Weight‑loss drugs like Ozempic could work for addiction too – and we finally know how

For many people, the thought of a tasty burger or a cold pint of beer conjures up a vivid mental image and drives behaviour.

This link between thinking and doing serves a clear function – it motivates us to get the necessities for life.

But for some, this process can malfunction. Preoccupation with these rewarding stimuli can lead to disorders of substance overuse, including overeating to the point of obesity and alcohol abuse.

Studies going back to the 1970s have linked vivid mental imagery with drug abuse.

Understanding this link between craving and consuming is central to understanding addiction. This has eluded neuroscience for decades, but the introduction of a new class of drugs for weight loss may have given us just the lever we need to understand it.

These new drugs – including Ozempic and Wegovy – mimic the GLP-1 hormone to stimulate insulin release, slow digestion, and increase feelings of fullness. They are known as GLP-1 agonists and were originally used to treat type 2 diabetes because they help control blood sugar.

As a side effect, people using these drugs also lost a lot of weight, in some cases almost as much as might be expected from bariatric surgery.

But there is another less well publicised effect. Human studies show that GLP-1 agonists reduce alcohol consumption. Preclinical animal studies suggest these drugs also reduce the use of cocaine, amphetamines, opiates and nicotine.

These drugs are changing how we think about the brain’s reward system. They may also open new treatment options for obesity, alcohol dependence and the consumption of other addictive substances.

How the brain regulates reward stimuli

We have a reasonable understanding of the brain’s “reward circuitry” associated with regions that produce the neurotransmitter dopamine.

These brain parts – the ventral tegmental area (VTA) and nucleus accumbens (NAc) – have been the subject of research on reward for decades. They are the obvious candidate regions to look for a mechanism for GLP-1 action in the brain. But they lack significant density of receptors for GLP-1 and are unlikely to be the direct mechanism.

We must, therefore, consider other brain regions to understand the anti-consumption effect of GLP-1 drugs.

One jump “upstream” from the dopamine-producing brain parts is a region called the lateral septum. This brain structure has been historically implicated in emotional regulation.

Back in 1953, pioneering US behavioural researchers Joseph Brady and Walle Nauta coined the term “septal rage” when animals with damage in the lateral septum showed increased aggression, while direct stimulation of this brain region reduced aggression.

Much more recent work has placed the lateral septum at the centre of a neural connectivity network. This has reframed how we think about its function.

While a link between the lateral septum and another region called the hypothalamus is probably responsible for septal rage, the lateral septum links with many other regions with various functions.

The brain’s reward control centre

The lateral septum inherits much of its primary input from a brain region called the hippocampus.

This region is well known as the place that lets us form long-term “episodic memories”. A famous case of hippocampal damage, Henry Molaison (patient HM), was unable to form new memories after his surgery for epilepsy. He effectively lived without a past, in permanent present tense.

The hippocampus also contains the remarkable “place cells” – neurons that fire corresponding to a person’s thoughts about their position in space and, as recent research has shown, time.

This “where and when am I” information gets forwarded to the lateral septum. Key research has recently shown the lateral septum also contains place cells, but these cells strongly respond to rewards. They effectively add “what is good in this place” to the “where and when am I” information from the hippocampus.

Critically, the lateral septum shares this information with the dopamine-producing regions we would normally associate with reward.

Neuroscientists now think of the lateral septum as the brain region that lets us “think about” rewards – our conscious perception of them – and communicates with the machinery in the brain’s reward system that produces dopamine to make us feel good about them.

There is one last reason to suspect the lateral septum as the mechanism behind the anti-consumption effect of GLP-1 agonists. It is absolutely loaded with GLP-1 receptors.

Emerging research points to this as the mechanism. GLP-1 activation directly in the lateral septum has recently been shown to reduce food consumption in mice. Earlier this year, another study showed the same for alcohol consumption.

My own lab has shown this year that GLP-1 drugs reduce a type of activity in the lateral septum that may prevent it communicating so effectively with other brain regions.

These findings are reshaping our understanding of how the brain processes rewards and have put the spotlight firmly on the lateral septum as the home of cravings.The Conversation

Robert Munn, Senior Lecturer, University of Otago

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Signs of Breast Cancer Could Be Spotted 3-6 Years Before Diagnosis Using AI Screening, Shows Massive Study

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AI could have detected disease up to 6 years before 2014 breast cancer diagnosis screenings

Early warning signs of breast cancer could have been spotted years in advance using AI, suggests a new study that analyzed 88,963 mammograms performed during a 10-year period on over 31,000 patients.

The researchers showed that the latest artificial intelligence technology can provide an “early alert” for the disease up to six years before a diagnosis.

Swedish researchers tested three commercially available AI-based computer-assisted detection (AI-CAD) radiology systems on the mammogram data.

The findings, published in the journal Radiology, showed that cancer prediction scores issued by AI-CAD were elevated, on average, for people who were eventually diagnosed with breast cancer, while scores were low for those who remained cancer-free.

“Approximately 20% of breast cancer cases demonstrate mammographic signs that are already visible to AI around six years before diagnosis,” said senior co-author Professor Fredrik Strand, of Karolinska University Hospital, Stockholm.

“Our study confirms the potential of AI to, in some cases, find signs of cancer in the mammograms much earlier than when radiologists detected it.”

AI-based systems have shown promise for predicting 5-year risk of breast cancer and identifying women at risk of “interval” cancers between regular screening mammograms, but Prof. Strand’s team looked at their potential to flag mammographic signs that were present up to 10 years (in advance), after collecting mammograms from volunteers aged 40 to 74 across Sweden.

After these volunteer screening exams, two radiologists analyzed each mammogram, which was scheduled every two years—taken between 2008 and 2019.

Across that period, 12,072 of the participants (38.5%) were diagnosed with cancer by radiologist readers.

The AI-CAD systems successfully identified many of those cancers at earlier screening points.

It achieved 90% “specificity” (able to distinguish between a true positive and a true negative result) in nearly 20% of participants six years before their recorded diagnosis, up to 25% of individuals four years before diagnosis and up to nearly 40% two years before diagnosis.

“This study aims to add to the growing literature regarding the application of AI in breast cancer screening and how it can help play a role in earlier detection of breast cancer,” said Strand.

“Analyzing the AI scores of screened individuals over time could provide insight into how early detectable changes arise, potentially allowing for earlier intervention.” Signs of Breast Cancer Could Be Spotted 3-6 Years Before Diagnosis Using AI Screening, Shows Massive Study:
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Staggering Results Show HIV-Transmission Reduced 100% with Twice-Yearly Lenacapavir Injection


A 2-stage trial testing a new and acclaimed HIV-prevention drug has shown almost unthinkable results of no new infections among a sample size of 3,200 participants.

