Organ-on-Chip Method Designed to Zero In on Connection Between Diabetes and Dementia

A University of Bath-led research effort received £500,000 to develop an organ-on-chip device that replicates connections between the brain, gut, and pancreas. The GlucoBrain project is designed to allow researchers to track how signals move between the organs and uncover why diabetes may lead to changes in memory and cognition.

Collaborators include investigators from the University of Oxford and Johns Hopkins. Their findings could pave the way for new treatments to improve the lives of millions of people affected by diabetes, dementia, or both, notes the team.

Diabetes and Alzheimer’s disease are two of the world’s most pressing health problems, especially in aging societies. While diabetes is widely known to affect the heart, kidneys, and eyes, growing evidence suggests it is also linked with problems in memory, learning, and brain function. However, the biological mechanisms behind this link remain poorly understood.

“Our gut, pancreas, and brain are constantly communicating via a network of signals, helping us regulate hunger and blood sugar,”  says Despina Moschou, PhD, project lead. “But we still don’t fully understand how these signals interact at a cellular level and why glucose levels are linked to cognitive decline. “By creating a connected system on a chip, we can study in real time how signals travel between organs, how diabetes may impair brain function, and how new drugs could help.”

Most current knowledge on the link between diabetes and dementia comes from animal studies, simple cell cultures, and patient studies. While these are useful, they don’t fully and accurately capture all the complex interactions between our organs, hormones, and cells, points out Moschou.

Organ-on-chip technology uses living human cells in miniature devices that mimic how organs work in the body. Unlike cell cultures grown in a petri dish, these devices allow cells to grow in three dimensions, receive a controlled supply of nutrients and interact more naturally. Researchers will also be able to isolate these individual organs and cell types to understand exactly how they communicate at a molecular level.

The three-year project starts in October, bringing together engineers, clinicians, biologists and computer scientists to model the complex disease interactions. The team will first develop individual chip models for the gut, pancreas, and brain, before connecting them into a multi-organ system. They will gradually increase complexity and measure how each organ responds to glucose, hormones and different drug treatments.

Researchers from the University of Oxford will provide core clinical expertise in diabetes and metabolic disease, ensuring models are physiologically accurate. The team from Johns Hopkins University brings specialist expertise in Alzheimer’s disease and brain organoids.

GlucoBrain is a pilot project established to help researchers understand exactly how diseases like diabetes and dementia work at a deeper, biological level. This early-stage research will build the foundations for even more advanced and realistic models, bringing together more organs and cell types, explain team members. By harnessing the power of artificial intelligence, the devices have the potential to reveal new insights into how diseases emerge and develop.

“Not only would these devices give us an unprecedented way to study diseases, but they could help speed up drug discovery and testing, reducing reliance on animal models and making results more relevant to humans,” continues Moschou. “In the long term, they could pave the way for personalized medicine, using a patient’s own cells to identify the most effective treatment.”

The project is funded by the Engineering and Physical Sciences Research Council (EPSRC) Health Technologies Connectivity Awards.

 

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Microbiome Therapy Could Help Drug-Resistant Melanoma Patients

Microbiotica, a microbiome-focused biotech based in Cambridge in the U.K., has achieved good Phase Ib results in a trial of its microbiome therapy for patients with advanced melanoma skin cancer.

The therapy, currently known as MB097, is designed to be given to patients who have not previously responded to immunotherapy in addition to a checkpoint inhibitor pembrolizumab. MB097 was developed to reverse the drug resistance seen in these patients and is based on research looking into the gut microbiome of melanoma patients who do respond to this kind of immunotherapy.

The primary endpoint of the trial, which included 41 patients from the U.K., France, Italy, and Spain, who had previously shown resistance to anti-PD-1 drugs, was safety and tolerability of MB097. Several secondary endpoints including response rate, duration of response, and overall survival were also included. The therapy, which contains nine beneficial strains of gut bacteria, met both its primary and secondary endpoints in the study, according to the company, although precise details will be released at a scientific conference later this year.

“There is increasing evidence that the microbiome plays a crucial role in patients’ response to immune checkpoint inhibitors. Clinical benefit has been reported with fecal microbiota transplantations, while MB097 capsules taken orally each day affords an easy and reproducible way of modifying the microbiome,” said the national coordinating investigator for the study, Pippa Corrie, MD, PhD, a clinician and researcher from Cambridge University Hospitals NHS Foundation Trust, in a press statement.

