Targeted Gene Delivery Calms Lung Inflammation in Respiratory Infection Mouse Models

A group of scientists have developed a targeted delivery platform that can induce anti-inflammatory cytokine expression in mouse lungs, which helps restrict tissue damage from respiratory infections without triggering systemic side effects. Full details are published in Science Immunology in a paper titled “Gene delivery of immunomodulatory cytokines to the lung preserves respiratory function during inflammatory challenge.”

The study was led by scientists in the pathology department at the University of Cambridge working alongside collaborators elsewhere. Together, they “developed a gene delivery system to express anti-­inflammatory cytokines in the lung, which reestablishes local immune homeostasis without triggering systemic effects,” according to details provided in the paper. Specifically,  they used an adeno-associated virus cargo system (AAV6.2-CC10) to induce “production of interleukin-­2 (IL-­2), IL-1 receptor antagonist (IL-­1RA), and IL-­10 in situ in the lung microenvironment.” They accomplished this “with no detectable expression or immunological deviation in the peripheral immune system.”

According to the developers, their work could lead to new therapeutics that control inflammation following several viral infections, which has been linked to higher mortality rates in cases of SARS-CoV-2 and influenza. Prolonged inflammation during a viral infection also increases the chances that patients could contract bacterial and fungal infections. Importantly, the approach provides a way to harness the “therapeutic potential of immunomodulatory cytokines” which to date have had limited success as biologic drugs due in part to the short half-lives of cytokines as well as the risks of multiorgan effects. “This tool has been proven to deliver sustained and localized expression as evidenced by the results from three tested cytokines,” the effects of which were “restricted to the lungs” and resulted in “prolonged production over the course of weeks.” 

The paper goes into the details of how the scientists characterized their method and demonstrated that it induced expression only in specific lung epithelial cells without off-target accumulation. Also provided are details of how they used the system to assess how lung-specific expression of IL-2, IL-1RA, and IL-10 affected disease severity in mouse models of influenza. They found that IL-2 expression was not especially beneficial during infection, possibly due to the amplification of protective regulatory T cells and proinflammatory CD8 T cells in the lungs. However, IL-1RA and IL-10 reduced tissue damage and improved recovery after infection and inflammation. 

In addition, data from their experiments showed that delivering either individual cytokines or a cocktail of all three protected mice from influenza-associated aspergillosis. In fact, treated mice showed “reduced neutrophil infiltrates and improved health outcomes,” including reduced weight loss compared to untreated mice, the scientists wrote. 

Future experiments with human cell culture systems could lay the groundwork for preclinical testing. However, there are still some limitations. For example, “we did not evaluate the kinetics of repeated administration of the same AAV vectors,” the scientists wrote. “Repeated administration can lead to the development of neutralizing antibodies, which can hinder the uptake of AAVs in subsequent treatments.” Another challenge is with the cargo itself. Though it performs well in mouse models, its “utility in a patient-based setting needs to be tested,” the scientists said. 

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First-Line Zongertinib Shows Strong Activity in HER2-Mutant Lung Cancer

For years, patients with HER2-mutant non–small cell lung cancer (NSCLC) have occupied a frustrating gap in precision oncology. While targeted therapies have transformed outcomes for EGFR– and ALK-driven lung cancers, HER2-mutant disease has lagged behind, with chemotherapy remaining the standard first-line option.

New data from the Phase Ia/Ib Beamion LUNG-1 trial, published in The New England Journal of Medicine, suggest that this may be changing. The oral HER2 inhibitor zongertinib demonstrated high response rates and durable clinical benefit in treatment-naïve patients, positioning it as a potential new first-line standard.

A long-standing unmet need

HER2 mutations occur in approximately 2–4% of NSCLC cases and are associated with aggressive disease and poor prognosis. Despite advances in targeted therapy across lung cancer, patients with HER2-driven tumors have historically had limited options, particularly in the first-line setting.

Until recently, treatment largely relied on chemotherapy, with or without immunotherapy, yielding modest outcomes, including progression-free survival typically under seven months.

