Children’s books inspire student dance performances

Under the direction of Footlight Dance Centre Artistic Director Hilarie Neely, select dancers of the company will take an annual scholastic enrichment tour, this year titled “Literacy/Creativity,” through the schools of the Wood River Valley from Jan. 23 through Feb. 4.According to a news release from the dance center, Neely has produced 32 original shows for the Blaine County schools in her 40 years of teaching in Hailey.The release stated that the new show tells stories through movement. The dancers will capture the essence of beloved children’s stories that many in the audience may recall from their own younger years, the release stated.

In breakthrough, scientists find pressure sensor in fat tissue

In a video uploaded to the internet in November, Ardem Patapoutian, who shared the medicine Nobel Prize in 2021, unbuttoned his cuff and pulled up his sleeve to reveal a tattoo near his elbow. As he flexed his arm, the tattoo came to life. The tattoo was of the PIEZO mechanosensitive channel – a class of proteins that helps us sense pressure – and the flexing demonstrated how the channel opened and closed in response to pressure.If you really love your protein of interest commit to a tattoo @ardemp.bsky.social[image or embed]— Leslie B Vosshall PhD (@leslievosshall.bsky.social) 22 November 2024 at 07:59Patapoutian, a molecular biologist and neuroscientist at the Scripps Research institute, California, and Betrand Coste, then a postdoctoral researcher in Patapoutian’s lab, discovered the PIEZO ion channels in 2010.Ion channels are proteins that have a pore in their structure. In response to certain stimuli, the protein’s structure changes and the pore widens. When this happens, ions can flow through, changing the voltage across a cell’s membrane. If the cell is a neuron, it can use the resulting electric signal to communicate with other neurons. This is how the human nervous system works.The stimuli that open an ion channel are called its gates. When researchers say voltage-gated ion channels, they mean a particular channel opens when the voltage across a cell membrane changes. Since the ion channels discovered by Patapoutian and Coste were gated by pressure, they called them mechanosensitive ion channels.They discovered two such channels and named them PIEZO1 and PIEZO2, both from the Greek word ‘piezi’ meaning ‘pressure’.Since their 2010 discovery, PIEZO channels have been implicated in our ability to sense touch and pain, to understand how our bodies are positioned in space (proprioception), to perceive our body’s internal state (interoception), and to respire, urinate, form blood vessels, regulate bone density, and heal skin wounds.Two new studies — which independent experts called “pivotal” and a “breakthrough” to this reporter — have now expanded the ambit of PIEZO channels’ functions.One, a preprint from the labs of Patapoutian and his colleague at Scripps Research, Li Ye, demonstrates the role PIEZO2 plays in sensing mechanical changes in fat tissue. The second study, published in the journal Science and led by Danijela Matic Vignjevic from the Curie Institute in Paris and Tae-Hee Kim from the University of Toronto, shows the importance of the two PIEZO channels in regulating the fate of stem cells in mouse intestines.The papers lend credence to the idea that biochemical cues don’t have a monopoly on regulating biological processes: many of them involve mechanical stimuli as well. The findings open “intriguing avenues for future research,” Namrata Gundiah, a professor of mechanical engineering at the Indian Institute of Science (IISc), Bengaluru, who studies how mechanical stimuli affect the movement of cells, said.‘What is it sensing in fat?’The fat, or adipose, tissues in our bodies need to communicate with the brain to adjust the body’s metabolism. Typically, scientists study how the brain communicates with adipose tissue through the sympathetic nervous system and how the adipose tissue replies through circulating chemical signals.But the new Patapoutian et al. study, which is awaiting peer-review, focused on a different link between the brain and adipose tissue: sensory afferents.Neurons are a type of cells that make up our nervous system. Each neuron has two main parts: a cell body and a tail-like extension called the axon. The spinal cord has some cell clusters called the dorsal root ganglia (DRG). The axons of the neurons in these clusters are called sensory afferents. They enter tissues and sense various stimuli.The researchers injected adipose tissues in mice with cholera toxin-B (CTB) that had been bound to molecules that could glow if hit with light. CTB is a part of the cholera toxin, a set of proteins produced by the bacterium Vibrio cholerae. These proteins bind to certain compounds on the membranes of neurons. By injecting CTB in mice adipose tissues, the team could identify these tissues using the glow molecules and isolate them.When the team looked for the most abundant ion channels in these neurons, they found an unexpected candidate: PIEZO2.PIEZO2 is known to be a specialised mechanosensitive ion channel: it is gated only by pressure, not other factors. It is thus safe to say these sensory afferents are sensing mechanical changes in adipose tissues.Gautam Menon, a professor of physics and biology at Ashoka University who studies how cells sense and respond to mechanical forces, called this “a major discovery”.One question, however, remains unanswered: what is the source of these mechanical changes? As Patapoutian remarked on the social media platform Bluesky, “What is it sensing in fat?”Preprint dropped! Excited about this study by Yu Wang, a PhD student from Li Ye’s lab and mine, now a postdoc in @deisseroth.bsky.social lab. It unveils an unexpected role for PIEZO2/mechanosensation in sensory neurons that innervate fat! What is it sensing in fat?www.biorxiv.org/content/10.1…[image or