CRISPR

088 - Fasting, Happiness, and the Skin-Gut Axis - HealthHippieMD Week In Review

A.I. Designs New Tools for DNA Editing

The realm of CRISPR gene editing is experiencing a technological revolution with the introduction of generative A.I. Profluent, a startup based in Berkeley, California, has unveiled an A.I. system that crafts blueprints for novel gene editing tools. This innovation, which employs methods similar to those driving the popular A.I. chatbot ChatGPT, can enhance the precision and speed of combating illnesses and diseases. Profluent's A.I. analyzes vast amounts of biological data to create gene editors that could surpass those formed through natural evolution. Their recent creation, OpenCRISPR-1, has already been used to edit human DNA and is now freely available for further experimentation. This breakthrough could herald a new era of medical treatments, tailor-made at unprecedented speeds. Generative A.I. Arrives in the Gene Editing World of CRISPR - The New York Times (gift article).

Skin-Gut Axis

Researchers at the University of California San Diego have discovered that skin injuries can significantly affect gut health in mice. This study reveals a skin-gut axis, showing that damage to the skin disrupts the intestinal defenses and alters the gut microbiome. The findings challenge the traditional belief that gut microbes primarily influence skin health, instead highlighting a bidirectional relationship. The experiments demonstrated that skin wounds and artificial increases in skin-specific enzyme levels led to more severe colitis, a gut disorder, by altering the microbial balance. This research, published in Nature Communications, suggests a new perspective on the interplay between skin injuries and gut health, with implications for understanding human diseases. A Skin-Deep Wound Can Trigger Gut Bacteria Changes: ScienceAlert (thanks, Amy).

Fever Dreams

Fever dreams, typically vivid, intense, and disturbing, are often a part of the ill experience when body temperature rises due to sickness. These dreams are characterized by bizarre, repetitive, and negative imagery, influenced by altered brain neurochemistry and rapid eye movement (REM) sleep disturbances. Research indicates these dreams often feature surreal scenarios and threatening elements, such as oversized creatures or menacing figures. Experts suggest fever-induced alterations in body and brain function could trigger these dreams, which also hold psychological significance, potentially representing inner fears or conflicts. While generally harmless, persistent fever dreams should be discussed with a healthcare provider as they could signal underlying health issues. What Does It Mean to Have a Fever Dream?

Fasting Time

Could a Calorie-Restricted Diet or Fasting Help You Live Longer? - The New York Times delves into the scientific intrigue surrounding calorie restriction and intermittent fasting as potential longevity boosters, a concept borne from decades of animal research. Studies suggest that cutting calorie intake can significantly extend the lifespan of various species, from worms to monkeys, by inducing key biological changes and reducing susceptibility to age-related illnesses like cancer. However, the application of these findings to human longevity remains uncertain. Although some evidence hints that these dietary adjustments could benefit human metabolic health and potentially slow aging, definitive long-term human studies are lacking, and the mixed results, including some contrary findings in human obesity, prompt ongoing debate among scientists.

Fact or Fiction

Chatbot answers are all made up. This new tool could help you figure out which ones to trust. | MIT Technology Review discusses a new tool developed by A.I. startup Cleanlab, aimed at evaluating the reliability of responses from large language models (LLMs). This tool, emerging from a quantum computing lab at MIT, scores outputs from LLMs on a scale from 0 to 1 to determine their trustworthiness, addressing businesses' concerns about these models' tendency to "hallucinate" or generate inaccurate information. By providing a reliability score, the tool allows users to discern which responses to trust. This innovation is especially pertinent as chatbots become more integrated into daily digital interactions, from search engines to office software. The Trustworthy Language Model could significantly reduce the risk of using LLMs in high-stakes business environments, enhancing their appeal and utility.

