have an issue or wants us to take a look at their hemlock trees.

The state park isnt the only area thats been affected.

Summit Township has some property thats near Bass Lake, and last winter, there were a couple of infected trees found there. And I just learned that there are additional trees in that general area that have since become infested, McGarry said.

The Mason-Lake Conservation District has a grant from the DNR to survey and inspect private properties for HWA, and its also working with the West Michigan Cooperative Invasive Species Management Area (CISMA) to bolster its efforts to prevent the species from moving farther north.

Once we find trees, thats where West Michigan CISMA comes in, McGarry said. Theyll treat the trees.

McGarry recommended that homeowners keep an eye on their trees, and keep a lookout for those white spots on the underside of the branches.

Frei said surveying work will continue at the state park throughout the winter.

In addition to the chemical treatments and the surveying, Gallie said state park employees have been trimming back hemlock trees to make sure the insects are not passed on to other areas by passing RVs brushing against the trees and carrying the adelgids off to other locations.

Both Frei and Gallie said hemlock trees are a vital part of the ecosystem in the area, and people can help to preserve the trees by keeping an eye out for HWA.

Hemlock in Michigan is not very widespread, but it has a really important ecological role, especially with the dunes, Frei said. Some of the dunes have faces that are full hemlock, and hemlocks hold those dunes in place. Theyre beautiful to look at, and they play a big role in tourism.

Gallie noted that hemlocks provide cover during the winter, keep the ground warm, are excellent for birds and have a cooling effect on streams, too.

Its definitely a very valuable tree to our ecosystem, he said.

Gallie said its likely that more infected trees will be found at the state park during the survey phase.

Its not something we wanted, but we expected it could come to the area, because of birds using the shoreline as part of their migration route, Gallie said. Theres a good chance well find more as the season progresses.

To inquire about having the Mason-Lake Conservation District check out a property for hemlock woolly adelgid, call (231) 757-3707.

McGarry said there will also be a mail campaign in December, during which letters will be sent out to property owners located near infestation sites. A permission letter needs to be signed allowing district personnel to visit private land.

McGarry also recommended visiting http://www.saveMIhemlock.org for more information about the species and efforts to prevent it from moving farther north.

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Public asked to help prevent spread of hemlock woolly adelgid - shorelinemedia.net

Urine test reveals quality of your diet — and whether it’s the best fit for your body – Jill Lopez

Scientists have completed large-scale tests on a new type of five-minute urine test that measures the health of a person's diet, and produces an individual's unique urine 'fingerprint'.

Scientists at Imperial College London in collaboration with colleagues at Northwestern University, University of Illinois, and Murdoch University, analysed levels of 46 different so-called metabolites in the urine of 1,848 people in the U.S.

Metabolites are considered to be an objective indicator of diet quality - and are produced as different foods are digested by the body, say the research team, who published their findings in the journalNature Food.

The work was funded by the U.S. National Institutes of Health and Health Data Research UK.

Dr Joram Posma, author of the research from Imperial's Department of Metabolism, Digestion and Reproduction said: "Diet is a key contributor to human health and disease, though it is notoriously difficult to measure accurately because it relies on an individual's ability to recall what and how much they ate. For instance, asking people to track their diets through apps or diaries can often lead to inaccurate reports about what they really eat. This research reveals this technology can help provide in-depth information on the quality of a person's diet, and whether it is the right type of diet for their individual biological make-up."

The findings revealed an association between 46 metabolites in urine, and types of foods or nutrients in the diet. For instance, certain metabolites correlated with alcohol intake, while others were linked to intake of citrus fruit, fructose (fruit sugar), glucose and vitamin C. The team also found metabolites in urine associated with dietary intake of red meats, other meats such as chicken, and nutrients such as calcium. Certain metabolites were also linked with health conditions - for instance compounds found in urine such as formate and sodium (an indicator of salt intake) are linked with obesity and high blood pressure.

Professor Paul Elliott, study co-author and Chair in Epidemiology and Public Health Medicine at Imperial said: "Through careful measurement of people's diets and collection of their urine excreted over two 24-hour periods we were able to establish links between dietary inputs and urinary output of metabolites that may help improve understanding of how our diets affect health. Healthful diets have a different pattern of metabolites in the urine than those associated with worse health outcomes."

In a second study also published inNature Foodby the same Imperial team, in collaboration with Newcastle University, Aberystwyth University, and Murdoch University and funded by the National Institute for Health Research, the Medical Research Council and Health Data Research UK, the team used this technology to develop a five-minute test to reveal that the mix of metabolites in urine varies from person to person.

The team says the technology, which produces an individual's urine 'fingerprint', could enable people to receive healthy eating advice tailored to their individual biological make-up. This is known as "precision nutrition", and could provide health professionals with more specific information on the quality of a person's diet.

Dr Isabel Garcia-Perez, author of the research also from Imperial's Department of Metabolism, Digestion and Reproduction explained: "Our technology can provide crucial insights into how foods are processed by individuals in different ways - and can help health professionals such as dieticians provide dietary advice tailored to individual patients."

Dr Garcia-Perez added that the team now plan to use the diet analysis technology on people at risk of cardiovascular disease.

The researchers say this urine 'fingerprint' can be used to develop an individual's personal score - called the Dietary Metabotype Score, or DMS.

In their experiments, the team asked 19 people to follow four different diets - ranging from very healthy (following 100 per cent of World Health Organisation recommendations for a balanced diet), to unhealthy (following 25 per cent WHO diet recommendations).

The team found that people who strictly followed the same diet had varied DMS scores.

The team's work also revealed that the higher a person's DMS score, the healthier their diet. A higher DMS score was also found to be associated with lower blood sugar, and a higher amount of energy excreted from the body in urine.

The team found the difference between high energy urine (i.e. high DMS score) and low energy urine (low DMS score) was equivalent to someone with a high DMS score losing an extra 4 calories a day, or 1,500 calories a year. The team calculate this could translate to a difference of 215g of body fat per year.

The next step is to investigate how a person's urine metabolite fingerprint may link to a person's risk of conditions such as obesity, diabetes and high blood pressure. Professor Gary Frost, co-author of the research and Chair in Nutrition and Dietetics at Imperial said: "These findings bring a new and more in-depth understanding to how our bodies process and use food at the molecular level. The research brings into question whether we should re-write food tables to incorporate these new metabolites that have biological effects in the body."

Professor John Mathers, co-author of research and Director of the Human Nutrition Research Centre at Newcastle University said: "We show here how different people metabolise the same foods in highly individual ways. This has implications for understanding the development of nutrition-related diseases and for more personalised dietary advice to improve public health."

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Urine test reveals quality of your diet -- and whether it's the best fit for your body - Jill Lopez

Humans pushing North Atlantic right whale to extinction faster than believed – The Guardian

Humans are killing the endangered North Atlantic right whale far faster than previously thought, and experts say the window to act is quickly closing.

According to new modelling from the North Atlantic Right Whale Consortium, only 356 of the whales remain in the world a significant decline from the 409 logged last year.

Of the remaining whales, only about 70 breeding females survive. Without decisive action, experts fear females could disappear in the next 10 to 20 years.

Its not just numbers. These are individuals that weve seen grow up as calves, said Philip Hamilton, a researcher at the Anderson Cabot Center for Ocean Life. To see them turning up dead or even worse, entangled in ropes where it takes a year to slowly die, is just gut-wrenching.

While human-caused deaths remained low this year, researchers now realize the 17 fatalities recorded in 2017 vastly underestimated the scope of destruction. They now believe 42 whales died that year.

In recent years, the Canadian government has taken steps to reduce fatalities, including limiting the speed of large ships and closing commercial fishing areas where the whales are often spotted.

But experts believe more can be done.

A move to rope-less fishing, which would allow fishermen to lay traps without lines reaching up to the surface, would have one of the most outsized impacts on fatalities, said Hamilton. Entanglements in fishing equipment are a leading cause of death among the whales.

There is still room for optimism, said Hamilton, who first started working with the whales in the mid-1980s, when the population was less than 350.

The numbers have been this low before, he said. But we have to stop killing them were killing them at an alarming rate.

And to survive, the whales will have to adapt to a rapidly changing ocean ecosystem, where changes to their feeding locations present a double whammy, said Hamilton.

Managing environmental change, while also having their reproduction reduced, is just untenable, he said.

While many people will never glimpse the graceful mammals that can reach 70,000 kilograms (77 tons), Hamilton remains deeply fascinated by a species hurtling towards extinction.

The population is small enough that we literally know almost every one of them, he said. But we dont know how they find their food. We dont know how they navigate. They do some really interesting vocalizations that we dont know Its just this exciting combination of so much knowledge and a tremendous amount of mystery.

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Humans pushing North Atlantic right whale to extinction faster than believed - The Guardian

Scientists captured video of a rare squid with tentacles as long as a human – Business Insider – Business Insider

The squid was dragging long, spaghetti-like tentacles and using fins like elephant ears to propel itself through the dark waters.

Marine scientist Deborah Osterhage spotted it in footage collected from cameras on remotely operated vehicles that had scoured Australia's Great Bight a bay off the continent's southern coast. The creature was swimming 2 miles under the surface.

"I recognized it immediately, with its distinctive large fins and extremely long and slender arms and tentacles, which were bent a little like an elbow," Osterhage told Business Insider.

The animal was a bigfin squid, or magnapinnidae: a camera-shy cephalopod rarely seen by humans. It had never been spotted in Australian waters before.

In a study published last week in the journal PLOS One, Osterhage and her team describe how they captured footage of five of these rare squid in Australia, and what the sightings reveal about the creatures' anatomy.

The videos enabled the researchers to make an unprecedentedly accurate measurement of the squid's body and tentacles.

"The fact that they have been rarely observed makes these sightings very special. Up until now, only around a dozen have been filmed over a period of 30 years, so seeing five in the Great Australian Bight is very exciting," Osterhage said.

Osterhage's team, part of Australia's Commonwealth Scientific and Industrial Research Organization, wasn't specifically looking for bigfin squid. They were simply trying collect footage of the Bight's thousands of marine species by towing underwater cameras behind a research vessel.

Then two squid showed up in the footage.

So the team organized a second voyage to the Bight, this time using remotely operated vehicles (ROVs). That way, they could better control what the cameras filmed and pause if they found a species on their "critter hotlist," Osterhage said.

That research revealed three more bigfin squid.

Although the encounters lasted only minutes, that was long enough for the researchers to measure one of the animals using two laser pointers mounted on the ROV. It measured more than 5.9 feet (1.8 meters) long, with its body making up just 6 inches of that total.

"The arms and tentacles were around 11 times the mantle length, which is not what is typically seen in squid," Osterhage said.

By contrast, the giant squid has a mantle, or body, around 8 feet (2.5 meters) with tentacles four times that length.

A bigfin squid missing three tentacles seen in the waters of the Great Bight. Courtesy of Deborah Osterhage/CSIRO

Bigfin squid get their name from the bulbous fins that jut out from their bodies. The fins are about as wide as the body is long, according to Osterhage. But it's the body-to-tentacle proportion that makes these squid unique.

Another neat feature: the squid like to flex.

Most cephalopods' tentacles dangle below their mantles, but a bigfin's bend that's why Osterhage was able to spot the animal so easily in the footage.

All told, Osterhage's team collected 40 hours of underwater footage at depths between 0.6 miles and 2 miles (946 meters and 3,258 meters).

The five squid were all spotted in about the same place: "They were clustered in close proximity of each other in time and space," Osterhage said.

The study authors confirmed, though, that they'd seen five different squid, not the same one. That was a deviation from previous sightings, which had mostly involved individual squid.

"Clustering like this could indicate habitat preference, a gathering for reproduction, or even effects of currents," Osterhage said, adding, "further sightings will help us figure out this puzzle."

Bigfin squid filmed by underwater cameras in Australia's Great Bight. Courtesy of Deborah Osterhage/CSIRO

Given the paucity of bigfin squid sightings, researchers still don't know how they reproduce or feed none have deigned to nosh on camera.

"Because their long arms and tentacles are retractable and sticky, some scientists believe they may use them to 'fish' for their food, possibly plankton," Osterholm said.

French scientists reported the first-ever bigfin sighting nearly 120 years ago, when a fisherman caught one near the Azores. The squid weren't caught on camera in their deep-sea habitat until 1988, when researchers encountered one 2.9 miles underwater, off Brazil's northern coast.

A bigfin squid spotted on the ocean floor of the Great Bight, more than a mile below the surface. Courtesy of Deborah Osterhage/CSIRO

According to Osterhage, the squid can be found at depths of more than 3 miles. So far, they've been spotted in the southern Caribbean,Indian Ocean, Gulf of Mexico, Pacific Ocean near Hawaii, and off the shores of western Africa.

Of the 12 or so bigfin squid ever seen, the largest was 23 feet (7 meters) long.

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Scientists captured video of a rare squid with tentacles as long as a human - Business Insider - Business Insider

Novel self-replicating -synuclein polymorphs that escape ThT monitoring can spontaneously emerge and acutely spread in neurons – Science Advances

INTRODUCTION

-Synuclein (-syn) is a small ubiquitous protein that is especially abundant in the brain. In neurons, -syn is presynaptically enriched and associates with the neurosecretory vesicles as -helical multimers (1), while its C terminus interacts with vesicle-associated membrane protein 2 (VAMP2) (2). Under this conformation, -syn regulates the kinetics of neurotransmitter release in the synaptic cleft (1, 2). Before becoming associated with the membrane of presynaptic vesicles, however, -syn transits in the neuronal cytosol as its free, soluble, monomeric form (1, 3, 4). In this latter context, -syn oscillates between a variety of different conformational states: It is an intrinsically disordered protein (5). Certain conformations that are enriched in beta folds can incidentally get favored and stabilized (6). Their nucleation forms seeds that trigger the templated growth of amyloid structures building up at the expense of neuronal -syn. This process results in the formation of long intraneuronal amyloid fibrils that partly get packed and stored in inclusion bodies called Lewy bodies (LBs) (7) and partly get passed to neighboring neurons where they propagate the amyloid build-up process (8, 9). This self-regenerative mechanism provides an explanation for the progressive intracerebral spread of LBs observed during Parkinsons disease (PD) progression (10) and for the gradual worsening of other synucleinopathies (11).

Notably, during amyloid stacking, -syn can adopt several distinct structural folds, resulting in the emergence of fibril polymorphs (1218). Together with their specific fold, their supramolecular properties also get inherited and propagated as the polymorphs self-replicate by templated growth (1922). It is thus tempting to speculate that the distinctive properties of these different polymorphs are responsible for the different clinical presentation of the neurodegenerative diseases that are underpinned by a synucleinopathy (2325). We noticed, however, that the biological characterization of structurally defined -syn polymorphs had often been limited to the demonstration of their cellular toxicity or pro-aggregative action without consideration of their ability to reproduce their distinctive amyloid fold inside cells. The original aim of our study was, thus, to determine whether structurally characterized -syn polymorphs could demonstrate autonomous self-replication of their structural traits during propagation not only in vitro but also in living neurons. We incidentally found the existence of amyloid polymorphs acutely spreading in neurons. Not only were these amyloids invisible to thioflavin T (ThT), but also they could be preferentially revealed using SYBR Green. On the basis of this, we designed a simple multiplexed assay (which we termed the fibrilloscope) to track their propensity toward self-replication.

We first sought (i) to isolate/characterize different -syn polymorphs self-assembled under simple shaking in saline (see Materials and Methods) and (ii) to determine whether these untouched assemblies could self-replicate and spread in neurons (untouched meaning here without artificially disrupting the assemblies using sonication). A single batch of NMR (nuclear magnetic resonance)grade recombinant -syn (labeled with 13C and 15N) was divided into seven identical aliquots (Fig. 1A). One was left at 4C; the other six were then shaken together. Notably, using the classical amyloid probe ThT (26) to monitor the fibrillization (17, 18, 27), we observed a major variability in the development of the ThT signal from one tube to another (Fig. 1B). Certain aliquots showed a very rapid and strong rise in ThT fluorescence; others had a slower increase but reaching comparable final values, and others had an almost flat ThT curve. As it is widely assumed that the buildup of a ThT signal under these conditions is synonymous with proper -syn amyloid assembly (17, 18) [see current best practice guidelines (27)], we simply sought to compare the bioactivity of iso1, a presumably successfully fibrillized ThT-high sample, with that of iso3, a presumably failed ThT-low sample. To that end, we developed and validated a high-content analysis (HCA) assay based on primary mouse cortical neurons (28, 29), allowing the observation of a seeded synucleinopathic buildup in fully mature primary cultures (30 days in vitro) (fig. S1) [see also (30)]. The neurons were challenged with iso1 and iso3, immediately upon completion of the 40-hour fibrillization period without any other manipulation (untouched). The results (Fig. 1C) were completely opposite to expectation: Iso3, which according to ThT was supposed to be virtually devoid of amyloids (27), induced a massive synucleinopathy, causing a widespread buildup of secondary aggregates, while no synucleinopathy developed in the neurons treated with the ThT-positive iso1. To explain this counterintuitive lack of activity, we reasoned that unspecific clumping could have incidentally occurred in the iso1 sample, impeding neuronal uptake of the seeds. However, using nanoparticle tracking analysis (NTA), no clumping was detectable in iso1 compared to iso3 (Fig. 1D, dotted lines). Nevertheless, we proceeded with sonication that drastically reduced the size of the particles in both samples, producing a distinctive peak of smaller 25- to 50-nm-wide particles in iso1 that was absent in sonicated iso3 (Fig. 1D, solid lines). With particle size reduction, sonicated iso3 exhibited an increased activity in neurons (Fig. 1E). Sonicated iso1 was, however, still unable to trigger a synucleinopathy (Fig. 1E).

(A) Schematic representation of the fibrillization and testing workflow. (B) Development of the ThT signal in the six -syn tubes, sampled after 0, 20, and 40 hours of shaking at 37C or for 40 hours for the unshaken, 4C tube. Three measurement replicates for each sample and time point. (C) HCA of the synucleinopathy induced by 10 nM (equivalent monomeric -syn concentration) of untouched iso1 and iso3 in primary mouse cortical neurons (n = 4, nine measures per replicate, intrareplicate measurement means are shown). Quantitation and representative imaging fields are shown with a full intensity range lookup table (visual saturation of the highest pixel values). Scale bars, 100 m. Close-up of the iso3 condition with an intensity range lookup table focused on the highest pixel values, showing pS129 syn in green and tau in red. The somatic pS129 syn aggregates are perikaryal. (D) NTA shows that untouched iso1 is not more clumped than iso3 and that sonication decreases the size of the assemblies present in both samples. Note that iso1 is more frangible than iso3 with a distinctive size peak at 25 to 50 nm appearing after sonication for iso1. The spectra shown correspond to the average of five consecutive detection runs per sample. (E) The lack of neuronal activity of iso1 in the HCA assay is not enhanced by sonication, while the one of iso3 is increased (n = 3, nine measurement fields per replicate; data points: interreplicate mean of randomly matched fields). Corresponding representative HCA close-ups showing pS129 and phase contrast for sonicated iso1 and iso3. P values of the group differences were calculated using t test. AU, arbitrary units.