embed]— Ardem Patapoutian (@ardemp.bskyverified.social) 20 November 2024 at 08:10Scientists don’t have an answer yet — but the rest of the study shows a way. When the team used genetic techniques to reduce the levels of PIEZO2 proteins in sensory afferents, they found that parts of the adipose tissue innervated by these afferents had larger cells. These parts also more expressed genes involved in metabolic processes that help the body produce heat and convert carbohydrates, proteins, and alcohol into fat. These changes have been previously reported to result from the removal of DRG — where the sensory afferents are rooted — in mice.The researchers also showed that if the levels of PIEZO2 are artificially increased in mice whose DRGs have been removed, the changes of such removal can be reversed.Taken together, the experiments suggest that different metabolic processes in adipose tissue cause mechanical changes in the tissue. The sensory afferents sense these mechanical changes through PIEZO channels and communicate them to the brain.A gut feelingIn 1745, German physician Johann Nathanel Lieberkühn described in detail glands found between finger-like projections called villi in the small intestine. These glands house intestinal stem cells (ISCs) that have the ability to develop into other cell types required by the intestinal tract. The development process is tightly controlled and important to regenerate and maintain the gut lining.The cells of these glands are arranged in a particular pattern on a network of proteins and other molecules called the extracellular matrix. The matrix helps keep the gland tissue stiff, which is another way to say the glands are potentially capable of sensing and responding to mechanical stimuli. The ISCs also exert forces on other cells in the gland as they change into other cell types.To understand how these mechanical forces affect the ISCs, researchers in the labs of Vignjevic and Tae-Hee Kim generated 3D miniature guts, called organoids, on Petri dishes. These mini-guts replicate the structure and function of the intestines in animals, albeit in simpler fashion. The researchers then used chemicals to inhibit PIEZO channels in the mini-guts, reducing the size of the organoids, the number of glands in each organoid, and the number of ISCs.When they removed the PIEZO channels in the guts of living mice, the animals suffered from diarrhoea, showed blood in their stools, had lower body weight, and “died quickly”, Kim said. The team concluded that “PIEZO channels in intestinal epithelia are essential” to maintain “adequate intestinal architecture and homeostasis”.The ISCs in mice whose guts lacked PIEZO channels also lost their ability to reproduce more ISCs and transform into other cell types. Instead, they became cells that divided rapidly and depleted away.In subsequent experiments, the researchers modelled the mechanical forces on ISCs. In one approach, they modelled how the stiffness of the extracellular matrix changed; in the other, they studied the tension (the force exerted on an object when it is pulled) in the tissue. In the first approach, the scientists grew mini-guts — this time 2D — on artificial substrates whose stiffness they could control. Then they quantified the activation of PIEZO channels by measuring the amount of calcium in the cells of the organoids. When PIEZO channels open, they allow calcium ions to enter cells.In their paper, the team reported the PIEZO channels were “more prone to activation” on stiffer substrates. Using atomic force microscopy, they found the area of the gland where the ISCs lived was stiffer than elsewhere. The researchers concluded the PIEZO channels were important for ISCs to sense and respond to stiffness.In the second approach, the researchers engineered a “cell-stretching device” to stretch the mini-guts. At the same time they inhibited PIEZO activity using chemicals, and found that the number of ISCs dropped.Taken together, the researchers concluded that PIEZO channels help ISCs sense mechanical changes in their surroundings, which in turn regulates their behaviour.Kim said “stem cell activity is dysregulated in many gut diseases such as inflammatory bowel disease and cancer. Thus, a better understanding of the mechanistic roles of PIEZO channels would help identify novel therapies against them.”The physics of biologyFor Gautam Menon, the Science study “adds to the view that mechanical signals, as opposed to purely biochemical ones, play an important role in deciding stem cell fates.”Two decades ago, he said, the prevalent view was that the type of cells that stem cells turn into is determined only by biochemical signals in the form of small molecules. Since then, scientists have found more and more evidence that “the mechanical environment of cells and the forces that act on them” play an important role in deciding their fate, he added.As the view has changed, researchers have confronted newer — and according to Menon “harder” — questions. These include “measuring forces in a cellular context that is realistic, and figuring out how these forces produce signals that cells can interpret.”The two new studies imply the PIEZO mechanosensitive ion channels might be the answer to the latter: these channels sense mechanical forces and open in response, allowing calcium ions to flow into cells. These ions can then trigger a series of changes within the cells that determine their fate.Kim hopes the team’s study motivates other researchers to investigate the roles of PIEZO channels in stem cells of other tissues, especially when there is tissue disease. This “would be critical for the development of more effective and targeted therapies,” he said.Sayantan Datta is a science journalist and a faculty member at Krea University. Published – January 22, 2025 05:30 am IST
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World’s most beautiful island with ‘too many tourists’ abandons plan to ban new hotels

