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How Acne Bacteria Messes With Your Skin

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Some of the most powerful human experiences are universal. Love. Heartbreak. Elation. Hating acne. The microscopic jerk known as Propionibacterium acnes wreaks havoc on our skin, makes middle school harder, and can cause pain and scarring. Now scientists say we’re one step closer to understanding what makes acne so devious—and how we might conquer it. They published their findings in the journal Science Immunology.

Acne breakouts are the result of a perfect storm of disgusting conditions near the surface of your skin. Natural oils and dead cells build up around your hair follicles, creating the ideal environment for bacteria to breed. The resulting infection sets off your immune system, which leads to inflammation, redness, and those oh-so-delightful pustules on your face, neck, chest, back, or shoulders.

We knew all this already. What we didn’t know was how P. acnes, which ordinarily lives harmlessly on the skin, could multiply out of control—or how its little fortresses in your follicles send your immune system into such a panic.

Previous studies on the bacteria in the human gut have found that certain bacteria produce chemicals called short-chain fatty acids (SCFAs). These acids then block the action of an immune compound called histone deacetylase (HDAC). Suppressed HDAC can then lead to immune trouble and, from there, inflammation.

Dermatology and biochemists at the University of California, San Diego were curious to see if the same patterns would play out on and inside our skin. First, they simulated the greasy skin experience by culturing acne bacteria in Petri dishes full of blood cells or oil-producing skin cells. They ensured that the environment in the dish was smothering, starved of oxygen like the inside of a clogged follicle. Then they let it fester.

Once they had a good SCFA stew going, they ran the cultures through an RNA sequencer to see how the bacteria and cells were performing. They also applied SCFAs both on and just under the skin of lab mice to see how skin layers might react.

The team found that, as with gut cells, the skin cells could be goaded into inflammation by acne’s SCFA bullies. The same pattern bore out for the mice—but only on the topmost layer of keratinocytes, the most common type of epidermal cells. Exposing lower skin layers to acne and SCFA actually activated those cells’ immune systems, making it easier for them to fight off infection.

Adam Friedman teaches and researches dermatology at the George Washington University School of Medicine. He was unaffiliated with the study but praised the findings, telling mental_floss that they “unveil a new understanding of how P. acnes contributes to the pathogenesis of acne, but also give us more insight (and also much more work to do) with respect to the way the bacteria on our skin can change how skin works at the genetic level.”

The research goes well beyond skin problems, he says, and has “huge implications for microbiome research,” because it highlights how “our many tiny friends who live on our skin have the ability to modify how we work, which has broader implications for other inflammatory diseases.”
 
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The Body
10 Facts About the Appendix
Illustration by Mental Floss / Images: iStock
Illustration by Mental Floss / Images: iStock

Despite some 500 years of study, the appendix might be one of the least understood structures in the human body. Here's what we know about this mysterious organ.

1. THE ANCIENT EGYPTIANS CALLED IT THE "WORM" OF THE BOWEL.

The human appendix is small, tube-shaped, and squishy, giving ancient Egyptians, who encountered it when preparing bodies for funerary rites, the impression of a worm. Even today, some medical texts refer to the organ as vermiform—Latin for "worm-like."

2. THE APPENDIX SHOWS UP IN LEONARDO DA VINCI’S DRAWINGS.

The earliest description of a human appendix was written by the Renaissance physician-anatomist Jacopo Berengario da Carpi in 1521. But before that, Leonardo da Vinci is believed to drawn the first depiction of the organ in his anatomical drawings in 1492. Leonardo claimed to have dissected 30 human corpses in his effort to understand the way the body worked from mechanical and physiological perspectives.

3. IT'S ABOUT THE SIZE OF A PINKY FINGER.

The appendix is a small pouch connected to the cecum—the beginning of the large intestine in the lower right-hand corner of your abdomen. The cecum’s job is to receive undigested food from the small intestine, absorb fluids and salts that remain after food is digested, and mix them with mucus for easier elimination; according to Mohamad Abouzeid, M.D., assistant professor and attending surgeon at NYU Langone Medical Center, the cecum and appendix have similar tissue structures.

