Alzheimer Related News Items
News as of 2/08/04
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Cloning Creates Human Embryos - Scientists in South Korea report that they have created human embryos through cloning and extracted embryonic stem cells, the universal cells that hold great promise for medical research. Their goal, the scientists say, is not to clone humans but to advance understanding of the causes and treatment of disease. The work was led by Dr. Woo Suk Hwang and Dr. Shin Yong Moon of Seoul National University and will be published 2/13/04 in the journal Science. The paper provides a detailed description of how to create human embryos by cloning. Experts in the field not involved with the work said they found the paper persuasive. It is what patients with diseases like Parkinson’s and diabetes had been waiting for, the start of so-called therapeutic cloning. The idea is to clone a patients cells to make embryonic stem cells that are an exact genetic match of the patient. Then those cells, patients hope, could be turned into replacement tissue to treat or cure their disease without provoking rejection from the body’s immune system. Even though the new work clears a significant hurdle, scientists caution that it could take years of further research before stem cell science turns into actual therapies. By Gina Kolata NY Times 2/12/04 Article at http://www.nytimes.com/2004/02/12/science/12CELL.html?hp Free abstract and link to free copy for registered users of Science at http://www.sciencemag.org/cgi/content/abstract/1094515
published online 12 Feb. 2004; 10.1126/science.1094515
Drugs
Namenda(TM) (memantine HCl), First Drug Approved For Treatment of Moderate to Severe AD Now Available Nationwide - Forest Laboratories, Inc. announced 1/13/04 that Namenda(TM) (memantine HCl), the first and only medication approved for patients with moderate to severe AD, is now available to physicians, patients, and pharmacies nationwide. Namenda was approved by the U.S. Food and Drug Administration (FDA) on October 16, 2003. Healthcare providers, patients and caregivers should call their local pharmacies to determine if Namenda is available in their area. Namenda is a low to moderate affinity NMDA (N-methyl-D-aspartate) receptor antagonist. It is thought that overexcitation of NMDA receptors by the neurotransmitter glutamate may play arole in AD since glutamate plays an integral role in the neural pathways associated with learning and memory. The excitotoxicity produced by abnormal levels of glutamate is thought to be responsible for the neuronal cell dysfunction observed in AD. Namenda is thought to selectively block the excitotoxic effects associated with abnormal transmission of glutamate, while allowing for the physiological transmission associated with normal cell functioning. PR 1/13/04
Checking Brain Chemical Key for Memory - Low levels of a key chemical messenger, acetylcholine, in the brain are crucial during sleep if you are going to form long-term memories. That’s the conclusion of German researchers at the University of Lubeck, Germany. They suggest their discovery might warrant a closer look at how certain medications are given to AD patients. For decades, scientists have known that levels of the chemical messenger acetylcholine must be adequately high during wakefulness for learning new things. “Our study now is the first one to show that for memory consolidation -- that is, strengthening newly acquired memories -- low levels of acetylcholine in the brain during sleep are a prerequisite,” says lead researcher Steffen Gais, with the department of neuroendocrinology. While Gais concludes the current practice of giving AD patients medicine to keep their acetylcholine levels high during sleep should be re-evaluated, an AD expert says much more study is needed before medication changes are warranted. By Kathleen Doheny HealthDay Reporter 1/28/04 Proceedings of the National Academy of Sciences
Saegis Pharmaceuticals Completes Exclusive License Agreement for AD Drug - Saegis Pharmaceuticals, Inc., announced 1/6/04 it has been granted an exclusive license to develop and market its lead AD candidate, SGS742, from Novartis Pharma AG. Under the terms of the agreement, Novartis received an equity stake in Saegis. Saegis was granted an option to an exclusive license on SGS742 from Novartis in 2001 and successfully completed a Phase II clinical trial of the compound in mild cognitive impairment (MCI), a type of age-related memory loss that is often a precursor to AD. Saegis is now initiating a Phase II clinical trial of SGS742 in mild to moderate AD. Rodney Pearlman, President and CEO of Saegis Pharmaceuticals, said . “On the basis of our clinical work with the compound to date, we believe that SGS742 has the potential to be a useful treatment in mild cognitive impairment and AD.” PR 1/6/04
Genes & Genetic Issues
Gene Could Lead to Heart-Healthy Foods - Scientists have pulled off a feat of gene engineering that could lead, in theory at least, to juicy steaks and fluffy omelets that are good for your heart. The scientists inserted a worm gene into mice and made the rodents produce significant amounts of omega-3 fatty acids, a heart-friendly substance normally found in salmon and other oily fish. The researchers at Boston’s Massachusetts General Hospital now are trying to breed gene-engineered chickens that would lay omega-3 eggs. And they said the obvious follow-up would be transferring the gene to livestock to see if they can produce meat and milk rich in omega-3. “It would be little bit more difficult in a cow or pig,” said the study’s senior author, Jing X. Kang. “Overall, it would be quite similar and I think the outcome would be the same.” Omega-3 fatty acids are thought to prevent heart disease by helping to reduce the inflammation involved in hardening of artery walls. They also may reduce blood pressure and chemically regulate the electrical impulses of the heart’s rhythm. Omega-3s also are important to brain development and may reduce the risk of AD. By Joseph B. Verrengia, AP Science Writer 2/4/04 Nature 427, 504 (05 Feb. 2004).