An island repeatedly named as the world’s best is to scrap a ban on new hotels.This is despite Bali in Indonesia having to grapple with overtourism, as stricter rules to manage the growth of tourism accommodations are set to be introduced instead.Bali’s Governor, Wayan Koster, told media: “There is no need for a moratorium. What’s needed is stricter control.”The island’s leader added that specific actions have not yet been decided, but hinted at a new Provincial Decree to regulate property ownership, including by foreign nationals, Skift reports.Mr Koster said: “Yes, I will continue to permit the building of villas and hotels. But the rules will be strict.”Bali draws visitors from across the globe due to its people, art and culture, nature, food and beautiful beaches.But concerns have been expressed about the negative effects of so many tourists, including environmental degradation.Development, for example, has changed areas like Cemagi, North Kuta, where rice fields have been replaced by buildings.In 2024, the island recorded 6.3million international tourists, surpassing a target of 5.5million.Many came from Australia, India, and China, according to the Bali Provincial Tourism Office. The island aims to draw in 6.5million overseas visitors in 2025.Bali was ranked at the top of the list of places to reconsider visiting in 2025 drafted by travel experts at Fodor’s.But there has been some debate over hotel occupancy rates.Deputy Governor Nyoman Giri has claimed that they remain low, with many accommodations struggling to attract guests even during peak months.On the other hand, Douglas Louden, senior asset manager at Global Asset Solutions, said: “We are not sure what data is being reviewed here, our research indicated year round occupancies were in excess of 70% and that the destination was performing quite well despite the opening of new inventory.”

The little city in Europe named world’s happiest place and it barely has any tourists

A beautiful European city is said to be one of the happiest places in the world – and is much less visited than the continent’s better-known travel hotspots.Aarhus, a city in Denmark on the Jutland peninsula’s east coast, is known for its beautiful waterfront with a plethora of museums and art offerings.It was named the happiest city in the world in the Happy City Index 2024, which considered factors such as mobility, green spaces, and education, and with its picturesque cityscape and charming cobbled streets, it’s easy to see why.Highlights include its picturesque Latin Quarter which features an abundance of boutiques selling handmade items, with a variety of bars, restaurants and beautiful houses.It also has a rich arts scene, including the ARoS Aarhus Kunstmuseum with five galleries, an entire floor dedicated to installation art and stunning rooftop views.Meanwhile, visitors rave over Den Gamle By in the city’s Botanical Gardens, an open-air museum that recreates historic Danish life.A TripAdvisor reviewer who visited in April last year gave the attraction a five-star rating, and said the “effort of the restoration and the gathering of the many objects, as well as the attention to detail, leave you speechless and, also with regard to our present day, very thought-provoking”.They added that visiting the site is, “Actually a must for our young people”.Aarhus Domkirke, a Romanesque-style cathedral that is the country’s tallest church, is also said to be well worth a visit.One tourist who visited in 2023 said the centuries-old structure is “beautiful both inside & out”.It’s also a short trip from the UK, with direct flights from London to Aarhus taking about two hours.Ryanair offers the only direct flights from London Stansted to Aarhus, with return fares starting at around £35. You can then get a direct bus from the airport to Aarhus city centre, which takes around 50 minutes.Visitors can also fly into Billund, the home of Lego, and take a bus from there, and the journey takes about one hour and 30 minutes.