We thus proceeded with a further comparative characterization of iso1 and iso3 using the Congo red derivative X-34 (Fig. 2A) (31), density floatation (Fig. 2B), velocity sedimentation (Fig. 2C) (32), and electron microscopy (Fig. 2D). All these approaches indicated that iso3 contained as much -syn amyloid assemblies as iso1, with the iso3 fibrils appearing slightly shorter but straighter and more often bundled at an ultrastructural level (Fig. 2D). Although this became apparent only after sonication using NTA, velocity sedimentation by ultracentrifugation in the presence of sarkosyl revealed that the native amyloid assemblies populating iso1 and iso3 had different size distribution patterns. Iso1 contained smaller assemblies than iso3 (Fig. 2C). However, the similarity of the density floatation patterns observed for iso1 and iso3 (Fig. 2B) indicated that all the amyloid assemblies present in the two preparations shared a common and unique amyloid compactness, irrespective of their size. Overall, these data pointed to the possibility that iso1 and iso3 contained two distinct amyloid -syn polymorphs that had spontaneously emerged from a single condition and endowed with (i) distinct all-or-none ThT visibilities and (ii) distinct all-or-none natural propensities to spread in mouse neurons. This possibility was strengthened by the observation that 23 days after treatment, higher levels of iso3 persisted inside neurons compared to iso1 (Fig. 2E), a result compatible with the notion that distinct -syn polymorphs could be cleared with different efficiencies in neurons (33).

(A) Fluorescence of the amyloid probe X-34 indicates that there are same amounts of amyloids in iso1 and iso3 despite an over 10-fold difference in ThT signal; table with mean values (n = 3) and corresponding graph with iso1 to iso3 signal ratios. P values of the group differences were calculated using t test. (B) Schematic representation of the density floatation protocol: Iso1 and iso3 were solubilized with sarkosyl, loaded in the middle of iodixanol gradients, and fractionated by density upon isopycnic equilibrium ultracentrifugation. The collected fractions (numbered from top to bottom of the gradient) were analyzed for human -syn content (using the anti-human -syn antibody MJFR1) by filter trap (representative pictures of the immunoblots under the graph) by quantification from n = 3 replicates of the absolute chemiluminescence signal (AU, graph). Data presented are the mean curves for each group. (C) Schematic representation of the sedimentation velocity protocol: Iso1 and iso3 were solubilized with sarkosyl and loaded on top of linear iodixanol gradients and fractionated by sedimentation velocity upon ultracentrifugation. The collected fractions were collected and revealed/quantified as in (B). While the density of the iso1 and iso3 amyloid assemblies are strictly equal and monodisperse (B), their size distributions are different (C). (D) Transmission electron micrographs of iso1 and iso3 showing their prototypical fibrillary structure. (E) Neuronal persistence of iso1 and iso3 at DIV 30 (23 days after treatment) imaged and quantified by HCA using MJFR1 (n = 3, nine measurement fields per replicate; data points: interreplicate mean of randomly matched fields). Iso3 is more persistent than iso1. P values of the group differences were calculated using t test. (F) Solid-state NMR hNH experiments of fully protonated iso1 and iso3 showing that they correspond to two distinct amyloid polymorphs at a local level. ppm, parts per million.

We thus performed two-dimensional (2D) solid-state NMR spectroscopy to assess the hNH (Fig. 2F) and hCH (fig. S2A) spectral fingerprints of the fully protonated iso1 and iso3 samples at fast magic angle spinning (100 kHz). Iso1 and iso3 exhibited two clearly distinct structural conformations at the atomic level, as revealed by two different single sets of chemical shift resonances. Both NMR fingerprints exhibited a single set of sharp signals, indicating the presence in each sample of a single nonpolymorphic amyloid structure, highly ordered at the atomic level.

Furthermore, we recorded 3D hCANH experiments on iso1 and iso3 to extract 2D NCA planes and compared them to previous solid-state NMR data of four different polymorphs (1316) spanning the entire structure family spectrum defined by Guerrero-Ferreira and co-workers (18) (fig. S2B).

Notably, iso1 turned out to correspond to the type 2 fibril polymorph species (fig. S2B) (14, 18). As to the stealth polymorph iso3, there was no match with any of the polymorph structure families previously characterized (fig. S2B) (1318). However, despite their structural differences (documented in the panel iso3 versus Gath et al. 2011 tris 5 mM in fig. S2B), iso3 shares its ThT invisibility with the ribbon amyloids assembled under low-salt conditions (13, 19). A feature of ribbons that stands out compared to all other fibril types is the particular beta structure of the N terminus (16): This could suggest the possible existence of a similar trait in iso3. These results indicate that -syn can spontaneously and randomly assemble into distinct amyloids under a single experimental condition and that previously unnoticed ThT-negative polymorphs ( polymorphs) can proliferate, crowd the fibrillar population, and cause exacerbated neuronal spread.

Note that the spontaneous emergence of distinct polymorphs seen here could either reflect a stochastic process taking place during fibrillization or a preexisting process, possibly stochastic as well, having formed several distinct soluble progenitors before sample splitting and subsequent fibrillization. If the latter did hold true, then one would have to also assume that during sample splitting, the progenitors would have been heterogeneously sorted into the different tubes. This could occur only under conditions of extreme dilution with only a few individual molecules of progenitors present in the sample. While this heterogenous sorting of preformed progenitors during sample splitting seems unlikely, it cannot be ruled out. This does not exclude, however, the development of a secondary stochastic process taking place during the fibrillization step as well.

In any case, with regard to the current methodological guidelines (27), these results argue against the exclusive use of ThT to monitor -syn amyloids: This practice can lead to the conclusion that damped or null fluorescence rates of change correspond to inhibited or failed fibrillizations, while they can, in fact, reflect the emergence and growth of polymorphs. This can, for instance, become a substantial concern when studying drug candidates aimed at inhibiting fibrillization. The generalized practice of upstream screening fibrillization products with ThT also resulted in the artificial orientation of structural studies toward a restricted subset of -syn amyloid structures excluding polymorphs [e.g., (17)].

We thus decided to build a structural assay capable of discriminating between and regular ThT-positive polymorphs and to monitor amyloid species generation. The absence of ThT signal in the iso3 fibrils could be due to only subtle changes in the ThT-binding region of the assemblies. ThT is considered to bind to the outer surface of the amyloid assemblies, parallel to the main fibril axis. The binding site is different from the one occupied by Congo red and its derivatives like X-34 (31). With regard to the different amyloid folds adopted by -syn in iso3 and iso1 (fig. S2), differences in the outer exposure of the C and N termini at each amyloid stack level can be hypothesized. This could have an impact on the accessibility of ThT to its binding site, on the affinity of the probe for the site, on the fluorescence of the bound probe due to the electrophilic environment, or a combination of these factors.

Thus, we hypothesized that fluorescent compounds with a slightly different chemical structure, but sharing with ThT its trimethine cyanine skeleton (34, 35), could detect iso3. Notably, SYBR Green, the well-known DNA intercalating dye (Fig. 3A), was capable of sensing the amyloid structure of iso3 but appeared to be much less capable of doing so for iso1, giving an almost mirror image of the ThT readings: Iso1 was ThT-high and SYBR Greenlow, while iso3 was ThT-low and SYBR Greenhigh (Fig. 3B). In contrast, the fluorescent Congo red derivative X-34, which binds to a distinct region in amyloids (31, 36), detected iso1 and iso3 with a similar sensitivity (Fig. 3B): X-34 provided a polymorphism-independent readout of the total amounts of amyloids in each sample. Thus, as with prion strains and luminescent conjugated polymers (LCPs) (37), multiple external probing using these different molecules could discriminate the -syn polymorph identities revealed by solid-state NMR. We therefore combined these probes into a multiplex assay to derive a fingerprint of the emerging -syn assemblies at high throughput and termed it the fibrilloscope (Fig. 3C), a simple assay with four readouts: the three dyes ThT, SYBR Green, and X-34 and the measurement of ultraviolet (UV) light attenuation to exploit Mie scattering and sense the emergence of particulate assemblies in the 30- to 300-nm-diameter range (38, 39).

(A) 2D structures of ThT and SG molecules showing their trimethine cyanine skeleton circled in green. (B) Fluorescence intensities of ThT, SG, and X-34, as well as light attenuation at 280 nm (A280) of iso1 versus iso3 samples (AU, table: mean of n = 3 measures). Ratios of iso1/iso3 signal intensities were calculated and plotted (bar graph) for each sample and probe, showing a specific detection of iso1 by ThT (more than five times higher than for iso3) and a specific detection of iso3 by SG (about two times higher than for iso1), and a higher light attenuation (almost five times), while detection with X-34 was similar for iso1 and iso3 (n = 3 measures). (C) Cartoon model of ThT, SG, and X-34 interaction of iso1 (top) and iso3 (bottom schemes). Putative identical exposed residues are depicted in blue bricks, showing a distinct quaternary structure of iso1 and iso3 assemblies affecting the behavior of the different probes under illumination. The A280 light attenuation difference between iso1 and iso3 is explained by the different relative contributions of Rayleigh (small particles, <30 nm) and Mie (larger particles with diameter from 30 to 300 nm) scattering by the assemblies composing iso1 and iso3.

Using the fibrilloscope, we compared a second series of spontaneous fibrillizations with a series of fibrillizations seeded with 1% of untouched iso1 or iso3 (Fig. 4A). In this second round, we used -syn monomers bearing a single S129A substitution to ascertain that the phosphorylated aggregates appearing during the subsequent assays in neurons would correspond to assemblies newly formed at the expense of the endogenous pool of -syn and not to a phosphorylation of the exogenous seeds (fig. S1) (27, 28). Both iso1 and iso3 were able to prompt the appearance and the buildup of amyloids in vitro in comparison with all the spontaneous fibrillizations, with iso1 being even more potent than iso3 (see the X-34 and UV light attenuation readouts) (Fig. 4B). Moreover, all the amyloids that developed in the presence of 1% of iso1 (iso1.1 to iso1.5) were ThT-high and SYBR Greenlow, while all the amyloids observed in the tubes inoculated with 1% of iso3 (iso3.1 to iso3.5) were ThT-low and SYBR Greenhigh (Fig. 4B), corresponding to an exact reproduction of the parental fibrilloscope fingerprint (Fig. 3B). The iso1 and iso3 samples thus contained distinctive amyloid particles capable of imposing their own core structural arrangement on monomers by conformational templating, driving the assembly of daughter amyloid structures. Notably, the second-generation samples retained the exact biological activity of their parents, i.e., all the samples descending from iso1 were inactive on cortical neurons, and all the iso3 offspring triggered an extensive synucleinopathy (Fig. 4C). This indicated that after inoculation, amyloid particles proliferated and that they retained both the fold and the neuronal spread propensity of the parent assemblies.

(A) Schematic representation of the secondary fibrillizations, with and without inoculation, and corresponding nomenclature. (B) Radar plots showing for each tube the intensity values of ThT, SG, X-34, and A280 at 24, 48, and 72 hours during the fibrillization process. The P value of the difference observed with each probe for the different fibrillization groups (1% iso1; 1% iso3; none; n = 5 for each group) was calculated using two-way analysis of variance (ANOVA) with Tukey correction. Distinctive kinetics indicative of seeded aggregation and speciation can be appreciated. (C) Radar plot of the extent of the synucleinopathic spread sparked by the 72-hour secondary fibrillization products in primary cultures of mouse cortical neurons. The latter HCA neuronal bioactivity tests were all run simultaneously, and each individual value plotted in the radar corresponds to the mean of 27 neuronal field quantifications made in three replicate culture wells. The corresponding 72-hour ThT and SG values already shown in (B) are superimposed for facilitating the appreciation of correlations. (D) Inheritance of specific ThT, SG, and bioactivity traits across seed generations. In this graph, all three parameter values were divided for each single sample by its X-34 value to normalize the parameters with respect to the total amyloid load characterizing each sample. The latter normalization was not shown in the title blocks for the sake of simplicity. The statistical significance of the intergeneration (children versus grandchildren for each group) and intergroup (iso1 versus iso3 for each generation) differences was determined using the Hotellings T2 test with Bonferronis correction for multivariate analysis simultaneously exploiting the three parameters characterizing every sample: iso1 children versus iso1 grandchildren, P = 0.70; iso3 children versus iso3 grandchildren, P = 0.84; iso1 children versus iso3 children, P < 1015; and iso1 grandchildren versus iso3 grandchildren, P = 0.012. ns, not significant.

To explore the sustainability of this particle proliferation, we performed a third round of simultaneous fibrillizations in which we compared a series of conditions inoculated with 1% of the second-generation fibrillization products (fig. S3). This resulted in third-generation amyloids that exhibited the same fibrilloscope fingerprint and the same specific bioactivity as their ancestors (Fig. 4D). These results indicate that the novel polymorph iso3 is capable of replicating its distinctive amyloid fold with the same fidelity and sustainability as iso1, a prototypical ThT-positive type 2 polymorph species member (fig. S2) (18).

We then looked more closely at the neuronal seeding activity of the different amyloid species that emerged in our experiments. First, we tried to determine why the iso1 strain members, already described as belonging to the type 2 polymorph species (18) and which proliferated most efficiently in vitro, were unable to spread in neurons. First, we observed that iso1 was cleared more rapidly than iso3 by neurons (Fig. 2D), suggesting that fewer iso1 seeds would remain available intracellularly to trigger a secondary fibrillization. In addition, previous studies concerning this polymorph (23) were indirectly suggestive of the existence of a monomer concentration threshold for conformational templating. We thus reasoned that these limitations could be overcome by forcing the mouse neurons to overexpress human -syn, a condition that could favor the probability of interaction of more templating-compatible human monomers with the iso1 seeds. Notably, this overexpression was enough to rescue the bioactivity of iso1 to a level comparable to that of iso3 (Fig. 5A). In addition, comparative mass spectrometry (MS) analysis of the neuronal assemblies that formed under these conditions indicated that endogenous mouse -syn was excluded from the neo-aggregates elicited by iso1.1, while those sparked by iso3.1 contained both human and mouse -syn (Fig. 5, B and C). Thus, beyond a monomer concentration threshold and a fast clearance of the exogenous seeds, the inability of the iso1 family members to replicate in mouse neurons was probably also associated with a defective templating of mouse -syn monomers compared to a more natural templating of human -syn monomers, i.e., this was suggestive of a host-species specificity of the templating process for iso1.

(A) Neuronal synucleinopathic spread initiated by iso1 and iso3 in nave and human -syn overexpressing mouse neurons [see also (C)]. P value of the difference in bioactivity observed for the groups (n = 18 for each group) was calculated using a t test. (B) Schematic representation of the extraction analysis of insoluble proteins from neurons treated with iso1 and iso3 as in (A). (C) Pellets from (B) were analyzed by MS. Three peptides specific to mouse -syn, three specific to human -syn, and five common to both species were identified by MS. The species, sequence, and hit counts are represented in the table, as well as their sums, represented in the master protein rows. (D) Left images show typical somatic -syn inclusions that beacon the experimental synucleinopathy triggered by iso3 and 1B in our HCA assay (scale bars, 2.5 m). Right quantifications show that the intranuclear crisscrossed inclusions are distinctive of the synucleinopathy triggered by 1B and its offspring. The counts correspond to the number of somatic aggregates detected in 18 standardized image acquisition fields for each condition. (E) Left images show the extended neuritic synucleinopathy (and its analytical segmentation) caused by 1B compared to iso3 in the neuronal HCA assay. Right quantifications show the 1B/iso3 activity ratio with respect to the induction of neuritic synucleinopathy: This ratio appears to be a constant among all the particle generations produced from 1B and iso3; n = 9 for each group; the individual ratio values correspond to the ratio of random pairs of 1B group and iso3 group measurements. AAV, adeno-associated virus; DAPI, 4,6-diamidino-2-phenylindole.

In addition to iso3, we identified by serendipity a second polymorph, which we named 1B. It was also obtained by spontaneous generation in saline (fig. S3). Similar to iso3, this species was ThT-negative and was able to induce an extensive synucleinopathy in mouse cortical neurons (fig. S4). However, from a qualitative point of view, the synucleinopathy induced by 1B was characterized by many linear -syn aggregates in the lumen of the neuronal processes and by the occasional presence of a single v-shaped or crisscrossed -syn aggregate embedded in the nuclear chromatin of certain neurons (Fig. 5, D and E). In comparison, the synucleinopathy induced by iso3 was characterized by the frequent presence of cytoplasmic round or fuzzy -syn aggregates located in the soma and of few linear structures in the processes, while intranuclear aggregates were never observed in this case (Fig. 5, D and E). The ability to induce these specific patterns was inheritable among seed generations (parents, first generation; children, second generation; and grandchildren, third generation) and constituted distinctive sustainable traits (Fig. 5, D and E). This indicates that as with the type 1 and type 2 polymorph families that have been previously well characterized (1418), polymorphs are also populated by structurally distinct subfamilies, endowed with distinctive and inheritable replication patterns in neurons.

With regard to the florid neuritic synucleinopathy triggered by the polymorph 1B in cultured neurons, we reasoned that this polymorph could be particularly prone to trigger a synucleinopathy spreading over long distances along interconnected brain regions in vivo (40). Ten wild-type (WT) mice were unilaterally injected at the level of the substantia nigra pars compacta, with the polymorph 1B, and 10 sham-injected controls were performed in parallel (fig. S5A). Four months after the injection, secondary -syn aggregates were selectively found in the soma of neurons located in the ipsilateral dorsal striatum of the 1B-injected animals, indicating that the synucleinopathy propagated between interconnected brain regions (fig. S5, A to D). The rostral pattern of spread was generally consistent between animals. In some cases, however, the synucleinopathy also spread to the insular cortex and to the core of nucleus accumbens, suggesting transmission from the ventral tegmental area as well (fig. S5B). In agreement with our observation in cultured neurons, the synucleinopathy triggered by 1B resulted not only in the appearance of numerous somatic and neuritic aggregates (fig. S5, B to D) but also in neuronal nuclear inclusions (fig. S5, E to G).

