u/jmct16

In silico discovery of nanobody binders to a G-protein coupled receptor using AlphaFold-Multimer

https://www.nature.com/articles/s41467-026-72093-5

Abstract

Antibodies are central mediators of the adaptive immune response, and they are powerful research tools and therapeutics. Antibody discovery requires substantial experimental effort, such as immunization campaigns or in vitro library screening. Predicting antibody-antigen binding a priori remains challenging. However, recent machine learning methods raise the possibility of in silico antibody discovery, bypassing or reducing initial experimental bottlenecks. Here, we report a virtual screen using AlphaFold-Multimer (AF-M) that prospectively identified nanobody binders to MRGPRX2, a G protein-coupled receptor (GPCR) and therapeutic target for the treatment of pseudoallergic inflammation and itch. Using previously reported nanobody-GPCR structures, we identified a set of AF-M outputs that effectively discriminate between interacting and non-interacting nanobody-GPCR pairs. We used these outputs to perform a prospective in silico screen, identified nanobodies that bind MRGPRX2 with high affinity, and confirmed activity in signaling and functional cellular assays. Our results provide a proof of concept for fully computational antibody discovery pipelines that can circumvent laboratory experiments.

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u/jmct16 — 1 day ago

Increasing incidence and prevalence of Microscopic Colitis in Sweden: A nationwide population-based cohort study.

https://www.cghjournal.org/article/S1542-3565(26)00225-9/fulltext

Pop version: https://news.ki.se/large-rise-in-microscopic-colitis-seen-in-sweden

ABSTRACT

Background

There are few population-based studies on the incidence and prevalence of microscopic colitis (MC).

Objective

To assess incidence and prevalence of MC in Sweden.

Design

Nationwide population-based cohort study including all incident cases of biopsy-confirmed MC and all biopsied cases with normal mucosa from 1995 to 2021. Incidence rates (IRs) were age-standardized to the 2021 Swedish population. Age-specific IRs were plotted by sex. Poisson regression estimated trends and female-to-male incidence rate ratios (IRRs). A combined model of MC and normal mucosa evaluated whether changes in MC incidence exceeded background biopsy trends. Point prevalence on 31 December 2021 was derived by dividing MC cases with population denominators. Lifetime risk was computed using a competing-risk cumulative incidence estimator.

Results

We identified 22,519 incident MC cases (71% women) from 1995 to 2021. The mean age-standardized IR across the study period was 8.8 (95% confidence interval(CI)=7.1-10.5) cases per 100,000 person-years and rose steeply from 1995 until 2007 (+17% per year, 95% CI=1.15–1.19), then increased more modestly (+3%, 1.02–1.04). The incidence of MC increased faster than that of normal mucosa, the mean difference was 4.33% per year (95% CI 3.19–5.48). The prevalence of MC was 170 per 100,000 inhabitants in 2021. Lifetime risk was 1 in 54 for women and 1 in 133 for men.

Conclusion

In Sweden, incidence and prevalence of MC continued to rise through 2021. The steeper slope of MC incidence in relation to normal mucosa indicates either a true rise in disease occurrence or an ongoing diagnosis of prevalent cases related to an increased awareness of MC.

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u/jmct16 — 2 days ago

Novel Protease-Histamine Receptor Synergistic Signaling Potentiates Nociceptive Signaling Evoked by Fecal Supernatants from Irritable Bowel Syndrome Patients

https://www.jpain.org/article/S1526-5900(25)00881-8/abstract [Abstract presented at the 2026 USASP Annual Scientific Meeting]

