Alzheimer Related News Items
News as of 12 /5/04
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A New Species of Amyloid Peptide - The report of this new species of amyloid peptide in Journal of Biological Chemistry was selected by the editors as the paper of the week. The editors described it is follows. One of the characteristic features of AD is the aggregation and eventual deposition of amyloid peptides in the brain. These amyloid deposits are generally composed of 39-43-amino acid residue amyloid {beta}-peptides that are derived from a large amyloid precursor protein through a series of cleavage events. Guojun Zhao and colleagues have now identified a new species of amyloid {beta}-peptide that is 46 amino acids long. The peptide is cleaved at a novel {zeta}-cleavage site, which is also the site of the APP717 or London mutation, a mutation often found in early-onset familial AD. The cleavage event leading to the new peptide is presenilin- dependent and is inhibited by {gamma}-secretase inhibitors that act as transition state analogues but interestingly is less affected by non-transition state {gamma}-secretase inhibitors. The discovery of a new 46-amino acid amyloid peptide is significant because the longer amyloid {beta}-peptides are more amyloidogenic and more pathogenic than the shorter ones. The identification of a new amyloid {beta} peptide species provides new insights into {beta}-amyloid precursor protein processing intermediates and could present a new target for treating AD. J. Biol. Chem. 2004, 279, 50647-50650 (Dec. 3 2004) and this editor note at 99926
Drugs
Cholesterol Drugs May Not Reduce Risk of Dementia - New study findings suggest that the cholesterol-lowering drugs know as ‘statins’ do not appear to lower the risk of dementia or AD, except possibly in cases of early-onset AD. This runs counter to recent reports indicating that these drugs do, in fact, reduce the risk of dementia and AD. The authors of the current study believe the discrepancy may have to do with how the data were analyzed. Dr. Gail Li, from the University of Washington in Seattle, and colleagues assessed the outcomes of 2,356 elderly subjects without dementia who were in a health maintenance organization. The subjects were enrolled in the study between 1994 and 1996 and were evaluated every two years until the end of 2002. During follow-up, 312 subjects were diagnosed with all-cause dementia and 168 had probable AD. As noted, statin use did not have a significant effect on the risk of dementia or AD. Moreover, there was no evidence that higher or lower doses of statin affected the development of dementia. “Our results argue against the general premise that statins used for prevention of coronary heart disease will result in prevention of dementia or AD, except perhaps in subgroups at high risk for early-onset AD or in persons starting statins at a younger age and taking them for longer periods of time,” Li’s team concludes. Reuters Health 11/15/04 Neurology 2004;63:1624-1628
ExonHit Therapeutics Accelerates Its Clinical Development Program in AD - ExonHit Therapeutics, a privately-held drug discovery company, announced 11/22/04 that it plans to start a Phase IIa proof-of-concept study in AD with EHT 0202, its most advanced compound in development, in the early part of 2005. ExonHit Therapeutics has already demonstrated that EHT 0202 improves attention and cognition and has neuroprotective properties in animal models. Based on these data it is likely that EHT 0202 may prove suitable for symptom relief and as a disease modifying agent in patients with AD. PR 11/22/04
Study Reveals Possible Location of AD Genes - Researchers at Columbia University Medical Center have found two locations in the human genome that may harbor genes which increase the risk of AD. If confirmed, they will be the first genes linked to the disease since ApoE4 was discovered in 1993. “We feel confident that we may be closing in on new AD genes,” says the study’s senior author, Richard Mayeux, co-director of the Taub Institute for Research on AD and the Aging Brain at CUMC. “This is a major collection of families, and family studies really give you more confidence that the region you’re looking at is significant.” Researchers think that AD is caused by the interaction of several different genes, but so far only one gene, ApoE4, has been linked conclusively to the disease. Finding the other genes will be a huge step toward understanding how AD begins and how it can be treated. It will also allow clinicians to predict who will develop AD later in life and who will benefit from drugs that prevent the disease. The new study found strong evidence for new AD genes on chromosomes 18 and 10. The region on 18 had never been strongly linked to the disease before, but the link to chromosome 10 confirms previous findings by other AD researchers. PR 11/1/04 Molecular Psychiatry Nov. 2004 vol 9, no. 11:1042-1051