These results prompted us to determine whether the aggregates that were newly formed in neurons exposed to polymorphs were conformational replicas of the exogenous seeds: in other words, whether they resulted from a bona fide conformational templating. To proceed with a comparative analysis of the polymorph iso3 and of its neuronal propagation products, we first tried to identify distinctive immunological and physicochemical features that could differentiate iso3 from the regular type 2 polymorph iso1 (14, 18) and that could be used to characterize the newly formed assemblies (Fig. 6). In that respect, we observed that the two types of amyloid particles isolated by density floatation exhibited different affinities for the conformation-dependent antibody Syn-F1. The staining of iso1 was much weaker than that of the polymorph iso3 (Fig. 6A). To determine whether this feature was inheritable, we put the daughter amyloid particles iso1.1 and iso3.1 and the grandchild particles iso1.1.1 and iso3.1.1 under scrutiny. After simple trapping on nitrocellulose and aldehyde fixation, we found that the two particle species indeed exhibited inheritance of their level of sensitivity toward Syn-F1 (Fig. 6B and fig. S6). Note that the conformational epitope recognized by Syn-F1 partially maps to the C terminus of -syn. Although the C terminus does not participate in the amyloid stack, it is likely that the topology of the amyloid fold that involves upstream regions of the protein still determines its level of exposure, its orientation, and probably its dynamics at the periphery of the fibrillar axis. Depending on the polymorph, aldehyde fixation could thus freeze the C terminus in different positions at the surface of the fibrils. This could account for the differential binding of Syn-F1 to iso1 and iso3.

(A) Density floatations of iso1 and iso3. Fractions filter-trapped and analyzed with Syn-F1 and MJFR1 (n = 3). Mean curves, bold lines; SD, shaded areas. (B) -syn monomers (gray), iso1.1 (dark green), iso1.1.1 (light green), iso3.1 (dark red), and iso3.1.1 (light red) filter-trapped and revealed as in (A). Syn-F1 to MJFR1 ratio plotted in a bar graph with individual n = 4 samples per group. P values were calculated with two-way ANOVA with Tukey correction. (C) Velocity sedimentations of iso1.1 (green) and iso3.1 (red) and of extracts from primary neurons (WT or AAV-hSyninfected) treated with iso1.1 or iso3.1. The fractions were filter-trapped and revealed with MJFR1, Syn-F1, and EP1536Y (top, representative immunoblots). Top: Iso1.1 PFF conditions are overexposed compared to iso3.1 to allow better visualization. Graphs show the quantification from n = 3 replicates per group of the absolute chemiluminescence signal (AU). Data presented are the mean curves (bold lines) with SDs (lighter shaded areas). (D) Filter trap of monomeric and -syn fibrils revealed with Syn-F1, Syn1, and MJFR1. Ratios of Syn-F1 and Syn1 to MJFR1 are plotted in a bar graph with individual n = 4 and n = 8 for monomers and fibrils, respectively. Multiple t tests, Holm-Sidak corrected for multiple comparisons, gave the indicated P values reflecting a specific immunoreactivity of -syn fibrils and monomers toward Syn-F1 and Syn1, respectively. (E) Iso1.1 (green) and iso3.1 (red) were subjected to guanidinium (GdnHCl), urea, and PK treatments [0 to 3.5 M GdnHCl, 1 hour, 25C; 0 to 6 M urea, 6 hours, 25C; and PK (0 to 3.5 g/ml), 30 min, 37C]; reaction aliquots were then filter-trapped and revealed with Syn-F1 (fibrillar, top graphs) or Syn1 (monomers, bottom graphs) (n = 3). Representative immunoblots are shown in fig. S6.

We next focused on iso1.1 and iso3.1 and added two upstream steps (i) harsh treatment with sarkosyl, mimicking the extraction and recovery procedures of insoluble -syn amyloids from neurons, and (ii) velocity sedimentation for size separation. These additional steps completely abolished the Syn-F1 immunoreactivity of iso1.1, while that of iso3.1 was preserved, further widening the immunoreactivity gap between the two species (Fig. 6C).

In the gradients of Fig. 6C, the MJFR1 antibody (human -synspecific) selectively detected the exogenous seeds and permitted their fate to be followed 3 weeks after treatment [see PFF (preformed fibril) and WT neurons rows]. EP1536Y, on the other hand, specifically detected the seeded newly formed amyloid aggregates. By comparing the results obtained with the two stains, it appears that neurons progressively clear the exogenous fibrils (MJFR1 column) and that the amyloids that newly replicate inside neurons (EP1536Y column) span a shorter size range compared to the input fibril seeds. As to the conformation-specific antibody Syn-F1, as one could have expected at this point, the newly formed -syn assemblies that proliferated inside the neurons expressing human -syn also inherited the specific all-or-none Syn-F1 immunoreactivity of the seed species used to inoculate the cultures (Fig. 6C and fig. S6). This indicated that seed speciesspecific templated growth occurred during propagation inside living neurons for both the regular type 2 polymorph iso1 (14, 18) and for the polymorph iso3.

Note that, apart from its solid-state NMR and fibrilloscope fingerprints and distinctive reactivity of its Syn-F1 epitope, the polymorph iso3 was otherwise undistinguishable from iso1 with respect (i) to its sensitivity to proteinase K (PK), (ii) to its resistance to urea or guanidinium chloride (Fig. 6, D and E), and (iii) to its gross fibrillary appearance (Fig. 2D). This indicates that both the fibrilloscope fingerprint and the Syn-F1 epitope exposure identify subtle arrangements of the fibril surface not reflected macroscopically yet encode a size distribution pattern of the amyloid assemblies (Figs. 2C and 6C), a particle proliferation rate (Fig. 4B), and neuronal and cytopathological spread patterns (Fig. 5) that are distinctive of polymorphs.

Our study demonstrates that spontaneous and uncontrolled emergence of polymorphs with exacerbated neuronal spreading abilities can take place during the standard preparation of PFFs (27). This clearly begs the question as to whether the bioactivity characterizing PFF preparations could be partly due to the unsuspected presence of these polymorphs. In that respect, it will be important to distinguish how much the increased pathology triggered by polymorphs in our study is due to its higher stability in mouse neurons versus a higher engagement with mouse -syn per se. Note that despite a minor stability compared to iso3 (Fig. 2E), replication of iso1 is restored when mouse neurons overexpress human -syn (Fig. 5A). This can be taken as an indication that engagement could be a greater determining factor here. This raises the question as to whether polymorphs can emerge in patients and contribute to the formation and spread of the cytopathological inclusions in synucleinopathies.

The ThT invisibility of polymorphs reported here could be taken as an indication that they are not the main components of these inclusions, as the latter consistently appears ThT positive in neuropathological studies. However, it should be kept in mind that our present ThT measurements concern native protein assemblies in saline and are both bulk phase and no wash. This means that when detected, the ThT signals are above the fluorescence background of unbound ThT under conditions where the probed volume is represented at >99% by the solvent phase that properly contains unbound ThT. Under these conditions, polymorphs like iso3 exhibit a very low ThT signal that is ~10-fold smaller than that of iso1 yet is ~4-fold higher than the corresponding monomer condition (Fig. 2A). This fourfold change detected in our bulk phase conditions is likely to be sufficient to grant an apparent ThT-positive status to inclusions containing polymorphs under histopathological detection conditions. In histopathology, ThT staining is performed on aldehyde-fixed sections in which the protein assemblies are cross-linked and often treated with organic solvents and/or detergents. The ThT fluorescence images are then acquired after washing the unbound ThT fraction. In addition, imaging interrogates the sample in a pixelwise fashion, and thus, for the pixels located at the proper level of an inclusion, probably over 50% of the probed volume corresponds to the assembly itself. Thus, inclusions concentrating polymorphs should appear ThT positive over a darker background in histopathology. Note, however, that in neuropathological sections, the ThT difference between the and regular polymorphs might also be blunted because of a possible impact of fixation/organic solvents/detergents on the physicochemical topology of the fibrils.

Recent observations suggest that polymorphs might well emerge under diseased conditions. Reminiscent of the ThT dichotomy characterizing and regular -syn polymorphs, -syn fibrils amplified from the cerebrospinal fluid and postmortem brain extracts of patients with multiple system atrophy (MSA) are respectively ~3 and ~10 times less ThT positive than the ones amplified from comparable samples of patients with PD (25). The ThT dichotomy reported in (25) appears likely to correspond to the detection of distinct -syn polymorphs, as the measurements with the HC-169 amyloid probe excluded a quantitative bias due to the amount of amyloids generated by the amplification procedure (25). In another study, -syn fibrils amplified from brain extracts from different patients with PD and MSA also exhibited variable ThT intensities and stained differently with a set of external fluorescent probes (41).

From a cytopathological point of view, the polymorph 1B triggers a florid Lewy neurite pathology and the frequent formation of -syn inclusions crisscrossing neuronal nuclei. This is intriguing since Lewy neurites are rather reminiscent of the neuropathological signs of PD, while the presence of neuronal nuclear inclusions is, instead, a very specific and early sign of MSA (42, 43).

Collectively, these results justify further characterization of the molecular and supramolecular organization of polymorphs and the identification of their specific neuronal protein interactome compared to ThT-positive -syn fibrils. This should aid in understanding the correlations that exist between the amyloid fold, the outer surface topology of the fibril polymorphs, and their specific interactions with the surrounding intraneuronal environment.

Escherichia coli strain BL21(DE3) plysS was transformed with pET24-syn vector by electroporation and plated onto Luria broth agar plate containing kanamycin (30 g/ml). A preculture in 5 ml of Luria broth medium was inoculated with one clone and incubated at 37C under 200 rpm shaking for 4 hours. The expression on -syn was carried out in M9 minimal medium containing 13C glucose (2 g/liter) and 15NH4Cl (1 g/liter) as carbon and nitrogen sources. Cells from the Luria broth preculture were recovered by centrifugation (1000g, 10 min) and used for inoculating 200 ml of M9 medium. Cells were grown overnight at 37C under 200 rpm shaking and then diluted in 2 liters of culture. Protein expression was induced by adding 1 mM isopropyl--d-thiogalactopyranoside during exponential phase, evaluated at an optical density at 600 nm reaching 0.8. Cells were harvested after 4 to 5 hours of culture at 37C by 6000g centrifugation (JLA 8.1, Beckman Coulter), and pellet was kept at 20C before purification. The site-specific nonphosphorylatable mutant S129A was obtained by site-directed mutagenesis of pET24-syn.

Pellet was thawed in 10 mM tris-HCl (pH 8.0), 1 mM EDTA, 1 mM phenylmethylsulfonyl fluoride, and Pierce EDTA-free protease inhibitor tablet (Thermo Fisher Scientific) buffer and sonicated three times for 45 s (Bandelin SONOPULS, VS70T probe) before centrifugation. The supernatant was boiled for 20 min and centrifuged. Streptomycin sulfate was added to the supernatant to a final concentration of 10 mg/ml, and the solution was stirred for 15 min at 4C and then centrifuged. Ammonium sulfate was added to the supernatant to a final concentration of 360 mg/ml, and the mixture was stirred for 15 min at 4C before centrifugation. These four centrifugations were performed at 20,000 rpm for 30 min and at 4C with a Beckman Coulter JA-25.5 rotor. The pellet was resuspended in 25 mM tris-HCl (pH 7.70) and dialyzed against the same buffer to eliminate salts. The dialyzed sample was injected onto a HiTrap Q HP column previously equilibrated with 25 mM tris-HCl (pH 7.70), and -syn was eluted around 250 M NaCl by steps from 0 to 500 mM NaCl with an KTA pure system. Fractions containing the protein were dialyzed against 20 mM tris-HCl (pH 7.40) and 100 mM NaCl buffer before loading onto a 75-pg HiLoad 26/600 Superdex column equilibrated with the same buffer with KTA pure system. Monomeric fractions were collected and concentrated if needed by using Vivaspin 15R 2-kDa cutoff concentrator (Sartorius Stedim). Purification fractions were checked by using polyacrylamide gel electrophoresis (PAGE) tris-tricine 13% dying with ProBlue Safe Stain. Protein concentration was evaluated spectrophotometrically by using absorbance at 280 nm and extinction coefficient of 5960 M1 cm1. Quantification of the preparations with a Pierce chromogenic LAL kit indicated a low endotoxin [lipopolysaccharide (LPS)] residual value: 0.03 to 0.06 EU per g of recombinant protein (44).

Solutions of monomeric -syn at 4 to 5 mg/ml in saline [H2O, 100 mM NaCl, and 20 mM tris-HCl (pH 7.40)] were sterilized by filtration with 0.22-m Millipore single-use filters and stored in sterile 15-ml conical falcon tubes at 4C. Sterilized stock was then distributed into safe-lock Biopur individually sterile-packaged 1.5-ml Eppendorf tubes as 500-l aliquots. The tubes were cap-locked and additionally sealed with parafilm. All previous steps were performed aseptically in a particle-free environment under a microbiological safety laminar flow hood. For comparative fibrillizations, all samples were loaded simultaneously in a ThermoMixer (Eppendorf) in a 24-position 1.5-ml Eppendorf tube holder equipped with a heating lid. Temperature was set to 37C, and shaking was set to 2000 rpm. Sampling for measurements during the fibrillization process was done by temporarily returning the samples under the microbiological safety laminar flow hood. Raising LPS by exogenous addition from the residual value of ~0.018 to 100 g/ml did not favor the appearance of ThT-positive assemblies under these fibrillization conditions (21).

Samples from the fibrillized -syn aliquots or of the control -syn monomers stored at 4C were diluted to 0.1 mg/ml in 100 l of phosphate-buffered saline (PBS) containing either 20 M ThT, 20 M X-34, 0.1% SYBR Green I (SG) commercial stock solution, or nothing else. The diluted samples were distributed either in 96-well plates (samples with probes) or in UVettes (Eppendorf) (samples without probe). After 20 min at room temperature protected from ambient light, the plates were read under orbital shaking in a BMG LABTECH FLUOstar OPTIMA fluorimeter. Excitation/emission wavelength pairs were 380 nm/520 nm for X-34, 450 nm/480 nm for ThT, and 485 nm/520 nm for SG. The UVettes were read at 280 nm using the 1-cm optical path with an Eppendorf biophotometer in absorbance mode to generate the A280 light attenuation readout.

Samples from the fibrillized -syn aliquots or of the control -syn monomers stored at 4C were diluted to 0.1 mg/ml in 100 l in PBS and distributed in cap-locked, sterile 0.5-ml polymerase chain reaction (PCR) tubes (Thermo Fisher Scientific). When relevant, sonication was performed at 25C in a Bioruptor Plus water bath sonicator (Diagenode) equipped with thermostatic control and automated tube carousel rotator. The sonication power was set to high, and 10 cycles of 30-s on followed by 10-s off were applied. The impact of this sonication protocol on the particle contents of the samples was scored using an NanoSight NS300 NTA platform (Malvern) (see Fig. 1D).

Timed pregnant C57BL/6J female mice were received from Charles River Laboratories 2 days before initiation of the primary culture. The cultures were synchronized with the -syn fibrillizations to use untouched amyloids in the bioassay. Cortices were harvested from embryonic day 18 mouse embryos and dissociated enzymatically and mechanically (using neural tissue dissociation kit, C Tubes, and an Octo Dissociator with heaters; Miltenyi Biotech, Germany) to yield a homogenous cell suspension. The cells were then plated at 20,000 per well in 96-well plates (Corning, BioCoat poly-d-lysine imaging plates) in neuronal medium (MACS Neuro Medium, Miltenyi Biotech, Germany) containing 0.5% penicillin-streptomycin, 0.5 mM alanyl-glutamine, and 2% NeuroBrew supplement (Miltenyi Biotech, Germany). The cultures were maintained with 5% CO2 at 37C in humidified atmosphere. The medium was changed by one-third every 3 days, until a maximum of 30 DIV (days in vitro). In such cultures, and under control conditions, neurons represented approximately 85 to 95% of the cell population; thus, in the text and for the sake of simplicity, they are referred to as neurons. After 7 DIV, vehicle and -syn amyloidcontaining samples were added at a final concentration of 10 nM equivalent monomeric concentration. When relevant, neurons were infected at DIV 10 with -syn AAV (adeno-associated virus) particles (multiplicity of infection, 1000). All antibodies used and shown in the study are summarized in table S1. For live-dead analysis, DIV 30 cultures were loaded with 1 M calcein-AM for 30 min at 37C, the plates were washed with Hanks balanced salt solution (pH 7.4), and the de-esterified calcein retained in the living neurons was immediately imaged using Incucyte S3.

Recombinant AAV9-CMVie/SynP-wtsyn-WPRE vector containing the sequence of human -syn put under control of the human synapsin promoter was produced by polyethylenimine-mediated triple transfection of low-passage human embryonic kidney293T/17 cells (American Type Culture Collection; catalog number CRL-11268). The AAV expression plasmid pAAV2-CMVie/hSyn-wtsyn-WPRE-pA was cotransfected with the adeno helper pAd Delta F6 plasmid (Penn Vector Core, catalog number PL-F-PVADF6) and AAV Rep Cap pAAV2/9 plasmid (Penn Vector Core, catalog number PL-T-PV008). Cells are harvested 72 hours after transfection, resuspended in lysis buffer [150 mM NaCl and 50 mM tris-HCl (pH 8.5)], and lysed by three freeze-thaw cycles (37C/80C). The cell lysate was treated with Benzonase (150 U/ml; Sigma-Aldrich, St. Louis, MO) for 1 hour at 37C, and the crude lysate was clarified by centrifugation. Vectors are purified by iodixanol step gradient centrifugation and concentrated and buffer-exchanged into lactated Ringers solution (Baxter, Deerfield, IL) using Vivaspin 20 100-kDa cutoff concentrator (Sartorius Stedim, Gttingen, Germany).The genome-containing particle titer was determined by quantitative real-time PCR using the LightCycler 480 SYBR Green Master mix (Roche, catalog number 04887352001) with primers specific for the AAV2 inverted terminal repeats (forward, 5-GGAACCCCTAGTGATGGAGTT-3 and reverse, 5-CGGCCTCAGTGAGCGA-3) on a LightCycler 480 instrument. Purity assessment of vector stocks was estimated by loading 10 l of vector stock on 10% SDS acrylamide gels, and total proteins were visualized using the Krypton Infrared Protein Stain according to the manufacturers instructions (Life Technologies).

Stock preparations of amyloid fibrils [4 to 5 mg/ml in tris-buffered saline (TBS)] were diluted to a final concentration of 0.1 mg/ml in TBS. The equivalent of the quantity of recombinant human -syn fibrils used for the treatment of one petri dish of primary neurons (1.66 g) was diluted in 500 l of final volume with solubilization buffer (SB): 10 mM tris (pH 7.5), 150 mM NaCl, 0.1 mM EDTA, 1 mM dithiothreitol, cOmplete EDTA-free protease inhibitors (Roche), and PhosSTOP phosphatase inhibitors (Roche), with a final concentration of 1% (w/v) N-lauroyl-sarcosine (sarkosyl, Sigma-Aldrich), 2 mM MgCl2, and Benzonase nuclease (~0.5 U/l; Millipore). For treated primary neuron solubilization, 500 l of SB was added per petri dish at room temperature. Cells were scraped with a scraper before transferring the lysate in a 1.5-ml centrifuge tube. Fibrils or primary neuron lysates were then solubilized by incubating at 37C under constant shaking at 600 rpm (ThermoMixer, Eppendorf) for 45 min.