How to read 1,000 books before kindergarten

ABOVE) Accomplished readers Millie and Natalie FreytagBy Paula Pyzik Scott
Does 1,000 Books Before Kindergarten sound like a staggering goal? Let’s say you begin when your child is one year old: that’s reading ⅔ of a book every day for four years. Okay, so what’s a book? An average board book is about 14 pages. An early reader book averages 32 pages (500-2,000 words) Still sound daunting?
Fortunately, the 1,000 Books Before Kindergarten nonprofit and hundreds of libraries across the United States are ready to give families and caregivers a helping hand, providing encouragement and resources. 

How fast is the brain? Scientists reveal how quickly the brain processes information

Ever wondered how fast your brain actually works? Well, scientists have just cracked the code. In an interesting new study, researchers discovered how quickly our brains process information. It turns out that the brain is actually like a supercharged computer that can zip through data and make decisions at a speed beyond our imagination. This groundbreaking discovery is not only mind-blowing but could also open the door to understanding brain disorders and improving cognitive function. From the way we react to things around us to how we make split-second decisions, this research is shedding light on the rapid-fire processes that power our thoughts. Study uncovers the surprising limitations of our brain’s information speedOur brains are constantly processing massive amounts of sensory data, with input from sights, sounds, and touch flooding in at all times. Despite this, the speed at which our brains respond is surprisingly slow when compared to the enormous amount of information our senses gather. A groundbreaking study by Jieyu Zheng and Markus Meister from the California Institute of Technology has found that the human brain processes information at roughly 10 bits per second, a fraction of the capacity of sensory cells like those in the retina, which can transmit hundreds of millions of bits per second.While this seems somewhat limiting, perhaps it results from the elaborate networks of the neurons in our brains, wired for sifting and condensing big volumes of raw data into palatable options. Whether typing or speaking, the performance remains usually around that of 10-bit per second-threshold suggesting an intrinsic quality about brain activity.Science behind the slow yet powerful human brainWhy do we have billions of neurons if our brain processes information at a relatively modest rate of 10 bits per second? A new theory suggests that while our senses handle in parallel massive amounts of data, actions such as speech or typing occur in strict sequence. Without this, the vast parallel processing capacities of the brain would be useless for many tasks. Researchers believe that earlier stages of information processing, like in the retina, filter out unnecessary data before sending key pieces to the brain. This creates an “inner” brain that processes slowly but flexibly, alongside an “outer” brain that handles the flood of raw input in parallel. Examples from high-stakes activities like esports and sports, including Tetris and StarCraft, show that while the brain may make quick, repetitive movements, only a few decisions truly matter aligning with the 10 bits/s processing rate.Also Read: Hubble telescope unveils stunning insights into Orion Nebula’s protostars

Special concert staged to promote Andalucía at Fitur international travel trade fair in Madrid

Wednesday, 22 January 2025, 12:10

Andalucía made a splash before the opening of the major Fitur 2025 international tourism fair in Madrid with a special concert of soundtracks from major film productions shot in the region. Ahead of the fair kicking off this Wednesday 22 January, the soundtracks to Indiana Jones and the Last Crusade and The Good, the Bad and the Ugly were played, with the musical journey pointing out the filming of the famous movies in the eight Andalusian provinces.
In front of 300 people, including some 100 people who have a stand at the Andalusian exhibition and another 100 professionals from the tourism sector from the United States, the United Kingdom, France, Italy, Germany, Chile, Peru, Brazil, Argentina and Singapore, the region presented itself in the prelude to Fitur. The aim of the concert was to invite visitors to surrender to Andalucía’s charms, as the slogan of its new communication campaign states: ‘Surrender to the Andalusian Crush’.

