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Frazzled, your future is not so grim dark anymore!

http://www.sciencealert.com/new-alzheimer-s-treatment-fully-restores-memory-function

Spoiler:
Australian researchers have come up with a non-invasive ultrasound technology that clears the brain of neurotoxic amyloid plaques - structures that are responsible for memory loss and a decline in cognitive function in Alzheimer’s patients.

If a person has Alzheimer’s disease, it’s usually the result of a build-up of two types of lesions - amyloid plaques, and neurofibrillary tangles. Amyloid plaques sit between the neurons and end up as dense clusters of beta-amyloid molecules, a sticky type of protein that clumps together and forms plaques.


Neurofibrillary tangles are found inside the neurons of the brain, and they’re caused by defective tau proteins that clump up into a thick, insoluble mass. This causes tiny filaments called microtubules to get all twisted, which disrupts the transportation of essential materials such as nutrients and organelles along them, just like when you twist up the vacuum cleaner tube.

As we don’t have any kind of vaccine or preventative measure for Alzheimer’s - a disease that affects 343,000 people in Australia, and 50 million worldwide - it’s been a race to figure out how best to treat it, starting with how to clear the build-up of defective beta-amyloid and tau proteins from a patient’s brain. Now a team from the Queensland Brain Institute (QBI) at the University of Queensland have come up with a pretty promising solution for removing the former.

Publishing in Science Translational Medicine, the team describes the technique as using a particular type of ultrasound called a focused therapeutic ultrasound, which non-invasively beams sound waves into the brain tissue. By oscillating super-fast, these sound waves are able to gently open up the blood-brain barrier, which is a layer that protects the brain against bacteria, and stimulate the brain’s microglial cells to move in. Microglila cells are basically waste-removal cells, so once they get past the blood-brain barrier, they’re able to clear out the toxic beta-amyloid clumps before the blood-brain barrier is restored within a few hours.

The team reports fully restoring the memories of 75 percent of the mice they tested it on, with zero damage to the surrounding brain tissue. They found that the treated mice displayed improved performance in three memory tasks - a maze, a test to get them to recognise new objects, and one to get them to remember the places they should avoid.

"We’re extremely excited by this innovation of treating Alzheimer’s without using drug therapeutics," one of the team, Jürgen Götz, said in a press release. "The word ‘breakthrough’ is often misused, but in this case I think this really does fundamentally change our understanding of how to treat this disease, and I foresee a great future for this approach."

The team says they’re planning on starting trials with higher animal models, such as sheep, and hope to get their human trials underway in 2017.
   
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Good on ya, mates!

   
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Human trials in 2017 is ambitious to say the least given the amount of legislation involved and the inevitable push back from pharma companies. I do think its great and any sensible nation would throw money at this, sadly that wouldnt happen here in the UK, I do hope this one gets the attention it deserves.

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Holy hell feth, that's incredibly exciting! Can't wait to see where they go with this.
   
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Pleasant Valley, Iowa

Very awesome. Alzheimers is such an insidious disease, I'd love to see a treatment if not a cure.

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Sounds promising, but I worry about the side effects.

gently open up the blood-brain barrier, which is a layer that protects the brain against bacteria


I am not a doctor, but it sounds like there might be an increased risk of infections. If you are letting the clean-up cells in, who knows what else is getting in as well? But that’s why they do research. I suspect the pros of being able to think, reason, and remember probably outweigh the risks of complications. Hopefully this pans out.

   
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WA, USA

Lost family members to Alzheimer's, this is amazing news.

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 Nevelon wrote:
Sounds promising, but I worry about the side effects.

gently open up the blood-brain barrier, which is a layer that protects the brain against bacteria


I am not a doctor, but it sounds like there might be an increased risk of infections. If you are letting the clean-up cells in, who knows what else is getting in as well? But that’s why they do research. I suspect the pros of being able to think, reason, and remember probably outweigh the risks of complications. Hopefully this pans out.


Any surgery where you are opening up the body has a risk on infection. However messing about with the blood-brain barrier does seem like its particularly invasive. Its part of the reason the brain is so resistant (and also why its so damn difficult to get drugs to affect the brain)

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Planet of the Mice anybody?

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This message was edited 1 time. Last update was at 2015/03/19 16:20:37


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 djones520 wrote:
Planet of the Mice anybody?


You say that now, just wait until they cast Mark Wahlberg in it!
   