Abdominal pain is the primary comorbidity in patients with irritable bowel syndrome (IBS). Proteases and histamine, originating from intestine mast cells and/or microbiota, are known to increase colonic nociceptors excitability to cause pain. However, the effects of their combined signaling and the mechanisms involved have not been studied. We hypothesize that proteases and histamine present in fecal supernatants (FS) from IBS patients activate protease-activated receptor-2 (PAR2) and histamine receptor-1 (H1R) signaling to synergistically enhance colonic nociceptive signaling to cause abdominal pain. Luminal application of IBS-FS increased colonic afferent nerve mechanosensitivity in mice by 50% (p <0.001), this effect was blocked by either PAR2 (GB83) or H1R (pyrilamine) antagonists. Co-expression of PAR2 and H1R in human and mouse nociceptors was confirmed with RNAScope in-situ hybridization. Trypsin and histamine at subthreshold concentrations alone had no effect. However, their co-application increased afferent mechanosensitivity (46%; p <0.001). Similarly, their co-application increased dorsal root ganglion (DRG) neural excitability in patch clamp recordings by 33% (p <0.05) but have no effect alone. Pre-activation of PAR2 enhanced histamine-induced excitability and was prevented by endocytosis inhibitors, pistop2 and dyngo4a. Likewise, bioluminescence resonance energy transfer (BRET) measurements in HEK cells expressing PAR2 and H1R showed that trypsin amplified histamine-induced mGαq and β-arrestin2 recruitment to the plasma membrane and early endosomes. In contrast, pre-activation of H1R does not enhance trypsin induced hyperexcitability. Our findings revealed a novel pathway where protease-mediated PAR2 endosomal signaling amplifies histamine-induced pain signaling. These findings may inform future studies on therapies and biomarkers for IBS.

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u/jmct16 — 3 days ago

Resolution of Long-Standing Irritable Bowel Syndrome Symptoms After Treatment of Psoriasis With Risankizumab

https://jcadonline.com/resolution-of-irritable-bowel-syndrome-treatment-of-psoriasis/

ABSTRACT. Psoriasis is a chronic immune-mediated inflammatory disease associated with systemic comorbidities, including gastrointestinal disorders. Emerging evidence supports a bidirectional gut-skin axis, with shared immunologic pathways involving the interleukin (IL)-23/IL-17 axis. Irritable bowel syndrome (IBS), traditionally considered a functional disorder, has also been linked to low-grade inflammation and cytokine dysregulation. We report a case of a 67-year-old man with moderate plaque and inverse psoriasis and longstanding IBS with diarrhea (IBS-D) who experienced complete resolution of gastrointestinal symptoms following treatment with risankizumab, an IL-23 inhibitor. Improvement in IBS symptoms began within weeks of therapy initiation and was sustained at follow-up, alongside complete skin clearance. No other changes in medications or lifestyle were identified. This case highlights a potential role of IL-23–mediated inflammation in IBS pathophysiology and suggests that targeted inhibition of the IL-23/IL-17 axis may benefit select patients with concurrent dermatologic and gastrointestinal disease

u/jmct16 — 3 days ago

High-density soft bioelectronic fibres for multimodal sensing and stimulation

https://www.nature.com/articles/s41586-025-09481-2

Abstract

There is an increasing demand for multimodal sensing and stimulation bioelectronic fibres for both research and clinical applications^(1,2). However, existing fibres suffer from high rigidity, low component layout precision, limited functionality and low density of active components. These limitations arise from the challenge of integrating many components into one-dimensional fibre devices, especially owing to the incompatibility of conventional microfabrication methods (for example, photolithography) with curved, thin and long fibre structures^(2). As a result, limited applications have been demonstrated so far. Here we use 'spiral transformation' to convert two-dimensional thin films containing microfabricated devices into one-dimensional soft fibres. This approach allows for the fabrication of high-density multimodal soft bioelectronic fibres, termed Spiral-NeuroString (S-NeuroString), while enabling precise control on the longitudinal, angular and radial positioning and distribution of the functional components. Taking advantage of the biocompatibility of our soft fibres with the dynamic and soft gastrointestinal system, we proceed to show the feasibility of our S-NeuroString for post-operative multimodal continuous motility mapping and tissue stimulation in awake pigs. We further demonstrate multi-channel single-unit electrical recording in mouse brain for up to 4 months, and a fabrication capability to produce 1,280 channels within a 230-μm-diameter soft fibre. Our soft bioelectronic fibres offer a powerful platform for minimally invasive implantable electronics, where diverse sensing and stimulation functionalities can be effectively integrated.

