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What to Know About mRNA Vaccines

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What to Know About mRNA Vaccines

Health Secretary Robert F. Kennedy, Jr., has repeatedly questioned the safety of mRNA vaccines against Covid-19. Scientists with funding from the National Institutes of Health were advised to scrub their grants of any reference to mRNA. Around the country, state legislatures are considering bills to ban or limit such vaccines, with one describing them as weapons of mass destruction.

While mRNA, or messenger RNA, has received widespread attention in recent years, scientists first discovered it in 1961. They have been studying it and exploring its promise in preventing infectious diseases and treating cancer and rare diseases ever since.

A large molecule found in all of our cells, mRNA is used to make every protein that our DNA directs our bodies to build. It does so by carrying information from DNA in the nucleus out to a cell’s protein-making machinery. A single mRNA molecule can be used to make many copies of a protein, but it is naturally programmed to die eventually, said Jeff Coller, a professor of RNA biology and therapeutics at Johns Hopkins University and a co-founder of an RNA therapeutics company.

Right now, there are three FDA-approved vaccines available that use mRNA, two for Covid-19 and one for R.S.V., or respiratory syncytial virus, in older adults. These vaccines consist of strands of mRNA that code for specific viral proteins.

Say you get a Covid-19 vaccine. The strands of mRNA, packaged into tiny fat particles, go into your muscle and immune cells, said Robert Alexander Wesselhoeft, director of RNA therapeutics at the Gene and Cell Therapy Institute at Mass General Brigham. Protein factories in the cells then take instructions from the mRNA and manufacture a protein like the one found on the surface of a Covid-19 virus. Your body recognizes that protein as foreign, and mounts an immune response.

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Most of the mRNA will be gone within a few days, but the body retains a “memory” of it in the form of antibodies, Dr. Coller said. As with other types of vaccines, immunity wanes both over time and as a virus evolves into new variants.

In the mid-2000s, scientists at the University of Pennsylvania figured out how to get foreign mRNA into human cells without it degrading first. That enabled researchers to develop it for use in vaccines.

The main use for such vaccines right now is to prevent infectious diseases, like Covid-19 and R.S.V., said Dr. Wesselhoeft, who founded a company that develops RNA therapies. The mRNA vaccines can be made very quickly because all of the components, other than the RNA sequence, remain the same across different vaccines.

This feature could be helpful for developing the annual flu vaccine, said Florian Krammer, a virologist at the Icahn School of Medicine at Mount Sinai, who has previously consulted for Pfizer and CureVac on mRNA therapies. Typically, scientists decide in February or March which influenza virus strains to include in a vaccine that will be rolled out in the United States in September. But by that time, a different strain may be dominant. Because an mRNA vaccine can be manufactured more quickly than the current flu shot, scientists could wait until May or June to see which strains are circulating, Dr. Krammer said, increasing the likelihood the vaccine will be effective.

A common question patients ask is whether an mRNA vaccine can affect their DNA, Dr. Boucher said. The answer is no. Our cells cannot convert mRNA into DNA, which means that it can’t be incorporated into our genome.

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The vaccine for Covid-19 can cause muscle aches and flulike symptoms, but these are expected side effects for vaccines generally, Dr. Krammer said.

It’s been more than four years since the Covid-19 vaccine was first rolled out “and there are not long-term safety signals,” said Dr. Adam Ratner, a pediatric infectious disease specialist in New York. Many parents were concerned about myocarditis, an inflammation of the heart muscle that was reported as a possible side effect of the vaccine. But, Dr. Ratner said, the risk of such inflammation from an actual Covid-19 infection, or of long Covid or multisystem inflammatory syndrome in children, was far greater.

Vaccines using mRNA are currently being studied for a wide range of diseases, including cancer, cardiovascular disease, autoimmune disorders like Type 1 diabetes and rare diseases like cystic fibrosis, a genetic condition that results in excessively thick, sticky mucus that can plug the airways and damage the lungs.

