Govt orders new nuclear power plants to carefully consider water intake safety

The National Nuclear Safety Administration (NNSA) has urged China's newly-built and projected nuclear power plants to fully consider water intake issues, in a bid to ensure the safe operation of nuclear power facilities.

During a recent meeting, the administration emphasized that relevant departments should improve water intake procedures due to changes in climate and sea environment over the years, to further ensure the smooth operation of nuclear power plants. This was stated by NNSA's official social media account on Monday.

The meeting was convened after Japan released nuclear-contaminated water from the crippled Fukushima Daiichi nuclear power plant into the ocean on Thursday. China halted aquatic product imports from Japan from that day and condemned Japan's actions as an irresponsible attitude towards the Chinese people and humanity as a whole.

The meeting underscored that the design of all newly-built and projected nuclear power plants should prioritize the security of water intake. Relevant hydrological, climatic, and marine biome data should be collected and monitored, and then utilized in professional research to address potential challenges in the sector.

New process encourages ice to slip, slide away

Ice removal may soon become a lot easier. Researchers have developed a new method for making ice-phobic surfaces by altering the density and slipperiness of spray-on polymer coatings.

The process, reported online March 11 in Science Advances, could lead to a wide range of long-lasting ice-repellent products including windshields, airplane wings, power cables and frozen food packaging, researchers say.

Scientists know that ice easily detaches from softer, less dense materials. Further adjusting the density of rubber polymers used to make the coatings and adding silicone or other lubricants such as vegetable oil, cod-liver oil and safflower oil amplifies the effect, Anish Tuteja, a materials science engineer at the University of Michigan in Ann Arbor, and colleagues found.
In multiple laboratory and field tests, ice slid off treated surfaces under its own weight or when it was pushed by mild wind. The researchers further tested the coatings’ durability on various surfaces such as metal license plates and glass panes. The coatings performed well through two Michigan winters and retained their ice-repelling properties after controlled exposure to icing and heat cycles, corrosive substances such as hydrochloric acid, and wear and tear.

The process has already yielded more than 100 different coatings tailored for specific surfaces, including metal, glass, wood, plastic and cardboard. Tuteja says his team is working on licensing the materials for commercial use.

New habitat monitoring tools find hope for tigers

There’s still enough forest left — if protected wisely — to meet the goal of doubling the number of wild tigers (Panthera tigris) by 2022, says an international research team.

That ambitious target, set by a summit of 13 tiger-range nations in 2010, aims to reverse the species’ alarming plunge toward extinction. Forest loss, poaching and dwindling prey have driven tiger numbers below 3,500 individuals.

The existing forest habitat could sustain the doubling if, for instance, safe-travel corridors connect forest patches, according to researchers monitoring forest loss with free, anybody-can-use-’em Web tools. Previously, habitat monitoring was piecemeal, in part because satellite imagery could be expensive and required special expertise, says Anup Joshi of the University of Minnesota in St. Paul. But Google Earth Engine and Global Forest Watch provide faster, easier, more consistent ways to keep an eye out for habitat losses as small as 30 meters by 30 meters (the space revealed in a pixel).
Looking at 14 years of data, 76 major tiger landscapes altogether have lost less than 8 percent of forest, the researchers say April 1 in Science Advances. Finding so little loss is “remarkable and unexpected,” they write. But 10 of those landscapes account for most of the losses — highlighting the challenges conservationists, and tigers, face.

Possible source of high-energy neutrino reported

Scientists may have found the cosmic birthplace of an ultra-high energy neutrino. They point the finger at a blazar — a brilliantly luminous galaxy that shoots a jet of radiation in the direction of Earth — 9 billion light years away.

If the link between the blazar and neutrino is real, scientists would be closer to long-sought answers about where such power-packing particles come from. Violent astronomical accelerators boost some neutrinos to high energies, but scientists have never been able to convincingly identify their sources.
Neutrinos are aloof elementary particles that rarely interact with other matter — they can sail straight through the Earth, and trillions of them zip through your body every second without a trace. On December 4, 2012, the neutrino in question (which scientists have affectionately nicknamed Big Bird) slammed into the Antarctic ice with an energy of around 2 million billion electron volts. The neutrino observatory IceCube glimpsed the aftermath of the collision and measured its energy with sensitive detectors embedded deep in the ice (SN Online: 04/07/14), leaving scientists hustling to pinpoint its source.

The blazar flared up at just the right time and place to be a prime suspect, researchers report in a paper accepted for publication in a peer-reviewed journal. The result, now available online at arXiv.org, strengthens the case that blazars are the source of such high-energy neutrinos, but it is no smoking gun.