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Oxfordshire UK

I find this fascinating as a large part of my job involves caring for people with Alzheimer's. It's a truly disgusting disease, and anything that helps people afflicted by it is a good thing. Speaking from experience, I know most families would bite a pharmacy's hand off if there was a tablet that even slowed it down, never mind stopped around 75% of the effect.
This is why I reckon stem cell research is so vital. Because of an ageing population, diseases like Alzheimer's, Lewy Bodies and the like are becoming more prevalent, and it's just a crap shoot if you develop them or not.

I just hope it doesn't put me out of a job!


 
   
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Southeastern PA, USA

It would certainly be great if this turns into a real treatment down the road. It's something we can all root for.

But if every treatment that was promising in mice ended up working in humans, we'd probably have eradicated most disease and have 200-year lifespans by now. There are many drugs that look promising in early HUMAN trials, only to fizzle out for various reasons.

When you see these kinds of articles, it's important to keep in mind they're mostly PR pieces, and that when the story is picked up by publications, they often don't put things in their proper context.

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I know this probably makes me sound like a conspiracy theory guy living in a RV, but I think the whole reason great clinical trials don't make it is because the pharma companies, and insurance companies, make more money by treating our symptoms rather than curing stuff. If they fix us, they go broke cuz we won't need them anymore.

On that note, I sure hope that doesn't happen, cuz this is one disease that really needs to go away.

 
   
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We can but hope.

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 Necros wrote:
I know this probably makes me sound like a conspiracy theory guy living in a RV, but I think the whole reason great clinical trials don't make it is because the pharma companies, and insurance companies, make more money by treating our symptoms rather than curing stuff. If they fix us, they go broke cuz we won't need them anymore.

On that note, I sure hope that doesn't happen, cuz this is one disease that really needs to go away.


Its more to do with the fact that many pharmaceuticals end up only working on a very small and very specific set of patients in any given situation. For the companies thats a no go since they wont recoup the losses they made developing said drug.

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 Necros wrote:
I know this probably makes me sound like a conspiracy theory guy living in a RV, but I think the whole reason great clinical trials don't make it is because the pharma companies, and insurance companies, make more money by treating our symptoms rather than curing stuff. If they fix us, they go broke cuz we won't need them anymore.

On that note, I sure hope that doesn't happen, cuz this is one disease that really needs to go away.


I work in the industry. And yeah, that's major league tinfoil hat stuff, although I've heard people say things like that before.

Where the whole conspiracy argument falls apart is that "Big Pharma" isn't one giant monopolistic company, but many companies in competition with one another. Think that part through and you'll see why the idea of miracle cures being put on ice doesn't make any sense. That's not to say that the system is ideal, but pharma companies secretly holding back surefire blockbuster drugs definitely isn't the problem.

I'm not sure how health insurers would fit into this either. Not only do they have nothing to do with drug development, but insurers only want healthy patients...they hate patients with chronic conditions requiring treatment over long periods of time. If there were miracle cures out there for chronic conditions, I'm pretty sure they'd be in favor of them.

I think that human beings tend to find it comforting to believe that complex problems can have very simple solutions. And so maybe it's comforting to think that there's a simple cure for a really tough disease or condition, whether that's a compound sitting in some secret vault somewhere or some kind of healthy, all-natural, organic mix of weeds or something ground up into a smoothie. It's more depressing to accept that the treatments out there at a given time are probably the best that there are at that moment, and that they aren't cures but treatments that buy you more time, or address this or that symptom but come with serious side effects, etc.

Again, I hope this thing is the start of something huge for Alzheimer's. But there's a LONG road to go for this one.

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Rise of the planet of the mice.

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 hotsauceman1 wrote:
Rise of the planet of the mice.

So Skaven? I find that oddly awesome
   
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I'll be the one to say it: successful in 75%, but in the other 25% they became more violent, susceptible to rage, and ate the other mice.

Welcome to the cause of the zombie apocalypse!


In all seriousness though, my grandfather had Alzheimer's when he passed away. And it was terrible agony for my family seeing the man he once was cut down like that. A potential cure is an amazing thing.*


*even with 25% chance of zombies.

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I was talking to a researcher recently and he told me there were interesting links between people who have genes that don't use cholesterol in the brain too well having increased risk of alzheimers. Makes sense I guess with people on the anti-cholesterol medication becoming forgetful.

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