“Just a few years ago, patients with this disease had no effective targeted therapies,” said John Heymach, MD, PhD, principal investigator of the study. “Now, healthcare providers have a HER2-targeted treatment option that can make a meaningful difference.”

High response rates and durability

In the trial, 74 previously untreated patients with advanced or metastatic HER2-mutant NSCLC received zongertinib at the selected dose of 120 mg daily. The results were striking.

A confirmed objective response was observed in 76% of patients, including both complete and partial responses. Tumor shrinkage was both rapid and durable, with a median duration of response of 15.2 months and median progression-free survival of 14.4 months.

These outcomes represent a substantial improvement over historical benchmarks and suggest that HER2-mutant NSCLC may finally benefit from the kind of targeted therapy success seen in other molecular subtypes.

“We observed unprecedented response rates for this cancer subtype,” Heymach said.

A more selective approach to HER2 targeting

One of the key differentiators of zongertinib is its selectivity. Unlike earlier HER2-targeted approaches, the drug inhibits HER2 while sparing wild-type EGFR, a closely related receptor whose inhibition is often associated with toxicity.

Zongertinib is described as an oral, irreversible tyrosine kinase inhibitor that selectively targets HER2 while minimizing EGFR-related side effects.

Clinically, this translated into a manageable safety profile. Most adverse events were low-grade, with relatively low rates of severe diarrhea and rash, common toxicities associated with EGFR inhibition. Serious complications such as interstitial lung disease were rare.

Activity in brain metastases

HER2-mutant NSCLC is also characterized by a high incidence of brain metastases, a major clinical challenge. Notably, the study demonstrated meaningful activity in this setting as well.

Among patients with active brain metastases, 47% achieved a confirmed intracranial response. Responses were also observed regardless of HER2 mutation subtype or baseline brain involvement, suggesting broad applicability across patient subgroups.

This intracranial activity is particularly significant, given the limited effectiveness of many systemic therapies in the central nervous system.

Implications for first-line treatment

The emergence of zongertinib as a first-line option marks a potential inflection point in the treatment of HER2-mutant NSCLC. For the first time, patients may be able to receive a targeted therapy at diagnosis, rather than progressing through less effective chemotherapy regimens.

The data have already translated into regulatory momentum. Zongertinib recently received accelerated FDA approval for this indication, reflecting both the strength of the clinical data and the unmet need in this population.

However, important questions remain. The current study is single-arm and lacks a direct comparison with standard-of-care therapies. A Phase III trial is ongoing to evaluate zongertinib against chemotherapy-based regimens in the first-line setting.

Positioning within a changing landscape

The broader treatment landscape for HER2-mutant lung cancer is also evolving. Antibody–drug conjugates such as trastuzumab deruxtecan have shown activity in previously treated patients, but are associated with notable toxicities and are typically used after progression.

Zongertinib’s oral administration, favorable safety profile, and first-line efficacy could shift treatment sequencing, potentially moving targeted therapy earlier in the disease course.

At the same time, resistance mechanisms are likely to emerge. Early data suggest that distinct resistance pathways may develop for tyrosine kinase inhibitors compared to antibody-based therapies, raising the possibility of sequential or combination strategies.

Looking ahead

As HER2-targeted therapies move into earlier lines of treatment, the focus will increasingly shift toward optimizing sequencing, managing resistance, and identifying combination approaches.

For now, the results from Beamion LUNG-1 provide strong evidence that HER2-mutant NSCLC, long considered a difficult-to-treat subtype, may finally be entering the era of precision oncology.

With high response rates, durable benefit, and activity in brain metastases, zongertinib offers a compelling new option, and a clear signal that the treatment paradigm for these patients is changing.

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Immune Priming Could End Immunosuppression After Liver Transplant

Results from a Phase I/IIa trial show promise for an immune priming approach where donor immune cells are infused into liver transplant recipients before surgery. In the small-scale clinical trial, three patients were reported to remain completely off immunosuppression for over three years thanks to this treatment. 

