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AstraZeneca's rare immune disorder drug succeeds in advanced trial

AstraZeneca's rare immune disorder drug succeeds in advanced trial

Reuters4 days ago
July 24 (Reuters) - AstraZeneca (AZN.L), opens new tab said on Thursday its experimental therapy, gefurulimab, met the primary goal and all secondary endpoints in a late-stage study aimed at improving symptoms of a rare autoimmune condition that affects muscle function.
The therapy reduced the severity of generalised myasthenia gravis (gMG) in adults and improved functional activities, when compared with placebo at 26 weeks, the drugmaker said.
In the study, patients' bodies also produced antibodies that attacked a type of protein on the nerves, disrupting communication with muscles.
Generalised myasthenia gravis is caused by an abnormal immune reaction in which the body mistakenly attacks itself, weakening the skeletal muscles, especially those controlling the eyes, mouth, throat and limbs, leading to fatigue, difficulty swallowing and breathing.
"Rapidly fluctuating symptoms and the unpredictable disability associated with gMG can affect nearly every aspect of a patient's life, making early intervention and sustained disease control a critical treatment goal," said Kelly Gwathmey, principal investigator of the trial and a neurology professor.
Gefurulimab is designed to be self-administered as a once-weekly injection under the skin, offering patients convenience. It works by inhibiting the activity of the C5 protein, which triggers the body's immune response.
Current gmG treatments include Argenx SE's (ARGX.BR), opens new tab Vyvgart Hytrulo, J&J's (JNJ.N), opens new tab IMAAVY, and AstraZeneca's own rare-disease therapy Soliris, which brought in sales of nearly $2.6 billion in 2024.
The Anglo-Swedish drugmaker said it plans to share data from the study with health regulators.
AstraZeneca, the UK's largest-listed firm by market value, is targeting $80 billion in annual revenue by 2030, and has plans to spend $50 billion to expand manufacturing and research capabilities in the U.S. in the same period to aid that goal.
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The life of microplastic: how fragments move through plants, insects, animals
The life of microplastic: how fragments move through plants, insects, animals

