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Inter Miami CF Announces Heron Sports & Entertainment as Club Continues Unprecedented Growth
Heron S&E to serve as promoter of major entertainment events both locally at their new home at Miami Freedom Park, Inter Miami CF Stadium in Fort Lauderdale, the Florida Blue Training Center, and globally Continuing to push the boundaries in the global entertainment landscape, Inter Miami CF is excited to
Called out for leaky defense, Cavaliers take aim at Heat
Called out for leaky defense, Cavaliers take aim at Heat
Thousands could lose their Medicaid in Kansas City, health leaders are calling for action
They fear people will be kicked off coverage next year when a federal law requiring work requirements and more frequent eligibility checks kicks in.
Could Mizzou football's 2015 boycott be replicated today in college sports?
With the landscape of college sports shifting dramatically since 2015, it might make the possibility of a boycott difficult.
VOTE: Did the Pirates make the right call with Konnor Griffin?
Did the Bucs make the right call?
Newcastle should resist any calls for change
The biggest game of the weekend was Newcastle v Sunderland - well, it was in the north east, anyway. For all the passion, and there was plenty on show, as well as the usual late drama, in the end it was Sunderland winning to go 11th leaving their neighbours down in 12th. For Sunderland it is still a fine season as a promoted side, but for Newcastle this is disappointing mid-table mediocrity following defeat in the semi-final of the Carabao Cup against Manchester City and in the Champions League against Barcelona.
Snapdragon 8 Elite Gen 6 leak makes 2027's Ultra phones look both exciting and scary
New details of the so-called Snapdragon 8 Elite Gen 6 and Snapdragon 8 Elite Gen 6 Pro have emerged from a trusty source.
Scientists Call for a Complete Rethink of Alzheimer’s Treatment
New insights suggest that Alzheimer’s cannot be tackled through a single pathway, as its roots extend across molecular, genetic, and systemic processes.
NC Senate leader Phil Berger loses primary by 23 votes, political science expert weighs in
“I received a call from Phil Berger and basically his message was that he was letting me know that he was going to concede in the race,” Page said.
Vince Vaughn Calls Out Late-Night Comedians for Becoming Too Political
The actor-producer told Theo Von that the late night shows "started feeling like I was in a f***ing class I didn’t want to take."
League personnel being able to weigh in on on-field calls among NFL's new proposals if replacement refs are used
Voting will take place at the Annual League Meeting on March 29 in Phoenix
East of Innovation: “They call me robot doctor” — Inside the rise of virtual care in ENC
Programs at ECU Health and CarolinaEast Health System use virtual technology to connect patients with specialists.
Democrats throw cold water on shutdown deal, call for more ICE reforms
Senate Democrats are cautiously optimistic about a potential agreement to fund the Department of Homeland Security. But it's far from a done deal.
Scientists Reinvent a Classic Material To Help Power the Future of Quantum Tech
Researchers have revisited a long-known material and uncovered a way to dramatically enhance its performance by altering its structure at the nanoscale.
Kansas Legislature's negotiators on education bills drop sports ban tied to Christian calendar
Senate and House negotiators removed from a bill a mandate to dramatically expand periods in which schools could schedule sports activities for students.
Cloudflare’s new Dynamic Workers ditch containers to run AI agent code 100x faster
Cloudflare says dynamically loaded Workers are priced at $0.002 per unique Worker loaded per day, in addition to standard CPU and invocation charges
Arkansas’ Goodwill leader shares business model goals - Talk Business & Politics
The CEO of Goodwill Industries of Arkansas Brian Marsh knows his nonprofit is practically a household name, but he’s hoping its work can change household incomes. Marsh sat down with...
Arkansas’ Goodwill leader shares business model goals - Talk Business & Politics
The CEO of Goodwill Industries of Arkansas Brian Marsh knows his nonprofit is practically a household name, but he’s hoping its work can change household incomes. Marsh sat down with...
PlayStation Closes Shooter Studio Formed By Former Call Of Duty Lead
Dark Outlaw Games grew out of the ashes of another failed Sony project
Dimon warns on AI job losses, calls for government-business incentives
The potential AI-related disruption of the job market is a critical issue in Washington, with lawmakers trying to curb the amount of job displacement.
