Integrated circuits made of germanium instead of silicon have been reported … by researchers at International Business Machines Corp. Even though the experimental devices are about three times as large as the smallest silicon circuits, they reportedly offer faster overall switching speed. Germanium … has inherently greater mobility than silicon, which means that electrons move through it faster when a current is applied. — Science News, February 25, 1967
UPDATE: Silicon circuits still dominate computing. But demand for smaller, high-speed electronics is pushing silicon to its physical limits, sending engineers back for a fresh look at germanium. Researchers built the first compact, high-performance germanium circuit in 2014, and scientists continue to fiddle with its physical properties to make smaller, faster circuits. Although not yet widely used, germanium circuits and those made from other materials, such as carbon nanotubes, could help engineers make more energy-efficient electronics.
Helium — the recluse of the periodic table — is reluctant to react with other elements. But squeeze the element hard enough, and it will form a chemical compound with sodium, scientists report.
Helium, a noble gas, is one of the periodic table’s least reactive elements. Originally, the noble gases were believed incapable of forming any chemical compounds at all. But after scientists created xenon compounds in the early 1960s, a slew of other noble gas compounds followed. Helium, however, has largely been a holdout. Although helium was known to hook up with certain elements, the bonds in those compounds were weak, or the compounds were short-lived or electrically charged. But the new compound, called sodium helide or Na2He, is stable at high pressure, and its bonds are strong, an international team of scientists reports February 6 in Nature Chemistry.
As a robust helium compound, “this is really the first that people ever observed,” says chemist Maosheng Miao of California State University, Northridge, who was not involved with the research.
The material’s properties are still poorly understood, but it is unlikely to have immediate practical applications — scientists can create it only in tiny amounts at very high pressures, says study coauthor Alexander Goncharov, a physicist at the Carnegie Institution for Science in Washington, D.C. Instead, the oddball compound serves as inspiration for scientists who hope to produce weird new materials at lower pressures. “I would say that it’s not totally impossible,” says Goncharov. Scientists may be able to tweak the compound, for example, by adding or switching out elements, to decrease the pressure needed.
To coerce helium to link up with another element, the scientists, led by Artem Oganov of Stony Brook University in New York, first performed computer calculations to see which compounds might be possible. Sodium, calculations predicted, would form a compound with helium if crushed under enormously high pressure. Under such conditions, the typical rules of chemistry change — elements that refuse to react at atmospheric pressure can sometimes become bosom buddies when given a squeeze.
So Goncharov and colleagues pinched small amounts of helium and sodium between a pair of diamonds, reaching pressures more than a million times that of Earth’s atmosphere, and heated the material with lasers to temperatures above 1,500 kelvins (about 1200° Celsius). By scattering X-rays off the compound, the scientists could deduce its structure, which matched the one predicted by calculations. “I think this is really the triumph of computation,” says Miao. In the search for new compounds, computers now allow scientists to skip expensive trial-and-error experiments and zero in on the best candidates to create in a laboratory.
Na2He is an unusual type of compound known as an electride, in which pairs of electrons are cloistered off, away from any atoms. But despite the compound’s bizarre nature, it behaves somewhat like a commonplace compound such as table salt, in which negatively charged chloride ions alternate with positively charged sodium. In Na2He, the isolated electron pairs act like negative ions in such a compound, and the eight sodium atoms surrounding each helium atom are the positive ions.
“The idea that you can make compounds with things like helium which don’t react at all, I think it’s pretty interesting,” says physicist Eugene Gregoryanz of the University of Edinburgh. But, he adds, “I would like to see more experiments” to confirm the result.
The scientists’ calculations also predicted that a compound of helium, sodium and oxygen, called Na2HeO, should form at even lower pressures, though that one has yet to be created in the lab. So the oddball new helium compound may soon have a confirmed cousin.
Temperatures across Earth’s mantle are about 60 degrees Celsius higher than previously thought, a new experiment suggests. Such toasty temperatures would make the mantle runnier than earlier research suggested, a development that could help explain the details of how tectonic plates glide on top of the mantle, geophysicists report in the March 3 Science.
“Scientists have been arguing over the mantle temperature for decades,” says study coauthor Emily Sarafian, a geophysicist at the Woods Hole Oceanographic Institution in Massachusetts and at MIT. “Scientists will argue over 10 degree changes, so changing it by 60 degrees is quite a large jump.” The mostly solid mantle sits between Earth’s crust and core and makes up around 84 percent of Earth’s volume. Heat from the mantle fuels volcanic eruptions and drives plate tectonics, but taking the mantle’s temperature is trickier than dropping a thermometer down a hole.
Scientists know from the paths of earthquake waves and from measures of how electrical charge moves through Earth that a boundary in the mantle exists a few dozen kilometers below Earth’s surface. Above that boundary, mantle rock can begin melting on its way up to the surface. By mimicking the extreme conditions in the deep Earth — squeezing and heating bits of mantle that erupt from undersea volcanoes or similar rocks synthesized in the lab — scientist can also determine the melting temperature of mantle rock. Using these two facts, scientists have estimated that temperatures at the boundary depth below Earth’s oceans are around 1314° C to 1464° C when adjusted to surface pressure.