Called PURPOSE 1, the aim of the first trial was testing a subcutaneous injection of the drug Lenacapavir given twice a year to people in a high-HIV-incidence country, which in this case was Uganda or South Africa.

The results were nothing short of extraordinary—100% efficacy, not a single young woman contracted HIV.

This was followed up by PURPOSE 2, which expanded the geographical area significantly to more countries on more continents, and expanded the pool of individuals from beyond just young women to men—and to those of all ages. 5,000 participants took part.

The result was the same: 99.9% reduction in infection rates.

Both were considered phase 3 clinical trials, and were conducted in a randomized, double-blinded protocol, but were not tested against a placebo. Instead, the Lenacapavir injections were compared to the current standard of HIV prevention—a pill called Truvada or Descovy taken daily.

These both were also found to prevent HIV transmission by 99.9% during development, but must be taken every day to achieve this level of protection. As anyone who’s tried to stick to a once-a-day pill regime long-term will agree, it’s not an easy thing to maintain month after month.

By contrast, the twice-yearly injections are much easier to adhere to, and they also come with the added benefit of removing the social stigma of being seen taking a daily pill and therefore at risk of HIV transmission. This can be particularly alleviating in high-HIV-prevalent countries where male homosexuality is illegal, such as Uganda.

Indeed the superiority of a twice-yearly injection was so clear that both PURPOSE trials were halted early over ethical reasons. A 52-week follow-up screened for HIV developments.

Lenacapavir was named by Science Magazine as the Breakthrough of the Year in 2024, and was approved by the FDA for use in humans under the brand name Yeztugo.

It works to break down the HIVs capsid shell by binding to an “highly conserved” protein on the exterior. That means that no matter how many times or into what form the virus mutates, the exterior shell protein remains—presenting the perfect target for the drug.

In layman’s terms, the drug then works through the protein to disrupt the capsid shell, which the virus ‘takes down’ and ‘builds up’ several times during its lifecycle with perfect geometric precision. The disruption prevents the virus from completing its life cycle.

Initial R&D, regulation compliance, and proof of efficacy and safety requirements mean that producing Lenacapavir has cost its developer, Gilead Sciences, an undisclosed total cost that would be reasonable to estimate at well over a billion dollars based on normal pharma development costs.Gilead has nevertheless committed to providing the drug at cost in certain low-income regions and has licensed generic manufacturers to produce it for approximately $40 per year in 120 low and middle-income countries starting in 2027 Staggering Results Show HIV-Transmission Reduced 100% with Twice-Yearly Lenacapavir Injection
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World’s first AI‑designed vaccine explained

Neil Mabbott, University of Edinburgh

Researchers at the University of Cambridge have developed what they describe as a fundamentally new type of vaccine using artificial intelligence (AI). The vaccine’s key component was designed entirely by AI and has now been tested in people for the first time.

The goal is ambitious: a single vaccine that works not just against all known human coronavirus variants, but against related bat viruses that could jump from animals to humans and cause future pandemics.

Traditional vaccines train our immune system to recognise one specific virus. The problem is that viruses mutate. When they change enough, the vaccine stops working, which is why we need a new flu shot every year and why COVID vaccines have been updated repeatedly since 2021.

AI offers a way around this. By analysing genetic data from thousands of related viruses, it can identify the parts that stay the same across different strains and that are unlikely to change over time. Target those stable features, and you have a vaccine that should work against the whole family, not just the strain you started with.

This is exactly what the Cambridge team did. They used AI to scan viruses from the sarbecovirus family, which includes the viruses that cause both SARS and COVID, as well as a range of animal coronaviruses – looking for shared features that evolution has left largely untouched. Those features became the basis of the vaccine.

DNA vaccines

While many people are familiar with the mRNA shots used during the pandemic, this new vaccine uses DNA. DNA vaccines are generally more stable than mRNA vaccines, making them easier to store and transport. A significant advantage in lower-income countries where “cold-chain” infrastructure is limited.

They can also be administered without needles. A high-pressure stream of liquid delivers the vaccine through the skin, making administration less painful and easier to scale up during an outbreak.

DNA and RNA viruses explained.

Could it protect against future pandemics?

These practical advantages matter most if the vaccine itself can do something no existing jab can: protect against viruses we haven’t encountered yet.

Broad-spectrum vaccines could change the way the world responds to emerging infectious diseases. By offering much wider protection than traditional vaccines, they could provide rapid immunity against new and emerging viral threats. This would equip public health officials with tools to stop future outbreaks in their tracks before they have a chance to turn into global pandemics.

They could also transform our approach to more familiar diseases. Influenza is a prime target because it exists in many different strains and evolves so rapidly. Scientists have to predict which strains will dominate each flu season, and they guess wrong, vaccine effectiveness can suffer. A universal flu vaccine that targets features shared across multiple strains could eventually end the annual race to keep up with the virus.

And the Ebola virus shows why this matters right now. The recent outbreak in the Democratic Republic of the Congo and Uganda is driven by the Bundibugyo strain, which bypasses existing vaccines. While researchers rush to create a new vaccine specifically for this strain, local communities remain at high risk. A broad-spectrum vaccine designed to cover an entire virus family could transform that picture.

What the trial found

This is the first human trial of an AI-designed vaccine. The results showed that this DNA vaccine was able to stimulate the immune system to produce antibodies that can recognise different types of sarbecoviruses. The technology was found to be safe and well tolerated.

This is an exciting advance because it demonstrates how AI has the potential to design variant-proof vaccines against future pandemic threats. The needle-free delivery system could also make the vaccine easier to administer and distribute worldwide.

However, there is more work to do. Although the results in this study are encouraging, the immune responses following vaccination were modest. It was also uncertain how long the protection lasts and whether further boosters will be required. Larger trials are also needed to determine whether the vaccine can prevent or reduce virus infections in the real world.

A universal vaccine remains a few years away. And any new vaccine must still pass larger trials to prove it is safe, effective and provides lasting protection. But this study shows the goal is getting closer – and AI may help us get there faster.The Conversation

Neil Mabbott, Personal Chair of Immunopathology, University of Edinburgh

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Climate change‑related heat increases the risk of premature birth in 13 countries – new study

Dominic Royé, Consejo Superior de Investigaciones Científicas (CSIC); Ana M Vicedo-Cabrera, University of Bern; Aurelio Tobias, Instituto de Diagnóstico Ambiental y Estudios del Agua (IDAEA - CSIC); Carmen Íñiguez, Universitat de València, and Coral Salvador, University of Bern

Picture a sweltering summer’s day. Now imagine enduring the heat while eight months pregnant. Uncomfortable, to say the absolute least.