Marathon has sold 1.2M copies across Steam, PS5, and Xbox
Alinea Analytics estimates show that Marathon has generated gross revenues of $55M via 1.2M copies sold on Steam, PS5, and Xbox: Looking at the split between Steam, PS5, and Xbox, Steam is clearly the main platform for Marathon, accounting for a little under 70% of the audience (800K copies sold). Meanwhile, PS5 takes about 19% (217K) and Xbox (including console, PC, and cloud) accounts for a bit over 11% or 133K. Marathon is technically a first-party Sony title, so seeing the home console struggle to break 20% of the volume is a notable data point for the ongoing platform-agnostic debate. PlayStation Studios online games will almost certainly continue being multiplatform (despite Sony reportedly pulling back on PC releases). Subscribe for free to get the most accurate games estimates in your inbox twice a week 🫶 Subscribe As for Marathon, the consensus among hardcore players who pushed through the awkward onboarding phase – myself included – is that it’s fantastic. The gunplay, aesthetic, and presentation are among the best in the shooter genre. A great game doesn’t always equal an immediate hit, though, as shown by our estimates. Things are looking lukewarm right now. But this might be one of those marathon-not-a-sprint situations. Had to, didn’t I? Why wasn’t Marathon a hit on the same level as Arc Raiders? One topic that came up in a lot of conversations at GDC this year was why Marathon hasn’t hit the same stratosphere as Arc Raiders. On paper, they’re both extraction shooters, and Marathon has the Bungie pedigree – the house that built the gold standard for gunplay in Halo and Destiny. Marathon’s neon-futuristic aesthetic also distinguishes itself from the gritty realism of Tarkov or the post-apocalyptic hope of ARC Raiders. But vibes can only get you so far for first impressions if the onboarding feels like a brick wall. Marathon is a sweaty PvP-focused experience with a first-time user experience and UI that I can only describe as dreadful. Players are dropped into a complex ecosystem where the UI, though visually striking, is functionally uninformative, forcing users to manually hover over nondescript, identical icons just to identify basic gear or weapon mods. This lack of clarity is compounded by punishing mechanics like a severe heat gauge for movement and a scarcity of vital resources, all without a clear tutorial or a low-stakes mode to learn the ropes. Most people – even top streamers and veteran shooter players – have no idea what’s going on in Marathon at first. Arc is on the complete other end of the spectrum. As we covered here and here, Arc Raiders offers a more collaborative, approachable loop where players often work together toward shared goals. And the objectives are instantly clear. To many players, this contrast only emphasised Marathon’s issues, especially during the testing period. Players understand the Arc Raiders loop within 30 minutes, while Marathon acts as a massive filter, chewing up newcomers and spitting them out before they can experience the depth of Bungie’s signature gunplay. What I’m getting at here is that the poor first-time user experience of Marathon’s Server Slam likely stifled launch sales, while the opposite was true for Arc. Let’s look at the pre-launch copies sold for each game during their respective Server Slams (launch-aligned) : Looking at the trajectory: Arc Raiders saw a massive 80% jump in copies sold during its three-day Server Slam (day -13 to -11). Players jumped in, realised the water was fine, and immediately opened their wallets. Marathon, meanwhile, saw a 49% increase in the four days following its Slam (Day -7 to -3). At the time of each game’s respective launch, Arc Raiders had nearly double the Steam footprint of Marathon – and word of mouth only continued to grow. Bungie could have had more time to fix the onboarding process had the beta happened earlier. But Marathon launched three days after the beta finished. These factors limited the launch sales quite a bit, I reckon. Marathon has found a niche audience, though Despite the friction-heavy start, the data suggests that those who survived Marathon’s onboarding are loving life. We’ve been tracking cross-platform DAUs, and while there’s the expected post-launch leakage, many players are sticking with it. After peaking at 478K total DAUs on its first Saturday, Marathon has settled into a respectable rhythm, holding 345K DAUs as of yesterday and averaging 380K DAUs across the weekend. Steam continues to do the heavy lifting here, consistently accounting for the lion’s share of the daily players. Players have been putting in the hours, too: On Steam, Marathon’s average playtime has climbed to 27.8 hours, significantly outpacing the console averages on PS5 (16.5h) and Xbox (17.3h). Even more telling than the averages: 22% of the Steam audience has surged past the 50-hour mark, and nearly 7% have already logged over 100 hours. Subscribe for free to get the most accurate games estimates in your inbox twice a week 🫶 Subscribe This data suggests that once the Bungie magic clicks, it hooks players deeper than the average extraction shooter. There’s also started to be a shift in the game’s discourse. Marathon launched as one of those games that’s cool to hate. But as Marathon’s 100-hour club grows, we’re seeing conversations around its mechanical merit outweigh the negativity. Several high-profile creators, who were initially vocal critics, have spent the last week coming around on the mechanical depth of the endgame. It’s a subtle