But the presence of water in the collected mantle bits, primarily peridotite rock, which makes up much of the upper mantle, has caused problems for researchers’ calculations. Water can drastically lower the melting point of peridotite, but researchers can’t prevent the water content from changing over time. In previous experiments, scientists tried to completely dry peridotite samples and then manually correct for measured mantle water levels in their calculations. The scientists, however, couldn’t tell for sure if the samples were water-free.
The measurement difficulties stem from the fact that peridotite is a mix of the minerals olivine and pyroxene, and the mineral grains are too small to experiment with individually. Sarafian and colleagues overcame this challenge by inserting spheres of pure olivine large enough to study into synthetic peridotite samples. These spheres exchanged water with the surrounding peridotite until they had the same dampness, and so could be used for water content measurements.
Using this technique, the researchers found that the “dry” peridotite used in previous experiments wasn’t dry at all. In fact, the water content was spot on for the actual wetness of the mantle. “By assuming the samples are dry, then correcting for mantle water content, you’re actually overcorrecting,” Sarafian says. The new experiment suggests that, if adjusted to surface pressure, the mantle under the eastern Pacific Ocean where two tectonic plates diverge, for example, would be around 1410°, up from 1350°. A hotter mantle is less viscous and more malleable, Sarafian says. Scientists have long been puzzled about some of the specifics of plate tectonics, such as to what extent the mantle resists the movement of the overlying plate. That resistance depends in part on the mix of rock, temperature and how melted the rock is at the boundary between the two layers (SN: 3/7/15, p. 6). This new knowledge could give researchers more accurate information on those details.
The revised temperature is only for the melting boundary in the mantle, so “it’s not the full story,” notes Caltech geologist Paul Asimow, who wrote a perspective on the research in the same issue of Science. He agrees that the team’s work provides a higher and more accurate estimate of that adjusted temperature, but he doesn’t think the researchers should assume temperatures elsewhere in the mantle would be boosted by a similar amount. “I’m not so sure about that,” he says. “We need further testing of mantle temperatures.”
Dental plaque preserved in fossilized teeth confirms that Neandertals were flexible eaters and may have self-medicated with an ancient equivalent of aspirin.
DNA recovered from calcified plaque on teeth from four Neandertal individuals suggest that those from the grasslands around Beligum’s Spy cave ate woolly rhinoceros and wild sheep, while their counterparts from the forested El Sidrón cave in Spain consumed a menu of moss, mushrooms and pine nuts.
The evidence bolsters an argument that Neandertals’ diets spanned the spectrum of carnivory and herbivory based on the resources available to them, Laura Weyrich, a microbiologist at the University of Adelaide in Australia, and her colleagues report March 8 in Nature.
The best-preserved Neandertal remains were from a young male from El Sidrón whose teeth showed signs of an abscess. DNA from a diarrhea-inducing stomach bug and several gum disease pathogens turned up in his plaque. Genetic material from poplar trees, which contain the pain-killing aspirin ingredient salicylic acid, and a plant mold that makes the antibiotic penicillin hint that he may have used natural medication to ease his ailments.
The researchers were even able to extract an almost-complete genetic blueprint, or genome, for one ancient microbe, Methanobrevibacter oralis. At roughly 48,000 years old, it’s the oldest microbial genome sequenced, the researchers report.
The Martian atmosphere definitely had more gas in the past.
Data from NASA’s MAVEN spacecraft indicate that the Red Planet has lost most of the gas that ever existed in its atmosphere. The results, published in the March 31 Science, are the first to quantify how much gas has been lost with time and offer clues to how Mars went from a warm, wet place to a cold, dry one.
Mars is constantly bombarded by charged particles streaming from the sun. Without a protective magnetic field to deflect this solar wind, the planet loses about 100 grams of its now thin atmosphere every second (SN: 12/12/15, p. 31). To determine how much atmosphere has been lost during the planet’s lifetime, MAVEN principal investigator Bruce Jakosky of the University of Colorado Boulder and colleagues measured and compared the abundances of two isotopes of argon at different altitudes in the Martian atmosphere. Using those measurements and an assumption about the amounts of the isotopes in the planet’s early atmosphere, the team estimates that about two-thirds of all of Mars’ argon gas has been ejected into space. Extrapolating from the argon data, the researchers also determined that the majority of carbon dioxide that the Martian atmosphere ever had also was kicked into space by the solar wind.
A thicker atmosphere filled with carbon dioxide and other greenhouse gases could have insulated early Mars and kept it warm enough for liquid water and possibly life. Losing an extreme amount of gas, as the results suggest, may explain how the planet morphed from lush and wet to barren and icy, the researchers write.
Computers don’t have eyes, but they could revolutionize the way scientists visualize cells.
Researchers at the Allen Institute for Cell Science in Seattle have devised 3-D representations of cells, compiled by computers learning where thousands of real cells tuck their component parts.