u/jmct16 — 4 days ago

Next-generation probiotics: an outlook into current applications and future developments

https://www.nature.com/articles/s41579-026-01311-0

Abstract

The probiotics field, a historically popular yet scientifically debated discipline, is moving beyond a decades-long promotion of ‘first-generation’ food-derived strains towards the development of ‘next-generation probiotics’ (NGP) or ‘precision probiotics’, natural and engineered strains featuring improved human colonization, clinical efficacy and safety profiles. In this Review, we outline the evolution of NGP and means by which their development is designed to tackle challenges of live bacterial therapy related to colonization resistance, in-host evolution, long-term safety and insufficient understanding of therapeutic and off-target mechanisms of activity. We showcase how a variety of emerging strategies enable the identification of NGP strains and define consortia featuring therapeutic potentials in metabolic, immune and oncological diseases. Finally, we discuss how computational and artificial intelligence (AI) advances can reshape NGP development, including AI-based discovery of strains and bioactive compounds; computational-driven design of engineered microorganisms and multi-kingdom consortia; and AI-assisted structural and metabolic network-based modelling predicting personalized NGP function, interactions and therapeutic impacts.

u/jmct16 — 4 days ago
▲ 48 r/ibs

Foggy Brain? Maybe It’s Your Gut

From here: https://www.nytimes.com/2026/05/04/well/mind/gut-brain-fog-health.html

Full piece: https://archive.ph/Z0tFS

Dr. Kyle Staller is a gastroenterologist, so it may be surprising that many of his patients come to him complaining not only about stomach trouble but about their brains, too.

Irritable bowel syndrome and other digestive dysfunction can be accompanied by a mental haze. People experiencing constipation and bloating, for example, may describe “a sense of heaviness or being weighed down both physically and mentally,” said Dr. Staller, who works at Massachusetts General Hospital in Boston.

“So many of my patients talk about problems like fatigue, brain fog and feeling sluggish,” he added.

Scientists are making progress in understanding how the pathway between the brain and the digestive system influences our overall health. They call it the gut-brain axis, and it has been shown to play a big role in immune system support, anxiety, depression, metabolism and disease prevention. It can also affect mental clarity.

We asked scientists and clinicians what to know about the gut and brain fog.

How does the gut-brain axis work?

There are thousands of fibers running from the brain to the abdomen that are known as the vagus nerve. It is a primary conduit of the gut-brain axis. And as the main nerve of the parasympathetic nervous system, it helps the body rest, digest and deter inflammation.

Signals also travel back and forth between the gut and brain via stress hormones and immune cells. Crucially, gut bacteria produce chemical messengers (called neurotransmitters) like serotonin, dopamine and GABA that affect the nervous system. When they enter the bloodstream or stimulate the vagus nerve, they can help improve mood, drive motivation, and calm the nervous system.

This constant communication keeps the body’s systems in balance.

How are digestive issues connected to brain fog?

Brain fog is the result of “bad connections” between the gut and the brain, said Gerard Clarke, a professor of neurobehavioral science at University College Cork in Ireland who studies the effects of gut bacteria on the brain and behavior.

Some causes of digestive problems are also associated with brain fog, including poor nutrition, hormonal changes associated with menopause, anxiety and infection.

In addition, autonomic nervous system dysfunction, an umbrella term for various disorders that make it difficult for the body to control heart rate, blood pressure and temperature, can cause digestive problems and brain fog, Dr. Staller said.

It’s not entirely clear how digestive dysfunction leads to brain fog. For some people with digestive problems like irritable bowel syndrome, the nerves in the gut become increasingly sensitive. As the gut sends distress signals to the brain, these alerts intensify.

It’s similar to “a microphone placed too close to a speaker,” Dr. Staller said. “Small signals get fed back, amplified and quickly become overwhelming.” That can make problems like gas or bloating feel excruciating and ultimately distracting, possibly leading to brain fog, he added.

A study published in October found that more than half of the 100 participants experienced brain fog alongside I.B.S. or gastroparesis, a chronic condition where the stomach has difficulty emptying its contents into the small intestine.

What role does the microbiome play?

The gut microbiome is composed of trillions of bacteria, viruses and fungi that inhabit your intestinal tract. A diverse microbiome helps protect us from disease, decrease inflammation and help produce and regulate the neurotransmitters that affect our mood and brain function.

Signals from our microbes can affect many of the brain regions associated with fogginess, Dr. Clarke said. These include the hippocampus, which is responsible for learning and memory; the prefrontal cortex, which is associated with decision making and clarity of thought; and the amygdala, which is the brain’s cental hub for processing fear and anxiety.

Sometimes, the experts said, our microbiome gets out of whack because of problems related to diet, stress, lack of sleep or exercise, medications, menopause, infection or chronic inflammation.