Recipients of organ transplants need to take lifelong medication to prevent the immune system from rejecting the transplant. In the case of end-stage liver disease patients, the serious side effects of immunosuppressants are considered acceptable in the face of a severe and life-threatening condition. Still, researchers have long been looking for strategies to at least reduce the intensity and duration of this treatment, which would significantly improve the health of these patients and the financial burden of long-term immunosuppression. 

“Long-term use of immunosuppressive drugs can harm the kidneys, causes metabolic complications, makes patients more susceptible to infections and certain types of cancer, as well as diabetes,” said Angus Thomson, PhD, DSc, professor of surgery and immunology at the University of Pittsburgh’s School of Medicine (UPMC). “Sparing patients from these serious side effects has been a goal that Pittsburgh transplant scientists began pursuing three decades ago. It is an honor to achieve this important milestone toward finally realizing that dream.”

The immune priming approach developed by Thomson’s team makes use of regulatory dendritic cells (DCregs), a type of immune cell that regulate innate and adaptive immunity and have the ability to train the immune system to stop recognizing transplanted cells as foreign. The treatment is made by extracting monocytes from the donor’s blood and inducing them to turn into DCregs. 

Launched in 2017, the clinical trial recruited a total of 13 patients who were infused with DCregs from their donor a week before surgery. A year after surgery, transplant recipients underwent a biopsy and an assessment to determine if they were eligible for immunosuppressant withdrawal.

Out of eight patients who stopped taking immunosuppressants, four achieved complete withdrawal and three of them remained off immunosuppression therapy for over three years. These findings represent a significant improvement compared to the rate of patients who successfully withdraw from immunosuppression without intervention, raising it from 16% to 37%. 

“For as long as organ transplantation has been a field of medicine, tolerance has been its holy grail,” said Abhinav Humar, MD, clinical director of the Starzl Transplantation Institute and chief of the division of transplantation at UPMC. “While we haven’t hit a home run yet, we’ve definitely gotten on base by reliably and safely removing immunosuppression early after transplantation from a significant percentage of patients, which is a huge breakthrough.”

While preliminary efficacy results seem promising, the main objective of this small scale trial was to establish the treatment’s safety and feasibility. Based on these results, a larger scale, randomized trial will be designed and conducted with the purpose of establishing the efficacy of this immune priming approach. 

In future studies, the researchers also want to explore the use of an alternative immunosuppressant medication that may be more likely to allow DCregs to stop immune rejection against the transplant, as well as studying the effects of infusing the donor cells after surgery and looking for ways of obtaining these cells from deceased donors to expand the potential applications of this approach. 

“There are so many tantalizing paths we could take to help our findings benefit many more patients,” Thomson said. “We are very interested in collaborating with other transplantation centers to accelerate and scale our clinical research.”

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The first year-long CGM implant developer isn’t done yet

Senseonics became the first company to bring a year-long continuous glucose monitor (CGM) to market with the launch of its Eversense 365 implantable system in 2024. The sensor system is different than existing transcutaneous sensors from Abbott and Dexcom, which use a small needle to measure glucose in the interstitial fluid under a patient’s skin…

The post The first year-long CGM implant developer isn’t done yet appeared first on Medical Design and Outsourcing.

Development of iGET Living, a Digital Graded Exposure Intervention for Youth With Chronic Pain: Multiphase User-Centered Design and Pilot Study