Most drawings of cells in textbooks come from human interpretations gleaned by looking at just a few dead cells at a time. The new Allen Cell Explorer, which premiered online April 5, presents 3-D images of genetically identical stem cells grown in lab dishes (composite, above), revealing a huge variety of structural differences. Each cell comes from a skin cell that was reprogrammed into a stem cell. Important proteins were tagged with fluorescent molecules so researchers could keep tabs on the cell membrane, DNA-containing nucleus, energy-generating mitochondria, microtubules and other cell parts. Using the 3-D images, computer programs learned where the cellular parts are in relation to each other. From those rules, the programs can generate predictive transparent models of a cell’s structure (below). The new views, which can capture cells at different time points, may offer clues into their inner workings. The project’s tools are available for other researchers to use on various types of cells. Insights gained from the explorations might lead to a better understanding of human development, cancer, health and diseases.
Researchers have already learned from the project that stem cells aren’t the shapeless blobs they might appear to be, says Susanne Rafelski, a quantitative cell biologist at the Allen Institute. Instead, the stem cells have a definite bottom and top, a proposed structure that’s now confirmed by the combined cell data, Rafelski says. A solid foundation of skeleton proteins forms at the bottom. The nucleus is usually found in the cell’s center. Microtubules bundle together into large fibers that tend to radiate from the top of the cell toward the bottom. During cell division, microtubules form structures called bipolar spindles that are necessary to divvy up DNA. One surprise was that the membrane surrounding the nucleus gets ruffled, but never completely disappears, during cell division. Near the top of the cell, above the nucleus, stem cells store tubelike mitochondria much the way plumbing and electrical wires are tucked into ceilings. The tubular mitochondria were notable because some researchers thought that since stem cells don’t require much energy, the organelles might separate into small, individual units.
Old ways of observing cells were like trying to get to know a city by looking at a map, Rafelski says. The cell explorer is more like a documentary of the lives of the citizens.
Every year science offers a diverse menu of anniversaries to celebrate. Births (or deaths) of famous scientists, landmark discoveries or scientific papers — significant events of all sorts qualify for celebratory consideration, as long as the number of years gone by is some worthy number, like 25, 50, 75 or 100. Or simple multiples thereof with polysyllabic names.
2017 has more than enough such anniversaries for a Top 10 list, so some worthwhile events don’t even make the cut, such as the births of Stephen Hawking (1942) and Arthur C. Clarke (1917). The sesquicentennial of Michael Faraday’s death (1867) almost made the list, but was bumped at the last minute by a book. Namely:
On Growth and Form, centennial (1917) A true magnum opus, by the Scottish biologist D’Arcy Wentworth Thompson, On Growth and Form has inspired many biologists with its mathematical analysis of physical and structural forces underlying the diversity of shapes and forms in the biological world. Nobel laureate biologist Sir Peter Medawar praised Thompson’s book as “beyond comparison the finest work of literature in all the annals of science that have been recorded in the English tongue.”
Birth of Abraham de Moivre, semiseptcentennial (1667). Born in France on May 26, 1667, de Moivre moved as a young man to London where he did his best work, earning election to the Royal Society. Despite exceptional mathematical skill, though, he attained no academic position and earned a meager living as a tutor. He is most famous for his book The Doctrine of Chances, which was in essence an 18th century version of Gambling for Dummies. It contained major advances in probability theory and in later editions introduced the concept of the famous bell curve. Isaac Newton was impressed; the legend goes that when anyone asked him about probability, Newton said to go talk to de Moivre.
Exoplanets, quadranscentennial (1992)It seems like exoplanets have been around almost forever (and probably actually were), but the first confirmed by Earthbound astronomers were reported just a quarter century ago. Three planets showed up orbiting not an ordinary star, but a pulsar, a rapidly spinning neutron star left behind by a supernova. Astrophysicists Aleksander Wolszczan and Dale Frail found a sign of the planets, first detected with the Arecibo radio telescope, in irregularities in the radio pulses from the millisecond pulsar PSR1257+12. Some luck was involved. In 1990, the Arecibo telescope was being repaired and couldn’t pivot to point at a specific target; instead it constantly watched just one region of the sky. PSR1257+12 just happened to float by.
Birth of Marie Curie, sesquicentennial (1867) No doubt the most famous Polish-born scientist since Copernicus, Curie was born in Warsaw on November 7, 1867, as Maria Sklodowska. Challenged by poverty, family tragedies and poor health, she nevertheless excelled as a high school student. But she then worked as a governess, while continuing as much science education as possible, until her married sister invited her to Paris. There she completed her physics education with honors and met and married another young physicist, Pierre Curie.
Together they tackled the mystery of the newly discovered radioactivity, winning the physics Nobel in 1903 along with radioactivity’s discoverer, Henri Becquerel. Marie continued the work after her husband’s tragic death in 1906; she became the first person to win a second Nobel, awarded in chemistry in 1911 for her discovery of the new radioactive elements polonium and radium.
Laws of Robotics, semisesquicentennial (1942) One of science fiction’s greatest contributions to modern technological philosophy was Isaac Asimov’s Laws of Robotics, which first appeared in a short story in the March 1942 issue of Astounding Science Fiction. Later, those laws formed the motif of his many robot novels and appeared in his famous Foundation Trilogy (and subsequent sequels and prequels). They were:
A robot may not injure a human being or, through inaction, allow a human being to come to harm. A robot must obey the orders given to it by human beings, except where such orders would conflict with the First Law. A robot must protect its own existence as long as such protection does not conflict with the First or Second Law. Much later Asimov added a “zeroth law,” requiring robots to protect all of humankind even if that meant violating the other three laws. Artificial intelligence researchers all know about Asimov’s laws, but somehow have not managed to enforce them on social media. Incidentally, this year is also the quadranscentennial of Asimov’s death in 1992.