But in pregnancy, heat is more than just a nuisance, as for many women it can trigger early labour. A premature baby – meaning one born before 37 weeks of gestation – faces a significantly higher risk of mortality, as well as health complications that can affect them for the rest of their lives.

Decades of research has documented the link between exposure to heat and preterm births. However, most studies have been limited to a single city or country, using different methods that yielded results which were difficult to compare.

So how many premature births are actually caused by heat in different parts of the world? Are all pregnant women equally vulnerable? Our new study, published in Environment International, provides the most comprehensive answers to these questions to date.

13 countries, 36 million births

We analysed 36.6 million births that took place during the summer in 250 towns and cities, across 13 countries (Australia, Brazil, Canada, Chile, Ecuador, Estonia, Israel, Italy, Japan, Paraguay, Spain, Switzerland and the United States) between 1979 and 2019. This is the most extensive multi-site analysis conducted on this topic to date.

To estimate the relationship between temperature and the risk of preterm birth, we used cutting edge statistical models that allowed us to see the delayed and non-linear effects of heat exposure in the days leading up to delivery.

The findings are clear: the risk of preterm birth increases linearly as temperatures rise. On days of moderate heat, this risk increases by 2.8%. On days of extreme heat, the increase reaches 3.8%.

855 extra premature births per million

Translating these risks into specific figures provides a clearer picture of the scale of the problem. We estimate that 1.41% of all premature births occurring during the summer are attributable to heat. In absolute terms, this equates to 855 extra premature births per million births.

The magnitude is comparable to that of other well-established factors. For example, it far exceeds the contribution of maternal smoking in low and middle-income countries, and is on a par with that of malaria. And heat is already a major environmental risk factor for reproductive health.

The differences between countries are also revealing. Paraguay has the highest rate, with 1,347 preterm births per million, while Switzerland has the lowest, with 628. Spain falls in the upper-middle range, with 1,080 per million. This variability suggests that climate, the level of socio-economic development, and each country’s capacity to adapt significantly influence the vulnerability of pregnant women.

Not all pregnancies have the same risk

One of our study’s most significant findings suggests that heat may not affect all women equally. Young single mothers with lower levels of education who are in a vulnerable socio-economic situation may be at greater risk of heat-induced preterm birth.

Female foetuses also appear to be more susceptible than male foetuses. However, most of these subgroup analyses were not statistically significant, so further research is needed to confirm them.

There are specific mechanisms behind these differences. People who are economically disadvantaged are more likely to live in particularly hot areas due to the urban heat island effect. They are also more likely to work outdoors, and to lack access to air conditioning or other means of protection against the heat. Social inequality and climate inequality overlap, and the most vulnerable pregnant women pay the highest price.

Heat also speeds up births at term

Perhaps the most surprising finding of our research is that the effect of heat is not limited to preterm births. We have also observed a significant increase in the risk of delivery in pregnancies that would be considered clinically normal, between weeks 37 and 42. Specifically, extreme heat increases the risk of delivery in weeks 37-38 by 3.66%, and in pregnancies of 39 weeks or more by 2.97%.

This means that heat can act as a trigger for labour in foetuses that, under other circumstances, would have continued to develop normally. The most sensitive gestational window is from week 31 to week 40, spanning late preterm and early term births.

Root causes

There are many biological mechanisms at play here. Heat can raise body temperature and trigger uterine contractions. The dehydration caused by heat also disrupts the electrolyte balance and reduces blood flow to the placenta. Furthermore, heat triggers inflammatory processes and oxidative stress, which can compromise foetal development and accelerate cervical ripening.

Pregnant women are particularly vulnerable because their bodies generate more heat than usual due to foetal growth, while also having a reduced ability to dissipate that heat because of weight gain.

Global warming

These findings are particularly worrying in light of climate change. Over the coming decades, heatwaves will become more frequent, more intense, and will last longer. If we fail to act, the burden of preterm births attributable to high temperatures will only increase, undermining decades of progress in neonatal and child health.

A proper response requires action on several fronts. In the clinical setting, health systems must incorporate heat as a risk factor in antenatal care, particularly for socially vulnerable women. In the urban sphere, it is urgent to develop adaptation strategies – green spaces, climate shelters, early warning systems – that protect pregnant women during episodes of extreme heat. And at the policy level, these findings must be translated into ambitious emissions reduction targets.

Extreme heat is no longer just a matter of comfort. It is a question of public health, social equity and climate justice. And pregnant women are on the front line.The Conversation

Dominic Royé, Investigador Ramon y Cajal, Consejo Superior de Investigaciones Científicas (CSIC); Ana M Vicedo-Cabrera, Head Climate Change & Health research group, University of Bern; Aurelio Tobias, Associate professor, Instituto de Diagnóstico Ambiental y Estudios del Agua (IDAEA - CSIC); Carmen Íñiguez, Profesora en el Departamento de Estadística e Investigación Operativa, Universitat de València, and Coral Salvador, Senior Research Assistant, University of Bern

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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First video of immune cells eating live skin cancer in real time

Macrophages (green) engulfing melanoma cells (purple). Keith et al. / Garvan Institute, CC BY-SA Yuki Keith, Garvan Institute and Tri Phan, Garvan Institute

For the past 15 years or so, a class of drugs called immune checkpoint inhibitors have been used to treat melanoma – the most dangerous kind of skin cancer.

For many patients, they produce remarkable results. For others, they do nothing.

We still don’t really know why. But in new research published in the Journal of Experimental Medicine, we observed immune cells called macrophages attacking melanoma cells in real time – which may offer clues about how we can make those therapies work for all patients, not just some.

Tumours, hot and cold

One of us (Yuki) treated patients with melanoma in Japan as a dermatologist. The other (Tri Phan) runs a lab at the Garvan Institute in Sydney, where his team specialises in observing the cells of the immune system in real time.

When Yuki wanted to understand why immune checkpoint inhibitors were failing for many patients, she joined Tri Phan’s lab to continue her research.

The treatment fails in what oncologists call “cold” tumours, where the cancer’s environment actively prevents a kind of immune cell called a T cell attacking it. One of our lab’s aims is trying to work out how to make the tumours “hot”, allowing T cells to penetrate and destroy the cancer cells.

Our new findings suggest a different kind of immune cell, called macrophages, may hold the key.

