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CT scan can reveal immune system ageing, research finds

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The thymus, a small and relatively unknown organ, may play a bigger role in the immune system of adults than was previously believed, according to a recent study.

Researchers from Linkoping University in Sweden have found that with age, the glandular tissue in the thymus is replaced by fat and the level of its degeneration reflects the ageing of the immune system.

The rate at which this happens is linked to sex, age and lifestyle factors, the study found.

“We doctors can assess the appearance of the thymus from largely all chest CT scans, but we tend to not see this as very important,” said researcher Mårten Sandstedt of the Faculty of Medicine and Health Sciences.

“But now it turns out that the appearance of the thymus can actually provide a lot of valuable information that we could benefit from and learn more about.”

Fatty degeneration

The thymus is a gland located in the upper part of the chest. It has been long known that this small organ is important for immune defence development in children.

After puberty, the thymus decreases in size and is eventually replaced by fat, in a process known as fatty degeneration.

This has been taken to mean that it loses its function, which is why the thymus has for a long time been considered as being not important in adult life.

This view has however been challenged in some minor research studies that indicate that having an active thymus as an adult may be an advantage and could provide increased resilience against infectious disease and cancer.

Only very few studies so far have examined the thymus in adults.

In the latest study, published in Immunity & Ageing, the researchers examined the thymus’ appearance in chest CT scans of more than 1,000 Swedish individuals aged 50 to 64.

They were participating in the large SCAPIS study, which includes both extensive imaging and comprehensive health assessments including lifestyle factors, such as dietary habits and physical activity.

In their sub-study of SCAPIS, the researchers also analysed immune cells in the blood.

“We saw a huge variation in thymus appearance,” Sandstedt said.

“Six out of ten participants had complete fatty degeneration of thymus, which was much more common in men than in women, and in people with abdominal obesity.

“Lifestyle also mattered. Low intake of fibres in particular was associated with fatty degeneration of thymus.”

Immune system

The Linköping researchers’ study provides new knowledge by associating thymus appearance with lifestyle and health factors, and the immune system.

In the development of the immune system, the thymus acts like a school for a type of immune cells known as T-cells.

This is where the T-cells learn to recognise bacteria, viruses and other things that are alien to the body.

They also learn to be tolerant and not attack anything that is part of the person’s own body, which could otherwise lead to various autoimmune diseases.

Researchers saw that individuals with fatty degeneration of the thymus showed lower T-cell regeneration.

“This association with T-cell regeneration is interesting. It indicates that what we see in CT scans is not only an image, it actually also reflects the functionality of the thymus,” said researcher Lena Jonasson.

“You can’t do anything about your age and your sex, but lifestyle-related factors can be influenced. It might be possible to influence immune system ageing.”

But more research is needed before it will be possible to know whether thymus appearance, and thereby immune defence ageing, will have any implications for general health.

The researchers are now moving on to follow-up studies of the thymus of all 5,000 participants in SCAPIS Linköping to see whether CT scan thymus images can provide information on future risk of disease.

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Brain health collaboratory launches in Gulf South

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A new brain health collaboratory from Cognito and Ochsner aims to test new ways of treating cognitive decline and Alzheimer’s disease.

The Brain Health Collaboratory is described as the Gulf South’s first statewide platform for non-invasive brain health innovation.

It will combine Cognito’s investigational Spectris technology with Ochsner’s clinical network to explore care models across urban and rural communities in the region.

Dr David Houghton, system chair of neurology at Ochsner Health, said: “This new collaboratory affords us the opportunity to pair emerging neurotechnology with real-world clinical care to better understand how we can slow cognitive decline, improve patients’ lives and open new therapeutic pathways for other neurological diseases in the future.”

At the centre of the initiative is Spectris, an investigational device for use at home that delivers synchronised light and sound stimulation through the brain’s natural sensory pathways.

The technology is designed to support healthy neural network activity and, according to its developers, has shown early promise in helping preserve brain structure and function in Alzheimer’s disease.

It received Breakthrough Device Designation from the US Food and Drug Administration in 2021 and is currently being evaluated in clinical trials.

The two organisations will also work on a Brain Health Index, a framework intended to track cognitive health, disease progression and treatment response in real-world care settings.

The programme will explore how Spectris could be integrated into clinical care models for patients experiencing cognitive decline.