Caregivers
Tests Tell When AD Patients Should Stop Driving - Tests that evaluate spatial relationships between objects and driving simulations are helpful in identifying drivers with AD who shouldn’t be behind the wheel, a new study finds. Typical “neuropsychological tests” include block design and picture completion tasks. In these tests, patients must match designs or complete pictures using colored blocks. There is ample evidence that drivers with dementia are at increased risk for car crashes and getting lost while driving. The researchers reviewed 27 studies on dementia and driving that had been published between 1988 and 2003. Their goal was to find the most effective tests for predicting driving performance. The best ones were specific skills tests and simulated on-road and non-road tests that evaluated mental status and “visuospatial” skills and predicted driving performance, the study says. The results of these tests were a more reliable measure of driving ability than observations from family members, the researchers note. The investigators also found tests that look at attention and concentration were less helpful and not as accurate in predicting driving performance. These findings have implications for families trying to decide if a relative with early AD should be driving, says study author Mark Reger, a fellow in psychiatry and behavioral science at the University of Washington School of Medicine. “Families concerned about whether their loved one is safe to drive might consider neuropsychological testing as a part of driving risk assessment,” he says. By Steven Reinberg HealthDay Reporter 1/26/04 January 2004 issue of Neuropsychology
Testing
New Imaging Agent Could Help Diagnose AD - A new imaging agent that homes in on the gummy plaque believed to destroy the brains of AD patients may finally allow the disease to be diagnosed before it kills, researchers at the University of Pittsburgh said 1/21/04. The agent, a radioactive dye called Pittsburgh Compound B, can also be used to test new drugs being developed to fight AD by the use of positron emission tomography. Using the new agent, “we will likely be able to follow the progression of the disease and speed the development of promising new therapies aimed at halting the build-up of amyloid in the brain,” Dr. William Klunk of, who led the study, said in a statement. “We will not only find out when plaques begin to form, we will be able to see directly if a medication is preventing or reversing plaque formation over the long term,” Klunk said. The dye, an adjusted version of the dye used by pathologists to find AD in brain samples from dead patients, is harmless. In two hours it is gone from the body. Reuters 1/21/04 Annals of Neurology published online 10.1002/ana.20009
St. Joseph’s Among First in U.S. to Use New Technology in Genetic Testing for AD -Researchers at St. Joseph’s Hospital and Medical Center are among the first in the country to use a new molecular diagnostic tool to help develop genetictests for AD. St. Joseph’s DNA Diagnostic Laboratories validated the test in collaboration with Nanogen, Inc. , a company that develops and commercializes molecular diagnostic products for the gene-based testing market. Using the company’s NanoChip© Molecular Biology Workstation and analyte specific reagents, researchers can detect the specific genetic form, or allele, of the ApoE gene, which is associated with an increased risk for developing AD. Currently, this mutation is detected with more conventional technology that is not widely available. Nanogen licensed the detection of ApoE alleles for use with the NanoChip device in April 2003. “The relationship between St. Joseph’s and Nanogen allows us to offer predisposition testing for AD to patients throughout Arizona in a timely, accurate and cost-effective manner. Currently, patients can wait up to six weeks for results,” says Dr. John Stone, Laboratory Director. “We anticipate that this collaboration will soon lead to the development of similar tests.” PR 1/6/04
Other Items
Low Blood Pressure Linked to Dementia in Elderly - A low blood pressure is associated with an increased risk of dementia in people over 75 years of age, according to a new report. This risk seems to pertain only to AD type dementia and is highest in subjects with persistently low pressures. The findings are based on a study of 406 community-dwelling elderly subjects who were dementia-free at study entry and were followed for up to 21 years. Systolic and diastolic blood pressures, the first and second numbers, respectively, in a blood pressure measurement, were determined in all subjects. During the study, 122 subjects developed dementia, lead author Dr. J. Verghese and colleagues, from Albert Einstein College of Medicine in New York, note. The authors found that a diastolic blood pressure below 70 raised the risk of dementia. Specifically, for each 10-point drop in pressure, the risk of dementia increased by 20 percent. Low pressures were only linked to an increased risk of AD-type dementia, not the type that occurs as a result of blocked blood vessels in the brain. Further analysis revealed a decreased risk of AD-type dementia for patients with moderately high systolic pressures. However, this association was not very strong. Compared with other subjects, people with consistently low blood pressures throughout the first two years of the study were twice as likely to develop dementia. “Our results suggest that low blood pressure may be both the cause and the consequence of dementia,” the researchers state. “If our results are replicated, intervention studies are required to study whether maintaining blood pressure at optimal levels reduces the risk of dementia in elderly individuals.” Reuters Health 1/8/04 Neurology 2003;61:1667-1672