Background: Pediatric chronic pain affects up to one-third of youth and is associated with significant disruptions in social, emotional, and behavioral functioning. Although behavioral treatments are effective, access remains limited due to geographic, financial, and systemic barriers. Digital behavioral health interventions offer a promising solution, but many lack user-centered design, iterative refinement, and implementation-informed development strategies that support usability and scalability. Objective: This study aimed to develop and iteratively refine iGET Living, a digital graded exposure intervention for youth with chronic pain, using a combined user-centered and implementation-informed framework, and to evaluate its preliminary acceptability, feasibility, and user-perceived success. Methods: Guided by the Consolidated Framework for Implementation Research (CFIR) and the mHealth (mobile health) Agile Development and Lifecycle model, intervention development proceeded through 3 phases. Phase 0 translated an evidence-based in-person graded exposure treatment (GET Living) into an initial digital prototype. Phase 1 involved iterative user-centered refinement across 3 cycles of qualitative development sessions with youth with chronic pain (n=15), incorporating think-aloud usability testing, Likert-rated feedback, and rapid qualitative analysis mapped to CFIR constructs to guide real-time modifications to content, design, and functionality. Phase 2 piloted the refined intervention with a new sample of youth (n=38, n=30 completers) recruited from a tertiary pediatric pain clinic to evaluate feasibility, acceptability, treatment credibility and expectancy, and user-perceived functional improvements. Quantitative outcomes were summarized descriptively, and qualitative exit interview data were analyzed using rapid qualitative analysis. Results: Across development cycles, youth feedback informed substantive refinements to the intervention, including reducing text density, incorporating animated educational videos, enhancing interactive features, and improving navigation and layout. These changes resulted in progressive improvements in clarity, satisfaction, and acceptability across prototypes. In the Phase 2 pilot study, participants reported moderate-to-high treatment credibility (mean of 19.71 out of 30) and expectancy (mean of 17.96 out of 30), as well as high satisfaction (mean of 46.12 out of 60). Acceptability ratings across domains of the Theoretical Framework of Acceptability were favorable. Qualitative exit interviews highlighted the interventions’ perceived role in helping youth re-engage in valued activities. Conclusions: Using a combined CFIR and agile development approach, iGET Living emerged as a feasible, acceptable, engaging digital graded exposure intervention for youth with chronic pain. These findings highlight the value of integrating implementation frameworks and participatory design early in digital intervention development and support further evaluation in a preliminary efficacy trial. Trial Registration: ClinicalTrials.gov NCT05079984; https://clinicaltrials.gov/study/NCT05079984 International Registered Report Identifier (IRRID): RR2-10.1136/bmjopen-2022-065997
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Experiences From an Internet-Delivered Treatment Program for Individuals With Obesity: Pilot Study

Background: The prevalence of obesity is a global health challenge, as obesity is associated with various comorbidities, reduced quality of life, and increased mortality. Providing effective treatment to improve health and quality of life for people with obesity is a major health care concern. Internet-delivered treatment (IDT) is an alternative treatment that increases patient accessibility and reachability; however, pilot testing is required before such interventions are evaluated in full-scale studies or implemented. Objective: This study aims to investigate the feasibility and user-friendliness of an IDT program for obesity (IDT-O); to evaluate body weight, dietary habits, physical activity, psychosocial functioning, and experiences of treatment in those who completed the 6-month treatment; and to investigate the dropouts’ experiences of the treatment. Methods: A prospective 1-year observational approach, evaluated through a multimethod research design, was adopted. Inclusion criteria were age 18 years and older, BMI of ≥30 kg/m, or BMI of 28‐29.9 kg/m with obesity-related comorbidity. Participants were offered a 6-month therapist-assisted IDT-O program providing evidence-based obesity treatment, behavioral and lifestyle support, and strategies to address weight stigma. BMI, participants’ dietary habits, self-reported physical activity, psychosocial functioning, experiences of treatment effects, and treatment satisfaction were measured before treatment and after 6 and 12 months. Dropouts were followed up through qualitative interviews. Results: A total of 20 participants (17 females and 3 male; mean age 44.2, SD 16.4 years) started the IDT-O program, and 35% (7/20) completed all 12 modules. Ten (8 females) out of 13 dropouts were interviewed. Both quantitative and qualitative findings showed that participants were generally satisfied with the content and design of the intervention. Those who completed the IDT-O lost some weight (mean 2.0%, 95% CI −1.09 to 5.13), reported improved dietary habits (effect size [ES] 0.25, 95% CI −0.51 to 1.00), increased physical activity (ES 0.93, 95% CI −0.08 to 1.87), and improved psychosocial functioning (distress: ES 0.43, 95% CI 0.‐0.37 to 1.19; avoidance: ES 0.67, 95% CI −0.18 to 1.48), 6 months after completing the treatment. The qualitative analysis of the interviews revealed “The programme was OK, but it does not suit everyone” as the main theme. The main themes were based on the 3 subthemes: “It wasn’t for me,” “There were good things,” and “There are things to improve.” Conclusions: The findings indicate that the IDT-O holds potential as a treatment for people with obesity, although one limitation is that only 35% (7/20) of the participants completed the pilot program. Improvements in lifestyle habits and psychosocial functioning were observed in those who completed the IDT-O, but these findings are preliminary and need to be confirmed in a more comprehensive study. The issue of nonadherence underscores the importance of both thoroughly assessing patients before treatment and further development of IDT-O programs. Trial Registration: ClinicalTrials.gov NCT04150445; https://clinicaltrials.gov/study/NCT04150445
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STAT+: A pancreatic cancer expert on why Revolution Medicines’ study could ‘open up a new era’ of treatment

