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  • Saakshi

Major Medical Advancements of 2023

  • Sickle Cell Disease: Landmark Gene Therapy Approved 

The U.S. Food and Drug Administration (FDA) approved the world's first CRISPR-based gene therapy on December 8th in a groundbreaking medical advance. This revolutionary treatment, called Casgevy, offers new hope for patients suffering from sickle cell disease, a debilitating blood disorder.


Sickle cell disease arises from a genetic mutation that distorts haemoglobin, the protein responsible for carrying oxygen in red blood cells. This abnormal haemoglobin forces red blood cells to take on a rigid, crescent shape, which can clog blood vessels and trigger excruciating pain, fatigue, and organ damage.


Casgevy uses the powerful gene-editing tool CRISPR/Cas9 to precisely target and correct the faulty gene in patients' blood stem cells. This one-time treatment has the potential to cure sickle cell disease by enabling the production of healthy, functional haemoglobin.


The FDA's decision comes after years of rigorous clinical trials demonstrating Casgevy's safety and efficacy. While the therapy is currently approved only for sickle cell disease, the agency is expected to decide on its use for beta-thalassemia, another blood disorder characterised by reduced haemoglobin production, by March 2024.



 

  • Postpartum Depression: Oral Pill Approval

Women battling postpartum depression (PPD) have a new weapon in their arsenal: Zurzuvae, the first-ever oral medication for this debilitating condition. Until now, treatment meant arduous infusions at specialised centres, creating a barrier for many. Zurzuvae changes the game, offering a convenient, at-home option.


PPD's dark grip can manifest as crippling sadness, lost joy, and even suicidal thoughts. In two clinical trials, Zurzuvae proved its worth, significantly reducing symptoms compared to a placebo, with effects lasting even four weeks after treatment ended.

But like any powerful tool, Zurzuvae comes with caution. It can affect driving and thinking, so caution is key. Side effects like drowsiness and dizziness are possible, and risks like suicidal thoughts and potential fetal harm require careful monitoring.


Taken once daily for 14 days, Zurzuvae offers a beacon of hope for countless women. Its arrival marks a transformative moment in PPD treatment, bringing accessible relief within the comfort of home. This is a giant leap forward in supporting mothers and their families during their most vulnerable times.


 

  • Prosthetics: Neuro-Sensor Feedback - 

For centuries, amputees have grappled with the limitations of artificial limbs, often relegated to cumbersome prosthetics that lacked the dexterity and intuitive control of natural appendages. 2023 witnessed a pivotal moment in the field of prosthetics with the emergence of neuro-sensor feedback, a revolutionary technology poised to reshape the future of limb replacement.


Tiny sensors tucked into the prosthetic pick up on the subtle electrical signals produced when the user intends to move. These signals are then translated in real-time into precise commands for the artificial limb's actuators. This creates a kind of feedback loop that makes users feel more connected and in control, blurring the lines between the prosthetic and their own body.


Early clinical trials have yielded remarkable results, with amputees utilising neuro-sensor feedback reporting significant improvements in dexterity, proprioception (the ability to sense the position and movement of one's body), and overall limb control. Additionally, many participants experienced a reduction in phantom limb pain, a debilitating condition that often plagues amputees.


By giving back control and letting amputees interact with the world more naturally, neuro-sensor feedback is helping people reclaim their independence and reshape how they see their prosthetics. This boost in confidence and independence brings a sense of normalcy back into their lives.

While the technology remains in its nascent stages, its potential to revolutionise the lives of millions is undeniable. Ongoing research and development efforts are focused on refining the technology, improving its affordability, and expanding its applications to encompass a wider range of prosthetics and neurological conditions.



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