First sustained nuclear fission chain reaction, semisesquicentennial (1942) Enrico Fermi, the Italian Nobel laureate, escaped fascist Italy to come to the United States shortly after nuclear fission’s discovery in Germany. Fermi directed construction of the “atomic pile,” or nuclear reactor, on a squash court under the stands of the University of Chicago’s football stadium. Fermi and his collaborators showed that neutrons emitted from fissioning uranium nuclei could induce more fission, creating a chain reaction capable of releasing enormous amounts of energy. Which it later did.
Discovery of pulsars, semicentennial (1967) Science’s awareness of the existence of pulsars turns 50 this year, thanks to the diligence of Irish astrophysicist Jocelyn Bell Burnell. She spent many late-night hours examining the data recordings from the radio telescope she helped to build that first spotted a signal from a pulsar. She recognized that the signal was something special even though others thought it was just a glitch in the apparatus. But she was a graduate student so her supervisor got the Nobel Prize instead of her.
Einstein’s theory of lasers, centennial (1917) Albert Einstein did not actually invent the laser, but he developed the mathematical understanding that made lasers possible. By 1917, physicists knew that quantum physics played a part in the working of atoms, but the details were fuzzy. Niels Bohr had shown in 1913 that an atom’s electrons occupy different energy levels, and that falling from a high energy level to a lower one emits radiation.
Einstein worked out the math describing this process when many atoms have electrons in high-energy states and emit radiation. His analysis of matter-radiation interaction indicated that it would be possible to prepare many atoms in the same high-energy state and then stimulate them to emit radiation all at once. Properly done, all the atoms would emit radiation of identical wavelength with the waves in phase. A few decades later other physicists figured out how to build such a device for use as a powerful weapon or to read bar codes at grocery stores.
Qubits, quadranscentennial (1992) An even better quantum anniversary than lasers is the presentation to the world of the concept of quantum bits of information. Physicist Ben Schumacher of Kenyon College in Ohio unveiled the idea at a conference in Dallas in 1992 (I was there). A “quantum bit” of information, or qubit, represents the information contained in a quantum particle, which can exist in multiple states at once. A photon, for instance, might simultaneously be in a state of horizontal or vertical polarization. Or an electron’s spin could be up and down at the same time.
Such states differ from classical bits of information in a computer, recorded as either a 0 or 1; a quantum bit is both 0 and 1 at the same time. It becomes one or the other only when observed, much like a flipped coin is nether heads nor tails until somebody catches it, or it lands on the 50 yard line. Schumacher’s idea did not get a lot of attention at first, but it eventually became the foundational idea for quantum information theory, a field now booming with efforts to construct a quantum computer based on the manipulation of qubits.
Birth of modern cosmology, centennial (1917) It might seem unfair that Einstein gets two Top 10 anniversaries in 2017, but 1917 was a good year for him. Before publishing his laser paper, Einstein tweaked the equations of his brand-new general theory of relativity in order to better explain the universe (details in Part 1). Weirdly, Einstein didn’t understand the universe, and he later thought the term he added to his equations was a mistake. But it turns out that today’s understanding of the universe’s behavior — expanding at an accelerating rate — seems to require the term that Einstein thought he had added erroneously. But you can’t expect Einstein to have foreseen everything. He probably had no idea that lasers would revolutionize grocery shopping either.
A lizard’s intricately patterned skin follows rules like those used by a simple type of computer program.
As the ocellated lizard (Timon lepidus) grows, it transforms from a drab, polka-dotted youngster to an emerald-flecked adult. Its scales first morph from white and brown to green and black. Then, as the animal ages, individual scales flip from black to green, or vice versa.
Biophysicist Michel Milinkovitch of the University of Geneva realized that the scales weren’t changing their colors by chance. “You have chains of green and chains of black, and they form this labyrinthine pattern that very clearly is not random,” he says. That intricate ornamentation, he and colleagues report April 13 in Nature, can be explained by a cellular automaton, a concept developed by mathematicians in the 1940s and ’50s to simulate diverse complex systems. A cellular automaton is composed of a grid of colored pixels. Using a set of rules, each pixel has a chance of switching its shade, based on the colors of surrounding pixels. By comparing photos of T. lepidus at different ages, the scientists showed that its scales obey such rules. In the adult lizard, if a black scale is surrounded by other black scales, it is more likely to switch than a black one bounded by green, the researchers found. Eventually, the lizards’ scales settle down into a mostly stable state. Black scales wind up with around three green neighbors, and green scales have around four black ones. The researchers propose that interacting pigment cells could explain the color flips.
Computer scientists use cellular automata to simulate the real world, re-creating the turbulent motions of fluids or nerve cell activity in the brain, for example. But the new study is the first time the process has been seen with the naked eye in a real-life animal. The scales on an ocellated lizard change color as the animal ages (more than three years of growth shown in first clip). Circles highlight four instances of color-flipping scales. Blue circles indicate a scale that switches from green to black, the green circle indicates a black to green transformation, and the light blue circle marks a scale that flip-flops from green to black to green. Researchers used a cellular automaton to simulate the adult lizard’s color-swapping scales (second clip), and re-create the labyrinthine patterns that develop on its skin.