After the neutrino was detected, a team of astrophysicists scoured the heavens for energetic galaxies with TANAMI, short for Tracking Active Galactic Nuclei with Austral Milliarcsecond Interferometry, a network of telescopes peering into space at a variety of wavelengths. That team reported one likely candidate blazar.

But the candidate is not a surefire match, says IceCube leader Francis Halzen of the University of Wisconsin–Madison, who was not involved with the analysis. IceCube could determine the neutrino’s direction within only about 15 degrees on the sky, and the blazar flare-up continued for several months. The probability of such a chance concurrence between an unrelated neutrino and blazar is about 5 percent, the researchers say — too big to rule out chance. “It’s a very intriguing result,” says Halzen “but it’s not a proof.”

The matchup between the blazar and neutrino is noteworthy, even though the researchers can’t fully rule out the possibility that the match is a fluke, says astrophysicist Xiang-Yu Wang of Nanjing University in China, who was not involved with the research. “Given that the two events are very unique … I think it’s convincing.” Wang and colleagues have expanded on the result: In a paper accepted for publication in Physical Review Letters, they use the difference in arrival time between the neutrino and light from the blazar’s outburst — assuming the two are related — to test Einstein’s special and general theories of relativity. Certain theories of quantum gravity predict a delay in the arrival of a neutrino. (Einstein came out unscathed.)
The authors of the blazar study declined to comment on the result, citing the embargo policy of the journal where the paper will be published.

To convincingly identify a blazar as the source of a neutrino, Halzen says, scientists will need a better measurement of the neutrino’s direction, connected to a short-lived blazar outburst. In the future, Halzen says, IceCube will send out “astronomical telegrams” when it detects a neutrino, directing telescopes to take a look, perhaps catching a blazar in the act.

Nightshade plants bleed sugar as a call to ants for backup

Herbivores beware: Take a bite out of bittersweet nightshade (Solanum dulcamara), and you might have an ant problem on your hands. The plants produce a sugary goo that serves as an indirect defense, attracting ants that eat herbivores, Tobias Lortzing of Berlin’s Free University and colleagues write April 25 in Nature Plants.

Observations of wild nightshade plants in Germany suggest that plants that ooze goo attract more ants (mostly European fire ants, or Myrmica rubra) than undamaged plants. In greenhouse experiments, those ants fed on both the goo and roving slugs and flea beetle larvae, substantially reducing leaf damage. Leaf-munching adult flea beetles and, to a lesser degree, slugs prompted the goo production. The ants didn’t attack the beetles but did protect the plant from slugs and beetle larvae.

Plenty of other plants produce defensive nectars via organs called nectaries, and nightshades’ bleeding may be a unique, primitive version of that protective strategy, the scientists report.

Why Labrador retrievers are obsessed with food

Labrador retrievers tend to be more overweight and keen to scarf down their kibble than other dog breeds. Eleanor Raffan of the University of Cambridge and her colleagues chalk this trend up — least in part — to a suspect gene.

The team found that, among a small group of assistance dogs, a form of a gene called POMC that was missing a chunk of DNA was more common in obese Labs than in lean ones. This held true on a larger scale, too: Out of 411 Labs in the United Kingdom and United States, 22 percent carried the deletion mutation. Looking across other breeds, only Labradors and flat coat retrievers, a close relative, carried the gene variant, which also correlated with greater weight and food begging tendencies, the team reports May 3 in Cell Metabolism.

POMC plays a role in a metabolism pathway, and the deletion may inhibit the production of proteins that regulate hunger, the researchers suspect. (That might explain why the variant turned up in about 75 percent of assistance dogs, which are trained using food motivation.)

Here are a few more things for the childproofing list

There’s nothing like having kids to open your eyes to the world’s dangers. With two little rascals in tow, grocery stores, dentists’ offices and even grandparents’ homes morph into death traps full of sharp, poisonous and heavy things. Short of keeping a tight grip on little hands, there’s not much you can do to childproof absolutely everything when you’re out and about. At home, it’s easier to make rooms safe for kids: Cover electrical outlets, keep drugs and potentially poisonous stuff out of reach, bolt dressers to the wall, and so on.

But every so often, I come across a study that points out an unexpectedly dangerous object. Clearly, none of these things rise to Bag O’Glass danger levels. But in the spirit of The More You Know, here are five objects that carry hidden risks to children:

Laundry pods
These cute, candy-colored packets can be irresistible to children — and toxic when eaten. Since 2012, when single-load pods for laundry detergent became popular, poison control centers have been fielding calls about toddlers who got ahold of pods. From 2013 to 2014, over 22,000 U.S. children under age 6 were exposed to these pods, mostly by eating them, data from the National Poison Data System show. And in just that two-year period, cases of laundry pod exposure rose 17 percent, scientists reported in the May Pediatrics.