Sweet Nothings

In a recent article from The Atlantic, the introduction of brazzein, a new sugar substitute, is explored alongside older alternatives like aspartame and stevia. Despite its promise, brazzein must replicate sugar's unique sweetness, much like its predecessors. The narrative recounts a personal journey of managing blood sugar levels through various sweeteners, underscoring the dissatisfaction with their aftertaste and health concerns. Even with technological advancements, sugar substitutes still mimic sugar's flavor and texture, leading to continued disappointment for those seeking a healthier, yet equally satisfying, alternative to sugar. A New Sweetener Has Joined the Ranks of Aspartame and Stevia - The Atlantic

Happiness: Marriage and Money

The Happiness Trinity - The Atlantic delves into the complex question of what truly fuels our happiness. Marriage, according to W. Bradford Wilcox's new book, Get Married: Why Americans Must Defy the Elites, Forge Strong Families, and Save Civilization, emerges as a significant predictor of life satisfaction in America, outshining education, income, and job satisfaction. However, the discourse extends beyond matrimony, exploring "social fitness" — the quality of relationships in one's life — as an even stronger happiness determinant. The article also highlights the intertwined roles of income and social well-being, noting that higher income levels correspond with better marriage and social outcomes. Ultimately, the discussion suggests that happiness in America might morph into a luxury, stratified by income levels, with significant implications for society's overall well-being.

Unraveling the Complexities of Consciousness

The quest to understand consciousness remains elusive, yet tantalizing advances have sparked renewed interest. Grounded in the Orchestrated Objective Reduction (Orch OR) theory, pioneered by Roger Penrose and Stuart Hameroff, researchers posit that consciousness emerges from quantum processes within brain microtubules. Recent explorations extend this theory, demonstrating that microtubules might maintain quantum coherence far longer than expected, suggesting that our brains can sustain these quantum states despite their warm, wet conditions. Complementarily, Timothy Palmer's Invariant Set Theory proposes that consciousness and free will reflect our entanglement in a universal fractal geometry. While far from conclusive, these insights offer intriguing possibilities about the structure and reach of consciousness, bridging scientific inquiry with profound philosophical implications. Where Does Our Consciousness Live? It's Complicated.

060 - CRISPR, Wellness Tech Warnings, and the Brain's Fountain of Youth - HealthHippieMD Week In Review

More on the Impact of AI on Science

More on how AI is revolutionizing science in the Economist: How scientists are using artificial intelligence (gift article) and Could AI transform science itself? (gift article).

CRISPR and the Microbiome

CRISPR pioneer and Nobel Prize winner Jennifer Doudna is focusing on the microbiome: Crispr Pioneer Jennifer Doudna Has the Guts to Take On the Microbiome | WIRED. I highly recommend Walter Isaacson's biography on Doudna: The Code Breaker: Jennifer Doudna, Gene Editing, and the Future of the Human Race.

Big Tobacco Stains the Food Industry

"In a broader and much less restricting sense," an executive wrote, "R.J. Reynolds is in the flavor business." Although Big Tobacco is no longer in the food business, they left a terrible legacy: Many junk foods today were made and marketed by Big Tobacco - The Washington Post. (gift article)

Is Junk Food Addictive?

Recent studies suggest highly processed foods may have addictive qualities akin to drugs. Rats opt for sugar over cocaine, even enduring electric shocks for the sweet treat. Humans display similar behavior, consuming processed foods to the point of vomiting and diarrhea post-bariatric surgery. Daily snacking on these foods can rewire our brain's reward circuits, mirroring the cravings induced by cocaine. "In 2022, scientists published an opinion piece in the journal Addiction arguing that highly processed foods should be classified as addictive based on a 1988 Surgeon General report on tobacco products." Food Can Be Literally Addictive, New Evidence Suggests - Scientific American.

Healthy Diet Lowers Dementia Risk

Wapo had an article on the importance of diet in staving off dementia. Recent studies suggest the benefits occur even when started later in life: Eating heart-healthy foods also helps lower your dementia risk - The Washington Post. (gift article)

PANDA-monium: Infections Unmask Childhood Psychiatric Illnesses

Many doctors remain unaware PANDAS (Paediatric Autoimmune-Neuropsychiatric Disorders Associated with Streptococcus and its counterpart, PANS (Paediatric Acute-onset Neuropsychiatric Syndrome), or dismiss them as fictitious. This ignorance results in misdiagnoses, inappropriate treatments, and even parental accusations. Recent research suggests these disorders stem from an autoimmune reaction post-infection. The changing perception may have broader implications for understanding infections' roles in psychiatric conditions (for both children and adults), offering hope for early intervention and effective treatment. How common infections can spark psychiatric illnesses in children. (gift article)