In cancer, the idea is that the mRNA codes for a tumor protein that the immune system will recognize as foreign, telling the body to attack the tumor. In a genetic disorder like cystic fibrosis, it codes for a functioning version of a deficient protein to replace the faulty one and restore the mucus to healthy state.

A paper in the journal Nature earlier this year showed that an experimental mRNA vaccine for pancreatic cancer provoked an immune response in some patients after they had undergone surgery for the cancer. Patients who experienced that immune response lived longer without cancer than patients who did not.

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Another recent paper showed that, in monkeys, an inhaled mRNA therapy could produce a protein needed to form cilia, the hairlike structures that line our airways and move mucus out of them. These proteins malfunction in a debilitating respiratory disorder called primary ciliary dyskinesia.

This research is still in early stages: The pancreatic cancer study, a Phase I trial, included only 16 patients, and there may have been other differences between the two groups that accounted for the different survival times. There is a long history of research showing that interventions may lead to immune responses without actually changing patients’ outcomes, explained Dr. Steven Rosenberg, chief of the surgery branch at the National Cancer Institute and an expert in cancer immunotherapy.

Dr. Richard Boucher, a pulmonologist at the University of North Carolina at Chapel Hill, noted that for lung diseases, it’s extremely difficult to safely get the particles carrying mRNA into exactly the right cells.

In general, Dr. Ratner said, mRNA vaccines are “exciting” in that they offer hope for disease treatments where prior technologies have failed. But mRNA therapy is still a drug technology like any other: In some diseases it likely will work, he said, “and in other cases it probably won’t.”

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Controversial drug delivered rapid relief for severe depression in just hours

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Controversial drug delivered rapid relief for severe depression in just hours

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→ Single infusion of controversial drug changed severe depression symptoms within hours

→ What to know about thyroid cancer prognosis following Pam Bondi’s diagnosis

→ Tick bite ER visits are spiking as doctors warn of disease surge

Approximately 71 per 100,000 ER visits were tick-related in April, more than double the historical average. (iStock)

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Health in the kitchen

→ Popular fruit may help protect your skin from the sun, new study suggests

→ Diet change tied to ‘younger’ biological age in older adults

→ Filtered water at specific ages could add months to lifespan decades later

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“The changes in gene expression [from eating grapes] indicated improvements in skin health,” one researcher said. (iStock)

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Conversation starters

→ Finding sleep ‘sweet spot’ could help you live longer, study suggests

→ ‘Wild West’ peptide craze surges beyond GLP-1s, FDA to consider easing access

→ One type of sitting may pose greater dementia risk

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Single infusion of controversial drug changed severe depression symptoms within hours, study finds

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Single infusion of controversial drug changed severe depression symptoms within hours, study finds

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People experiencing severe depression with suicidal symptoms may not have to wait weeks for traditional antidepressants to take effect.

A recent review suggests that a single intravenous ketamine infusion can provide rapid relief for some patients.

Originally developed as an anesthetic, ketamine is a medicine that can reduce pain and, in some cases, help treat depression, but it can also be misused as a recreational drug, experts warn.

SINGLE DOSE OF POWERFUL PSYCHEDELIC CUTS DEPRESSION SYMPTOMS IN CLINICAL STUDY

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Researchers from the University of Connecticut School of Medicine reviewed 26 clinical trials that included more than 1,100 patients. Approximately 626 received ketamine and 540 served as controls who did not take the drug.

Most of the trials included patients with major depressive disorder, but 11.5% included those with bipolar depression and 7.7% included people with both unipolar and bipolar depressive diagnoses.

A recent review suggests that a single intravenous ketamine infusion can provide rapid relief for some patients with treatment-resistant depression. (iStock)

Compared to a placebo, a single treatment significantly reduced depression in just four hours and dramatically lowered suicidal thoughts within 24 hours, the study found.