but positive signal; the hate train is losing steam, and a new narrative about the game is emerging. Bungie faithfuls unite Another interesting metric in Marathon’s first few weeks is who, exactly, is playing. Bungie leans heavily on its prestige as the “makers of Halo and Destiny,” in its marketing, and that message has clearly hit the mark. On Steam, the gravity (hammer) of Bungie’s previous work is unavoidable. A staggering 78.2% of Marathon players also played Destiny 2. The trend carries across other platforms, with 74.2% of PS5 players and 82.7% of Xbox players also having played Destiny 2. The Halo legacy lives on, it seems. More on that in a bit. While Destiny 2 went free to play, these numbers still represent a high-intent migration of a fanbase that trusts Bungie’s specific brand of kinetic gunplay and cryptic world-building. The Xbox data adds another layer of legacy. About 85.7% of Marathon players on Xbox have played Halo Infinite, while over half of the Steam audience has spent time in Halo Infinite and 36.1% in the Master Chief Collection (a paid collection of the old Bungie-made legacy games). Interestingly, we see a 55.9% overlap with ARC Raiders on Steam. Overlap is even higher there on PlayStation (60.5%) and Xbox (66.5%). And there’s also significant crossover with Helldivers 2 on all platforms, too. Subscribe for free to get the most accurate games estimates in your inbox twice a week 🫶 Subscribe Bungie has found some of its fans with Marathon, and the challenge now is keeping this engaged in a high-stakes PvP environment when they’ve spent the last decade primarily enjoying the power fantasies of PvE. On that note… Go the full 26 miles? Or cut and run? Time for some could’ve, should’ve, would’ve. These things would have improved Marathon’s performance at launch: A more robust onboarding process, perhaps in the form of a short single-player/PvE campaign. We know Bungie fans love this stuff. A traditional arena-based mode akin to Destiny’s Crucible could have been a bridge for the cautious players who’d have been otherwise deterred by the Server Slam. It’s also a great palate cleanser after getting merked. Introducing a dedicated PvE environment would have similarly diversified the conversation and lowered the barrier for the Bungie faithful who found the pure PvP extraction loop too abrasive. PvE is safer than PvP these days. There’s an argument that a thin PvE mode would have just felt like a budget Destiny, potentially hurting the brand more. But given how dire the FTUE is, I think it would have been a net positive. Any kind of tutorialised loop that demystifies the stakes, really. While there is merit in a studio sticking firmly to a singular creative vision, and going all in on the hardcore extraction loop. Less forgiving is the technical reality is that the user interface and first-time user experience (FTUE) were not at a commercial standard for launch. Subscribe for free to get the most accurate games estimates in your inbox twice a week 🫶 Subscribe In a landscape where player time is oversaturated and the most contested currency, a flawed FTUE is a critical failure point. But it’s not all doom and gloom, as Marathon has an incredible, unique gameplay loop, suggesting that financial success is still attainable if Bungie can pivot effectively. Bungie and PlayStation now face a difficult strategic crossroads, though – one within a challenging games market. They could: Double down on Marathon with a long-term Rainbow Six Siege- or No Man’s Sky-style recovery plan, which is something I heard Last Stand Media’s Chris Maldonado mention last week. While this could be a sunk-cost fallacy in action, it could eventually yield the audience the game’s mechanical depth deserves. Shift focus toward the inevitable Destiny 3 or another project, mitigating the escalating opportunity cost and cutting their losses, so to speak. Doing both is an expensive proposition, given the high overhead and burn rate of operating out of Bellevue, Washington. With Sony recently demonstrating a lower threshold for underperforming studios and projects, the margin for error has vanished. Whatever happens, the next six months will determine whether Marathon becomes a cornerstone of Sony’s live-service portfolio or a cautionary tale of vision exceeding accessibility. I’m hoping it’s the former, because Marathon rocks. As always, hit subscribe to get updates on Marathon and other relevant games. Subscribe Want to get your hands on our data for yourself – for free? We’re offering a free trial of our platform for games companies. Send us a message here, or reply to this email, and we’ll set you up. The last word Reply to this email – or reach out here – if you have any feedback for the newsletter – or want to request a game for us to cover. [Alinea Analytics boasts the most accurate PC and console estimates in the business. Game makers use our platform to understand their audience, keep an eye on the competition, monitor sales trends, and spot new opportunities. We equip game studios and financial institutions with accurate data and the confidence to make smarter, data-driven decisions. Want to talk about all things games market data? We’d love to chat!]
“SNL” alum calls out cast members who break into laughter during sketches: 'It doesn't work'
Kevin Nealon doesn't seem to be a fan of the recent Ryan Gosling episode.
'SNL' alum calls out cast members who break into laughter during sketches: 'It doesn't work'
Former 'Weekend Update' anchor Kevin Nealon isn't a fan of 'SNL' cast members breaking during sketches.