Cambridge, Massachusetts-based Cognito Therapeutics describes itself as a late clinical-stage neurotechnology company focused on non-invasive neuroprotective therapies for neurodegenerative diseases.

Ochsner Health is the leading nonprofit healthcare provider in Louisiana, Mississippi and across the Gulf South, operating 47 hospitals and more than 370 health and urgent care centres.

The collaboratory will also explore ways to integrate the technology into programmes serving patients eligible for both Medicare and Medicaid, the US government health insurance schemes, where Alzheimer’s disease places a significant clinical and economic burden.

Christian Howell, chief executive officer of Cognito Therapeutics, said: “Ochsner’s reach across the Gulf South provides a unique opportunity to bring innovative brain health technologies to a broad patient population.

“Partnerships like this are essential to ensuring that new therapies can reach patients not just in major academic centres, but across entire healthcare systems that serve both urban and rural communities.

“Expanding access to patients is critical to generating real-world evidence and ultimately delivering new options for people living with Alzheimer’s disease.”

The Ochsner partnership is the second such collaboratory for Cognito, which launched its first in November 2025 with the West Virginia University Rockefeller Neuroscience Institute.

The company says it plans to build a broader network of collaboratories with health systems and academic medical centres to expand patient access and generate real-world evidence.

The Spectris technology may also have potential in a range of other neurological conditions, including Parkinson’s disease, multiple sclerosis, traumatic brain injury, stroke and addiction, according to the company.

However, it remains investigational and has not yet received regulatory approval.

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Centenarian study probes healthy ageing

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A centenarian study by HLI and LEV Foundation will examine why some people live past 100 and remain healthier for longer.

The collaboration will study blood samples from centenarians and supercentenarians, people aged 100 and 110 or over, to explore the biology of exceptional longevity.

Researchers are trying to answer a central question in ageing science: why do individuals age at different rates?

The study will use multi-omic analysis, including genomics and proteomics, which examine genes and proteins, to identify biomarkers and biological pathways linked to exceptional longevity.

Wei-Wu He, executive chairman at HLI, said: “Centenarians and supercentenarians offer natural insights in human ageing.

“By applying our precision longevity platform to those who have achieved exceptional longevity, we can better understand how to preserve health in late life for everyone.

“The knowledge gained here has the potential to reshape how we approach aging and age-related disease.”

The organisations say these rare groups represent a unique biological resource.

Their blood samples may contain molecular and cellular information that helps explain why some people age more slowly and maintain good health for longer than the wider population.

Building on those analyses, the study is expected to provide new insights into the mechanisms behind exceptional longevity and differences in ageing.

Comparative analyses of exceptionally long-lived people and broader population cohorts will aim to identify key molecular features of extreme longevity and help lay the groundwork for future longitudinal studies.

Human Longevity, Inc. (HLI) and LEV Foundation announced the collaboration. HLI, founded in 2013 and based in South San Francisco, says it integrates genomics, artificial intelligence and multimodal diagnostics to extend human healthspan.

LEV Foundation, founded in 2022, is a California-based nonprofit focused on extending healthy human lifespan, with its flagship Robust Mouse Rejuvenation study series examining combinations of promising anti-ageing interventions.

The project is being spearheaded by Natalie S. Coles-de Grey, who the organisations say brings decades of expertise in the study of supercentenarians.

Both Coles-de Grey and LEVF’s president and chief science officer, Aubrey de Grey, are joining HLI’s scientific advisory board.

de Grey said: “I’m delighted that LEVF is partnering with HLI to further both organizations’ goals.

“There is so much to be learned, from the oldest old in our society, that will refine the preventative medicine for the chronic conditions of late life that HLI has pioneered.

“Such work is immensely complementary to LEVF’s focus on mice, and I’m sure that this collaboration will have synergy that will save many future lives.”

The organisations said findings from the study are expected to contribute to the growing field of longevity science and may inform the development of diagnostics, therapeutics and preventive strategies aimed at extending healthspan across the global population.

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Social isolation is a horrible consequence of dementia – AI could be an answer

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By Ruth Dixon, Programme Lead, Challenge Works

Humans are social creatures – connection to others is vital for good health and wellbeing.

