Health
Diabetes drug could slash risk of fatal heart condition in one group, scientists reveal
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A diabetes drug could help lower the risk of heart failure in certain patients.
A new study published in Nature Medicine analyzed how SGLT2 inhibitor dapagliflozin, a medication used to treat type 2 diabetes, could help prevent heart failure in people with rare genetic variants linked to cardiomyopathy (a progressive disease of the heart muscle).
Using data from the DECLARE-TIMI 58 trial, researchers from Harvard Medical School, Mass General Brigham and MIT looked at more than 12,000 adults who had type 2 diabetes and increased cardiovascular risk.
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About 121 participants carried inherited gene variants that could raise their chances of developing cardiomyopathy.
After a median 4.2-year follow-up, dapagliflozin was found to lower hospitalization for heart failure more in individuals with the variants than in those without.
Dapagliflozin was found to lower hospitalization for heart failure in individuals with the variants for cardiomyopathy more than those without them. (iStock)
While dapagliflozin lowered heart failure hospitalization in both groups, the reduction was about eight times stronger in carriers of the genetic variant.
Among the 82% of carriers without a prior history of heart failure, 12.8% developed heart failure in the placebo group, while no heart-failure events were observed among carriers receiving dapagliflozin.
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Co-lead study author Shinwan Kany, MD, a visiting scientist at the Cardiovascular Research Center with Mass General Brigham Heart and Vascular Institute and the Broad Institute, commented on how these findings could shape preventive care.
“Historically, identifying a genetic variant for cardiomyopathy mostly meant telling a patient they were at high risk and not having a specific preventive therapy to offer,” he said in a press release. “These data show we do have tools to lower risk in these individuals.”
In the placebo group, carriers had about eight times higher risk of hospitalization compared to non-carriers. (iStock)
As this was an analysis of a larger randomized trial, the results require further confirmation, according to experts. The narrow sample size of carriers also poses a limitation.
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“These findings are very encouraging because they suggest we may be entering an era where heart failure prevention becomes more precise and more genetically informed,” Andrew Freeman, MD, a cardiologist at National Jewish Health, told Fox News Digital.
Freeman, who was not involved in the study, called the research “important and provocative.”
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Participants with no history of heart failure who took dapagliflozin were less likely to develop the condition, a finding that “raises the possibility that SGLT2 inhibitors may be especially useful as preventive therapy in genetically high-risk individuals,” the doctor said.
Dapagliflozin is a prescription medication used to manage type 2 diabetes, heart failure and chronic kidney disease. (iStock)
“This should be viewed as an exciting hypothesis-generating finding, not yet a practice-changing mandate for all patients with these genetic variants,” Freeman cautioned.
SGLT2 inhibitors are already “foundational” cardiovascular and kidney-protective medications, the doctor noted.
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“They reduce heart failure hospitalization across a broad range of patients, including those with diabetes, chronic kidney disease and established heart failure,” he said. “What this study adds is the possibility that genetic information may help identify a subgroup of people who derive especially large benefit from early treatment.”
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Genetic testing for cardiomyopathy is often used for diagnosis, family screening and risk stratification, Freeman said.
If future clinical trials confirm the findings, cardiologists could eventually use genetic screening to identify high-risk patients, monitor them more closely, and begin treatments such as SGLT2 inhibitors before heart failure symptoms appear, according to the cardiologist.
Genetic testing for cardiomyopathy is often used for diagnosis, family screening and risk stratification. (iStock)
Heart failure does not always begin when symptoms appear, Freeman noted. In some patients, risk may be present years earlier due to inherited genetics.
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Preventive cardiology could identify high-risk patients earlier, before they develop symptoms such as shortness of breath, fluid retention or the need for hospitalization.
The decision to medicate should always be discussed with a clinician, Freeman advised, especially for those with a personal or family history of cardiovascular events.
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Health
Woman with advanced Alzheimer’s regained speech and memories after taking magic mushrooms
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A woman with advanced Alzheimer’s disease saw significant improvements in brain function after taking psilocybin-containing mushrooms.
That’s according to a case report recently published in Frontiers in Neuroscience, which focused on an elderly woman who had been living with Alzheimer’s disease for about 10 years.
