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How cellular ‘trash bins’ could help detect cancer early

July 29, 2025
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Morning Rounds Writer and Podcast Producer

Yesterday, HHS announced $100 million in available funding for initiatives working to test, treat, and prevent hepatitis C. Medium- and long-time STAT readers will remember Nick Florko's rigorous 2022 series, Death Sentence, on how state prisons across the country blatantly refuse to test and treat people with the condition. There is an outright cure for hepatitis C, but in 2019, it killed double as many incarcerated people as in the broader U.S. population.

policy

New NIH policy reduces grant awards, causing 'major havoc'

The NIH plans to shrink the share of grant applications it will award for the remaining two months of the fiscal year — specifically R01 grants, which represent the bulk of federal funding for universities and medical centers. Multiple branches of the agency will be impacted, with the National Cancer Institute expecting to be able to fund just 4% of grant applications it receives, down from 9%. 

The decision is "causing major havoc, and major anxiety and uncertainty throughout academia," Wafik El-Deiry, who directs the Legoretta Cancer Center at Brown University, said to STAT. Read the story from a team of STAT's science reporters on what's driving this decision and who will be affected first.


public health

New study tracks Covid-19 booster safety

The research group responsible for a large recent analysis of aluminum salts in childhood vaccines has also taken a look at the safety of last year's Covid-19 boosters, specifically those made using mRNA. In a study published Monday in JAMA Network Open, scientists from the Statens Serum Institut — Denmark's public health agency — mined data from about 1 million people who received a booster for the 2024-2025 Covid season.

They looked to see whether people who got a booster sought health care for one of 29 conditions one might worry about after getting a vaccination — things like anaphylaxis, Guillain-Barré syndrome, and myocarditis, inflammation of the heart muscle. They found no evidence of elevated rates of the conditions in people who got last fall's Covid booster.

Myocarditis was seen in some recipients of Covid shots, especially early in the pandemic. The condition, which can also be triggered by Covid infection, was reported mainly in adolescent boys in the period when they were getting their primary series which required two shots over the course of three or four weeks. The CDC reported in April (slide 34 here) that new cases of myocarditis have declined markedly since 2021-2022. — Helen Branswell


reproductive health

Judge blocks defunding of Planned Parenthood

A federal judge ruled yesterday that Planned Parenthood clinics across the country must continue to be reimbursed for Medicaid funding, replacing an order she made last week that protected only a portion of the organization's clinics from federal funding cuts. It's a small win for the country's largest abortion provider, which was a target in the Trump administration's signature tax legislation. But since President Trump signed the budget bill, at least 11 Planned Parenthood clinics have announced that they have closed or will close, per Autonomy News.

The legal battle centers on a provision in the tax bill that instructed the government to end Medicaid payments for one year to abortion providers that received more than $800,000 from Medicaid in 2023, even to those like Planned Parenthood that also offer a wide range of other medical services. Read more from the AP on the latest ruling. 



cancer

How cellular 'trash bins' could help detect cancer early

A round blue blob that is also stringy. Technically: A cultured cell releasing large numbers of extracellular vesicles, which bud from the cell's surface

Science Photo Library 

One of the most important factors in surviving cancer is to catch it early. It's for this reason that dozens of companies have pursued DNA-based blood tests for detection, but so far, this technology hasn't lived up to its promise — and many oncologists doubt that it ever will. That's led some researchers to turn to a new approach for early detection, making use of nanoscale biological structures that our cells use to take out their garbage.

What were once seen as the "trash bins of cellular processes," extracellular vesicles are now "rich repositories of cellular cargo" like protein, DNA, RNA, lipids, and more, according to cancer researcher Cesar Martin Castro. STAT's Angus Chen and Marissa Russo wrote about the research on this approach, which is still in its infancy, and what key advantages it may have over yesterday's methods. Read more.


disturbia

Thinking you're about to be infected may be enough to trigger immune response, study suggests

In a world filled with ever-evolving pathogens, our immune systems need to recognize and respond to threats quickly. A new study suggests this can happen even sooner than researchers had previously realized — before infection.

A team led by scientists in Switzerland used virtual reality to test the reactions of 248 healthy young adults to avatar images of faces that either had neutral expressions; clear signs of infection, such as rashes or coughing; or that appeared fearful. When researchers used VR to simulate infected faces approaching participants, their innate lymphoid cells, a class of immune cells that respond quickly to threats, became activated. That didn't happen with participants who were shown a fearful avatar, suggesting that this change was not a general stress response, or in response to a neutral image. The authors saw similar changes in subjects given a flu vaccine.

The findings, published in the journal Nature Neuroscience on Monday, suggest that VR could be a useful way to better understand how the brain and immune system talk to one another. — Jonathan Wosen


first opinion

On involuntary commitment, political discomfort, and moral responsibility 

As both a neurologist and a brother to somebody with schizophrenia, Shaheen E. Lakhan is intimately familiar with serious mental illness. So it may surprise some readers that Lakhan supports President Trump's recent executive order to make it easier for people with mental illnesses to be involuntarily committed. "The idea that civil liberties mean leaving people to deteriorate in public, untreated, is not progressive," he writes in a new First Opinion essay. "It's paralyzing."  

Critics worry that the Trump administration only wants to move unhoused people out of the public eye. Lakhan recognizes that: "If the U.S. acts only to remove people from view and not to heal, it will repeat the worst mistakes of the past," he writes. Read the essay on what potential progress he sees for the future of mental health care.


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What we're reading

  • Homes still aren't designed for a body like mine, Atlantic

  • First Opinion: How the FDA can score quick wins on transparency, STAT
  • Mexico's Molar City could transform my smile. Did I want it to? New Yorker
  • Kennedy, disability advocates paint very different realities as ADA turns 35, STAT

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