The Zika virus probably arrived in the Western Hemisphere from somewhere in the Pacific more than a year before it was detected, a new genetic analysis of the epidemic shows. Researchers also found that as Zika fanned outward from Brazil, it entered neighboring countries and South Florida multiple times without being noticed.
Although Zika quietly took root in northeastern Brazil in late 2013 or early 2014, many months passed before Brazilian health authorities received reports of unexplained fever and skin rashes. Zika was finally confirmed as the culprit in May 2015. The World Health Organization did not declare the epidemic a public health emergency until February 2016, after babies of Zika-infected mothers began to be born with severe neurological problems. Zika, which is carried by mosquitoes, infected an estimated 1 million people in Brazil alone in 2015, and is now thought to be transmitted in 84 countries, territories and regions.
Although Zika’s path was documented starting in 2015 through records of human cases, less was known about how the virus spread so silently before detection, or how outbreaks in different parts of Central and South America were connected. Now two groups working independently, reporting online May 24 in Nature, have compared samples from different times and locations to read the history recorded in random mutations of the virus’s 10 genes.
One team, led by scientists in the United Kingdom and Brazil, drove more than 1,200 miles across Brazil — “a Top Gear–style road trip,” one scientist quipped — with a portable device that could produce a complete catalog of the virus’s genes in less than a day. A second team, led by researchers at the Broad Institute of MIT and Harvard, analyzed more than 100 Zika genomes from infected patients and mosquitoes in nine countries and Puerto Rico. Based on where the cases originated, and the estimated rate at which genetic changes appear, the scientists re-created Zika’s evolutionary timeline.
Together, the studies revealed an epidemic that was silently churning long before anyone knew. “We found that in each of the regions we could analyze, Zika virus circulated undetected for many months, up to a year or longer, before the first locally transmitted cases were reported,” says Bronwyn MacInnis, an infectious disease geneticist at the Broad Institute, in Cambridge, Mass. “This means the outbreak in these regions was under way much earlier than previously thought.”
Although the epidemic exploded out of Brazil, the scientists also found a remote possibility of early settlement in the Caribbean. “It’s not immediately clear whether Zika stopped off somewhere else in the Americas before it got to northeast Brazil,” said Oliver Pybus, who studies evolution and infectious disease at the University of Oxford in England. In a third study reported in Nature, researchers from more than two dozen institutions followed a trail of genetic clues to determine when and how Zika made its way to Florida. Those researchers concluded that Zika was introduced multiple times into the Miami area, most likely from the Caribbean, before local mosquitoes picked it up. The number of human cases increased in step with the rise in mosquito populations, said Kristian Andersen, an infectious disease researcher at the Scripps Research Institute in La Jolla, Calif. “Focusing on getting rid of mosquitoes is an effective way of preventing human cases,” he says. Stealth spread An analysis of more than 100 Zika genomes revealed that the virus showed up in nine countries 4.5 to 9 months earlier than the first confirmed cases of Zika virus infection. Colors indicate the distribution of groups of closely related strains of the virus.
Hover over/tap map to explore Zika’s spread in the Americas. Previous studies have found traces of the virus’s footprints across the Americas, but none included so many different samples, says Young-Min Lee of Utah State University, who has also studied Zika’s genes. The current studies provide a higher-resolution look at the timing of the epidemic’s spread, he says, but in terms of Zika’s origins and progression from country to country, “overall the big picture is consistent with what we suspected.”
In addition to revealing Zika’s history, genetic studies are also valuable in fighting current and future disease outbreaks. Since diagnostic tests and even vaccine development are based on Zika’s genetics, it’s important to monitor mutations during an outbreak. Researchers developed quick-turnaround genomic analyses for Ebola in recent years, for example, that could aid a faster response during the next outbreak.
In the future, faster analysis of viral threats in the field might improve the odds of stopping the next epidemic, Lee says. It’s possible for a single infected traveler stepping off a plane to spark an epidemic long before doctors notice. “If one introduction [of a virus] can cause an outbreak, you have a very narrow window to try to contain it.”
Last year, Joan Peay slipped on her garage steps and smashed her knee on the welcome mat. Peay, 77, is no stranger to pain. The Tennessee retiree has had 17 surgeries in the last 35 years — knee replacements, hip replacements, back surgery. She even survived a 2012 fungal meningitis outbreak that sickened her and hundreds of others, and killed 64. This knee injury, though, “hurt like the dickens.”
When she asked her longtime doctor for something stronger than ibuprofen to manage the pain, he treated her like a criminal, Peay says. His response was frustrating: “He’s known me for nine years, and I’ve never asked him for pain medicine other than what’s needed after surgery,” she says. She received nothing stronger than over-the-counter remedies. A year after the fall, she still lives in constant pain. Just five years ago, Peay might have been handed a bottle of opioid painkillers for her knee. After all, opioids — including codeine, morphine and oxycodone — are some of the most powerful tools available to stop pain. But an opioid addiction epidemic spreading across the United States has soured some doctors on the drugs. Many are justifiably concerned that patients will get hooked or share their pain pills with friends and family. And even short-term users risk dangerous side effects: The drugs slow breathing and can cause constipation, nausea and vomiting.