Patients reported fewer depressive symptoms after a week and reduced suicidal thoughts for up to a month after one ketamine infusion. Those who received repeated ketamine infusions showed a similar reduction of suicidal and depressive symptoms at the end of the treatment.

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WHAT IS KETAMINE THERAPY? MORMON REALITY STARS TOUT CONTROVERSIAL TREATMENT

The most common adverse effects of ketamine – including headaches, numbness, dissociation (“out of body” experiences), nausea, dizziness and visual disturbances – were temporary and resolved within hours of the infusion.

Rarer, more serious side events included hospitalization, suicide attempts and suicide, but most were unrelated to ketamine, the review stated.

The analysis was published in May in JAMA Psychiatry.

Treatment-resistant depression

Major depressive disorder is a formal psychiatric diagnosis affecting approximately 280 million people globally, according to recent research.

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Effective treatment involves a combination of therapy and medication, frequently antidepressants. However, for a few patients, symptoms do not respond to multiple therapies, a condition known as treatment-resistant depression, doctors say.

“When all existing treatment options fail, patients with severe depression could consider ketamine infusions.”

These patients are at a higher risk of very serious, sometimes tragic consequences, including suicidal thoughts, suicide attempts and death.

“When all existing treatment options fail, patients with severe depression could consider ketamine infusions,” lead author Taeho Greg Rhee, PhD, of the University of Connecticut School of Medicine, told Fox News Digital. “This is still a safer option when compared to electroconvulsive therapy (ECT).”

Compared to a placebo, a single treatment significantly reduced depression in just four hours and dramatically lowered suicidal thoughts within 24 hours, the study found. (iStock)

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Traditional antidepressants stabilize mood by slowly elevating serotonin levels in the brain, but it can take weeks for the full effect to be achieved.

Ketamine, in contrast, works rapidly by blocking glutamate, a neurotransmitter that can impact emotions negatively when levels are too high in the brain, according to Cleveland Clinic.

Implications for care

The authors say their findings have two important potential clinical applications.

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First, ketamine’s rapid effects can be a life-saving treatment in the emergency room for patients presenting with suicidal ideation.

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Experts caution that the medication should only be administered in closely monitored settings, such as clinics, to ensure safe treatment. (iStock)

Second, the effects of a single ketamine infusion are relatively short-lived – as almost all patients relapsed with depressive symptoms after a single infusion – so those with treatment-resistant depression will need repeated sessions.

“While intravenous ketamine is not yet FDA-approved for treating depression, it may still be used with off-label indications for those with severe depression and/or with a high risk of suicidal behaviors,” said Rhee.

Experts urge caution despite promise

Dr. Lama Bazzi, a psychiatrist in private practice in New York City, has had several patients receive ketamine infusions.

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“For a small subset of patients in a major depressive episode or struggling with suicidal thoughts, intravenous ketamine can be genuinely lifesaving,” Bazzi, who was not involved in the study, told Fox News Digital. “The relief they experience is almost immediate, offering them distance from the intensity of their emotions.”

However, she cautions that the medication should only be administered in closely monitored settings, such as clinics, to ensure safe treatment.

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Ketamine is not a panacea, Rhee agreed, warning of the potential risk of abuse and addiction.

“It should only be used medically,” he advised.

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Ketamine’s rapid effects can be a life-saving treatment in the emergency room for patients presenting with suicidal ideation, some experts claim. (Getty Images)

Dr. Marc Siegel, Fox News senior medical analyst, noted in previous comments to Fox News Digital that ketamine is increasingly being used to treat severe depression, but emphasized that it should be administered under careful medical supervision because of its potential risks.

Study limitations

Although the studies compared ketamine with a placebo, some patients may have realized they were receiving the drug. This could have influenced how they reported their symptoms and how effective they perceived the treatment to be, according to the researchers.

“It should only be used medically.”

Another limitation is the small sample size of the studies, which could make the effects seem disproportionately magnified.

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Also, as this was a review of many different studies, it is challenging to apply the findings to the general population, the researchers noted.