Sedimentation velocity and density floatation gradient fractionations were performed as previously published (32). Briefly, for velocity sedimentations, a volume of 400 l was loaded on top of an 11-ml continuous 10 to 25% iodixanol gradient [OptiPrep, 60% (w/v) iodixanol, Sigma-Aldrich] in SB with 0.5% (w/v) sarkosyl linearized directly in ultracentrifuged 12-ml tubes (Seton) with a Gradient Master (Biocomp). For density floatation gradients, 400 l of solubilized material was diluted in SB with 50% iodixanol and 0.5% (w/v) sarkosyl to make a final concentration of 40% iodixanol. This sample-containing cushion was loaded within an 11.4-ml 10 to 60% discontinuous iodixanol gradient in SB with 0.5% (w/v) sarkosyl. The gradients were centrifuged at 200,000g for 2.5 hours at room temperature (velocity) or at 180,000g for 16 hours at 4C (density) in a swinging-bucket SW-41 Ti rotor using an Optima LE-80K ultracentrifuge (Beckman Coulter). Gradients were then segregated into 16 equal fractions from the top using a piston fractionator (Biocomp) and a fraction collector (Gilson). Fractions were aliquoted for further analysis of their content by dot blot, immunoblot on SDS-PAGE, or native PAGE. Gradient linearity was verified by refractometry.

For filter trap assays, native fractions were spotted onto nitrocellulose 0.2-m membranes (Protran, GE) using a dot blot vacuum device (Whatman). Nitrocellulose membranes were fixed for 30 min in PBS with paraformaldehyde (PFA) at 0.4% (v/v) (Sigma-Aldrich) final concentration. After three washes with PBS, membranes were blocked with 5% (w/v) skimmed powder milk in PBS-Tween 0.5% (v/v) and probed with primary and secondary antibodies in PBS-Tween with 4% (w/v) bovine serum albumin (table S1). Immunoreactivity was visualized by chemiluminescence (Bio-Rad). The amount of the respective protein in each fraction was determined by the Image Studio Lite software after acquisition of chemiluminescent signals with a ChemiDoc digital imager (Bio-Rad). The profiles obtained were normalized and plotted with SD, all with respective Students t test and analysis of variance (ANOVA) using the Prism software.

Fibril-treated primary neuron lysates were prepared from a petri dish as previously described for velocity and density gradients. For extraction of insoluble proteins, 500 l of solubilized lysates were mixed 1:1 with SB 40% (w/v) sucrose, without sarkosyl, MgCl2, and Benzonase, in 1-ml thickwall polycarbonate ultracentrifuge tubes (Beckman Coulter) and centrifuged at 250,000g for 1 hour at room temperature with a TLA 120.2 rotor using an Optima XP benchtop ultracentrifuge (Beckman Coulter). Supernatants were collected by pipetting. Pellets were resuspended in 50 l of PBS, and total protein concentration was determined by bicinchoninic acid assay (Pierce) before equalization and denaturation for 5 min at 100C in Laemmli buffer.

Sample preparation and protein digestion. Ten micrograms of total protein per sample was deposited onto SDS-PAGE gel for concentration and cleaning purpose. Separation was stopped once proteins have entered the resolving gel. After colloidal blue staining, bands were cut out from the SDS-PAGE gel and subsequently cut into 1 mm by 1 mm gel pieces. Gel pieces were destained in 25 mM ammonium bicarbonate/50% acetonitrile (ACN), rinsed twice in ultrapure water, and shrunk in ACN for 10 min. After ACN removal, gel pieces were dried at room temperature, covered with the trypsin solution (10 ng/l in 50 mM NH4HCO3), rehydrated at 4C for 10 min, and lastly incubated overnight at 37C. Spots were then incubated for 15 min in 50 mM NH4HCO3 at room temperature with rotary shaking. The supernatant was collected, and an H2O/ACN/HCOOH (47.5:47.5:5) extraction solution was added onto the gel slices for 15 min. The extraction step was repeated twice. Supernatants were pooled and dried in a vacuum centrifuge. Digests were lastly solubilized in 0.1% HCOOH.

Nanoliquid chromatographytandem MS analysis and label-free quantitative data analysis. Peptide mixture was analyzed on an UltiMate 3000 Nano LC system (Dionex) coupled to an Electrospray Orbitrap Fusion Lumos Tribrid mass spectrometer (Thermo Fisher Scientific). Ten microliters of peptide digests was loaded onto a 300-minner diameter 5-mm C18 PepMap trap column (LC Packings) at a flow rate of 10 l/min. The peptides were eluted from the trap column onto an analytical 75-mminner diameter 50-cm C18 PepMap column (LC Packings) with a 4 to 40% linear gradient of solvent B in 105 min (solvent A was 0.1% formic acid, and solvent B was 0.1% formic acid in 80% ACN). The separation flow rate was set to 300 nl/min. The mass spectrometer operated in positive ion mode at a 1.8-kV needle voltage. Data were acquired using Xcalibur 4.1 software in data-dependent mode. MS scans [mass/charge ratio (m/z), 375 to 1500] were recorded at a resolution of R = 120,000 (at m/z of 200) and an AGC target of 4 105 ions collected within 50 ms. Dynamic exclusion was set to 60 s, and top speed fragmentation in HCD mode was performed over a 3-s cycle. Tandem MS scans with a target value of 3 103 ions were collected in the ion trap with a maximum fill time of 300 ms. In addition, only +2 to +7 charged ions were selected for fragmentation. Other settings were as follows: no sheath or auxiliary gas flow; heated capillary temperature, 275C; normalized HCD collision energy of 30%; and an isolation width of 1.6 m/z. Monoisotopic precursor selection was set to peptide, and an intensity threshold was set to 5 103.

Database search and results processing. Data were searched by SEQUEST through Proteome Discoverer 2.3 (Thermo Fisher Scientific) against the Mus musculus Reference Proteome Set (from UniProt 2019-07; 55,121 entries). Spectra from peptides higher than 5000 Da or lower than 350 Da were rejected. The search parameters were as follows: Mass accuracy of the monoisotopic peptide precursor and peptide fragments was set to 10 parts per million and 0.6 Da, respectively. Only b-ions and y-ions were considered for mass calculation. Oxidation of methionines (+16 Da) and protein N-terminal acetylation (+42 Da) were considered as variable modifications, and carbamidomethylation of cysteines (+57 Da) was considered as fixed modification. Two missed trypsin cleavages were allowed. Peptide validation was performed using Percolator algorithm, and only high confidence peptides were retained corresponding to a 1% false-positive rate at peptide level. Peaks were detected and integrated using the Minora algorithm embedded in Proteome Discoverer. Proteins were quantified on the basis of unique peptide intensities. Normalization was performed on the basis of total protein amount. Protein ratios were calculated as the median of all possible pairwise peptide ratios. A t test was calculated on the basis of background population of peptides or proteins. Quantitative data were considered for proteins quantified by a minimum of two peptides, fold changes above two, and a statistical P value lower than 0.05.

Fibril stock preparations (4 to 5 mg/ml in TBS) were diluted to a final concentration of 0.1 mg/ml in TBS. For each guanidine hydrochloride (guanidinium, GdnHCl; Sigma-Aldrich), urea (Sigma-Aldrich), and PK (Sigma-Aldrich) concentration, 10 l (1 g) of PFF was mixed 1:1 with 10 l of stock solutions to make 0, 0.5, 1, 1.5, 2, 2.5, 3, and 3.5 M GdnHCl final concentrations; 0, 0.5, 1, 2, 3, 4, 5, and 6 M urea final concentrations; and 0, 0.5, 1, 1.5, 2, 2.5, 3, and 3.5 g/ml PK final concentrations. Mixtures were gently vortexed before incubation for 1 hour at room temperature for GdnHCl, 6 hours at room temperature for urea, and 30 min at 37C for PK. At the end of the incubation period, treatments were stopped by quickly diluting the samples with 500 l of PBS and directly subjecting them (100 l per immunoblotting antibody) to filter-trap assay as previously described. The different -syn species were quantified by immunolabeling with conformation-specific, monomeric, or pan -syn antibodies (table S1) and expressed as a percentage of related untreated samples, allowing to draw curves of PFF disassembly, denaturation, and proteolysis with GdnHCl, urea, and PK, respectively.

In vivo experimental synucleinopathy. Adult male C57BL/6 mice were bred at the Institute of Lab Animal Science (Chinese Academy of Medical Sciences, Beijing, China). All mice were housed in a temperature-controlled (22C) and light-controlled environment on a 12-hour light/12-hour dark cycle at the Institute of Lab Animal Science animal care facility with access to food and water ad libitum. The study design was approved by the Institute of Lab Animal Science Institutional Animal Care And Use Committee (Chinese Academy of Medical Sciences, Beijing, China), and all experimental procedures were conducted in accordance with the European Communities Council Directive (2010/63/EU) for care of laboratory animals in an AAALAC-accredited facility. The mice (2 months old) unilaterally received 2 l of sonicated polymorph -syn fibrils 1B (2.5 mg/ml) by stereotactic delivery to the region immediately above the right substantia nigra (coordinates from bregma: AP, 2.9; L, 1.3; DV, 4.5) at a flow rate of 0.4 l/min, and the pipette was left in place for 5 min after injection to avoid leakage. Animals were euthanized after 4 months. Ten mice were used in each group, with male and female mixed. The brains were perfused with saline, postfixed for 3 days in 10 ml of 4% PFA at 4C, cryoprotected in gradient 20% sucrose in PBS before being frozen by immersion in a cold isopentane bath (60C) for at least 5 min, and stored immediately at 80C until sectioning. After serial sectioning, the sections were stained using the primary antibodies EP1536Y (Abcam) for detecting phospho S129positive -syn amyloid aggregates [dilution 1:5000 for immunohistochemistry (IHC) and 1:500 for immunofluorescence (IF)]. The slides were acquired using a Pannoramic slide scanner for IHC, and an Incucyte S3 High Content Imager (Sartorius) with a homemade 3D-printed slide holder for IF.

Electron microscopy. Aliquots of fibrillized samples were diluted with water, and one drop was applied to glow-discharged 300-mesh carbon-coated copper grids for 1 min. Grids were washed with one drop of water before being negatively stained with 2% uranyl acetate and dried for 5 min in the dark. Samples were observed using a Philips CM 120 (high-voltage 120 kV, lanthanum hexaboride filament) transmission electron microscope in low dose mode. Images were acquired using a Gatan US1000 (charge-coupled device) camera.

Solid-state NMR. All spectra were recorded on a Bruker NEO 800-MHz (1H Larmor frequency) spectrometer with an ultrafast Bruker 0.7-mm HCND probe. The 0.7-mm rotor was placed into a 1.3-mm rotor with a rubber plug from the bottom. Approximately ~200 l of fibrils resuspended in H2O was pipetted in a funnel of filling tool, and it was spun for ~18 hours at 12C at 29,500 rpm (with an SW32Ti Beckman ultracentrifugation rotor). The detailed NMR experimental parameters are described in tables S2 and S3.

Acknowledgments: We thank L. A. Largitte, L. Basurco, M. L. Thiolat, T. H. Nguyen, N. Biendon, and S. Dovero for technical help; T. Boraud and J.-P. Mazat for critical reading of the manuscript; and A. R. Crossman, Emeritus Professor, University of Manchester, UK, who read the revised the manuscript and made suggestions to improve readability. Funding: The project was conducted using financial support from the Region Nouvelle Aquitaine, the Grand Prix from the Del Duca Foundation, the European Research Council (ERC-2015-StG GA no. 639020), the Swiss National Science Foundation for early postdoc mobility project P2EZP2_184258, the CAMS Innovation Fund for Medical Sciences (CIFMS) grant (2016-I2M-2-006), the SAFEA: Introduction of Overseas Talents in Cultural and Educational Sector (G20190001626), the National Natural Science Foundation of China Grant (31970510), and the Innovative Medicines Initiative 2 Joint Undertaking under grant agreement no. 116060 (IMPRiND). This Joint Undertaking receives support from the European Unions Horizon 2020 research and innovation programme and EFPIA. This work is supported by the Swiss State Secretariat for Education Research and Innovation (SERI) under contract number 17.00038. The opinions expressed and arguments used herein do not necessarily reflect the official views of these funding bodies. We thank the IR-RMN THC FR3050 CNRS and the Biophysical and Structural Chemistry platform (BPCS) at IECB for the access granted to their facilities. Author contributions: Conceptualization: F.D.G. and F.I. Validation and supervision: F.D.G., E.B., and F.I. Investigation and formal analysis: F.D.G., F.L., F.I., F.Z., A.Le., M.B., X.Y., E.M., A.G., E.D., B.H., N.D., J.D., S.C., and A.Lo. Methodology: F.D.G., F.I., F.L., B.H., E.F., C.Q., and A.Lo. Visualization: F.L., F.D.G., and F.I. Writing (original draft preparation): F.I. Writing (review and editing): F.D.G., F.L., E.B., B.H., A.Lo., and F.I. Competing interests: The authors declare that they have no competing interests. Data and materials availability: All data needed to evaluate the conclusions in the paper are present in the paper and/or the Supplementary Materials. Additional data related to this paper may be requested from the authors.

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Novel self-replicating -synuclein polymorphs that escape ThT monitoring can spontaneously emerge and acutely spread in neurons - Science Advances

Nuclear WRAP53 promotes neuronal survival and functional recovery after stroke – Science Advances

Failure of neurons to efficiently repair DNA double-strand breaks (DSBs) contributes to cerebral damage after stroke. However, the molecular machinery that regulates DNA repair in this neurological disorder is unknown. Here, we found that DSBs in oxygen/glucose-deprived (OGD) neurons spatiotemporally correlated with the up-regulation of WRAP53 (WD40-encoding p53-antisense RNA), which translocated to the nucleus to activate the DSB repair response. Mechanistically, OGD triggered a burst in reactive oxygen species that induced both DSBs and translocation of WRAP53 to the nucleus to promote DNA repair, a pathway that was confirmed in an in vivo mouse model of stroke. Noticeably, nuclear translocation of WRAP53 occurred faster in OGD neurons expressing the Wrap53 human nonsynonymous single-nucleotide polymorphism (SNP) rs2287499 (c.202C>G). Patients carrying this SNP showed less infarct volume and better functional outcome after stroke. These results indicate that WRAP53 fosters DNA repair and neuronal survival to promote functional recovery after stroke.

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Nuclear WRAP53 promotes neuronal survival and functional recovery after stroke - Science Advances

Researcher addresses why big numbers boggle the mind – University of Miami

Linguist Caleb Everett reminds us that the mind has yet to grasp the modern worlds explosion of massive numbers and that its natural that were numbed by references to millions and billions.

As the numbersfor COVID-19, populations, net worth, jobless claims, people living in povertycreep past five, then 10, and into the hundreds, thousands, millions, and billions, our 21st-century hearts and minds begin to cloud, befuddled by quantities with a meaning that seems almost to diminish to us as the numbers increase.

Its a nature thing, an inherent bias at play, explained Caleb Everett, professor and chair of the Department of Anthropology in the University of Miami College of Arts and Sciences.

We encounter the distinctions of one vs. two vs. three frequently in nature, yet the distinction of seven to eight not that often, said Everett. Lots of languages make the singular vs. plural distinction, but languages dont make any distinction say between six vs. seven, other than with number words.

It makes sense that we as a species would evolve capacities that are naturally good at discriminating small quantities and naturally poor at discriminating large quantities, he said.

Everett pointed to research of young children in Western societies indicating that numbers are perceived in a logarithmic fashion. When prompted to place markers on a 1 to 100 number line, young children will generally misjudge the accurate distance.

Before theyre well trained in school, children will always have the one far apart from the two far apart from the three, and then it gradually declines, Everett said. Fifty and 100 could be almost as far apart on the line as one and two, since higher number differences are naturally compressed in our minds.

Everett noted that the usage of a single word for million didnt existbecause there was no need for ituntil the 14th century, when it appeared, translated from the French in Chaucers Canterbury Tales. Until then the sum was expressed, if it was at all, by combining existing word numbers, such as pusend pusendor a thousand thousand from Old English.

Yet our modern world is increasingly inundated with astronomically large numbersnumbers that, despite the human tragedy they might tell, often leave us unfazed.

The best we can do, Everett suggested, is to contextualize the numbers, i.e. break them down so that they make sense for our own experience.

Numbers dont make sense in a vacuumif we say 10,000 have died thats massive for some things, he said. Yet about 155,000 people die every day in the world under normal circumstances. Weve seen more of people talking about the figures compared to death on a normal day. If you just throw out the numbers, the numbers are massive, but theres a massive amount of people.

Everett was careful to not trivialize the number of deaths related to COVID-19 and said the tendency to associate and compareto contextualizeis an attempt to enhance meaning.

How do we make sense of those numbers of victims in the big scheme of things, in a world with seven and a half billion people? he questioned. Were just not good at that, and it makes sense that were not good at that because these are very recent distinctions that weve had to makedistinctions that were not imminently relevant to our survival over the bulk our our species history.

In his most recent book, Numbers and the Making of Us, Everett proposed that numbers shape our perceptions of the world and documented that numbers systems are learned and not inherentnot all cultures even have number systems. He used the concept of a cultural ratchet to explain how we pass learning from generation to generation.

But the scale of numbers we use todaymillions and billionshas yet to be ratcheted into our understanding.

He noted other primal and natural tendencies in the polarized reactions we are seeing currently to the COVID-19 scenario.

The tribalized camps in society and the way the culture gets transmitted in certain groups [but not in others], such as in social media, reflect the primal tendencies of our species, he said.

Faced with the persistent challenges of the pandemic landscape, he noted the natural bias that causes many to gravitate toward fearful and negative news.

Being attuned to negative things is more important for survival, Everett said. Paying a lot of attention to negative or harmful things from a survival standpoint and the reproduction of your genes makes sense.

He referenced research showing that humankind has progressed during the past few decades in areas such as medicines to cure disease, life expectancy, global wealth, new technologies, among othersprosperity which creates a new challenge for the human species.

In terms of revolutionary biases, focusing on positive things doesnt necessarily help the odds of reproduction, Everett said. The person who is fearful to some extent is going to avoid dangers and is likely to survive and reproduce.

As numbers continue to increase and if humankind does manage to generate more sustained prosperity, our natural biases will also have to adapt, he suggested.