Macrophages (green) engulfing melanoma cells (purple). Yuki Keith, CC BY

The housekeepers we’ve been ignoring

In 1908, Russian zoologist Ilya Mechnikov was awarded a Nobel Prize for the discovery of phagocytosis (“cell eating”) in the immune system, which is carried out by cells he called macrophages (from the Greek for “big eaters”).

These cells engulf and clear away the debris caused by tissue damage and cell death. They are often regarded as the body’s silent, no-fuss housekeepers.

However, their role in cancer has often been overlooked. Unlike other immune cells that move through the blood and patrol the whole body, macrophages are “tissue-resident” and stay in one place.

A microscopic view of a melanoma tumour growing in the skin shows CD169 macrophages in green and yellow forming a biological boundary wall around the tumour. Keith et al. / Garvan Institute, CC BY

Earlier studies of the role of macrophages in cancer assumed these housekeepers were all the same. But when we looked closely in the skin, it became clear that there were many different kinds of macrophages living in different layers.

One particular kind of macrophages (recognised by a protein called CD169) lives in a deeper part of the skin, called the hypodermis.

We found that these macrophages arranged themselves around the edges of a melanoma tumour, as if they were trying to wall it off. When we depleted the macrophages, the melanomas grew bigger, suggesting they were constraining the growth of the tumours.

Watching cancer cells being eaten alive

To understand what these CD169-positive macrophages were actually doing, we used an advanced imaging technique called intravital two-photon microscopy. This allows us to watch biological processes unfold in living tissue in real time.

What we saw was surprising: the macrophages were “nibbling” and actively engulfing live melanoma cells. While we had seen macrophages eat dead cells in our lab before, we had never seen them eat a live melanoma cell in a model organism.

What was even more surprising was that this immune attack was happening without the need for T cells, or antibodies made by another kind of immune cell called B cells – the immune players most commonly credited with fighting cancer.

We also confirmed this is not something that just happens in the lab. Our colleagues at the Melanoma Institute Australia analysed samples from human melanoma patients and found similar populations of CD169-expressing macrophages on the edges of the tumour, suggesting they may play a similar protective role there.

Calling in the cavalry – implications for therapies

Macrophages don’t just clear away debris. They can also alert the immune system to danger. After they have digested the debris, they can display it like a biological “red flag” to direct T cells to find and kill the cancer cells.

What makes a macrophage decide whether to silently dispose of debris without alerting the immune system, or wave the red flags to activate the immune system, is still unclear. Because the CD169-expressing macrophages are strategically positioned around the tumours, we suspect they may hold the key.

Macrophages are widespread in most solid tumours – including glioblastoma, breast cancer and many others. This is an army already in place waiting to be mobilised.

Our next step is to understand precisely how these macrophages eat live cancer cells and how they can communicate the danger to T cells, so we can harness this population with new treatments.The Conversation

Yuki Keith, Postdoctoral Researcher, Immunology, Garvan Institute and Tri Phan, Program Director – Precision Immunology / Laboratory Head, Garvan Institute

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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New AI Glasses for Dementia ‘Sees’ Objects With Labels Projected on Lenses to ‘Significantly’ Improve Lives

Carole Grieg testing the CrossSense AI glasses – SWNS

New AI glasses for people with dementia are able to project visual prompts onto the lenses to help folks live more independently—and they could be available in the UK in 2027.

The latest news comes after the glasses wowed both test patients in their homes and a panel of outside judges.

They can guide people living with early-stage dementia through daily activities by identifying common objects and providing audio commentary or answer questions while projecting visual prompts onto the lenses.

By asking gentle questions, the glasses’ AI companion, called ‘Wispy’, understands and learns a person’s unique way of doing things, with the AI adapting to each user’s needs as their dementia progresses.

Wispy will even talk through what to do when a person cannot remember a particular step in a process.

In test trials, three out of four patients reported a significant improvement to their quality of life, thanks to the glasses and Wispy’s tips developed from UK company CrossSense.

Warning appears on the lenses of the CrossSense AI glasses (GNN screenshot of SWNS/CrossSense video)

Spending over a decade creating and tweaking prototypes of the app and gadget, a team of AI engineers trained the glasses with dozens of everyday activities including getting dressed, managing household chores safely, making a cup of tea and interacting with loved ones.

The specs, which work with people’s prescription lens inserts and hearing aids, also capture the environment of the person living with dementia and the AI interprets that information to help the user to do the things that define independence.

“This includes feeling confident in their own home, taking good care of themselves, planning the day ahead, completing planned activities and hosting friends and family,” said the creators.

Screenshot of Wispy AI in the midst of interacting with user of theCrossSense AI glasses, discussing care of a houseplant (Still from SWNS video)

With a release date set for early 2027 in the UK, the inventors hope the specs, which weigh less than 3 ounces (75g), will be used by local authorities, care providers, and NHS hospital memory clinics.

Last week, the London-based team behind the technology, CrossSense, won the Longitude Prize on Dementia with its million dollar prize funded by the Alzheimer’s Society and Innovate UK.

The panel of international expert judges agreed that the winning solution was a genuine breakthrough technology with revolutionary potential for people living with dementia and their families.

CrossSense says the gadget includes a built-in battery that lasts for one hour, but also a portable power bank that can keep the glasses running all day long.

70-year-old Carole Grieg from London (pictured above), who founded a dementia support group called ForgetMeNots, tried the new glasses and is convinced they could help her fellow dementia patients maintain their independence.

“I thought it was an amazing concept, with the potential to provide real, reliable support for people like me, helping to compensate for the cognitive skills we gradually lose as dementia progresses.”

“For many of us, our world slowly becomes smaller as the condition progresses. Innovations like this offer real hope, and I know that as my own circumstances change, I will certainly be relying on them.”

Professor Fiona Carragher, chief research officer at Alzheimer’s Society admires the way the technology can develop its ‘intuitive personal support’.

“By anticipating people’s needs as their condition progresses, easing daily living challenges, and providing reassurance to families, this revolutionary tech will allow people with dementia to maintain their independence for longer, within the familiar environment of home.” New AI Glasses for Dementia ‘Sees’ Objects With Labels Projected on Lenses to ‘Significantly’ Improve Lives
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High-salt diet linked to faster memory decline in men: Study


(Representational photo; source: IANS)

Sydney, (IANS) A diet high in salt may accelerate memory decline in men, Australian research reveals, highlighting the importance of dietary choices in supporting brain health.

The study found that higher sodium intake may impair episodic memory, which enables people to recall personal experiences and past events, such as where you parked your car or your first day of school, said a statement from Australia's Edith Cowan University (ECU) released Wednesday.

