Health
Study Reveals Essential Genes That Help Tuberculosis Survive Airborne Transmission
Tuberculosis is a respiratory disease caused by Mycobacterium tuberculosis, a bacterium that predominantly affects the lungs and spreads through droplets released by an infected person

Tuberculosis thrives in the lungs, but when the bacteria causing the disease are expelled into the air, they face a much harsher environment with drastic changes in pH and chemistry. Understanding how these bacteria survive this airborne journey is essential for their persistence, yet little is known about the mechanisms that protect them as they move from one host to another.
Now, MIT researchers and their collaborators have identified a family of genes that are crucial for the bacterium’s survival specifically when exposed to the air, likely offering protection during its transmission.
Previously, many of these genes were thought to be nonessential, as they didn’t appear to affect the bacteria’s role in causing disease when introduced into a host. This new study, however, suggests that these genes are vital for transmission rather than proliferation.
“There is a blind spot in our understanding of airborne transmission, especially regarding how a pathogen survives sudden environmental changes as it circulates in the air,” says Lydia Bourouiba, head of the Fluid Dynamics of Disease Transmission Laboratory, associate professor of civil and environmental engineering, mechanical engineering, and core faculty member at MIT’s Institute for Medical Engineering and Science. “Now, through these genes, we have an insight into the tools tuberculosis uses to protect itself.”
The team’s findings, published this week in Proceedings of the National Academy of Sciences, could lead to new tuberculosis therapies that target both infection and transmission prevention.
“If a drug targeted the products of these genes, it could effectively treat an individual and, even before that person is cured, prevent the infection from spreading,” says Carl Nathan, chair of the Department of Microbiology and Immunology and the R.A. Rees Pritchett Professor of Microbiology at Weill Cornell Medicine.
Nathan and Bourouiba co-senior authored the study, which includes MIT collaborators and Bourouiba’s mentees from the Fluids and Health Network: co-lead author postdoc Xiaoyi Hu, postdoc Eric Shen, and students Robin Jahn and Luc Geurts. The research also involved collaborators from Weill Cornell Medicine, the University of California at San Diego, Rockefeller University, Hackensack Meridian Health, and the University of Washington.
Pathogen’s Perspective
Tuberculosis is a respiratory disease caused by Mycobacterium tuberculosis, a bacterium that predominantly affects the lungs and spreads through droplets released by an infected person, typically when they cough or sneeze. Tuberculosis remains the leading cause of death from infection, except during global viral pandemics.
“In the last century, we’ve seen the 1918 influenza pandemic, the 1981 HIV/AIDS epidemic, and the 2019 SARS-CoV-2 pandemic,” notes Nathan. “Each virus has caused significant loss of life, but after they subsided, we were left with the ‘permanent pandemic’ of tuberculosis.”
Much of the research on tuberculosis focuses on its pathophysiology—how the bacteria infect a host—along with diagnostic and treatment methods. For their new study, Nathan and Bourouiba turned their attention to tuberculosis transmission, specifically exploring how the bacteria defend themselves during airborne transmission.
“This is one of the first efforts to study tuberculosis from an airborne perspective, investigating how the organism survives harsh changes in the environment during transmission,” says Bourouiba.
Critical Defense
At MIT, Bourouiba studies fluid dynamics and how droplet behaviors can spread particles and pathogens. She partnered with Nathan, who investigates tuberculosis and the genes that the bacteria rely on throughout their life cycle.
To explore how tuberculosis survives in the air, the team aimed to replicate the conditions the bacterium encounters during transmission. They first worked to develop a fluid with similar viscosity and droplet sizes to those expelled by a person coughing or sneezing. Bourouiba points out that previous research on tuberculosis relied on liquid solutions that are used to grow the bacteria. However, these liquids differ significantly from the fluids tuberculosis patients expel.
Furthermore, the fluid typically sampled from tuberculosis patients, like sputum for diagnostic tests, is thick and sticky, which makes it inefficient at spreading and forming inhalable droplets. “It’s too gooey to break into inhalable droplets,” Bourouiba explains.
