News reports of research into Alzheimer's disease Jan - June 2007

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There's a glossary of terms used in Alzheimer's research.

Disclaimer:
This section began as an offshoot of my gathering of news items about memory. I am not a medical expert. My background is in psychology. The information I have gathered here should not be taken as providing any advice.

June

Mental stimulation in old age reduces Alzheimer's risk

Post-mortem analysis of participants in a large, long-running study has provided more support for the idea that mental stimulation protects against Alzheimer’s. The study found a cognitively active person in old age was 2.6 times less likely to develop dementia and Alzheimer’s disease than a cognitively inactive person in old age. This association remained after controlling for past cognitive activity, lifetime socioeconomic status, and current social and physical activity. Frequent cognitive activity during old age was also associated with reduced risk of mild cognitive impairment.
The study was published online ahead of print June 27 in Neurology. Full reference
http://www.eurekalert.org/pub_releases/2007-06/aaon-fbs061907.htm

Alzheimer’s most often found in combination with other disease

Post-mortem data from a large, long-running study has found that only 30% of people with signs of dementia had Alzheimer’s disease alone. 42% had Alzheimer’s disease with cerebral infarcts (strokes) and 16% had Alzheimer’s disease with Parkinson’s disease (including two people with all three conditions). Infarcts alone caused another 12% of the cases. Vascular dementia caused another 12%. In those without dementia, brain autopsy revealed the presence of Alzheimer’s in 24% of cases, and infarctions in 18%. The finding that Alzheimer’s pathology with cerebral infarcts is a very common combination in people with dementia adds to emerging evidence that dementia risk might be reduced with the same tools we use for cardiovascular disease such as control of blood cholesterol levels and hypertension.
The findings appeared online ahead of print June 13 in Neurology. Full reference
http://www.eurekalert.org/pub_releases/2007-06/nioa-sfm061207.htm

Simple test predicts 6-year risk of dementia

A 14-point index combining medical history, cognitive testing, and physical examination — a simple test that can be given by any physician — has been found to predict a person’s risk for developing dementia within six years with 87% accuracy. As measured by the index, the risk factors for developing dementia are an age of 70 or older, poor scores on two simple cognitive tests, slow physical functioning on everyday tasks such as buttoning a shirt or walking 15 feet, a history of coronary artery bypass surgery, a body mass index of less than 18, and current non-consumption of alcohol. The results do need to be validated in other populations — for example, they have not yet been tested on Hispanics or Asian-Americans.
The tests were described in a presentation at the 2007 International Conference on Prevention of Dementia, in Washington, DC.
http://www.eurekalert.org/pub_releases/2007-06/uoc--stp060707.htm

New Alzheimer's gene

A study comparing more genetic markers in the DNA of people with and without Alzheimer’s disease than ever before has revealed a new gene that may increase a person’s risk for developing Alzheimer’s disease. The gene — GAB2 — appears to modify an individual’s risk when associated with other genes, including APOE4. It’s suggested that the healthy form of the GAB2 gene protects brain cells from developing tangles. If confirmed, this discovery could provide a target for future therapeutic drugs.
The results appeared in the June 7 issue of Neuron. Full reference
http://www.eurekalert.org/pub_releases/2007-06/ttgr-rti060107.htm

Why stress increases Alzheimer's risk

Previous research has suggested that stress may increase risk of Alzheimer's disease. Now a mouse study suggests the mechanism that may underlie this increased risk. Corticotropin-releasing factor (CRF) is released in the mouse brain by stress, and this factor is linked to increased levels of brain cell communication. A previous study has shown that increased communication between brain cells also contributes to increased amyloid beta. When CRF was directly placed in the mouse brain, amyloid beta levels rose immediately, while mice given a CRF blocker and then stressed did not display increased amyloid beta.
The results were reported in the June 19 issue of the Proceedings of the National Academy of Sciences. Full reference
http://www.eurekalert.org/pub_releases/2007-06/wuso-bsp053107.htm

Another mouse study has also found evidence suggesting that stress has its negative effects through the two known corticotropin-releasing factor receptors, CRFR1 and CRFR2. Mice genetically engineered to lack either CRFR1 or CRFR2 revealed that, in the absence of CRFR1, stress-induced tau tangles was prevented, while in mice missing CRFR2 the effect of stress on tau protein was amplified.
The findings appeared in the June 13 issue of Journal of Neuroscience. Full reference
http://www.eurekalert.org/pub_releases/2007-06/si-apm061407.htm

May

Brain scans show early Alzheimer's disease in people with memory problems

PET scans performed on the brains of 13 elderly men and women with mild cognitive impairment (MCI) and 14 elderly people without memory problems found that those with MCI had as much as 39% more PIB uptake in some parts of the brain than people without MCI, and about half of the MCI patients had PIB uptake in the Alzheimer's disease range. MCI subjects with at least one APOE 4 allele tended to have higher PIB uptake than MCI subjects without APOE 4. PIB is an imaging agent that allows amyloid plaque to be seen and measured.
The study was published in the May 8 issue of Neurology. Full reference
http://www.eurekalert.org/pub_releases/2007-05/aaon-bs050107.htm

Reduction of tau protein protects against Alzheimer’s

A study using genetically engineered mice has found that when tau protein was reduced their memory function was retained and they lived a normal lifespan, even though amyloid-beta levels weren’t affected. They were also made mice more resistant to epileptic seizures.
The findings were reported in the May 4 issue of Science. Full reference
http://www.eurekalert.org/pub_releases/2007-05/gi-sin042707.htm

