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Shingles infection linked to risk of cognitive decline, says study: ‘Long-term implications’

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Shingles infection linked to risk of cognitive decline, says study: ‘Long-term implications’

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Getting shingles just once could increase the risk of long-term confusion and memory loss, a new study has found.

The study, led by Brigham and Women’s Hospital and Harvard Medical School, linked the virus to greater chances of “subjective cognitive decline,” according to a Harvard press release.

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The findings were published in the journal Alzheimer’s Research & Therapy on Aug. 14.

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“Subjective cognitive decline” captures early changes in cognition that are noticed before evidence of cognitive impairment shows up on standard neuropsychological tests, explained study author Sharon Curhan, M.D., a physician and epidemiologist at Brigham and Women’s Hospital in Boston.

It was also associated with a higher risk of mild cognitive impairment (MCI) and dementia. 

Getting shingles just once could increase the risk of long-term confusion and memory loss, a new study has found. (iStock)

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“Shingles may contribute to dementia risk through neuroinflammation, damage to cerebral blood vessels (cerebral vasculopathy), or direct neuronal damage,” Curhan told Fox News Digital.

In this particular study, the researchers analyzed data from three large cohorts of more than 150,000 women and men over a 13-year period. 

The data came from the Nurses’ Health Study, the Nurses’ Health Study II and the Health Professionals Follow-Up Study, according to Curhan.

“We were surprised by the large magnitude and long duration of the increased risk.”

“There was a suggestion that the magnitude of the elevated risk may be greater among those who were not vaccinated with the shingles vaccine,” she said.

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The researchers determined that shingles was associated with a greater than 20% higher long-term risk of subjective cognitive decline.

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“We were surprised by the large magnitude and long duration of the increased risk, and [the fact] that it may be different in women and men,” Curhan told Fox News Digital. 

The elevated risk was even higher among those who were genetic carriers of APOE e4 — the gene that increases the risk for Alzheimer’s disease — than men who were not APOE e4 carriers, she noted, but this was not the case in women. 

Shingles virus

Known medically as herpes zoster, shingles is a painful, blistering rash caused by the varicella-zoster virus (VZV), which is the same virus that causes chickenpox. (iStock)

Although he noted that this is an observational study and does not prove cause and effect, Dr. Marc Siegel, senior medical analyst for Fox News, said he believes “the observation is real.”

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“Shingles is a reactivation of a virus that has been hiding inside nerves,” he told Fox News Digital. “It causes inflammation — and when inflammation involves the brain, it is associated with cognitive decline, which can lead to Alzheimer’s.”

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Previous studies have also looked at the association of herpes zoster and other viruses with Alzheimer’s and the other diseases that cause dementia, according to Heather M. Snyder, PhD, senior vice president of medical and scientific operations at the Alzheimer’s Association in Chicago.

“It is unclear if the virus is present in individuals because of changes associated with the diseases that cause cognitive decline, changes of the immune system, or some sort of cause and effect,” Snyder, who was not involved in the study, told Fox News Digital.

“When inflammation involves the brain, it is associated with cognitive decline.”

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Previous research has also shown that a history of shingles is also associated with higher long-term risk of a major cardiovascular event, such as a stroke or heart attack, which could last for many years after infection, Curhan warned. 

What to know about shingles

Shingles — medically known as herpes zoster — is a painful, blistering rash caused by the varicella-zoster virus (VZV), which is the same virus that causes chickenpox, according to the U.S. Centers for Disease Control and Prevention (CDC).

The rash and blisters usually scab over within seven to 10 days.

The infection is common, affecting about one in every three people in the U.S. in their lifetime.

Man with shingles

In addition to the rash, which typically appears as a stripe around one side of the body or face, symptoms can include fever, chills, headache and upset stomach. (iStock)

“A majority of adults have herpes zoster hidden in their brain cells, from prior infection at some previous point in their life,” said Snyder.

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In addition to the rash — which typically appears as a stripe around one side of the body or face — symptoms can include fever, chills, headache and upset stomach, according to the CDC.

In some cases (10% to 18%), the virus can lead to complications like long-term nerve pain.

One in every three people in the U.S. will have shingles in their lifetime.

Other rare but serious adverse effects can include vision loss, bacterial infections, pneumonia, brain inflammation (encephalitis), impaired hearing and death, per the CDC.

These complications are most likely to affect those with compromised immune systems.

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Antiviral treatments and pain relief medications are available for those with the condition.

Means of prevention

These findings show the “long-term implications” of shingles and highlight the importance of public health efforts to prevent the infection, Curhan noted. 