Those numbers are particularly worrisome because laundry pods appeared to be more dangerous than regular laundry detergent (liquid or powder) and dishwasher detergent in any form (pod, liquid or powder). In a small number of kids, eating laundry pods caused serious trouble, including coma, respiratory arrest and cardiac arrest. Two children died, scientists wrote in the Pediatrics paper.

Tiny turtles
Oh, they’re adorable, but turtles can carry salmonella, bacteria that come with diarrhea, fever and cramps. Kids are particularly susceptible, and infections can be severe for them. Recognizing this risk, the FDA banned the sale of small turtles (shell less than 4 inches long) in 1975.
Yet in recent years, small turtles have slowly crawled back into children’s grubby little hands, carrying salmonella with them, scientists reported in January in Pediatrics. From 2011 to 2013, turtles were implicated in eight multistate Salmonella outbreaks, hitting hard in children younger than 5. Of the 473 people affected by the outbreaks, the median age was 4.

Big TVs
I’m not talking about the dangers of screen time here. I mean the television itself. Today’s flat screen TVs are more wobbly than the older, heavier tube-based TVs. Every 30 minutes, a kid is treated in the emergency room for a TV-related injury — that’s more than 17,000 children in the United States per year and increasing. And little heads and necks are the most frequently injured body parts.

Liquid nicotine
Along with the rise of e-cigarettes come refill cartridges, most of which contain concentrated liquid nicotine in flavors such as cherry crush, vanilla and mint. These appealing flavors mask nicotine that can be dangerous to kids. In 2015, poison control centers reported over 3,000 incidents of unintentional nicotine exposure, many of them in children. In comparison, just 271 exposures were reported in 2011.

That worrisome increase prompted the Child Nicotine Poisoning Prevention Act of 2015, signed into law by President Obama on January 28, requiring nicotine cartridges to be packaged in child-proof containers — a no-brainer.

Trampolines
Maniacal bouncing is clearly exhilarating for children, but also risky. I say this as a childhood-double-bounce survivor, so I understand the appeal. But just a note of caution: These springy injury machines come with a constellation of scary medical stats. Concussions, broken bones, sprains and neck injuries are signature trampoline troubles. A survey of a national injury database showed that broken bones accounted for 29 percent of all trampoline injuries reported to emergency departments, scientists reported in 2014 in the Journal of Pediatrics Orthopedics. The vast majority (93 percent) of those fractures belonged to children 16 and under.

Attempts to make trampolines safer — by putting a net around the perimeter, for instance — don’t seem to lower injury rates, an Australian study found. That’s why the American Academy of Pediatrics, the Canadian Paediatric Society, the American Academy of Orthopaedic Surgeons and other groups all urge caution, or an outright ban.

Space experts say sending humans to Mars worth the risk

WASHINGTON — There’s a long-standing joke that NASA is always 20 years from putting astronauts on Mars. Mission details shared at a recent summit shows that the space agency is right on schedule. A to-do list from 2015 looks remarkably similar to one compiled in 1990. One difference: NASA is now building a rocket and test-driving technologies needed to get a crew to Mars. But the specifics for the longest road trip in history — and what astronauts will do once they arrive — remain an open question.

“Are we going to just send them there to explore and do things that we could do robotically though slower, or can we raise the bar?” asked planetary scientist Jim Bell during the Humans to Mars summit. “We need to make sure that what these folks are being asked to do is worthy of the risk to their lives,” said Bell, of Arizona State University in Tempe.
The three-day symposium, which ended May 19, was organized by Explore Mars Inc., a nonprofit dedicated to putting astronauts on Mars by the 2030s.

While the summit didn’t break new scientific ground, it did bring together planetary scientists , space enthusiasts and representatives from both NASA and the aerospace industry to talk about the challenges facing a crewed mission to Mars and rough ideas for how to get there.

Part of the appeal in sending humans is the pace of discovery. Drilling just one hole with the Curiosity rover, which has been exploring Gale Crater on Mars since August 2012 (SN: 5/2/2015, p. 24), currently takes about a week. “It’s a laborious, frustrating, wonderful — frustrating — multiday process,” said Bell.

Humans also can react to novel situations, make quick decisions and see things in a way robotic eyes cannot. “A robot explorer is nowhere near as good as what a human geologist can do,” says Ramses Ramirez, a planetary scientist at Cornell University. “There’s just a lot more freedom.”