Long-term Memory Protein ‘Found’ - The identity of the protein which is key to developing long-term memory has been confirmed by scientists at the National Institute of Health. The discovery may lead to advancements in treatment for AD and other people with memory loss. Scientists have suspected for a long time that the mBDNF protein plays a role in memory development. But the NIH team claims to have proved the protein is the key, using experiments on mouse brains. The protein mBDNF, which stands for mature brain-derived neurotrophic factor, is produced by a chemical reaction involving the enzyme plasmin and proBDNF. The team carried out a series of experiments on mice brains, which are easy to mutate, to see how the protein affected long-term memory and what was needed to create the protein. In tests where the mouse brain was incapable of producing mBDNF, long-term memory formation was not possible. But when the conditions were right to produce mBDNF, the researchers found long-term memory development was possible. Dr Bai Lu said the findings had the potential to treat people with AD. “The fundamental problem is the part of the brain associated with memory is dying. If you can stop it from dying or improve the functions of memory you can help patients with AD.” BBC News 11/8/04 Science vol. 306, 5695, 487-491 Oct. 15, 2004
Of Mice, Men and In-Between - Biologists call hybrid animals chimeras (ki-MER-ahs), after the mythical Greek creature with a lion’s head, a goat’s body and a serpent’s tail. They are the products of experiments in which human stem cells were added to developing animal fetuses. Chimeras are allowing scientists to watch, for the first time, how nascent human cells and organs mature and interact -- not in the cold isolation of laboratory dishes but inside the bodies of living creatures. Some are already revealing deep secrets of human biology and pointing the way toward new medical treatments. Perhaps the most ambitious efforts to make use of chimeras come from Irving Weissman, director of Stanford University’s Institute of Cancer/Stem Cell Biology and Medicine. Weissman helped make the first mouse with a nearly complete human immune system -- an animal that has proved invaluable for tests of new drugs against the AIDS virus, which does not infect conventional mice. More recently his team injected human neural stem cells into mouse fetuses, creating mice whose brains are about 1 percent human. By dissecting the mice at various stages, the researchers were able to see how the added brain cells moved about as they multiplied and made connections with mouse cells. Already, he said, they have learned things they “never would have learned had there been a bioethical ban.” Now he wants to add human brain stem cells that have the defects that cause Parkinson’s disease, Lou Gehrig’s disease and other brain ailments -- and study how those cells make connections. Scientists suspect that these diseases, though they manifest themselves in adulthood, begin when something goes wrong early in development. If those errors can be found, researchers would have a much better chance of designing useful drugs, Weissman said. And those drugs could be tested in the chimeras in ways not possible in patients. Now Weissman says he is thinking about making chimeric mice whose brains are 100 percent human. He proposes keeping tabs on the mice as they develop. If the brains look as if they are taking on a distinctly human architecture -- a development that could hint at a glimmer of humanness -- they could be killed, he said. If they look as if they are organizing themselves in a mouse brain architecture, they could be used for research. So far this is just a “thought experiment,” Weissman said, but he asked the universitys ethics group for an opinion anyway. “Everyone said the mice would be useful,” he said. “But no one was sure if it should be done.” By Rick Weiss Washington Post Staff Writer 11/20/04
Caregivers
