Breaking News

Oncologists move away from radiation, wildfire smoke linked to dementia risk, & FDA’s salt reduction proposal spurs debate

August 15, 2023
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Biotech Startups & Venture Capital Reporter
Morning, all. Allison DeAngelis here, filling in for Liz. Amid devastating wildfires impacting Hawaii and Canada, Abdullahi Tsanni reports on a new study that finds that long-term exposure to emissions from wildfires and agriculture can increase a person's risk of developing dementia. Read on for more.

Cancer

With new treatments available, oncologists pull back on radiation use

For decades, oncologists have relied on chemotherapy, radiation, and surgery to address various types of cancers. But now that they have new tools like immunotherapies and engineered cells, physicians are moving away from radiation, sometimes forgoing it entirely. 

Forms of radiation therapy have been in use for a century, but while it can help fight cancer, it can also leave lasting damage. Studies also show that omitting radiation from standard therapy seems to make little or no difference in outcomes in certain low-risk or early-stage disease in lymphoma, breast cancer, thyroid cancer, and more. "We are in an era of radiation omission or de-escalation," Corey Speers, vice chair of radiation oncology at the University Hospitals Seidman Cancer Center and Case Western Reserve University, told STAT's Angus Chen. Read more.


policy

FDA's proposed salt reduction strategy could harm Black Americans, patient advocates warn

Patient advocates are warning that a recent proposal from the FDA meant to reduce consumers' salt intake could inadvertently kill those with kidney disease, particularly Black Americans. The draft regulations would allow food makers to use salt substitutes in popular food items like white bread and ketchup. Kidney advocacy organizations say that the proposal could lead to unnecessary deaths because the regulation would increase the use of one popular salt substitute: potassium chloride, STAT's Nicholas Florko reports.

Patients with chronic kidney disease, including end-stage renal disease, can't properly excrete potassium from their bodies, and excess potassium levels in the blood, known as hyperkalemia, can lead to cardiac arrhythmias and sudden heart failure. Black Americans are at higher risk, because they historically have higher rates of kidney disease. 


addiction

Two-thirds of adults have experienced or witnessed addiction, poll finds

With U.S. overdose deaths hitting new highs in recent years, two-thirds of Americans now have either personally experienced addiction, or have witnessed it among family members. That's according to a new KFF poll, which surveyed people on addiction to illegal drugs, alcohol, and painkillers. Other key findings:

  • A larger share of white adults (33%) compared to Hispanic adults (28%) or Black adults (23%) reported personal or familial experience with opioid addiction.
  • Less than half of people who said either they or a family member have experienced addiction reported that they got treatment. 
  • Around 90% of respondents supported having addiction treatment centers in their community, while 45% were in favor of safe consumption sites, where trained emergency personnel are on hand in case of emergency.


Closer Look

Bristol Myers Squibb enlists new algorithm to expand reach of heart disease drug

Bristol Myers Squibb has enlisted an algorithm to find potential patients with a genetic heart condition addressed by one of its medications. The algorithm, called Viz HCM and developed by Viz.ai, earlier this month received FDA clearance. The tool looks at 12-lead electrocardiograms collected during routine care and flags suspected cases of hypertrophic cardiomyopathy, or HCM, which the Bristol Myers drug Camzyos treats.

Suhas Krishna, BMS' VP of digital health, told STAT's Mario Aguilar that the company believes the algorithm "is going to help the overall diagnosis of the disease in the industry. And I think obviously by doing that, we will help make sure that our medicines also reach the right patients faster." But there are concerns the algorithm could catch conditions that present similarly to HCM, or increase diagnoses for people who aren't eligible for Camzyos, because their symptoms aren't severe enough. Read more.


environmental health

Long-term exposure to wildfire smoke linked to higher dementia risk

GettyImages-1243029447Patrick T. Fallon/AFP via Getty Images

It's only in recent years that scientists have begun to find evidence that air pollution has led to a higher risk of neurodegenerative diseases like dementia. But which specific air pollution sources contribute to this association has been an enigma. A study published yesterday in JAMA Internal Medicine began to clear the haze of that mystery, finding that emissions from agriculture and wildfires are particularly harmful.

The study focused on a fine particulate matter known as PM2.5, which can hang in the air for long periods of time, and is small enough to float through the bloodstream to vital organs including the brain. With the global burden of dementia projected to increase, the study's lead author, Boya Zhang, told STAT's Abdullahi Tsanni that the research suggests interventions that target specific air pollution sources could be an effective way to cut down the dangerous PM2.5 particle levels among populations in the U.S.


research

Scientists use gene therapy to treat alcohol use disorder in monkeys

STAT's Jonathan Wosen brings this report: Humans aren't the only species that loves booze. Adolescent monkeys given free access to alcohol can't get enough of the stuff, which makes non-human primates a useful model for studying alcohol use disorder. And in a study published yesterday in Nature Medicine, researchers showed they could treat the condition with gene therapy.

Scientists took eight male rhesus macaques and injected the brains of half with a harmless virus delivering glial-derived neurotrophic factor, or GDNF, a growth factor that prompts neurons to release the neurotransmitter dopamine, which controls feelings of motivation. Doing so dramatically reduced the animals' drinking habits after alcohol was taken away and reintroduced. The findings, though preliminary, raise the possibility of one day using a similar approach to treat extreme cases of alcohol misuse in people. "This is a therapeutic approach that would be the last resort," said Kathleen Grant, a neuroscientist at Oregon Health & Science University and one of the study's senior authors.


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What we're reading

  • Matt's Take: From drug shortages to high prices, U.S. system's shortcomings have deep roots, STAT
  • The hidden fee costing doctors millions every year, ProPublica
  • Adam's Take: What's behind the recent surge in Apellis' stock price? Growing confidence in the safety of its eye treatment, STAT
  • Revealing the Smithsonian's 'racial brain collection,' Washington Post
  • Abortion restrictions weakening cancer care, other treatments, Bloomberg Law
  • Parents see own health spiral as their kids' mental illnesses worsen, KFF Health News

Thanks for reading, more tomorrow! — Allison

Allison DeAngelis is a biotech reporter at STAT, covering biopharma startups and venture capital.


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