Revolution Medicines announced a stunning survival benefit for its experimental drug in a Phase 3 pancreatic cancer study this week. 

Patients with advanced pancreatic adenocarcinoma who were treated with the company’s daily pill called daraxonrasib lived a median of 13.2 months compared to 6.7 months for patients who received standard chemotherapy. 

Revolution said it plans to use the data to apply for Food and Drug Administration approval, although it did not say when. When it does submit the data, approval might come fast. 

STAT spoke with Paul Oberstein of NYU Langone’s Perlmutter Cancer Center, an investigator in the trial, on its biotech podcast “The Readout Loud.”  

This transcript has been lightly edited for length and clarity.

Let’s start by talking about pancreatic cancer generally. Why is it so challenging to treat it and what are the current survival rates? 

Continue to STAT+ to read the full story…

For What’s Next: Preparing Today’s Lab or Tomorrow’s Discoveries

For What’s Next: Preparing today’s lab for tomorrow’s discoveries eBook coverModern biology is accelerating at an unprecedented pace, and with it comes increasing complexity. As a result, researchers are shifting toward more patient reflective models, uncovering richer phenotypes, and generating multidimensional datasets that push the limits of traditional workflows. However, become more sophisticated, operational challenges grow. Manual steps introduce variability, workflows don’t scale cleanly across teams or sites, and data pipelines struggle to keep pace with expanding volume and nuance. The result is a familiar bottleneck—ambitious science constrained by throughput, reproducibility, and the significant hands-on time required just to keep experiments moving.

This eBook brings together a curated collection of resources to help you break through those constraints. Each asset addresses the fundamental challenge of how to build workflows that are reproducible, scalable, and capable of generating confident, decision ready data. From emerging trends in 3D biology to actionable insights for implementing advanced models, the resources in this collection reflect how labs are adapting tools, methods, and data strategies to keep pace with increasingly complex science.

Discover how automation elevates upstream processes such as colony picking, clone selection, and supports specialized microbiome workflows by reducing bottlenecks and tightening reproducibility. Explore how AI powered automation helps ensure consistent performance across users and sites for both 2D and 3D model generation and expansion while reducing variability, supporting reliable organoid expansion, and returning valuablevtime to scientists by removing repetitive work. Learn how fast, quantitative plate based assays help teams quickly pinpoint meaningful biological responses, focusing deeper profiling where it will have the greatest impact. And see how high content imaging paired with AI enabled analysis reveals subtle phenotypes that traditional readouts often overlook, connecting treatment effects to underlying biology with far greater clarity.

Together, these insights reflect a unified strategy built FOR WHAT’S NEXT: integrated workflows and intelligent precision-automation that deliver reproducible results, scale seamlessly, reduce manual intervention, and support increasingly complex biology.

The post For What’s Next: Preparing Today’s Lab or Tomorrow’s Discoveries appeared first on GEN – Genetic Engineering and Biotechnology News.

The State of Multiomics & NGS

Broadcast Date: 

  • Time: 

Next-generation sequencing (NGS) has never been cheaper or more accessible. In turn, spatial biology, single-cell, and proteomics are fueling exciting advances in biology. The rapidly declining cost of whole-genome sequencing is empowering researchers to ask questions that were beyond reach just a few years ago. 