Measuring baseline sodium intake and cognitive decline of 1,208 participants over 72 months, researchers found that men with higher sodium intake experienced faster episodic memory decline, while no link was seen in women.

While sodium serves several physiological functions and is inextricably linked to the maintenance of the body, high sodium consumption has consistently been associated with an increased risk of cardiovascular events and high blood pressure, according to the study published in Neurobiology of Ageing.

Lead researcher Samantha Gardener from ECU said that while the molecular mechanisms behind the process were not yet understood, it was thought that high sodium intake could contribute to inflammation in the brain, damage to blood vessels, and reduced blood flow to the brain.

Meanwhile, a recent Israeli study suggested that while memories themselves may fade, the explanations people give for why they remember events remain detailed and stable over time.

Researchers analysed the self-reported explanations of 421 participants using linguistic tools to track changes in content and detail. They found that while the ability to recall specific events declined over time, the depth and content of participants' justifications remained steady.

The frequency of these explanations and the types of words used were consistent, indicating they may serve as reliable markers of memory accuracy.

Subtle shifts in wording over time, however, suggest that a person's confidence in their memory may decrease as the event recedes into the past.The study, published in Communications Psychology, indicates that even when memories feel "fuzzy," the reasons people give for recalling them remain a relatively dependable way to assess their truthfulness. Still, legal and clinical professionals should note that confidence may waver, even if the justification itself remains strong. High-salt diet linked to faster memory decline in men: Study | MorungExpress | morungexpress.com
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Johns Hopkins Team Develops Therapeutic, Nasally-Delivered DNA Vaccine for Tuberculosis

Artist’s illustration of tuberculosis bacteria (TB) – credit, US CDC

A research team at Johns Hopkins Medicine is developing a nose-delivered inoculation against tuberculosis, the world’s leading cause of death from infectious disease.

The approach fuses two tuberculosis genes with the goal of directing the immune system to fight drug-tolerant bacterial survivors that can endure antibiotic treatment to spread another day.

The paper on the vaccine was published last week in the Journal of Clinical Investigation, where JH Medicine researchers were joined by colleagues from the Johns Hopkins Bloomberg School of Public Health.

TB is estimated by the World Health Organization (WHO) to be spread asymptomatically by around 2 billion people. In 2024 , WHO reported that TB was the leading cause of death from a single infectious disease.

In recent years, WHO has called for therapeutic vaccines that can be used alongside drug therapies to shorten TB treatment regimens and improve outcomes, particularly because long multidrug courses are difficult to complete, and drug-resistant TB strains continue to emerge. The vaccine described in the new Johns Hopkins study shows promise for meeting that need.

The new Johns Hopkins vaccine, says study lead author Styliani Karanika, MD, fuses two genes: relMtb and Mip3α, and is given through the nose to take advantage of 3 beneficial biological activities.

“Administered together with first-line TB drug therapy, our intranasal DNA fusion vaccine helped infected mice clear the disease bacteria faster, reduced lung inflammation, and prevented relapse after treatment ended,” says Karanika, a faculty member of the Johns Hopkins Center for Tuberculosis Research.

“The vaccine also helped the powerful TB drug combination of bedaquiline, pretomanid, and linezolid work better, suggesting it could be used with treatments against drug-resistant TB to help the body fight the disease, even hard-to-treat cases.”

Dr. Karanika explained that TB bacteria possess a gene—relMtb—that produces a protein called RelMtb—which together help the microbes survive hostile conditions such as antibiotic exposure, low oxygen, and nutrient limitation by entering a drug-tolerant persistent state.

Fusing relMtb with another gene called Mip3α produces a signal that attracts immature human dendritic cells. These cells pick up TB proteins and ‘present’ them to T cells, the immune cells that help coordinate a targeted attack on the TB bacteria.

“Finally, intranasal delivery focuses vaccination on the respiratory mucosa in the lungs where TB infection occurs, helping generate long-lasting localized T-cell immunity in the airways and lungs, along with systemic immune responses,” says Karanika.

By combining these strategies, the investigators aimed to strengthen immune activity directly in the respiratory tract, where transmission most commonly occurs.

In the mouse studies, this approach both improved the quantity and organization of dendritic and T-cells in the lungs, and generated immune responses both locally and systemically. The improved response included to two types of T-cells, CD4 (also known as helper T-cells) and CD8 (also known as killer T-cells).

One study strongpoint was that it included tests on primates: in this case, rhesus macaques. The researchers found that their nose-delivered DNA vaccine prompted measurable TB‑focused immune responses in blood and in the airways similar to what led to lower bacterial counts in the lungs of the mice they studied.

These responses persisted for at least 6 months, suggesting durability for the vaccine’s action.

“These nonhuman primate data are encouraging because they show that the Mip3α/relMtb vaccine can generate durable, antigen-stimulated immune responses in an animal model whose immune system more closely resembles that of humans,” said Dr. Karanika. “That gives us an important translational bridge between the mouse efficacy studies and the additional preclinical work needed before human trials.”

Readers may recoil from the notion of primate testing, but Old World Monkeys are very susceptible to TB, and in fact spread it between themselves just as we do. Research has shown that TB has been spread among humans as far back as 70,000 years, and followed our migration out of Africa and across Asia.The authors say their findings support a broader strategy of targeting surviving TB bacteria with immunotherapy, rather than relying solely on antibiotics to eliminate actively replicating bacteria. Because DNA vaccines are relatively stable and can be manufactured efficiently, they may offer practical advantages if this approach ultimately proves effective in humans. Johns Hopkins Team Develops Therapeutic, Nasally-Delivered DNA Vaccine for Tuberculosis
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AI-powered digital stethoscopes show promise in bridging screening gaps

(Photo: Eko Health, US) IANS

New Delhi, As tuberculosis (TB) continues as the deadliest infectious cause of deaths globally, a new study has shown that artificial intelligence (AI)-enabled digital stethoscopes can help fill critical screening gaps, especially in hard-to-reach areas.

In a commentary published in the journal Med (Cell Press), global experts contended that stethoscopes combined with digital technology and AI can be a better option against the challenges faced in screening programmes, such as under-detection, high cost, and inequitable access.

“AI-enabled digital stethoscopes have demonstrated promising accuracy and feasibility for detecting lung and cardiovascular abnormalities, with promising results in early TB studies. Training and validation in diverse, high-burden settings are essential to explore the potential of this tool further,” said corresponding author Madhukar Pai from McGill University, Canada, along with researchers from the UAE, Germany, and Switzerland.

Despite advancements in screening and diagnostic tools, an estimated 2.7 million people with TB were missed by current screening programmes, as per data from the World Health Organization (WHO). Routine symptom screening is also likely to miss people with asymptomatic or subclinical TB.