The vaccination has been shown to be 90% effective at preventing the infection and long-term nerve pain in adults age 50 and over who have healthy immune systems, according to the CDC.

Shingles vaccine

Shingles vaccination has been shown to be 90% effective at preventing the infection and long-term nerve pain in adults age 50 and over who have healthy immune systems, according to the CDC. (iStock)

“Given the growing number of Americans at risk for this painful and often disabling disease and the availability of an effective vaccine, shingles vaccination could provide a valuable opportunity to reduce the burden of subsequent health issues due to shingles, such as chronic pain (postherpetic neuralgia), cardiovascular complications, or cognitive decline and dementia,” said Curhan.

The CDC recommends routine shingles vaccination for people age 50 and older, regardless of whether they have had a prior episode of shingles or have had a previous vaccine. 

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“Anyone who may be eligible for the vaccine or who may have questions or concerns about vaccination should consult with a health care provider,” said Curhan.

Siegel echoed the merits of vaccination. 

  

“This study adds to the growing group of evidence that the shingles vaccine (Shingrix) is important for all those over 50 (who have had chicken pox or the varicella vaccine) to decrease the risk of reactivation of the shingles virus and/or complications of active infection,” he said.

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Potential limitations 

This was an observational study that primarily focused on a White, highly educated population, Curhan noted — which means future studies in other populations could strengthen the research.

“Also, we did not have information on vaccination status in the full study population, so we could only examine this relation among a subset,” she added. 

Woman itchy rash

“A majority of adults have herpes zoster hidden in their brain cells, from prior infection at some previous point in their life,” a doctor said. (iStock)

Much of the study period took place before the shingles vaccine became widely available, Curhan said — and even once it was introduced, the uptake was generally low. 

The more recent vaccine was not available until after the study. 

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“As uptake of the newer shingles vaccine increases, additional studies that evaluate whether vaccination status influences the relation of shingles and risk of cognitive decline would be informative,” Curhan said. 

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“Therefore, we are currently collecting this information among our participants and hope to conduct these studies in the future.”

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New weekly injection for Parkinson's could replace daily pill for millions, study suggests

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New weekly injection for Parkinson's could replace daily pill for millions, study suggests

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A new weekly injectable drug could transform the lives of more than eight million people living with Parkinson’s disease, potentially replacing the need for daily pills.

Scientists from the University of South Australia (UniSA) developed a long-acting injectable formulation that provides two key Parkinson’s medications for an entire week.

There is currently no cure for Parkinson’s, which is the second-most common neurological disorder, affecting more than one million Americans, according to the Parkinson’s Foundation.

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To manage symptoms like tremors, rigidity and slow movement, patients typically take daily oral medications, such as levodopa and carbidopa, according to the university’s press release.

This method can be especially difficult for individuals who have trouble swallowing or are otherwise unable to take the pills consistently, leading to irregular medication levels, increased side effects and reduced effectiveness.

Scientists from the University of South Australia developed a long-acting injectable formulation that provides two key Parkinson’s medications for an entire week. (iStock)

Levodopa is the “gold-standard therapy for Parkinson’s,” according to lead researcher Professor Sanjay Garg at UniSA, but its short lifespan means it must be taken several times a day.

The researchers tested an injectable gel implant that combines an FDA-approved biodegradable substance with a pH-sensitive substance to achieve a controlled and sustained drug release.

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The gel is injected through a single shot under the skin or into the muscle tissue, which means there’s no need for a surgical implant and discomfort is minimal, they noted.

The team found that the gel gradually released the key Parkinson’s medications (90% of the levodopa drug and 81% of the carbidopa) over the course of one week.

The findings were published in the journal Drug Delivery and Translational Research.

Woman holding two pills

To manage symptoms like tremors, rigidity and slow movement, patients typically take daily oral medications. (iStock)

“Reducing the frequency of dosing from multiple times a day to a weekly injection is a major step forward in Parkinson’s therapy,” Garg said in the release. “We’re not just improving how the drug is delivered; we’re improving patients’ lives.”

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Extensive lab tests confirmed the system’s effectiveness and safety.

“We’re not just improving how the drug is delivered; we’re improving patients’ lives.”

The implant degraded by over 80% within a week and showed no significant toxicity in cell viability tests.

“The implications of this research are profound,” Garg added.

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Deepa Nakmode, a PhD student at the University of South Australia, noted that this method is designed to release both levodopa and carbidopa steadily over one week, maintaining consistent plasma levels and reducing the risks associated with fluctuating drug concentrations.

“After years of focused research, it’s incredibly rewarding to see our innovation in long-acting injectables for Parkinson’s disease reach this stage,” he said in the release. 