Through her research on fluid and droplet physics, the team determined a more accurate viscosity and droplet size distribution for tuberculosis-laden microdroplets in the air. They also analyzed the composition of droplets by studying infected lung tissue samples. They then created a fluid that mimicked the viscosity, surface tension, and droplet size that would be released into the air when a person exhales.
Next, the team deposited different fluid mixtures onto plates as tiny droplets, measuring how they evaporated and what structures they left behind. They discovered that the new fluid shielded the bacteria at the center of the droplet, unlike traditional fluids where bacteria were more exposed to the air. The realistic fluid also retained more water.
The team then infused the droplets with bacteria carrying genes with various knockdowns to see how the absence of specific genes affected bacterial survival during evaporation.
They evaluated over 4,000 tuberculosis genes and identified a family of genes that became crucial in airborne conditions. Many of these genes are involved in repairing damage to oxidized proteins, such as those exposed to air, while others are responsible for breaking down irreparably damaged proteins.
“What we found is a lengthy list of candidate genes, some more prominently involved than others, that could play a critical role in helping tuberculosis survive during transmission,” Nathan says.
While the experiments cannot fully replicate the bacteria’s biophysical transmission (as droplets fly through the air and evaporate), the team mimicked these conditions by placing plates in a dry chamber to accelerate droplet evaporation, similar to what happens in flight.
Going forward, the researchers are developing platforms to study droplets in flight under various conditions. They plan to further investigate the role of the newly identified genes in more realistic experiments, potentially weakening tuberculosis’s airborne defenses.
“The idea of waiting to diagnose and treat someone with tuberculosis is an inefficient way to stop the pandemic,” Nathan says. “Most individuals who exhale tuberculosis haven’t been diagnosed yet, so we need to interrupt its transmission. Understanding the process is key, and now we have some ideas.”
Health
Giant Human Antibody Found to Act Like a Brace Against Bacterial Toxins
This synergistic bracing action gives IgM a unique advantage in neutralizing bacterial toxins that are exposed to mechanical forces inside the body

Our immune system’s largest antibody, IgM, has revealed a hidden superpower — it doesn’t just latch onto harmful microbes, it can also act like a brace, mechanically stabilizing bacterial toxins and stopping them from wreaking havoc inside our bodies.
A team of scientists from the S.N. Bose National Centre for Basic Sciences (SNBNCBS) in Kolkata, India, an autonomous institute under the Department of Science and Technology (DST), made this discovery in a recent study. The team reports that IgM can mechanically stiffen bacterial proteins, preventing them from unfolding or losing shape under physical stress.
“This changes the way we think about antibodies,” the researchers said in a media statement. “Traditionally, antibodies are seen as chemical keys that unlock and disable pathogens. But we show they can also serve as mechanical engineers, altering the physical properties of proteins to protect human cells.”
Unlocking a new antibody role
Our immune system produces many different antibodies, each with a distinct function. IgM, the largest and one of the very first antibodies generated when our body detects an infection, has long been recognized for its front-line defense role. But until now, little was known about its ability to physically stabilize dangerous bacterial proteins.
The SNBNCBS study focused on Protein L, a molecule produced by Finegoldia magna. This bacterium is generally harmless but can become pathogenic in certain situations. Protein L acts as a “superantigen,” binding to parts of antibodies in unusual ways and interfering with immune responses.

Using single-molecule force spectroscopy — a high-precision method that applies minuscule forces to individual molecules — the researchers discovered that when IgM binds Protein L, the bacterial protein becomes more resistant to mechanical stress. In effect, IgM braces the molecule, preventing it from unfolding under physiological forces, such as those exerted by blood flow or immune cell pressure.
Why size matters
The stabilizing effect depended on IgM concentration: more IgM meant stronger resistance. Simulations showed that this is because IgM’s large structure carries multiple binding sites, allowing it to clamp onto Protein L at several locations simultaneously. Smaller antibodies lack this kind of stabilizing network.
“This synergistic bracing action gives IgM a unique advantage in neutralizing bacterial toxins that are exposed to mechanical forces inside the body,” the researchers explained.
The finding highlights an overlooked dimension of how our immune system works — antibodies don’t merely bind chemically but can also act as mechanical modulators, physically disarming toxins.
