Clínic Hospital

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.  

Cuts in international HIV funding could cause between 4.4 million and 10.8 million new HIV infections between 2025 and 2030 in 26 low- and middle-income countries. In addition, these funding reductions could result in between 770,000 and 2.9 million HIV-related deaths, according to a study published in The Lancet HIV. Five countries that together provide more than 90% of funding for international HIV interventions - the US, UK, France, Germany and the Netherlands - have announced reductions in funding between now and 2026, the article explains. This includes the immediate suspension, in January 2025, of US funding, which accounted for nearly three-quarters of the total.

In marathon runners, the myelin content of specific regions of the brain is reversibly reduced, according to a study carried out in the Basque Country. This observation is consistent with animal evidence suggesting that myelin lipids - a substance that surrounds neurons - can act as energy reserves in extreme metabolic conditions, as detailed by the authors in Nature Metabolism. The analysis is based on magnetic resonance imaging of eight men and two women before and after running a marathon. According to the study, the myelin content was fully recovered two months after the race.

According to the World Health Organisation (WHO), the prevalence of obesity worldwide has increased by more than 100 % between 1990 and 2022. This reality has been and is constantly reflected in the media, but not always narrated or illustrated in the right way. Here are some tips on how to report on this disease from experts, international guidelines and specialised image banks.

According to a new study published in Science, a machine learning-based artificial intelligence (AI) system - called Mal-ID - can decipher an individual's history of infections and diseases in the immune system. The authors say this provides a powerful tool with the potential to accurately diagnose autoimmune disorders, viral infections and vaccine responses.

A team of US researchers has followed some patients treated with CAR-T therapies in a small clinical trial conducted between 2004 and 2009 to treat children with neuroblastoma, a nerve cell tumor that can have a poor prognosis. At least one of them, a woman who was treated with CAR-T as a child, remains in remission 18 years later, the longest duration of such therapy described to date. The results are published in the journal Nature Medicine. 

Exposure to cold and heat could affect adolescents' mental health, according to a study published in JAMA Network Open. The research, led by the Barcelona Institute for Global Health (ISGlobal), was conducted with nearly 5,000 adolescents from the Netherlands (3,934) and Spain (885). The results showed how exposure to environmental temperatures influences psychiatric symptoms such as anxiety, depression, and attention problems.

Science magazine has named lenacapavir as breakthrough of the year. Lenacapavir is an injectable drug that prevents HIV infection for six months with near 100% efficacy. The publication notes its potential to dramatically reduce infections in high-risk populations, but also reminds that global roll-out will depend on affordability, manufacturing agreements and a robust health infrastructure. Approval of the drug is expected by 2025.