Clínic Hospital

While preparing a systematic review of animal studies on subarachnoid hemorrhage —a particular type of stroke— a Dutch team detected suspicious images and redirected their research: they analyzed 608 publications considered relevant, looking for potential problems with their results. Their findings indicate that 243 (40%) contained duplicate or potentially manipulated images, raising doubts about their reliability. The vast majority (87%) originated in China, and only 22% had been corrected. According to the researchers, these findings “could explain why, despite hundreds of animal studies published in this field, we still lack effective treatments for early brain injury in patients with hemorrhagic stroke”. The results are published in Plos Biology. 

Different antidepressant drugs cause different side effects in the body, in parameters such as heart rate, blood pressure or body weight, according to a meta-analysis published by The Lancet. For example, agomelatine administration is associated with weight loss, while other molecules such as maprotiline are associated with weight gain. The research brings together 151 studies and 17 reports from the US Food and Drug Administration (FDA), including more than 58,000 people and comparing 30 antidepressant drugs with a placebo.

Antiretroviral therapy has become a vital treatment for people with HIV. However, it is not a cure, because the virus is able to take refuge and hide in certain blood cells. Now, a study of 65 people—30 women and 35 men—who were undergoing this therapy has found that women's immune systems tend to be more effective at controlling the virus. According to the researchers, who published their findings in the journal Science Translational Medicine, the study ‘reinforces the importance of considering sex in the design and implementation of medical interventions aimed at cure and suggests that women may be better candidates for exploring innate immunity-dependent strategies.’

Until now, perceived well-being followed a U-shaped curve depending on age, declining – due to worry, stress or depression – until people reached middle age, around 50, and then rebounding into old age. With malaise, the U is inverted and we talk about the ‘unhappiness curve’, shaped like a hump. Now, research published in PLOS One with data from the US and the UK claims that this age-related malaise is declining and that there is no longer such a hump. The reason for the change is said to be the deterioration of mental health among young people, especially those under 25. The study also includes data from 44 countries between 2020 and 2025, including Spain, and confirms that the malaise no longer takes the form of a hump, but decreases with age.

At least some of the genes that enable hibernation in certain animals are also found in our DNA, but they are regulated differently. Now, researchers at the University of Utah (United States) have analyzed the human genome and identified specific regions and changes that affect this regulation, which could be useful in the future to take advantage of some of its benefits. According to the researchers, who share their findings in two papers published simultaneously in the journal Science, "there is a possibility that, by understanding these mechanisms, we may find strategies to intervene and help with age-related diseases and improve our own health".

An oral formulation of risperidone could be administered weekly instead of daily to treat patients with schizophrenia with the same efficacy, according to a phase III clinical trial published in The Lancet Psychiatry. The study included 83 patients in the United States.

An international study has warned of the potential risks of widespread use of faecal microbiota transplantation without taking into account the region of the intestine where the transferred microbes arrive. The experiment, conducted on mice and human tissue samples, showed that the microbes from the transplant—mostly anaerobic microbes from the colon—colonised the small intestine, persisted there for months and modified that new environment, causing changes in the host's metabolism. According to the authors, whose study is published in the journal Cell, this may have long-lasting and unforeseen consequences, as well as imbalances in the intestinal ecosystem of patients.

Large language models—artificial intelligence systems based on deep learning—could be useful in detecting mental health risks such as depression and suicide risk in narrative tests of patients undergoing psychiatric treatment. This is one of the conclusions of research published in JAMA Network Open, which also shows the potential of embeddings — a natural language processing technique that converts human language into mathematical vectors — to achieve the same end.

Narcolepsy type 1 is a sleep disorder characterised by excessive daytime sleepiness and cataplexy - sudden loss of muscle tone. Existing treatments are based on palliation of symptoms, with moderate success. Now, an international phase 2 clinical trial, involving CEU San Pablo University and other Spanish centres, published in the journal NEJM, shows the results of a new drug targeting the cause of the disorder. Overall, the benefits appear superior and no serious adverse effects were observed. According to the authors, ‘the results are promising’ and represent ‘a very significant impact on the quality of life of these patients’.

A phase 1 clinical trial has tested the safety and preliminary efficacy of a new form of CAR-T cell therapy - which they call “armed” - in patients with lymphoma. The novelty consists of adding another gene to help increase response. Of the 21 patients treated, all resistant to multiple lines of treatment including approved CAR-T therapies in 20 of them, 81% showed a response and 52% went on to achieve complete remission without significantly greater side effects than with the standard option. The results are published in the journal NEJM.