In the same way that numbers as a cultural technology gives us the ability to be more precise with larger quantities, cultural practices of educating ourselves in the way that things are positive can help us address the natural bias that causes us to focus on negative things. If were using our biases in a constructive way, Everett said, maybe thats great.

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Researcher addresses why big numbers boggle the mind - University of Miami

Opinion: Iain Macwhirter: The left must stop making fools of themselves with daft campaigns – HeraldScotland

FOR most of the 20th century being on the political left meant supporting a set of principles dating from the European Enlightenment. Humanism, progress, freedom of speech, scientific objectivity, tolerance. Somehow in the 21st century, the left seems to be choosing a different course.

Last week, many supposed left-wingers openly celebrated Edinburgh University's cancelling of David Hume, arguably the greatest philosopher of the Enlightenment.

Hume's name is to be erased from the university precincts because of a 1758 footnote which suggested he thought non-white races were incapable of becoming civilised. The David Hume Tower will now be called 40 George Square. This is a bit like cancelling the Parthenon because the Greeks held slaves and calling the Acropolis by its Athens post code.

Robert Burns is accused of racial iniquity because he considered working on a slave plantation in the West Indies a career move which was common amongst his contemporaries. Yet his poetic works, from A Man's a Man to The Slave's Lament, should demonstrate to anyone sensible that Burns was no racist bigot, though like Hume he was a product of his times.

This silly inquisition of historical figures has become an obsession. Even Sartre and De Beauvoir are sin-binned along with Einstein and Bertrand Russell. Many of these self-righteous accusers believe themselves to be followers of Karl Marx without understanding his debt to philosophers like Hume, Kant and Hegel, who would all fail the woke test of moral probity.

Marx himself wrote far worse than any of Hume's footnotes. In On The Jewish Question the father of communism said: What is the worldly religion of the Jew? Huckstering. What is his worldly God? Money. Money is the jealous god of Israel in face of which no other god may exist. It can surely only be a matter of time before Marx himself is cancelled by the witch-finders of the left.

By comparison, the old rogue Henry Dundas, he of the maligned pillar in St Andrews Square, comes out as rather benign, woke even. The former Scottish Secretary was an abolitionist, albeit a gradualist, and made his name as a lawyer by defending a runaway slave, Joseph Knight, in a case that established that slavery was unlawful in Scotland.

Unthinking denunciation has led to repeated historical blunders. Take the campaign against singing Rule Britannia at the last night of the Proms. A BBC Songs of Praise producer, Cat Lewis, compared this to celebrating the Holocaust. Yet Rule Britannia has nothing to do with slavery or race. Its a unionist anthem, written by a Scottish poet, James Thomson, in 1740 to celebrate the Glorious Revolution and the end of absolutist tyranny.

Many of the Twitter left's obsessions are even more risible. The boycotting of Tory Yorkshire Tea, decolonising the school curriculum, accusing people of cultural appropriation if they wear dreadlocks or fancy dress.

One of the saddest aspects of the contemporary left is an inability to laugh at itself.

During the December general election, Labour's Equalities spokeswoman, Dawn Butler, announced that children are born without a sex. She believes that sex is assigned to babies at birth, presumably by transphobic midwives, and not observed. Biological sex is thus a matter of personal choice not scientific reality.

The Scottish Government seems to agree and will advise people to self-identify their sex in the (delayed) national census, thus rendering the most important collection of social statistics unreliable.

Sexual liberation and the abolition of laws against homosexuality are of course among the greatest achievements of Enlightenment thinking. Trans people are direct beneficiaries of humanism, individualism and intellectual freedom. But the gender left seems to prefer dogmatism. Ms Butler went on to say that to talk about penises and vaginas doesn't help because then you're saying that a transwoman isn't a woman.

To suggest that a transgender woman is not literally female is, in her view, transphobic. She went further and said that it is a hate crime.

This has nothing to do with trans rights since no one is suggesting that transgenderism should be made illegal or should lead to discrimination. Yet, feminist writers like JK Rowling, Julie Blindel and Beatrix Campbell have been vilified for arguing that sex is real, and that if saying so is transphobic then so are textbooks on human reproduction.

Hate crime is more than an empty threat too. Under the Scottish Government's Hate Crime Bill, such remarks could very well lead to prosecution for stirring up hatred, if enough people claim they feel abused or threatened by them. It doesn't matter that you had no intention of abusing or threatening anyone. Thus has a supposedly left-wing leader, Nicola Sturgeon, adopted a policy that even the Scottish Police Federation say will damage freedom of speech.

So why has the left departed from liberal values? Well, possibly because most of the great campaigns of the liberal era have been won. Abortion is legal, as is homosexuality, same sex marriage and no-fault divorce. Public attitudes towards sexual minorities, including transwomen, have changed out of all recognition. From being feared and demonised, gay and trans people are now celebrated in the media for their creativity and vision.

Women are legally equal under the law and even the gender pay gap is disappearing at the BBC. Similarly, no one thinks black people should be discriminated against, apart from a handful of knuckle-dragging racists. The British Social Attitudes Survey repeatedly confirms that British people are more liberal and open minded than at any time in history.

Perhaps the left is just a victim of it own success. Youthful radicals, devoid of targets, have taken to attacking statues, biology and what is called white privilege, the intersectional doctrine that all white people are racist even if they aren't.

The left used to celebrate being colour blind to race. Martin Luther King said that people should be judged on the content of their character rather than the colour of their skin. Now race writers like Reni Eddo-Lodge proudly say they are no longer talking to white people about race, thus dismissing them because of the colour of their skin.

Environmentalism came in from the cold many years ago and anthropogenic climate change is now a political consensus endorsed by Conservatives like Boris Johnson. Polls show that voters now see global warming as a real and present danger. Oil companies are turning into renewable energy corporations because they realise the fossil fuel economy is dying.

This consensus doesn't leave a lot of room for environmental radicals, which is probably why Extinction Rebellion has been getting into difficulties. Disrupting the green London underground and preventing newspapers being published are actions so counter-productive you'd be forgiven for thinking they were the work of agent provocateurs.

And let's not even start on the drive to defund the police which has largely remained a US phenomenon, despite determined efforts to import to Britain the idea that you can have justice without law-enforcement.

Perhaps this infantile leftism, as Lenin called it, is just a phase, magnified by social media. Perhaps Sir Keir Starmer will halt the left's flight from enlightenment. Hell have to if Labour is to win power again.

Our columns are a platform for writers to express their opinions. They do not necessarily represent the views of The Herald.

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Opinion: Iain Macwhirter: The left must stop making fools of themselves with daft campaigns - HeraldScotland

TbRAP1 has an unusual duplex DNA binding activity required for its telomere localization and VSG silencing – Science Advances

Localization of Repressor Activator Protein 1 (RAP1) to the telomere is essential for its telomeric functions. RAP1 homologs either directly bind the duplex telomere DNA or interact with telomere-binding proteins. We find that Trypanosoma brucei RAP1 relies on a unique double-stranded DNA (dsDNA) binding activity to achieve this goal. T. brucei causes human sleeping sickness and regularly switches its major surface antigen, variant surface glycoprotein (VSG), to evade the host immune response. VSGs are monoallelically expressed from subtelomeres, and TbRAP1 is essential for VSG regulation. We identify dsDNA and single-stranded DNA binding activities in TbRAP1, which require positively charged 737RKRRR741 residues that overlap with TbRAP1s nuclear localization signal in the MybLike domain. Both DNA binding activities are electrostatics-based and sequence nonspecific. The dsDNA binding activity can be substantially diminished by phosphorylation of two 737RKRRR741-adjacent S residues and is essential for TbRAP1s telomere localization, VSG silencing, telomere integrity, and cell proliferation.

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TbRAP1 has an unusual duplex DNA binding activity required for its telomere localization and VSG silencing - Science Advances

Dolphin reproductive research aided by UH drones – West Hawaii Today

A resident dolphin mother and her new calf at the Hilton Waikoloa Village are helping scientists to evaluate the increasing pressures on wild dolphin populations such as Hawaiis spinner dolphins.

The University of Hawaii at Manoas Marine Mammal Research Program and Dolphin Quest are collaborating on a scientific drone study aimed at better understanding the health of dolphin populations.

Scientists are concerned that frequent human activities in the spinner dolphins environment are disrupting the dolphins natural behaviors, which may be adversely affecting their reproduction.

Fabien Vivier, a PhD student with MMRP, has been operating a drone over a pregnant bottlenose dolphin at the Dolphin Quest facility at the Hilton Waikoloa Village on Hawaii Island. He collected baseline data in order to do the same on the open ocean to detect pregnancy in female dolphins. This will help to estimate pregnancy rates for the populations of dolphins in the wild.

Studying dolphins at Dolphin Quest is really helpful, because it allows us to verify our methodologies at a specific known stage of pregnancy, which couldnt be accomplished working only in the wild, Vivier said. This information is quite relevant to studying and conserving other species such as Hawaiis spinner dolphins because, even though the species are different, they share many similarities. If we are able to detect pregnancy from a drone perspective in the bottlenose dolphin, the likelihood of detecting pregnancy in a spinner dolphin is very good.

Scientists said continuing reproduction supports critical wildlife conservation and is also good for the dolphin social group.

Reproduction and calf-rearing is important for dolphin welfare. It is a natural and enriching social behavior for dolphins in the wild and in modern zoos, aquariums and marine life parks, said Dolphin Quest Marine Mammal Reproduction Specialist Holley Muraco. Accredited facilities like Dolphin Quest have excellent reproductive success, which leads to long-term population sustainability and eliminates the need for collection from the wild.

Vivier said the next step of surveying spinner dolphins in the wild is scheduled for October. He plans to tweet about the experience through the MMRPs Twitter account.

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Dolphin reproductive research aided by UH drones - West Hawaii Today

What are the Signs & Symptoms of Endometriosis? – HealthCentral.com

If youre a woman, youre probably intimately familiar with the abdominal pain and cramps that pop up once a month during your period. Generations of women have been taught that its normal to feel menstrual painbut a new wave of doctors say thats not always the case: Sometimes, pelvic pain can be a sign of a serious condition called endometriosis, and if you dont address it quickly, your future fertility could be at risk. These are some of the signs and symptoms that something more than just period pain is going on.

To understand endometriosis, first you need to know about the endometrium: Thats the lining inside the uterus that builds up once a month to allow for the implantation of a fertilized egg in the womb. If theres no fertilized egg, theres no need for a cushy lining, so the body sheds that layeralso know as having your period if youre a woman. Whats shed is a mixture of blood, vaginal secretions, and endometrial cells.

But sometimes, the blood flow gets mixed up, and instead of flowing out, it flows up, going back through the fallopian tubes and into the pelvis. Endometrial cells that mistakenly ended up in the pelvis can attach onto its walls, as well as the outside of the uterus, the fallopian tubes, or any of the organs within the pelvis. Those adventurous cells arent where theyre supposed to be, but they still try to perform the task they were designed for, and that is to collect blood to form a lining and release the blood if theres no baby on board.

Thats what endometriosis is: The growth of endometrial cells and development of thick tissue outside of the uterus that can lead to inflammation, lesions, and scarring. This tissue can grow on other organs, reducing blood flow and raising the risk of fertility issues. Endometriosis can cause intense painor none at all.

The biggest risk factor for this condition is being female (not much you can do there!). There also seems to be a genetic component involved, so if your mother, aunt, or sisters have endometriosis, you have a higher likelihood of getting it, too.

Experts estimate that 11% of reproductive-age women have endometriosis worldwide, yet here in the U.S., it can take up seven to 12 years for a proper diagnosis. That decade of pain can be attributed to a mix of factors, including limited access to care, a stigma around pelvic pain and menstruation-related complaints, and doctors who dont fully understand how to treat it.

Experts suspect endometriosis is caused by something know as retrograde menstruation. This is when menstrual fluid (blood, vaginal fluid, and endometrial cells) flows upwards rather than down and out of the body. In retrograde menstruation, the fluid is released into the pelvic cavity, overwhelming the bodys ability to remove it. This gives the endometrial cells the opportunity to find a new home. And thats the start of endometriosis.

Additionally, endometriosis can happen when endometrial cells are released into the abdomen during a surgery, such as a c-section. There are also theories that involve cells outside of the uterus mimicking endometrial cells when theyre activated by certain hormones, like estrogen.

For women who have severe cases of endometriosis, their main symptom is pain which can express itself in several different ways. Heres what to look for.

Chronic pelvic pain: There may be dull cramping throughout a womans cycle, not only when she is bleeding. Those who suffer from chronic pelvic pain (40% to 50% of those with endometriosis) often report that it gets worse when they have their period.

Constipation: If endometriosis occurs on the bowels or lower intestine, it can lead to constipation.

Heavy menstrual bleeding: Symptoms of so-called menorrhagia can include needing to use double sanitary protection (like a tampon and a pad), bleeding for more than seven days, passing blood clots larger than a quarter, and soaking through at least one pad or tampon every hour for several hours. Drop everything and go to the doctor ASAP if you have menstrual bleeding so bad that youre soaking through one pad or tampon every hour for more than two hours, bleeding between periods, or bleeding post-menopause. These can be symptoms of endometriosis, but also symptoms of other issues, including endometrial cancer.

Infertility: Between 30% and 50% of women who have endometriosis suffer from infertility issues. The causes are still being debated, but it could be that the endometriosis messes with the jobs of the ovaries and fallopian tubes. It could also be due to endocrine (hormone) or ovulatory disorders which interfere with the release and fertilization of healthy eggs. Or the normal shedding of the endometrial layer in the uterus is disrupted if endometriosis is present, and that causes infertility.

Painful sex: Between 40% and 50% of women with endometriosis report having deep dyspareunia, which is the fancy term for painful sex during deep penetration. So how do you know if pain during sex is related to endometriosis? If you have a burning sensation when your partner is first entering you, thats not probably endometriosis. If it is a knife-stabbing feeling when a partner is thrusting deeper, thats a red flag for the condition.

Sharp lower abdominal pain: This can be caused by an ovarian cyst that started as endometriosis. It can also be caused by endometriosis that attaches itself to two different organs, like an ovary and the large bowel, acting like connective tissue that binds these organs to each other. When thats jostled around, say during sex or a bowel movement, it can cause pain.

Painful urination: If endometriosis shows up outside the bladder, it can make urination painful, or blood can show up in the urine.

Severe cramping: Known as dysmenorrhea, this affects 60% to 80% of women with endometriosis. To expel the endometrial lining, the uterus contracts. What triggers those uterine contractions are prostaglandins, which are hormone-like compounds that can cause pain and inflammation. More prostaglandins are linked to more painful menstrual cramps, and endometriosis is linked with a higher level of prostaglandins.

If youre saying to yourself: Wow, it wouldnt dawn on me to go see my gynecologist if Im having poop problemsId see a gastroenterologist! youve now identified one of the challenges with endometriosis. Because of the nature of the disease, its symptoms can cross over into other conditions, making it hard to get to the root of the issue. Without a specific screening test for endometriosis, it may take some trial and error before you receive a correct diagnosis.

Despite these symptoms, 20% to 25% of endometriosis patients are asymptomatic. For them, the discovery often comes when theyre tryingand failingto get pregnant. Still, it is definitely possible to get pregnant if you have endometriosis, and its something you and a reproductive endocrinologist and fertility specialist can discuss.

Asymptomatic patients may also learn about their endometriosis if the tissue mass gets very large and leads to excessive bloating. Other women find out when they have pelvic surgery for something elsesuch as a tubal ligation, or to have an appendix removedand the surgeon sees the endometriosis.

Before we get into the nitty gritty, its worth noting that the prevailing wisdom dictates that doctors begin treating endometriosis before theres a definite diagnosis. Thats because the only way to be sure that its present is to do a laparoscopy, a minimally invasive surgery in which a long thin camera and other tools are inserted into the pelvis through small incisions in the abdomen, and tissue samples are taken and studied by a pathologist. The procedure is expensive and time-consuming, so doctors may sometimes decide to begin treatment if all other indications are for endometriosis.

So what might some of those treatments be?

The first line of defense is NSAIDs, or nonsteroidal anti-inflammatory drugs, which block the bodys production of the hormonal compound prostaglandin, thus cutting down on pain, inflammation, and cramping. NSAIDs are most effective if you start to take them before your period starts. Talk to your doctor about dosage. Dont take more than is listed on the label unless directed by your doc, though he or she may want to bump you up to the prescription type.

Contraceptives that contain hormones, such as the pill, patch, ring, shots, or a hormonal IUD can treat endometriosis by managing a womans cycle or eliminating menses altogether.

A doctor may also opt to put you on a short stint of a nonsteroidal aromatase inhibitor, which is a class of drugs that prevents the cells in the body from making estrogen or by suppressing estrogen production. It essentially creates a menopause-like state. Doctors are wary of using it long-term because, down the road, estrogen suppression can lead to issues like osteoporosis, heart disease, and cognitive decline. But in some cases, turning off the estrogen gives the body time to clean out the endometriosis.

If medical remedies dont work, surgerys an option. Doctors typically do minimally invasive surgery and either cut out or laser off the endometriosis that they see. The good news: It can provide immediate relief of the symptoms. Bad news: For 40% to 80% of women, surgery doesnt provide a total cure, and pain returns within two years of the procedure. This happens because there can be areas of endometriosis so small that the surgeon missed them.

Beyond meds and surgery, researchers are investigating the role genetics play in endometriosis in hopes that it can them predict who will develop it, and aid in the creation of highly effective treatments, too. In the meantime, lifestyle changes may also help control the condition.

For example, we know that endometriosis is an inflammatory disease, and that inflammation can exacerbate painful symptoms. So reducing the amount of inflammatory foods (such as red meat and alcohol) in your diet can help, as can adding in anti-inflammatory foods like salmon, nuts, and olive oil.

Whats more, exercisesomething you may feel challenged to do when dealing with chronic painmay help to ease some symptoms, like cramping and bloating. You dont have to go all-in on marathon running or kickboxing to see a positive effect: Just 30 minutes of moderate exercise daily, like walking or jogging, can help ease your symptoms while improving your overall health and fitness.

See more here:
What are the Signs & Symptoms of Endometriosis? - HealthCentral.com

ICE Is the New Face of America’s Legacy of Forced Sterilization – The New Republic

Earlier this week, multiple human rights organizations filed a complaint on behalf of women detained at an Immigration and Customs Enforcement facility in Georgia. Based on accounts from detainees and corroborated by a nurse who worked at the facility, the Irwin County Detention Center, the complaint alleges multiple examples of substandard medical care, particularly around coronavirus prevention and treatment. But what has drawn the most public outcry is allegations of what has been described as mass hysterectomies or sterilizations.

