GLP-1 Receptor Agonists in Psychiatry: A Pharmacoepidemiological Scoping Review

Pharmacoepidemiological studies have expanded the capacity to detect therapeutic benefits and adverse drug effects of medications. In the case of glucagon-like peptide-1 receptor agonists (GLP-1RAs), their fast uptake for treating diabetes and obesity has generated substantial real-world experience, facilitating exploration of benefits for additional indications. In the context of psychiatric disorders, studies based on pharmacovigilance data and large electronic health record (EHR) databases have shown that initial concerns regarding suicidality with GLP-1RA were not supported by the evidence.

Hydrogel-Based Axon Model Improves Early Testing for MS Remyelination Therapies

Axons—the long, cable‑like projections that relay electrical signals across the nervous system—depend on tightly wrapped layers of myelin to keep those messages fast and reliable. When this insulation is damaged, as in multiple sclerosis (MS) and other neurodegenerative diseases, signal transmission slows and neurons eventually degenerate. Although oligodendrocytes can repair myelin early on in the process, this capacity declines with age and repeated inflammatory attacks, leaving researchers searching for therapies that can restore myelin more effectively.

A team at University College London (UCL) has now developed a more physiologically realistic way to study how myelin forms—and how potential drugs might influence that process. Their new hydrogel‑based axon model, described in Nature Methods in a paper titled “Tunable hydrogel‑based micropillar arrays for myelination studies,” recreates both the geometry and softness of real axons. The platform is designed to address a longstanding problem in the field: many drug candidates that appear promising in rigid, plastic‑based lab models ultimately fail in human trials.

“To stop MS, we need therapies that repair myelin,” said senior author Emad Moeendarbary, PhD, professor of cell mechanics and mechanobiology at UCL and CEO of BioRecode. “Promising drug candidates in the past have failed when tested in human patients. One factor might be that laboratory models do not replicate the basic physical properties of the human brain.”

The UCL team engineered vertical micropillars—each tens of times thinner than a human hair—using a microfabrication process called photolithography that allowed them to precisely tune diameter, spacing, and stiffness. Unlike earlier artificial axons made from hard polymers, these pillars are composed of polyacrylamide hydrogel, a material whose elasticity can be adjusted to match the ~5 kPa softness of native axons. As the authors noted in the paper, the system “mimics the three‑dimensional architecture and softness of axons,” enabling oligodendrocytes to form “multilayered compact myelin” around the pillars.

The researchers seeded the hydrogel pillars with human and rodent oligodendrocytes and tested several candidate remyelination drugs. When the pillars were tuned to realistic softness, drug performance dropped—suggesting that overly rigid models may have produced misleading hits in the past. “Our work suggests that commonly used rigid models, hundreds of times stiffer than real axons, can generate misleading drug hits,” Moeendarbary said. “We believe that our more life-like model can be used as a more robust early test of drug candidates and as a platform to discover new drugs.”

The study also marks the first demonstration of compact, multilayered myelin grown from human oligodendrocytes in a fully hydrogel‑based system. The platform’s design allows high‑content imaging, transcriptomic profiling, and systematic variation of mechanical cues—capabilities that could help researchers dissect how myelin forms and why it fails in disease.

Building such a soft, microscale structure was not trivial. “Hydrogel is a close mimic of living cells… but to fabricate a soft hydrogel at such a small scale is not an easy task,” Moeendarbary noted, crediting the five years of work led by PhD student Soufian Lasli and Claire Vinel, PhD.

By more faithfully recreating the physical environment of the brain, the UCL team hopes their model will provide a more reliable proving ground for remyelination therapies before they reach clinical trials.

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STAT+: Medicare Advantage plans win extra $18.6 billion as feds cut star ratings measures

The Trump administration is slashing the number of quality and care measures that Medicare Advantage plans will be graded on, a move that will funnel an extra $18.6 billion toward health insurers over the next decade.

The final regulation, released Thursday by President Trump’s Centers for Medicare and Medicaid Services, is significantly more beneficial for the insurance industry than originally expected. CMS previously estimated these changes to star ratings would cost $13.2 billion between 2028 and 2036 when the rule was proposed in November.

The extra funding from star ratings provides a sizable buffer for Medicare Advantage insurers, which are awaiting final payment rates for 2027 and experiencing higher medical claims. Insurers have lobbied Trump officials for more money in their baseline payments, and to scale back changes in how they record the sicknesses of their members. The government is supposed to release that regulation no later than April 6.

Continue to STAT+ to read the full story…

Health Beliefs and Perspectives of Parents Regarding Human Papillomavirus Vaccination in Kuwait: Qualitative Study

Background: After breast cancer, cervical cancer (CC) is one of the leading causes of female mortality. CC accounts for more than 7.5% of female cancer deaths worldwide. Human papillomavirus (HPV) is the most common sexually transmitted disease in women and the leading cause of CC in almost 99% of all CC cases. HPV vaccination could prevent up to 70% of HPV-related CC and 90% of genital warts. HPV vaccination is the bedrock of primary prevention and helps reduce the incidence and death rates of HPV-associated CC. Objective: The study aimed to understand the knowledge, health beliefs, and perspectives of Kuwaiti parents regarding HPV vaccination, with the goal of developing a health promotion policy and introducing a national immunization program in Kuwait. Methods: A total of 37 participants were evaluated using purposive sampling to select 20 (54%) participants for one-on-one semistructured interviews. We wanted to include both participants (male and female parents) with primary education (diploma or below) or secondary and higher education (bachelor’s degree and above). We had four categories (male parents/guardians with a diploma or below, male parents/guardians with a bachelor’s degree or above, female parents/guardians with a diploma or below, and female parents/guardians with a bachelor’s degree or above) with at least 5 participants in each category, which gave us 20 participants. Semistructured interviews were based on the Health Belief Model (HBM). The data were thematically analyzed using an inductive approach, generating themes through the theoretical framework of the HBM, and theme extraction analyses were managed on a semantic level. Results: We identified 7 main themes containing 20 subthemes. The seven themes were (1) knowledge and awareness about HPV infection and vaccination (3 subthemes); (2) perceived susceptibility, which is explained by the HPV infection effect based on sex (2 subthemes); (3) perceived barriers to HPV vaccination (8 subthemes); (4) perceived benefits (1 subtheme); (5) perceived severity (2 subthemes); (6) perceived efficacy (2 subthemes); and (7) cues to action (2 subthemes). Conclusions: The HBM framework is beneficial for Kuwait’s HPV vaccination campaign. The correlation between sexual intercourse and the HPV vaccine frequently adds complexity to the decision-making process about immunization. This study demonstrates that positive cues to action from health care practitioners and educational vaccination benefits can overcome perceived barriers among parents related to stigma and religion. It is essential to conduct more such research to guide the development of interventions aimed at promoting adoption of the HPV vaccine.
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