Georgia: Opposition politician Elene Khoshtaria given politically motivated prison sentence for graffiti
In Elene Khoshtaria’s case, the severity of the punishment appears related not to material damage, but to her political opinions and the symbolic damage she has inflicted on the ruling party
Winners of Science Playwriting Competition Showcased April 15 at Simons Center
The Stony Brook University Science Playwriting Competition brings the sciences and humanities closer together, providing an outlet for scientists and playwrights to venture beyond their normal modes of thinking, spark their imaginations and create new experiences. Rooted in artistic expression, the best science plays can be exceptional works of art that convey scientific concepts aesthetically, potentially
Trump casts Florida ballot by mail as he pushes Congress to severely limit that voting option
Trump has in the last week called mail-in voting "cheating" and "corrupt as hell" as he urges Congress to pass the SAVE Act, a sweeping bill that would bar universal mail ballots.
Melania Trump hosts world counterparts and tech reps to discuss children, education and technology
Melania Trump is calling on nations to work together to improve access to education and technology for children
Iranian IRGC’s ties to Hezbollah deepen tensions in Lebanese politics
Lebanon's prime minister said the IRGC is commanding Hezbollah and analysts agree the Iranian group is calling the shots
Ford recalls more than 254,000 SUVs due to software issues
Ford is recalling more than 254,000 SUVs in the U.S. after a software defect was found to impact rearview cameras and key driver-assistance safety systems.
Health alert issued for ground beef sold in Pennsylvania
(WHTM) — The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) has issued a public health alert for a ground beef product because it may be contaminated by a fo…
UW-Oshkosh nursing students among first to try new electronic health record platform from Epic
Thanks to a partnership with Epic, UW-Oshkosh nursing students are early adopters—among the very first to try a new electronic health record platform called Lyceum.
UCLA Health podcast shines a light on colorectal cancer prevention, early detection and rising risks
UCLA Health's podcast episode on colorectal cancer, featuring Dr. Eve Glazier, Katie Couric and Dr. Fola May, highlights the critical need for prevention and early detection amid rising risks, particularly among younger adults. The discussion focuses on cancer screening, lifestyle modifications and advocacy to reduce the incidence of this disease.
Opinion | Nothing against California-based Sutter Health, but Allina’s local governance matters
Allina is built on a "model of care that puts patients and families at the center of everything. That is not something that transfers automatically with a transaction. It has to be protected deliberately, by people who understand what it is and why it matters," the writer says.
Colorado’s Tamale Act may decide whether home cooks can build a business
An eclectic coalition, including the MAHA call for “food freedom,” gave the law a second chance as backers push for immigrant assistance and entrepreneurship.
CDC dilemma: Nominee may need both MAHA and science chops
As a deadline arrives this week to nominate a Centers for Disease Control and Prevention director, some Republicans are skeptical the administration will find someone who can check all the boxes necessary for confirmation. The candidate will need the “Make America Healthy Again” mindset of Secretary Robert F. Kennedy Jr.’s Health and Human Services Department, […]
Home heating oil firms squeezed as diesel, crude prices surge amid Middle East tensions
It's a volatile market for home heating oil businesses. Rising oil and fuel costs after a brutal winter have customers calling and asking for help.
What exactly makes you a public figure?
Well, once again, this non-lawyer columnist is going to jump in the deep end of legal scholarship and will explore a recent Colorado Court of Appeals decision. Buckle up. In yet another terrific Colorado Politics Court Crawl article, we learned about quite a few cases that the Appeals Court has ruled upon. Recall that only […]
On the Road With Antiprotons: CERN Runs Delicate Test on Transporting Ultrasensitive Antimatter
GENEVA (AP) — Scientists in Geneva are taking some antiprotons out for a spin — a very delicate one — in a truck, in a never-tried-before test drive. If this so-called antimatter comes into contact with actual matter — even for a fraction of an instant — it will be annihilated in a quick flash of ...
Trump, Who Calls Mail-in Voting ‘Cheating,’ Just Voted by Mail
President Trump has long fixated on mail-in-voting to bolster his baseless claims of widespread voter fraud. But he recently used the method in a Florida special election.
Trump casts mail ballot in Florida even as he calls the method 'cheating'
The president cast a mail ballot in an upcoming Florida special election, according to county records.
Secondary Trauma and Healthcare Providers | Modern Midwives Blog |…
Secondary trauma is a common form of distress experienced by anyone who is witness to the trauma another person experiences. Those who work in the…
Why are the Virginia Cavaliers sports teams also called the Wahoos?
The term “Wahoos” or “Hoos” are almost exclusively used by Virginia students when referring to their athletes and fans.
Rahm Emanuel says federal workers shouldn't bet on politics
Former Obama chief of staff and possible 2028 presidential candidate Rahm Emanuel is calling for a federal employee ban on prediction markets betting.
Democratic and Republican Party officials face internal backlash after primaries
Party officials have received calls to resign amid endorsements and campaign spending in national and state primary elections.
