Making CAR T-cell therapy more effective
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Updates every hour. Last Updated: 24-Oct-2026 02:15 ET (24-Oct-2026 06:15 GMT/UTC)
Researchers from the Heidelberg Faculty of Medicine at Heidelberg University and the Berlin Institute of Health at Charité have identified a subgroup of CAR T cells that may serve as a biomarker to gauge the success of low-dose therapies. The findings are published in “Nature Communications.”
A new blood-based screening algorithm dramatically reduced the number of unnecessary PET scans needed to recruit patients at risk of Alzheimer’s disease for a clinical trial, according to research from scientists at the Keck School of Medicine of USC. Known as AHEAD 3-45, the clinical trial is a phase 3 international study testing whether earlier treatment with an approved drug for Alzheimer’s disease, known as lecanemab, could lead to better outcomes. Lecanemab removes sticky amyloid-beta protein aggregates that accumulate in the brain and are associated with the progression of Alzheimer’s disease. The drug can slow the clinical progression of the disease by about 30% but is currently prescribed only for patients who already have symptoms of cognitive decline. The AHEAD 3-45 trial specifically targets people with buildup of amyloid-beta, which happens early in the progression of Alzheimer's disease, sometimes decades before symptoms of cognitive impairment appear. However, only about 30% of cognitively healthy adults over 65 have amyloid levels high enough to qualify for trials like AHEAD. A major hurdle for recruiting patients to the trial is identifying and screening large numbers of people who may have hallmarks of the disease, but don’t yet have obvious symptoms such as memory loss. Before blood plasma screening was introduced, candidates for the AHEAD 3-45 trial had to navigate a screening process that could take up to three months from first visit to enrollment. After undergoing positron-emission tomography (PET), a costly imaging scan considered the gold standard for Alzheimer’s diagnosis, more than 70% of candidates would learn that they were ineligible for the trial. When the algorithm was used in recruiting participants for the study, it cut the rate of people who received a PET scan but did not qualify for the trial from more than 70% to 31%.
Weight loss injections are an increasingly popular way for people to manage their weight. However, the injections’ impact on reproductive health – from fertility onwards – is relatively unknown.
Now an international study led by the University of Plymouth has examined available research to understand what science tells us to date, and use that to form a set of evidence-based guidelines for families and health professionals seeking to understand if and when incretin-based medications – such as weight loss injections – could be used safely before and after pregnancy.
Antidepressants and their metabolites remain biologically active after they leave the human body, persisting in aquatic environments and potentially affecting fish. However, the sensitivity of fish to these substances at the molecular level remains poorly understood. Now, researchers from Japan have characterized fish serotonin, dopamine, and norepinephrine transporters, revealing that fish versions of these proteins are more sensitive to antidepressants than their human counterparts. This highlights an overlooked risk to aquatic wildlife from pharmaceutical pollution.
Many of the drugs that target human brain chemistry, such as antidepressants, are still biologically active when they leave the body. These substances and their metabolites can persist in wastewater and eventually end up in the sea, rivers, or other aquatic environments. Because fish also use the same neurotransmitters as humans, including serotonin, dopamine, and norepinephrine, pharmaceuticals designed to interact with these chemical signals in humans can also interfere with fish’s biological processes, potentially affecting both behavior and physiology.
However, observing behavioral changes in exposed fish does not by itself reveal how a given drug caused that effect. Antidepressants often act on proteins called monoamine transporters, which help clear serotonin, dopamine, and norepinephrine from the synaptic cleft. The three main transporters are known as SERT for serotonin, DAT for dopamine, and NET for norepinephrine. Although fish possess versions of these proteins, it remains unclear whether they respond to human-targeted pharmaceuticals in a similar way to their human counterparts. Moreover, most mechanistic research has focused on a small number of fish species, so scientists are not sure whether pharmaceutical sensitivity is broadly shared across fish.
To address these questions, a research team led by Professor Shinichi Miyagawa of the Department of Biological Science and Technology, Faculty of Advanced Engineering at Tokyo University of Science, Japan, characterized monoamine transporters from two evolutionarily distinct fish species: medaka (Oryzias latipes) and ayu (Plecoglossus altivelis). The study, published in Environmental Science & Technology journal on August 24, 2026, was co-authored by Professor Masaru Ihara of the Faculty of Agriculture and Marine Science at Kochi University, Japan.
