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New Gene Therapy Approach Offers Precision in Treating Genetic Disorders

This innovation could pave the way for safer, more effective gene therapies for conditions like Fragile X syndrome and Friedreich’s ataxia.

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 Credit: National Institutes of Health/MIT News

Researchers at MIT have made a significant advancement in gene therapy, offering new hope for treating genetic diseases caused by a missing or defective gene. For years, scientists have pursued gene therapy as a potential cure for a range of monogenic diseases, where a single defective gene causes the disorder. However, the challenge has always been controlling how much of the therapeutic gene is expressed in target cells—too little expression means the therapy won’t work, while too much could result in harmful side effects.

In a study published in Cell Systems, MIT engineers have developed a system that delivers precise control over gene expression levels. Their method, called the ComMAND circuit (Compact microRNA-mediated Attenuator of Noise and Dosage), uses a novel feedback mechanism to regulate the amount of gene product produced in cells. This innovation could pave the way for safer, more effective gene therapies for conditions like Fragile X syndrome and Friedreich’s ataxia.

Led by MIT graduate student Kasey Love and senior author Katie Galloway, a professor in biomedical and chemical engineering, the research focuses on a special type of genetic control circuit known as an incoherent feedforward loop (IFFL). The circuit works by simultaneously activating both the target gene and a microRNA that suppresses the gene’s expression. This self-regulation helps keep gene expression at optimal levels—enough to be effective, but not so much as to cause toxicity.

“Gene supplementation can solve many monogenic disorders if we can control the therapy precisely,” explains Galloway. The team demonstrated this technique by targeting genes associated with Fragile X syndrome and Friedreich’s ataxia—both of which result in neurological and developmental issues. They successfully fine-tuned gene expression to levels that were eight times higher than normal, avoiding the excessive expression seen in earlier gene therapies that could have harmful consequences.

The key advantage of the ComMAND circuit is its compact design, which allows it to be delivered using common viral vectors like lentiviruses or adeno-associated viruses—the same delivery systems used in current gene therapy treatments. This simplicity improves the manufacturability and scalability of the therapy.

While the researchers have demonstrated success in human cells, they acknowledge that further tests in animal models are needed to fine-tune the system for clinical use. They hope this technology could eventually benefit patients with a range of genetic disorders, including muscular dystrophy, spinal muscular atrophy, and Rett syndrome.

“Despite the small patient populations for many of these rare diseases, we are working to develop tools that are robust enough for widespread use,” says Galloway, emphasizing the importance of such innovations in addressing diseases that often lack funding and research attention due to their rarity.

The breakthrough is a promising step toward making gene therapy not just a theoretical cure but a reliable, safe treatment option for genetic disorders, with potential applications that could transform the landscape of precision medicine in the years to come.

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Study Unveils Mucus Molecules That Block Salmonella and Prevent Diarrhea

A new MIT-led study reveals how key mucus molecules naturally shield the gut from dangerous bacteria like Salmonella

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Researchers have uncovered how mucins in digestive tract mucus can block the infection-causing abilities of Salmonella bacteria (shown in purple). Credit: Courtesy of the researchers
Researchers have uncovered how mucins in digestive tract mucus can block the infection-causing abilities of Salmonella bacteria (shown in purple). Credit: Courtesy of the researchers

A new MIT-led study reveals how key mucus molecules naturally shield the gut from dangerous bacteria like Salmonella. The breakthrough opens new pathways for affordable, preventative treatments for travelers and soldiers at risk of infection.

Researchers at MIT have discovered new powerful ways the body guards itself from dangerous bacteria: by deploying mucins, special molecules in mucus that neutralize microbes and stop infection before it starts. The team identified mucins—especially MUC2 and MUC5AC—in the digestive tract that shut down the genetic machinery Salmonella uses to invade cells and cause diarrhea.

“By using and reformatting this motif from the natural innate immune system, we hope to develop strategies to preventing diarrhea before it even starts. This approach could provide a low-cost solution to a major global health challenge that costs billions annually in lost productivity, health care expenses, and human suffering,” said Katharina Ribbeck, the Andrew and Erna Viterbi Professor of Biological Engineering at MIT, in a media statement.

In experiments, exposing Salmonella to the intestinal mucin MUC2 blocked the bacterial proteins that enable infection, turning off the critical regulator HilD. The study also found that a similar mucin from the stomach, MUC5AC, works the same way—and both molecules appear to protect against multiple foodborne germs triggered by similar genetic switches.

“We discovered that these mucins not only create a physical shield but also actively control whether pathogens can turn on genes needed for infection,” Ribbeck explained in the media statement.