Henderson County launches crisis response program for behavioral health emergencies
In Henderson County, officials say a new program is already working to respond when someone is in crisis, often through a 911 call.
Colorado Sen. Mike Weissman calls for cold water on heated hate speech
Likening the recent record-setting warm temperatures to hot political rhetoric, Colorado Sen. Mike Weissman, D-Aurora, pleaded for an end to death threats and other hate speech directed at lawmakers of both parties. “The increasingly tragic reality of our politics, however, like the increasingly tragic reality of our climate, is one of combustibility,” Weissman said from the well […]
Chemistry student develops clear polish that turns your fingernail into a touch-screen stylus
Researchers have developed a prototype nail polish to help more people access electrically-charged touch screens.
Louisiana's health secretary wants AI on the phones and the website
Louisiana residents may see changes in calling the state health department or using its website if it turns to artificial intelligence to save money. The department is examining how it can implement AI over the next few years to make residents’ experiences more efficient and reduce spending, Louisiana Department of Health Secretary Bruce Greenstein said […]
Ben White called up for England: Why Real Madrid's Trent Alexander-Arnold continues to be frozen out
Manager Thomas Tuchel has one of the most skilled right-backs in the world to call upon, but hasn't figured out a way to make him worth it
Formulating a Future: Finding a Calling in Pharmaceutical Science | Oberlin College and Conservatory
Chemistry major Alex Xie ’26 utilizes CELA’s research fellowships and scholarship advising to transition from campus labs to a future in pharmaceutical research.
Microsoft-backed startup raises $40 million for advanced chipmaking equipment tech
Lace, a Norway-headquartered chipmaking equipment startup which is backed by Microsoft, has raised $40 million in funding to further develop a technology that could enable significant advances in semiconductor design and manufacturing, the company said on Monday. To make cutting-edge chips, manufacturers such as Taiwan Semiconductor Manufacturing Co and Intel employ a process called lithography that uses light to draw complex circuits that form the foundation of advanced artificial intelligence chips. Manufacturers use light-based lithography systems made by the Dutch company ASML - which dominates the market - as they race to shrink chip components and squeeze in more features to boost the computing horsepower on a limited area of silicon.
Purple Demonstration Reveals Critical Security Gaps and Invisible Threats in Standard Business WiFi
Manchester, LANCS, March 23, 2026 (GLOBE NEWSWIRE) -- Purple, the global leader in guest WiFi, has issued a call for heightened digital caution ...
Epic says it has uncovered rot in patient record sharing. Will HHS act?
A recent Epic lawsuit revealed a company allegedly posed as a provider to access patient records for law firms, prompting a call for increased oversight.
Microsoft Realizes It’s Epically Screwed Up Windows 11 as Users Rage at Copilot AI Crammed Everywhere
Windows VP Pavan Davuluri effectively admitted outright that the company went too far to shove AI down users' throats at all costs.
Nominate a Capital Region health care executive who’s making a difference
Who’s running the organizations shaping health care in the Capital Region — and doing it well? That’s the question at the heart of the Outstanding Health Care Executive category in Business Report‘s inaugural Excellence in Health Care Awards. This recognition is for the senior leaders who are making the hard calls, building strong teams and […]
Apple Reportedly Preparing 'Biggest Set of iPhone Revamps' Ever
Apple is working on "the biggest set of iPhone revamps in the product's history," according to the latest word from Bloomberg's Mark Gurman. Specifically, he is referring to the long-rumored foldable iPhone, as well as an ambitious 20th-anniversary iPhone with a truly "edge-to-edge" design.
No 10 says Starmer had ‘constructive’ call with Trump on Middle East and strait of Hormuz
PM will meet with the Commons liaison committee and chair the government’s Cobra emergency committee today
Rahm Emanuel proposes banning all federal employees from betting on prediction markets
Rahm Emanuel is proposing a far-reaching measure to crack down on betting in predictive markets in Washington as part of an effort to call attention to what he sees as a culture of corruption gripping the nation’s politics
Four Jewish ambulances set on fire in London in what health secretary calls 'sickening' attack
The attack on the Jewish Community Ambulance service in north London is being treated as an "antisemitic hate crime", the Metropolitan Police says.
Samsung reverses big S Pen change for Galaxy S27 Ultra after bold experiment fails
Samsung has backed away from one of its more ambitious S Pen experiments for next year’s Galaxy S27 Ultra, choosing to stick with its long-standing digitizer-based input system after testing a radically thinner alternative. According to ETNews, Samsung had been exploring a new pen technology that could eliminate the digitizer layer inside the display. The […]
One dead after shooting at Last Call Sports Bar in Jackson
One person is dead after a shooting at Last Call Sports Bar early Sunday morning.
