The Sciences
Artificial intelligence outstrips clinical tests in predicting the progression of Alzheimer’s disease
Dementia presents a substantial healthcare challenge globally, impacting more than 55 million individuals with an annual economic burden estimated at $820 billion.
Scientists from Cambridge have created an AI tool that can predict with 80% accuracy whether individuals showing early signs of dementia will remain stable or progress to Alzheimer’s disease in four out of five cases.
This innovative approach has the potential to decrease reliance on invasive and expensive diagnostic procedures, leading to better treatment outcomes during early stages when interventions like lifestyle adjustments or new medications may be most effective.
Dementia presents a substantial healthcare challenge globally, impacting more than 55 million individuals with an annual economic burden estimated at $820 billion. The prevalence of dementia is projected to nearly triple over the next five decades.
Alzheimer’s disease is the primary cause of dementia, responsible for 60-80% of cases. Early detection is critical because treatments are most likely to be effective during this stage. However, accurate early diagnosis and prognosis of dementia often require invasive or costly procedures such as positron emission tomography (PET) scans or lumbar punctures, which are not universally accessible in memory clinics. Consequently, up to one-third of patients may receive incorrect diagnoses, while others may be diagnosed too late for treatment to be beneficial.
“We’ve created a tool which, despite using only data from cognitive tests and MRI scans, is much more sensitive than current approaches at predicting whether someone will progress from mild symptoms to Alzheimer’s – and if so, whether this progress will be fast or slow”
Professor Zoe Kourtzi
Scientists from the Department of Psychology at the University of Cambridge have led a team in developing a machine learning model that predicts the progression of mild memory and cognitive issues to Alzheimer’s disease more accurately than current clinical tools. Their research, published in eClinical Medicine, utilized non-invasive and cost-effective patient data — including cognitive assessments and structural MRI scans showing grey matter deterioration — from over 400 individuals in a US-based research cohort.
The model’s efficacy was then tested using real-world data from an additional 600 participants in the same US cohort, alongside longitudinal data from 900 individuals from memory clinics in the UK and Singapore. The algorithm successfully differentiated between individuals with stable mild cognitive impairment and those who progressed to Alzheimer’s disease within a three-year timeframe. It achieved an 82% accuracy in correctly identifying those who developed Alzheimer’s and an 81% accuracy in identifying those who did not, using only cognitive tests and MRI scans.
Compared to current clinical standards, which rely on markers like grey matter atrophy or cognitive scores, the algorithm demonstrated approximately three times greater accuracy in predicting Alzheimer’s progression. This significant improvement suggests the model could substantially reduce instances of misdiagnosis.
“We’ve created a tool which, despite using only data from cognitive tests and MRI scans, is much more sensitive than current approaches at predicting whether someone will progress from mild symptoms to Alzheimer’s – and if so, whether this progress will be fast or slow,” said Senior author Professor Zoe Kourtzi from the Department of Psychology at the University of Cambridge.
“This has the potential to significantly improve patient wellbeing, showing us which people need closest care, while removing the anxiety for those patients we predict will remain stable. At a time of intense pressure on healthcare resources, this will also help remove the need for unnecessary invasive and costly diagnostic tests,” he added.
The Sciences
Human Cell Atlas Project could transform healthcare, says Sarah Amalia Teichmann
Human Cell Atlas has the potential to help us engineer cells for research and therapeutic purposes
Sarah Amalia Teichmann, a prominent scientist in cellular genetics and stem cell medicine, has been optimistic about the wide potential of the Human Cell Atlas (HCA) project, which she leads, to revolutionize disease diagnosis, treatment, and monitoring. While speaking at the BRIC-Rajiv Gandhi Centre for Biotechnology (RGCB), Teichmann shared insights into how the project could pave the way for engineering cells for research and therapeutic purposes.
Sarah Teichmann is also the current India Academy of Sciences Raman Chair.
“Human Cell Atlas has the potential to help us engineer cells for research and therapeutic purposes. For utilizing this potential, we first need to understand the molecular basis of cells in our body and define the cell types present. If we can achieve this, we have the potential to restore tissues, engineer cells, and that would be a revolution,” Teichmann said.
Teichmann, who also holds the Chair of Stem Cell Medicine at the University of Cambridge, explained that the mission of HCA is to create a comprehensive reference map of human cell types and properties. “This map is a basis for understanding our bodies, our physiology, tissue function, and provides new insights for diagnosing, monitoring, and treating diseases,” she added.
