Image Credit: Canva
Ozempic has stormed the world, grossing billions and becoming a household name not only for controlling blood sugar but also for its dramatic weight-loss effect. But before it was a celebrity-favored fad, its beginnings were anything but glamorous. This medical wonder has its roots in an unexpected place: a toxic desert lizard with a remarkable talent for living on a few meals a year—the Gila monster.
The Gila monster (Heloderma suspectum), which inhabits the deserts of North America, is famous for its slow movements and highly toxic venom. Its bite is lethal enough to kill small animals and inflict extreme pain on humans. But lurking in this venom was a breakthrough that led to Ozempic. Researchers examining the venom of the Gila monster discovered that it consisted of a novel hormone that delays digestion and modulates blood glucose levels—an advantage that enables the lizard to get by on a meager diet.
In the early 21st century, endocrinologist Daniel Drucker asked for a hormone that mimicked the appetite-inhibiting and blood sugar-controlling action of human glucagon-like peptide-1 (GLP-1) yet would not be quickly broken down in the body. He was prompted by the research of scientists John Eng, Jean-Pierre Raufman, and John Pisano, who had cloned the proteins in Gila monster venom and found two similar in structure to human GLP-1.
Drucker and his colleagues at the University of Toronto obtained a Gila monster from the Utah Zoo breeding program to further study its distinctive biochemistry. Their work identified Exendin-4, a protein that closely resembled GLP-1 but persisted much longer in the blood. This discovery ultimately gave rise to synthetic GLP-1 agonists, transforming the treatment of type 2 diabetes and, more recently, obesity.
Though promising, it took decades before the discovery found its way into an FDA-approved drug. The initial GLP-1 agonist based on Gila monster venom was approved to treat diabetes in 2005. The two decades that followed saw the formulation of more advanced drugs such as semaglutide, which is the active component in Ozempic and its weight loss equivalent, Wegovy.
Now, millions depend on Ozempic to control diabetes and shed pounds, with demand so great that worldwide shortages have been reported. Its popularity has created a surge in off-label use, with social media spreading trends of dramatic weight loss among celebrities and influencers. But the tale of Ozempic is only one illustration of how nature's most toxic animals have led to life-saving medical breakthroughs.
Ozempic is hardly the first life-saving medication to be developed from the animal world's toolkit of toxins. From the beginning of time, scientists have turned to nature to find answers to human illnesses, and in the process, have developed some of the most crucial medical advances.
One of the highest-selling medicines in the world, Lisinopril, has its roots in the Brazilian viper (Bothrops jararaca). The venom from the snake includes enzyme inhibitors that inhibit the blood of its prey from clotting so the venom can travel quickly. Researchers took this process and developed angiotensin-converting enzyme (ACE) inhibitors, which decrease blood pressure and are commonly used to treat heart disease and hypertension.
Far down in the ocean, the Caribbean sea sponge (Tectitethya crypta) has been secretly making substances that defend it from foreign DNA brought by predators and prey. Those unusual nucleosides were the foundation for cytarabine, a drug used to treat leukemia and non-Hodgkin's lymphoma through chemotherapy. This discovery reaffirmed the belief that even the most basic life forms can be the solution to revolutionary cures.
In a breathtaking illustration of the paradoxical position of nature in medicine, deathstalker scorpion venom (Leiurus quinquestriatus) brought about the solution to the treatment of brain tumors. A team led by oncologist Jim Olson found that a peptide found in the venom, chlorotoxin Cy5.5, attaches itself only to brain tumor cells and leaves healthy tissue intact. This resulted in the creation of Tozuleristide, a fluorescent tag that aids surgeons in precise identification and resection of cancerous tissue.
The popularity of Ozempic and other venom-based medications indicates the yet unutilized potential of the biochemistry of nature. From fungal-sourced antibiotics to animal-venom-derived painkillers, researchers are learning every day about the possibilities for leveraging the might of nature. Researchers now search for potential new treatments for neurological conditions, pain, and heart disease from the spider venom, cone snail toxin, and even the bat's saliva.