Researchers saw the human advantage firsthand in 1997 when they sent a rover called Nomad on a 45-day trek across the Atacama Desert in Chile. Nomad was controlled by operators in the United States to simulate operating a robot on another planet. Humans at the rover site provided a reality check on the data Nomad sent back. “There was a qualitative difference,” says Edwin Kite, a planetary scientist at the University of Chicago. And it wasn’t just that the geologists could do things faster. “The robots were driving past evidence of life that humans were finding very obvious.”
To get astronauts ready to explore Mars, the Apollo program is a good template, said Jim Head, a geologist at Brown University who helped train the Apollo astronauts. “Our strategy was called t-cubed: train them, trust them and turn them loose.” While each of the moon expeditions had a plan, the astronauts were trusted to use their judgment. Apollo 15 astronaut David Scott, for example, came across a chunk of deep lunar crust that researchers hoped to find although it wasn’t at a planned stop. “He spotted it three meters away,” said Head. “He saw it shining and recognized it immediately. That’s exploration.”

Despite a lack of clear goals for a jaunt to Mars, NASA is forging ahead. The Orion crew capsule has already been to space once; a 2014 launch atop a Delta IV Heavy rocket sent an uncrewed Orion 5,800 kilometers into space before it splashed down in the Pacific Ocean (SN Online: 12/5/2014). And construction of the Space Launch System, a rocket intended to hurl humans at the moon and Mars, is under way. The first test flight, scheduled for October 2018, will send Orion on a multiday uncrewed trip around the moon. NASA hopes to put astronauts onboard for a lunar orbit in 2021.

Meanwhile, the crew aboard the International Space Station is testing technologies that will keep humans healthy and happy during an interplanetary cruise. Astronaut Scott Kelly recently completed a nearly yearlong visit to the station intended to reveal the effects of long-duration space travel on the human body (SN Online: 2/29/2016). And on April 10, a prototype inflatable habitat — the Bigelow Expandable Activity Module — arrived at the station and was attached to a docking port six days later. The station crew will inflate the module for the first time on May 26. No one will live in it, but over the next two years, astronauts will collect data on how well the habitat handles radiation, temperature extremes and run-ins with space debris.
Beyond that, the plans get fuzzy. The general idea is to construct an outpost in orbit around the moon as a testing and staging ground starting in the late 2020s. The first crew to Mars might land on the planet — or might not. One idea is to set up camp in Mars orbit; from there, astronauts could operate robots on the surface without long communication delays. Another idea has humans touching down on one of Mars’ two moons, Phobos or Deimos. When crews do land on the Martian surface, NASA envisions establishing a base from which astronauts could plan expeditions.

With so few details, it’s difficult for the space agency to identify specific technologies to invest in. “There have been lots of studies — we get a lot of grief that it’s nothing but studies,” said Bret Drake, an engineer at the Aerospace Corp. in El Segundo, Calif. “But out of the studies, there are a lot of common things that come to the top no matter what path you take.”

Any mission to Mars has to support astronauts for roughly 500 to 1,000 days. The mission has to deal with round-trip communication delays of up to 42 minutes. It will need the ability to land roughly 40-ton payloads on the surface of Mars (current robotic missions drop about a ton). Living off the land is also key, making use of local water and minerals. And astronauts need the ability to not just survive, but drive around and explore. “We want to land in a safe place, which is going to be geologically boring, but we want to go to exciting locations,” said Drake.

The technical and logistical challenges might be the easiest part. “We do know enough to pull this off,” Ramirez says. “The biggest problem is political will.” Congress has yet to sign off on funding this adventure (nor has NASA presented a budget — expected to be in the hundreds of billions of dollars), and future administrations could decide to kill it.

Multiple summit speakers stressed the importance of using technology that is proven or under development — no exotic engines or rotating artificial gravity habitats for now. And a series of small missions —baby steps to the moon and an asteroid before committing to Mars — could show progress that might help keep momentum (and public interest) alive.

“We thought going to the moon was impossible, but we got there,” says Ramirez. “If we dedicate ourselves as a nation to do something crazy, we’ll do it. I have no doubt.”

Jumping gene turned peppered moths the color of soot

Peppered moths and copycat butterflies owe their wing color-changing abilities to a single gene, two independent studies suggest.

