Health
Brain health warning sign could be hiding in plain sight, say researchers
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A new study from the University of Southern California suggests that the way blood pressure fluctuates from one heartbeat to the next may be just as important as the overall blood pressure reading — especially when it comes to brain health in aging adults.
Researchers found that older adults who experienced greater beat-to-beat changes in blood pressure had smaller brain volumes in areas tied to memory, and higher levels of a protein linked to nerve-cell injury.
“Even when blood pressure is well-controlled with medication, the rapid fluctuation in blood pressure from heartbeat to heartbeat is associated with worse memory and signs of brain shrinkage and brain cell injury,” USC Professor Daniel Nation, senior author of the study, told Fox News Digital.
The study linked rapid blood pressure shifts to smaller memory-related brain regions in older adults. (iStock)
“Blood pressure isn’t static; it’s always adapting to the body’s needs,” he added in a press release. “But as we age, that regulation can become less precise.”
The study included 105 adults between the ages of 55 and 89. The researchers measured the participants’ blood pressure continuously for several minutes while they underwent brain scans.
SCIENTISTS UNCOVER HOW SOME 80-YEAR-OLDS HAVE THE MEMORY OF 50-YEAR-OLDS
In particular, they measured the stiffness of the adults’ arteries and how much their blood pressure changed between heartbeats.
Even when participants’ average blood pressure seemed healthy, those with the most erratic readings — combined with stiffer arteries — showed telltale signs of brain aging, the study found.
People with erratic readings had smaller hippocampal and entorhinal cortex regions, which are among the first areas of the brain affected in Alzheimer’s disease. (iStock)
Specifically, they had smaller hippocampal and entorhinal cortex regions, which are among the first areas of the brain affected in Alzheimer’s disease. They also had higher blood levels of neurofilament light, a biomarker of nerve-cell damage.
These findings were described as significant even after taking into account factors like age, sex and average blood pressure — suggesting that the fluctuations themselves, and not just overall pressure, may be a key risk factor.
The findings were first published online in the Journal of Alzheimer’s Disease on Oct. 17.
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For years, doctors have warned that high blood pressure raises dementia risk, but the USC study explores specifically how moment-to-moment instability can be a cause for concern.
Nation said the researchers were surprised to find that these rapid fluctuations in blood pressure were linked to brain injury, “regardless of whether they have hypertension or are treated with blood pressure-lowering medications.”
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In other words, someone could have “good” readings at the doctor’s office and still have dangerous spikes and dips that quietly stress the brain’s delicate blood vessels, the research suggests. Over time, that instability could contribute to memory decline and neurodegeneration.
Even well-controlled blood pressure may not protect against brain changes if readings fluctuate too much, the study suggests. (iStock)
The researchers emphasized, however, that this study only shows correlation and does not prove causation, and that more research is needed.
“The findings are correlations in a cross-sectional study, which is like a snapshot in time,” Nation said. “Future studies should examine how these rapid blood pressure fluctuations change over time and whether they predict future brain shrinkage, brain cell injury and memory decline.”
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The team says there are currently no treatments specifically for these fluctuations.
“But it remains very important that people monitor their blood pressure and take blood pressure-lowering medications as prescribed in order to reduce their risk for brain injury and memory decline,” Nation said.
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“Development of therapies to address rapid blood pressure fluctuations should be a priority, since these rapid fluctuations are not fully addressed by existing treatments that focus on lowering average blood pressure,” he added.
Health
A Single Infusion Could Suppress H.I.V. for Years, Study Suggests
For about a decade, scientists have had remarkable success curing some blood cancers by modifying a patient’s own immune cells to recognize and kill the malignant cells.
That same approach may help control H.I.V., among the wiliest of viruses, scientists will report on Tuesday. After a single infusion of immune cells engineered to recognize the virus, two people in a new study have suppressed their H.I.V. to undetectable levels, one of them for nearly two years.
The data is scheduled to be presented at a gene therapy conference in Boston, but the researchers shared an early copy with The New York Times.
The treatment is years, if not decades, from being widely available, but the study offers what scientists call “proof of concept,” and the tantalizing hope that a single shot could one day offer lifelong relief from H.I.V.
“It is inspiration and a potential road map to get to where we need to go,” said Dr. Steve Deeks, an H.I.V. expert at the University of California, San Francisco, who led the trial.
Other scientists were enthusiastic about the milestone.
“It’s truly amazing that they were able to accomplish this,” said Dr. Hans-Peter Kiem, an oncologist and gene therapy expert at the Fred Hutchinson Cancer Center in Seattle, who was not involved in the study.
H.I.V. requires lifelong control because the virus hides out in deep recesses of the body, and comes roaring back when it sees an opportunity. It also mutates easily to evade its attackers.
More than 40 million people are living with H.I.V. worldwide. About three-fourths of them take daily oral pills to keep the virus in check, and a much smaller proportion now receive injections every month or two. Several companies are developing longer-acting options, including weekly and monthly pills, and shots that could be given just once a year.
But scientists still aspire to develop “functional cures” that would effectively control H.I.V. over a lifetime, even if they do not eliminate it.
“People are really working hard on trying to cure it, and we’re making progress,” said James Riley, an immunologist at the University of Pennsylvania who is also modifying immune cells to control H.I.V.
Since the 1990s, many scientists have tried to modify immune cells called T cells to attack H.I.V., but those efforts were mostly unsuccessful. Some research teams lost interest after the arrival of powerful antiretroviral drugs soon after.
Cancer researchers soldiered on and succeeded in using the approach against blood cancers like leukemia.
“Cancer will always probably be the pioneer in this stuff, because of the incredible unmet medical need,” Dr. Riley said.