Despite this, research conducted last year showed that almost one out of every four older individuals in the world feels lonely – a significant and saddening statistic.

Research has consistently shown that people who become socially isolated as they get older are more likely to develop dementia.

Furthermore, people who already have dementia tend to experience a faster decline of their symptoms when they are socially isolated.

This was particularly evident during COVID lockdowns when people with dementia were cut off from their social networks.

Faced with an aging population, we must ensure that people can continue to grow old with dignity, remain independent and stay connected with loved ones after a dementia diagnosis – something that artificial intelligence is helping to make possible.

Technology to combat social isolation

While there is no silver bullet to combat social isolation, there are technologies available that can help to support people to remain independent in their own home and maintain connections with their friends, family and community.

Doing so can help to preserve their dignity, identity and sense of purpose while reducing stress and anxiety through familiar surroundings.

It allows them to maintain daily routines and cognitive function for longer by living in a comfortable environment with known, consistent layouts.

Thanks to the rapidly evolving technological landscape, we are venturing far beyond basic solutions.

AI and machine learning enables innovators to support those living with dementia directly (not just their caregivers) and in turn, better mitigate the risk of social isolation – with more than three quarters (77 per cent) of family doctors believing this type of technology will help people with dementia to live longer.

Designing with and for people living with dementia

However, for dementia technology to be effective, it needs to be designed with, not just for, the end user.

MemoryAid is a fantastic example of a co-created solution.

Designed to be reminiscent of a traditional telephone, MemoryAid is a home assistant device that has been developed specifically for and with people living with dementia to help them make video calls and stay connected.

The touchscreens on everyday smartphones and tablets are not always designed with older users in mind.

Smartphones and tablets need to be kept charged and require dexterous movements, be it swiping, tapping or clicking small buttons to make or answer a call – a challenge for many people, let alone someone living with a neurodegenerative condition.

Rather than having to navigate a touchscreen device – to make and answer video calls with loved ones, friends and caregivers – MemoryAid users simply pick up the handset, a familiar action from a lifetime of practice, deeply ingrained in cognitive and muscle memory.

It was one of five international finalists in the Longitude Prize on Dementia – a global prize rewarding the development of assistive technologies for and with people living with dementia.

The £1 million grand prize was awarded to CrossSense, a revolutionary AI companion built into smart glasses to help people maintain their independence, in a ceremony last week.

But of course, it’s not just virtual connection that makes a difference to independence at home, physical safety matters too, especially in maintaining face-to-face relationships.

Enabling physical safety

A very different innovation, that also ran for the Longitude Prize on Dementia, is Theora360 – a wearable device to support people to live confidently at home without the fear of falling or wandering, enabling greater autonomy over their day to day lives.

Venturing outside independently can be difficult for people with cognitive impairments like dementia, with the fear of getting lost or falling and sustaining a serious injury presenting a barrier to leaving the house with confidence.

While most falls only result in minor injury, sometimes they can have a more serious impact – leading to a loss of mobility, independence and self-esteem.

Events such as hospitalisation and relocation can induce a range of negative experiences. A fall may cause someone to become home or bed-bound.

For someone with dementia, this may cause further distress as they may be unable to remember the cause of their injury or how to manage it effectively.

They are also more likely to experience worsening mental function as a result of pain or delirium.

If someone falls or wanders, Theora360 can alert a carer or loved one in real time, enabling rapid intervention. The sooner help can reach someone, it’s likely that the health consequences for them will be less severe.

The technology empowers people to retain agency over their social life, to go for their weekly coffee with a neighbour or visit the post office reassured that the support and assistance is there if they need it.

Facilitating meaningful moments

But where will AI take care next?

Solutions are continuously evolving.

The Theora 360 team, for example, is currently working with Texas A&M University to develop predictive capabilities based on changes in gait, to identify when a fall is likely and prevent it from happening in the first place.

There’s no doubt that technology is helping to shift the dial when it comes to combatting social isolation for people living with dementia.

By empowering people to remain independent, boosting confidence and helping to eliminate fear, AI can be a way to facilitate some of the most real and most meaningful moments between people.

Ruth Dixon is a Programme Lead at Challenge Works, a global leader in the design and delivery of open innovation challenge prizes for social good.

The Longitude Prize on Dementia is funded by Alzheimer’s Society and Innovate UK.

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