Lead authors Kelsey Wheeler and Michaela Gold say synthetic versions of these mucins could soon be added to oral rehydration salts or chewable tablets, providing practical protection for troops, travelers, and people in high-risk areas. According to Wheeler, “Mucin mimics would particularly shine as preventatives, because that’s how the body evolved mucus — as part of this innate immune system to prevent infection,” she said.

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First Case of Rare and Deadly Fungus Identified in Sub-Saharan Africa

It is also the first time the rare and deadly fungal infection has been identified in an HIV-positive patient in the region

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Dr Bonita van der Westhuizen, Senior lecturer and Pathologist in the UFS Department of Medical Microbiology, identified the first case of S. oblongispora mucormycosis in sub-Saharan Africa and among HIV-positive patients.

Doctors at the University of the Free State (UFS) and the National Health Laboratory Service (NHLS) at the Universitas Academic Hospital have confirmed the first recorded case of S. oblongispora mucormycosis in sub-Saharan Africa. It is also the first time the rare and deadly fungal infection has been identified in an HIV-positive patient in the region.

The case involved a 32-year-old man living with HIV who was admitted to Universitas Academic Hospital with severe swelling on the right side of his face. Despite being on antiretroviral therapy and treatment for hypertension, his condition worsened rapidly. Four days after admission, a CT scan and tissue biopsies were conducted. He died three days later, before a diagnosis could be confirmed.

Landmark discovery

Dr. Bonita van der Westhuizen, Senior Lecturer and Pathologist in the UFS Department of Medical Microbiology, described the discovery as a critical turning point for public health in the region.

“This discovery is significant because it highlights the presence of this fungal pathogen in a region where it may have been previously unrecognised or underreported. It now raises awareness about the diversity of fungal infections affecting immunocompromised populations and underscores the need for improved diagnostics, surveillance, and treatment strategies in the region,” she said in a media statement sent to EdPublica.

The case report, co-authored with Drs. Liska Budding and Christie Esterhuysen from the UFS/NHLS and Prof. Samantha Potgieter from the UFS Department of Internal Medicine, was published in Case Reports in Pathology last month.

Rapid and aggressive disease

Mucormycosis, caused by fungi from the order Mucorales, is known for its speed and severity. The infection can invade blood vessels, spread to vital organs, and resist the body’s immune defences.

“Mucorales fungi are known for their fast growth and ability to invade blood vessels. This allows the infection to spread quickly through the body, potentially reaching vital organs,” Dr. Van der Westhuizen explained in the statement. She added that external factors such as traumatic injuries or hospital-acquired infections can worsen the disease’s progression.

While mucormycosis usually strikes patients with underlying conditions like diabetes, cancer, or organ transplants, S. oblongispora has often been linked to infections in otherwise healthy individuals after traumatic inoculation. The lack of local data, however, means its prevalence in African populations remains unclear.

Diagnostic hurdles

In this case, invasive fungal infection was not initially suspected, and the patient did not receive antifungal medication or surgical treatment. The diagnosis was confirmed only after his death, highlighting the broader challenges of detecting fungal diseases in resource-limited settings.

“This is unfortunately the case with mould infections as most readily available diagnostic methods lack sensitivity and these pathogens take long to grow in the laboratory,” Dr. Van der Westhuizen said. “Fungal diagnostics is a specialised field that requires expertise. However, if clinicians are aware of these infections and they have an increased index of suspicion, appropriate therapy can be initiated even before the results are available.”

Experts warn that even with antifungal drugs and surgical removal of infected tissue, the window for treatment is narrow and survival rates remain low.

Building awareness and research

Dr. Van der Westhuizen is continuing her research on invasive mould infections as part of her PhD, focusing on fungal epidemiology and its impact on vulnerable groups such as HIV patients.

Her goal, she said in the media statement, is “to advance understanding and awareness of invasive mould infections, specifically S. oblongispora, in sub-Saharan Africa and among HIV patients. I aim to improve early diagnosis, treatment strategies, and clinical outcomes, as well as to highlight the importance of monitoring fungal infections in immunocompromised populations.”

She hopes the findings will spur more regional collaboration and investment in fungal diagnostics — an often overlooked but increasingly urgent frontier in infectious disease research.

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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

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Scientific illustration showing a large human antibody (IgM) attaching to and stabilizing a spiky bacterial toxin protein, visually representing how IgM acts as a physical brace against bacterial toxins to protect human cells
Illustration depicting a giant human antibody (IgM) mechanically bracing a spiky bacterial toxin protein, inspired by recent research on antibodies acting as mechanical stabilizers against bacterial toxins rather than just chemical blockers. Image credit: EdPublica

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.

Image credit: PIB

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.

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