While the WHO recently recommended several AI-powered computer-aided detection (CAD) software, as well as ultra-portable radiography hardware, higher operating costs and upfront hardware act as a deterrent.

This particularly appeared difficult in primary care settings and or among pregnant women due to radiation concerns.

At the same time, AI showed significant potential for screening, including applications beyond CAD of TB from radiographs, said the researchers.

“One application of AI for disease screening is to interpret acoustic (sound) biomarkers of disease, with potential to identify sounds that appear nonspecific or are inaudible to the human ear,” they added, while highlighting the potential of AI in detecting and interpreting cough biomarkers and lung auscultation to analyse breath sounds.

Studies from high-TB burden countries, including India, Peru, South Africa, Uganda, and Vietnam, highlighted that AI-enabled auscultation could hold promise as a TB screening and triage tool.

"AI digital stethoscopes may become useful alternatives to imaging-based approaches for TB screening, with the potential to democratise access to care for populations underserved by radiography," the researchers said."Importantly, AI digital stethoscopes offer a scalable, low-cost, and person-centered tool that could bring us closer to reaching TB case finding goals," they added. AI-powered digital stethoscopes show promise in bridging screening gaps | MorungExpress | morungexpress.com
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India launches world’s 1st clinical trial to test Ayurveda with TB treatment


(File Photo/IANS)

New Delhi, (IANS) On the occasion of World Tuberculosis Day, India announced the world’s first clinical study to scientifically evaluate Ayurveda as an adjunct to standard Anti-Tuberculosis Treatment (ATT), the government said on Tuesday.

The collaborative clinical study between the Department of Biotechnology and the Ministry of Ayush will enrol 1,250 newly diagnosed tuberculosis patients across eight institutions to evaluate Ayurveda as an adjunct to standard treatment, focusing on body weight, nutritional outcomes, disease progression, quality of life, safety, and tolerability.

Union MoS for Science & Technology Jitendra Singh said the study reflects the spirit of “whole-of-science,” approach by integrating biotechnology and Ayurveda; “whole-of-government” approach through collaboration between ministries.

DG, CCRAS, Prof. Vaidya Rabinarayan Acharya said the initiative has progressed through consultations, protocol finalisation, and approvals.

Director, BRIC-NII, Dr. Debasisa Mohanty said the study will examine tuberculosis-associated cachexia as an immune-metabolic condition, using advanced tools such as DEXA, MRI, immune profiling, metabolomics, and single-cell RNA sequencing to understand changes in body composition, immune function, and energy metabolism.

It is aimed to assess how integrative interventions influence recovery and long-term outcomes, the statement from the Ministry of Science & Technology said.

Minister Jitendra Singh said India, which accounts for nearly 25 per cent of the global TB burden, saw a 21 per cent drop in a decade in tuberculosis incidence to about 187 cases per 1,00,000 population in 2024.

“The decline in TB incidence is an outcome of India’s dedicated and innovative efforts. Through a collective spirit, we will keep working towards a TB-free India,” he quoted Prime Minister Narendra Modi.

India has adopted an ambitious and accelerated pathway towards TB elimination, strengthening early diagnosis, universal drug susceptibility testing, digital adherence technologies, and patient-centric care under the National TB Elimination Programme, the minister said.

He pointed out the reciprocal relationship between TB and conditions such as diabetes, where each can aggravate the other, making integrated approaches essential for effective disease management.He also referred to the RePORT India programme, one of the largest TB research consortia, with over 4,500 enrolled TB patients and over 5,000 household contacts, generating evidence relevant for global policy frameworks, including WHO guidelines on nutrition and tuberculosis. India launches world’s 1st clinical trial to test Ayurveda with TB treatment | MorungExpress | morungexpress.com
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Surgeons Perform First-Ever Surgery for Critically-Endangered Monkey Weeks Before She Gave Birth

Chester Zoo via SWNS

GNN often stays abreast of births among the Chester Zoo’s incredibly diverse residents of rare and endangered species, but few have ever been cuter or rarer than this Roloway monkey.

Chester Zoo is one of only two places in the UK that Roloway monkeys can be found, a spokesman said, and the breeding population there supports the animal as conservationists ponder what to do to ensure it can survive in its West African home.

The mother is named Masaya, and before the 15-year-old primate gave birth to a daughter named Lagertha, she was the first ever Roloway monkey to undergo surgery in captivity—to remove a golf-ball sized abscess from her foot.

Masaya had to have one toe amputated during the procedure, which was done at the University of Liverpool’s Small Animal Teaching Hospital.

“Masaya is a very experienced mom and she’s parenting magnificently,” said
Zoe Edwards, primate keeper at Chester Zoo. “The fact Masaya’s foot has healed so well is a huge relief. If she’d had a [full] amputation, we’d have been left with real questions about whether she could hold her offspring or continue with her normal behaviors.”

Roloway monkeys originate from West Africa and are listed as Critically-Endangered by the International Union for Conservation of Nature (IUCN). Once common in the lush rainforests of Ghana and the Ivory Coast, the Roloway monkey now survives only in isolated pockets of old-growth forest.

The baby’s name is Lagertha – credit, Chester Zoo via SWNS

Masaya at the Liverpool Vet. Hospital where she underwent surgery – credit, Chester Zoo via SWNS

Chester Zoo witnessed the first birth of a Roloway monkey in captivity in 2020, and Lagertha is the 3rd to be born since then. Edwards said it marked an important moment in the species’ conservation. There are only a few breeding females in zoos in Europe, and only one other in England at the Yorkshire Wildlife Park.

Masaya had experienced recurring problems with her foot since she came to the zoo in 2023. It was determined to be an abscess, and when the swelling worsened in 2025, the decision was made to take Masaya to Liverpool for a CT scan.

“It’s not every day you take a monkey to vet school,” said Charlotte Bentley, Veterinary Officer at the zoo’s Animal Health Center. “Following the scan, we decided an operation was the way forward.”

According to the New England Primate Conservancy, the Roloway monkey is now considered one of the most urgently threatened primates in the entire world. A big-bodied monkey, they have been hunted to such small populations that, ironically, they’re now considered too uneconomical to pursue anymore, and so have inadvertently gained a short respite from poaching.

he conservancy admits that the most likely chance for survival is for breeding programs like the one at Chester to continue the propagation of the species until such a time as their native forests in Ghana and the Ivory Coast can be appropriately and reliably protected from poachers and logging. Surgeons Perform First-Ever Surgery for Critically-Endangered Monkey Weeks Before She Gave Birt
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Couples share 30% of their gut bacteria. Here’s how that may affect health

Conor Meehan, Nottingham Trent University and Janelle Mwerinde, Nottingham Trent University

When living with a partner, you might be sharing more than just the same home, lifestyle and interests. You might also share various microscopic organisms residing on and in you.