New Clues to Genesis of AD - German scientists say they may have found a missing link in the chain of events that trigger AD. University of Bonn researchers are pointing the finger at a protein called abeta, which often shows up in large quantities in the cerebral cortex of patients with AD. Their study appears in the February issue of Traffic. Despite the presence of abeta in the brains of AD patients, scientists weren’t certain whether the protein could enter the cell plasma and cause damage. In this new study, Bonn University scientists say they discovered abeta can enter the cell plasma but, as a rule, decomposes once it’s in the cell plasma. But the scientists suggest that if this decomposition does not occur properly, abeta can accumulate and destroy cells. HealthDayNews 1/14/04 Traffic
New Brain Disease Could Be Affecting Many Thousands - A newly discovered neurodegenerative disease could be affecting tens of thousands of men around the world, say researchers. The disease closely resembles AD, Parkinson’s and senile dementia, but appears to be caused by a genetic defect linked to fragile X syndrome. Until now carrying the defect was not thought to be harmful. Researchers believe the new disease, named FXTAS (fragile X-associated tremor/ataxia syndrome), may affect up to one in 3000 men, with most sufferers being over 50 years old. “FXTAS may be one of the most common causes of tremor and balance problems in the adult population and yet it is being misdiagnosed” says Paul Hagerman, a biochemist at the University of California, Davis and one of the research team. “Thankfully it can now be identified with a standard DNA test.” “Many of the patients we studied were thought to have Parkinson’s disease, AD, or were just suffering from normal ageing,” he told New Scientist. “In some cases patients with the disease even had surgery. Now that FXTAS has been identified these people will no longer receive the wrong treatment.” FXTAS is characterised by tremors, balance problems and dementia that become increasingly severe with age. Initial signs of the disorder include difficulty writing, using eating utensils, pouring water and walking. Other features include short-term memory loss and anxiety. By Danny Penman NewScientist.com news service 1/27/04 Journal of the American Medical Association 2004;291:460-469
Stroke Risk Linked to Decline in Mental Powers - A high risk for stroke predicts a deterioration in mental functioning, even when dementia and clinical stroke do not occur, investigators reported 1/15/04 at a media briefing by the American Medical Association. “Factors that increase the risk of stroke affect planning and organizational abilities,” lead researcher Dr. Merrill F. Elias said. Such risk factors include type 2 diabetes, abnormal heart rhythms, heart enlargement, high blood pressure, and smoking. The Framingham Stroke Risk Profile (FSRP) is a validated score that measures the risk of having a stroke, based on a variety of factors such as blood pressure, smoking, having diabetes, and so on. Dr. Elias, at Boston University, and his colleagues examined FSRP scores in 2,175 members of the Framingham Offspring Cohort, none of whom had a history of stroke or dementia. The participants also underwent a battery of mental tests The researchers found that as stroke risk increased, performance went down on tests of abstract reasoning, visual-spatial memory, tracking and organization, and attention. Functions not associated with FSRP were verbal learning and memory, Dr. Elias said. Since stroke risk profile factors play a role in dementia, “it is very likely that they play a role in AD,” he added. “The importance of our work is that it establishes a relationship between high risk for stroke and early cognitive deficit,” the investigator explained. “The greatest opportunity to intervene is at the beginning when the cognitive deficit is mild. As the deficit increases, our opportunity to intervene decreases significantly.” Behavioral interventions and medications to treat risk factors such as hypertension and hypercholesterolemia “are both essential,” he told Reuters Health. This report will be published in the February issue of the medical journal Stroke. Dr. Vladimir Hachinski, editor-in-chief of Stroke and neurologist at the University of Western Ontario in Canada, told the group: “These findings suggest that in those who are prone, stroke can precipitate AD.” He continued: “We know that stroke is preventable. In principle, since stroke is treatable, AD too may be treatable.” By Karla Gale Reuters Health 1/15/04