Such insights could open a new frontier in drug development, where future therapies may involve engineering antibodies to stiffen harmful proteins, effectively locking them in a harmless state.
The study suggests that by harnessing this natural bracing mechanism, scientists may be able to design innovative treatments that go beyond traditional antibody functions.
Health
How a South African Hospital Team Pioneered the World’s First AI-Powered Cancer Treatment Revolution
Digital Healing: How Bloemfontein Became Ground Zero for the AI Cancer Treatment Revolution

The University of the Free State (UFS), South Africa, and Universitas Academic Hospital have achieved a global healthcare milestone by becoming the first clinical site worldwide to successfully integrate artificial intelligence into cancer treatment planning, marking a transformative advancement in oncology care, according to a statement issued by UFS.
AI implementation
The Departments of Medical Physics and Oncology at UFS, in partnership with Universitas Academic Hospital, have implemented the Radiation Planning Assistant (RPA), a sophisticated web-based AI platform developed by MD Anderson Cancer Center in Houston, Texas. This pioneering initiative has already treated nearly 50 patients, positioning the Bloemfontein-based teams as global leaders in the clinical application of AI in radiotherapy.
Under the leadership of Dr. William Shaw, Senior Lecturer and Deputy Manager in the Department of Medical Physics, the institution has built a robust academic partnership with Professor Laurence Court and his team at MD Anderson Cancer Center—a collaboration that is now yielding remarkable real-world results.
“The introduction and clinical integration of the RPA at the UFS and Universitas Hospital represents a major advancement for oncology services—both regionally and nationally,” Dr. Shaw explained. “It signifies the transition from research collaboration to real-world application, where artificial intelligence is being used to improve access to safe, high-quality cancer care.”
Revolutionizing treatment planning
The RPA technology addresses one of the most time-consuming aspects of cancer care: creating patient-specific radiation treatment plans. The cloud-based platform automates critical components of the treatment planning process, enabling consistent production of high-quality radiotherapy plans while reducing demands on specialized clinical staff.
Dr. Shaw described the streamlined process: “The process begins with the acquisition of a planning CT scan, which serves as the sole imaging input to the RPA. Once the CT dataset has been captured, it is uploaded to the RPA platform via a secure web interface.”
The system uses advanced machine learning algorithms to automatically identify and delineate both tumour volumes and critical normal tissues. Following the completion of the contouring process, the platform automatically generates a comprehensive radiotherapy treatment plan.
Expanding treatment applications
Initially implemented for cervix cancer treatment—representing the largest proportion of radiotherapy patients at the institution—the RPA has since expanded to encompass breast cancer, head and neck cancers, and primary brain tumors. With ongoing institutional support, the system shows significant promise for broader application across nearly all major tumor types treated with external beam radiotherapy.
Professor Vasu Reddy, Deputy Vice-Chancellor for Research and Internationalisation at UFS, praised the achievement: “We extend our congratulations to our colleagues for their exemplary collaborative achievements. Your pioneering work represents the transformative power of multidisciplinary research in advancing medical science and improving patient outcomes.”
Immediate patient benefits
The technology delivers immediate, meaningful improvements for cancer patients by enabling faster access to well-constructed, evidence-based treatment plans reviewed and refined by experts. This translates to more timely care, fewer unplanned treatment interruptions, and improved protection of normal tissues, resulting in fewer side effects and better overall outcomes.
“Our aim is to use artificial intelligence not as a shortcut, but as a tool to standardize, scale, and improve cancer care in places where the need is greatest,” Dr. Shaw emphasized. “The RPA enhances the quality, consistency, and timeliness of cancer treatment in radiotherapy settings—particularly in environments where clinical capacity is limited.”
International expansion
The success in Bloemfontein serves as a model for broader health system innovation, providing a foundation for the safe, phased rollout of similar systems in other provinces. Professor Court has already extended access to the RPA to other radiotherapy centers in South Africa, with expansion to additional countries planned for the near future.
The Department of Oncology, led by Professor Alicia Sherriff, has joined the initiative as an active clinical partner, establishing a multi-disciplinary collaboration that lays the foundation for further research and innovation at the intersection of medical physics, oncology, and data science.