The researchers first identified and cloned genes encoding DAT, NET, and two types of SERT (SERTa and SERTb) from both fish species. The team produced these transporters in the lab by culturing genetically engineered human cells and then exposed them to a range of commonly used antidepressants. By measuring how effectively the transporters took up a fluorescent marker, the researchers could determine how strongly each drug inhibited transporter activity.
The results showed that SERTa was consistently much more sensitive to antidepressants than SERTb in both fish species. This lines up with the team’s genetic analysis, as human SERT belongs to the SERTa lineage, whereas SERTb is absent in mammalian species. SERTb also contains substitutions at several residues associated with antidepressant interactions.
Surprisingly, when the researchers compared fish SERTa with human SERT, the fish transporter often responded to lower drug concentrations, sometimes more than ten times lower than the human transporter. The team also found that some drugs not typically thought to act on these particular proteins in humans still affected the fish versions, hinting at side effects that could not be predicted from human pharmacology alone.
Another important finding was that drug concentrations needed to block fish SERTa in these lab tests overlapped with the concentrations of antidepressants already measured in polluted waterways. Duloxetine, fluoxetine, citalopram, and paroxetine, for example, inhibited medaka SERTa at concentrations ranging from a few hundred to roughly 1,300 nanograms per liter. “By demonstrating that key molecular targets in fish can be more sensitive than their human equivalents, our work offers crucial insights into the potential risks of pharmaceutical exposure to aquatic wildlife,” remarks Prof. Miyagawa.
Because the study included two fish species that are only distantly related, the shared sensitivity pattern observed suggests this heightened vulnerability to antidepressants may extend beyond a single fish species. The team suggests these findings could help guide regulators, as Prof. Miyagawa explains: “Our research provides a vital scientific basis for prioritizing specific pharmaceuticals in environmental monitoring programs and for deriving more protective, species-specific risk thresholds in water quality guidelines.” Future in vivo studies examining environmentally realistic exposures and pharmaceutical mixtures will be needed to determine how these molecular effects translate into biological and ecological outcomes.
Reference
Title of original paper: Characterization of fish serotonin, dopamine and norepinephrine transporters as a potential target for environmental pharmaceuticals
Journal: Environmental Science and Technology
DOI: https://doi.org/10.1021/acs.est.6c04982
About The Tokyo University of Science
Tokyo University of Science (TUS) is a well-known and respected university, and the largest science-specialized private research university in Japan, with four campuses in central Tokyo and its suburbs and in Hokkaido. Established in 1881, the university has continually contributed to Japan's development in science through inculcating the love for science in researchers, technicians, and educators.
With a mission of “Creating science and technology for the harmonious development of nature, human beings, and society," TUS has undertaken a wide range of research from basic to applied science. TUS has embraced a multidisciplinary approach to research and undertaken intensive study in some of today's most vital fields. TUS is a meritocracy where the best in science is recognized and nurtured. It is the only private university in Japan that has produced a Nobel Prize winner and the only private university in Asia to produce Nobel Prize winners within the natural sciences field.
Website: https://www.tus.ac.jp/en/mediarelations/
About Professor Shinichi Miyagawa from Tokyo University of Science
Dr. Shinichi Miyagawa is a Professor at the Department of Biological Science and Technology, Faculty of Advanced Engineering of Tokyo University of Science, Japan. His research area includes tumor biology, developmental biology, and morphology/structure. He serves on the editorial board of the Journal of Applied Toxicology and is an active member of several international scientific committees focused on endocrinology and environmental science. He has been felicitated with several awards including the NIBB Young Scientist Award in 2015 and the National Institutes of Natural Sciences Young Scientist Award in 2012.
Funding information
This work was supported by the Grants-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan (MEXT) (20H006301, 21H02522, 25H01183): Environment Research and Technology Development Fund of the Environmental Restoration and Conservation Agency provided by Ministry of the Environment of Japan (5-1952 and 5-2204): UK-Japan Research Collaboration Grants from the Ministry of the Environment, Japan, the Department for Environment, Food and Rural Affairs (Defra), UK: the cooperative research program of Leading Academia in Marine and Environment Pollution Research (LaMer) (26-23).
An extensive study has mapped RNA viruses in a large number of cities around the world. The researchers identified nearly 55,000 different types of virus, the vast majority of which had never been observed before. The virus atlas could be useful in both biological risk assessment and crime scene investigations.