Abdominal Contractions May Drive Brain Fluid Flow, Aiding in Neural Waste Clearance

Data from a new study in Nature Neuroscience shows that the brain may be more mechanically connected to the body than previously appreciated. Using mice and computational simulations of fluid motion, the team identified a possible biological mechanism that helps explain why exercise benefits brain health. Specifically, they found that abdominal contractions compress blood vessels that are connected to the spinal cord and brain, which helps the organ move gently within the skull. This movement facilitates the flow of cerebrospinal fluid over the brain, potentially washing away neural waste and preventing the development of neurodegenerative disorders. 

The work, which is described in a paper titled “Brain motion is driven by mechanical coupling with the abdomen,” builds on past studies exploring how sleep and neuron loss influence how and when cerebrospinal fluid flushes the brain, according to Patrick Drew, PhD, a professor of engineering science and mechanics, neurosurgery, biology, and biomedical engineering at Penn State University. Drew is the corresponding author on the study. 

“Our research explains how just moving around might serve as an important physiological mechanism promoting brain health,” said Drew. The contraction of abdominal muscles to push blood from the abdomen into the spinal cord acts “just like in a hydraulic system” that puts pressure on the vertebral venous plexus, a network of veins that connect the abdominal cavity to the spinal cavity which causes the brain to move. Computational simulations show “that this gentle brain movement will drive fluid flow in and around the brain” removing harmful waste. 

To view this mechanism in moving mice, the scientists used two-photon microscopy, which allows for high-definition imaging of living tissue, and microcomputed tomography, which supports high-resolution three-dimensional examination of whole organs. They observed the brains shifting in the moments before the mouse moved and right after their abdominal muscles tightened, anticipating further movement. 

To ensure that the abdominal contractions were the reason for the observed shift rather than other movements, the scientists applied gentle and controlled pressure to the abdomens of anesthetized mice. They observed that the mice’s brains moved in response. “Importantly, the brain began moving back to its baseline position immediately upon relief of the abdominal pressure,” Drew said, suggesting “that abdominal pressure can rapidly and significantly alter the position of the brain within the skull.” 

The next step was digging deeper into the fluid’s movement in the brain as well as assessing if the brain’s movement could induce fluid flow. For this task, members of the team developed various techniques to capture this information including conducting imaging experiments of living mice and generating computational simulations of fluid motion. 

“Modeling fluid flow in and around the brain offers unique challenges because there are simultaneous, independent movements, as well as time-dependent, coupled movements,” explained Francesco Costanzo, PhD, a professor of engineering science and mechanics, biomedical engineering, mechanical engineering, and mathematics, who led the computational modeling aspects of the project. “Accounting for all of them requires accounting for the special physics that happens every time a fluid particle crosses one of the many membranes in the brain. So, we simplified it” using the analogy of a sponge for the brain. By simplifying it in this way, Costanzo explained, the team could model how fluid flows through a structure with varied spaces.  

Sticking with the analogy, “we also thought of it as a dirty sponge—how do you clean a dirty sponge?” Costanzo continued. “You run it under a tap and squeeze it out. In our simulations, we were able to get a sense of how the brain moving from an abdominal contraction can help induce fluid flow over the brain to help clear waste products.”  

Further studies are necessary to understand how this mechanism works in human bodies particularly how it cycle cerebrospinal fluid around the brain, and helps to protect against neurodegenerative disease. “This kind of motion is so small. It’s what’s generated when you walk or just contract your abdominal muscles, which you do when you engage in any physical behavior. It could make such a difference for your brain health,” Drew said.  Overall, “our research shows that a little bit of motion is good, and it could be another reason why exercise is good for our brain health.”  

The post Abdominal Contractions May Drive Brain Fluid Flow, Aiding in Neural Waste Clearance appeared first on GEN – Genetic Engineering and Biotechnology News.

NIH-funded research lags in reporting sex differences, new study finds

Fewer than half of papers published by NIH-funded researchers analyze or report their data by sex, which could make it harder to know what the results mean for men and women, a new study found.

Over a decade ago, the National Institutes of Health set out to promote sex-inclusivity in study design by introducing the expectation that research it funded consider sex as a biological variable (SABV). The guidelines are broad, asking researchers to consider SABV in their design, analysis, and reporting, without mandating that sex differences be examined in the results. 