A newfound restraint in prescribing opioids is in many cases warranted, but it’s putting people like Peay in a tough spot: Opioids have become harder to get. Even though the drugs are far from perfect, patients have few other options. Many drugs that have been heralded as improvements over existing opioids are just old opioids repackaged in new ways, says Nora Volkow, director of the National Institute on Drug Abuse. Companies will formulate a pill that is harder to crush, for instance, or mix in another drug that prevents an opioid pill from working if it’s crushed up and snorted for a quick high. Addicts, however, can still sidestep these safeguards. And the newly packaged drugs have the same fundamental risks as the old ones.
The need for new pain medicines is “urgent,” says Volkow.
Scientists have been searching for effective alternatives for years without success. But a better understanding of the way the brain sends and receives specific chemical messages may finally boost progress.
Scientists are designing new, more targeted molecules that might kill pain as well as today’s opioids do — with fewer side effects. Others are exploring the potential of tweaking existing opioid molecules to skip the negative effects. And some researchers are steering clear of opioids entirely, testing molecules in marijuana to ease chronic pain.
Opioid action Humans recognized the potential power of opioids long before they understood how to control it. Ancient Sumerians cultivated opium-containing poppy plants more than 5,000 years ago, calling their crop the “joy plant.” Other civilizations followed suit, using the plant to treat aches and pains. But the addictive power of opium-derived morphine wasn’t recognized until the 1800s, and scientists have only recently begun to piece together exactly how opioids get such a stronghold on the brain.
Opioids mimic the body’s natural painkillers — molecules like endorphins. Both endorphins and opioids latch on to proteins called opioid receptors on the surface of nerve cells. When an opioid binds to a receptor in the peripheral nervous system, the nerve cells outside the brain, the receptor changes shape and sets in motion a cellular game of telephone that stops pain messages from reaching the brain.
The danger comes because opioid receptors scattered throughout the body and in crucial parts of the brain can cause far-reaching side effects when drugs latch on. For starters, many opioid receptors are located near the base of the brain — the part that controls breathing and heart rate. When a drug like morphine binds to one of these receptors in the brain stem, breathing and heart rate slow down. At low doses, the drug just makes people feel relaxed. At high doses, though, it can be deadly — most opioid overdose deaths occur when a person stops breathing. And high numbers of opioid receptors in the gut — thanks in part to all the nerve endings there — can trigger constipation and sometimes nausea. Plus, opioids are highly addictive. These drugs mess with the brain’s reward system, triggering release of dopamine at levels higher than what the brain is used to. Gradually, the opioid receptors in the brain become less sensitive to the drugs, so the body demands higher and higher doses to get the same feel-good benefit. Such tolerance can reset the system so the body’s natural opioids no longer have the same effect either. If a person tries to go without the drugs, withdrawal symptoms like intense sweating and muscle cramps kick in — the body is physically dependent on the drugs. Addiction is a more complex phenomenon than dependence, involving physical cravings so strong that a person will go to extreme lengths to get the next dose. Long-term users of prescription opioids might be dependent on the drugs, but not necessarily addicted. But dependence and addiction often go together.
Despite their risks, opioids are still widely used because they work so well, particularly for moderate to severe short-term pain.
“No matter how much I say I want to avoid opioids, half of my patients will get some kind of opioid. It’s just unavoidable,” says Christopher Wu, an anesthesiologist at Johns Hopkins Medicine.
In the late 1990s and early 2000s, more doctors began doling out the drugs for long-term pain, too. Aggressive marketing campaigns from Purdue Pharma, the maker of OxyContin, promised that the drug was safe — and doctors listened. Opioid overdoses nearly quadrupled between 2000 and 2015, with almost half of those deaths coming from opioids prescribed by a doctor, according to data from the U.S. Centers for Disease Control and Prevention. Opioid prescriptions have dipped a bit since 2012, thanks in part to stricter prescription laws and prescription registration databases. U.S. doctors wrote about 30 million fewer opioid prescriptions in 2015 than in 2012, data from IMS Health show. But restricting access doesn’t make pain disappear or curb addiction. Some people have turned to more dangerous street alternatives like heroin. And those drugs are sometimes spiked with more potent opioids such as fentanyl (SN: 9/3/16, p. 14) or even carfentanil, a synthetic opioid that’s used to tranquilize elephants. Overdose deaths from fentanyl and heroin have both spiked since 2012, CDC data reveal.
A sharper target Scientists have been searching for a drug that kills pain as successfully as opioids without the side effects for close to a hundred years, with no luck, says Sam Ananthan, a medicinal chemist at Southern Research in Birmingham, Ala. He is newly optimistic.
“Right now, we have more biological tools, more information regarding the biochemical pathways,” Ananthan says. “Even though prior efforts were not successful, we now have some rational hypotheses.”
Scientists used to think opioid receptors were simple switches: If a molecule latched on, the receptor fired off a specific message. But more recent studies suggest that the same receptor can send multiple missives to different recipients.