When I met all these women who had had surgeries, I thought this was like an experimental concentration camp. It was like theyre experimenting with our bodies, one detained immigrant told Project South, one of the groups who filed the complaint. She said she knew of five other women detained with her at ICDC who said they had undergone hysterectomies between October and December 2019. Ive had several inmates tell me that theyve been to see the doctor and theyve had hysterectomies and they dont know why they went or why theyre going, said Dawn Wooten, the nurse who worked at ICDC and has now come forward as a whistleblower, as quoted in the complaint. Weve questioned among ourselves like goodness hes taking everybodys stuff out. Thats his specialty, hes the uterus collector.

Since the complaint was made public, further specifics have been reportedone physician involved, more womens allegationsand others are still emerging. Detained women face risks and complications if they speak to the media, so what we know directly from them is limited. It is not clear how many have had hysterectomies, and if that was part of an explicit policy or widespread pattern at this detention center or possibly others. What we do know is horrific and, as health care providers and experts have noted, part of a troubling history of reproductive coercion, one that remains with us. The immigration detention system is part of this American system of population control.

The ideology of population control for the greater good is deeply embedded in U.S. policy, explained Dorothy Roberts, law and sociology professor at the University of Pennsylvania and author of Killing the Black Body: Race, Reproduction, and the Meaning of Liberty, speaking by phone this week after the ICE story broke. To discourage childbearing by people who are receiving government public assistancethats written into laws in many states. Efforts to expand womens reproductive choices have been entangled, too, with this ideology. The origins of the movement for birth control is both a feminist movement and a eugenicist movement, and thats going on in the 1920s and 30s, and was only discredited after the Nazi exterminations and their regime of eugenics. But in the United States, the eugenics project goes back furtherbuilt on top of the enslavement of African people and the denial of their reproductive autonomy altogether.

Roberts said she sees the same ideology of reproductive control in the present-day policies and practices targeting immigrants, like family separation and now, allegedly, coercive hysterectomies. Both forced sterilization and the forcible taking of children have been weapons the U.S. government has deployed for hundreds of years, she told The New Republic. Both are political weapons that the U.S. government has used against marginalized groups for political reasonsto terrorize them, to punish them, and to marginalize them further.

Link:
ICE Is the New Face of America's Legacy of Forced Sterilization - The New Republic

One Sperm Donor. 36 Children. A Mess of Lawsuits. – The Atlantic

I discussed the case of Donor 9623 with Dov Fox, a professor of health law at the University of San Diego. Fox covered the lawsuits in his book, Birth Rights and Wrongs, and he has spent the past year diving even deeper into the case of Donor 9623interviewing parents who were deceived, children coming to terms with their genetic inheritance, and eventually the donor himself for a new Audible podcast.

Read: IVF mix-ups have broken the definition of parenthood

Fox and I have spoken before about the ways embryo mix-ups and other examples of reproductive technology gone awry confound the law and the very notion of parenthood. Tens of thousands of babies are born with the help of reproductive technology every year in the U.S., yet fertility clinics and sperm banks remain surprisingly unregulated. Mistakes, when they happen, have deeply existential consequences. Before the podcasts release last week, we talked again about Donor 9623 and how courts try to make sense of the uncomfortable idea of wrongful birth, a term that he argues makes no sense.

This interview has been edited for length and clarity.

Sarah Zhang: In your book, you covered several cases where reproductive technology gone wrong poses these really hard questions: white parents who were inseminated with the wrong donor sperm and ended up with a Black child, parents who had aborted based on an incorrect fetal diagnosis, a surrogate who didnt want to relinquish the child. What specifically drew you to this case of Donor 9623 so much that you wanted to do a whole podcast about it?

Dov Fox: I thought this case was really gray. It wasnt that there was just an obvious loophole in the legal framework or the law hadnt caught up to the advances in technology. It raised really deep, hard, fundamental questions about human existence, with an eye to the future of gene editing and embryo screeningwhat it means to be a parent and what is reasonable for would-be parents to expect. Thats an uncomfortable place for judges and for lawmakers.

This was one of the very largest and most international sperm banks that shipped to tens of thousands of parents in dozens of countries all over the world. This is an especially popular donor for more than a decade. And there were so many parts of his history that were concealed or misrepresentedhis health and his criminal record and his educational background.

Zhang: You say this is an uncomfortable place for judges and lawmakers, and while wrongful-birth lawsuits get a lot of attention, they havent been very successful in court in the U.S. Why is that?

Fox: A lot of courts that say no to wrongful-birth claims say its about protecting the individual children. And theres intuitive appeal to this idea. God, how awful would it sound to the child to learn that their life, their existence, is wrongfulthat their parents didnt want them, dont want them, wanted a different kid instead, dont love them. Thats not what parents intend, but that doesnt necessarily mean that it doesnt express that, whether to their kids or to other groups who have the very condition that their kids have.

Read the rest here:
One Sperm Donor. 36 Children. A Mess of Lawsuits. - The Atlantic

Vital Signs: batch testing and contact tracing are the two keys to stop the lockdown yo-yo – The Conversation AU

Back in March and April I (and many other economists) argued for lockdowns to get COVID-19 infections under control and to give health systems time to put in place testing and tracing regimes to contain the virus in the longer term.

This was done pretty effectively everywhere in Australia except for Victoria. But if things go to plan, all states will be back on the same page by the end of October.

Or will they?

Concerns about Victorias contact-tracing regime remain, and although there is a lot of testing, how it is being done might not be as effective as possible.

More still needs to be done to avoid the yo-yoing Victorian premier Dan Andrews has warned about in which relaxation of distancing rules leads to yet another outbreak big enough to require reimposing restrictions.

There is room for not just incremental improvement but dramatic improvement of testing and tracing.

The key to avoiding the need for lockdown (unless and until a vaccine is widely deployed) is to keep what epidemiologist call the effective reproduction rate (R) below 1.

That is, on average each person infected with the virus must give it to less than one other person (R<1).

If R>1 infections will grow exponentially, overwhelming human contact-tracing systems and eventually the hospital system.

To keep the reproduction rate below 1 requires testing and contact tracing to be incredibly fast and effective.

Victorias contact-tracing system is generally regarded as having performed poorly compared with systems such as in New South Wales.

The clunky system includes notifications of new infections still being sent by fax.

Only now is the state moving to adopt a more automated approach, using a data management system developed by IT giant Salesforce. The Victorian government rejected the system earlier in the year, on the grounds the state was too swamped by the first wave to implement and bed down a new system.

My University of NSW colleague, epidemiologist Raina MacIntyre, has observed that Victorias health system was less prepared than NSW because of 20 years of governments stripping the health system bare, and that:

No health workforce in the world, no matter how organised, well-resourced and efficient, can do manual contact tracing successfully when an epidemic becomes too large.

We could go down the more aggressive digital contact-tracing path akin to South Korea. But as the Financial Times has noted, the Korean systems:

include an extensive trawl of data from other sources, such as security cameras and credit card transactions, as well as smartphone apps that use wireless signals to detect who might have encountered an infected individual.

Given the relatively low voluntary uptake of the Australian governments COVIDSafe smartphone tracing app, getting enough people to use it to make it effective will also require strong incentives or compulsion.

Now, Im strongly for such incentives (as well as smarter testing). But given the amount of bedwetting about the existing COVIDSafe app from the libertarian right and some elements of the soft left (who are paranoid about every smart light bulb spying on us), this is unlikely to happen.

Read more: Vital Signs: Modelling tells us the coronavirus app will need a big take-up, economics tells us how to get it

The other crucial tool to keep R below 1 is efficient and large-scale testing.

Australia did well early in the pandemic ramping up testing capacity. Test results have been typically returned within a few days, though there have also been reports of results taking more than five days.

What we have not done is embrace the benefits of targeted batch testing.

Batch testing is a way to cost-effectively test large numbers of people by pooling together samples say by postcode.

If the pooled sample comes back negative, then everyone who contributed to the batch is cleared. If it is positive, more targeted testing is done, using smaller batches (by suburb, then residential block, then by household).

Read more: Vital Signs: We're testing 50,000 Australians a day for COVID-19. Should it be 6.5 million?

As Ive noted before, the optimal batch size depends on the base rate of the virus in the community. But this general idea has been around since World War II and is well understood. It is a way to stretch resources to test more of the population more often.

For Australia at this point of the pandemic, this kind of testing would enable rapid detection and isolation of any new infections, allowing social and economic activity to get back to a new normal.

Once the Victorian outbreak is under control, we need to reopen Australias internal borders. Then we can start thinking about easing external border restrictions with places such as New Zealand.

All of this will require keeping the reproduction rate below 1, which means catching any new infections fast. Really fast.

Yo-yoing lockdowns are costly and to be avoided if at all possible.

Automated contact tracing could help a lot, as could smart and aggressive batch testing. We should be doing both until a vaccine is deployed.

Some commentators talk about living with this virus which is basically code for letting it rip. Instead, what we need to do is engage in relentless suppression to keep the reproduction rate low and our economy open.

See the rest here:
Vital Signs: batch testing and contact tracing are the two keys to stop the lockdown yo-yo - The Conversation AU

The optoretinogram reveals the primary steps of phototransduction in the living human eye – Science Advances

Photoreceptors initiate vision by converting photons to electrical activity. The onset of the phototransduction cascade is marked by the isomerization of photopigments upon light capture. We revealed that the onset of phototransduction is accompanied by a rapid (<5 ms), nanometer-scale electromechanical deformation in individual human cone photoreceptors. Characterizing this biophysical phenomenon associated with phototransduction in vivo was enabled by high-speed phase-resolved optical coherence tomography in a line-field configuration that allowed sufficient spatiotemporal resolution to visualize the nanometer/millisecond-scale light-induced shape change in photoreceptors. The deformation was explained as the optical manifestation of electrical activity, caused due to rapid charge displacement following isomerization, resulting in changes of electrical potential and surface tension within the photoreceptor disc membranes. These all-optical recordings of light-induced activity in the human retina constitute an optoretinogram and hold remarkable potential to reveal the biophysical correlates of neural activity in health and disease.

Excerpt from:
The optoretinogram reveals the primary steps of phototransduction in the living human eye - Science Advances

U.S. Has Its Deadliest Day in More Than Two Weeks: Virus Update – Yahoo Finance Australia

The U.S. had its deadliest day since Aug. 26 while the global fatality count edged closer to the million mark. The University of Oxford said it was resuming trials of the coronavirus vaccine it has been developing with AstraZeneca Plc.

France reported the most cases since lockdown ended four months ago. Floridas cases rose slightly, while deaths slowed. Canada reported no Covid-related deaths for the first time in six months.

Trump administration aides asked for the right to read and suggest changes to weekly Covid-19 reports from the Centers for Disease Control, Politico reported.

Global Tracker: Cases rise above 28.5 million; deaths exceed 917,100Trumps stimulus end run fizzles as firms spurn payroll tax haltIn smoky San Francisco, Covid-hit businesses suffer double blowThe University of Illinois shows theres no foolproof reopening planHow hotels are helping their neighbors fight the pandemicWhy telemedicine may stay even after Covid fades away: QuickTake

Subscribe to a daily update on the virus from Bloombergs Prognosis team here. Click CVID on the terminal for global data on coronavirus cases and deaths.

Wisconsin Cases Reach Record Pace (3:50 p.m. NY)

The seven-day average of daily new cases in Wisconsin reached 1,043 in state data published Saturday, the highest level since the start of the pandemic.

This week brought three of the states four highest daily tallies yet, a surge the data suggest was driven by 18-24 year olds. Twelve newly reported virus-related deaths brought the toll to 1,209.

President Donald Trump are Vice President Mike Pence are scheduled to make separate visits to the battleground state next week as part of their re-election campaign.

Hungary Will Remain Open Despite Outbreak, Orban Says (2:43 p.m. NY)

Hungarian Prime Minister Viktor Orban plans to keep all business sectors ranging from sports and culture to tourism up and running despite a surge in coronavirus infections.

Authorities reported a record 916 new cases on Saturday, which Orban said will probably rise further in the current mass infection phase. The number of deaths can still be contained without a nationwide lockdown by looking after the elderly, Orban told public television in an interview.

However the use of masks in stores will be strictly enforced, and the government may consider other restrictions like limits on the opening hours of bars.

France Reports Most Cases Since Lockdown Ended (2:33 p.m. NY)

France reported more than 10,000 new coronavirus cases on Saturday, the largest daily increase since the end of the countrys lockdown in May, a day after Prime Minister Jean Castex warned of a clear worsening in the spread of the virus.

Cases rose by 10,561 over 24 hours, according to data from the public health agency published online. The seven-day rolling average stands at 8,029 and has been steadily climbing for almost four weeks.

Deaths rose by 17 to 30,893 on Saturday, the government reported. Thats after health authorities on Friday reported the biggest increase in daily deaths since mid-July, partly due to the inclusion of several days of data from retirement homes.

California Cases, Deaths Rise (2:30 p.m. NY)

California reported 4,107 new virus cases on Saturday, higher than the 14-day average of 4,033, for a total of 750,298, according to the health departments website. The number of deaths increased by 162, the most since Sept. 4, to 14,251. The two-week average for deaths is 101.

Second Meatpacker Fined After Deadly Outbreak (1:03 p.m. NY)

JBS Foods Inc., the worlds largest meat producer, was issued a $15,615 fine for failing to protect staff from the coronavirus in a Colorado facility where six workers have reportedly died.

The fine from the Department of Labors Occupational Safety and Health Administration, announced late Friday, came one day after U.S. regulators issued a penalty of $13,494 for a similar infraction by Smithfield Foods Inc., the first sanction against a meatpacker connected with a deadly Covid-19 outbreak.

The fine levied against Smithfield drew outrage as inadequate from two senators, a former safety official and a major national union. OSHA said it was the maximum allowed by law.

French P.M. Tests Negative (12:15 p.m. NY)

French Prime Minister Jean Castex tested negative for the coronavirus for a second time on Saturday, seven days after he spent time with the director of the Tour de France cycling race, who had tested positive after their meeting, Agence France-Presse reported. Castex will no longer be in self-isolation as of Saturday afternoon, AFP said, citing the prime ministers office, after an earlier negative test on Tuesday.

Arizona Cases, Deaths Rise (11:50 a.m. NY)

Arizona on Saturday reported 605 new virus cases, a 0.3% increase to 208,128 that was above the prior seven-day average of 0.2%. The Arizona Department of Health Services recorded 27 new deaths, pushing the toll to 5,315. The states daily death tally has remained under 100 for more than two weeks.

U.K. Cases Down Slightly (11:45 a.m. NY)

The U.K. reported 3,497 new coronavirus cases on Sept. 12, a second day with more than 3,000 new cases, as new infections hover at levels not seen since late May. Nine new fatalities were also reported.

Italy Cases, Deaths Slow (11:20 a.m. NY)

Italy reported 1,501 new cases on Saturday, compared with 1,616 the previous day. There were six additional deaths, lower than the 10 deaths reported on Friday. The numbers remain distant from the pandemics peak of 6.557 new infections in a day on March 21. Total cases reported since February rose to 286,297.

NHS Workers Demand Pay Hike (11:13 a.m. NY)

National Heath Service staff have protested in London and some other English cities, calling for a 15% pay rise, according to the Press Association. Organizers of the protests said that health care workers would consider a strike if the government didnt respond to their demands.

Nurses and junior doctors were excluded from a wage increase for public sector workers announced in July because of prior agreements.

New York Cases Steady (11:04 a.m. NY)

New York reported 849 cases, its second straight day with more than 800, but the 0.2% rise was in line with the average daily increase of the previous seven days. Another two deaths were reported.

Florida Cases Rise Slightly, Deaths Slow (10:59 a.m. NY)

Florida reported 661,571 cases Saturday, up 0.5% from a day earlier, compared with an average 0.4% increase in the previous seven days. That amounts to 3,190 new cases, according to the health department report, which includes data through Friday.

Deaths among Florida residents reached 12,600, an increase of 0.8%, or 98, compared with 176 the previous day.

Oxford University Resumes Vaccine Trial (9:23 a.m. NY)

Oxford University said it was resuming U.K. trials of the coronavirus vaccine its developing with AstraZeneca Plc. The trials had been placed on hold after one of its participants fell ill.

The university gave the information in a statement on Saturday. It had paused the trials due to an illness in one participant.

Denmark Posts Highest Tally Since April 7 (9:19 a.m. NY)

Police in Denmark said additional restrictions may have to be introduced after the country posted 341 new cases of coronavirus, the highest daily tally since April 7.

U.S. Has Deadliest Day in More Than Two Weeks (8 a.m. NY)

U.S. deaths related to Covid-19 increased by 1,215 on Friday, making it the deadliest day since Aug. 26, according to data compiled by Johns Hopkins University and Bloomberg.

Reported virus cases increased by 46,975, a 0.7% rise on the day compared with a 0.6% increase over the previous week.

Second-Wave Oil Glut May Be Near (8 a.m. NY)

Some of the worlds biggest oil traders are gearing up for a possible resurgence of a coronavirus-induced glut of crude and fuels, snapping up giant tankers for months-long charters so that they can be ready to store excess barrels if necessary.

The chartering spree is likely to alarm Saudi Arabia, Russia and their allies as it indicates that the oil traders believe the crude market is moving into a surplus after OPEC+ managed to create a deficit earlier this summer with its output cuts.

Istanbul Limits Gatherings (7:19 a.m. NY)

City officials in Turkeys most populous city have forbidden boating companies from hosting weddings and similar gatherings, AP reported, after concerts and open-air festivals were banned across the country following a spike in cases.

Philippines Fatalities Surge After Re-Classification (5:39 a.m. NY)

The Philippines recorded a surge in deaths caused by Covid-19, after having to take into account 126 fatalities that had been incorrectly classified, according to data the Health Department released Saturday. The country added 4,935 new Covid cases as of 4 p.m. Saturday, bringing the total to 257,863 cases. The Manila metropolitan area accounts for about half of the countrys cases.

Canada Reports No Covid Deaths (5:29 a.m. NY)

Canada reported no new deaths from Covid-19 for the first time in six months, according to the latest data from its public health agency. The country last reported zero daily fatalities on March 15. Canada is seeing its death toll plateau after fatalities spiked above 200 on several days in April and May. The total death count stands at 9,163 as of Sept. 11, according to the governments data.

Iran Fatalities Pass 23,000 (5:27 a.m. NY)

Irans fatalities surpassed 23,000 on Saturday with 116 additional deaths in the past 24 hours. The number of cases rose by 2,139 overnight to 399,940, the latest data by the Health Ministry showed. Iran recorded an average of 125 deaths and 2,182 new cases per day over the past seven days.

UAE Posts Record Number of Cases (5:18 a.m. NY)

The United Arab Emirates reported 1,007 new coronavirus cases on Saturday, an all-time high for the Gulf nation of almost 10 million people, where daily cases last peaked in late May. Authorities have urged residents to follow social distancing measures and the government has expanded testing.

