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Scientists May Have Finally Solved Earth’s Greatest Extinction Mystery

The mass extinction event known as the Great Dying, which occurred 252 million years ago, resulted in the loss of 96% of marine species, and for many years, scientists could not fully explain why certain animals disappeared while others survived.

That longstanding mystery may be closer to a resolution, thanks to a recent study in the Proceedings of the National Academy of Sciences, which suggests that differences in physiology, metabolism, and oxygen use helped determine which marine animals survived the catastrophe.

Stanford University researchers found that physiological differences largely determined which marine animals survived the end-Permian mass extinction after warming oceans lost much of their oxygen. Animals whose bodies could not meet rising oxygen demands, including brachiopods and crinoids that had long ruled the seafloor, had a hard time surviving as ocean temperatures rose and oxygen in the water dropped.

By contrast, mollusks and fish possessed body plans better suited to supplying oxygen as temperatures climbed, allowing them to survive in greater numbers.

“With this study, we essentially wanted to solve the mystery of why, when you go to the beach, you collect the shells of clams and snails rather than those of brachiopods,” said lead author Jose Andres Marquez, a former PhD student in the lab of Stanford’s Erik Anders Sperling.

Marquez and his team developed a model based on species’ metabolic oxygen balance and tested it using direct measurements of oxygen use in living relatives of both ancient groups. This included brachiopods collected from the San Juan Islands in Washington. Their results revealed that the risk of extinction closely aligned with how much oxygen a species required and how effectively it could transport oxygen within its body.

A Body Built for Survival

Modern sea animals, such as bivalves, gastropods, and fish, have become more active and muscular over time. Their hunting habits demand more oxygen, even under normal conditions. Although this could seem like a disadvantage during harsh times, it actually worked in their favor. When ocean temperatures rose and oxygen levels dropped during the Permian-Triassic period, these animals already relied on features such as gills, strong blood flow, and larger muscles to get more oxygen when needed.

On the other hand, Paleozoic animals like brachiopods and crinoids were slow-moving filter feeders that thrived in low-oxygen environments when things were stable. However, as temperatures rose, they required more oxygen, and their bodies could not keep up with the demand in the now-oxygen-poor waters.

“Our findings show that, across different organism groups, extinctions happened at much higher rates for those more vulnerable to increases in water temperature and decreases in oxygen availability,” Marquez said.

The findings support decades of evidence from the fossil record. Brachiopods, which once accounted for thousands of species, now number about 400. In contrast, bivalves have diversified and now account for between 10,000 and 15,000 species.

Settling the Debate

Sperling previously co-authored a 2018 study that identified oxygen loss and warming as the main causes of the Great Dying. However, that earlier research used only physiological data from modern species, so the results were influenced by data from commercially important fish and crustaceans rather than from the ancient groups that have largely disappeared. The new study addresses this limitation by directly measuring the physiology of living representatives of ancient animal groups, including brachiopods.

“This study is really the final nail in the coffin for what caused the Permian-Triassic mass extinction,” Sperling said.

A Familiar Climate

The environmental changes that led to the Great Dying began in oceans that were relatively cool and well-oxygenated, similar to present-day conditions. A massive release of volcanic carbon dioxide altered the atmosphere, driving global temperatures up by 8 to 12 degrees Celsius over several thousand years. By comparison, current climate projections estimate a rise of 1.5 to 4 degrees Celsius above preindustrial levels by 2100, but over a much shorter timescale. “The bad news is, we are on track for Permian-Triassic levels of warming in worst-case scenario projections,” Sperling said.

By comparing more groups of marine animals, the researchers hope to determine whether the physiological patterns that shaped Earth’s greatest mass extinction could help predict which species are most vulnerable as today’s oceans continue to warm. “We’re still at the point where we can change things and do something about it,” Sperling emphasized.

Austin Burgess is a writer and researcher with a background in sales, marketing, and data analytics. He holds an MBA, a Bachelor of Science in Business Administration, and a data analytics certification. His work focuses on breaking scientific developments, with an emphasis on emerging biology, cognitive neuroscience, and archaeological discoveries.

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Mothers’ Milk Detects Preterm Secretory Activation Without Na

In a groundbreaking new study published in Pediatric Research, scientists have unveiled a novel biomarker within mothers’ milk that significantly advances our understanding of secretory activation in mothers of preterm infants. This discovery holds the potential to transform neonatal care by enabling earlier and more precise monitoring of lactation readiness, specifically through assessing sodium content without relying on the traditional sodium-to-potassium (Na:K) ratio. The implications for clinical practice and infant health are profound, especially for premature babies who depend on timely and adequate milk supply.

Secretory activation, the critical transition of the mammary gland to copious milk secretion, has long been a focal point for neonatal healthcare providers. Early and accurate detection of this physiological milestone can dramatically influence infant outcomes by ensuring that premature neonates receive the optimal nutrition needed for growth and immune support. Traditionally, the Na:K ratio in breast milk has served as the primary laboratory marker to signal secretory activation. However, this method presents challenges—samples must be analyzed carefully, and fluctuating electrolyte concentrations often complicate the interpretation, particularly in the dynamic physiology post-delivery.

The study spearheaded by Pei, Meier, Bendixen, and colleagues proposes a compelling alternative: monitoring the sodium (Na) concentration in breast milk independently, without referencing potassium (K) levels. By focusing solely on sodium levels, researchers discovered a more straightforward, faster, and potentially more sensitive biomarker to detect the onset of secretory activation. This shift could overhaul clinical protocols and streamline the path to identifying lactation progress in mothers of preterm infants.