One type of imbalance in the gut’s microbial community is small intestinal bacterial overgrowth, or SIBO, which can cause bloating and diarrhea.

In a small 2018 study of about 40 people, researchers found a connection between brain fogginess and SIBO among patients who were taking probiotics. Patients’ symptoms improved after they took antibiotics and stopped probiotics.

Rather than colonizing in the colon, the probiotics instead congregated in the small bowel and produced too much d-lactic acid, which is difficult for humans to metabolize, said Dr. Satish Rao, a gastroenterologist and professor of medicine at Augusta University in Georgia who was the lead author of the paper.

“When it accumulates you become foggy,” he added.

Some people assume that taking probiotics is helpful for digestion, especially after a course of antibiotics. While probiotics have been shown to help in certain contexts, there isn’t currently enough scientific evidence to support widespread use, the experts said.

Will improving gut health reduce mental fogginess?

Possibly. Scientists haven’t uncovered a specific way to target brain fog via the gut, but working to maintain a healthy gut can support a clearer mind.

To do this, eat healthy foods that support your gut microbes, Dr. Clarke said. Microbes rely on fiber as an important source of nutrients — so try foods that are rich in fiber like vegetables, beans, nuts and whole grains. It also helps to add more fermented foods to your diet, like yogurt, kefir, sauerkraut and kimchi.

Megan Riehl, a psychologist at the University of Michigan who specializes in gastrointestinal disorders and other digestive conditions, suggested also getting enough sleep, doing moderate exercise and trying a “gentle diet cleanup,” for example limiting your consumption of caffeine, alcohol and low-fiber, ultraprocessed foods.

Dr. Staller also endorsed good nutrition: “Healthy, plant-based diets will likely continue to show benefit and stand the test of time over the fads that come and go.”

u/jmct16 — 6 days ago

The critical role of gut–brain signalling in eating behaviour and obesity

https://www.nature.com/articles/s41575-026-01203-x

Abstract

The process of eating can be divided into three distinct phases of behaviour: food seeking, food consumption and non-prandial activities. The durations of, and transitions between, these behavioural phases are driven by underlying interoceptive phenomena of hunger, satiation and satiety. The gut–brain axis regulates all eating phases, with the vagus nerve a primary conduit for interoceptive feedback about gut-derived mechanical and chemical cues. This Review explores the mechanisms governing each phase, focusing on how gut-derived signals are peripherally and centrally integrated to shape hunger, satiation and satiety, food preferences, and food-related learning. Chronic exposure to high-fat, high-sugar diets disrupts these mechanisms, driving a maladaptive state characterized by hyperphagia, food choice biases and habitual overeating. We examine the mechanisms underlying this maladaptive state, including vagal fibre remodelling, altered gene expression and leptin resistance, which can impair gut–brain communication, diminishing the brain’s capacity to appropriately control eating behaviour and maintain energy balance. Emerging therapies, including glucagon-like peptide 1 receptor agonists, are effective in promoting weight loss but typically do not reverse the underlying causes of gut–brain axis dysfunction. By examining the mechanisms of gut–brain signalling, this Review highlights the vagus nerve as a key, yet underappreciated, target for obesity treatment.

Key points

  • Eating behaviour unfolds across food-seeking, consumption and non-prandial phases, each coordinated by interoceptive gut signals that inform the brain about nutrient status and energy needs.
  • The vagus nerve is the primary neural pathway conveying gut-derived mechanical and chemical information to the brainstem, shaping hunger, satiation, satiety and food-related learning.
  • Distinct vagal sensory neuron subtypes encode mechanosensory and chemosensory cues, enabling precise control of meal size, nutrient preference, reinforcement and memory formation.
  • Gut signals engage central circuits, including hindbrain, hypothalamic, dopaminergic and hippocampal networks, to regulate satiety, motivation, reward, and memory processes that guide food seeking and consumption.
  • Chronic high-fat, high-sugar diets disrupt vagal signalling through reduced sensitivity, structural remodelling and altered gene expression, impairing gut–brain control of eating behaviours and promoting persistent overeating.
  • Targeting gut–brain pathways, particularly vagal circuits, offers promising therapeutic opportunities to restore interoceptive control of eating and treat obesity beyond current pharmacological approaches.
u/jmct16 — 7 days ago

In a session at DDW 2026, Professor Nicholas Talley traced a historical evolution of these conditions, stating that some of them remain, in clinical practice, as they were in 1910 (citing the case of functional dyspepsia).