Belgiums New Cases Accelerate (5:02 p.m. HK)

Belgium on Saturday reported 969 new coronavirus cases versus 877 the day before, bringing the total to 91,537. Deaths from the virus rose by two to 9,919, while 28 more people were hospitalized.

U.K. May Toughen Self-Isolation Rules (5 p.m. HK)

Prime Minister Boris Johnsons government is considering introducing fines for people who breach self-isolation rules as new cases surge, the Times reported on Saturday, citing an unnamed government source. The change would end the voluntary nature of people self-isolating with symptoms and bring it into line with strict quarantine rules for travelers.

Separately, the Telegraph reported that the events industry is staring into the abyss because of the governments new ban on gatherings of more than six people. Events organizers are seeing mass cancellations and expecting many job losses, the newspaper said.

Italys Market Regulator Shuts Offices After Chief Tests Positive (3:40 p.m. HK)

Italys financial-market regulator, Consob, closed its office after its head Paolo Savona tested positive for coronavirus. He is asymptomatic and working from home, according to a statement. Offices will remain closed and employees will be smart working until Sept. 18.

Italy reported 1,616 new cases on Friday, compared with 1,597 the previous day and slightly higher than the previous seven-day average of 1,454. Ten deaths were reported, in line with Thursdays numbers. While Lombardy, the original epicenter, still accounts for a large part of the infected, summer travel resulted in the region around Rome recording the highest number of hospitalized patients.

German Daily Infections Drop; Hungary Posts Record Cases (3:31 p.m. HK)

Germanys daily cases fell, while the infection rate rose to the critical threshold of one.

There were 1,586 new cases in the 24 hours through Saturday morning, taking the total to 259,735, according to data from Johns Hopkins University. Thats slightly less than Fridays increase of 1,716. At the peak of the pandemic, in the spring, Germany registered almost 7,000 new infections.

The reproduction number -- the average number of people infected by one person with the virus rose to 1.0 on from 0.9 the previous day, according to the latest report from the RKI public health institute. The number has been at or above the key threshold of one for most of the past week.

Hungary reported a record 916 additional cases Saturday, bringing the total so far to 11,825. Prime Minister Viktor Orban reiterated in a Facebook video Saturday that Hungarys hospitals have enough capacity to deal with the wave of infections and that his priority is to keep the economy functioning. He again vowed stronger penalties for those breaking social distancing rules.

Czech Sets Another Record in New Cases (3:25 p.m. HK)

The Czech Republic, one of Europes most successful in containing the initial outbreak, posted another record number of new cases on Friday, 1,447, raising the total number of people with Covid-19 to 12,260. The number of hospitalized patients remains relatively low, at 264, according to the Health Ministry.

Switzerland has become the latest European country to tighten entry restrictions for people traveling from the Czech Republic, requiring a 10-day quarantine upon arrival. The Czech ratio of new coronavirus cases per 100,000 people was about six times higher than in neighboring Germany in the past seven days.

India Posts Another Daily Global Record on New Cases (1:34 p.m. HK)

India, the latest epicenter of the pandemic, reported 97,570 new cases, another daily global record, while deaths surpassed 1,000 for an 11th consecutive day.

The epidemic is surging across the South Asian nation at a record pace, as it moves beyond the cities to the countrys vast hinterlands. India now has the worlds second-largest number of infections after the U.S., with a total of 4.66 million. India also has the highest death toll after U.S. and Brazil, with fatalities surpassing 77,000.

Trump Aides Sought to Meddle With CDCs Virus Reports: Politico (12:26 p.m. HK)

U.S. health department spokesperson Michael Caputo and his aides asked for the right to read and suggest changes to the Centers for Disease Control and Preventions weekly Covid-19 reports, Politico reported, citing emails and three people familiar with the matter.

Communications aides from the U.S. Department of Health and Human Services complained to CDC Director Robert Redfield and other officials that the agencys reports would undermine President Donald Trumps optimistic messaging about the pandemic, according to the report.

CDC employees pushed back against changes but have increasingly agreed to allow political appointees review the virus reports, and have agreed to amend language in some cases, Politico said.

Trump has come under criticism for intentionally downplaying the severity of the virus publicly after saying in an interview with journalist Bob Woodward that he knew how dangerous it was. The U.S. president has defended his comments, saying he didnt want to cause panic or price spikes.

Indonesia President Cautions Against Social Distancing Rules (12:14 p.m. HK)

Indonesias coronavirus cases rose by over 3,000 cases for a fifth consecutive day, the second time that has happened this month, with the highest daily infections reached on Thursday, official data showed.

President Joko Widodo called on Jakartas administration to analyze the potential impact of re-imposing large-scale social distancing measures as the capital accounted for about 25% of the nations confirmed infections, The Jakarta Post reported Friday.

We need to calculate how pulling the emergency brake will affect peoples activities, he was quoted as saying by the Jakarta Post. The Indonesian capital is planning to re-impose social distancing rules for two weeks from Monday, Governor Anies Baswedan was cited as saying by Kompas.com.

China Reports Six New Cases; South Korea Confirms 136 (08:52 a.m. HK)

China reported six new coronavirus cases on Friday, all of which were imported cases, according to the National Health Commission. Outstanding Covid-19 cases in the country totaled 154 as of yesterday, the commission said.

South Korea confirmed 136 new cases, taking the total to 22,055.

Australias Victoria Marks Third Day of Virus Case Declines (08:33 a.m. HK)

The Australian state of Victoria reported another drop in cases and deaths from the coronavirus in the past 24 hours as the regional government sticks by one of the worlds most stringent lock-downs.

The Victoria State Government recorded 37 new cases and six deaths from Friday across the countrys second-most populous state, down from 43 new cases and nine deaths the day before, the department of Health and Human Services announced on Twitter Saturday.

The tally is the third day in a row of declines after the state reported 76 new cases on Wednesday, down from a peak of 687 on August 4. That 76 level was the same as last Saturday, which Premier Daniel Andrews said at the time was still a significant challenge.

Japan Moves to Relax Virus Restrictions for Events From Sept. 19 (08:32 a.m. HK)

Japan is preparing to relax restrictions on attendance for a number of events including professional sports games, according to Economy Minister Yasutoshi Nishimura.

For professional baseball games and soccer matches, the government is considering eliminating the current restriction of no more than 5,000 attendees and replacing it with an up to 50% capacity rule, the Yomiuri reported on Saturday.

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U.S. Has Its Deadliest Day in More Than Two Weeks: Virus Update - Yahoo Finance Australia

Amid global crisis, how can universities be regenerated to serve the common good? – The Conversation AU

Universities are among the many institutions that sustain settler colonialism in Australia. The public university system was, and continues, to be part of the states investment in its own future.

Universities emerged in Australia during the mid-19th and early 20th centuries against a backdrop of frontier violence and dispossession of First Nations lands, labour and relationships. While nature was privatised and commodified, universities grew in scale and influence. Knowledge hierarchies that perpetuate racial, class and gender divides were normalised.

Read more: Five shifts to decolonise ecological science or any field of knowledge

Our new book, Transforming Universities in the Midst of Global Crisis: A University for the Common Good, scrutinises the role of universities today. We argue these institutions, and indeed the entire higher education sector, must be considered as not only in crisis though they clearly are but also as drivers of crisis.

Universities have become fully integrated into the neoliberal economy. They fixate on vocational job-ready curriculums and commercial research agendas. They enable industries built on extracting natural resources and thereby support endless economic growth.

The problems arising from this system are destructive and life-threatening. Climate chaos, biodiversity destruction, the COVID-19 pandemic, the democracy recession and deepening socio-economic inequalities have reshaped our very ways of relating, being and knowing.

Transforming universities therefore demands we seek out ideas, practices and values beyond the universitys walls. Only then will universities be capable of responding to interconnected ecological, health and social challenges.

Drawing from case studies and examples around the world, we show how this transformation is possible - and, indeed, already under way.

Read more: After coronavirus, universities must collaborate with communities to support social transition

In the 21st century, multiple mega-crises have ravaged ecological systems, human lives and livelihoods.

A small but powerful lobby of political interests continues to deny, downplay or divert attention from such problems. Yet turning to face these challenges may shed light on solutions.

US scholar Lauren Berlant suggested:

At some crisis times like this one politics is defined by a collectively held sense that a glitch has appeared in the reproduction of life [] A glitch is also the revelation of an infrastructural failure.

But glitches can and must provide the impetus to bring alternative worlds into being. For universities, the challenge now is to situate human relations and responsibilities in the web of life on Earth.

The Ecoversities Alliance, for example, is working for a change of ecological consciousness. This involves a shift away from the pursuit of private interest and towards ecological integrity and the common good. The goal is to orient universities towards "service of our diverse ecologies, cultures, economies, spiritualities and life within our planetary home.

Another challenge is to decolonise universities. The Dechinta Bush University in the Northwest Territories in Canada provides an exemplar. The university has embraced Indigenous land-based practices and values. In this context, Indigenous pedagogies and practices refuse the colonial enclosures of traditional education-based institutions.

In countless other ways, in Australia and elsewhere, Indigenous scholars, educators and activists are leading decolonising, anti-racist and ecological governance agendas.

Read more: How a university can embed Indigenous knowledge into the curriculum and why it matters

Universities, of course, cannot be transformed in isolation from the wider world. Change must engage with the values, practices and leadership of progressive movements. Examples include Black Lives Matter, #MeToo and movements for Indigenous sovereignty and treaty.

Our book documents the possibilities for radically transforming the political and economic structures that universities are built on and continue to uphold. The change agenda needs to be bold, not piecemeal. We showcase activities and interventions that move beyond superficial reformism to more radical possibilities for change.

Among many other things, we call for:

more democratic university governance

a return to the idea of the public university (as set out in state and territory legislation)

decoupling from market-oriented extractivist ideas of growth

resistance to job-ready graduate tropes

genuine and inclusive communities of learning

centring Indigenous rights and knowledges in curriculums and research agendas

fostering cultures of appreciation, generosity and collaboration as opposed to competition, individualism and hierarchy.

Read more: Honouring Te Tiriti means getting into the stream together so this vice-chancellor has become a student again

These transformations are urgent if universities are to be relevant to meeting the challenges of the 21st century. A university for the common good could enable human society to connect with more-than-human communities and operate within the limits of nature. By ensuring accountability to all communities, human and more-than-human, such a university could build more sustainable and just worlds.

Vanessa de Oliveira Andreotti and colleagues from the Gesturing Towards Decolonial Futures collective assert that only through the decay of the modern university will regeneration be possible. If so, the challenge for those committed to the future of the university is to ensure that, through its dwindling, a new regenerative approach within and beyond its walls flourishes.

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Amid global crisis, how can universities be regenerated to serve the common good? - The Conversation AU

Eisai Announces New Investigational Data from Study 211 Evaluating the Starting Dose of LENVIMA (lenvatinib) in Differentiated Thyroid Cancer at ESMO…

In this Phase 2, multicenter, randomized, double-blind study (NCT02702388), 152 patients with RAI-refractory DTC were randomized to receive a daily oral dose of either 24 mg or 18 mg of LENVIMA. The objective of the study was to evaluate whether a lower starting dose of LENVIMA (18 mg) would provide comparable efficacy with an improved safety profile compared to the approved 24 mg starting dose of LENVIMA. The primary efficacy endpoint was noninferiority of LENVIMA 18 mg versus 24 mg for objective response rate (ORR) at Week 24 (ORRWK24) based on investigator assessment per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. The primary safety endpoint was the occurrence ofany Grade 3 treatment-emergent adverse events (TEAEs) within 24 weeks after randomization.

"These investigational data reiterate that the approved dosing of LENVIMA delivers a clinically significant benefit and consistent safety profile for patients with RAI-refractory DTC," said Dr.Takashi Owa, Vice President, Chief Medicine Creation Officer and Chief Discovery Officer, Oncology Business Group at Eisai. "It's through studies like this we're able to show our dedication to enhancing healthcare providers' understanding of our medicines. This helps them to best serve patients with this difficult-to-treat cancer."

Results from the study showed:

Overall ORR was 64.0% (95% CI: 53.174.9) in the 24 mg arm vs. 46.8% (95% CI: 35.657.9) in the 18 mg arm. Overall, serious TEAEs occurred in 33.3% of patients in the 24 mg arm vs. 40.3% in the 18 mg arm. TEAEs resulted in dose reduction in 69.3% in the 24 mg arm vs. 59.7% in the 18 mg arm and treatment discontinuation occurred in and 14.7% and 16.9%, respectively. The most common any-grade TEAEs include:

Study 211 was conducted as a post-marketing commitment to the U.S. Food and Drug Administration (FDA), European Medicines Agency (EMA) and other regions following priority review designation and approval of LENVIMA for the treatment of patients with locally recurrent or metastatic, progressive, RAI-refractory DTC.

In March 2018, Eisai and Merck (known as MSD outside the United States and Canada), through an affiliate, entered into a strategic collaboration for the worldwide co-development and co-commercialization of LENVIMA.

This release discusses investigational uses for FDA-approved products. It is not intended to convey conclusions about efficacy and safety. There is no guarantee that any investigational uses of FDA-approved products will successfully complete clinical development or gain FDA approval.

About Thyroid Cancer

Thyroid cancer is the most common endocrine malignancy and global figures show that its incidence is on the rise. In 2020, it is estimated that there will be 52,890 new cases of thyroid cancer in the U.S. and that women are three times more likely to develop thyroid cancer than men. The most common types of thyroid cancer, papillary and follicular (including Hrthle cell), are classified as DTC and account for approximately 90% of all cases. While most patients with DTC are curable with surgery and radioactive iodine treatment, the prognosis for those patients whose cancers persist or recur is poor.

About LENVIMA (lenvatinib) Capsules

LENVIMAis indicated:

LENVIMA, discovered and developed by Eisai, is a kinase inhibitor that inhibits the kinase activities of vascular endothelial growth factor (VEGF) receptors VEGFR1 (FLT1), VEGFR2 (KDR), and VEGFR3 (FLT4). LENVIMA inhibits other kinases that have been implicated in pathogenic angiogenesis, tumor growth, and cancer progression in addition to their normal cellular functions, including fibroblast growth factor (FGF) receptors FGFR1-4, the platelet derived growth factor receptor alpha (PDGFR), KIT, and RET. In syngeneic mouse tumor models, lenvatinib decreased tumor-associated macrophages, increased activated cytotoxic T cells, and demonstrated greater antitumor activity in combination with an anti-PD-1 monoclonal antibody compared to either treatment alone.

Important Safety Information

Warnings and Precautions

Hypertension.In DTC, hypertension occurred in 73% of patients on LENVIMA (44% grade 3-4). In RCC, hypertension occurred in 42% of patients on LENVIMA + everolimus (13% grade 3). Systolic blood pressure 160 mmHg occurred in 29% of patients, and 21% had diastolic blood pressure 100 mmHg. In HCC, hypertension occurred in 45% of LENVIMA-treated patients (24% grade 3). Grade 4 hypertension was not reported in HCC.

Serious complications of poorly controlled hypertension have been reported. Control blood pressure prior to initiation. Monitor blood pressure after 1 week, then every 2 weeks for the first 2 months, and then at least monthly thereafter during treatment. Withhold and resume at reduced dose when hypertension is controlled or permanently discontinue based on severity.

Cardiac Dysfunction.Serious and fatal cardiac dysfunction can occur with LENVIMA. Across clinical trials in 799 patients with DTC, RCC, and HCC, grade 3 or higher cardiac dysfunction occurred in 3% of LENVIMA treated patients. Monitor for clinical symptoms or signs of cardiac dysfunction. Withhold and resume at reduced dose upon recovery or permanently discontinue based on severity

Arterial Thromboembolic Events.Among patients receiving LENVIMA or LENVIMA + everolimus, arterial thromboembolic events of any severity occurred in 2% of patients in RCC and HCC and 5% in DTC. Grade 3-5 arterial thromboembolic events ranged from 2% to 3% across all clinical trials. Permanently discontinue following an arterial thrombotic event. The safety of resuming after an arterial thromboembolic event has not been established and LENVIMA has not been studied in patients who have had an arterial thromboembolic event within the previous 6 months.

Hepatotoxicity.Across clinical studies enrolling 1,327 LENVIMA-treated patients with malignancies other than HCC, serious hepatic adverse reactions occurred in 1.4% of patients. Fatal events, including hepatic failure, acute hepatitis and hepatorenal syndrome, occurred in 0.5% of patients. In HCC, hepatic encephalopathy occurred in 8% of LENVIMA-treated patients (5% grade 3-5). Grade 3-5 hepatic failure occurred in 3% of LENVIMA-treated patients. 2% of patients discontinued LENVIMA due to hepatic encephalopathy and 1% discontinued due to hepatic failure.

Monitor liver function prior to initiation, then every 2 weeks for the first 2 months, and at least monthly thereafter during treatment. Monitor patients with HCC closely for signs of hepatic failure, including hepatic encephalopathy. Withhold and resume at reduced dose upon recovery or permanently discontinue based on severity.

Renal Failure or Impairment.Serious including fatal renal failure or impairment can occur with LENVIMA. Renal impairment was reported in 14% and 7% of LENVIMA-treated patients in DTC and HCC, respectively. Grade 3-5 renal failure or impairment occurred in 3% of patients with DTC and 2% of patients with HCC, including 1 fatal event in each study. In RCC, renal impairment or renal failure was reported in 18% of LENVIMA + everolimustreated patients (10% grade 3).

Initiate prompt management of diarrhea or dehydration/hypovolemia. Withhold and resume at reduced dose upon recovery or permanently discontinue for renal failure or impairment based on severity.

Proteinuria.In DTC and HCC, proteinuria was reported in 34% and 26% of LENVIMA-treated patients, respectively. Grade 3 proteinuria occurred in 11% and 6% in DTC and HCC, respectively. In RCC, proteinuria occurred in 31% of patients receiving LENVIMA + everolimus (8% grade 3). Monitor for proteinuria prior to initiation and periodically during treatment. If urine dipstick proteinuria 2+ is detected, obtain a 24-hour urine protein. Withhold and resume at reduced dose upon recovery or permanently discontinue based on severity.

Diarrhea.Of the 737 LENVIMA-treated patients in DTC and HCC, diarrhea occurred in 49% (6% grade 3). In RCC, diarrhea occurred in 81% of LENVIMA + everolimustreated patients (19% grade 3). Diarrhea was the most frequent cause of dose interruption/reduction, and diarrhea recurred despite dose reduction. Promptly initiate management of diarrhea. Withhold and resume at reduced dose upon recovery or permanently discontinue based on severity.

Fistula Formation and Gastrointestinal Perforation.Of the 799 patients treated with LENVIMA or LENVIMA + everolimus in DTC, RCC, and HCC, fistula or gastrointestinal perforation occurred in 2%. Permanently discontinue in patients who develop gastrointestinal perforation of any severity or grade 3-4 fistula.