A genetic tweak in a portion of the cortex gene that doesn’t make protein painted the speckled gray wings of peppered moths black, researchers report online June 1 in Nature. Genetic variants in DNA interspersed with and surrounding the cortex gene also help some tasty species of Heliconius butterflies mimic unpalatable species and avoid getting eaten by predators, a second team of scientists reports, also June 1 in Nature.
In the often-told evolutionary tale, the color shift in moths began as factories in Britain started to darken the skies with coal smoke during the Industrial Revolution in the 1800s. Victorian naturalists took note as a newly discovered, all-black carbonaria form of peppered moths (Biston betularia) blended into soot-covered backgrounds; the light-colored typica moths, which lacked the mutation, were easily picked off by birds. By 1970, nearly 99 percent of peppered moths were black in some localities. As air pollution decreased in the late 20th century, black moths became more visible to birds. As a result, carbonaria moths are now rare.

“This begins to unravel exactly what the original mutation was that produced the black … moths that were favored by natural selection” during much of the last century, says evolutionary biologist Paul Brakefield of the University of Cambridge in England. “It adds a new and exciting element to the story.”

Wing pattern changes in butterflies and peppered moths are textbook examples of natural selection, but the molecular details behind the adaptation have eluded scientists for decades. In 2011, researchers tracked the traits to a region of a chromosome all the species have in common (SN: 5/7/11, p. 11; SN: 9/24/11, p. 16). Which of the many genes in that region might be responsible remained a mystery.
In peppered moths, the region of interest stretches over about 400,000 DNA bases and contains 13 genes and two microRNAs. “There aren’t really any genes that scream out to you, ‘I’m involved in wing patterning,’” says evolutionary geneticist Ilik Saccheri at the University of Liverpool in England.
Saccheri and colleagues compared that region in one black moth and three typical moths. The researchers found 87 places where the black moth differed from the light-colored moths. Most of the differences were changes in single DNA bases — the information-carrying chemicals in DNA. Such genetic variants are known as SNPs for single nucleotide polymorphisms. One difference was the insertion of a 21,925-base-long stretch of DNA into the region. This big chunk of DNA contained multiple copies of a transposable element, or jumping gene. Transposable elements are viruslike pieces of DNA that copy and insert themselves into a host’s DNA.

By examining the DNA of hundreds more typica moths and ruling out mutations one by one, the team ended up with one candidate: the large transposable element that had landed in the cortex gene. But the jumping gene didn’t land in the DNA that encodes the protein. Instead it landed in an intron — a stretch of DNA that gets chopped out after the gene is copied into RNA and before a protein is made.

The jumping gene first landed in the cortex intron in about 1819, the researchers calculated from historical measurements of how common the trait was throughout history. That timing gave the mutation about 20 to 30 moth generations to spread through the population before people first reported sightings of the black moths in 1848. Saccheri and colleagues found the transposable element in 105 of 110 wild-caught carbonaria moths and none of the 283 typica moths tested. The remaining five moths are black because of another, unknown, genetic variation.

Similarly, Nicola Nadeau, an evolutionary geneticist at the University of Sheffield in England, and colleagues combed through more than 1 million DNA bases in each of five species of Heliconius butterflies. The researchers were looking for genetic variants associated with the presence or absence of yellow bands on the wings.

Nadeau’s team found 108 SNPs in all H. erato favorinus butterflies that have a yellow band on their hind wings. Most of those SNPs were in introns of the cortex gene or outside of the gene. Butterflies that lack the yellow band don’t have those SNPs.

Other DNA changes were found to draw yellow bars on the wings of different species of Heliconius butterflies, suggesting that evolution acted multiple times on the cortex gene with similar results.

The finding that the same gene influences wing patterns in butterflies and moths supports an idea that some genes are hot spots of natural selection, says Robert Reed, an evolutionary biologist at Cornell University.

None of the genetic differences in the butterflies or peppered moths change the cortex gene itself. That leaves open the possibility that the transposable element and SNPs aren’t doing anything to cortex, but may be regulating a different gene. But the evidence that cortex really is the gene upon which natural selection has acted is strong, says Reed. “I’d be surprised if they were wrong.”

Still, it’s not obvious how cortex changes wing patterns, says Saccheri. “We’re both equally puzzled about how it is doing what it appears to be doing.” The teams have evidence that cortex helps determine when certain wing scales grow. In butterflies and moths, the timing of wing scale development affects the color of the wings, says Reed. “You see colors popping up almost like a paint-by-numbers.”

Yellow, white and red scales develop first. Black scales come later. Cortex is known to be involved in cell growth. So varying levels of the protein may speed up development of wing scales, causing them to become colored, or slow their growth, allowing them to turn black, the researchers speculate.