In The State of Multiomics & NGS virtual summit—sponsored exclusively by Illumina—GEN invites you to watch a superb line-up of presenters covering key topics in the world of multiomics, spatial biology, and NGS. This year’s summit features a broad selection of talks and panel discussions from renowned experts that offers our audience rich insights into the latest NGS platforms, spatial biology applications in neurodegenerative diseases and cell biology, and a critical look at data management challenges and solutions.

Among the highlights are:

  • A keynote presentation from Miranda Orr, PhD, on the use of spatial biology in studying Alzheimer’s and other neurodegenerative diseases
  • A deep dive into the latest NGS platforms and applications with veteran genomics analysts Keith Robison, PhD, and Shawn Baker, PhD
  • Modeling the proteome architecture of human cells with Noorsher Ahmed, PhD (Lundberg lab)
  • Chris Dwan on data management strategies for multiomics
  • And a sponsored breakout conversation featuring Illumina’s chief medical officer, Eric Green, MD, PhD, and cancer biologist Bodour Salhia, PhD (USC)

We look forward to seeing you on April 29. Registration is absolutely free! !

Guest Speakers Include

The State of Multiomics & NGS speakers

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Anemia May Be a Modifiable Risk Factor for Alzheimer’s Disease

Older adults with anemia have significantly higher levels of blood biomarkers for Alzheimer’s disease and a significantly increased risk for the disease itself, particularly when anemia is combined with the presence of the biomarkers, Swedish study data show.

The findings “suggest that anemia may interact with neuropathologic processes, potentially accelerating dementia development,” write Martina Valletta, MD, from Karolinska Institutet and Stockholm University in Sweden, and co-authors in JAMA Network Open.

Their analysis included data for 2282 dementia-free participants (median age, 72 years, 62% women) of the population-based Swedish National Study on Aging and Care in Kungsholmen. Of these, 8.7% had anemia at baseline.

The researchers report that participants with anemia had significantly higher baseline levels of the Alzheimer’s disease blood biomarkers phosphorylated tau 217 (p-tau217; 0.2 vs 0.1 pg/mL), neurofilament light chain (NfL; 36.6 vs 17.0 pg/mL), and glial fibrillary acidic protein (GFAP; 187.8 vs 117.4 pg/mL) relative to individuals with normal hemoglobin levels.

During a mean follow-up of 9.3 years, 362 (15.9%) participants developed dementia, with the incidence significantly higher among those with versus without anemia, at 4.4 and 1.7 cases per 100 person–years, respectively.

After adjustment for multiple potential confounding factors, like age, sex, education level, chronic kidney disease, heart disease, cerebrovascular disease, cancer, weight, iron and vitamin supplementation, and interleukin-6 level, the difference between the two groups corresponded to a significant 1.7-fold higher risk for developing dementia during follow-up among the participants with anemia relative to those with normal hemoglobin levels.

Valletta and colleagues note that the relationship between baseline hemoglobin levels and incident dementia was nonlinear. Specifically, below hemoglobin levels of approximately 14 g/dL dementia risk was inversely associated with hemoglobin level. Above this cutoff, the association plateaued.

In addition, the team found that co-occurrence of low hemoglobin and elevated Alzheimer’s disease blood biomarkers further amplified dementia risk.

For example, compared with participants without anemia and with low NfL, the risk for dementia was a non-significant 1.1-fold higher among those with anemia only, a significant 2.2-fold higher among those with high NfL only, and a significant 3.6-fold higher among participants with both anemia and high NfL.

Elevated dementia risk also occurred when anemia was combined with high p-tau217 or GFAP levels, but no additive interaction was detected for these biomarkers.

In general, the risk associations were stronger in men than women and among participants not carrying APOE ε4 compared with carriers.

The researchers say there are several potential interpretations for their findings, including the possibility that “anemia may reduce brain resilience, thereby lowering the threshold at which neuropathology manifests clinically as dementia.”

They conclude that the study data “suggest anemia is a clinically relevant factor in the context of dementia risk stratification and is possibly a modifiable target in dementia prevention strategies.”

“Future studies should further investigate this possibility and formally assess whether—and which—blood biomarkers mediate the relationship between anemia and dementia development.”

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