But these findings are also a harsh reminder that most of these species are threatened by habitat loss, climate change, and human use. The Gila monster, for instance, is threatened by land development and wildlife trade. Conservation of these species and their habitats is not only a conservation issue, it is an issue of future medical advancement as well.
Credits: Canva
Every year on 25 April, World Malaria Day is observed to raise awareness about one of the deadliest yet preventable diseases. As per the World Health Organization (WHO), there were 263 million malaria cases and 5,97,000 malaria deaths across 83 countries in 2023. The WHO African Region carries a disproportionately high share of the global malaria burden. As per the numbers, this Region was home to 94% of the malaria cases, accounting for 246 million and 95% of malaria deaths. Children under 5 accounted for about 75% of all malaria deaths in the Region.
Ahead of World Malaria Day, WHO also called for renewed efforts at all levels - from global policy to community action to accelerate progress towards eliminating malaria.
This year, WHO has joined the RBM Partnership to End Malaria and other partners in promoting: "Malaria Ends With US: Reinvest, Reimagine, Reignite". This is a grassroot campaign that aims to re-energize efforts at all levels, from global policy to community action, to accelerate progress towards malaria elimination.
World Malaria Day was first celebrated internationally in 2008, building upon the earlier "Africa Malaria Day", which had been observed b African countries since 2001. The date, April 25, was established by WHO in 2007 during the World Health Assembly. In 2007, it was the 60th session of the World Health Assembly where the proposal to rename Africa Malaria Day to World Malaria Day was made to acknowledge the global presence of malaria.
The day has a strong significance in healthcare as it brings attention to the disease that still continues to take so many lives, especially in low-income and tropical regions. It also serves as an important reminder to continue spreading awareness about the disease as well as promoting its prevention, treatment and continuous international cooperation to fight against it.
The WHO describes malaria as a life-threatening disease spread to humans by some types of mosquitoes, mostly found in tropical countries. However, they are preventable and curable.
WHO notes: "Malaria is spread to people through the bites of some infected anopheles mosquitoes. Blood transfusion and contaminated needles may also transmit malaria. The first symptoms may be mild, similar to many febrile illnesses, and difficult to recognize as malaria. Left untreated, P. falciparum malaria can progress to severe illness and death within 24 hours.
There are 5 Plasmodium parasite species that cause malaria in humans, and 2 of these species – P. falciparum and P. vivax – pose the greatest threat. P. falciparum is the deadliest malaria parasite and the most prevalent on the African continent. P. vivax is the dominant malaria parasite in most countries outside of sub-Saharan Africa. The other malaria species which can infect humans are P. malariae, P. ovale and P. knowlesi."
The early symptoms are fever, headache and chills, which can usually start within 10 to 15 days of getting bitten by an infected mosquito.
Some types of malaria can cause severe illness and death. Infants, children under 5 years, pregnant women, travellers and people with HIV or AIDS are at higher risk. Severe symptoms include:
Credit: Canva
A new AI-powered blood test that can detect 12 types of cancer is to be tested on NHS patients. Using this test, experts would now be able to detect cancerous cells in people much before the symptoms appear. The trial, conducted on 8,000 patients, will analyse blood samples for tiny fragments of genetic material released by tumours.
The test called miONCO-Dx, was created using data from 20,000 patients. Initial tests have produced promising results, having shown that it can detect 12 of the most lethal and common cancers, including bowel cancer, at an early stage, with over 99% accuracy. With no other trial currently working in the same way, this is a world-leader and will support in placing Britain at the forefront of revolutionising healthcare. Notably, the UK government has awarded £2.4m to run the trial of the genetic test, which was developed by the University of Southampton and the biotech startup Xgenera.
The test was created by Xgenera, in collaboration with the University of Southampton. As little as 10 drops of blood are all that's needed to detect up to 12 common cancers. The test works by measuring the microRNA in a blood sample and using AI to identify if cancer is present and, if so, where it is located in the body.