Vaccines could counter addictive opioids

By age 25, Patrick Schnur had cycled through a series of treatment programs, trying different medications to kick his heroin habit. But the drugs posed problems too: Vivitrol injections were painful and created intense heroin cravings as the drug wore off. Suboxone left him drowsy, depressed and unable to study or go running like he wanted to. Determined to resume the life he had before his addiction, Schnur decided to hunker down and get clean on his own.

In December 2015, he had been sober for two years and had just finished his first semester of college, with a 4.0 grade point average. Yet, just before the holidays, he gave in to the cravings. Settling into his dorm room he stuck a needle in his vein. It was his last shot.
Scientists are searching for a different kind of shot to prevent such tragedies: a vaccine to counter addiction to heroin and other opioids, such as the prescription painkiller fentanyl and similar knockoff drugs. In some ways, the vaccines work like traditional vaccines for infectious diseases such as measles, priming the immune system to attack foreign molecules. But instead of targeting viruses, the vaccines zero in on addictive chemicals, training the immune system to usher the drugs out of the body before they can reach the brain.

Such a vaccine may have helped Schnur, a onetime computer whiz who grew up in the Midwest, far removed from the hard edges of the drug world. His overdose death reflects a growing heroin epidemic and alarming trend. In the 1960s, heroin was seen as a hard-core street drug abused mostly in inner cities. Now heroin is a problem in many suburban and rural towns across America, where it is used primarily by young, white adults — male and female, according to research published by psychiatrist Theodore Cicero of Washington University in St. Louis and colleagues in 2014 in JAMA Psychiatry.
His team’s surveys of nearly 2,800 patients in substance abuse treatment programs suggest a shift in the demographics of heroin users in recent years. In the 1960s, more than 80 percent of users took heroin as their first opioid. From 2000 to 2010, 75 percent of heroin users came to the drug because it was easier to get and less expensive than the prescription opioids they had been taking.

In recent decades, overdoses of both illicit and prescription drugs have surged. In 2014, overdose deaths surpassed deaths from motor vehicle accidents, the U.S. Centers for Disease Control and Prevention reported in January. In that year, 28,647 people died of opioid-related overdoses, primarily from prescription pain relievers and heroin.

“The opioid epidemic is devastating and the number of people dying demands an urgent intervention,” says Nora Volkow, director of the U.S. National Institute on Drug Abuse.

A family of drugs
The term opioid refers to a host of painkillers derived from the opium poppy as well as synthetic versions of its active compounds. Heroin is processed from morphine, which is extracted from the plant. Prescription medications such as Vicodin, Percocet, OxyContin and fentanyl are made from synthetic morphine, altered to produce different effects.

Currently, three medications, sold under various brand names, are available to help people with heroin or opioid addiction get clean and stay drug-free: methadone, buprenorphine and naltrexone. The treatments work, Volkow says, but not perfectly. Some addicted patients, such as Schnur, experience unwanted side effects from the daily or monthly treatments and stop using them. Others lack access to treatments due to high costs and strict federal limits on dispensing the drugs.

“Unfortunately, only a small percentage — about 25 percent — of people who could benefit from treatment actually get these medications,” Volkow says.
Round two for vaccines
Vaccines could offer an alternative to patients who have kicked their habit and want to stay clean, scientists say. The vaccines aim to make an addict immune to a drug’s effects, decreasing the motivation to seek more of the drug. That’s important, Volkow says, because over time the treatment may allow recovery of the overactive circuitry in the brain that pushes drug users to keep using.

The idea of antidrug vaccines isn’t new. Scientists began working on formulations in the 1970s, but those efforts were eclipsed by the availability of methadone. Methadone, a synthetic opioid, relieves withdrawal symptoms and cravings for heroin or prescription painkillers by acting on the same brain targets as the drugs, but in a slow, controlled manner, so patients can function normally without feeling high. But the treatment is a method for harm reduction, not a cure for addiction, and must be taken daily to be effective.

In the late 1990s, scientists resumed antidrug vaccine efforts, focusing on vaccines for everything from cocaine to nicotine to heroin (SN: 2/10/07, p. 90). Vaccines for nicotine and cocaine were tested in people, but worked for only a small percentage.

Now, to help combat the growing opioid addiction crisis, two vaccines for heroin users are advancing toward human trials and other antiopioid vaccines are in the pipeline, including one for fentanyl, now a popular street drug.

Among the antiheroin vaccines being tested, one — developed at the Scripps Research Institute in La Jolla, Calif. — spurs the immune system to attack heroin and helps eliminate it from the body so effectively that it can neutralize even lethal levels of the drug in animals. A second anti­heroin vaccine, developed at the Walter Reed Army Institute of Research in Silver Spring, Md., goes after two closely linked problems: It keeps heroin from reaching the brain while preventing HIV infection.

