High protein or Trp diet increases risk of cancer-associated VTE: Study

Next to cancer recurrence or progression, cardiovascular diseases are the leading causes of death in cancer survivors. The Surveillance, Epidemiology, and End Results database revealed that among the more than three million who initially survived cancer between 1973 and 2012, 38% eventually succumbed to the disease while 11.3% died from cardiovascular diseases. Specifically, cancer survivors are at a four to seven-fold higher risk of venous thromboembolism (VTE), which proves fatal in one out of seven cancer patients.

While the effects of high-fat diets have been studied in the context of cancer and cardiovascular disease, sparse information is available on the impact of a high-protein diet and cancer-associated thrombosis.

In a new study from Boston University Chobanian & Avedisian School of Medicine, researchers have found that a high protein diet, or a diet high in amino acid tryptophan (Trp). Trp is abundant in various protein-rich foods increases the risk of cancer-associated VTE in experimental models.

“Although our new findings are based on experimental models, we believe that knowledge gained from this study could prompt interest in further testing relevance to the human condition,” says co-corresponding author Katya Ravid, the Barbara E. Corkey professor at the school.

The researchers found that experimental models with colon cancer who were fed a high protein diet or a diet rich with Trp experienced more severe development of vascular thrombosis compared to the groups that had been fed a regular balanced diet. They also found that inhibiting the key enzyme responsible for the metabolism of tryptophan reduced the severity of vascular injury. Finally, they found that Kynurenine, a known metabolite of tryptophan, has an effect on blood coagulation factors that are known to promote thrombosis.

According to the researchers, this work has potential implications at the individual patient and population levels. “Nutrition management is an integral component of cancer patient care. Patients with cancer are often advised to increase their dietary protein intake to compensate for cancer-cachexia (involuntary weight loss, muscle wasting, and loss of appetite, leading to significant weakness and fatigue) and chemotherapy side-effects. At times, these patients receive parenteral nutrition (feeding directly into the bloodstream), including approximately five to eight times more Trp than dietary recommendation,” explains co-corresponding author Vipul Chitalia, MD, PhD, professor of medicine. 

Reference:

Lotfollahzadeh S, Jose A Dr, Yang X, Bathla T, Lazowski A, Hoekstra I, Sethuraman K, Potluri S, Dulberger K, La J, Fillmore N, Piqueras MDC, Lee N, Cabral HJ, Ravid K, Chitalia V. Dietary Tryptophan Augments Cancer-Associated Venous Thrombosis Mitigated by Indoleamine 2,3-Dioxygenase 1 Inhibition. Blood Adv. 2025 Jul 16:bloodadvances.2025017079. doi: 10.1182/bloodadvances.2025017079. 

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Tylenol, autism and the difference between finding a link and finding a cause in scientific research

Claims from the Trump White House about links between use of the painkiller acetaminophen—often sold under the brand name Tylenol in the U.S.—during pregnancy and development of autism have set off a deluge of responses across the medical, scientific and public health communities.

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Tylenol, autism and the difference between finding a link and finding a cause in scientific research

Claims from the Trump White House about links between use of the painkiller acetaminophen—often sold under the brand name Tylenol in the U.S.—during pregnancy and development of autism have set off a deluge of responses across the medical, scientific and public health communities.

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Taller, leaner, faster: The evolution of the ‘perfect’ AFL body

Geelong champion Patrick Dangerfield wowed the AFL world during last week’s preliminary final win against Hawthorn, pushing his 35-year-old body to the limit to propel his team into this year’s Grand Final.

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Taller, leaner, faster: The evolution of the ‘perfect’ AFL body

Geelong champion Patrick Dangerfield wowed the AFL world during last week’s preliminary final win against Hawthorn, pushing his 35-year-old body to the limit to propel his team into this year’s Grand Final.

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Mediterranean-style diets may still lower cardiovascular risk independent of lean beef intake

National Cattlemen’s Beef Association funded research finds that Mediterranean-style eating with lean beef produces less trimethylamine N-oxide (TMAO) compared with a typical American diet that included the same amount of beef.

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Himachal Drug Makers Unfazed by US 100% Tariff on Branded Drugs

Shimla: Pharmaceutical manufacturers in Himachal Pradesh have said the U.S. decision to impose 100% tariffs on branded and patented medicines is unlikely to cause major disruptions, as the state’s pharma sector is overwhelmingly focused on generics.