The concert, produced by Merlin, was not missed by Malaga actor Antonio Banderas who, in his speech, pointed out the importance of tourism as a generator of employment and wealth. He also pointed out the region’s cultural offer such as its museums and film festival, adding that the project he leads in Malaga has become a rising attraction, as well as helped to train young people in artistic production. Banderas pointed out that these are skilled jobs in which there is a great deficit.

Salvador Salas

At the Real Teatro del Retiro, attended by Junta president Juanma Moreno and regional tourism minister Arturo Bernal, the region was promoted “as an integral, unique tourist destination, full of emotions, passion, history and beauty”. Bernal pointed out why Andalucía is the top Spanish tourism destination and boasted how multiple tourism records were broken in 2024, despite a decline in domestic visitors, which the minister said was an adjustment period post Covid-19.

Moreno pointed out the region’s planned display at the 45th annual Fitur, which brings together representatives from 156 countries and 9,500 companies. “We are going to have the largest exhibition at the fair and with more space than ever, 7,200 metres. The aim is to boost business and that is why this year we will be accompanied by 240 businesspeople, compared to 60 in 2023,” Moreno said.

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The event, inspired by the ‘Andalusian Crush’ campaign, included a concert of soundtracks from major film productions shot in the region in a clear tribute to the composer Hans Zimmer, who created the music that accompanies the destination’s communication campaign.

Meetings and contacts

Andalucía’s central event in Madrid started at 6pm with some time prior to the concert where businesspeople could hold meetings and network. The event was attended by executives from companies such as Iberia, Ryanair and Vueling; Microsoft, Amazon and Alibaba; as well as agencies and operators such as Amadeus, Hotelbeds, Expedia and Avoris, along with small businesses from the tourism sector.

Salvador Salas

Antonio Banderas’ Soho theatre orchestra of Malaga featured at the concert, with a repertoire that included scores from classic films shot in the eight Andalusian provinces. The finishing touch came with a performance of the piece ‘The Surrender’, composed by Hans Zimmer in an ode to the region.
Before the concert, Moreno thanked Banderas for his work, whom he considered “the best ambassador of the destination” before pointing out that “he has done very important things for his land”.
Moreno also pointed out the leap in quality in tourism throughout the region, with sustainable growth, breaking seasonal tourism, generating more income and jobs than visitor arrivals and making campaigns such as ‘The Surrender Andalusian Crush’, which has reached 2,300 million people worldwide.
He said Andalucía wants to make a new proposal to host the Latin Grammys. “Andalucía is an incredible destination for its natural attractions, its land, for so much diversity and so much wonder that makes it easy to sell. Anyone who wants to come here knows that they will not only find heritage, but also Andalusians who will make them feel happy and at home,” Moreno added.
The concert was followed by a cocktail party with Andalusian tastings, where three typical dishes from each Andalusian province were served. Bernal said ‘The Surrender Andalusian Crush’ is presented as a high-impact campaign that not only reinforces the promotion of Andalucía as an integral tourist destination, but also puts the spotlight on small local companies.

The King and Queen at the inauguration

The King and Queen of Spain will open the fair this Wednesday and then tour some of the stands. Hall 5 features Andalucía’s offer in an intelligent display that highlights the essence of each regional destination. It will have a similar setup to 2024 which saw it win the award for the best regional exhibition.
A total of 20 destinations will have their own space, including the eight provinces, various cities and municipalities, as well as the world heritage locations. In a bid to promote business for the region’s companies, the exhibition has a larger space for professional meetings, which will cover a total of 750 square metres.
The Costa del Sol will have a significant presence following an investment of 600,000 euros. Similar to last year, it will present its offer in the Andalusian exhibition accompanied by more representatives than ever, with 200. Some 600 professionals and some 60 local councils will be at Fitur, where they plan to make around 60 presentations with the new campaign ‘Dame tu mano’ (Give me your hand).
They will also promote the destination throughout Madrid such as in Atocha, Nuevos Ministerios and Gran Via. Turismo Costa del Sol president Francisco Salado and Malaga mayor Francisco de la Torre will not be present on the first day as they will be attending the reception of the Pope in Rome. Malaga city will have its own stand in the Andalusian exhibition between pavilion five and seven.