QT Interval Prolongation.In DTC, QT/QTc interval prolongation occurred in 9% of LENVIMA-treated patients and QT interval prolongation of >500 ms occurred in 2%. In RCC, QTc interval increases of >60 ms occurred in 11% of patients receiving LENVIMA + everolimus and QTc interval >500 ms occurred in 6%. In HCC, QTc interval increases of >60 ms occurred in 8% of LENVIMA-treated patients and QTc interval >500 ms occurred in 2%.

Monitor and correct electrolyte abnormalities at baseline and periodically during treatment. Monitor electrocardiograms in patients with congenital long QT syndrome, congestive heart failure, bradyarrhythmias, or those who are taking drugs known to prolong the QT interval, including Class Ia and III antiarrhythmics. Withhold and resume at reduced dose upon recovery based on severity.

Hypocalcemia.In DTC, grade 3-4 hypocalcemia occurred in 9% of LENVIMA-treated patients. In 65% of cases, hypocalcemia improved or resolved following calcium supplementation with or without dose interruption or dose reduction. In RCC, grade 3-4 hypocalcemia occurred in 6% of LENVIMA + everolimus treated patients. In HCC, grade 3 hypocalcemia occurred in 0.8% of LENVIMA-treated patients. Monitor blood calcium levels at least monthly and replace calcium as necessary during treatment. Withhold and resume at reduced dose upon recovery or permanently discontinue depending on severity.

Reversible Posterior Leukoencephalopathy Syndrome.Across clinical studies of 1,823 patients who received LENVIMA as a single agent, RPLS occurred in 0.3%. Confirm diagnosis of RPLS with MRI. Withhold and resume at reduced dose upon recovery or permanently discontinue depending on severity and persistence of neurologic symptoms.

Hemorrhagic Events.Serious including fatal hemorrhagic events can occur with LENVIMA. In DTC, RCC, and HCC clinical trials, hemorrhagic events, of any grade, occurred in 29% of the 799 patients treated with LENVIMA as a single agent or in combination with everolimus. The most frequently reported hemorrhagic events (all grades and occurring in at least 5% of patients) were epistaxis and hematuria. In DTC, grade 3-5 hemorrhage occurred in 2% of LENVIMA-treated patients, including 1 fatal intracranial hemorrhage among 16 patients who received LENVIMA and had CNS metastases at baseline. In RCC, grade 3-5 hemorrhage occurred in 8% of LENVIMA + everolimustreated patients, including 1 fatal cerebral hemorrhage. In HCC, grade 3-5 hemorrhage occurred in 5% of LENVIMA-treated patients, including 7 fatal hemorrhagic events. Serious tumor-related bleeds, including fatal hemorrhagic events, occurred in LENVIMA-treated patients in clinical trials and in the postmarketing setting. In postmarketing surveillance, serious and fatal carotid artery hemorrhages were seen more frequently in patients with anaplastic thyroid carcinoma (ATC) than other tumors. Safety and effectiveness of LENVIMA in patients with ATC have not been demonstrated in clinical trials.

Consider the risk of severe or fatal hemorrhage associated with tumor invasion or infiltration of major blood vessels (eg, carotid artery). Withhold and resume at reduced dose upon recovery or permanently discontinue based on severity.

Impairment of Thyroid Stimulating Hormone Suppression/Thyroid Dysfunction.LENVIMA impairs exogenous thyroid suppression. In DTC, 88% of patients had baseline thyroid stimulating hormone (TSH) level 0.5 mU/L. In patients with normal TSH at baseline, elevation of TSH level >0.5 mU/L was observed post baseline in 57% of LENVIMA-treated patients. In RCC and HCC, grade 1 or 2 hypothyroidism occurred in 24% of LENVIMA + everolimustreated patients and 21% of LENVIMA-treated patients, respectively. In patients with normal or low TSH at baseline, elevation of TSH was observed post baseline in 70% of LENVIMA-treated patients in HCC and 60% of LENVIMA + everolimustreated patients in RCC.

Monitor thyroid function prior to initiation and at least monthly during treatment. Treat hypothyroidism according to standard medical practice.

Impaired Wound Healing. Impaired wound healing has been reported in patients who received LENVIMA. Withhold LENVIMA for at least 1 week prior to elective surgery. Do not administer for at least 2 weeks following major surgery and until adequate wound healing. The safety of resumption of LENVIMA after resolution of wound healing complications has not been established.

Embryo-fetal Toxicity.Based on its mechanism of action and data from animal reproduction studies, LENVIMA can cause fetal harm when administered to pregnant women. In animal reproduction studies, oral administration of lenvatinib during organogenesis at doses below the recommended clinical doses resulted in embryotoxicity, fetotoxicity, and teratogenicity in rats and rabbits. Advise pregnant women of the potential risk to a fetus; and advise females of reproductive potential to use effective contraception during treatment with LENVIMA and for at least 30 days after the last dose.

Adverse Reactions

In DTC, the most common adverse reactions (30%) observed in LENVIMA-treated patients were hypertension (73%), fatigue (67%), diarrhea (67%), arthralgia/myalgia (62%), decreased appetite (54%), decreased weight (51%), nausea (47%), stomatitis (41%), headache (38%), vomiting (36%), proteinuria (34%), palmar-plantar erythrodysesthesia syndrome (32%), abdominal pain (31%), and dysphonia (31%). The most common serious adverse reactions (2%) were pneumonia (4%), hypertension (3%), and dehydration (3%). Adverse reactions led to dose reductions in 68% of LENVIMA-treated patients; 18% discontinued LENVIMA. The most common adverse reactions (10%) resulting in dose reductions were hypertension (13%), proteinuria (11%), decreased appetite (10%), and diarrhea (10%); the most common adverse reactions (1%) resulting in discontinuation of LENVIMA were hypertension (1%) and asthenia (1%).

In RCC, the most common adverse reactions (30%) observed in LENVIMA + everolimustreated patients were diarrhea (81%), fatigue (73%), arthralgia/myalgia (55%), decreased appetite (53%), vomiting (48%), nausea (45%), stomatitis (44%), hypertension (42%), peripheral edema (42%), cough (37%), abdominal pain (37%), dyspnea (35%), rash (35%), decreased weight (34%), hemorrhagic events (32%), and proteinuria (31%). The most common serious adverse reactions (5%) were renal failure (11%), dehydration (10%), anemia (6%), thrombocytopenia (5%), diarrhea (5%), vomiting (5%), and dyspnea (5%). Adverse reactions led to dose reductions or interruption in 89% of patients. The most common adverse reactions (5%) resulting in dose reductions were diarrhea (21%), fatigue (8%), thrombocytopenia (6%), vomiting (6%), nausea (5%), and proteinuria (5%). Treatment discontinuation due to an adverse reaction occurred in 29% of patients.

In HCC, the most common adverse reactions (20%) observed in LENVIMA-treated patients were hypertension (45%), fatigue (44%), diarrhea (39%), decreased appetite (34%), arthralgia/myalgia (31%), decreased weight (31%), abdominal pain (30%), palmar-plantar erythrodysesthesia syndrome (27%), proteinuria (26%), dysphonia (24%), hemorrhagic events (23%), hypothyroidism (21%), and nausea (20%). The most common serious adverse reactions (2%) were hepatic encephalopathy (5%), hepatic failure (3%), ascites (3%), and decreased appetite (2%). Adverse reactions led to dose reductions or interruption in 62% of patients. The most common adverse reactions (5%) resulting in dose reductions were fatigue (9%), decreased appetite (8%), diarrhea (8%), proteinuria (7%), hypertension (6%), and palmar-plantar erythrodysesthesia syndrome (5%). Treatment discontinuation due to an adverse reaction occurred in 20% of patients. The most common adverse reactions (1%) resulting in discontinuation of LENVIMA were fatigue (1%), hepatic encephalopathy (2%), hyperbilirubinemia (1%), and hepatic failure (1%).

In EC, the most common adverse reactions (20%) observed in LENVIMA + pembrolizumab - treated patients were fatigue (65%), hypertension (65%), musculoskeletal pain (65%), diarrhea (64%), decreased appetite (52%), hypothyroidism (51%), nausea (48%), stomatitis (43%), vomiting (39%), decreased weight (36%), abdominal pain (33%), headache (33%), constipation (32%), urinary tract infection (31%), dysphonia (29%), hemorrhagic events (28%), hypomagnesemia (27%), palmar-plantar erythrodysesthesia (26%), dyspnea (24%), cough (21%) and rash (21%).

Adverse reactions led to dose reduction or interruption in 88% of patients receiving LENVIMA. The most common adverse reactions (5%) resulting in dose reduction or interruption of LENVIMA were fatigue (32%), hypertension (26%), diarrhea (18%), nausea (13%), palmar-plantar erythrodysesthesia (13%), vomiting (13%), decreased appetite (12%), musculoskeletal pain (11%), stomatitis (9%), abdominal pain (7%), hemorrhages (7%), renal impairment (6%), decreased weight (6%), rash (5%), headache (5%), increased lipase (5%) and proteinuria (5%).

Fatal adverse reactions occurred in 3% of patients receiving LENVIMA + pembrolizumab, including gastrointestinal perforation, RPLS with intraventricular hemorrhage, and intracranial hemorrhage.

Serious adverse reactions occurred in 52% of patients receiving LENVIMA + pembrolizumab. Serious adverse reactions in 3% of patients were hypertension (9%), abdominal pain (6%), musculoskeletal pain (5%), hemorrhage (4%), fatigue (4%), nausea (4%), confusional state (4%), pleural effusion (4%), adrenal insufficiency (3%), colitis (3%), dyspnea (3%), and pyrexia (3%).

Permanent discontinuation due to adverse reaction (Grade 1-4) occurred in 21% of patients who received LENVIMA + pembrolizumab. The most common adverse reactions (>2%) resulting in discontinuation of LENVIMA weregastrointestinal perforation or fistula (2%),muscular weakness (2%), and pancreatitis (2%).

Use in Specific Populations

Because of the potential for serious adverse reactions in breastfed infants, advise women to discontinue breastfeeding during treatment and for at least 1 week after last dose. LENVIMA may impair fertility in males and females of reproductive potential.

No dose adjustment is recommended for patients with mild (CLcr 60-89 mL/min) or moderate (CLcr 30-59 mL/min) renal impairment. LENVIMA concentrations may increase in patients with DTC, RCC or EC and severe (CLcr 15-29 mL/min) renal impairment. Reduce the dose for patients with DTC, RCC, or EC and severe renal impairment. There is no recommended dose for patients with HCC and severe renal impairment. LENVIMA has not been studied in patients with end stage renal disease. No dose adjustment is recommended for patients with HCC and mild hepatic impairment (Child-Pugh A). There is no recommended dose for patients with HCC with moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment.

No dose adjustment is recommended for patients with DTC, RCC, or EC and mild or moderate hepatic impairment. LENVIMA concentrations may increase in patients with DTC, RCC, or EC and severe hepatic impairment. Reduce the dose for patients with DTC, RCC, or EC and severe hepatic impairment.

LENVIMA (lenvatinib) is available as 10 mg and 4 mg capsules.

Please see Prescribing information for LENVIMA (lenvatinib) at http://www.lenvima.com/pdfs/prescribing-information.pdf.

About the Eisai and Merck Strategic Collaboration

In March 2018, Eisai and Merck, known as MSD outside the United States and Canada, through an affiliate, entered into a strategic collaboration for the worldwide co-development and co-commercialization of LENVIMA. Under the agreement, the companies will jointly develop, manufacture and commercialize LENVIMA, both as monotherapy and in combination with Merck's anti-PD-1 therapy KEYTRUDA (pembrolizumab).

In addition to ongoing clinical studies evaluating the KEYTRUDA plus LENVIMA combination across several different tumor types, the companies have jointly initiated new clinical studies through the LEAP (LEnvatinib And Pembrolizumab) clinical program and are evaluating the combination in 13 different tumor types (endometrial carcinoma, hepatocellular carcinoma, melanoma, non-small cell lung cancer, renal cell carcinoma, squamous cell carcinoma of the head and neck, urothelial cancer, biliary tract cancer, colorectal cancer, gastric cancer, glioblastoma, ovarian cancer, and triple-negative breast cancer) across 19 clinical trials.

About Eisai

Eisai is a leading global research and development-based pharmaceutical company headquartered in Japan, with approximately 10,000 employees worldwide. We define our corporate mission as "giving first thought to patients and their families and to increasing the benefits health care provides," which we call our human health care (hhc) philosophy. We strive to realize our hhc philosophy by delivering innovative products in therapeutic areas with high unmet medical needs, including Oncology and Neurology. In the spirit of hhc, we take that commitment even further by applying our scientific expertise, clinical capabilities and patient insights to discover and develop innovative solutions that help address society's toughest unmet needs, including neglected tropical diseases and the Sustainable Development Goals.

For more information about Eisai, please visit http://www.eisai.com(for global), us.eisai.com(for U.S.) or http://www.eisai.eu(for Europe, Middle East, Africa), and connect with us on Twitter (U.S.and global) and LinkedIn(for U.S.).

LENVIMA is a registered trademark used by Eisai Inc. under license from Eisai R&D Management Co., Ltd.

KEYTRUDA is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, N.J., U.S.A.

SOURCE Eisai Inc.

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Eisai Announces New Investigational Data from Study 211 Evaluating the Starting Dose of LENVIMA (lenvatinib) in Differentiated Thyroid Cancer at ESMO...

Values and the law | News, Sports, Jobs – Marquette Mining Journal

To the Journal editor:

Amidst the fervency of our political conversations these days, I would like to suggest a calm and reasoned conversation about the foundational relationship of values and the law.

Individual values form an intricate web that combines in a myriad of ways to engender societal values, which are then formed into the laws of the city, state, and country.

Some laws are rather uncontroversial. For example, values regarding safety on public thoroughfares are routinely codified in laws regarding traffic.

Other laws are more controversial and require reasoned discourse to move from a variety of individual values to societal values and the corresponding laws that codify these societal values.

For examples, consider (1) to what extent should government be involved in helping those in need or in providing administrative machinery for health care, and (2) to what extent should government be involved in issues of human reproduction.

Such foundational and important issues of values and the law deserve reasoned discussion in the public sphere.

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Values and the law | News, Sports, Jobs - Marquette Mining Journal

Calypso Biotech Announces Successful Dosing of First Phase 1 Cohort with Anti-Interleukin-15 (IL-15) Monoclonal Antibody CALY-002 for the Treatment of…

Dose-escalation study to evaluate safety, biological and early clinical effect of CALY-002 in healthy volunteers and patients with Celiac Disease and Eosinophilic Esophagitis

AMSTERDAM, The Netherlands, November 16, 2020 / B3C newswire / -- Calypso Biotech, a company developing Interleukin-15-targeted biologics, today announced completion of dosing of first cohort of healthy subjects in the first Phase 1 clinical trial of CALY-002, a novel humanized monoclonal antibody neutralizing IL-15.

CALY-002 is the lead program of our differentiated pipeline of IL-15-targeting biologics, that we plan to investigate in multiple auto-immune diseases. CALY-002 has an unique mode of action which translates into potent biological activity in vivo and is expected to show superior clinical efficacy in patients, says Alain Vicari DVM, PhD, Chief Executive Officer of Calypso Biotech. IL-15 is a key target in auto-immune diseases. IL-15 controls unique immune pathways such as Natural Killer cells and Memory T cells critically involved in disease onset and maintenance, as well as tissue destruction, in addition to its broad effect on inflammation, adds Yolande Chvatchko PhD, Chief Scientific Officer of Calypso Biotech.

Calypso Biotech has elected Celiac Disease and Eosinophilic Esophagitis to evaluate the biological and clinical efficacy of CALY-002. Celiac Disease and Eosinophilic Esophagitis are two diseases with high unmet medical need where IL-15 causes inflammation, and tissue destruction. I am excited that this trial will inform about the safety, pharmacokinetic and pharmacodynamic of single and multiple administrations with CALY-002 in highly relevant populations. comments Josefin-Beate Holz, MD, Chief Medical Officer of Calypso Biotech.

More information on the trial can be found: https://clinicaltrials.gov/ct2/show/NCT04593251

About Celiac Disease and IL-15Celiac Disease is a serious autoimmune disease that occurs in genetically predisposed people where the ingestion of gluten, a protein found in wheat, barley, and ryeand derived products, leads to damage in the small intestine. It is estimated to affect 1 in 100 people worldwide. Celiac Disease can cause symptoms including abdominal pain, diarrhea, nausea, and vomiting. Long-term complications of Celiac Disease may include malnutrition, accelerated osteoporosis, nervous system problems and problems related to reproduction. Currently the only available treatment for patients with Celiac Disease is maintaining a gluten-free diet, which involves strict, lifelong avoidance of exposure to gluten. IL-15 has been singled out as a major driver of Celiac Disease for a long time, yet there are no IL-15-targeting drug available to address this important medical need.

About Eosinophilic Esophagitis and IL-15Eosinophilic esophagitis (EoE) is a chronic, life-long immune-mediated disease of the esophagus (the tube connecting the mouth to the stomach) triggered by food antigens in at-risk individuals. This damage makes eating difficult or uncomfortable, potentially resulting in poor growth, chronic pain, and/or difficulty swallowing. It may evolve into a fibrotic process that causes a narrowing of the esophagus and can provoke food impaction, requiring a surgical procedure to remove the food and/or dilate the esophagus. Although still an orphan condition in Europe and the USA (CALY-002 has received Orphan Drug Designation for the treatment of EoE), doctors are seeing more and more children and adults suffering from EoE. The only medical treatment approved for EoE to date, in Europe, is a local formulation of immune -suppressive corticoids. While long attributed to the presence of eosinophils alone, it is now clear that EoE is driven by other factors, many demonstrated by Calypso Biotech to be controlled by IL-15.

About Calypso Biotech BVCalypso Biotech BV is a private biotechnology company leveraging its unique knowledge of IL-15 biology into the development of medical breakthroughs. Calypso Biotech was established as a spin-off by the healthcare business of Merck, founded by Alain Vicari, Yolande Chvatchko and M Ventures, and is headquartered in Amsterdam, The Netherlands. Calypso Biotech is also a Resident Company of Johnson & Johnson Innovation JLABS in Beerse, Belgium (JLABS @ BE).

Contact

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Keywords: Humans; Glutens; Diet, Gluten-Free; Celiac Disease; Hordeum; Triticum; IL15 protein, human; Interleukin-15; Eosinophilic Esophagitis; Healthy Volunteers; Immunologic Memory; T-Lymphocytes; Diarrhea; Netherlands

Published by B3C newswire

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Calypso Biotech Announces Successful Dosing of First Phase 1 Cohort with Anti-Interleukin-15 (IL-15) Monoclonal Antibody CALY-002 for the Treatment of...