Plasma, Platelets, and PF4: Searching for the Brain's Fountain of Youth

Groundbreaking research in mice may have revealed a key to rejuvenating aging brains. Neuroscientists have uncovered that platelets, specifically a group of molecules called Platelet Factor 4 (PF4), play a vital role in the age-reversal process. Three interventions—transfusions of young blood, the hormone klotho, and physical exercise—all harness PF4 to deliver their benefits to the brain. When 22-month-old mice were injected with young blood plasma or PF4, their cognitive age reversed dramatically. These findings, independently discovered by three research teams, offer new hope for combating age-related cognitive decline and unlocking the secrets of brain rejuvenation. Scientists uncover how young blood rejuvenates aging brains | BBC Science Focus Magazine.

Animal Communication Unveils Surprising Parallels to Human Language

Researchers are uncovering fascinating connections between animal communication and human language. For years, the belief in an unbridgeable gap between human language and animal communication prevailed. However, recent studies challenge this notion, revealing that various species possess intricate vocal learning abilities, from mice to dolphins. These findings suggest that language-related capacities may exist on a continuum across the animal kingdom. Scientists are now delving deeper into deciphering the meanings and intricacies of animal communication, shedding light on the evolution of language and our shared cognitive landscapes with other creatures. The Animals Are Talking. What Does It Mean? - The New York Times. (gift article)

+How AI is being leveraged to decode animal communication: Can We Talk to Whales? | The New Yorker and ‎Unexplainable: Can we talk to animals? on Apple Podcasts.

When the CIA, Artificial Intelligence, and Healthcare Collide

Palantir's Reputation Stalks Its Bid for the UK's National Health Data | WIRED is an interesting article about how Peter Thiel's big data analytics company (and surveillance government contractor), Palantir, is courting Britain's National Health Service for access to their data. What possibly could go wrong?

Big Tech Knows Your Most Intimate Health Details

Your most intimate health details have become data points in the digital realm. Tech giants, often unbeknownst to users, accumulate a treasure trove of personal health information through online interactions, from therapy sessions to fitness apps. Recent cases, like BetterHelp's data-sharing debacle, have exposed the extent of this information harvesting, raising concerns about privacy violations and potential harm. While some believe federal laws like HIPAA shield health data, the truth is more complicated. A fragmented regulatory landscape, limited enforcement resources, and the rapid evolution of technology call for comprehensive data privacy legislation to keep pace with the digital age. What Big Tech Knows About Your Body - The Atlantic.

Build a Real Music Collection

This author cites why she owns her music collection and eschews streaming: Want to Enjoy Music More? Stop Streaming It. - The New York Times. (gift article)

041 - Doctor Dog, AI Mind-Reading, and Smelling Virtual Roses - HealthHippieMD Week In Review

Long Telomeres

"Short telomeres were thought to be bad — people with premature aging syndromes had short telomeres — so, by analogy, long telomeres were thought to be good..." A paper published last week, Familial Clonal Hematopoiesis in a Long Telomere Syndrome | NEJM, challenged current assumptions about telomere length. Link Between Long Telomeres and Long Life Is a Tall Tale, Study Finds - The New York Times

Rapamycin

"Rapamycin is a paradoxical drug. It improves anti-cancer immunity, but it may also cause cancer. It protects against bacterial infection, halts viral replication, and suppresses the immune system. It reverses symptoms of Alzheimer's disease but also increases plaque deposits in the brain. It improves metabolic function, but it also causes type 2 diabetes. This list of contradictions goes on and on; however, there is one thing about Rapamycin that scientists tend to agree on: it is potentially the most powerful anti-aging drug ever discovered." I learned quite a bit from the article: Rapamycin: Unlucky history of the most powerful anti-aging drug.

ChatGPT's Empathetic Bedside Manner

In a recent study, healthcare professionals preferred the responses from A.I. over those from flesh-and-blood doctors. Could generative A.I. have a place in the future of healthcare-patient interaction? ChatGPT Has a Better 'Bedside Manner' Than Doctors.

+Quartz has some suggestions on how to get more out of your ChatGPT queries: How to use ChatGPT at work.