Addiction’s grip
Once a person is addicted, the fight to stay clean never ends, Volkow says. That’s because heroin and other addictive substances alter the brain’s pleasure circuits, producing changes that persist long after users stop taking the drug. Volkow, who has studied these effects for more than two decades, says addiction is a brain disease because of the structural and functional changes that occur.
Drugs of abuse produce their high by interacting with cells located in brain areas that govern reward, including the nucleus accumbens, a key region in the pleasure circuit. Though each type of drug works in a slightly different way, all addictive drugs increase the amount of the chemical dopamine in this area. Dopamine is a neurotransmitter, carrying signals between nerve cells, or neurons.

Opioids boost dopamine levels by stimulating molecules called mu receptors that sit on the surface of certain neurons. Normally, these receptors are activated by hormones and brain chemicals made in the body, such as endorphins, to reinforce pleasurable behavior such as eating, having sex or listening to music. A single dose of heroin, however, releases many times the amount of dopamine produced by a favorite food or song.

Dopamine fuels the high that people feel from taking an addictive drug, but other molecules help to get people hooked. Glutamate, a neurotransmitter that increases the chatter among cells in areas that govern learning and boost motivation, helps engrave the experience of a drug’s high into the brain. Memories of the high become so enduring that years later they can be reawakened. This long-lasting pull is why more than 60 percent of people with addiction experience relapse within the first year after they are discharged from treatment.

Taken over time, drugs of abuse can change signaling in a number of the brain’s circuits. Last year in Cell, Volkow and NIDA biochemist Marisela Morales outlined two common features of the addicted brain: a decreased sensitivity in the brain’s reward centers and disruption of circuits involved in self-control.

With repeated drug use, the number of dopamine receptors declines as the brain attempts to calm down, Volkow says. With fewer receptors available to take up dopamine molecules, it takes more stimulation to produce feelings of pleasure. Addicts soon find that they are no longer motivated by everyday activities that had been enjoyable or exciting, and they need higher doses of the drug to get the euphoric feelings once provided by smaller doses.

“The brain rapidly learns that the only thing that’s going to stimulate these pleasure circuits is the drug,” Volkow says. “That’s one of the components that drives drug-seeking behavior.” Eventually, the drug no longer produces a high. Instead, it becomes a necessity to stave off feelings of anxiety and despair.

Addiction also impairs dopamine functioning in the prefrontal cortex, an area of the brain that includes regions involved in analysis, decision making and self-control. “Taking drugs interferes with one’s capacity to make good decisions” and follow through, Volkow says. “An addict might say ‘I don’t want to take that drug.’ But they don’t have the capacity to easily change their behavior.”

Protect the brain
Vaccines, potentially, offer a “transformative” way to treat addiction, Volkow says, because the treatments can train the immune system to attack drug molecules before they reach the brain. Vaccines typically contain an agent that resembles a disease-causing virus, teaching the immune system to respond quickly when it encounters the invader. In designing vaccines, scientists try to provoke at least one of the human body’s primary immune responders: T cells, which attack infected cells, or B cells, which release antibodies that recognize hostile molecules and attach to them, targeting them for destruction.

Easier said than done. For starters, drug molecules are tiny, much smaller than a bacterium or virus, and are not easily detected by the immune system. In addition, the body’s immune system is set up to fight invaders that arrive in small groups. When an influenza virus makes its way into a body, the initial levels of virus in the blood are very low, Volkow says. But when people inject heroin, for example, many millions of drug molecules and their breakdown products quickly rush into the bloodstream. In recent years, researchers have found new ways to help call the immune system’s attention to such surges of “invading” drugs.

While developing one heroin vaccine, chemist Kim Janda of Scripps and colleagues noticed that antibodies to heroin molecules alone didn’t stop animals from getting high. That’s because once heroin gets into the body — whether it’s injected, snorted or smoked — it is broken down into its active components, 6-acetylmorphine, or 6-AM, and morphine. “Those two metabolites are the real drugs in heroin,” Janda says.

Typically, vaccines lead to production of antibodies that target a single invader. To get the immune system to notice both heroin and its metabolites, Janda joined forces with neurobiologist George Koob, director of the National Institute on Alcohol Abuse and Alcoholism, to design a multitarget vaccine. The vaccine “cocktail,” as Janda calls it, has three components: a large protein that carries the druglike molecules into the body; a molecule called a hapten, chemically designed to induce an immune response to heroin and its metabolites 6-AM and morphine; and finally, alum, an agent commonly added to vaccines to stimulate release of cytokines, proteins that help rally the immune cells to fight invaders.