“The MELODY-1 study results show that MB097 is well tolerated, with encouraging early signs of efficacy in a very difficult to treat metastatic melanoma patient population with primary resistance to anti-PD-1 based immunotherapy, in whom there is a significant unmet need.”

Up to half of all advanced melanoma patients fail to respond to anti-PD-1 immunotherapy, leaving them with very few options. A growing body of research, including a 2021 study showing fecal transplant can overcome resistance to anti-PD-1 immunotherapy, shows that the gut microbiome plays an important role in whether a patient’s immune system mounts an effective anti-tumor response when given these therapies.

The make-up of MB097 is based on detailed research looking at strains of bacteria linked to effective response to immunotherapy. Preclinical work showed that the bacteria in the therapy directly activate cytotoxic T cells and counter immunosuppressive tumor macrophages. If larger controlled trials confirm these initial results MB097 could become a standard add-on to immunotherapy.

Microbiotica has another clinical program in ulcerative colitis, which also reported good results earlier this year in another Phase Ib trial. In total, 63% of those in the treatment group achieved clinical disease remission versus 30% in the placebo group and all were also taking standard therapy for the autoimmune disease.

The company now plans to move both its programs to larger controlled studies with a view to moving closer to market approval with both therapies.

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The Download: Musk v. Altman week 3, and Trump’s tech trading

This is today’s edition of The Download, our weekday newsletter that provides a daily dose of what’s going on in the world of technology.

Musk v. Altman week 3: Musk and Altman traded blows over each other’s credibility. Now the jury will pick a side.

In the final week of the Musk v. Altman trial, lawyers attacked the credibility of the two tech leaders. Sam Altman was accused of lying and self-dealing, while Elon Musk was portrayed as a power-seeker trying to control artificial general intelligence.

The case unearthed new details about the two arch-rivals and OpenAI’s contested nonprofit status, as well as a golden trophy of a donkey’s ass awarded to an employee who challenged Musk.

Read the full story on the explosive final week of the trial.

—Michelle Kim

Michelle Kim, who’s also a lawyer, has been in court throughout the Musk v. Altman trial. Read her coverage of week 1 and week 2, plus a Q&A on what it was like in the room

The must-reads

I’ve combed the internet to find you today’s most fun/important/scary/fascinating stories about technology.

1 Trump traded hundreds of millions in tech stocks before favorable policy moves
He bought shares in Nvidia, AMD, and Arm ahead of policy boosts. (Quartz)
+ And touted Palantir on Truth Social after buying its stock. (CNBC)
+ His crypto venture and Iran’s top exchange tapped the same networks. (Reuters $)

2 SpaceX plans to list on the Nasdaq stock exchange as soon as June 12
It wants to raise up to $75 billion at a $1.75 trillion valuation. (Reuters $)
+ BlackRock may invest up to $10 billion in the offering. (The Information $)
+ Cerebras’ blockbuster IPO has boosted hopes for the listing. (CNBC)
+ Which is set to dwarf many of the biggest IPOs on ⁠record. (Reuters)

3 Chinese AI groups have pulled ahead of US rivals in video generation
ByteDance and Kuaishou’s models lead in realism and scale. (FT $)
+ AI is fueling China’s short-drama boom. (MIT Technology Review)
+ While its AI labs are betting big on open source. (MIT Technology Review)

4 Iran says it will charge Big Tech for using undersea internet cables
The cables beneath the Strait of Hormuz carry vast digital traffic. (CNN)
+ Tech bosses met at Uber HQ on Saturday to discuss Iran’s future. (404 Media)

5 Samsung has a “last chance” to stop a massive strike over AI
Over 45,000 employees could walk out for 18 days this week. (CNBC
+ They want a bigger share of the AI boom. (FT $)
+ Samsung and its largest labor union will resume talks on Tuesday. (Reuters $)

6 Old oil and gas wells could become a new source of clean energy
US states plan to convert them into geothermal energy assets. (Wired $)
+ A balcony solar boom is coming to the US. (MIT Technology Review)

7 The ChatGPT era has triggered a 30% surge in grades at a top university
Grades inflated in text-heavy courses but remained flat in others. (Axios)
+ Princeton has changed its honor code because of AI cheating. (WSJ $)
+ And real cheating rates may be far higher. (The Times $)

8 Ex-Google CEO Eric Schmidt was fiercely booed during an AI speech
His graduation speech praising AI agents sparked uproar. (The Verge)
+ A populist backlash is building against AI. (MIT Technology Review)

9 Arm faces a US antitrust probe over its chip tech licenses
Regulators are investigating whether it has an illegal monopoly. (Bloomberg $)
+ Qualcomm has accused Arm of anticompetitive conduct. (Reuters $)

10 ArXiv will ban researchers who submit AI slop
Offending authors face year-long bans from the pre-print server. (TechCrunch)

Quote of the day

“When someone offers you a seat on the rocket ship, you do not ask which seat. You just get on.” 