Source: https://x.com/PaulMoayyedi/status/2051332009482498284/photo/1

Changing the terminology used to describe these conditions is fundamental, but can only occur if accompanied by pathophysiological investigation and targeted treatments.

Today, there are new testable models proposed, but Rome V ignores them in its introductory chapter and theoretical definition.

Source: https://x.com/GI_NutritionFdn/status/2051326263369842897

Furthermore, Talley criticized the fundamentalism imposed by diagnostic criteria such as Rome V.

Source: https://x.com/PaulMoayyedi/status/2051329214201078167

reddit.com
u/jmct16 — 9 days ago

In a session at DDW 2026, Professor Nicholas Talley traced a historical evolution of these conditions, stating that some of them remain, in clinical practice, as they were in 1910 (citing the case of functional dyspepsia).

Source: https://x.com/PaulMoayyedi/status/2051332009482498284/photo/1

Changing the terminology used to describe these conditions is fundamental, but can only occur if accompanied by pathophysiological investigation and targeted treatments.

Today, there are new testable models proposed, but Rome V ignores them in its introductory chapter and theoretical definition.

Source: https://x.com/GI_NutritionFdn/status/2051326263369842897

Furthermore, Talley criticized the fundamentalism imposed by diagnostic criteria such as Rome V.

Source: https://x.com/PaulMoayyedi/status/2051329214201078167

reddit.com
u/jmct16 — 9 days ago

https://www.sciencedirect.com/science/article/pii/S2405844026004639

Key Findings (from the AI reading assistant)

Microbial Differences: All DGBI subtypes showed altered hydrogen-metabolising taxa compared to controls, including changes in Enterobacteriaceae, Lachnospiraceae, and Methanobrevibacter .

Functional Constipation Distinction: FC emerged as distinct from IBS-constipation, characterized by increased facultative anaerobes (Salmonella, Shigella, Escherichia) and genes related to virulence and secretion systems .

Metabolic Pathways: Increased tyrosine metabolism genes discriminated FC and IBS-diarrhoea from controls, while micronutrient homeostasis genes distinguished most DGBI subtypes except FD .

Symptom Correlations: Integrative analysis revealed correlations between microbial functions and symptoms, with aromatic compound metabolism positively correlating with constipation severity and abdominal pain .

Abstract

Background and aims

Disorders of gut-brain interactions (DGBIs), including irritable bowel syndrome (IBS), functional constipation (FC) and functional diarrhoea (FD), have a multifactorial aetiology, with colonic microbiota alterations likely contributing. To investigate how these changes relate to DGBIs, the faecal microbial taxonomic composition and gene abundance in DGBI subjects was characterised and integrated with gastrointestinal and non-gastrointestinal symptoms.

Methods

Microbial DNA was extracted and analysed by shotgun sequencing. 239 faecal samples (IBS-constipation/FC, n = 60; IBS-diarrhoea/FD, n = 66; controls, n = 113) were used for integrative analysis with Data Integration Analysis for Biomarker discovery using Latent cOmponents (DIABLO).

Results

High-level compositional patterns were similar between FD and IBS-diarrhoea but differed between FC and IBS-constipation, compared to controls. All DGBI subtypes showed altered relative abundance of hydrogen-metabolising taxa (Enterobacteriaceae, Lachnospiraceae, Bilophila, Desulphovibrio, Methanobrevibacter), compared to controls. Relative gene abundance associated to micronutrient homeostasis discriminated IBS-diarrhoea, IBS-constipation and FC, but not FD, from controls. Increased tyrosine metabolism relative gene abundance discriminated FC and IBS-diarrhoea from controls. FC was further distinguished from controls and other DGBIs by increased abundance of facultative anaerobes (Salmonella, Shigella, Escherichia) and genes related to aromatic amine catabolism, secretion systems, and virulence. In constipation- and diarrhoea-predominant DGBIs, Firmicutes negatively correlated with microbial “secondary metabolism” and “phages, prophages, transposable elements, plasmids”, while “aromatic compound metabolism” positively correlated with constipation severity and diarrhoea symptoms (abdominal pain).

