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AI analyzes surgical technique to improve prostate cancer care

The movements of a surgeon in a procedure—called “surgical gestures”—can be used to predict patient recovery, according to Cedars-Sinai investigators. Their findings, published in npj Digital Medicine, suggest this technology could help surgeons refine their techniques and improve patient outcomes.

The investigators have developed an AI system that analyzes surgeons’ techniques during prostate cancer surgery, helping identify the surgical movements associated with the best patient outcomes while also predicting whether patients are likely to regain sexual function.

The AI system, called Frame-to-Outcome (F2O), analyzes video recorded during the nerve-sparing portion of robot-assisted prostate surgery, when surgeons work to preserve the nerves responsible for sexual function. Rather than relying on experts to manually evaluate each procedure, the system automatically identifies patterns in a surgeon’s movements—called “surgical gestures”—and uses them to predict patient recovery.

CRISPR makes prostate cancer vulnerable to immunotherapy

Keeping the mRNA at its normal, longer length reduced the amount of SPSB1 protein produced by the cancer cells. This allowed the MHC-1 complex to return.

Once the MHC-1 complex was restored, immune checkpoint therapy became much more effective against the prostate tumors. The researchers also performed a detailed analysis of the results and found no detectable off-target effects from the experimental CRISPR treatment.

Engineered probiotic bacteria boost immune attack against pancreatic cancer

Cancer immunotherapies have transformed treatment for many cancers, but pancreatic cancer remains especially difficult to treat. One major reason is that pancreatic tumors often create a “cold” tumor microenvironment, where the tumor prevents immune cells from mounting a strong attack.

In a new study published in Science Advances, researchers at the University of Chicago report a promising new strategy to overcome this barrier using BifidoSumIL-2, an engineered bacterial strain of Bifidobacterium longum, a probiotic bacterium naturally found in the gut, to deliver an immune-stimulating therapy directly inside tumors.

The treatment suppressed pancreatic tumor growth by selectively activating cancer-fighting T cells. The effects were further enhanced when combined with chemotherapy, radiotherapy or immunotherapy. The study highlights BifidoSumIL-2 as a potentially powerful approach for improving treatment response in pancreatic cancer.

Cleveland Clinic study links gut microbe byproduct to heart arrhythmia

A Cleveland Clinic-led study shows a connection between elevated blood levels of TMAO (trimethylamine N-oxide) — a byproduct of gut bacteria digestion of nutrients found in red meat and other animal products — and a higher risk of atrial fibrillation.

The research team, led by Robert Koeth, M.D., Ph.D., analyzed blood samples from more than 5,000 people undergoing heart procedures. The researchers also conducted laboratory studies in cells to better understand how TMAO may influence the heart. They discovered that gut microbe-produced TMAO changes the heart’s electrical environment, increasing susceptibility to abnormal rhythms. Findings were published today in the Journal of Clinical Investigation.

Atrial fibrillation is the most common type of rhythm disorder that begins in your heart’s upper chambers, with at least 2.7 million Americans living with it. Symptoms include fatigue, heart palpitations, trouble breathing and dizziness. Risk factors include high blood pressure, coronary artery disease and having obesity. Medications and procedures such as an ablation, where scar tissue is created to help the electrical system work better, can lower your risk of a stroke.

Japan’s average life expectancy rises in 2025

For men, average life expectancy was 81.35 years, up 0.25 years from the previous year. For women, the figure was 87.33 years, up by 0.2 years.

The ministry said Friday it believes the increases are due to a decrease in deaths caused by cancer, heart disease and COVID-19.

Average life expectancy indicates how many years newborns in a given year are expected to live, on average.

Another iPS product approved for public insurance coverage in Japan

The Central Social Insurance Medical Council, which advises the health minister, on Wednesday approved the application of public health insurance to RiHeart, a cardiac muscle cell sheet that uses induced pluripotent stem (iPS) cells, effective on Sept. 1.

It is the second case of insurance coverage approval in the country for an iPS cell-derived regenerative medicine product.

Created by introducing specific genes into the cells of blood and skin, iPS cells are versatile in that they possess the ability to grow into the cells of various tissues and organs.

Early respiratory infections may explain half of younger siblings’ earnings gap

Younger siblings are often portrayed as reckless, scatterbrained and less put-together than their older siblings. Social science researchers have underpinned these portrayals with data, showing that younger siblings obtain, on average, slightly less education and earn slightly less in adulthood.

The explanation has often been that firstborns get more attention and quality time from parents than their younger siblings, resulting in the latter acting out. But a new study from Northwestern University suggests there may be a more immediate reason: germs.

Using Danish administrative data covering all firstborn and second-born siblings born in Denmark between 1981 and 2017, researchers found that younger siblings are two to three times more likely than older siblings to be hospitalized for a respiratory illness in the first months of life—largely because older siblings bring home viruses such as respiratory syncytial virus (RSV).

The quest to keep organs alive outside the body

Another way to prolong the lifespan of an organ is to use a machine that perfuses it with nutrients, mimicking what happens inside the body. Machine perfusion devices have become more commonly used over the last decade or so and are typically used to maintain livers and kidneys for up to about 24 hours.

Researchers are now adapting this protocol for a growing list of organs, even eyeballs —a recent feat that might enable whole-eye transplants. In March, I went to visit scientists in Valencia who had developed a perfusion system for uteruses. They had used their device—which they nicknamed “Mother”—to keep a human uterus alive for a day.

It’s an exciting time for organ preservation. Keep an eye out for more coverage from MIT Technology Review in the coming weeks.

Did Eating Too Many Sardines Increase Homocysteine?

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