Advanced treatment techniques
Beyond external beam radiotherapy, the UFS and Universitas teams are advancing the use of interstitial brachytherapy for cervix cancer. While not the first globally to implement this specialized technique, the Bloemfontein team ranks among the earliest adopters on the African continent, helping expand access to this advanced modality where it’s most needed.
Future vision
This work received support from the Nuclear Technologies in Medicine and the Biosciences Initiative (NTeMBI), a national technology platform developed and managed by the South African Nuclear Energy Corporation (Necsa) and funded by the Technology Innovation Agency (TIA).
Dr. Shaw’s team has played a central role in developing safe, reliable clinical processes to integrate AI tools like the RPA into daily practice, ensuring that automation enhances rather than replaces professional expertise.
Professor Reddy outlined the broader vision, “The future we are heading towards is one where human innovation and digital technologies work together to elevate the standard of care, rather than replace humanity in medicine. It is encouraging to see how our colleagues are internationalizing our footprint, together with machine precision to enhance detection, personalize treatment and, perhaps importantly, empowering clinicians with data-driven insights for patient care.”
This innovation represents a significant step forward for cancer care in South Africa and demonstrates how international partnerships can bring cutting-edge technologies to healthcare frontlines, making them work effectively in real clinics for real patients. As cancer incidence rises across low- and middle-income countries, the leadership shown by the UFS and Universitas teams offers a compelling model for how academic medical centers can respond with agility, scientific rigor, and global solidarity.
Edited by Chris Jose
Health
Researchers Develop Low-Cost Sensor for Real-Time Detection of Toxic Sulfur Dioxide Gas
Sulfur dioxide, a toxic air pollutant primarily released from vehicle exhaust and industrial processes, is notorious for triggering respiratory irritation, asthma attacks, and long-term lung damage.

In a significant breakthrough for environmental monitoring and public health, scientists from the Centre for Nano and Soft Matter Sciences (CeNS), Bengaluru, India, have developed an affordable and highly sensitive sensor capable of detecting sulfur dioxide (SO₂) gas at extremely low concentrations.
Sulfur dioxide, a toxic air pollutant primarily released from vehicle exhaust and industrial processes, is notorious for triggering respiratory irritation, asthma attacks, and long-term lung damage. Monitoring its presence in real time is essential, but existing technologies are often expensive, power-hungry, or ineffective at detecting the gas at trace levels.
To address this gap, the CeNS team, under the leadership of Dr. S. Angappane, has engineered a novel sensor by combining two metal oxides — nickel oxide (NiO) and neodymium nickelate (NdNiO₃). NiO serves as the receptor that captures SO₂ molecules, while NdNiO₃ acts as a transducer that converts the chemical interaction into an electrical signal. This innovative design enables the sensor to detect SO₂ at concentrations as low as 320 parts per billion (ppb), outperforming many commercial alternatives.
Speaking about the development, Dr. Angappane said in a media statement, “This sensor system not only advances the sensitivity benchmark but also brings real-time gas monitoring within reach for a wider range of users. It demonstrates how smart materials can provide practical solutions for real-world environmental challenges.”

The CeNS team has also built a portable prototype incorporating the sensor. It features a user-friendly threshold-triggered alert system with color-coded indicators: green for safe levels, yellow for warning, and red for danger. This visual approach ensures that even non-specialist users can understand and respond to pollution risks instantly. Its compact size and lightweight design make it ideal for deployment in industrial zones, urban neighborhoods, and enclosed environments requiring continuous air quality surveillance.
The sensor system was conceptualized and designed by Mr. Vishnu G Nath, with key contributions from Dr. Shalini Tomar, Mr. Nikhil N. Rao, Dr. Muhammed Safeer Naduvil Kovilakath, Dr. Neena S. John, Dr. Satadeep Bhattacharjee, and Prof. Seung-Cheol Lee. The research findings were recently published in the journal Small.
With this innovation, CeNS reinforces the role of advanced materials science in developing cost-effective technologies that protect both public health and the environment.
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