The Guardian

time12 minutes ago

  • The Guardian

The life of microplastic: how fragments move through plants, insects, animals

The story starts with a single thread of polyester, dislodged from the weave of a cheap, pink acrylic jumper as it spins around a washing machine. This load of washing will shed hundreds of thousands of tiny plastic fragments and threads – up to 700,000 in this one washing machine cycle. Along with billions of other microscopic, synthetic fibres, our thread travels through household wastewater pipes. Often, it ends up as sewage sludge, being spread on a farmer's field to help crops grow. Sludge is used as organic fertiliser across the US and Europe, inadvertently turning the soil into a huge global reservoir of microplastics. One wastewater treatment plant in Wales found 1% of the weight of sewage sludge was plastic. From here, it works its way up the food chain through insects, birds, mammals and even humans. Perhaps our jumper's life as a garment will end soon, lasting only a few outings before it emerges from the wash shrunken and bobbling, to be discarded. But our thread's life will be long. It might have only been part of a jumper for a few weeks, but it could voyage around the natural world for centuries. Spread on the fields as water or sludge, our tiny fibre weaves its way into the fabric of soil ecosystems. A worm living under a wheat field burrows its way through the soil, mistaking the thread for a bit of old leaf or root. The worm consumes it – but cannot process it like ordinary organic matter. The worm joins nearly one in three earthworms that contain plastic, according to a study published in April, as well as a quarter of slugs and snails that ingest plastic as they graze across soil. Caterpillars of peacock, powder blue and red admiral butterflies all contain plastic too, perhaps from feeding on leaves contaminated with it, research shows. With the plastic in its gut, the burrowing earthworm will find it more difficult to digest nutrients, and is likely to start shedding weight. The damage might not be visible but for insects, eating plastic has been linked to stunted growth, reduced fertility and problems with the liver, kidney and stomach. Even some of the tiniest lifeforms in our soil, such as mites and nematodes – which help maintain the fertility of land – are negatively affected by plastic. Plastic pollution in the marine environment has been widely documented, but a UN report found soil contains more microplastic pollution than the oceans. This matters not only for the health of soils, but because creepy crawlies such as beetles, slugs and snails form the building blocks of food chains. Our worm is now enabling this plastic fibre to become an international traveller. In a suburban garden, a hedgehog snuffles through a dozen invertebrates in a night, consuming plastic fibres within them as it goes. One of them is our worm. A study that looked at the faeces of seven hedgehogs, found four of them contained plastics, one of which contained 12 fibres of polyester, some of which were pink. If hedgehogs don't live in your country, substitute another small, scurrying mammal or bird: the same study found mice, voles and rats were also eating plastic, either directly or via contaminated prey. Birds that eat insects such as swifts, thrushes and blackbirds are also ingesting plastic via their prey. A study earlier this year found for the first time that birds have microplastics in their lungs because they are inhaling them too. 'Microplastics are now ubiquitous at every level of the food web,' says Prof Fiona Mathews, environmental biologist at the University of Sussex. The meat, milk and blood of farm animals also contain microplastics. At the top of the food chain, humans consume at least 50,000 microplastic particles a year. They are in our food, water, and the air we breathe. Fragments of plastic have been found in blood, semen, lungs, breast milk, bone marrow, placenta, testicles and the brain. Even as it makes its way up the animal food chain, our polyester fibre has not been broken down. At some point, the thread returns to the dirt when the creature that consumed its host dies, and a new adventure starts. The body will decay, but the polyester fibre will endure. Once in the soil, it is ploughed in by the farmer before crops are sown. But it may not stay there for long – strong winds blow the dry, degraded soil into the air, taking with it a pink fragment of plastic. In heavy rain, the fibre could be swept into a river flowing to the sea: a major source of marine contamination is run-off from land. This process of moving through natural systems over years has been called 'plastic spiralling'. Scientists have found that microplastics equivalent to 300m plastic water bottles have rained down on the Grand Canyon, Joshua Tree and other US national parks. Even the most remote places are contaminated. One scientist found 12,000 microplastic particles a litre in samples of Arctic sea ice, swept there by ocean currents and blown in by the wind. With the passage of time, our plastic thread has still not rotted, but has broken into fragments, leaving tiny pieces of itself in the air, water and soil. Over the course of years, it could become so small that it infiltrates the root cell wall of a plant as it sucks up nutrients from the soil. Nanoplastics have been found in the leaves and fruits of plants and, once inside, they can affect the plant's ability to photosynthesise, research suggests. Here, inside the microscopic systems of the plant, the bits of our pink fibre cause all kinds of havoc – blocking nutrient and water channels, harming cells and releasing toxic chemicals. Staples such as wheat, rice and lettuce have been shown to contain plastic, which is one way they enter the human food chain. From its humble beginnings, our fibre may have journeyed around the world, shedding bits of itself along the way, and working its way into almost every layer of different ecosystems and the far reaches of the natural world. Extracting it once it begins that journey is extremely difficult. The best way to prevent its spread is to stop it at the outset – before the worm, before the soil, before the washing machine, even before the jumper is made. Since the 1950s, humans have produced in excess of 8.3bn tonnes of plastic – equivalent to the weight of one billion elephants. It finds its way into packaging, textiles, agricultural materials and consumer goods. Opting to live without it is almost impossible. Fast fashion companies, drinks giants, supermarket chains and big agricultural companies have failed to take responsibility for the damage this has caused, says Emily Thrift, who researches plastic in the environment at the University of Sussex. She says individual consumers can reduce their consumption but should not feel that this is entirely their responsibility. 'If you do make this level of waste, there needs to be some form of penalisation for doing it,' she says. 'I truly believe until there is policy and ways to hold big corporations accountable, I don't see it changing much.'

NI waiting lists: Senior surgeon appointed to tackle 'national shame'
NI waiting lists: Senior surgeon appointed to tackle 'national shame'

BBC News

time12 minutes ago

  • BBC News

NI waiting lists: Senior surgeon appointed to tackle 'national shame'