24-year-old killed after shooting outside Last Call Sports Bar
24-year-old killed after shooting outside Last Call Sports Bar
A DNA test ruled him out. He was convicted of murder anyway.
Forensics has its share of high-profile problems. There’s phony “junk science,” like bogus bite-mark and blood spatter analyses that have sent innocent people to jail. And there’s the steady drumbeat of lab scandals, where analysts make up results. But there’s a subtler and more pervasive problem at work in many cases: lab analysts and lawyers who take perfectly legitimate science and twist it. Globe Opinion is exploring these distortions with a series we’re calling “Twisted Science.” And there may be no better place to start than with the case of Terrel Barros.
Locally-based behavioral health group to open first Louisville office
The location will provide individual, couples and family therapy.
Khloé Kardashian Recalls How Her Divorce from Lamar Odom Made Her ‘Obsessed’ with Leading a Healthy Lifestyle
Khloé Kardashian opened up about her relationship with diet and exercise on the March 18 episode of her podcast, ‘Khloé in Wonder Land.’ She said she became ‘obsessed’ with exercise after examining how her food choices were affecting her quality of life.
'Disgusting.' Democratic senator slams Trump's reaction to Mueller's death
Sen. Chris Murphy called President Donald Trump's response to the death of Robert Mueller "disgusting."
Your Thymus and Your Healthspan
Our thymus gland plays a central role in the development or our immune system, specifically for supporting T cell development (how these cells got their name, maturation and differentiation in the thymus) and discriminating between self and foreign, non-self antigen proteins with production of dendritic cells. As we age, our thymus gland shrinks—the process known as involution—with progressive change from spongy to fatty tissue, with loss of functionality. But this process, with respect to timeline and extent, markedly varies from one person to the next. And to make things even more complicated, our thymus gland anatomy and precise location in the chest also is highly variable. So the famous Frank Netter diagrams from the 1960s (such as at left below) don’t capture the remarkable heterogeneity that a random set of 12 chest CT scans (below at right). What I consider as 2 landmark papers in Nature this week (here and here) used AI to quantify health of the thymus in 2 large cohorts, and then correlate the metric to a broad array of health outcomes. In this edition of Ground Truths, I’m going to cover three questions: (1) How was thymus health determined by AI?; (2) How is thymus health linked to key clinical outcomes? and (3) Are there ways we can promote a healthy (aka rejuvenate) thymus gland in our later years? Subscribe 1. How was thymus health determined by AI? This was accomplished by extensive work developing and validating an AI pipeline for 2 stages, the first for localization and segmentation of the thymus bed, and the second to quantify a digital marker, termed the thymic health score. There’s a lot to this algorithmic development, so I won’t go into all the details, but just provide a rudimentary outline of what was done. The 1st stage used supervised learning with 2 radiologists reviewing 2,461 chest CT scans. That work trained a 3D U-Net model to automatically identify the thymic bed’s 3D cropped region using center of mass coordinates, which reached 99.8% accuracy. The 2nd stage used a foundation model that was pre-trained with SwAV (which stands for Swapping Assignment between multiple Views), a self-supervised model, that generated a high-dimensional thymus representation of 4,096 features. That compares to the radiology reductionist and subjective scoring of 0 to 3 where 0 means the thymus is fully degenerated and fatty, and 3 is considered dense, intact glandular soft tissue. Notably, the self-supervised learning (SSL) performance was superior to supervised (AUC ~0.75 vs 0.55, respectively) reflecting the shallowness of the 0-3 classifier vs SSL’s holistic, self-taught AI. The thymic health score ranged from 0 to 100, with the highest number indexed to fully preserved thymic health. The algorithmic work extended to explainability with both Shapely value distribution, meaning the model was holistic not relying on any “magic” pixel, and occlusion sensitivity, demonstrating the model’s performance was not affected by ribs, sternum, lung tissue, but rather focused on the thymic bed directly. Below are a few saliency maps from the occlusion sensitivity that indicate the thymic bed focus, not affected by neighboring structures, using the jet color scale. Now the AI was ready for processing ~25,000 CT scans, each over 30 MB files, from the 2 large participant cohorts to provide a thymic health score, it did so in less than 14 hours, which is less than 2 seconds per scan! Share 2. How is thymus health linked to key clinical outcomes? The two cohorts were the National Lung Screening Trial, NLST (N=25,031) and the Framingham Heart Study, FHS (N=2,581) each with baseline demographics and long term follow up of >12 years for health outcomes. From the NSLT, you can see below that increased age and body-mass index were correlated to reduced thymic health. And, overall, men had reduced thymic health scores compared with women. There are a lot of graphs in the paper for outcomes, for both the NLST and FHS cohorts. To simplify the major outcomes, below is a composite Figure with striking reduction of all-cause mortality and for the different causes of death. The results were consistent between the 