In a series of three articles and a companion article - collected in Nature Biotechonology - Nature publishes the first draft of the human pangenome reference, which contains highly detailed data from 47 genetically diverse individuals. The first human genome was published more than two decades ago but, being from a single person, it does not represent human diversity, whereas the pangenome refers to the gene pool of our entire species. The ultimate goal of the Human Pangenome Reference Consortium project is to include genetic material from 350 people by 2024. It is hoped that this data will allow more clinically relevant genetic variants to be identified.

A phase 1 clinical trial has tested personalised mRNA vaccines against the most common type of pancreatic cancer with a particularly poor prognosis. The treatment, which is tailored to the characteristics of each patient's tumour, was given to 16 people along with surgery, chemotherapy and other immunotherapy. Half of them showed an immune response to the vaccine, which was associated with a better prognosis. The results are published in the journal Nature.

The time adolescents spend on social media is one of the least influential factors for their mental health, according to a study published in Nature Mental Health. The analysis attempts to untangle the complex web of risk factors and protective factors, using data from more than 12,000 young people in the UK. Among the factors studied, it concludes that bullying, lack of family support and school work dissatisfaction are more influential than time spent on social media. According to the study, life dissatisfaction and lack of family support are the most influential factors for girls and boys, respectively. 

The World Health Organisation (WHO) Emergency Committee met on 4 May to assess whether covid-19 could continue to be considered a health emergency of international concern (PHEIC). The organisation's director general, Tedros Adhanom, has followed its recommendation and ended the emergency declared on 30 January 2020. "It is with great hope that I declare that covid-19 has ended as a global health emergency. However, this does not mean that covid-19 is no longer a threat to global health. Last week, it claimed one life every three minutes, and that's just the deaths we know about," he told a press conference.

Climate change made the late April episode of record temperatures in the Iberian Peninsula, Morocco and Algeria 100 times more likely to occur, with temperatures up to 3.5°C higher than they would have been without the climate crisis. This is one of the conclusions of an attribution study conducted by World Weather Attribution.

A study published in JAMA Network Open has followed 1,340 women with high-risk operable breast cancer. Analysing their lifestyles before, during and after treatment, the researchers conclude that those who followed a healthier pattern - including physical activity, no smoking, high fruit and vegetable intake, and low consumption of meat and sugary drinks - had a 37% lower risk of relapse and a 58% higher chance of survival than those who followed a worse pattern. Although the improvements in absolute risk were much smaller, the authors conclude that "lifestyle interventions may be a safe, inexpensive and feasible adjuvant strategy to delay and prevent recurrence and death from the world's most common cancer".

A study published today in the NEJM examines the risk of relapse in breast cancer patients who decide to pause endocrine therapy to try to become pregnant. The results show that temporarily stopping treatment does not confer an increased risk in the long term, but the authors warn of the need for further follow-up.

A press release from Eli Lilly claims that its antibody treatment, donanemab, significantly slowed cognitive and functional decline in a phase 3 study of early-stage Alzheimer's disease. The results have not yet been published in a scientific journal.

A US team has developed a non-invasive language decoder: a brain-computer interface that aims to reconstruct whole sentences from functional magnetic resonance imaging (fMRI). This is not the first attempt to create such a decoder; some of the existing ones are invasive - requiring neurosurgery; others are non-invasive, but only identify words or short phrases. In this case, as reported in the journal Nature Neuroscience, the team recorded brain responses - captured with fMRI - of three participants as they listened to 16 hours of stories. The authors used this data to train the model, which was then able to decode other fMRI data from the same person listening to new stories. The team argues that the model trained on one person's data does not decode another person's data well, suggesting that cooperation from the subject is required for the model to work properly.

A new scientific statement from the American Heart Association published in the journal Circulation analyzes how several diets (including Mediterranean, Paleo, and ketogenic) fit into the guidelines for a heart-healthy diet. The ketogenic and 'paleo' diets were not classified as heart-healthy.