The quest for better opioids got a much-needed jolt in 1999, when researchers at Duke University showed that mice lacking a protein called beta-arrestin 2 got more pain relief from morphine than normal mice did. And in a follow-up study, negative effects were less likely. “If we took out beta-arrestin 2, we saw improved pain relief, but less tolerance development,” says Laura Bohn, now a pharmacologist at the Scripps Research Institute in Jupiter, Fla. Bohn and colleagues figured out that mu opioid receptors — the type of opioid receptor targeted by most drugs — send two different streams of messages. One stops pain. The other, which needs beta-arrestin 2, drives many of the negatives of opioids, including the need for more and more drug and the dangerous slowdown of breathing.
Since that work, Bohn’s lab and many others have been trying to create molecules that bind to mu opioid receptors without triggering beta-arrestin 2 activity. The approach, called biased agonism, “has been around some time, but now it’s bearing the fruit,” says Susruta Majumdar, a chemist at Memorial Sloan Kettering Cancer Center in New York City. Scientists have identified dozens of molecules that seem to avoid beta-arrestin 2 in mice. But only a few might make good drugs. One, called PZM21, was described in Nature last year. Another one has shown promise in humans — a much higher bar. The pharmaceutical company Trevena, headquartered in King of Prussia, Pa., has been working its way through the U.S. Food and Drug Administration’s drug approval process with a molecule called oliceridine. In studies reported in April in San Francisco at the Annual Regional Anesthesiology and Acute Pain Medicine Meeting, oliceridine was as effective as morphine in patients recovering from bunion removal and others who had tummy tuck surgeries. Over the short term, people taking a moderate dose of the drug got pain relief comparable to that of morphine, but reported fewer side effects, such as vomiting and breathing problems.
Oliceridine is an intravenous opioid, not an oral one. That means it would be administered in the short term in hospitals, during and after surgeries. It’s not a replacement for the pills people can go home with, says Jonathan Violin, Trevena’s cofounder. And it’s not perfect: More side effects cropped up at higher doses. But it’s the first opioid using this targeted approach to get this far in human studies. The company hopes to submit an application for FDA approval by the end of 2017, Violin says.
Avoiding the beta-arrestin 2 pathway isn’t the only approach to targeted opioids — just one of the best studied. Ananthan’s lab is taking a different tack. His team showed that mice lacking a different opioid receptor, the delta receptor, tended not to show negative effects in response to the drugs. Now, the researchers are trying to find molecules that can activate mu opioid receptors while blocking delta receptors.
There may also be a way to direct pain-killing messages specifically to the parts of a person’s body that are feeling pain. In one recent study, scientists described a molecule that bound to opioid receptors only when the area around the receptors was more acidic than normal. Inflammation from pain and injury raises acidity, so this molecule could quash pain where necessary, but wouldn’t bind to receptors elsewhere in the body, reducing the likelihood of side effects. Rats in the study, published in the March 3 Science, didn’t find the new molecule as rewarding as fentanyl, so it may be less addictive. And they were less likely to have constipation and slowed breathing.
Drugs face a long uphill climb from even the most promising animal studies to FDA approval for use in humans. Very few make it that far. It’s too soon to tell whether PZM21 and other molecules being studied in mice will ever end up as treatments for patients.
Unwilling to wait, some people in pain are turning to substances that are already available — without a doctor’s order. And scientists are trying to catch up.
Kratom crackdown In August 2016, the Drug Enforcement Administration announced that it was cracking down on a supplement called kratom. Officials wanted to put the herb in the same regulatory category as heroin and LSD, labeling it a dangerous substance with no medical value. Members of the public vehemently disagreed. More than 23,000 comments poured in from veterans, cancer survivors, factory workers, lawyers and teachers. Almost all of them said the same thing: Kratom freed them from pain. Made from the leaves of the tropical plant Mitragyna speciosa , kratom is sold in corner convenience stores and through online retailers. Its pain-killing abilities come mainly from two different molecules in the plant’s leaves: mitragynine and the structurally similar 7-hydroxymitragynine. Both have a structure that’s very different from morphine, but they bind to opioid receptors. That technically makes them opioids, even though they don’t look like morphine or oxycodone, Majumdar says. And that’s what concerned the DEA. But just like some of the new opioids that scientists are developing, kratom’s active ingredients appear — anecdotally, at least — to deliver pain relief with fewer problems and less risk of tolerance. Some chronic opioid users switch to kratom to wean themselves off of pain pills and ease withdrawal symptoms, says Oliver Grundmann, a medicinal chemist at the University of Florida in Gainesville. Other users have never habitually used opioids but are seeking relief from chronic pain or mental health problems, according to a survey he published online May 10 in Drug and Alcohol Dependence. Grundmann hopes the survey results will help guide research into the substance’s efficacy for specific medical concerns.
The safety and efficacy of kratom is still up for debate. There’s a lack of controlled clinical studies about the leaf’s impact on the body, Grundmann says. Plus, the way kratom is regulated — as a supplement — means that people buying it have no guarantee of what they’re actually getting.
While kratom has its fans, its active compounds aren’t very potent, says Majumdar. He thinks he could make a better drug by modifying these molecules.
