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Mosquitoes beware – your next meal could be your last

Mosquitoes beware – your next meal could be your last

Yahoo27-03-2025

A drug used to treat rare genetic disorders also makes human blood lethal to mosquitoes, research has shown, raising hopes for a new weapon against malaria.
Nitisinone is already used to slow the effects of tyrosinemia type 1, a hereditary condition that can cause severe liver disease and kidney failure, and other diseases.
But it also makes any mosquitoes that ingest it unable to digest the blood they feed on, killing them rapidly, research led by the Liverpool School of Tropical Medicine (LSTM) found.
The study, published in Science Translational Medicine this week, showed that the drug blocks an essential enzyme mosquitoes need to break down their food.
Tests showed a small amount of the drug was even able to kill mosquitoes that have developed the ability to resist conventional insecticides – an increasingly widespread problem that has slowed efforts to combat malaria and other mosquito-borne diseases.
'What makes nitisinone so exciting is its novel mode of action against blood-feeding insects like mosquitoes,' said Dr Lee Haines, an Honorary Fellow at LSTM and one of the authors of the study.
'Unlike conventional insecticides that target the mosquito's nervous system, nitisinone targets an entirely different biological pathway in mosquitoes, which offers a new option for managing the growing problem of insecticide resistance.'
The study followed earlier research which first validated the theory that nitisinone could be used to kill insects that feed on blood. It proved highly effective at killing tsetse flies that spread sleeping sickness.
While the drug does not prevent a feeding mosquito from infecting someone with a virus, it could provide a new tool to combat the spread of disease by thinning out their populations, the researchers believe.
Several insecticides are already widely used in this way, such as ivermectin, a medicine usually used to treat parasitic infections in animals and people and which shortens the lifespan of any insect that ingests it.
But ivermectin, while abundant, is toxic in the environment and insects can also develop resistance to it when it is overused.
'Billions of doses have been given to people for the worming campaigns,' said Professor Álvaro Acosta Serrano, another of the study's co-authors. 'Ivermectin is obviously a very popular veterinary drug, so in farms it is polluting the soil and that has some ecological issues.'
As well as being much less harmful to other insects or animals in the ecosystem, nitisinone has the added advantage of lasting much longer in the body, he told The Telegraph.
'Nitisinone, because it has a much longer half life in blood – 54 hours compared to Ivermectin which is only 18 hours max – it has much better performance.'
As well as helping to suppress mosquito populations by killing those that unwittingly feed on humans carrying nitisinone, the drug could be used against mosquitoes in numerous other applications.
It could be used in the sugar-based bait traps currently being tested around the world which lure in mosquitoes and poison them, or it could be sprayed on to bed netting and buildings to get into mosquitoes that way.
The researchers are already planning to investigate whether the drug could be given to cows and other livestock animals to turn them into unwitting reservoirs of death for the insects that feed on them.
'This is a very versatile molecule,' Prof Acosta Serrano said.
Because it was originally developed to be a herbicide, it has many properties that make it ideal for use in these kinds of applications, including good resistance to UV light, he added.
Before all this though the researchers say more work is needed, including safety studies looking at different dosages. They are also yet to study how the drug interacts with antimalarials.
Another major challenge is cost.
While ivermectin has been produced cheaply by generic drug manufacturers for decades and has been donated in vast quantities to tackle diseases like river blindness, nitisinone – despite being off-patent – remains expensive.
'We need to convince a company to drop the prices because, for vector control use, interventions have to be really cost effective,' said Prof Acosta Serrano.
And while nitisinone promises to provide another tool with which to combat mosquito-borne disease, we are still waiting for scientific breakthroughs before we will be able to beat malaria.
'It's important to know that there is not a silver bullet to control any of the vector borne diseases, especially malaria,' he said. 'We still need to come out with better drugs. There is a huge problem with parasites that become drug resistant. We still don't have a completely efficacious vaccine available.'
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Ivermectin is now available without a prescription in some places. Good luck finding it.
Ivermectin is now available without a prescription in some places. Good luck finding it.

Yahoo

time2 days ago

  • Yahoo

Ivermectin is now available without a prescription in some places. Good luck finding it.