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“While long-term outcomes have not been studied, I believe that when patients are severely depressed or suicidal, ketamine is sometimes the only choice that almost always works,” Bazzi added.

Anyone interested in exploring alternative depression treatments should first consult a doctor.

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Tick bite ER visits hit highest seasonal level in years as doctors warn of disease surge

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Tick bite ER visits hit highest seasonal level in years as doctors warn of disease surge

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Tick bite-related ER visits are at their highest seasonal levels since 2017 across most U.S. regions, raising concerns about increased Lyme disease and other tick-borne illnesses.

That’s according to recent data from the Centers for Disease Control and Prevention’s Tick Bite Tracker, which monitors weekly emergency department visits associated with tick bites across the country.

For every 100,000 ER visits, approximately 71 were related to tick bites in April 2026, compared to a historical seasonal average of roughly 30 per 100,000.

DOCTORS REVEAL KEY SIGNS OF LYME DISEASE AS TICK SEASON INTENSIFIES ACROSS US

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Some of the highest rates of tick-based ER visits were among children younger than 10 years and adults between 70 and 79 years.

A close-up shows a parasitic mite in motion on a human fingertip, highlighting the potential for disease transmission such as encephalitis. (iStock)

“Over the past three decades, the geographic range of the blacklegged tick has expanded significantly, and with it, the risk of Lyme disease and other Ixodes-transmitted infections,” Dr. Steven Goldberg, a family medicine physician who practices urgent care and family medicine at UofLHealth in Louisville, Kentucky, told Fox News Digital.

‘RABBIT FEVER’ CASES RISING IN US AS CDC WARNS OF ZOONOTIC BACTERIAL DISEASE

“The Ohio River Valley region is one of the most striking examples — Lyme disease cases in Ohio have increased roughly 10-fold over the past decade, likely driven by the convergence of Northeastern and Upper Midwestern tick populations meeting in that corridor.”

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States like Virginia and West Virginia, as well as areas south of the traditional endemic zone, are reporting increasing tick abundance and disease cases, the doctor noted.

“Over the past three decades, the geographic range of the blacklegged tick has expanded significantly.”

“The lone star tick is also expanding its range northward beyond its traditional stronghold in the Southeast, which means diseases like ehrlichiosis and alpha-gal syndrome are appearing in regions where clinicians may not yet be thinking about them,” he warned.

Some climate studies predict that the blacklegged tick’s suitable habitat could expand by over 200% by the end of the century, Goldberg noted, including into Canada and across the central and southern U.S.

What’s driving the spike?

“Warmer, wetter conditions allow ticks to survive in habitats that previously would have been too cold,” said Dr. Suraj Saggar, chief of infectious disease at Holy Name Medical Center in Teaneck, New Jersey. “Milder winters also extend the lifespan of both ticks and the animals they feed on, accelerating tick reproduction and shortening their life cycles.”

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Areas that historically experienced longer, colder winters or significant snow cover are now more hospitable to ticks, the doctor noted.

COPPERHEAD SNAKE BITE LEAVES MAYOR’S WIFE IN ‘EXCRUCIATING PAIN,’ HE REVEALS

“As temperatures rise and precipitation patterns change, ticks are able to spread northward and thrive in new ecosystems,” he said. 

Another contributing factor is increased land development and human expansion into wooded and grassy areas, as well as reforestation of formerly agricultural land.

“As temperatures rise and precipitation patterns change, ticks are able to spread northward and thrive in new ecosystems,” an expert said.  (iStock)

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“The recovery and expansion of white-tailed deer populations — critical hosts for adult blacklegged ticks — has been a major driver,” Goldberg added. “Deer density is positively associated with Lyme disease incidence. Small mammal communities, particularly white-footed mice that serve as key reservoir hosts for Borrelia burgdorferi, also play a central role.”

Tick-borne diseases

Tick bites are known to transmit numerous illnesses, the most widespread of which is Lyme disease, a bacterial infection.