Majumdar, Sloan Kettering collaborator András Váradi and colleagues tested a structural cousin of 7-hydroxymitragynine: mitragynine pseudoindoxyl. It binds to mu opioid receptors about 200 times as effectively as mitragynine in mice, the researchers reported in August in the Journal of Medicinal Chemistry. Just like Trevena’s oliceridine, the new molecule does not activate beta-arrestin 2. The pseudoindoxyl version also blocks the delta opioid receptor, further impeding nonpain-related activities.
Majumdar hopes a DEA ban on kratom won’t happen; it would severely restrict access, making research much harder to do. For now, there is no ban — but scientists are wary, he says.
Mix it up Despite the potential for new, better opioids, other researchers are focused on an altogether different set of pain-killing drugs: the cannabinoids (made famous by marijuana, the dried leaves and other parts of the hemp plant, Cannabis sativa).
The active molecules in marijuana don’t have the same fast-acting pain-quenching abilities that opioids do. “If I go into an emergency room with acute pain, give me morphine,” says Yasmin Hurd, a pharmacologist at Mount Sinai in New York City. But with medical marijuana legal in 29 states plus the District of Columbia, the plant is getting more attention as a potential pain reliever, especially for chronic pain (SN: 6/14/14, p. 16).
Doctors in states where marijuana is legal write fewer prescriptions for opioid painkillers, a 2016 study in Health Affairs showed. Those states also had about a 25 percent lower rate of opioid overdose deaths compared with states that didn’t legalize marijuana, according to a 2014 study in JAMA Internal Medicine. When marijuana becomes legally available, some people might choose it instead of opioids. There might be some merit to that choice. There are plenty of cannabinoid receptors in parts of the brain that process pain messages. But unlike opioid receptors, few exist in the brain stem. That means cannabinoids are far less likely to influence breathing than opioids, says Joseph Cheer, a neurobiologist at the University of Maryland School of Medicine in Baltimore. Fatal overdoses are nearly unheard of.
As with kratom, though, there’s a glut of anecdotal evidence suggesting marijuana’s power to cure everything from pain to anxiety to ulcers — but not many controlled clinical trials to back up the assertions (SN Online: 1/12/17). The knowledge gap is made even wider by the fact that marijuana has wildly different effects depending on how it’s ingested and the relative ratios of certain active molecules in each strain of the plant.There might be some merit to that choice. There are plenty of cannabinoid receptors in parts of the brain that process pain messages. But unlike opioid receptors, few exist in the brain stem. That means cannabinoids are far less likely to influence breathing than opioids, says Joseph Cheer, a neurobiologist at the University of Maryland School of Medicine in Baltimore. Fatal overdoses are nearly unheard of.
“People think they know how marijuana affects the brain,” Hurd says. In reality, “there’s been very little evidence-based structural scientific studies done with marijuana.”
Aron Lichtman, a pharmacologist at Virginia Commonwealth University in Richmond, agrees. “There’s definitely medicine in that plant — that’s been proven,” he says. “The challenge is that it may not work for everybody and every type of pain.”
Scientists who are serious about figuring out marijuana are breaking it down, looking at the plant’s active molecules — cannabinoids — one by one. Cannabidiol, or CBD, has garnered particular attention. Because of the way it indirectly interacts with cannabinoid receptors, it doesn’t give people the high that’s characteristic of tetrahydrocannabinol, or THC, the mind-altering chemical in marijuana. That makes CBD less rewarding and better suited to longer-term use. The molecule can influence signals sent by a number of other receptors in the brain, many involved in pain and inflammation.
But THC might have merit, too. It’s already used in a couple of FDA-approved drugs to treat nausea and vomiting from chemo-therapy. There’s some evidence that those medications might also help relieve pain, though Lichtman calls those studies a “mixed bag.”
Alone, cannabinoids might be fairly weak painkillers. But combined with opioids, he’s shown, they can amplify the pain relief and reduce the opioid dose needed in mice.
Drugs that might amp up the power of the body’s natural cannabinoids are another option. That’s what Ruth Ross of the University of Toronto is studying. A few years ago, her team identified a region on a cannabinoid receptor called CB1 that has an interesting property: Small molecules that bind to it act like volume knobs for the body’s natural cannabinoids, called endocannabinoids. When a molecule of the right shape locks on to CB1, it makes endocannabinoids naturally present in the body more likely to latch on. That boosts pain relief in a targeted way — when endocannabinoids are already being released by the body, such as after injury or stress.
“You magnify the already existing effects of the compound,” Ross says. Her team has identified and patented several of these volume-knob molecules, and is working on improving them.
“For various reasons they wouldn’t be good as drugs,” she says. They have too many effects on the body beyond their intended one. But she’s making slight tweaks to their chemical structures to try to reduce those off-target effects, with the hope that one day the molecules could be studied in patients.
Safer opioids or alternative painkillers would help people deal with their pain without risking addiction or death. Peay has gotten to know people — as a member of social media groups for those living with chronic pain — who are experiencing the crushing results of poorly managed pain. People lose their jobs, she says, or move to Colorado just to get access to legal marijuana. As for her? “I still have my sense of humor, and that helps me get through all the pain.” But she’s holding out for something better.