AD Steals More Than Memory - Though memory loss is the best-known AD symptom, the disease can also cause psychiatric problems that lead to profound changes in personality, mood and behavior. People who were happy and good-natured for most of their lives suddenly become fearful, depressed, deluded or angry, sometimes even violent. Many families hide such symptoms, and perhaps as a result, psychiatric problems were long thought to affect only a minority of people with AD or other types of dementia. Only recently has it become clear that emotional and behavioral troubles are nearly universal among people with AD, and the problems are frequently intractable and more upsetting to families than the mental slowing. Depression and apathy are the most common psychiatric symptoms. But agitated, aggressive and psychotic behaviors are a leading reason AD patients are put into nursing homes. (The other is incontinence.) “They are extraordinarily distressing and wearing on caregivers,” said Dr. Constantine Lyketsos, a psychiatrist and AD expert at Johns Hopkins. The emotional disorders can be difficult or impossible to treat. There is no drug specifically approved for psychiatric problems in patients, so doctors try to treat the symptoms, using drugs meant for other illnesses. They prescribe a wide array of medicines, including antidepressants, antipsychotics used to treat schizophrenia and stimulants and drugs approved for anxiety, epilepsy and memory impairment. Sometimes the drugs seem to work, sometimes they do not. Dr. Lon Schneider, a psychiatrist who studies and treats AD at the University of Southern California, said: “Whenever you see a long list of drugs of different classes, you know there’s no good treatment. You get a high degree of uncertainty, and companies hyping their antipsychotics.” Over all, Dr. Lyketsos said, the effects of the drugs are moderate. But he added that depression seemed to be the most treatable symptom, and could be eased in half to two-thirds of AD patients with drugs like Prozac, which enhance brain levels of the chemical serotonin. But some psychiatric drugs can have troubling side effects, particularly antipsychotics, which may increase the risk of stroke, diabetes, weight gain, high cholesterol, sleepiness and Parkinson’s-like movement disorders. Meanwhile, behavior therapy and activity programs at adult day care centers may work at least as well as drugs in some patients, and families are urged to try them first. Teaching relatives and the nursing home staff what to expect from a person with dementia and how to avoid confrontations can help to keep the peace. By Denise Grady NYTimes 11/2/04
Testing
Test Could Spot AD Early - A new nanotechnology-based technique could lead to a test for diagnosing the early signs of AD. The Bio-Barcode-Assay can recognise ADDL, a protein that accumulates in the brains of sufferers. It is a million times more sensitive than conventional tests and could revolutionise disease detection. In future, it might form the basis not only of a test for AD but also for types of cancer, the human form of mad cow disease and HIV. “Diagnosis [of AD] is 100% accurate post-mortem. What you want is the ability to detect the marker so you can begin to think about new types of therapies,” said Professor Chad Mirkin, of Northwestern University in Evanston, Illinois. Professor Mirkin and his research group at Northwestern developed the highly sensitive test by manipulating molecules at the nanometer scale (one billionth of a meter). “We have done the first set of experiments that quantify the number of ADDLs in cerebrospinal fluid,” Professor Mirkin said. ADDLs are protein bundles which attack nerve synapses in the brains of people with AD. “Nobody is able to study this with the existing tools. A nanotechnology-enabled tool is allowing us to study these kinds of markers and link them to disease. The next exciting step would be to move to blood. If you detect it in blood, you have a huge win.” By Paul Rincon BBC News science reporter 11/12/04
See other ADDL story as first one in Other Items
Prevention
Obesity Bad for Brain, Study Finds - Obesity is harmful to the brain for women, but it doesn’t appear to raise the risk of dying for men who have suffered heart attacks, according to two new studies. Swedish researchers say that women who have been obese throughout their lives are more likely to lose brain tissue in the temporal lobe compared with women of normal weight. Loss of brain tissue has been linked to cognitive decline and an increased risk for AD. Obesity is a well-known risk factor for heart disease, but a separate study surprised researchers by finding that it didn’t increase the risk of death in men who had already suffered a heart attack. The Swedish paper “is the first study to show [that] a higher body mass index is related to brain atrophy,” said lead researcher Deborah Gustafson, a psychiatrist at Sahlgrenska University Hospital in Göteborg. The only significant relationship between body mass index (BMI) and brain atrophy was found in the temporal lobe, Gustafson said. “The temporal lobe is important for a number of reasons, including hearing, speech, language, comprehension, naming, memory, and visual processing of, for example, faces,” she said. By Steven Reinberg HealthDay Reporter 11/22/04 Neurology 2004;63:1876-1881
A Workout for Your Brain - You can keep the mind fit through mental and physical activity.