Read the rest…

Genetic risk for neurodevelopmental disorders as a potential factor affecting antipsychotic responsiveness in schizophrenia: a postmortem brain study

IntroductionSchizophrenia (SCZ) is a highly heritable neuropsychiatric disorder. Its genomic architecture reportedly overlaps with that of neurodevelopmental disorders, such as attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). However, the effect of genomic risk for ADHD and ASD on SCZ symptoms remains unclear.MethodWe obtained genome-wide association study (GWAS) data from the postmortem brains of 24 patients with SCZ and 48 controls and calculated the polygenic risk scores (PRSs) for ADHD (ADHD-PRS) and ASD (ASD-PRS) using publicly available GWAS data. For 19 patients with SCZ whose antemortem clinical information was available, we conducted correlation analyses between PRSs, severity of SCZ symptoms, and the antipsychotic responsiveness score (ARS). Additionally, we divided the patients into two subgroups based on ADHD-PRS (high and low ADHD-PRS groups) and performed exploratory gene expression analyses and subsequent pathway analysis in the prefrontal cortex.ResultsThe ARS of positive symptoms (ARS-PS) demonstrated a suggestive negative correlation with ADHD-PRS and a positive correlation with ASD-PRS although these associations did not survive multiple testing correction. No correlation was observed between the ARS of general psychopathology or the ARS of negative symptoms and either ADHD-PRS or ASD-PRS. Gene expression analysis identified 1,773 DEGs, including neuropsychiatric disorder-related genes including CHRNB2. These DEGs were enriched in pathways associated with the neuronal system and mitochondrial function.DiscussionOur findings suggest that the genomic risk for neurodevelopmental disorders may affect the antipsychotic responsiveness of patients with schizophrenia and implicate translational alterations in potential marker molecules in this phenotype. Due to the limited sample size in the current study, further investigation on the large cohort is required to verify our exploratory findings.

From collective restriction to critical action: the indirect effects of critical motivation and radical hope

IntroductionHistorically, Women of Color (WOC) in the United States have experienced systemic restrictions to their freedom and autonomy, which can have a lasting impact on their mental health and wellbeing. Conceptually, this type of collective autonomy restriction (CAR) experience may be associated with increased critical consciousness (CC), reflected in greater awareness of social and systemic oppression, commitment to and belief in one’s capacity to address social issues, and engagement in action; however, there is a dearth of research examining this association. Building on critical consciousness and hope literatures, we hypothesized that the association between CAR and critical action would be explained through serial pathways of increased critical motivation and greater radical or collective hope.Materials and MethodsA sample of 408 WOC completed an online survey administered through Prolific and hosted on Qualtrics. The survey included indicators of CAR, critical consciousness (critical motivation and critical actions), psychological hope, and radical hope. ResultsWe conducted structural equation modeling to test a serial mediation model exploring the associations among CAR, critical motivation, hope, and critical action. Findings indicated the association between CAR and critical action was fully mediated by the proposed serial mediation pathways (CAR → Critical Motivation → Radical Hope → Critical Action). The pathway through radical hope was stronger than through psychological hope. The direct effect of CAR on critical action was non-significant, indicating full mediation.DiscussionThese results highlight the role of radical hope as a potential pathway connecting critical awareness of collective autonomy restriction and critical motivation to engage in critical action aimed at social change. We extend the existing literature by demonstrating that awareness of oppression and motivation alone may be insufficient to explain the link between the first two dimensions of critical consciousness (critical reflection and critical motivation) and critical action. Limitations and implications for research and practice are discussed.

Ngā māuiui kai: a cross-sectional study of elevated eating disorder risk and related experiences among trans people in Aotearoa

PurposeLittle is known about disordered eating and eating disorders (ngā māuiui kai) among transgender and non-binary (trans) communities in Aotearoa New Zealand. This cross-sectional study sought to provide evidence of the prevalence and experiences of ngā māuiui kai among these communities.MethodsWe analyzed data from a national trans health survey of people using chi-square tests of independence to examine associations between sociodemographic characteristics and elevated eating disorder risk measured by the SCOFF screening tool. A content analysis of open-text survey comments identified themes across participants’ self-reported experiences of ngā māuiui kai.ResultsOverall, 34.3% of participants met criteria for increased risk for an eating disorder. Age, neurodivergence, material hardship, functional impairment, and Māori ethnicity were associated with elevated risk among this sample. No associations were found for gender, self-identified disability, or other ethnicities. The content analysis found that several participants reported connections between their māuiui kai and gender incongruence, broader mental health issues, or structural barriers. Some reported challenges seeking related healthcare, and a lack of providers’ awareness of the relationship between gender-affirming healthcare needs and ngā māuiui kai.ConclusionsA high proportion of trans participants met the criteria for elevated risk of eating disorders, with higher risk among those belonging to other marginalized groups. These findings highlight the unique risk factors among trans people who belong to multiple marginalized groups. They signal need for appropriate prevention and provision of responsive care for trans people at the intersections of ngā māuiui kai and gender-affirming healthcare.