In the new study, scientists at Caring Cross, a nonprofit focused on developing affordable immunotherapies, engineered immune cells from each study participant to carry two molecules on the cell surface. Both molecules bind to H.I.V. and kill infected cells, but one also prevents the immune cells from becoming infected.
“It’s this dual nature of targeting — killing and protecting — that we think is the missing piece in terms of how this therapy works,” said Boro Dropulić, the executive director of Caring Cross, who developed the method.
The researchers extracted immune cells from each participant, modified the cells, then injected them back in. The participants stopped taking antiretroviral drugs the day of the infusion.
If a person does not take antiretroviral drugs, their H.I.V. levels typically soar within two weeks. But one person in the trial partially suppressed the virus for 12 weeks before rebounding. Two others were still in remission, 92 and 48 weeks after their infusion.
All three had begun receiving antiretroviral therapy within months of being infected. Three others who had lived with H.I.V. for longer before they were treated did not respond and needed to resume antiretroviral therapy. (A seventh participant showed signs of control seven weeks after infusion.)
Those details may be important. Those who were treated early in infection may have less H.I.V. sequestered in their body. Their immune system may also be less ravaged by the virus, and therefore more likely to rally when infused with the modified cells.
“Three out of three people with early disease doing some degree of control, to me, is the most provocative finding here,” Dr. Deeks said.
The two people with long-term response did show some blips of viral replication that quickly died down. That is to be expected as H.I.V. emerges from its reservoirs and is quashed by the immune cells.
Still, the results were exciting, several experts said.
The numbers in the study are very small but “these n-of-ones are so powerful because they encourage further research,” said Dr. Mike McCune, the head of a division at the Gates Foundation that supports innovation in H.I.V.
“For us, what’s important is to make sure that we can go from an n-of-one to an n-of-a-million or more,” he said. “And the only way to do that is to engage companies that know how to make products.”
The foundation has not invested in work that involves removing immune cells and reinfusing them back into the individual. That approach is too invasive and expensive to reach the millions who will need it, Dr. McCune said. But it is actively pursuing scalable options.
Cancer researchers are already showing success altering the immune cells while they are still in the body, which should eventually be cheaper by orders of magnitude.
The direct injections could be produced “for less than $10,000 and then be off-the-shelf, meaning you can have them ready when a patient or person living with H.I.V. comes in,” Dr. Kiem said.
Other groups are working on broadly neutralizing antibodies, rare molecules that can disable a wide range of H.I.V. versions by targeting parts of the virus that do not mutate.
“If we can combine these two approaches, that really may be synergistic and provide a pathway to deliver something close to a functional cure long term,” Dr. Riley said.
Anticipating long-term needs, Caring Cross is working with organizations in Brazil, India and elsewhere to manufacture the products for cancer at much lower costs. The team is also refining the tools and approach for H.I.V. and plans to begin a bigger study later this year.
“This is a first-in-human approach,” Dr. Deeks said. “We often come up with new theories as we do this, and that’s what’s happening as we speak.”
Health
Two Maryland residents monitored for hantavirus after sharing flight with infected cruise ship passenger
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Two Maryland residents are being monitored for potential hantavirus exposure, according to the Maryland Department of Health.
Health officials said the Maryland residents were on a flight that included a passenger from the MV Hondius cruise ship who was infected with hantavirus.
Health authorities said they are taking these steps out of an abundance of caution. At this time, the risk to the public in Maryland remains “very low,” state health officials said.
DR MARC SIEGEL: HANTAVIRUS CRUISE OUTBREAK IS ALARMING BUT FEAR IS SPREADING FASTER THAN FACTS
View of the cruise ship MV Hondius docked in the port of Granadilla before setting course for the Netherlands, on 11 May, 2026 in Granadilla de Abona, Tenerife, Canary Islands, Spain. (Europa Press Canarias via Getty Images)
Maryland health officials said the two residents with potential hantavirus exposure were not on the MV Hondius cruise ship, but they were on a flight abroad with a passenger who has the virus.
The department declined to provide additional details about the residents, citing a need to protect their privacy.
Medical staff direct some of the last passengers to be evacuated from the MV Hondius on May 11, 2026 in Tenerife, part of the Canary Islands, Spain. (Chris McGrath/Getty Images)
The two Maryland residents are being monitored during the virus’s incubation period, which can range from four to 42 days. Officials said asymptomatic individuals are not considered infectious.
No hantavirus cases have been reported in Maryland since 2019, and Andes virus infections have never been identified in the state, officials said. Health authorities said they are coordinating with federal and international partners as the situation continues to evolve.
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American passengers from the cruise ship MV Hondius arrived in Omaha, Neb., on Monday, May 11, 2026, after flying from Tenerife, Spain. The ship was stricken with hantavirus. (Nick Ingram/AP)
According to the Maryland Department of Health, hantavirus is typically spread through contact with infected rodents, but the strain tied to the cruise ship – the Andes virus – is the only known type capable of person-to-person transmission.
“The hantaviruses that are found throughout the United States are not known to spread between people,” the Centers for Disease Control and Prevention (CDC) said.
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Hantavirus pulmonary syndrome (HPS) is a rare infectious disease that starts with flu-like symptoms and can quickly progress to life-threatening lung and heart problems. Several hantavirus strains can cause the illness, also known as hantavirus cardiopulmonary syndrome, according to Mayo Clinic.
Early symptoms of HPS can include fatigue, fever and muscle aches, with about half of all patients also experiencing headaches, dizziness, chills and abdominal problems, like nausea, vomiting and diarrhea, according to the CDC.
HPS has a nearly 40% fatality rate in those who are infected, according to the CDC. Similar hantavirus cases have been reported in Arizona, California and Georgia.
Health
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