The new duty, set to take effect from October 1, will apply to imported branded and patented drugs. However, industry leaders in Himachal, home to a large concentration of pharma companies, stressed that the state’s drug makers are shielded from the impact.

“More than 95 per cent of pharmaceutical companies located in Baddi, Nalagarh, Kala Amb and Paonta Sahib are engaged in producing generic medicines,” expressed Sanjay Suri, Vice-Chairman of CII Himachal and Executive Director of Morepen Laboratories. He added that India’s role as one of the largest exporters of generics to the U.S. makes it difficult for American healthcare to risk imposing tariffs on this segment, as it would directly increase treatment costs for patients.

While industry leaders appeared confident, some struck a note of caution. Rajesh Gupta, Chairman of the Himachal Drug Manufacturers’ Association, said the exemption for generics must be clearly defined. “The distinction between generic and branded or patented drugs is not always straightforward,” he noted, adding that some companies manufacture branded medicines outside the state. According to him, clarity in the tariff notification is essential to prevent confusion.

Himachal Pradesh is among India’s leading pharma hubs, with around 580 pharmaceutical units operating in the state. Nearly 79 per cent of them are based in the Baddi-Nalagarh-Barotiwala belt of Solan district, while the remaining are concentrated in Kala Amb and Paonta Sahib in Sirmaur. Together, the state’s pharmaceutical industry boasts an estimated annual turnover of ₹40,000 crore, contributing significantly to India’s drug exports.

According to a recent media report in The Indian Express, the general consensus among industry players is that Himachal’s pharma sector will remain largely unaffected, unless the U.S. extends tariffs to generic medicines in the future.

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PCI Bars 89 Pharmacy Colleges in Maharashtra from 2025-26 Admissions Over Regulatory Lapses

Mumbai: In a major crackdown on regulatory lapses, the Pharmacy Council of India (PCI) has prohibited 89 pharmacy colleges across Maharashtra, including 71 diploma and 18 degree institutions, from admitting students for the 2025-26 academic session.

According to a recent media report in the Times of India, the move follows three years of inspections by PCI and state technical education bodies, which exposed serious violations ranging from absence of fire and safety certificates and missing occupancy approvals to poorly equipped laboratories, infrastructure deficiencies, and unqualified faculty members. In several cases, colleges attempted to submit certificates issued by unrecognized local bodies or private agencies, which were dismissed as invalid by inspectors.

After issuing showcause notices and conducting follow-up inspections, the PCI released a circular formally declaring these colleges “Not to make admission” for the upcoming academic year. The affected institutes are spread across districts including Thane, Kolhapur, Nagpur, Nashik, and Solapur.

The council underlined that the action was essential to protect students and uphold minimum academic standards in pharmacy education. Officials noted that despite repeated warnings, many institutions failed to rectify their shortcomings.

Times of India reports that this sweeping decision is also expected to delay the state’s overall pharmacy admission process, as authorities will need to recast the seat matrix and students will be left to pick from revised options.

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India’s generic drugs safe as Trump targets branded pharma imports: Experts

New Delhi: US President Donald Trump’s recent decision to impose a 100 percent import tariff on branded and patented pharmaceutical products starting October 1, 2025, is unlikely to have any immediate impact on Indian pharmaceutical exports, according to key industry players.

The move, announced by Trump via his social media platform Truth Social, targets drugmakers not manufacturing in the US. He wrote, “Starting October 1st, 2025, we will be imposing a 100% Tariff on any branded or patented Pharmaceutical Product, unless a Company IS BUILDING their Pharmaceutical Manufacturing Plant in America.”

The US President further clarified, “IS BUILDING” will be defined as, “breaking ground” and/or “under construction.” There will, therefore, be no Tariff on these Pharmaceutical Products if construction has started.”

As per PTI, Indian Pharmaceutical Alliance (IPA), which represents 23 leading Indian pharmaceutical firms, including Dr Reddy’s Laboratories, Sun Pharma, Lupin and Zydus Lifesciences, noted that Trump’s latest tariff will not have implications for the generic drugmakers.