4. CHARLES DARWIN THOUGHT IT WAS A VESTIGIAL ORGAN …

The appendix has an ill-deserved reputation as a vestigial organ—meaning that it allegedly evolved without a detectable function—and we can blame Charles Darwin for that. In the mid-19th century, the appendix had been identified only in humans and great apes. Darwin thought that our earlier ancestors ate mostly plants, and thus needed a large cecum in which to break down the tough fibers. He hypothesized that over time, apes and humans evolved to eat a more varied and easier-to-digest diet, and the cecum shrank accordingly. The appendix itself, Darwin believed, emerged from the folds of the wizened cecum without its own special purpose.

5. … BUT THE APPENDIX PROBABLY EVOLVED TO HELP IMMUNE FUNCTION.

The proximity and tissue similarities between the cecum and appendix suggest that the latter plays a part in the digestive process. But there’s one noticeable difference in the appendix that you can see only under a microscope. “[The appendix] has a high concentration of the immune cells within its walls,” Abouzeid tells Mental Floss.

Recent research into the appendix's connection to the immune system has suggested a few theories. In a 2015 study in Nature Immunology, Australian researchers discovered that a type of immune cells called innate lymphoid cells (ILCs) proliferate in the appendix and seem to encourage the repopulation of symbiotic bacteria in the gut. This action may help the gut recover from infections, which tend to wipe out fluids, nutrients, and good bacteria.

For a 2013 study examining the evolutionary rationale for the appendix in mammal species, researchers at Midwestern University and Duke University Medical Center concluded that the organ evolved at least 32 times among different lineages, but not in response to dietary or environmental factors.

The same researchers analyzed 533 mammal species for a 2017 study and found that those with appendices had more lymphatic (immune) tissue in the cecum. That suggests that the nearby appendix could serve as "a secondary immune organ," the researchers said in a statement. "Lymphatic tissue can also stimulate growth of some types of beneficial gut bacteria, providing further evidence that the appendix may serve as a 'safe house' for helpful gut bacteria." This good bacteria may help to replenish healthy flora in the gut after infection or illness.

6. ABOUT 7 PERCENT OF AMERICANS WILL GET APPENDICITIS DURING THEIR LIFETIMES.

For such a tiny organ, the appendix gets infected easily. According to Abouzeid, appendicitis occurs when the appendix gets plugged by hardened feces (called a fecalith or appendicolith), too much mucus, or the buildup of immune cells after a viral or bacterial infection. In the United States, the lifetime risk of getting appendicitis is one in 15, and incidence in newly developed countries is rising. It's most common in young adults, and most dangerous in the elderly.

When infected, the appendix swells up as pus fills its interior cavity. It can grow several times larger than its average 3-inch size: One inflamed appendix removed from a British man in 2004 measured just over 8 inches, while another specimen, reported in 2007 in the Journal of Clinical Pathology, measured 8.6 inches. People with appendicitis might feel generalized pain around the bellybutton that localizes on the right side of the abdomen, and experience nausea or vomiting, fever, or body aches. Some people also get diarrhea.

7. APPENDECTOMIES ARE ALMOST 100 PERCENT EFFECTIVE FOR TREATING APPENDICITIS.

Treatment for appendicitis can go two ways: appendectomy, a.k.a. surgical removal of the appendix, or a first line of antibiotics to treat the underlying infection. Appendectomies are more than 99 percent effective against recurring infection, since the organ itself is removed. (There have been cases of "stump appendicitis," where an incompletely removed appendix becomes infected, which often require further surgery.)

Studies show that antibiotics produce about a 72 percent initial success rate. “However, if you follow these patients out for about a year, they often get recurrent appendicitis,” Abouzeid says. One 2017 study in the World Journal of Surgery followed 710 appendicitis patients for a year after antibiotic treatment and found a 26.5 percent recurrence rate for subsequent infections.