—Ex-Google CEO Eric Schmidt extolls the virtues of AI agents in a graduation speech at the University of Arizona, prompting a chorus of boos.

One More Thing

a gloved hand holding up a microfluidic chip

WYSS INSTITUTE AT HARVARD UNIVERSITY


Is this the end of animal testing?

In a clean room in his lab, Sean Moore peers through a microscope at a bit of human intestinal tissue growing on a plastic chip. It’s one of 24 so-called “organs-on-chips” his team bought three years ago. The technology is designed to mimic human biology—and could reduce the need for animal testing.

The appeal is not only ethical. Around 95% of drugs developed through animal research ultimately fail in people, and early studies suggest organ-on-a-chip systems may offer more accurate insights into how diseases behave and how drugs work. But the field still faces major technical and cost challenges before it can replace animal research.

Find out how organ-on-chip technology could reshape drug testing.

—Harriet Brown

We can still have nice things

A place for comfort, fun, and distraction to brighten up your day. (Got any ideas? Drop me a line.)

+ Listen to the captivating first recordings of whale songs from 1949.
+ Meet the feline guardians of New York’s corner stores in this photo collection.
+ A newly discovered floor plan allowed historians to pinpoint the location of Shakespeare’s only property in London.
+ A music fan spent decades secretly recording 10,000 local shows. Now the entire collection is available online.

STAT+: U.K. advocacy groups threaten court action over a key provision in the pharma trade deal with the U.S.

Two advocacy groups are demanding the United Kingdom revoke regulations at the heart of a new trade agreement with the U.S. over concerns the deal will allow outsiders to influence official decisions about the cost-effectiveness of medicines. And if the government does not comply, the groups are readying legal action.

Under the trade agreement that covers pharmaceuticals, which was finalized last month, the Trump administration committed to impose zero tariffs on medicines exported from the U.K. for at least three years. The deal is significant because it would make the U.K. the only country with tariff-free access for medicines to the U.S. market.

In return, the U.K. government took steps to appease the pharmaceutical industry, which is a key part of its economy, by pledging to increase spending on medicines from 0.3% of GDP to 0.35% by 2028 and then to 0.6% by 2035. At the same time, the U.K.’s National Health Service will increase the prices paid for by medicines by 25% and slash the maximum rebate it can claw back from drugmakers to 15%.

Continue to STAT+ to read the full story…

ASGCT 2026: Rare Instance of AAV Integration into Human Genome Linked to Brain Tumor

Rebecca Ahrens-Niklas
Rebecca Ahrens-Niklas, MD, PhD

BOSTON — A team at Children’s Hospital of Philadelphia (CHOP) led by Rebecca Ahrens-Niklas, MD, PhD, and Lindsey George, MD, has described a case of a brain tumor linked to a rare integration of adeno-associated virus (AAV).

George presented the work at the American Society of Gene and Cell Therapy (ASGCT) conference in a plenary talk selected as the “presidential abstract” by ASGCT president, Terry Flotte, MD. The study, “Neuroepithelial tumor with AAV integration after intracisternal magna vector delivery,” was published in the New England Journal of Medicine.

Lindsey George
Lindsey George, MD

Over the past 25 years, some 6,000 patients have been treated with some form of AAV gene therapy. In all that time, George said, there have been no established long-term safety concerns, although genome integration events have been reported in mouse and dog studies. But the case documented by George and colleagues at CHOP suggests that the gene therapy field may need to pay more attention to this potential occurrence.

 

The story began with a 5-year-old boy with an inherited lysosomal disorder, severe MPS1 deficiency (Hurler subtype). The patient received enzyme replacement therapy at six weeks of age, followed by a cord blood stem cell transplant at age four months.

Investigators chose to perform gene therapy when the patient was 13 months old to deliver the iduronidase (IDUA) gene. The vector chosen was an AAV9 serotype, using a cytomegalovirus enhancer and a chicken beta-actin promoter driving the gene. The virus was administered into the boy’s cisterna magna in the base of the skull.