The new science of menopause: these emerging therapies could change women’s health

In late 2022, Naomi Busch, a lone physician in her book group, began fielding question after question about menopause. Members of the group had started to experience the hallmark symptoms — hot flushes, poor sleep and mood swings — and wondered what they could do about them. “They all looked at me,” says Busch, “and I was like, ‘I don’t know anything about menopause.’” She searched for knowledgeable physicians in and around Seattle, where she lives, but the few specialists were booked out for several months. Meanwhile, the women in the book group were not getting the answers that they needed from their gynaecologists or primary-care physicians. “I’m not going down quietly,” Busch remembers one woman vowing.Busch, who trained in and practised primary-care medicine, wasn’t surprised by the lack of information. “It’s not something we learn about in medical school,” she says. So Busch decided to find out everything she could about menopause. Ultimately, she passed a competency exam to become a certified practitioner through The Menopause Society, a non-profit organization based in Pepper Pike, Ohio, that provides tools and resources to health-care professionals. She’s not alone in her interest. More than 1,300 providers became certified in 2024; and more than five times as many people applied for the exam in 2024 as in 2022. The International Menopause Society, a UK-based charity, also offers a free online training programme for health-care professionals. More than 2,600 people completed the course in 2024, up from under 2,000 in 2023.Menopause research is globally underfunded. It’s time to change thatMany health-care professionals — along with society in general — regularly tell women, and transgender, non-binary and intersex people who go through menopause, to accept the misery of the transition, and the health troubles that can follow. Menopause comes with increased risks of health conditions such as cardiovascular disease, diabetes, osteoporosis and memory loss.Yet, few medical options are typically presented to people going through menopause. Sometimes, oral contraceptives are prescribed to ease symptoms and prevent unwanted pregnancies, which are still possible during the transition. But common doses and formulations can include risks, such as developing blood clots, and don’t always provide sufficient treatment, says Busch. Non-hormonal drugs, such as fezolinetant and elinzanetant, treat hot flushes — but they also have side effects. Other options include antidepressants, cognitive behavioural therapy, acupuncture and lifestyle changes, which usually go only so far in alleviating symptoms. Hormone replacement therapy, which was a routine treatment until 2002, is widely passed over, owing to a misinterpreted study1 that prompted fear of its use.The outlook for managing menopause is now starting to change, say researchers and clinicians. Treatments — both old and emerging — are offering hope. Some researchers, for example, are revisiting hormone therapy and the optimal time for treatment to start. Others are exploring the benefits of stalling the onset of menopauseAfter decades of neglect, research funding for menopause, as well as public awareness, are now on the rise. This is a notable step in what advocates hope could be a revolution in women’s health. In May 2024, the US National Institutes of Health held a round table on future directions in menopause research, and through a White House Initiative that year, the administration of then-president Joe Biden awarded US$113 million to women’s health research. Meanwhile, a groundswell of vocal advocates around the world continue to push for awareness of how menopause affects health. Actor Halle Berry has joined US senators in championing a bill that would boost menopause research; a UK-based group of women called Menopause Mandate has organized walks to raise awareness; and Menopause Solutions Africa offers workplace training programmes.It’s hard to imagine a therapeutic space that would have as much potential payoff, specialists say. Menopause affects half the population, and it interrupts a time when people are in their prime professionally.Replenishing hormones“There is renewed interest in menopause right now, and we need to take advantage,” says Stephanie Faubion, the director of Mayo Clinic’s Center for Women’s Health in Jacksonville, Florida, and medical director of The Menopause Society.For decades, what researchers are now pushing to call ‘menopausal hormone therapy’ was the gold standard of care for alleviating common symptoms of the menopause transition. Menopause occurs when the ovaries’ last eggs are depleted. Practically, it’s defined as having had no period for 12 months in a row. Although menopause can be induced by surgery or medical treatment, for most people, it happens naturally during midlife — typically between ages 45 and 55. It’s preceded by perimenopause, a period of about four to eight years when the ovaries slow their production of certain reproductive hormones. This can result in erratic fluctuations in hormone levels, launching a rollercoaster of symptoms that can continue into the postmenopausal years. Hormone therapy replenishes some of those depleted hormones, particularly oestrogen and progesterone, and so smooths out that