This community of microorganisms, which consists of mainly bacteria, viruses and fungi, is known collectively as the human microbiome. The various microbiomes found throughout the body all play an important role in health.

From birth, the human microbiome is shaped by our interactions with our mother, who introduces diverse microorganisms that build our immune and digestive systems. As we get older, social interactions with our close community continue influencing this delicate ecosystem.

The people we live with have huge influence on what microbes we have in our microbiome. In fact, it’s thought that partners share around 30% of their resident microbes in the gut alone.

But it isn’t just the microbes in your gut that may be similar to your partner. The microbes in many other parts of the body may also be shared with your loved one – and this could potentially affect your health.

Gut microbiome

Diet and lifestyle are thought to have the greatest influence on the gut microbiome’s make-up. But studies on couples have found that living with your partner can also influence the microbiome.

Couples living together may share 13% to 30% of their gut bacteria. This was true even when diet (which many couples share) was factored out. Research also shows that couples who live together have greater microbial diversity compared to people who live alone.

This is good news for couples who co-habitate, as a more diverse gut microbiome is correlated with lower risk of irritable bowel syndrome, cardiovascular diseases and potentially high blood sugar.

But it might not all be good news. Research shows that some of the bacterial species couples share can have varying effects on health.

Take the bacteria from the Ruminococcus family. While some species of Ruminoccocus benefit health, others have been linked to negative health outcomes, including diabetes and irritable bowel syndrome.

So these bacteria may not always offer the same benefits in different demographics. This highlights the complexity of resident gut bacteria and their health impacts.

Oral microbiome

Sharing an oral microbiome with our partners might seem obvious considering we regularly exchange saliva when we kiss. A ten-second kiss alone can exchange up to 80 million bacteria. The more kisses a couple shares, the more shared salivary bacteria they will have.

Although most of these bacteria will quickly pass through our mouth and into our gut when we swallow saliva, research show that couples actually share many of the same longer-term tongue microbes that form the foundation of the oral microbiome. Research even suggests that 38% of the oral microbiome is shared in couples living together – compared to only 3% in couples who don’t live together.

Sharing this proportion of your oral microbiome could have many potential health effects.

A healthy oral microbiome is important for protecting against tooth decay and it has anti-inflammatory properties. Some researchers also suggest the oral microbiome’s health effects may extend as far as the gut and nervous system.

But some of the bacteria that couples tend to share may also have potentially harmful health effects.

Couples are more likely to have similar numbers of the bacteria Neisseria in their gut compared to single people. Neisseria can reside in the mouth for long periods of without causing disease.

Some Neisseria bacteria can be harmful and may cause meningitis. Yet some Neisseria bacteria actually fight against these meningitis-causing species, stopping them from overgrowing and causing harm.

So while you may want to avoid kissing someone when they’re poorly for obvious reasons, it turns out that a kiss even when you’re healthy can transfer all sorts of bacteria between the two of you.

More research is needed to really understand what overall effect sharing these bacteria with your partner has on health.

Skin microbiome

The skin microbiome is the most unique and personalised microbiome, tailored to each person. It’s even sometimes referred to as our microbial fingerprint.

Being the most exposed microbiome, the skin microbiome has evolved to be adaptable to external factors such as the climate and cosmetic products. No matter what, these bacteria work hard to remain at an equilibrium.

Close contact with our partners – and even pets – has a huge influence on what bacteria live on our skin. After comparing the gut and oral microbiome, researchers found the skin microbiome to be the most similar among couples.

It isn’t just the bacteria on your arms or hands that are shared, either. Research shows that couples shared 35% of the bacteria living on their feet, and around 17.5% of the bacteria on their eyelids.

You may not even need to touch your partner to have the same skin bacteria as them. Factors such as sleeping in the same bed and walking on similar surfaces are thought to explain why such a large proportion of our skin microbiome is similar.

This is because humans naturally shed bacteria in a similar way as dogs shed fur. We leave traces of our bacteria on everything we touch – and we also easily pick up bacteria from our environments.

The shared effect of living together on the skin microbiome is so great that researchers were able to use computer models to accurately predict 86% of cohabiting couples based off of their individual bacterial samples alone.

But while it’s clear that couples share much of the same skin microbiome, the health effect that this has is not currently known.

While sharing bacteria with your partner may sound alarming, there’s often no cause for concern. Bacteria teach our bodies how to fight infections, they help us digest foods and even produce key nutrients. The bacteria we share with our partners are often harmless and sometimes benefit our health rather than hindering it.The Conversation

Conor Meehan, Associate Professor of Microbial Bioinformatics, Nottingham Trent University and Janelle Mwerinde, PhD Candidate, Skin Microbiology, Nottingham Trent University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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AI could help us more accurately screen for breast cancer – new research

At least 20,000 Australian women are diagnosed with breast cancer each year. And more than 3,300 die from the disease.

To save women’s lives, we need to detect breast cancer early. Breast screening, which halves women’s risk of dying from breast cancer, is key to that.

A new Australian study published today in The Lancet Digital Health suggests AI could help improve how we screen for breast cancer.

How do we currently screen for breast cancer?

Since 1992, Australia has offered free breast X-rays, known as mammograms, every two years to women aged between 50 and 74. Just over half of eligible women participate.

Of the women found to have cancer, about 25% are diagnosed between the biennial screens. These “interval cancers” are often aggressive and, unfortunately, more likely to be fatal.

In some cases, a more sensitive screening test may have detected them earlier.

The role of AI

Australia’s BreastScreen program was established in response to several major clinical trials conducted between the 1960s and 1980s. The screening technology used by the program has not substantially changed since then.

Researchers are now exploring risk-adjusted screening, which tailors screening to women based on their risk, as a way to detect more cancers earlier. This may include programs offering different technologies for women at higher risk of developing breast cancer.

Currently, we generally assess cancer risk via questionnaires that help identify if a woman has any risk factors associated with breast cancer.

One risk factor is breast density which refers to how much glandular tissue is in the breast. As well as being a risk factor for breast cancer, the higher a woman’s breast density, the harder it is to detect cancer on a mammogram.

We can also use one-off genetic testing to identify women with a higher lifetime risk of developing breast cancer. This involves looking for high-risk gene mutations such as BRCA1 and BRCA2, which are associated with increased breast and ovarian cancer risk. Genetic testing can also help us estimate a person’s lifetime risk of developing breast cancer.