When the boy was five years old, a routine neurological scan revealed a large intraventricular mass that had not been observed two years earlier. Analysis of the tumor revealed it was a PLAG1-driven neuroepithelial tumor—indeed, PLAG1 expression was almost 300 times higher than in other central nervous system tumors studied at CHOP. (PLAG1 is usually only expressed during embryogenesis.)

Surgery to remove the tumor was successful. Eight months after surgery, there are no signs of tumor growth. The boy is also showing advanced neurocognitive function.

 

Tumor typing

George described RNA sequencing of the tumor, which revealed the fusion of a fragment of the AAV9 vector cassette to exon 5 of the PLAG1 gene on chromosome 8. The resulting transcript is predicted to encode a PLAG1 derivative containing five zinc-finger DNA-binding domains and a C-terminal transcriptional activation domain, which was previously reported to function as a transcriptional activator.

Adeno-associated virus
Credit: Dr_Microbe / iStock / Getty Images Plus

Curiously, the chimeric junction also included a segment of human chromosome 10, which George suspects originated during the vector manufacturing process. The integration event was present in about 40% of the total reads, suggesting integration into one of the two PLAG1 alleles.

George concluded her talk by noting that while the clinical outcome in this patient is so far encouraging, this is evidence that AAV integration can be associated with oncogenesis. The study underscores the need to monitor the most heavily transduced tissues after AAV gene therapy.

While the gene therapy community should be cautious in extrapolating this single case report across all AAV gene therapy programs, George said the study supports the use of the lowest feasible vector dose as well as tissue-specific promoters.

A) Timeline of the patient’s medical history; B) Diagram of AAV gene therapy cassette. [The New England Journal of Medicine ©2026]

George noted that detection of the integrated AAV vector DNA was challenging, in part because of rearrangements of vector DNA. The use of several complementary techniques—long-read DNA sequencing, targeted PCR amplification, and RNA sequencing—was required to confirm the integration.

George and coworkers closed their paper, noting that, “Our findings support the hypothesis that rare AAV integration can contribute to human oncogenesis, which emphasizes the need to optimize gene delivery methods and monitor transduced tissues after treatment.”

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Validation of a criterion-based screening and triage pathway for adult ADHD: a prospective observational study of safety and operational efficiency

BackgroundThe increasing demand for adult attention-deficit hyperactivity disorder (ADHD) assessments has required the development of efficient triage pathways. This study provides a formal assessment of a criterion-based screening model designed to prioritise patient safety and operational efficiency within a National Health Service (NHS) specialist secondary care setting.MethodsA prospective observational validation design was employed, involving 49 consecutive adults referred for ADHD assessment none of whom had a previous ADHD diagnosis. The Comprehensive ADHD Screening Questionnaire (CASQ), a clinician-administered instrument based on DSM-5 criteria, was utilised by four trained Physician Assistants. To ensure an assessment of triage safety, a universal assessment model was adopted: all participants received a blinded, gold-standard diagnostic assessment (NICE-compliant) regardless of the initial triage recommendation thereby eliminating verification bias. The primary outcome measure was the Number Needed to Harm (NNH), defined as the number of people screened before a single false-negative result occurs.ResultsOf the 48 participants who completed the diagnostic process, six (12.5%) received an ADHD diagnosis. The triage pathway correctly identified all six cases, resulting in a sensitivity of 100.0% (95% CI: 61.0%–100.0%) and an infinite NNH. Specificity was 45.2% (95% CI: 31.2%–59.9%), with a positive predictive value of 20.7%. The pathway permitted 39.6% (n = 19) of referrals to be triaged to alternative pathways rather than full ADHD assessment, potentially saving significant specialist clinician time. Exploratory analyses indicated that score magnitude did not reliably distinguish between true and false positives within the group triaged as appropriate for further assessment.ConclusionsThese preliminary findings suggest that criterion-based screening conducted by appropriately trained non-specialist clinicians can achieve high levels of safety whilst improving service efficiency. The findings support the feasibility of task-shifting models in adult ADHD services, provided that triage thresholds are calibrated to prioritise sensitivity. These results require replication in adequately powered multi-site studies before firm conclusions regarding pathway safety can be drawn. Further research is required to establish inter-rater reliability and cost-effectiveness across diverse clinical settings.