The HCA, a global initiative co-founded by Teichmann and her team in 2016, aims to create detailed reference maps of all human cells. The project focuses on mapping healthy human cells to drive biomedical advancements. “With this reference map, we can compare and integrate disease data with a healthy reference state of our cells and understand in detail what changes are occurring,” Teichmann explained.
One key area of the project’s impact is in understanding viral interactions. Teichmann discussed how HCA can serve as a guidebook for viral entry points in humans, shedding light on important biological questions related to rare and common diseases, hormone receptors, and drug targets. “This knowledge can enable us to ask questions about viral entry factors, gene expressions involved in diseases, and drug-related side effects,” she said, referring to her research during the COVID-19 pandemic.
Teichmann expressed confidence that the collaborative efforts behind the HCA, involving scientists globally—including in India—will lead to significant biomedical breakthroughs. She added, “This project will have a huge impact in biomedical advancement.”
The HCA’s progress has already been marked by significant milestones, including the publication of the first draft of the human cell atlas in Nature, showcasing 40 scientific discoveries.
The Raman Chair, established by the Government of India in 1972 in memory of Sir C.V. Raman, has been held by distinguished scientists such as Nobel laureates Prof. J.B. Goodenough, Prof. Harold E. Varmus, and Prof. Dorothy Hodgkin.
Earth
The timeless tortoise: Secrets to longevity and survival
The tortoise’s slow walk is not just a quirky trait — it’s a life philosophy, ingrained in their very survival
When we think of slow and steady, the image of a tortoise often comes to mind. But behind that unhurried gait lies a remarkable creature capable of defying time itself. The tortoise is among the longest-living animals on the planet. Their extraordinary lifespan has fascinated biologists and storytellers alike, leading us to wonder: how do these creatures live so long? Is it the giant tortoises of the Galápagos or the smaller, land-dwelling species that hold the key to longevity? Let’s take a deeper look.
A Life of Patience and Persistence
The tortoise’s slow walk is not just a quirky trait — it’s a life philosophy, ingrained in their very survival. These creatures are not in a race against time, they are its patient conquerors. Some species of tortoises can live well over a century, and in the case of the Giant Tortoise (known for its immense size), individuals have been documented living for more than 200 years. But why is it that these ancient reptiles live so long, while their cousins, the turtles, tend to have shorter lifespans?
In terms of lifespan, tortoises—especially the giant tortoises—lead the pack. A giant tortoise can outlive many other creatures, including their ocean-dwelling cousins, the turtles. While turtles generally live between 50 to 100 years, giant tortoises surpass this, sometimes even living beyond 150 years. In fact, Jonathan, a Seychelles giant tortoise living on Saint Helena Island in the South Atlantic, holds the record as the world’s oldest living land animal at 189 years old. Jonathan, who was born in 1832, has outlived all of his peers, continuing to thrive on the island where he was discovered.
The Science Behind Their Longevity
The secret to the tortoise’s longevity lies deep within its biology. While there are several factors that contribute to their long lives, two of the most significant are evolutionary adaptations and cellular processes that are finely tuned to conserve energy and maintain health over decades.
From an evolutionary perspective, tortoises face fewer natural threats in their environment compared to faster, more vulnerable animals. For many species of tortoises, survival has been less about outpacing predators and more about outlasting them. Many tortoises lay multiple eggs, often many more than a single clutch, and they continue to reproduce over several decades. This “quality over quantity” approach to reproduction ensures that their genes continue to thrive, while their individual lifespans stretch out.
Moreover, tortoises tend to have slower metabolic rates compared to other animals. Their bodies conserve energy by keeping their metabolic processes at a steady, slow pace. This “slow burn” strategy is key to their extended lifespans. A slow metabolism means that fewer cellular processes are damaged by the wear and tear of daily life, which translates into fewer health issues in old age.
One of the most fascinating aspects of tortoise longevity is the role of their telomeres. Telomeres are the protective caps at the ends of chromosomes that prevent them from fraying and tangling. Every time a cell divides, the telomeres shorten slightly. In most organisms, as the telomeres shorten, cells lose their ability to divide, eventually leading to aging. However, in tortoises, the telomeres wear down at an unusually slow rate, allowing their cells to divide without the usual detrimental effects seen in other animals. This slower rate of telomere shortening helps them avoid age-related diseases such as cancer and ensures that their cells remain healthier for longer.
Furthermore, some studies have revealed that tortoises are capable of a process called apoptosis—a form of programmed cell death—where damaged or dysfunctional cells are destroyed before they can cause harm. This controlled form of self-destruction in damaged cells helps prevent the formation of tumors and other age-related diseases, which is another reason for the tortoise’s impressive lifespan.