Reacting to the development, IPA Secretary General Sudarshan Jain said in a statement, “It is not applicable to generic medicines.”
Trump’s statement refers to patented and branded products supplied to the US, he added.
Indian pharma companies largely export generics to the US market.
Together, IPA members drive more than 80 per cent of India’s drug and pharmaceutical exports, and serve over 64 per cent of the domestic market.
Pharmexcil Chairman Namit Joshi said, “India has long been a cornerstone of the global supply chain for affordable, high-quality medicines, supplying nearly 47 per cent of the US’s pharmaceutical requirements.
“The proposed 100 per cent tariff on branded and patented pharmaceutical imports is unlikely to have an immediate impact on Indian exports, as the bulk of our contribution lies in simple generics and most large Indian companies already operate in the US. manufacturing or repackaging units and are exploring further acquisitions,” he said.
Looking ahead, India will need to reinforce its cost-efficiency advantage in bulk drugs and APIs — an area where the US is likely to favour India over other suppliers — and simultaneously invest in next-generation opportunities such as complex generics, peptides, biosimilars and CAR-T therapies, Joshi said.
“Generics will remain relevant but will gradually mature; optimising costs and capabilities in these emerging categories will shape the next phase of growth,” he added.
Emcure Pharmaceuticals also said the tariffs will have no impact on it as it has limited exposure to the US market (less than 5 per cent) and no exposure for branded and patented drugs in the country.
Indian pharmaceutical companies supply a substantial proportion of drugs to US residents, with four out of ten of all prescriptions filled in the US in 2022 being supplied by Indian companies.
As per industry sources, overall, medicines from Indian companies provided USD 219 billion in savings to the US healthcare system in 2022 and a total of USD 1.3 trillion between 2013 and 2022.
Generics from Indian companies are expected to generate an additional USD 1.3 trillion in savings over the next five years.
Icra VP & Sector Head (Corporate Ratings) Deepak Jotwani said branded and patented drug imports are not expected to have any material immediate impact on the Indian pharmaceutical industry.
India’s strength lies in generic drug exports, which are exempt from these tariffs, he added.
“However, few Indian pharma companies with exposure to non-US domiciled branded formulation/ innovator drug companies, who in turn export to the US, by way of sales of APIs or intermediates to them or undertaking contract manufacturing, may face headwinds,” he noted.
Echoing similar sentiments, Founder and Director at Foundation for Economic Development Rahul Ahluwalia said India’s main exports are generics, so immediate impact should not be very high, but this is a troubling sign for future development of the pharma industry in India.
“We should redouble efforts to get a trade deal with the US and EU to enable our industries to have access to large markets,” he added.
Head of Asia Economics at Oxford Economics Louise Loo said Asia supplies just over 20 per cent of US pharmaceutical imports by value, a meaningful commercial hit for US consumers at face value.
“We, therefore, expect the US to follow up with announcements detailing protections for some categories of products, blunting the effective tariff burden,” she added.
The pharmaceutical sector, India’s largest industrial export, was estimated at USD 12.72 billion in 2024.

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CDSCO Panel Approves Novo Medi Sciences’ Phase III Booster Study of PCV13 Pneumococcal Vaccine in Infants

New Delhi: Reviewing the revised Phase III clinical trial protocol for booster dose administration of the 13-valent Pneumococcal Polysaccharide Conjugate Vaccine (PCV13) in infants, the Subject Expert Committee (SEC) functioning under the Central Drugs Standard Control Organisation (CDSCO) has granted approval to Novo Medi Sciences for conducting the study as per the presented protocol.

This came after Novo Medi Sciences Private Limited submitted the amended Phase III clinical trial protocol titled, “A prospective, randomized, double-blind, multi-center, Phase III study to assess and compare the immunogenicity and safety of the 13-valent pneumococcal polysaccharide conjugate vaccine in healthy Indian subjects.

13-valent Pneumococcal Polysaccharide Conjugate Vaccine is a vaccine that protects against invasive pneumococcal disease and pneumonia caused by 13 specific types of Streptococcus pneumoniae bacteria.

Pneumococcal conjugate vaccine is a pneumococcal vaccine made with the conjugate vaccine method and used to protect infants, young children, and adults against disease caused by the bacterium Streptococcus pneumoniae (pneumococcus). It contains purified capsular polysaccharide of pneumococcal serotypes conjugated to a carrier protein to improve antibody response compared to the pneumococcal polysaccharide vaccine.

At the recent SEC meeting on vaccines, the expert panel deliberated on the revised booster dose protocol presented by Novo Medi Sciences Private Limited.

After detailed deliberation, the committee recommended the conduct of the study as per the presented protocol.

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