8. AN INFECTED APPENDIX DOESN’T ACTUALLY BURST.

You might imagine a ruptured appendix, known formally as a perforation, being akin to the "chestbuster" scene in Alien. Abouzeid says it's not quite that dramatic, though it can be dangerous. When the appendix gets clogged, pressure builds inside the cavity of the appendix, called the lumen. That chokes off blood supply to certain tissues. “The tissue dies off and falls apart, and you get perforation,” Abouzeid says. But rather than exploding, the organ leaks fluids that can infect other tissues.

A burst appendix is a medical emergency. Sometimes the body can contain the infection in an abscess, Abouzeid says, which may be identified through CT scans or X-rays and treated with IV antibiotics. But if the infection is left untreated, it can spread to other parts of the abdomen, a serious condition called peritonitis. At that point, the infection can become life-threatening.

9. SURGEONS CAN REMOVE AN APPENDIX THROUGH A TINY INCISION.

In 1894, Charles McBurney, a surgeon at New York's Roosevelt Hospital, popularized an open-cavity, muscle-splitting technique [PDF] to remove an infected appendix, which is now called an open appendectomy. Surgeons continued to use McBurney's method until the advent of laparoscopic surgery, a less invasive method in which the doctor makes small cuts in the patient's abdomen and threads a thin tube with a camera and surgical tools into the incisions. The appendix is removed through one of those incisions, which are usually less than an inch in length.

The first laparoscopic appendectomies were performed by German physician Kurt Semm in the early 1980s. Since then, laparoscopic appendectomies have become the standard treatment for uncomplicated appendicitis. For more serious infections, open appendectomies are still performed.

10. AN APPENDIX ONCE POSTPONED A ROYAL CORONATION.

When the future King Edward VII of Great Britain came down with appendicitis (or "perityphlitis," as it was called back then) in June 1902, mortality rates for the disease were as high as 26 percent. It was about two weeks before his scheduled coronation on June 26, 1902, and Edward resisted having an appendectomy, which was then a relatively new procedure. But surgeon and appendicitis expert Frederick Treves made clear that Edward would probably die without it. Treves drained Edward's infected abscess, without removing the organ, at Buckingham Palace; Edward recovered and was crowned on August 9, 1902.

11. THE WORLD'S LONGEST APPENDIX MEASURED MORE THAN 10 INCHES.

On August 26, 2006, during an autopsy at a Zagreb, Croatia hospital, surgeons obtained a 10.24-inch appendix from 72-year-old Safranco August. The deceased currently holds the Guinness World Record for "largest appendix removed."

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language
New 'Eye Language' Lets Paralyzed People Communicate More Easily
Sagar.jadhav01, Wikimedia Commons // ;CC BY-SA 4.0
Sagar.jadhav01, Wikimedia Commons // ;CC BY-SA 4.0

The invention of sign language proved you don't need to vocalize to use complex language face to face. Now, a group of designers has shown that you don't even need control of your hands: Their new type of language for paralyzed people relies entirely on the eyes.

As AdAge reports, "Blink to Speak" was created by the design agency TBWA/India for the NeuroGen Brain & Spine Institute and the Asha Ek Hope Foundation. The language takes advantage of one of the few motor functions many paralyzed people have at their disposal: eye movement. Designers had a limited number of moves to work with—looking up, down, left, or right; closing one or both eyes—but they figured out how to use these building blocks to create a sophisticated way to get information across. The final product consists of eight alphabets and messages like "get doctor" and "entertainment" meant to facilitate communication between patients and caregivers.

Inside of a language book.
Sagar.jadhav01, Wikimedia Commons // CC BY-SA 4.0

This isn't the only tool that allows paralyzed people to "speak" through facial movements, but unlike most other options currently available, Blink to Speak doesn't require any expensive technology. The project's potential impact on the lives of people with paralysis earned it the Health Grand Prix for Good at the Cannes Lions International Festival of Creativity earlier in June.

The groups behind Blink to Speak have produced thousands of print copies of the language guide and have made it available online as an ebook. To learn the language yourself or share it with someone you know, you can download it for free here.

[h/t AdAge]

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