Lung, gastric, prostate, oesophageal, liver, bladder, ovarian, bowel, pancreatic and breast cancers–as well as bone and soft tissue sarcoma and a type of brain tumour. The Department of Health said the test was now ready for the "validation and verification" stage.
Professor Sir Stephen Powis, NHS England's national medical director, said: "This blood test has the potential to help us detect bowel cancer earlier and reduce the need for invasive tests, and the next step in this trial will now be vital in gathering further evidence on its effectiveness and how it could work in practice."
A blood test is a simple medical procedure used to check various health conditions. Here's how it is typically conducted:
1. Preparation: Depending on the test, you may be asked to fast for 8–12 hours. The healthcare provider will explain any specific instructions.
2. Collection: You’ll usually be seated or lying down. A healthcare professional will tie a tourniquet around your upper arm to make the veins more visible. The inside of your elbow is the most common site for drawing blood.
3. Cleaning: The area is cleaned with an antiseptic to reduce the risk of infection.
4. Drawing Blood: A sterile needle is inserted into the vein, and blood is collected into one or more vials or tubes.
5. Post-collection: Once enough blood is collected, the needle is removed, and a cotton ball or bandage is applied to stop any bleeding.
6. Processing: The blood samples are then sent to a lab for analysis.
Credits: Canva
Novovax, the maker of the only protein-based COVID-19 vaccine available in the US announced that its shot is on track for full approval from the US Food and Drug Administration (FDA). It is an important development for the company. It has sent its stock soaring up to 21% on Wednesday morning for trading. It is said that this will also ease the fears of political interference that may have caused delay in the process.
While the other mRNA vaccines from Pfizer and Moderna have received full FDA approval for specific age groups, Novovax's vaccine still awaits the approval. It is only authorized for emergency use.
The emergency use authorization or the EUA allows vaccines to be distributed during public health emergencies. However, once the emergency ends, the FDA can remove them from the market unless full approval is granted.
The FDA originally planned to approve Novovax's vaccine by April 1. However, as per the inside sources, the process was paused at the direction of Dr Sara Brenner, the FDA's acting commissioner. The delay has also raised concerns, especially after Dr Peter Marks, the FDA's longtime vaccine chief, reportedly left his post due to disagreements with the Health Secretary Robert F Kennedy Jr, who is a known vaccine skeptic.
In the past, RFK Jr. has worked closely with many anti-vaccine activists who work for his nonprofit group Children's Health Defense. While in his recent speech, he said that he has "never been anti-vax and have never told the public to avoid vaccination", his track record shows otherwise.
In a podcast interview, he said, "There is no vaccine that is safe and effective" and told FOX News that he still believes in the now long-debunked idea that vaccines can cause autism. In another 2021 podcast, he urged people to "resist" CDC guidelines on getting their kids vaccinated. "I see somebody on a hiking trail carrying a little baby and I say to him, better not get them vaccinated," he said.
His non-profit also led an anti-vax campaign sticker and he appeared next on the screen to a sticker that read: "If you are not an anti-vaxxer you are not paying attention," reports AP.
The FDA recently asked Novavax to outline a plan to collect additional clinical data from people who have received the vaccine. Novavax says it is “engaging with the FDA expeditiously” and hopes to secure full approval as soon as possible. Full FDA approval is considered the gold standard, as it reflects a higher level of scrutiny and confidence in a product’s safety and effectiveness.
The COVID-19 vaccines that are currently available in the US teach the immune system to recognize the virus' spike protein, which is its outer coating. the Pfizer and Moderna's mRNA vaccine deliver genetic instructions that help the body create a temporary version of spike protein that trigger an immune response. In contrast, the Novovax's shot contains lab-grown copies of the spike protein itself, which are then combined with a substance that boosts the immune response.
This traditional approach—called a protein-based vaccine—has been used for decades in vaccines for diseases like hepatitis B and shingles. For people who are hesitant about mRNA vaccines, Novavax offers an alternative that uses a well-established method.
© 2024 Bennett, Coleman & Company Limited