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New Study Reveals Why Some People Are More Susceptible To PTSD

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A new study has shown that some people are more prone to developing post-traumatic stress disorder (PTSD) after exposure to trauma due to the hormone stress response of the body. Experts say that the findings might help health experts to develop more targeted and individualized treatments and therapies for the condition. Some people are at a higher risk of developing post-traumatic stress disorder (PTSD) after being exposed to a traumatic event or events, that can lead to extraordinary damages like avoiding behavior, intrusive thoughts, sleep disturbance, and hypervigilance while other people are less susceptible to PTSD. The new study has been put together by experts from the Swiss Federal Institute of Technology Lausanne (EPFL).

Experts say that there are substantial variations in the levels of glucocorticoids that are secreted by individuals when they are stressed. Experts say that low levels of glucocorticoid are often detected among PTSD patients due to trauma exposure. Initially, these were considered to be an outcome of trauma exposure. Glucocorticoids are steroid hormones released by the adrenal glands, which are located above each kidney. Cortisol is a vital glucocorticoid produced by the body, it is a primary stress hormone that acts with some regions of the brain to regulate mood, fear, and motivation. After the fight-or-flight reaction, if the brain carries on to perceive something as unsafe, it prompts a pathway that leads to cortisol discharge. Whereas low levels of glucocorticoid and a minor hippocampus, the region of the brain participating in long-term memory development and memory recovery, were initially considered to be a result of trauma, however, now they are seen as contributing risk factors for PTSD.

Experts used genetically modified rats mimicking human reactions to cortisol to see how a decreased hormonal reaction to stress might be associated with PTSD symptoms. After assessing sleep patterns and brain activities, they found that low hormonal response glucocorticoids resulted in multiple key PTSD susceptibility behaviors like damaged fear, less hippocampal volume, and rapid-eye-movement sleep (REMS) disorders. They administered corticosterone and gave cognitive behavioral therapy to animals and saw a decline in REM sleep disruptions and excessive fear. Experts say that study might be a way ahead to better treatment for PTSD.

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The Nipah virus is considered one of the deadliest zoonotic infections globally, not because it spreads rapidly like influenza or COVID-19, but because of its extremely high fatality rate, rapid progression, and severe brain involvement. Medical experts warn that once symptoms escalate, the disease can turn fatal within days. According to available data, the case fatality rate of Nipah virus ranges between 50 and 75 per cent, placing it among the most lethal viral infections known to humans. In this explainer, Dr Dip Narayan Mukherjee, Consultant – Microbiology and Infectious Diseases, CK Birla Hospitals, CMRI, sheds light on why the virus is so dangerous and difficult to control. Why Is the Nipah Virus So Deadly? According to Dr Mukherjee, Nipah’s lethality lies in a combination of delayed symptom recognition, aggressive disease progression, and early involvement of the brain. “Nipah virus often begins with very non-specific symptoms, which makes early detection difficult. By the time it is clinically suspected, the virus may have already affected the brain,” he explains. Early Symptoms Often Go Unnoticed One of the biggest challenges in controlling Nipah virus is that its initial symptoms closely resemble common viral illnesses, leading to delays in diagnosis and isolation. Early symptoms include: Fever Headache Cough Muscle pain General weakness “These symptoms are easily mistaken for flu, viral fever, or respiratory infections,” says Dr Mukherjee. “This delay gives the virus time to progress silently.” Severe Brain Infection Drives High Mortality The most dangerous aspect of Nipah virus infection is its neurological involvement. The virus frequently causes encephalitis, or inflammation of the brain, which significantly increases the risk of death. Neurological symptoms may include: Seizures Confusion and altered consciousness Extreme drowsiness Coma “Once the central nervous system is involved, the disease becomes very difficult to manage,” Dr Mukherjee notes. “At this stage, treatment is largely supportive because there is no specific antiviral therapy available.” This lack of targeted treatment options makes early detection critical. Human-to-Human Transmission Raises Risk While Nipah virus is primarily transmitted from fruit bats, it can also spread from person to person, particularly in healthcare settings. Dr Mukherjee points out that: Caregivers and healthcare workers are at higher risk Exposure to high viral loads can worsen outcomes Inadequate infection control increases transmission risk “Strict adherence to infection control practices is essential. Even a small lapse can result in secondary infections,” he says. Zoonotic Nature Makes Exposure Hard to Predict Nipah virus is transmitted from fruit bats, either directly or through intermediate hosts such as pigs. This zoonotic pattern makes outbreaks unpredictable, especially in regions where humans, animals, and wildlife interact closely. Adding to the challenge: There is no approved vaccine Treatment options remain limited Isolation protocols must be strictly enforced What Can Reduce Nipah Fatalities? According to experts, early action remains the most effective defence against Nipah virus. Key measures include: Early isolation of suspected cases Strict use of personal protective equipment (PPE) Rapid escalation and referral to specialised centres Strong hospital infection control protocols “The earlier the virus is identified and contained, the better the chances of preventing severe disease and fatalities,” Dr Mukherjee emphasises. The Bottom Line Nipah virus continues to be a serious public health threat because of its high fatality rate, neurological complications, and lack of targeted treatment. Its ability to masquerade as a mild illness in the early stages makes vigilance crucial. Health experts stress that awareness, early suspicion, and strict infection control are currently the most powerful tools to reduce deaths linked to this deadly virus. As Dr Mukherjee concludes, “With Nipah, time is the most critical factor. Early recognition can save lives.”
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