Preterm birth, defined as birth before 37 weeks gestation, is a critical public health challenge affecting millions globally. Infants born prematurely are at elevated risk for complications stemming from immature organ systems, including underdeveloped gastrointestinal tracts that rely heavily on human milk to mitigate risks like necrotizing enterocolitis and infections. Timely secretory activation ensures that mothers can provide milk with adequate volume and composition tailored to meet these vulnerabilities, making the detection of this lactation stage an essential focus.

One of the key findings from the research reveals that sodium concentration alone, measured in mothers’ milk, reliably corresponds with the timing of secretory activation, offering enhanced accuracy over the Na:K ratio. The researchers harnessed cutting-edge biochemical assays and longitudinal sampling of milk from mothers of preterm infants, characterizing electrolyte fluctuations in detail. They demonstrated that sodium levels begin to decrease sharply after secretory activation due to the closure of tight junctions in mammary epithelium, making sodium a robust surrogate marker when potassium is disregarded.

This novel analytical approach holds significant clinical advantages. By simplifying the biomarker assessment to a single electrolyte—sodium—healthcare providers could deploy point-of-care testing devices that quickly inform about lactation status. This immediate feedback is not merely academic; it could empower bedside decision-making, maternal counseling, and targeted interventions such as lactation support or nutritional supplementation tailored to the mother-infant dyad’s needs.

Moreover, the researchers emphasized the particular relevance of this method for mothers of preterm infants, who face complex physiological challenges in initiating and maintaining milk production. The stress of prematurity, along with common maternal health complications, can delay secretory activation, placing these vulnerable infants at nutritional risk. Early detection of such delays via a straightforward sodium measurement could prompt timely remedial strategies, ultimately improving growth trajectories and developmental outcomes.

The molecular and cellular underpinnings lend biological credibility to these findings. Secretory activation involves hormonal cascades, primarily triggered by the precipitous drop in circulating progesterone after placental delivery, alongside rising prolactin levels. This hormonal milieu encourages the closure of mammary tight junctions, reducing sodium passage into milk. Hence, declining sodium concentrations mirror the biochemical shifts indicating functional milk secretion—transforming sodium into a powerful diagnostic proxy.

Beyond the immediate neonatal implications, this study’s methodology aligns with larger trends in personalized medicine and point-of-care diagnostics. By distilling complex physiological events into accessible, quantifiable milk component metrics, the research epitomizes the merging of biochemistry with clinical practicability. As lactation science evolves, such innovations hold promise to optimize maternal-infant health with greater precision and speed.

Nevertheless, the study authors acknowledge potential limitations and areas for further inquiry. The population was focused on mothers of preterm infants, and whether the sodium-only marker applies equally to term deliveries or diverse populations warrants exploration. Additionally, advancing from laboratory assays to user-friendly devices suitable for widespread clinical or even home use will require multidisciplinary collaboration in engineering, biochemistry, and healthcare delivery.

Intriguingly, the research opens doors to investigating how other milk components—such as immunoglobulins, hormones, or other electrolytes—could synergize with sodium assessment to map lactation physiology more comprehensively. Future studies might expand this framework to encompass not just secretory activation timing but also milk quality, volume forecasting, and infant growth correlation, painting a more holistic picture of lactation dynamics.

The implications extend beyond immediate clinical management. For neonatologists and lactation consultants, a reliable and rapid biomarker offers a potent tool for enhancing support programs, tailoring interventions, and potentially improving breastfeeding success rates and duration, especially in the fragile realm of neonatal intensive care. With breastfeeding recognized globally as a cornerstone of infant health, innovations like these resonate far across public health landscapes.

In sum, Pei and colleagues’ work represents a pivotal advancement in lactation science and neonatal nutrition. By elucidating the power of sodium measurements without the confounding Na:K ratio, they have charted a path toward more streamlined, accurate, and clinically actionable monitoring of secretory activation in mothers of preterm infants. This biomarker could become a vital asset in neonatal care, ensuring the earliest possible identification of lactation onset and facilitating optimal support for both mother and child during a crucial period.

As this research garners attention, it is poised to influence future guidelines and inspire technological innovation in lactation monitoring. The prospect of employing simple sodium assays in diverse care settings—from tertiary hospitals to community clinics—heralds a democratization of lactation science, empowering more mothers to achieve successful breastfeeding outcomes, regardless of prematurity challenges.

The cascade of benefits from this research is already rippling through the scientific and medical communities. Improved neonatal nutrition, reduced complications from feeding delays, and enhanced maternal confidence all emerge from a seemingly small shift in how we understand and measure breast milk composition. Such breakthroughs underscore the power of focused biochemical insight to generate transformative healthcare innovations.

Looking forward, collaborations between researchers, clinicians, and technologists will be essential in translating this discovery into effective clinical tools. As innovation speeds up, the integration of rapid sodium tests into neonatal intensive care workflows could soon become standard, ensuring that no preterm infant is left behind in the race toward optimal growth and development. This study not only advances science but also embodies a vital step toward better health outcomes worldwide.


Subject of Research: Secretory activation in mothers of preterm infants as detected through sodium concentration measurements in breast milk.

Article Title: Mothers’ milk Na without Na:K ratio detects secretory activation in mothers of preterm infants.

Article References:
Pei, Q., Meier, P.P., Bendixen, M.M. et al. Mothers’ milk Na without Na:K ratio detects secretory activation in mothers of preterm infants. Pediatr Res (2026). https://doi.org/10.1038/s41390-026-05206-x

Image Credits: AI Generated

DOI: 19 June 2026

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