2 cohorts. For example, the cardiovascular mortality hazard ratio average was 0.57 in NLST and 0.38 in FHS (weighted to be 0.53 for the aggregate). The reduction of mortality also extended to digestive diseases and pulmonary disease (data not shown below). Lung cancer incidence was reduced by 36% for high vs low thymic health (Figure below, with a panel -incidence and b panel-mortality, adjusted for age, sex, BMI, smoking status). Notably, there was a smoker’s paradox: lower incidence and improved survival for lung cancer in smokers who had a high thymus health score. Smoking was associated with lower thymic scores whereas alcohol was not. Higher thymic health was linked to higher HDL cholesterol, lower triglycerides, lower fasting blood glucose, and lower systolic and diastolic blood pressure. Inflammation biomarkers, such as C-reactive protein and interleukin-6, were elevated in the people with lower thymic health scores. In their second paper, the same team looked at the relationship between thymic score and outcomes for 3,476 patients receiving cancer immunotherapy. The non-small cell lung cancer progression-free survival was reduced in patients with low thymic health score. A parallel relationship for survival was seen for other types of cancer including melanoma, breast, and kidney with a 44% lower risk among high thymic scores (Figure). A similar pattern was seen with different immune checkpoint inhibitors. The thymus health score outperformed programmed death ligand-1 (PD-L1)and tumor mutation burden (TMB) assay of the tumor and was an independent prognostic marker of progression-free survival. In this dataset, a direct connect with thymus score and adaptive immune function was noted with a correlation before cancer treatment for both T-cell diversity and thymus T-cell production (a metric known as T cell receptor excision circles). Thymus Removal Study There is a highly relevant citation about thymus function before moving onto ways to rejuvenate it. In 2023, a very important study of thymus removal during cardiothoracic surgery was published, with 1146 patients undergoing thymus removal vs 1146 matched controls (mean age 55 years). The adverse outcomes for thymus removal were striking, with a 2.9 higher risk of all-cause mortality and doubling of cancer incidence, 1.5 fold increase in cancer mortality, and 1.5-fold increase in autoimmune diseases. The immune function showed marked compromise after thymus removal, as reflected by CD4+ and CD8+ T cells (Figure below) Share Ground Truths 3. Are there ways we can promote a healthy (aka rejuvenate) thymus gland in our later years? In recent months we’ve learned a lot about the process of thymus involution and the pathways by which this may be modulated. Thymus involution is primarily due to loss to thymus epithelial cells (TECs) and there are 2 subtypes with different functions: the cortical, responsible for positive selection of T cells, and the medullary, for negative selection. When adipose tissue infiltrates the thymus, thymic adipocytes are pro-inflammatory, knocking out T-cell output. Likewise, systemic inflammation, or “inflammaging,” from smoking, obesity, and chronic stress promote thymic adipocytes. Now, from preclinical studies, we know about key pathways that account for these processes. Historically, back in 2014, FOXN1 was recognized as a single master transcription factor essential for TEC function, with studies in mice with forced FOXN1 upregulation leading to thymus regeneration. That laid the foundation for potential regrowth of quiescent thymus cells. It took awhile to find pathways to accomplish this goal and to even refute its role as the master regulator. The Liver-Thymus Axis Feng Zhang and his team recently showed that injection of an mRNA vaccine to the liver encoding DLL1, IL-7 and FLT3-L in combination, factors known to support thymopoiesis (Figure), successfully enhanced immune function in aged mice. However, the effect was transient. The FGF21 Story Two reports in 2025 addressed the thymus gland’s production of FGF21, a growth factor (fibroblast growth factor 21) and its control of thymus involution. This growth factor is also produced by the liver, but it doesn’t have impact on the thymus in aged rodent models. In contrast, The liver’s hepatocyte growth factor (HGF) has been shown to reverse senescent TEC structural changes. Growth hormone stimulates production of insulin growth factor-1 (IGF-1) in the liver and the thymus. Two small studies in human participants (TRIIM, for Thymus Regeneration, Immunorestoration, and Insulin Mitigation) of 6 and 50 people, respectively, treated with combined human growth hormone, metformin and DHEA, suggested the potential of slowing epigenetic aging and improving thymus mass and function. But the combination of drugs, small sample, and lack of controls make conclusions murky. Increased thymus FGF21 led to increased CD8 T cells in old mice and extended healthspan and improved physical performance. Building on the previous FOXN1 data, ablation of β-klotho, the obligatory co-receptor for FOXN1, accelerated thymic aging. The benefit to FGF21 was confirmed in a companion paper using an FGF21 knock-in mouse model showing thymus enlargement and increased TECs throughout the lifespan. (schematic Figure below). The accompanying editorial for these 2 papers speculated: “The proposed link between age-associated thymus involution and organismal aging is intriguing, and suggests we might seek to achieve systemic rejuvenation by counteracting thymic involution.” Other Factors Lessons from the Axolotl (Mexican Salamander) In an elegant