The Giants of the Tortoise World
When we talk about longevity in tortoises, we cannot overlook the giant tortoises of the Galápagos Islands and the Seychelles. These remarkable creatures have not only captured our imagination but have also become living symbols of resilience and endurance.
The Galápagos Giant Tortoise, for instance, can live over 150 years, and some individuals have even outlived the scientists who studied them. They were once thought to be heading for extinction, but thanks to conservation efforts, their populations have stabilized.
In India, a rare breed of tortoise known as the Aldabra Giant Tortoise has been known to live up to 255 years. This species, although not as well-known as the Galápagos counterparts, is another testament to the wonders of nature’s design.
Turtles, which are often found in aquatic environments, tend to live shorter lives, averaging about 30 to 50 years
But what about other, lesser-known giants? In Kasaragod, Kerala, India, a giant soft-shell turtle species was discovered in May 2021, which lives in freshwater, weighing over 100 kilograms! These giant creatures are living proof of the astonishing adaptability and longevity that nature has to offer.
The Mystery of Tortoises and Turtles
While all tortoises are technically land-dwelling creatures, there is an interesting distinction between tortoises and turtles. Turtles, which are often found in aquatic environments, tend to live shorter lives, averaging about 30 to 50 years. Tortoises, on the other hand, tend to have larger bodies, longer necks, and more robust shells. Their heavy, often plant-based diet plays a role in the additional years they add to their lifespan.
A surprising discovery made in the Seychelles in recent years has sent shockwaves through the scientific community: certain tortoises, once thought to be herbivorous, have been seen eating birds and other small animals. This has raised questions about the adaptability of tortoises in changing environments and has piqued the interest of researchers studying their survival strategies.
What Lies Ahead?
Despite all that we know about these extraordinary creatures, there is still much to discover. Researchers continue to study tortoises, particularly the giant species, to learn how their unique biological traits could benefit human medicine, particularly in the fight against aging and diseases like cancer. The discovery of their telomere dynamics, coupled with the ability to prevent cell damage through apoptosis, could one day revolutionize the way we approach longevity and healthcare.
For now, we can only marvel at the tortoise’s timeless existence, its slow, steady journey through the ages, and the lessons it teaches us about patience, resilience, and the secrets of life’s most enduring creatures.
EDUNEWS & VIEWS
IIT Ropar unveils eco-friendly mechanical machine for knee rehabilitation
The introduction of this innovative mechanical CPM machine marks a significant step toward democratizing healthcare and improving rehabilitation outcomes globally.
In a major development for knee rehabilitation, researchers at Indian Institute of Technology (IIT) Ropar have introduced a revolutionary, low-cost solution to make Continuous Passive Motion (CPM) therapy more accessible to patients. The team’s newly patented innovation, the Completely Mechanical Passive Motion Machine for Knee Rehabilitation, is set to transform post-surgical recovery, especially in resource-limited areas.
Unlike traditional motorized CPM devices, which are expensive and reliant on electricity, the new machine operates entirely through mechanical means. Utilizing a piston and pulley system that stores air as the user pulls a handle, the device enables smooth, controlled knee motion to aid in rehabilitation. This design eliminates the need for electricity, batteries, or motors, making the machine lightweight, portable, and environmentally friendly.
The mechanical CPM machine addresses a key barrier to knee therapy: the high cost and power dependence of conventional electric machines. It offers a viable alternative for patients, particularly in rural and off-grid areas, where access to electricity is often unreliable. Its portability also enables patients to continue their therapy at home, reducing the need for frequent hospital visits or prolonged stays.
Knee rehabilitation is crucial for patients recovering from surgeries, as CPM therapy helps improve joint mobility, reduce stiffness, and speed up recovery. With this new device, IIT Ropar’s researchers are offering a cost-effective, sustainable option that could improve the lives of countless patients, especially in India, where advanced medical technology can be scarce in rural regions.
Lead researcher Dr. Abhishek Tiwari, along with his team members Suraj Bhan Mundotiya and Dr. Samir C. Roy, expressed optimism about the machine’s potential. “This device has the power to revolutionize knee rehabilitation, particularly in areas where access to sophisticated medical equipment is limited. It’s designed to be an affordable and eco-friendly solution that not only aids in recovery but also minimizes environmental impact,” said Dr. Tiwari.
The introduction of this innovative mechanical CPM machine marks a significant step toward democratizing healthcare and improving rehabilitation outcomes globally.
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