Marian S. Ware AD Program Established at PENN Medicine with a $6 Million Gift - The University of Pennsylvania 1/15/04 announced the establishment of the Marian S. Ware AD Program, comprising a set of collaborative initiatives between PENN Medicine and the University of Pennsylvania School of Nursing to advance drug discovery, clinical research, and patient care related to AD. The Program is created through a $6 million gift from Marian S. Ware, a long-time supporter of the University and advocate for progress in medical research and treatment for AD. The Marian S. Ware AD Program will uphold a three-part mission: drug discovery, identifying and evaluating novel therapeutics; clinical research, particularly in developing and testing biomarkers to identify patients with AD; and patient care, formulating best practice models that coordinate the complex care needs of patients and their family members. PR 1/ 5/04
Emory and Harvard Receive First Grants From the Alzheimer Research Consortium - The Alzheimer Research Consortium, a novel public-private consortium designed to combat AD by supporting the development of new research model systems, announced 2/3/94 that its first grants have been awarded to Emory University and Harvard University. At Emory University, Anthony Chan, D.V.M., Ph.D., received funding for his project “Transgenic rat models of AD.” The grant to Harvard will fund the project “Novel fly and mouse models for the p25/Cdk5 kinase” in the laboratory of Li-Huei Tsai, D.V.M., Ph.D., a Howard Hughes Medical Institute investigator. The Consortium seeks to improve the diagnosis, treatment, and cure of AD by promoting the development of new research models that mimic features of the devastating human disease. PR 2/3/04
MetLife Foundation Award for Medical Research Recognizes Strides Made by Scientists in AD Research - MetLife Foundation’s Award for Medical Research in AD was presented 1/13/04 to Roberto Malinow, M.D., Ph.D, and Thomas Sudhof, M.D., in recognition of their efforts and contributions to understanding AD. Drs. Malinow and Sudhof each received a grant of $200,000 to further their work in AD research, as well as a $50,000 personal award. Both of this year’s honorees have advanced our knowledge of how cells in the brain communicate and how diseases of cognition disrupt that communication. Dr. Malinow is Professor of Neuroscience at the Cold Spring Harbor Laboratory, New York. For the past decade, Dr. Malinow and his colleagues have focused their research on how activity in brain cells controls the strength of communication at the synapses between the cells. This process, called synaptic plasticity, is thought to underlie the formation and storage of memories. Dr. Malinow’s research has led to a greater understanding of how synapses function, as well as the role of amyloid beta peptides (viewed as central to the pathogenesis of AD) in normal and disease cells. Dr. Sudhof directs the Center for Basic Neuroscience at the University of Texas Southwestern Medical Center at Dallas and serves as an investigator of the Howard Hughes Medical Institute. Dr. Sudhof believes that understanding synaptic communication is key to understanding how the brain processes information. The work in Dr. Sudhof’s laboratory has made seminal contributions to our understanding of synaptic communication, including the division of the presynaptic process into an intriguing hierarchy of reactions. His research into amyloid precursor protein (APP) serves as a basis for future studies of the underlying cause of AD. The awards program began with a research briefing at which each winner discussed his work and future AD trends. The research briefing was moderated by Donald L. Price, M.D., Director, AD Research Center at John Hopkins University School of Medicine and Professor of Pathology, Neurology and Neuroscience. PR 1/13/04
Ailing Ronald Reagan Celebrates 93rd Birthday - A decade after dropping out of public view, America’s first movie star president, Ronald Reagan, spent his 93rd birthday at his California home, while his wife, Nancy, was to attend a ceremony in his honor. AFP 2/6/04
Japan Man Wanted on Industrial Spy Charge - Prosecutors in Japan detained a Japanese man 2/2/04 in response to an American request that he be handed over to face industrial espionage charges in the United States, an official said. Takashi Okamoto, 43, a former researcher at the Cleveland Clinic in Cleveland, Ohio, was charged in May 2001 with conspiracy, economic espionage and interstate shipment of stolen property related to AD research. Tokyo prosecutors took Okamoto into custody after receiving an order from Justice Minister Daizo Nozawa to launch extradition proceedings, said a Tokyo High Public Prosecutors Office official, who spoke on condition of anonymity. Prosecutors have submitted investigation documents to the Tokyo High Court, which is set to examine the case for extradition. The court’s ruling is expected in two months, the official said. By Kozo Mizoguchi, Associated Press Writer 2/2/04
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