Futile Care

The Atlantic had an interesting opinion piece on the importance of end-of-life planning: An ICU nurse reflects on futile care. _"But what I think and feel doesn't matter. What matters is what the patient would think and whether the people who make choices about their care both know what the patient would think and understand the likelihood that their choices will have this result. This is often not the case."

Inside the Upcoming $1.5 Trillion Farm Bill

The Conversation published a peek behind the curtain as the government ramps its efforts to bring forth the next farm bill. These four challenges will shape the next farm bill – and how the U.S. eats.

The Association Between Season Allergies and Mood Disorders

"Not only are the physical symptoms draining, but a growing body of research also shows an association between allergic rhinitis — commonly known as hay fever — and mood disorders like anxiety and depression." How Seasonal Allergies Can Affect Mental Health.

Childhood Obesity

Obesity in U.S. children was already high and was exacerbated by the pandemic.Obesity in children is rising dramatically, and it comes with major – and sometimes lifelong – health consequences talks about the trend and its implications.

Mindfulness and Meditation

The benefits of mindfulness and meditation practice are numerous. The article Mindfulness, meditation, and self-compassion discusses benefits and gives practical steps to begin your practice.

Noggin Reading

Scientists have developed a mind-reading technology powered by A.I. that can decode a person's thoughts into speech. The researchers used functional magnetic resonance imaging (fMRI) and a large language model to analyze brain recordings and translate them into sentences. Although the technology's potential to help those who have lost their ability to speak, like stroke victims, is promising, it raises ethical privacy concerns. Mind-reading technology, powered by A.I., sparks ethical concerns.

Oh, Look At All the Lonely People

A recent study suggests that the brains of lonely people respond to visual stimuli in unique ways, unlike non-lonely people, implying that lonely people may view the world differently. The findings also suggest that being surrounded predominantly by people who view the world differently from oneself may be a risk factor for loneliness. The brains of lonely people process the world differently

Ode to the Human Genome Project

The Economist had an excellent article on the Human Genome Project, How the Human Genome Project revolutionized biology, although I was disappointed not to see the microbiome mentioned. As Julien Davies pointed out, the HGP is incomplete until we understand the role of microbial DNA: In a Map for Human Life, Count the Microbes, Too | Science.

Tweaking Vegetable Genes for Taste

Scientific American published an article on how CRISPR gene editing technology is being used to improve the taste of food: Tweaking Vegetables' Genes Could Make Them Tastier--And You'll Get to Try Them Soon - Scientific American (Thanks Dave Pell - NextDraft)

Doctor Dog

The article How My Dog Knows When I'm Sick is about how dogs can sense when their owners are sick and the signals they use to detect it. According to researchers, dogs can smell changes in their owners, including a virus or bacteria infection. They can also pick up on emotional changes, such as depression or lethargy, through the owner's voice changes. While it's unclear what dogs make of these changes, they may be more curious or suspicious than concerned. Nonetheless, dogs' empathy has significant benefits for human health.

Smell the (Virtual) Roses

Olfaction is tightly coupled with the parts of the brain responsible for emotions and memory. The evocative nature of the sense of smell is why companies are interested in deploying smell in the Metaverse: How to bring scents to the Metaverse and Smelling in V.R. environment possible with new gaming technology.

010 - Caloric Restriction, Vulnerability Hangovers, and Psychobiotics - HealthHippie Week In Review

Caloric Restriction and Healthspan

An email from the NIH, Calorie restriction, immune function, and health span gave an overview of a recent publication in Science focused on the immune system. In humans, the primary study (called the CALERIE Study) found caloric restriction led to changes in gene activity in body fat and related immune cells. Those that underwent caloric restriction had more prominent, less fatty thymi than controls. Based on findings in the original study, these authors studied a gene (Pla2g7) in mice. Mice who lacked this gene had less inflammation, larger thymi, gained less weight from eating a high-fat diet, burned more fat, and were less likely to develop fatty liver disease than the controls. The authors are trying to identify potential therapeutic targets to enhance longevity.

+If you're interested in this topic, Peter Attia's recent conversation with Matt Kaeberlein, How nutrition impacts longevity, is an insightful discussion. Although sadly, there is not a single mention of the microbiome.