Conclusion

Distinctive microbial changes suggested FC as a distinct condition from IBS-constipation. Despite taxonomic similarities between FD and IBS-diarrhoea, microbial gene abundance discriminated IBS-diarrhoea but not FD from controls. Integrative analysis revealed potential microbial-symptom relationships in DGBIs.

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u/jmct16 — 9 days ago

https://www.sciencedirect.com/science/article/pii/S0889159126005210

Highlights

  • • Evidence suggests central neuroimmune alterations in fibromyalgia.
  • • Findings point to possible glial and neurometabolic alterations in key regions.
  • • Several studies report associations with pain, affective, and cognitive symptoms.
  • • Neuroimmune mechanisms may interact with stress-related processes in fibromyalgia.
  • • Current evidence remains heterogeneous and requires further validation.

Abstract

Background

Fibromyalgia (FM) is a chronic disorder characterized by widespread pain, fatigue, and cognitive or affective symptoms. Despite its high prevalence among middle-aged women and substantial clinical impact, the central mechanisms underlying FM remain poorly understood. Evidence points to a multicausal origin, potentially involving the immune system. Although peripheral immune dysregulation has been consistently reported, no systematic review has yet evaluated central neuroimmune changes and their clinical relevance.

Methods

A systematic review was conducted in accordance with PRISMA 2020 guidelines and registered in PROSPERO (CRD420251036797). Searches were performed in PubMed, Web of Science, and Scopus for records published up to January 5, 2025.

Results

18 studies reporting central immune alterations in FM patients were included. 9 employed neuroimaging techniques, 6 analyzed cerebrospinal fluid, 2 investigated differential gene expression, and one used a translational cellular approach. Despite high heterogeneity across studies and methodologies, findings suggested convergent patterns of glial and neurometabolic abnormalities in cortical and subcortical brain regions, alongside alterations in immune-related proteins and markers of disrupted neuroimmune signaling.

Conclusion

Consistent with previous reports of peripheral findings, the available evidence suggests that FM may involve central neuroimmune alterations encompassing both pro-inflammatory and regulatory mechanisms across genetic, molecular, and cellular levels. Alterations in brain regions converge on key networks implicated in pain processing, emotional regulation, cognition, and behavior. These findings support a neuroimmune framework for FM and highlight the potential role of neuroimmune processes in its pathophysiology.

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u/jmct16 — 9 days ago

https://www.annualreviews.org/content/journals/10.1146/annurev-immunol-082924-065848

Abstract

Peripheral sensory neurons, long appreciated for their role in detecting environmental stimuli, also play an active role in local and systemic immune responses. In response to tissue damage, the coordinated activation of peripheral sensory neurons and immune cells facilitates tissue repair. When dysregulated, however, these neuroimmune interactions can become maladaptive and contribute to chronic disorders such as chronic pain or headache. Recent single-cell transcriptomic studies have uncovered multiple distinct sensory neuron subtypes, each with unique molecular profiles, anatomical niches, and immune functions. In this review, we examine how distinct sensory neuron subtypes coordinate immune responses in barrier and internal tissues, forming cell type– and context-specific neuroimmune circuits. We also discuss how disruption of these circuits contributes to neuroinflammatory diseases such as atopic dermatitis and neuropathic pain. Clarifying these subtype-specific neuroimmune mechanisms offers a path toward more precise and effective therapies that target maladaptive neuroimmune circuitry in multiple disorders.

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u/jmct16 — 9 days ago

https://link.springer.com/article/10.1007/s13353-026-01062-x

Abstract

The purpose of the study was to determine the effectiveness of existing approaches to detect hereditary alpha-tryptasemia (HαT) and to identify key factors that affect the accuracy of differentiating this condition from other disorders associated with elevated tryptase levels. Methodologically, the work was based on a systematic literature review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, which involved critical analysis, selection, and synthesis of 62 scientific publications from 2019 to 2024, selected according to the criteria of availability of quantitative data on tryptase levels, genetic testing results and clinical symptoms. The results indicate that an increase in the number of copies of the TPSAB1 gene can be detected in 4–6% of the population and causes a consistently elevated basal tryptase level, which is associated with both an asymptomatic course (in approximately two-thirds of patients) and pathological manifestations such as gastrointestinal disorders, anaphylaxis, and neurovegetative disorders. It was found that the determination of “background” tryptase in the dynamics allows distinguishing hereditary elevation from acute mast cell degranulation, and a comprehensive genetic study of TPSAB1 together with the measurement of histamine, leukotrienes and prostaglandins increases the specificity of diagnosis. An important finding was that dysbiosis and related changes in intestinal barrier function can increase tryptase release and exacerbate clinical symptoms, which should be taken into account when choosing a therapeutic strategy. Given the data obtained, it was concluded that a multidisciplinary approach involving allergists, immunologists, and geneticists is needed, as well as periodic monitoring of tryptase levels. The practical significance lies in the improvement of diagnostic algorithms, which allows for earlier identification of hereditary alpha-tryptasemia and personalised management of patients.