Boise, Idaho, pharmacist Matt Murray has no choice but to disappoint the handful of people who call him every day asking for a drug used to treat parasitic worms. He could give them the medication, called ivermectin, but only with a doctor's note. The callers aren't in the throes of an active intestinal worm infestation, Murray said. They simply want access to the pills without having to see a doctor first. 'A lot of people are calling, asking, 'Do you guys have it for sale? Can I buy it? How do I get it?'' said Murray, the director of operations for the independent Customedica Pharmacy. 'Not so much, 'How does it work? What is it for?'' The volume of such calls has increased sharply since mid-April, when Idaho Gov. Brad Little, a Republican, signed a bill into law mandating that ivermectin be available to anyone who wants it over the counter. 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All, however, appeared to be sympathetic to the request. One pharmacist in Arkansas took the time to explain that he needed to wait until the FDA provided guidance on over-the-counter ivermectin. Until then, he and all the others said, over-the-counter access to ivermectin would have to wait. Pharmacists say that just because over-the-counter ivermectin is written into law doesn't mean it should be made available to anyone who asks for it. They still rely on federal health guidance. 'Most over-the-counter drugs, especially ones that were prescriptions at one point, go through some FDA approval process,' Murray said. 'In that process, it gets decided what the labeling is going to say,' including warnings and directions. Republican lawmakers in Alabama, Georgia, Kentucky, Louisiana, Maine, Minnesota, Mississippi, New Hampshire, North Carolina, North Dakota, Pennsylvania, South Carolina and West Virginia have also proposed bills to make ivermectin available over the counter. Nearly all would simply permit health care providers and pharmacists to distribute ivermectin without a prescription. Most, like the one proposed in Alabama, would also protect pharmacists from any possible disciplinary action such as fines or license suspension from pharmacy licensing boards for dispensing it. Maine's proposed legislation specifically permits ivermectin to be sold to people who want to try it for Covid, cancer or the flu. Mississippi's bill would limit over-the-counter ivermectin to anyone 18 and older. The drug likely wouldn't be placed on store shelves, but be kept behind pharmacy counters, much like some cold medicines. Even if states do pass laws protecting pharmacists from disciplinary action, like the proposed legislation in Alabama, Murray said that he and his colleagues remain concerned. 'If you dispense something that doesn't have directions or safety precautions on it, who's ultimately liable if that causes harm?' Murray said. 'I don't know that I would want to assume that risk.' The Food and Drug Administration warns that taking large doses of ivermectin 'can be dangerous' and cause vomiting, diarrhea, low blood pressure, seizures, coma and even death. The drug could also interact with other medications like blood thinners, the FDA says. A spokeswoman for CVS Health said that while its pharmacies are able to dispense ivermectin with a prescription, they are 'not currently selling ivermectin over the counter' in any state. Walgreens declined to comment. Ivermectin was discovered by Japanese biochemist Satoshi Ōmura in the 1970s, first as a veterinary drug and then as a groundbreaking treatment for dangerous and disfiguring tropical diseases such as river blindness, as well as tapeworms, scabies and other worm-related infections. Hundreds of millions of people in mostly underdeveloped countries have used it safely with minimal side effects, such as fatigue or diarrhea, for decades. 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Political idiocy is going to make us, well, idiots
Political idiocy is going to make us, well, idiots

Washington Post

time03-06-2025

  • Washington Post

Political idiocy is going to make us, well, idiots

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Gene Therapy For Inherited Disease In The Unborn Child
Gene Therapy For Inherited Disease In The Unborn Child

Forbes

time03-06-2025

  • Forbes

Gene Therapy For Inherited Disease In The Unborn Child

Until recently, even the most advanced gene therapies could only be given after a child was ... More born—often racing against time to prevent irreversible damage. In the first part of this series, we explored how early genetic screening and gene therapy transform the lives of newborns and their families. Now, we're taking an even earlier step: treating inherited diseases in the womb before birth. Until recently, even the most advanced gene therapies could only be given after a child was born—often racing against time to prevent irreversible damage. But what if we could intervene even earlier? That's the question now being answered, with some astonishing results. A recent study published in Science Translational Medicine showed that delivering a special kind of genetic therapy directly to the fetus could prevent the onset of spinal muscular atrophy in animal models. Treating the condition before birth may be possible to preserve healthy motor function and prevent the nerve damage that usually begins in the womb. This is the first time we see molecular therapies targeting the root cause of inherited disease before birth. Another special investigational case, the first in humans, found that providing the mother with gene therapy while pregnant and continuing treatment after birth also prevented the devastating muscle weakness that usually comes with the disease. This is a true leap forward: instead of managing symptoms; we may soon be able to stop some inherited diseases before they ever begin. The journey starts with advanced prenatal genetic screening. Genetic changes in the developing fetus can be found using a simple blood sample from the mother. When a risk is found, therapy is delivered directly to the fetus, often by injecting medicine into the amniotic fluid. In the case of spinal muscular atrophy, this approach in animal models led to healthier development and longer survival. These findings suggest that intervening before birth can prevent or significantly reduce the neurological damage that begins in the womb and progresses rapidly after birth. While most of this research has been in animals, the first human steps have already begun. In February 2025, the University of California, San Francisco, reported the world's first attempt to treat a genetic disease in a human fetus using a medication called risdiplam. After learning that her unborn child was at risk, a mother began taking the medication late in pregnancy. The baby was born healthy and—now more than two years old—shows no signs of the disease, though some developmental challenges remain. Another important step was taken in a clinical trial at UCSF, where doctors successfully treated a fetus with a different rare disease using enzyme replacement therapy, showing that the technology for delivering medicine to the unborn is already here. Many inherited diseases cause the most significant harm before a baby is even born. By intervening early, we have the chance to save lives and give children the best possible start—preserving their ability to move, think, and grow. This isn't just a medical advance. It's a new way of thinking about what's possible for families facing genetic disease. Of course, there are still challenges ahead. Many are working to ensure these therapies are safe, effective, and accessible to all who need them. Ethical questions about when and how to use these powerful tools will also need careful thought. The first human applications of gene therapy before birth are expected within the next decade, pending rigorous safety and ethical evaluations. This new era also brings new questions. If we correct a genetic error in a child before birth, will that change be passed on to future generations? For now, most therapies target the body's somatic cells, not the germline, so the changes are not inherited. However, the line between somatic and germline interventions may blur as technology evolves, raising complex ethical considerations. The first human trials of in-utero gene therapy are just beginning, and more research is needed. But the direction is clear: as technology advances, we are moving from treating inherited diseases after birth to preventing them at the start of life. As I have often said, the future of medicine is being rewritten, one gene at a time. This latest breakthrough brings us one step closer to a world where prevention, rather than treatment, becomes the standard for genetic disease, where every child can live their healthiest life from the very start. As discussed in my book, the hope is that every child will soon have the chance to live their healthiest life from the beginning.

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