How adolescent cannabis use reshapes the developing brain — a systematic review

Background and hypothesisCannabis use initiation during adolescence has increased globally, raising concerns about neurodevelopmental consequences during this critical period when the brain undergoes extensive remodeling in cannabinoid receptor-rich regions.Study designThis systematic review examines neurodevelopmental consequences of adolescent cannabis use, focusing on structural brain changes, cognitive impacts, addiction vulnerability, and long-term outcomes. We searched PubMed, EMBASE, PsycINFO, and Web of Science (2000-2025) for studies examining cannabis effects in adolescent populations. Following PRISMA guidelines, two reviewers screened 3,421 records and assessed 156 full-text articles, including studies with neuroimaging, cognitive assessments, or longitudinal follow-up.Study resultsThirty-six studies involving 8,432 participants met criteria: 23 longitudinal cohorts (62.2%), 8 cross-sectional (22.2%), 4 RCTs (11.1%), and 1 case-control study (2.8%). Neuroimaging revealed dose-dependent alterations including reduced prefrontal cortical and hippocampal/amygdala volumes, accelerated cortical thinning in longitudinal studies, and impaired white matter connectivity correlating with initiation age. Cognitive findings were mixed — some showed persistent deficits after prolonged abstinence in adolescent-onset users, others found no effects after controlling for confounders. Epidemiological studies consistently showed elevated addiction risk (ORs 3.9–7.2) in adolescents versus adults. Long-term associations included educational difficulties, mental health problems, and functional impairment, though causal relationships remained unclear.ConclusionsAdolescent cannabis use associates with structural brain changes, elevated addiction risk, and variable cognitive effects, suggesting greater vulnerability versus adult-onset use. However, methodological limitations including confounders, heterogeneous definitions, and observational designs limit causal inference. Findings support age-specific prevention and specialized interventions while highlighting needs for rigorous longitudinal research establishing causality.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifierCRD420251165329.

Case Report: Early onset pulmonary embolism following antipsychotic polypharmacy in an acute psychiatric setting

Pulmonary embolism (PE) is a potentially life-threatening condition that may occur in patients receiving antipsychotic medication. Several studies have shown an increased risk of venous thromboembolism (VTE) associated with the use of antipsychotics, particularly during the first weeks or months of treatment. However, very early onset of VTE within hours of treatment initiation has been rarely reported. We present the case of a 69-year-old woman who developed acute pulmonary embolism within a few hours after initiation of psychopharmacological treatment for a psychotic episode. Due to acute agitation, the patient received olanzapine, quetiapine, levomepromazine, and lorazepam. The patient had no known predisposing risk factors for VTE. Shortly after begin of psychopharmacological treatment she presented with deterioration of her general condition, soporous, hypotensive, tachycardic and with reduced oxygen saturation. PE was suspected clinically and confirmed by computed tomography pulmonary angiography. After diagnosis, PE was successfully treated with anticoagulation. This case is notable for the unusually rapid development of VTE, occurring within hours rather than the typically reported days to weeks. It underscores the need for heightened clinical vigilance even in the very early phase of antipsychotic therapy and in patients without risk factors for VTE.

Opinion: I’m a fourth-year med student, but I only learned one historical example of medical racism

Last December, news broke that the Centers for Disease Control and Prevention had awarded $1.6 million to a Danish vaccine research group to study the effects of the hepatitis B vaccine on infants in the West African nation of Guinea-Bissau. The proposed five-year study compared outcomes between infants vaccinated at birth and those vaccinated at six weeks of age. As a medical student and researcher, I was shocked by the brazen inequity of the trial. 

Randomized controlled trials have already demonstrated superior outcomes when the hepatitis B vaccine is administered at birth. More troubling, however, was the setting of the study. Guinea-Bissau is a highly endemic country for hepatitis B, where vaccination coverage lags behind global averages and roughly 60 percent of the population lives in poverty.

Read the rest…

What happened to Covid?

In April 2020, people around the globe were struggling to come to grips with the strictures of unprecedented societal shutdowns aimed at slowing the spread of Covid-19. Flattening the curve, in 2020-speak.

Six years later, school and business closures, mask wearing, and social distancing are dim, unpleasant memories. And Covid, though it still animates political animus plenty, feels like a threat from yesteryear. 

Read the rest…