Adoption of Digital Mental Health Interventions in National Health Service England, Scotland, and Wales: Freedom of Information Questionnaire Study

<strong>Background:</strong> Digital mental health interventions (DMHIs) have been widely promoted to improve access to mental health care within the UK National Health Service (NHS), particularly following the COVID-19 pandemic. In 2015, a total of 48 technologies were reportedly used in NHS services in England, but over the past decade, substantial changes to regulatory requirements, evidence standards, and procurement processes have reshaped the digital mental health landscape. There is limited clarity regarding which DMHIs are currently being formally procured and funded by NHS mental health services across the United Kingdom. <strong>Objective:</strong> This study aimed to identify and describe the DMHIs currently procured, contracted, or paid for by NHS mental health service providers in England, Scotland, and Wales for adult common mental health problems and to compare current procurement practices with findings reported in 2015. <strong>Methods:</strong> Freedom of Information requests were submitted to all NHS mental health trusts in England and all health boards in Scotland and Wales. Responses were collated and screened to provide an updated and extended record of which technologies are reportedly procured or paid for by services. <strong>Results:</strong> In total, 19 different DMHIs were identified as being procured across mental health service providers for adult common mental health problems at the time of data collection. This demonstrates a substantial reduction in the number of technologies being adopted into practice compared to the 48 reported in England in 2015. The findings reveal several key insights, including that only 2 technologies have remained in use for a decade, and they shed light on the types of technologies being selected and the variations in procurement practices among the 3 national health services. <strong>Conclusions:</strong> Despite the expansion of the digital mental health marketplace, the number of DMHIs formally procured by NHS mental health services has markedly decreased over the past decade. This consolidation may reflect increased selectivity and the adoption of higher-quality products, driven by strengthened regulatory oversight, evidence standards, and national guidance. Although these developments may enhance safety and quality assurance, they also raise important questions about innovation, market sustainability, and equitable access to digital mental health care. Ongoing monitoring of procurement practices is needed to inform policy, service design, and the future development of DMHIs.

A Retina’s Biological Age Can Predict Osteoporosis Risk

Researchers have found that a retina that is aging faster than usual can indicate a lower bone density and an increased risk of fractures due to osteoporosis. Published today in PLOS Digital Health, these findings set the basis for a novel diagnostic method for a condition that remains underdiagnosed due to a lack of accessible screening tools. 

“Osteoporosis is a common condition that weakens bones and raises the risk of fractures, especially in older adults,” write the study authors, who were led by Ching-Yu Cheng, MD, PhD, professor at the Duke-NUS Medical School and director of the Singapore Epidemiology of Eye Diseases (SEED) program. “However, many individuals are not diagnosed until after a fracture occurs, in part because the standard diagnostic test, dual-energy X-ray absorptiometry (DEXA), is not always readily accessible.”

A DEXA scan uses very low levels of X-ray radiation to measure a patient’s bone density—a major indicator of osteoporosis and fracture risk. However, it is a costly procedure requiring specialized equipment, and therefore typically only recommended for high-risk individuals with suspected fractures on X-rays or patients on long-term steroid therapy. This limits early detection in the broader population, with many people being diagnosed with osteoporosis only after experiencing a fracture. 

Worldwide, nearly 20% of the population is affected by osteoporosis. If left untreated, this condition increases the risk of major fractures, which can be life-threatening and represent a large economic burden for healthcare providers. This drives an urgent need for accessible and non-invasive screening methods that can replace traditional DEXA scans.

Cheng’s team investigated whether images from a patient’s retina could help identify those at a higher risk of developing osteoporosis. This idea stemmed from previous research indicating that the retina can reflect the body’s overall biological aging. 

The researchers developed a deep learning algorithm, known as RetiAGE, which calculates the probability of a person being older than 65 years based on images from their retina. They then investigated whether there was an association between RetiAGE results and bone mineral density (BMD) scores, as well as osteoporotic and hip fracture risk scores calculated using the fracture assessment tool (FRAX). 

Retinal images and DEXA measurements were obtained from 1,965 participants in the PopulatION HEalth and Eye Disease PRofilE in Elderly Singaporeans (PIONEER) study. In this patient population, older RetiAGE scores were linked to lower BMD scores and an increased risk of major osteoporotic and hip fractures. 

The ability of RetiAGE to predict the onset of osteoporosis was then evaluated in another 43,938 participants from a prospective UK Biobank cohort with retinal photographs and no osteoporosis at the time of taking these images. Higher RetiAGE scores, indicating accelerated retinal biological aging, were able to predict future osteoporosis onset even when adjusting for common osteoporosis risk factors as well as female-specific risks such as menopause and hormone replacement therapy. 

“These findings suggest that retinal biological aging may reflect broader aging processes related to skeletal health,” state the researchers. “Retinal imaging may therefore provide a simple, non-invasive, and accessible way to support opportunistic screening for osteoporosis risk.”

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