A senior surgeon appointed to tackle Northern Ireland's health waiting lists has said the delays are "nothing short of a national shame".The lists are at an all-time high with some specialities recording the highest number of patients and waits across the Mark Taylor acknowledged that it would be a "long-term challenge", but said he would work "tirelessly" with his health service colleagues to turn things Clinical Director for Elective Care, his appointment is the first time someone has been directly tasked with tackling the problem. More than half a million people are on lists to have their first consultation with a longest outpatient waiting list is for general surgery, followed by ENT (Ears, Nose and Throat) treatment and gynaecology, however, almost every treatment specialism list has grown."The minister has spoken previously about being at the foothills on it," Prof Taylor said."I will be devoting all my energies to it and I know colleagues will be doing the same." "There are many vital facets to the ongoing drive for elective care recovery in NI – including reform, investment, improved productivity and reducing clinical variance," said Health Minister Mike Nesbitt."The overriding goal, of course, has to be to get many more people off waiting lists," the minister appointment is a similar approach to NHS England where a new government initiative is sending top doctors into support health trusts where more people are waiting for treatment and out of may be a result of the recent appointment of Mike Farrar as Permanent Secretary at the Department of Health (DoH).Mr Farrar previously worked for NHS England and would have knowledge of the benefits of having clinical specialists taking the lead on waiting list is a targeted approach, and data shows it is making a difference. Analysis from BBC News NI Health Correspondent Marie-Louise Connolly:Mark Taylor is facing a Herculean people have been waiting 9 years on a list, sadly many have died while it is not all about the money, it's also about having a stable workforce to staff hospital theatres 24/ the moment, the workforce is in parts fragile and few hospitals, excluding perhaps the South West Acute Hospital in Enniskillen, has vacant hospital this stage what is not clear is just how much the independent sector will be employed and if the hospital system will be on full power seven days a the most achievable aspect of all this is communicating with need to be able to plan their lives and told realistically when their operation or procedure will take this appointment is a success will depend if Prof Taylor is given the authority to make his own what is unclear if targets aren't met and lists not cleared, who will be held to account - Mark Taylor or the health minister?For now, Mark Taylor has stepped up to the plate - a keen cyclist - he's aware there are hills to climb and difficult conditions to navigate. Tackling hospital waits was listed as a priority in the Programme for Government with up to £215m earmarked for elective care initiatives in this financial year. The funding covers three categories and includes; £85m for red flag and time critical care, £80m for building up capacity to "address the long standing mismatch with demand" and up to £50m to start tackling the backlog in Elective Care Framework plan to tackle waiting lists was published in June 2021, updated in 2024 and in May a funding plan was to the DoH, since 2022 there have been some improvements in the treatment waiting lists - that means once people get into the system and are seen by a consultant, their treatment plan tends to have less of a delay. Transformation to date includes:An orthopaedic hub at Musgrave Park Hospital, between 2021 and 2024, where more than 18,000 patients have been treatedDedicated Day Procedure Centres at Lagan Valley and Omagh Hospitals with according to DOH statistics approximately 17,905 patients treated across a range of specialtiesElective Overnight Stay Centres at Daisy Hill, Mater and South West Acute Hospitals, since 2023 over 18,277 patients have been treated across all three sitesTwo dedicated regional endoscopy centres within Lagan Valley and Omagh hospitals have treated 13,999 patientsSpeciality centres for cataracts at Down, South Tyrone and Mid Ulster Hospitals

Health officials warn of ‘serious' virus ‘twice as contagious as a cold' – good hygiene isn't enough to slow the spread
Health officials warn of ‘serious' virus ‘twice as contagious as a cold' – good hygiene isn't enough to slow the spread

The Sun

time12 minutes ago

  • The Sun

Health officials warn of ‘serious' virus ‘twice as contagious as a cold' – good hygiene isn't enough to slow the spread