More recently, researchers have been investigating artificial intelligence (AI) as a new approach to assess breast cancer risk. A new Australian study, published in The Lancet Digital Health today, focused on a specific AI tool known as BRAIx.

What did the study involve? And what did it find?

This study used an AI tool, known as BRAIx, trained using BreastScreen Australia data to help radiologists assess mammograms.

The study assessed how well BRAIx predicted women’s risk of developing breast cancer in the next four years, among women who had a clear mammogram.

Of the 95,823 Australian women assessed, 1.1% (1,098) had developed breast cancer in the four years after they received a clear mammogram. Of the 4,430 Swedish women assessed, 6.9% had developed breast cancer within two years of a clear screen.

The study findings show that BRAIx scores were very useful for identifying women who were more likely to develop cancer one to two years after having a clear screen. Findings from the Australian dataset suggest BRAIx scores identified cancers found three to four years later, but with less accuracy.

These findings suggest BRAIx could help identify women who might benefit from additional tests. This may include an MRI (which uses a magnetic field to produce images of organs and tissue) or contrast-enhanced mammography (which uses an iodine dye to improve the visibility of a regular mammogram).

These findings reinforce a 2024 Swedish study that used an AI-based risk assessment to select women for additional testing. The researchers referred 7% of women to have a follow-up MRI, and 6.5% of were found to have cancers missed by mammograms.

Does the study have any limitations?

As with most studies, yes. Here are two.

  • it’s difficult to compare BRAIx to genetic testing. This is because BRAIx is trained to find missed or emerging cancers over a four year period. In contrast, genetic testing identifies a person’s risk of developing cancer over their lifetime

  • it might not use the best breast density data. This study found BRAIx more accurately predicts breast cancer risk compared to assessments based on breast density. But this breast density data was collected using a different tool to those used by the Breastscreen program. So this finding should be interpreted carefully.

So, where to from here?

The study adds to a growing body of evidence that AI risk assessment could help breast screening programs find cancers earlier.

BRAIx is now being trialled as part of the BreastScreen Victoria program, to help read mammograms. And other states are already using and evaluating different AI tools for reading mammograms.

So it may be time for Australia to conduct a national, independent review of these new tools. As part of a more risk-adjusted approach to breast screening, they could save lives.The Conversation

Carolyn Nickson, Principal Research Fellow, Cancer Elimination Collaboration, University of Sydney; The University of Melbourne and Bruce Mann, Professor of Surgery, Specialist Breast Surgeon, The University of Melbourne

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Here’s why you might want to clean your headphones

Whether it’s enjoying a podcast, listening to music or chatting on the phone, many of us spend hours a day using our headphones. One 2017 study of 4,185 Australians showed they used headphones on average 47–88 hours a month.

Health advice about headphones tends to focus on how loud sounds might affect our hearing. For example, to avoid hearing loss, the World Health Organization advises people to keep the volume at below 60% their device’s maximum and to use devices that monitor sound exposure and limit volume.

But apart from sound, what else is going in our ears? Using headphones – particularly in-ear versions such as earbuds – blocks the ear canal and puts the skin in contact with any dirt or bacteria they may be carrying.

Here’s what you need to know about keeping your ears clean and safe.

First, let’s take a look at your ear

Over-ear headphones cover the entire external ear – the elastic cartilage covered by skin that’s shaped to trap soundwaves. In-ear headphones (as well as hearing aids) are shaped to fit and cover the entrance to the external ear canal, which is called the concha.

Sound vibrations travel through the ear canal – which is S-shaped and a few centimetres long – to reach your ear drum.

Deeper parts of the ear canal produce earwax and oils. These help keep your skin healthy, hydrated and less vulnerable to infection.

Tiny hairs in the ear canal also help regulate temperature and keep foreign debris out. These hairs and earwax help trap and move small particles, shed skin and bacteria out of the ear canal.

Earwax is the ear’s self-cleaning method and we only tend to notice it when there’s too much.

Excessive buildup can block your hearing or even clog the mesh of your earpods. But don’t try to dig earwax out of your ears yourself. If you’re concerned, speak to a pharmacist or GP for advice.

How headphones can affect the ear’s bacteria

Healthy ear canals host a range of non-harmful microbes – mainly bacteria, but fungi and viruses too. They compete for space and nutrients, and this diversity makes it trickier for any potential pathogens (disease-causing microorganisms) to take hold.

But wearing headphones (and other in-ear devices such as hearing aids or ear plugs) may upset the balance between “good” and “bad” bacteria.

One 2024 study compared bacteria in the external ear canals of 50 people who used hearing aids and 80 who didn’t. The researchers found hearing-aid users – whose external ear canals are blocked for extended periods – had fewer types of bacteria than those who didn’t.

Another 2025 study looked at how using headphones (including over-ear, in-ear and on-ear) affected fungi and bacteria in the ear canal. It found using headphones was linked to a greater risk of ear infections, especially if people shared them.

This may because wearing headphones – especially in-ear devices – makes the external ear canal hotter and more humid. Trapped moisture is especially likely if you exercise and sweat while wearing headphones.

Higher humidity increases your risk of ear infection and discharge, including pus.

Wearing in-ear devices such as hearing aids or headphones for extended periods can also interfere with the ear’s natural “self-cleaning” function, aided by earwax.

So, what should I do?

Most of us need – or like – to wear headphones in our day-to-day routines. But for good ear health, it’s important to give your ears a break.

Allow your ear canals to “breathe” at different points throughout the day so they’re not constantly blocked and growing humid and hot.

You could also try bone conduction headphones. These don’t block the ear canal, because they transmit sound through your skull directly into the inner ear, without needing to block the ear canal. These can be expensive though. And while they allow our ears to breathe, high-intensity vibrations (high volume) can still damage hearing, so as with all headphones caution is required.

Other tips

Clean your devices regularly

Recommendations range from once a week to daily to after a physical workout.

For example, you can wipe them with a cloth or use a soft-bristled children’s toothbrush dampened with mildly soapy water. Blot dry with a paper towel and allow a few hours of drying before recharging or reuse.

But it’s best to follow your manufacturer’s guidelines. And don’t forget to clean the case and the body of your earbuds too.

Don’t use headphones when sick

If you have an ear infection, avoid using earphones as they may increase the temperature and humidity in your ear and slow recovery.

Watch for symptoms

If your ears become itchy, red or have discharge, stop using in-ear devices and seek medical advice.The Conversation

Rina Wong (Fu), Research Fellow, Health Sciences, Curtin University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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