The team’s invention has now been filed for an Australian patent, Nakmode added.

Parkinson's disease could increase greatly by 2050

Extensive lab tests confirmed the new medication’s effectiveness and safety, the researchers noted. (iStock)

The technology could also be adapted for other chronic conditions, such as cancer, diabetes, neurodegenerative disorders, chronic pain and infections that require long-term drug delivery, according to Garg.

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The system can be tuned to release drugs over a period ranging from a few days to several weeks, depending on therapeutic needs.

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Scientists hope to start clinical trials in the near future and are exploring opportunities to make the gel commercially available.

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Does Creatine Boost Weight Loss? It Burns Fat 7x Faster in Women Over 50

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Does Creatine Boost Weight Loss? It Burns Fat 7x Faster in Women Over 50


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Men face double dementia risk if they have a hidden genetic mutation

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Men face double dementia risk if they have a hidden genetic mutation

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A hidden genetic mutation could predict a man’s likelihood of developing dementia.

That’s according to an Australian study led by Monash and Curtin Universities, which analyzed the medical data of thousands of Australians and Americans.

Men who had a certain variant in the haemochromatosis (HFE) gene — which regulates iron levels in the body — were found to be at a higher risk of dementia, the researchers found.

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Previously healthy men over age 70 who have two copies of the variant, which is known as H63D, are at least twice — or up to four times — as likely to develop dementia. 

Having just one copy did not appear to elevate the risk.

A hidden genetic mutation could predict a man’s likelihood of developing dementia, according to a new study. (iStock)

One in 36 men carry two copies of the mutation; one in three have just a single copy.

“It is only men who have two copies of the variant that are at risk,” study co-author Professor John Olynyk from the Curtin Medical School told Fox News Digital. “Women are not affected by the abnormality – we do not know why that is at the current point in time.”

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The study, which was published in the journal Neurology, used data from the ASPirin in Reducing Events in the Elderly (ASPREE) trial, which gathered health and aging data for 19,114 healthy older adults.

Those who have the genetic variant can’t change it, but it’s possible that the “brain pathways” it affects could be treated, Olynyk noted.

Older man dementia

“It is only men who have two copies of the variant that are at risk,” one of the researchers told Fox News Digital. Women are not affected. (iStock)

“The HFE gene is routinely tested for in most Western countries … when assessing people for haemochromatosis, a disorder that causes the body to absorb too much iron,” the doctor said. “Our findings suggest that perhaps this testing could be offered to men more broadly.”

Despite the fact that the HFE gene is responsible for controlling iron levels, the team found no direct link between iron and dementia risk.

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“Our findings suggest that perhaps this testing could be offered to men more broadly.”

“This points to other mechanisms at play, possibly involving the increased risk of brain injury from inflammation and cell damage in the body,” Olynyk added.

More research is needed to determine why the heightened risk wasn’t seen in women.

“Understanding why men with the double H63D variant are at higher risk could pave the way for more personalized approaches to prevention and treatment,” added co-author Professor Paul Lacaze from Monash University in a press release.

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The main limitation of the study, according to Olynyk, was that the study population was largely composed of Australians.

This is what no one planned could happen after taking a DNA test

Previously healthy men over age 70 who have two copies of the variant, which is known as H63D, are at least twice — or up to four times — as likely to develop dementia. (Kurt “CyberGuy” Knutsson)

“Whether other populations exhibit the same effects is unclear,” he told Fox News Digital. “Our work should be repeated in different countries to assess this.”

“Further research will be undertaken to try and determine the likely mechanism by which this anomaly causes dementia and what more we can do to reduce the impact of it.”

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Beyond this specific mutation, many other genetic and environmental factors can contribute to dementia risk, Olynyk noted. 

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“While genetic risk factors cannot be changed, the mechanisms by which these genetic abnormalities and environmental factors cause disease may well be modifiable to some extent, through adopting a healthy lifestyle and being proactive about maintaining an overall good state of health,” he said.

Older couple walking

To reduce risk, the researchers recommend adopting a healthy lifestyle that includes exercising regularly, eating a nutritious diet, minimizing alcohol intake and remaining mentally active. (iStock)

To reduce risk, the researchers recommend adopting a healthy lifestyle that includes exercising regularly, eating a nutritious diet, minimizing alcohol intake, remaining mentally active, and seeing a doctor to address any medical problem known to increase the likelihood of dementia.

For more Health articles, visit www.foxnews.com/health

The University of Melbourne, The Royal Children’s Hospital, Murdoch Children’s Research Institute and Fiona Stanley Hospital also contributed to the study.

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