HEALTH officials in the UK have warned of a virus "nearly twice as contagious" as the common cold and "far more serious" amid ongoing outbreaks. Getting vaccinated can help people avoid catching and spreading it, they add. 2 The UK Health Security Agency (UKHSA) is urging Brits to catch up on their measles, mumps and rubella (MMR) vaccine as fears grow over the spread of measles. Earlier this month, a child who was ill with measles, as well as other health problems, died at Alder Hey Children's Hospital in Liverpool. It was the first measles death in the UK in nearly a decade, since 2006. In a statement, the hospital said it was "concerned about the increasing number of children and young people who are contracting measles". It added it had treated 17 children for effects and complications of measles since June. It's not known whether the child who died had received the MMR vaccine, but the jab has been found to be 97 per cent effective against measles and rubella after two doses. The UKHSA has issued a reminder to those who have missed one or both doses of the MMR vaccine to contact their GP to get vaccinated as soon as possible. In a post on X, it warned: "Think the common cold spreads fast? Measles is nearly twice as contagious, and far more serious. "Unlike a common cold, simple hygiene measures aren't enough to slow its spread. "The MMR vaccine is your best protection." It also posted a GIF which read: "Measles is one of the most infectious diseases in the world. It can be passed very easily from person to person. "The 'R number' for measles is 15. This means that one person with measles would infect 15 others. "Compared to five other key respiratory infections (R number): 1st Measles - R15; 2nd Common Cold - R8; 3rd Mumps - R7; 4th Norovirus - R4; 5th Covid-19 - R3; 6th Influenza - R1.7. "The MMR vaccine is the best and safest way to avoid catching and spreading measles. "When most people are protected by vaccination, it's harder for the disease to spread. If you or your child missed one or both doses of the MMR, contact your GP practice to arrange your free vaccination." Cases of measles have been rising in the UK and around the world, with more than 500 reported since January in England alone. The majority of cases have been reported in children aged 10 and under, but young people and adults have also been diagnosed with the virus. A rise in cases has been attribute to a fall in vaccine uptake. Measles is spread when an infected person breathes, coughs or sneezes. You're infectious from when you first have symptoms (around four days before the rash appears) until four days after you get the rash. 2 The main symptoms of measles MEASLES is highly contagious and can cause serious problems in some people. The infection usually starts with cold-like symptoms, followed by a rash a few days later. The first signs include: A high temperature A runny or blocked nose Sneezing A cough Red, sore, watery eyes Small white spots may then appear inside the cheeks and on the back of the lips. A rash tends to come next. This usually starts on the face and behind the ears before spreading to the rest of the body. The spots are sometimes raised and join together to form blotchy patches. They are not normally itchy. The rash looks brown or red on white skin. It may be harder to see on darker skin. Complications are rare, but measles can lead to pneumonia, meningitis, blindness, seizures, and sometimes death. Source: NHS The best way to avoid spreading or catching measles, according to the NHS, is to washing your hands often with soap and warm water, use tissues when you cough or sneeze, and to throw used tissues in the bin,. You should also avoid sharing cutlery, cups, towels, clothes, or bedding. Latest figures reveal MMR vaccination rates in England have fallen below the recommended 95 per cent threshold for both the first and second doses. The threshold needs to be met to achieve herd immunity, says the World Health Organisation (WHO). Getting the vaccine not only protect yourself against three serious infections, but helps to protect others who can't have the vaccine. This includes unborn babies, infants who are too young to have the vaccine and children or adults who can't have the vaccine because they have weakened immune systems. The UKHSA advises: "This will help to prevent large outbreaks of disease. "You should also have the vaccine if you work with young children or care for people as part of your work." Expert answers MMR questions TO help deal with parental concerns, Professor Helen Bedford, a specialist in child public health at University College London, tells you all you need to know about the MMR vaccine. When is the vaccine given? The MMR vaccine is part of the NHS Routine Childhood Immunisation ­Programme. It's typically given via a single shot into the muscle of the thigh or the upper arm. The first dose is offered to children at the age of one (babies younger than this may have some protection from antibodies passed on from their mother, which start to wear off at about 12 months.) The second dose is then offered to children aged three years and four months before they start school. To check to see if you or your child have had the recommended two doses of MMR, you can look at their/your Personal Child Health Record, also known as the red book. If you can't find the red book, call your GP and ask them for your vaccine records. You are never too old to catch up with your MMR vaccine. If you see from your vaccination records that you did not receive two doses as a child, you can book a vaccination appointment. Is the vaccine safe? The MMR vaccine is safe and effective at preventing measles, mumps and rubella. In the UK, we started using the jab in 1988, so we have decades of ­experience using it. The jab is made from much-weakened live versions of the three viruses. This triggers the immune system to produce antibodies that are protective in the face of future exposure. It takes up to three weeks after having the ­vaccine to be fully protected. Like any vaccine, the MMR jab can cause side-effects, which are usually mild and go away very quickly. This includes rash, high temperature, loss of appetite and a general feeling of being unwell for about two or three days. There is also a very small chance children can have a severe allergic reaction. But compared to the complications of measles, there is no contest that vaccination is by far the safest and most effective route to take. Why was it linked with autism? In 1998, Andrew Wakefield and his colleagues published a now-discredited paper in medical journal The Lancet. The paper suggested that the MMR vaccine might be associated with autism and a form of bowel disease. It led to a sharp decline in vaccination rates. Even at the time, the research was considered poor. The Lancet retracted the story in 2010 after ­Wakefield's article was found 'dishonest' by the General Medical Council. He was later struck off and subsequently, in 2011, the British Medical Journal declared the story fraudulent. Does it contain ingredients from pigs? There are two types of MMR jabs: One with gelatin (animal/pig collagen), and one without it. For some religious groups, the inclusion of pig products is not ­acceptable. Those people should ask for the vaccine without gelatin.

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