At UCLA seniors took part in a class aimed at enhancing their cognitive abilities. Dr. Gary Small, director of the UCLA Center on Aging launched the memory training classes on campus. He is the author of “The Memory Prescription.” Through a series of “mental aerobics” activities, the class participants learned memory strategies and exercises to help keep their minds in shape. In addition to such brain-training classes that are now offered in some cities, various books, videos and web sites are devoted to helping people boost their memory. And early next year, chapters of the Alzheimer’s Association are planning to offer “Maintain Your Brain” workshops to educate people about lifestyle measures -- including mental and physical activity -- to help preserve their cognition. Research has demonstrated, for example, that higher levels of education and plenty of mental stimulation throughout life are associated with lower rates of AD, he notes. A study published last year in The New England Journal of Medicine found that people over 75 who often read, danced and played board games or musical instruments had lower rates of dementia, including AD, than those who didn’t frequently engage in such stimulating pursuits. “It’s the use-it-or-lose-it theory,” Small says. “If you keep your brain cells active it improves their efficiency. You develop what we believe is a cognitive reserve” and it’s never too late to start. Even people who are at high risk of AD because of a family history of the disease may see benefit. They may not completely steer clear of the disease, but they may reduce or delay its symptoms for months or even years, according to Small and others. Dr. Bill Thies of the Alzheimer’s Association says staying mentally active -- be it through working crossword puzzles, reading, taking college courses, learning a new language, playing games or going to the theater -- is “the prudent thing to do” as we age. “But it doesn’t come with a guarantee card, unfortunately.” The same goes for physical activity, according to Thies. Researchers know that people who exercise regularly have healthier brains and less AD than their couch-potato counterparts, though they don’t know exactly how much or what specific kinds of exercise offer the most protection. Research published in September in the Journal of the American Medical Association found that even walking appears to have a significant benefit. By Jacqueline Stenson Contributing editor MSNBC (www.msnbc.msn.com) 11/30/04
Other Items
Findings Show How Toxic Proteins Rob AD Patients of Memory - Researchers at Northwestern University have discovered a molecular mechanism -- a tiny protein attacking nerve cells -- that could explain why the brain damage in early AD results in memory loss and not other symptoms such as loss of balance or tremors. The research team, led by William L. Klein, professor of neurobiology and physiology, found that toxic proteins, called “amyloid ß-derived diffusible ligands” (ADDLs, pronounced “addles”), from the brain tissue of individuals with AD specifically attack and disrupt synapses, the nerve cell sites responsible for information processing and memory formation. These results show that only particular neurons and synapses are targeted by the neurotoxins. An understanding of how ADDLs disrupt synapses without killing neurons could lead to the development of new therapeutic drugs capable of reversing memory loss in patients who are treated early, in addition to preventing or delaying the disease. “Memory starts at synapses, so it was probable that AD would be a synapse failure,” said Klein. “Our work, which shows that ADDLs bind with great specificity to synapses, is the first demonstration of that.” PR 12/1/04 The Journal of Neuroscience Nov. 2004;24:10191-10200 See other ADDL story in Testing
Computer Simulation Shows How Fibrils Form - To get a better look at how proteins gather into clusters called amyloid fibrils - which are associated with important human diseases such as AD, Parkinson’s and the so-called prion diseases like Mad Cow - researchers at North Carolina State University decided to make movies. Dr. Carol Hall, Professor of chemical engineering at NC State and Hung D. Nguyen, a graduate student in Hall’s lab, used a computer simulation technique, discontinuous molecular dynamics, to visualize the meanderings of small proteins called peptides. Movies of the simulation show that 96 randomly placed peptides spontaneously aggregate into what Hall calls a “sandwich” of layered protein sheets, similar to the amyloid fibrils discovered in diseased people and animals. Hall says that understanding how fibrils form in human or animal organs may lead to discoveries of how to slow or halt fibril formation. PR 11/22/04 Proceedings of the National Academy of Sciences Nov. 16, 2004 vol. 101, no.46:16180-16185
Boston Biomedical Research Institute and Wyeth Announce Licensing of AD Immunother-
apy Technology - Boston Biomedical Research Institute (BBRI) has announced that it has
entered into an agreement with Wyeth Pharmaceuticals to license BBRI’s patented
technology for immunotherapy to combat AD. This agreement will further the Elan and
Wyeth collaboration with BBRI on beta amyloid immunotherapy for the treatment of AD. The
ground-breaking work forming the basis for the patent applications was conducted in the lab of
Dr. Vic Raso, a senior scientist at BBRI. PR 11/22/04 To see three of Raso’s published patent
applications go to http://www.uspto.gov/patft/index.html and in the Published Applications side
on the right click on “Advanced Search” and in the Query window type “IN/Raso” (without the
quotes) and then click on the Search button
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