Research Points to Early Detection of Alzheimer’s

Poached Scrambled eggs in the pot
Poached Scrambled eggs in the pot

Research continues on this dread disease, so don’t draw any drastic conclusions from this one study, but interesting nonethless.

“Earlier intervention will allow us to treat patients when they have much less disability and when it could still be possible to prevent or delay such [memory] losses,” said Howard Feldman, Bristol-Myers Squibb’s vice president of global clinical research for neuroscience.

The exact causes of Alzheimer’s are still unknown, but clumps of a sticky substance called amyloid and masses of tau protein in the brain are thought to be key factors in its development. Until recently, amyloid plaques and tau tangles could be seen only in the brain upon autopsy.

But during the past decade, the identification of biomarkers—proteins and other chemicals in the brain and spinal fluid associated with amyloid and tau levels—as well as better brain-scanning technology have provided a clearer picture of Alzheimer’s in living patients and how it progresses over time.

Increasingly, the evidence suggests that amyloid, which many researchers had fingered as likely contributing to memory loss in Alzheimer’s and which has been the most popular target of experimental drugs, may be most toxic early in the disease process, before symptoms appear.

It appears to trigger a cascade that causes tau protein—which normally serves to stabilize cell structure—to break down, form tangles and kill brain cells. The tau changes, many experts now believe, are at the heart of the dementia symptoms.

In one study presented at the Paris conference, Mayo’s Dr. Jack and his colleagues examined 298 patients spanning the cognitive spectrum from normal to severe Alzheimer’s dementia over the course of a year. Using brain scans and biomarker analyses, they found little change in amyloid among patients progressing toward Alzheimer’s. But there were substantial changes in tau and brain volumes, suggesting that they change later in the course of the disease than amyloid.

(click here to continue reading Research Points to Alzheimer’s Early Toll – WSJ.com.)

 

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