The Japanese American woman, whose name was not shared, had experienced severe functional decline for roughly five years. The Brazilian study authors described her as having advanced dementia, with very limited speech or communication, severe cognitive impairment, urinary incontinence and reduced mobility.
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She also depended on caregivers for assistance with daily living activities.
The woman received two sessions of psilocybin-containing mushrooms. The first was a 5-gram oral dose, followed by a 3-gram oral dose a month later.
A woman with advanced Alzheimer’s disease saw significant improvements in brain function after taking psilocybin-containing mushrooms, according to a published case report. (iStock)
After the first dose, she experienced profuse sweating and hyperthermia, followed by a prolonged sleep-like state.
Approximately 19 hours later, the patient “spontaneously initiated autobiographical conversation lasting several hours,” the researchers wrote.
Over the following days and weeks, the woman experienced restored urinary continence, was able to walk independently and dress herself, and engaged in spontaneous conversation. She was also able to retrieve contextual memories, showed the ability to express emotions and maintained eye contact — smiling with others.
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After the second session, the authors reported that the woman had even greater speech capabilities, more facial expressions and humor, increased walking agility and continued continence.
Beyond the heavy sweating, hyperthermia and sleep-like state, the patient did not experience severe or persistent adverse effects, the researchers noted.
After the second session, the authors reported that the woman had even greater speech capabilities, more facial expressions and humor, increased walking agility and continued continence. (James MacDonald/Bloomberg via Getty Images)
Although the reported benefits lasted for at least one month, the paper does not provide longer-term follow-up.
The authors said the findings should be interpreted with caution, as they are based on a single patient.
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The case also included no control group, standardized cognitive assessments, brain imaging biomarkers, electrophysiological monitoring or sleep studies, they noted.
The patient’s Alzheimer’s diagnosis was not confirmed with modern biomarkers, and other neurodegenerative conditions could not be completely ruled out, the study stated.
As the patient may have experienced natural fluctuations in her medical condition, the study could not establish that psilocybin directly caused the woman’s improvements.
After the second session, the authors reported that the woman had increased walking agility. (iStock)
While the study suggests that psilocybin-containing mushrooms could temporarily reactivate brain function in people with late-stage dementia, the authors noted that controlled clinical trials, cognitive assessments, imaging scans and other tests are needed to confirm the findings.
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“Much more research is needed in larger, more representative study populations before any conclusions can be drawn about psilocybin’s safety and effectiveness in people living with Alzheimer’s or any other disease that causes dementia,” Courtney Kloske, Ph.D., director of scientific engagement at the Alzheimer’s Association in Chicago, told Fox News Digital.
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Kloske, who was not involved in the study, emphasized that people living with Alzheimer’s and their caregivers should talk with their doctor about all medications, vitamins, supplements and other substances they are taking.
“This helps healthcare providers understand how these products may interact with approved Alzheimer’s medications and other therapies to determine whether they could lead to unwanted side effects,” she advised.
“It might have some value in a carefully controlled setting.”
Dr. Marc Siegel, Fox News senior medical analyst, said he is “dubious” of the significance of the study because the effect was described as temporary and was limited to one case.
“Also, there is a built-in danger of giving a hallucinogen to someone with this degree of mental impairment, because the behavioral effects are largely unpredictable and can be harmful,” Siegel, who also was not involved in the study, told Fox News Digital.
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“Having said that, I am not surprised to see that psilocybin could temporarily overcome or alter the gummed-up [brain] circuitry (with plaques) of advanced Alzheimer’s disease – so it might have some value in a carefully controlled setting.”
A medical expert said he is “dubious” of the significance of the study because the effect was described as temporary and was limited to one case. (Ethan Barton/Fox News Digital)
The findings come as several states have expanded legal access to psilocybin. (The substance remains federally illegal in the U.S. as a Schedule I substance.)
Oregon began licensing psilocybin service centers in 2023, Colorado’s regulated natural medicine program became operational in 2025, and New Mexico enacted a Medical Psilocybin Act in 2025, according to state officials.
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Still, there are currently no FDA-approved psilocybin treatments for Alzheimer’s disease or dementia, and legal access remains limited to certain state-regulated programs or approved research settings.
Fox News Digital reached out to the researchers for comment.
Health
Why do some people get sepsis while others don’t? Scientists point to the gut
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Potentially deadly sepsis may be more likely in certain patients due to problems in the gut.