ride. What’s more, it can stave off osteoporosis and might provide other long-term health benefits.Women’s health research lacks funding — these charts show howBut the popularity of hormone therapy plummeted in 2002 with the publication of an initial report1 from a long-term US study called the Women’s Health Initiative (WHI). Early analyses found that people who had been through menopause and who were taking oestrogen and progestin (a synthetic form of progesterone) had slightly increased risks of breast cancer, heart attack and stroke. In its wake, the number of prescriptions for postmenopausal hormone therapy dropped abruptly worldwide. In the United States, estimated rates fell from as high as 40% down to below 5%. Susan Davis, director of the Women’s Health Research Program at Monash University in Melbourne, Australia, says global rates similarly slumped.Subsequent work highlighted the substantial limitations and misinterpretation of the findings; data from subsets of participants in the WHI and other trials even revealed contradictory findings, including lowered risk of heart disease and death associated with hormone therapy, and decreased rates of breast cancer for those taking oestrogen-only therapy. Scientists have been trying to set the record straight since.Finally, in May 2024, a review2 gained traction in medical circles and the popular media. The authors, many of whom worked on the original 2002 paper, re-emphasized that the hormone formulation, dosage and route of delivery in the WHI trials differed from what is typically used today. For example, the therapy was taken only orally in the trials. Today, the use of transdermal patches can reduce concerns about the blood clots that can be associated with oral delivery. A recent shift to hormones that are identical to the ones the body makes and the prescription of lower doses of hormones might further reduce risks, the authors note. Researchers point to another important issue: most of the people enrolled in the WHI trials were at least a decade into their postmenopausal years. At that point, research suggests, the sudden renewed presence of oestrogen might cause health problems. In other words, the timing of hormone-therapy initiation might matter.Actor Halle Berry advocates for US legislation that would increase menopause research.Credit: Tom Williams/CQ-Roll Call, Inc/GettyAnd beyond managing menopause symptoms, there are long-term benefits that could outweigh any risks. Data since the late 1980s solidly back the use of menopausal hormone therapy to prevent osteoporosis in all age groups. “The big thing that was missed in this whole WHI story was the benefit of oestrogen for fracture,” says Davis. She has been investigating whether supplemental testosterone could also protect bones after menopause.For heart disease, the equation gets more complicated. If the therapy is started early, evidence suggests that it might prevent vascular disease. But, in people with vascular disease, researchers say, the therapy might worsen the condition. There are also emerging hints that well-timed therapy can benefit brain health.At present, the exact benefits and risks of the therapy remain unclear, says Davis. “Depending on how you slice and dice and cherry pick the data, I could give you any story you want to hear.” Her concern is that researchers continue to trawl big data sets without understanding the nuances and limitations of the data.Prolonging ovarian lifeGuidance for menopause management around the world remains controversial, inconsistent and changes rapidly, specialists say. Still, there is growing consensus that clinicians should “very seriously consider” hormone therapy for women within ten years of reaching menopause, or before age 60, if they have no contraindications, says JoAnn Manson, a women’s health researcher at Harvard Medical School in Boston, Massachusetts. Although more research is needed, she says that early-initiated hormone therapy might be safe and beneficial to take long term. A study3 co-authored by Davis even suggests that the benefits of initiating hormone therapy later in menopause might still outweigh the risks.How menopause reshapes the brainWearable sensors, as well as implantable bioelectronic devices, could help to identify the optimal window for starting hormone therapy by tracking hormone levels in real time. Some physicians caution against using the therapy during perimenopause because of the potential for high combined hormone levels during erratic natural fluctuations. One day, these devices might even dispense hormones on an as-needed basis.Still, some specialists point out, replacing hormones might not be enough. The ovaries are responsible for more than making oestrogen, progesterone and eggs. The small organs send chemical signals throughout the body, driving “hundreds of other factors with health benefits”, says Zev Williams, a reproductive endocrinologist at Columbia University in New York.When the ovaries fail, says Renee Wegrzyn, director of the Advanced Research Projects Agency for Health (ARPA-H), a government agency tasked with steering the White House Initiative on women’s health, “there are a lot of chronic health conditions associated with that”. So some scientists have a different idea — keep the ovaries working indefinitely.

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