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u/jmct16 — 16 days ago

More information here: https://clinicaltrials.gov/study/NCT07545759 [For USA, Canada, Belgium, China, Germany, Japan, Mexico, Poland, Spain and UK people].

https://preview.redd.it/4cvq3128exwg1.png?width=1030&format=png&auto=webp&s=074295ab515ab7fceb3eaa5540aa2acc1775bb0f

Study Overview

Brief Summary

The purpose of this study is to evaluate how well brenipatide (LY3537031) is tolerated, what side effects may occur, and the safety and efficacy in participants with Irritable Bowel Syndrome-Diarrhea (IBS-D). The study drug will be administered subcutaneously (SC) (under the skin) when compared with placebo.

The study will last approximately 35 weeks.

Official Title

A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Brenipatide in the Treatment of Adult Participants With IBS-D

https://preview.redd.it/gr531i3bexwg1.png?width=255&format=png&auto=webp&s=7e56b64341dd6acd0aa3b7b0f7479cd9b95907da

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u/jmct16 — 21 days ago

https://journals.lww.com/painrpts/fulltext/2026/06000/monoclonal_antibody_inhibition_of_par2_reduces.12.aspx

Plain Language Summary

This study explored how protease-activated receptor 2 (PAR2) contributes to abdominal pain in inflammatory bowel disease (IBD) and tested whether blocking PAR2 could reduce this pain. Using ex vivo electrophysiological recordings of mouse lumbar splanchnic nerve, the authors showed that PAR2 stimulation in the colon activates visceral afferent fibers and makes them more sensitive to mechanical and chemical stimuli via endosomal internalization and protein kinase A/C signaling. In a dextran sulfate sodium (DSS) mouse colitis model, treatment with the monoclonal antibody mPAR650097 reduced colitis severity, pain-related behaviors, peripheral and spinal nociceptive signaling, and proinflammatory mediator expression, supporting PAR2 inhibition as a promising pain-relief strategy in IBD.

Introduction: 

Abdominal pain is a significant burden for those living with inflammatory bowel disease (IBD), representing a major unmet clinical need due to the scarcity of effective therapeutic options. The G protein–coupled receptor, protease-activated receptor 2 (PAR2), has emerged as a promising therapeutic target for visceral pain management in IBD.

Objectives:

We set out to determine signaling mechanisms deployed by PAR2 in the lumbar splanchnic nerve and whether inhibiting PAR2 with the mouse monoclonal antibody (mAb), PAR650097 (mPAR650097) provided therapeutic benefit in dextran sulfate sodium (DSS)-induced colitis.

Methods:

We first used ex vivo electrophysiological recordings of mouse lumbar splanchnic nerve to determine how stimulation of PAR2 alters afferent activity and the intracellular signaling mechanisms involved. Second, we used the DSS model of colitis in mice and determined how mPAR650097 altered disease activity, behavior, colon histology, and the activity of nociceptive circuitry.

Results:

Protease-activated receptor 2 stimulation in the colon activated visceral afferent fibers and sensitized them to mechanical and chemical stimuli. We found that endosomal internalization and protein kinase A/C signaling mediate both activating and sensitizing effects of PAR2 in visceral pain. We further show that inhibiting PAR2 with the mAb mPAR650097 reduces DSS-induced colitis severity and pain. mPAR650097 also reduced several colitis-induced pain correlates at key points along the pain-signaling axis, including peripheral nociceptive neuron signaling and sensitivity, expression of proinflammatory mediators, spinal cord signaling, and, fundamentally, behavior.

Conclusion:

These findings illustrate that mAb inhibition of PAR2 represents a promising approach to provide relief from abdominal pain in those living with IBD.

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u/jmct16 — 22 days ago