Researchers from the Korea Research Institute of Bioscience and Biotechnology’s Infectious Disease Research Center used female mouse models to investigate why sepsis outcomes can vary so dramatically.
The study, published in the journal Nature, looked at genetically similar mice with different gut microbiomes. The mice were infected with Acinetobacter baumannii — a highly resilient bacterium that can lead to sepsis.
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The researchers compared groups of mice with higher and lower survival rates, examining differences in their gut microbiomes, the amount of bacteria in their blood and organs, and other cellular markers, according to the study press release.
Gut health could signal severe sepsis prior to infection, the study suggests. (iStock)
Measures of risk
Although some mice were genetically similar, the more vulnerable mice had a higher concentration of Muribaculaceae bacteria in the gut. In one comparison, these bacteria made up about 28% of the microbiome in poor surviving mice, but only 0.15% in better surviving mice.
Mice with worse survival showed an early and strong inflammatory response, which later led to more bacteria in the blood, lungs and spleen. This suggests that the microbiome causes the immune system to be more reactive, according to the researchers.
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In the microbiome of mice with worse survival, the researchers also noticed that one strain of bacteria — Sangeribacter muris KT1-3 — was most prominent. The mice that typically survived at high rates fared much worse when housed with KTI-3 mice, with their survival falling to 10%.
More vulnerable mice had a higher concentration of Muribaculaceae bacteria in the gut. (iStock)
This bacterial strain also appeared to worsen inflammation during certain infections, making sepsis more severe.
These findings suggest that the gut microbiome can signal how the immune system will react before an infection begins.
The microbiome’s surprising influence
Andrew Fleming, MD, section chief of Infectious Diseases & Immunology at NYU Langone Hospital, Brooklyn, said it has been “known for years” that gut bacteria and bacterial toxins can be released into the bloodstream during sepsis.
This worsens the inflammatory response to the initial infection, according to Fleming, who was not involved in the study.
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“This process is particularly important in septic shock, where the intestinal wall becomes more permeable to translocation (or leaking) of bacterial products,” Fleming said.
Interactions between the gut microbiome and the immune system are “complex and variable from person to person,” the doctor described.
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“But there is mounting evidence that a diverse and healthy gut microbiome – the community of bacteria that lives in a person’s gut – is protective in some ways against severe sepsis,” he went on. “And a dysregulated microbiome – for example, one severely altered by antibiotics – can impair or worsen the immune system’s response during sepsis.”
Interactions between the gut microbiome and the immune system are “complex and variable from person to person,” a doctor described. (iStock)
Scientists are starting to think of the gut microbiome “almost as a living organ,” according to Fleming, much like the heart, kidneys or liver, all serving “multiple functions” to keep the body healthy.
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An unhealthy microbiome can have “detrimental effects across a range of health issues,” he added – including how the body responds to infections.
“Compared to our other organs, we currently have fewer readily available tests in the doctor’s office to measure the health of our microbiome,” Fleming said. “However, this should not prevent us from thinking about our gut microbiome and how to keep it healthy.”
The role of antibiotics
The use of antibiotics has “major and long-lasting effects” on the microbiome, Fleming noted. Up to 80% of adults in the U.S. are prescribed an antibiotic every year, while 30% are estimated to be unnecessary, according to the CDC.
“Antibiotics deplete the diversity of the microbiome and create a void in the gut microbial community that can be filled by harmful bacteria from the environment,” the doctor told Fox News Digital.
Antibiotics “deplete the diversity of the microbiome and create a void in the gut microbial community that can be filled by harmful bacteria from the environment,” the doctor said. (iStock)
“We must begin to think much more critically about our antibiotic use and overuse, both to maintain our gut health and to reduce the spread of antibiotic resistance.”
The study findings are an “intriguing starting point to further research,” Fleming said, although there were some key limitations.
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“Sangeribacter muris is not typically found in humans, so the exact mechanism of this bacterial strain worsening sepsis that is demonstrated in this study cannot be directly extrapolated to people,” he said. “Well-designed clinical trials should be conducted to explore how similar gut microbiome effects may play out in sepsis in humans.”
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Despite these limitations, the doctor said he supports the hypothesis that maintaining a healthy gut microbiome can help keep the immune system well-regulated while reducing the risk of developing severe sepsis.
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