set of experiments of the axolotl (Figure), known for its complete thymus regeneration after total surgical removal, mediators were identified. Surprisingly FOXN1 was dispensable. But midkine, a growth factor, appeared to be the driver, the initiator of thymus cell growth, survival, and repair. Other components that contributed were Postn+ (periostin-expressing mesenchymal niches) and Ccl19, a chemokine protein from the bloodstream. RANK and RANKL RANK (receptor activator of nuclear factor κB its ligand (RANKL) have been considered key regulators of medullary TECs. In a study of both aged mice and human thymus cell cultures, their key role was confirmed, with multiple benefits of resorting TEC function, recruitment of progenitor cells, and T cell development. Subscribe Summing Up This body of work strongly supports the health of the thymus gland as a critical regulator of human healthspan, not just a correlate or link. The new landmark studies are reinforced by the regenerative biology experimental models that have shown, via an array of mediators, that healthspan of aged mice is at least in part dependent on thymus gland function and its critical role for maintaining adaptive immunity. It sure seems that we’d be better off having an immune reservoir of naive T cells instead of a profile in older adults of exhausted, low quality, memory T cells, with a senescent phenotype. It is striking that we ignored the importance of the thymus gland for many decades. A wake-up call was the results of the thymectomy matched control study reviewed here, with the opposite of high thymic health score improved health outcomes. The convergence of AI and healthspan here is notable. The exceptional and laborious work for developing and validating (no less explaining) the AI to quantify thymus health set the foundation for probing the connect the major health outcomes in two cohorts with extensive follow-up. We’ve never had a way to meaningfully quantify the thymus gland before, so this represents important leverage of supervised, self-supervised, and transformer models. The study wouldn’t have been possible without AI. And it begs the question as to whether there are ways we can maintain our thymus at a high health score. But it’s not so simple to rejuvenate our thymus. There are multiple risks including the induction of autoimmunity, increasing the risk of cancer, and inducing a pro-inflammatory state. For example, factors that increase TEC proliferation could compromise the medulllary negative selection process and leak out auto-reactive (self-attacking) T cells. Thymic cells could be induced to proliferate, but we know, for example, that growth hormone and IGF-1 are associated with an increase risk of cancer. If thymus rejuvenation doesn’t clear out the accumulated senescent cells in older adults, then inflammation within the gland could block the production of TECs. Keeping these risks in mind, we now have identified many ways to keep our thymus healthy as we age that undoubtedly will be tested in clinical trials going forward. Ultimately, the benefit-to-risk tradeoffs will be defined. In the meantime, we have desperately needed an immunome. As I’ve stressed in multiple prior Ground Truths, we have no test in the clinic to assess a patient’s immune status! It was very encouraging for me to get an email from Hugo Aerts, the senior author of the landmark papers in the days after they were published: “I also wanted to say that your Substack on “Why We Need an Immunome” was inspiring for this work. We found it a very compelling perspective and greatly enjoyed reading it.” Just having an assessment of a person’s immune status via a chest CT scan, with millions of these performed per year, might help in guiding the right immunotherapy for cancer (e.g. more intensive, combinations for those with low thymic health scores) and help define people who are increased risk for age-related diseases of cancer, cardiovascular, and neurodegenerative. The main theme of Super Agers is that we now have many layers of data (genetics, proteins, biomarkers, organ clocks that can be integrated via multimodal AI) for us to define a person’s specific risk decades before one of these age-related diseases leads to symptoms, enabling prevention. From the new studies this week, we can add thymus health score as yet another way to understand a person’s risk, a window into their adaptive immune system and healthspan. And perhaps someday we will be able to safely rejuvenate the thymus, or maintain its health through one’s life, and use the thymus health score to monitor. NB: I wrote this post (No A.I.) A Quick Poll Loading... ********************************************************************* Thanks to Ground Truths subscribers (now > 200,000) from every US state and 212 countries. Your subscription to these free essays and podcasts makes my work in putting them together worthwhile. Please join! If you found this interesting PLEASE share it! Share Ground Truths Paid subscriptions are voluntary and all proceeds from them go to support Scripps Research. They do allow for posting comments and questions, which I do my best to respond to. Please don’t hesitate to post comments and give me feedback. Let me know topics that you would like to see covered. Leave a comment Many thanks to those who have contributed—they have greatly helped fund our summer internship programs for the past two years. It enabled us to accept and support 47 summer interns in 2025! We aim to accept even more of the several thousand who will apply for summer 2026.
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