Joe Alcock
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joealcock.bsky.social
Joe Alcock
@joealcock.bsky.social
physician researcher and conservationist #EvMed #microbiome #NewMexican #EVs #Solar #Wilderness #EMsky #emimcc #Medsky #FOAMed evolutionmedicine.com 🇨🇦
Reposted by Joe Alcock
Happy to share this paper by doctoral student Mirabeau Mbong Ngwese who assessed gut microbiome associations with soil transmitted parasites for adults and kids in Gabon and corroborated findings with data from other studies from Africa www.tandfonline.com/doi/full/10....
Infection with gut parasites correlates with gut microbiome diversity across human populations in Africa
Soil-transmitted helminths (STH) are common in (sub)tropical regions and primarily affect impoverished populations. These parasites reside in the gut, where they interact with both the microbiota a...
www.tandfonline.com
December 13, 2025 at 4:19 PM
Reposted by Joe Alcock
A diet enriched in microbiome-fermentable substrates (more fruits and veggies) was shown to be associated with lower frailty and lower mortality risk in an older cohort (N>6000; 65+ y/o), with inflammation markers significantly mediating the dietary effect. link.springer.com/article/10.1...
Associations of dietary intake for gut microbiota with frailty risk and mortality in older adults - Journal of Translational Medicine
Journal of Translational Medicine - The associations between a diet that associated with a healthy gut microbiota and the risk of frailty, as well as mortality in older adults with frailty, remains...
link.springer.com
December 7, 2025 at 8:46 PM
“In addition to antibiotics…several human-targeted drugs, such as beta-blockers, benzodiazepine derivatives, glucocorticoids, PPIs, biguanides, and antidepressants, display effects on the microbiome observable years after previous drug intake”
October 21, 2025 at 11:19 AM
Reposted by Joe Alcock
Disruption to the gut microbiome by non-antibiotics is linked to infection risk http://dlvr.it/TN9lNG
September 19, 2025 at 5:00 PM
Reposted by Joe Alcock
jamanetwork.com/journals/jam...

This is a great explanation of emerging causal discovery techniques applied to biology, by the always readable @ajadmon.bsky.social and Erin Carlton
Causal Discovery in Sepsis
Sepsis is acute organ failure resulting from a dysregulated host response to infection.1 Given the marked patient-level heterogeneity in sepsis onset, clinical course, and recovery, investigators have...
jamanetwork.com
August 20, 2025 at 12:47 PM
Reposted by Joe Alcock
Hey HHS, look what scientists like me knew back in 2021👇🏻

We were right then and are right now. Vaccines don't *cause* variants. Rather, massive numbers of infections in people with no or waning immunity do.

Evolution is no reason to avoid vaccination.

theconversation.com/massive-numb...
Massive numbers of new COVID–19 infections, not vaccines, are the main driver of new coronavirus variants
When the coronavirus copies itself, there is a chance its RNA will mutate. But new variants must jump from one host to another, and the more infections there are, the better chance this will happen.
theconversation.com
August 14, 2025 at 7:17 PM
Metformin is a weird drug - it works in the brain. But recall that there is a gut-brain axis too. What does this brain Rap1 mechanism do to the #microbiota?
Metformin, the first line drug for Type 2 diabetes, has been used for 60 years without a clearcut mechanism of action. It turns out it's not just reducing glucose output from the liver. Metformin also works via the brain www.science.org/doi/10.1126/...
Low-dose metformin requires brain Rap1 for its antidiabetic action
Metformin lowers blood glucose by inhibiting Rap1 in ventromedial hypothalamic neurons that regulate glucose balance.
www.science.org
August 1, 2025 at 2:21 AM
Reposted by Joe Alcock
If your goal as a government is to prevent death rather than enable and accelerate it, it's amazing what you can do.
Helsinki (pop 657,000) has not had a single traffic death during the last twelve months.

poliisi.fi/-/helsingin-...
July 26, 2025 at 2:12 PM
Has any sepsis intervention worked in children after failing in adults?
Vitamin C Versus Placebo in Pediatric Septic Shock (VITACiPS) - A Randomised Controlled Trial

CCR Journal Watch
https://criticalcarereviews.com/latest-evidence/journal-watch
July 26, 2025 at 8:25 PM
Hosts use flagellin as a cue to stop feeding because it is adaptive for hosts to restrain the growth and proliferation of flagellin expressing microbes
July 25, 2025 at 10:45 AM
Reposted by Joe Alcock
Fascinating new paper reveals a new gut microbiome connection to heart disease. Microbes produce imidazole propionate (ImP), which directly triggers atherosclerosis through immune activation - even without high cholesterol.

www.nature.com/articles/s41...
Imidazole propionate is a driver and therapeutic target in atherosclerosis - Nature
Imidazole propionate produced by gut microbiota is associated with atherosclerosis in mouse models and in humans, and causes the development of atherosclerosis through activation of the imidazoline-1 ...
www.nature.com
July 23, 2025 at 2:11 PM
Amadou Gaye plenary talk on the need for a representative human pangenome. #Isemph2025 #EvMed
July 9, 2025 at 2:30 PM
Great talk on the risk of egg donation as a source of genetic conflict in pregnancy by @reallymccoy.bsky.social winner of the Omenn prize at #ISEMPH2025 #EvolutionaryMedicine #EvMed
July 9, 2025 at 2:19 PM
Reposted by Joe Alcock
As new Editor in Chief of Evolution, Medicine, and Public Health, an OA society journal of ISEMPH, we welcome papers at the interface of evolution and medicine. I especially encourage studies in infection biology, broadly construed. We're a great and constructive journal! academic.oup.com/emph
April 10, 2025 at 4:50 PM
Causal role for gut microbes in hypertension and sleep apnea complications? Fecal transplant from obstructive sleep apnea patients to mice caused - higher blood pressure, vascular inflammation and endothelial dysregulation. doi.org/10.1016/j.in...
Redirecting
doi.org
July 5, 2025 at 1:41 PM
Reposted by Joe Alcock
A comparison of 2 industrialised populations (Italy, Singapore) with 2 indigenous populations (Tsimane, Bolivia & Orang Asli, Malaysia) suggests inflammaging - age-associated increase in chronic inflammation, considered a hallmark of aging - is a byproduct of industrialisation, not a human universal
Nonuniversality of inflammaging across human populations - Nature Aging
Analyzing readouts of inflammaging across four cohorts, Franck and colleagues identify strong variation and observe that inflammaging, in its known form, primarily emerges in industrialized—but not no...
www.nature.com
July 4, 2025 at 12:11 PM
Inflammation is an urban industrialized phenomenon www.nytimes.com/2025/06/30/w...
A Common Assumption About Aging May Be Wrong, Study Suggests
www.nytimes.com
July 3, 2025 at 8:11 AM
I wrote about curli and their consequences on the Evolutionmedicine blog. evolutionmedicine.com/2023/01/28/c...
July 3, 2025 at 3:05 AM
Reposted by Joe Alcock
Reposted by Joe Alcock
Selection effect into funding: early-career funding predicts later funding success because people who are successful apply more (but don't have a higher success rate!):

www.nature.com/articles/d41...
Early grant success attracts more funding: study of 100,000 applicants hints at why
Largest study of its kind explores the ‘Matthew effect’ in research.
www.nature.com
July 1, 2025 at 3:03 PM
Sheep with higher antinuclear antibodies are protected from parasites and survive better when times are tough. Tells us something about the evolution of autoimmunity. ethz.ch/content/dam/...
ethz.ch
July 2, 2025 at 5:20 AM