Over the last six years, Janda’s group has tinkered with the hapten to help the antibodies get a tight grip on heroin, 6-AM and morphine. The hapten, along with the protein carrier, draws attention from the immune system’s T cells, which learn to recognize the drug molecules as invaders. Later, if heroin or its metabolites are detected in the blood, the T cells will “remember” the invaders and remove them.
In rats, the three-pronged vaccine generated high numbers of antibodies against the drug and its metabolites, blocking heroin’s action on the brain. Once vaccinated, the formerly addicted rats were unable to get high, even when injected with extremely high doses of the drug, Janda’s group reported in 2013 in the Proceedings of the National Academy of Sciences. The result was decreased drug-seeking behavior in the vaccinated rats. By contrast, control rats, and those vaccinated only against morphine, continued to seek higher doses of the drug.

The vaccine showed similar effectiveness in nonhuman primates, Janda reported in May at the American Psychiatric Association’s annual meeting in Atlanta. In addition, the vaccine is specific to heroin metabolites, not other opiates. A vaccine that’s too broad could potentially make patients immune to the effects of all prescription opioids, leaving them vulnerable if they become injured and need pain relief.

Janda’s team recently tested another antiopioid vaccine in animals, one that arms the body against fentanyl. When given to mice, the vaccine trained the animals’ immune systems to generate antibodies that bind to fentanyl and prevent it from traveling to the brain from the bloodstream. The results, published March 7 in Angewandte Chemie, showed that in mice, the antibodies neutralized high levels of the drug — more than 30 times a normal dose — for months after a series of three shots. By blocking the effects of the drug and its high, the vaccine could potentially curb drug-seeking behavior.

Another group is going after heroin and its strong tie to high HIV infection rates worldwide. Scientists at the Walter Reed Army Institute of Research are developing a dual-purpose vaccine, called H2, to treat heroin addiction while preventing HIV infection.

Biochemist Gary Matyas and his group at Walter Reed first designed a vaccine to stimulate antibodies against heroin. Similar to Janda’s antiheroin vaccine, haptens are bound to a protein carrier, spurring the immune system to create high levels of antibody to bind heroin and its metabolites in the blood and prevent it from crossing the blood-brain barrier. Users will then experience no euphoria or addictive reactions.

The researchers plan to combine the heroin vaccine with an HIV vaccine, a combination that’s much trickier to develop. Scientists have long been frustrated by the ability of the AIDS virus to mutate and evade the immune system. The virus constantly changes the makeup of the proteins on its surface so that antibodies have difficulty recognizing and attacking it. But researchers have found that targeting a region called V2 on the surface of the virus decreased the risk of HIV infection.

The vaccine, tested in volunteers in Thailand by the country’s Ministry of Public Health and Walter Reed scientists, protected about a third of participants against HIV infection, according to a 2009 report.

There’s no timeline for moving the H2 vaccine into human trials, Matyas says. His hope is that the vaccine will concurrently address the entwined epidemics. “If you can reduce heroin use, you can reduce the spread of HIV,” he says. “That’s why we’re focusing on both heroin and HIV in one vaccine.”

Extra help
While vaccines can’t be the only treatment for the opioid epidemic, they could offer users who want to abstain an additional and much needed option to deal with addiction. It’s not unusual for people to relapse, or to require more than one type of treatment, before finding a course of recovery that suits them, Volkow says.
Treating addiction like a disease that needs to be managed, such as diabetes or high blood pressure, with a multiplicity of treatment options would help addicts find a treatment that works well for them over the long haul, she says.

“Addiction is an extremely serious disease, with a high mortality rate and devastating consequences,” Volkow says. “We need to treat it very aggressively, and we need to have a variety of interventions so if one doesn’t work we have something else to offer the patient.”

Because relapse is common in addiction, Janda says he thinks that the antidrug vaccines’ value will come in helping people who want to abstain, but might falter in a weak moment. “Even if they try to do the drug, they’re not going to get the reward effects of the drug,” he says. “That means that they won’t spiral out of control and have to start all over again.”

Kathy Schnur, Patrick’s mother, remembers how, years into her son’s treatment, when the conversation turned to heroin — its euphoric high and mysterious spell — her son would confess to a desire to taste the drug “one more time.” A heroin vaccine would have taken a relapse off the table, she says. He would no longer have needed to make a daily decision to stay clean.

“If he knew he couldn’t get what he expected from the drug, it would remain a nonevent,” Schnur says. “Or, if he slipped up and tried it just one more time, the vaccine would prevent an overdose.”