“Lyme disease cases alone have increased roughly two- to threefold over the past 20 years,” Saggar said. Approximately 476,000 Americans are diagnosed and treated for Lyme disease each year, per CDC surveillance data.

MOSQUITO-BORN DENGUE FEVER CASES SURGE AT POPULAR US VACATION DESTINATION

Also common are anaplasmosis and ehrlichiosis, two different types of bacterial infections, according to the doctor. Tick bites can also cause babesiosis, a malaria-like parasitic disease that infects and destroys red blood cells.

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“Another growing concern is alpha-gal syndrome, a condition in which a (lone star) tick bite triggers a serious allergic reaction to red meat,” Saggar said. “In rare cases, people have died from anaphylactic reactions linked to alpha-gal syndrome following a tick bite.”

Some common symptoms of tick-borne illness include fever, chills, fatigue, headaches, muscle aches and joint pain. (iStock)

Ticks can also transmit viruses, including the Powassan virus, which can cause severe neurologic injury.

“Powassan virus disease is arguably the most concerning emerging tick-borne infection,” said Goldberg, who is also chief medical officer at HealthTrack. “It’s transmitted by the same blacklegged tick that carries Lyme disease, but unlike Lyme, it can be transmitted within minutes of tick attachment.”

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Powassan can cause severe encephalitis with a roughly 10% to 15% fatality rate, and more than half of survivors have lasting neurological deficits, Goldberg noted.

In the Rocky Mountain states, the Rocky Mountain wood tick (Dermacentor andersoni) transmits Rocky Mountain spotted fever and Colorado tick fever.

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“In the Southeast and South-Central U.S., the lone star tick (Amblyomma americanum) drives a different set of concerns: ehrlichiosis, tularemia, and two emerging viral threats — Heartland virus and Bourbon virus,” said Goldberg.

Symptoms to watch for

Some common symptoms of tick-borne illness include fever, chills, fatigue, headaches, muscle aches and joint pain, according to Saggar.

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Another sign is the classic “bull’s-eye” rash associated with Lyme disease, known medically as “erythema migrans.” 

“If you think you have been bitten by a tick, you should seek medical attention if you develop symptoms after a known tick bite or after spending time in tick-prone areas, especially during the spring, summer and fall.” (iStock)

“Because testing can sometimes be falsely negative early in the disease process, doctors may treat patients based on symptoms and exposure history rather than waiting for laboratory confirmation,” Saggar noted. 

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“If you think you have been bitten by a tick, you should seek medical attention if you develop symptoms after a known tick bite or after spending time in tick-prone areas, especially during the spring, summer and fall.”

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Preventing tick bites

As there are no vaccines currently available for any tick-borne disease in the U.S., prevention is the most effective strategy.

Goldberg shared the following recommended prevention strategies.

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  • Use EPA-approved repellents, including DEET, picaridin, IR3535 or oil of lemon eucalyptus on exposed skin. Treat clothing and gear with permethrin (a synthetic insecticide and repellent) or purchase pre-treated clothing.
  • Wear light-colored clothing (to spot ticks more easily), long sleeves and long pants tucked into socks when in wooded or grassy areas.
  • After spending time outdoors, check your entire body, paying special attention to the scalp, behind the ears, armpits, groin and behind the knees, the doctor advised. It’s also recommended to shower within two hours of coming indoors.
  • Tumble-dry clothing on high heat for at least 10 minutes to kill any ticks on clothing.
  • Remove ticks promptly and properly. Using fine-tipped tweezers, grasp the tick as close to the skin as possible, and pull upward with steady, even pressure. Clean the bite area afterward.

Approximately 476,000 Americans are diagnosed and treated for Lyme disease each year, per CDC data.

“The longer a tick is attached, the higher the risk of disease transmission — for Lyme disease, transmission generally requires at least 36 hours of attachment,” Goldberg said. “The Powassan virus can be transmitted much more quickly.”

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