Melanoma and the Microbiome

Within the last several years, there has been convincing evidence that dietary choices (specifically increasing dietary fiber) positively influence the efficacy of melanoma immunotherapy by way of the microbiome: Fiber boosts melanoma patients' response to immunotherapy In a recent paper, unsurprisingly, broad-spectrum antibiotics, at least in mice, seem to have the opposite effect, accelerating tumor growth: Melanoma: Gut microbiome-depleting antibiotics may make it worse

ARPA-H

President Biden named the head of the new Biomedical Research Agency, focused on fighting cancer and other diseases. The new agency, ARPA-H (Advanced Research Projects Agency-Health), jumpstarted by a $1 billion investment from Congress, is modeled after the military's futuristic Defense Advanced Research Projects Agency (DARPA). ARPA-H focuses on high-risk, high-reward areas of innovation. Biden Picks Biotech Executive to Lead New Biomedical Research Agency. Exciting times!

An Overview of Brain Fog

The NY Times had a fascinating overview of brain fog: What Is Brain Fog and How Can I Treat It?

+More on brain fog by one of my favorite science writers: Ed Yong on One of Long COVID's Most Misunderstood Symptoms

CRISPR Musings

Jennifer Doudna was co-recipient of the Nobel Prize in Chemistry for her discovery of CRISPR: Nobel Prize Awarded to Jennifer Doudna And Emmanuelle Charpentier For CRISPR Discovery This week, Dr. Doudna published her thoughts on CRISPR in the Atlantic: Starting a CRISPR Revolution Isn't Enough I highly recommend Walter Isaacson's fantastic biography, The Code Breaker: Jennifer Doudna, Gene Editing, and the Future of the Human Race.

Does Psychological Stress Increase the Incidence of Long Covid?

This study offers some preliminary evidence that it does: Psychological distress may increase your odds of getting long Covid, study finds.

Why Do Some People Seem Immune to Covid?

Scientists are trying to figure out why: The Mystery of Why Some People Don't Get Covid. Interestingly, there is no mention of interest in the microbiome, which we know influences immunity.

Exercise and Immunity

As if you needed another reason to exercise: The article, Can Exercise Strengthen Your Immunity, gives a synopsis of a recent meta-analysis published in the British Journal of Sports Medicine. The authors of the study found preliminary evidence they believe showed both a protective effect for contracting Covid and a lower likelihood of experiencing severe Covid. Interpretation of the results is controversial, but few argue the overall positive impact of exercise on health.

Alzheimer's Uproar

You've likely seen news stories about a foundational Alzheimer's paper whose findings were recently called into question. The podcast episode, An Alzheimer's uproar, explains the controversy.

+Tools to tease out scientific misconduct: Fake research can be harmful to your health – a new study offers a tool for rooting it out.

Talking to Strangers

When meeting a new person, the prevailing wisdom is you should listen more than you speak. A recent study shows that strategy is wrong: People think they should talk less to be liked, but new research suggests you should speak up in conversations with strangers.

+The benefits of talking to strangers: Why talking to strangers is good for you, them, and all of us.

Vulnerability Hangovers

Shared a little too much with a friend last night? The New York Times has you covered: How to Nurse a Vulnerability Hangover

The Wandering Mind

"...mind-wandering is rarely a waste of time. It is merely our brain trying to get a bit of work done when it is under the impression that there isn't much else going on." Unhappy minds wander in the past, while happy minds often ponder the future." Scientists finally know why we get distracted — and how we can stay on track

CAR-T for Auto-Immunity

CAR-T drugs, today, are used primarily in hard-to-treat cancers. A recent manuscript, Anti-CD19 CAR T cell therapy for refractory systemic lupus erythematosus, shows how these "living drugs" may play a role in the treatment of autoimmune diseases: How a 'Living Drug' Could Treat Autoimmune Disease

Mental Health, Food, and the Microbiome

Nutritional psychiatry and psychobiotics are reaching popular consciousness. As I was readying this newsletter for publication, the article, Nutritional approaches targeting gut microbiome could improve brain disorders, hit my inbox. Adding the paper, Diet and the microbiota–gut–brain-axis: a primer for clinical nutrition to my reading list.

Quote of the Week

“History doesn't repeat itself, but it often rhymes” – Mark Twain