Personality changes may help detect Lewy bodies dementia

Dementia with Lewy bodies is the second most common neurodegenerative cause of dementia. It shares characteristics with both Alzheimer's and Parkinson's disease, but some medications used to treat Alzheimer's patients are potentially dangerous for people with dementia with Lewy bodies. Early diagnosis is therefore important. A new study has found that people with dementia with Lewy bodies often display passive personality changes some time before cognitive deficits are evident, offering hope that a simple personality test might help diagnosis.
The study was published in the May 29 issue of Neurology. Full reference
http://www.eurekalert.org/pub_releases/2007-05/aaon-pcm052107.htm

Breakdown of myelin implicated in Alzheimer's

Myelin coats the axons of nerves, allowing for efficient conduction of nerve impulses, and thus faster processing speeds. Unfortunately, it becomes more and more susceptible to damage as we age. A new study suggests that it is the breakdown of myelin that promotes the buildup of amyloid-beta fibrils, that in turn destroy more and more myelin. The idea suggests a new therapeutic approach.
The report appeared in the April issue of Alzheimer's & Dementia. Full reference
http://www.eurekalert.org/pub_releases/2007-05/uoc--bom051007.htm

Blood inflammation plays role in Alzheimer's disease

Data from the Framingham Heart Study has found that those with the highest amount of cytokines (protein messengers that trigger inflammation) in their blood were more than twice as likely to develop Alzheimer's disease as those with the lowest amount of cytokines, providing further evidence that inflammation plays a role in the development of Alzheimer's disease.
The study was published in the May 29 issue of Neurology. Full reference
http://www.eurekalert.org/pub_releases/2007-05/aaon-bip052107.htm

Alzheimer's weight gain initiative improved patients' intellectual abilities

In a small, three-month study, Swedish researchers have found a way to increase the weight of people with Alzheimer's, with consequent improved intellectual abilities, by improving communication and patient involvement, altering meal routines and providing a more homely eating environment.
The findings were published in the May issue of the Journal of Clinical Nursing. Full reference
http://www.eurekalert.org/pub_releases/2007-05/bpl-awg051507.htm

Conference proceedings

Some hypertension drugs may help reduce dementia risk

Data from the Cardiovascular Health Study, a long-term study of cardiovascular risk factors that involved 5,888 people over 65 years old, has studied 1,074 participants who were free of dementia when they entered the study and who were being treated for high blood pressure. They found use of a class of high blood pressure medicines that are centrally active ACE inhibitors was associated with lower risk of cognitive decline. The benefit did not result from ACE inhibitors in general, only to those that are centrally active (which means they can cross the blood brain barrier). Centrally acting drugs include captropril (Capoten®), fosinopril (Monopril®), lisinopril (Prinivil® or Zestri®), perindopril (Aceon®), ramipril (Altace®) and trandolapril (Mavik®).
The findings were reported today at the annual meeting of the American Geriatrics Society in Seattle.
http://www.eurekalert.org/pub_releases/2007-05/wfub-shd042707.htm

Estrogen use before 65 linked to reduced risk of Alzheimer's disease

Data from the Women’s Health Initiative Memory Study looked at prior hormone use in 7,153 healthy women ages 65-79 before they enrolled in the WHI Memory Study, and followed their cognitive health over an average of five years. In that time, 106 of the women developed Alzheimer’s disease or dementia. The study found women who used any form of estrogen hormone therapy before the age of 65 were nearly 50% less likely to develop Alzheimer’s disease or dementia than women who did not use hormone therapy before age 65, but women who began estrogen-only therapy after the age of 65 had roughly a 50% increased risk of developing dementia. The risk jumped to nearly double for women using estrogen-plus-progestin hormone therapy.
The findings were presented at the American Academy of Neurology’s 59th Annual Meeting in Boston, April 28 – May 5, 2007.
http://www.eurekalert.org/pub_releases/2007-05/aaon-eub041007.htm

Secondhand smoke increases risk of dementia

Preliminary findings from the Cardiovascular Health Study indicates that elderly people with high lifetime exposure to secondhand smoke (more than 30 years) were approximately 30% more likely to develop dementia than those with no lifetime secondhand smoke exposure. People with abnormalities of their carotid arteries and high lifetime exposure to secondhand smoke were nearly two-and-a-half times as likely to develop dementia as those with no secondhand smoke exposure and no indications of carotid artery disease.
Haight presented the findings at the American Academy of Neurology’s 59th Annual Meeting in Boston, April 28 – May 5, 2007.
http://www.eurekalert.org/pub_releases/2007-05/aaon-ssi041007.htm

April

Diabetes associated with increased risk of mild cognitive impairment

A study involving 918 individuals older than 65 years (average age 75.9) who did not have mild cognitive disorder or dementia when they enrolled has found that, over some 6 years, diabetes was related to a significantly higher risk of developing amnesic mild cognitive impairment, after controlling for other risk factors. The results support other findings that type 2 diabetes increases the risk of Alzheimer's.
The report appeared in the April issue of Archives of Neurology. Full reference
http://www.eurekalert.org/pub_releases/2007-04/jaaj-dmb040507.htm

DHA-rich diet may curb onset of Alzheimer’s

Studies with genetically engineered mice have revealed that a type of omega-3 fatty acid — docosahexaenoic acid (DHA) — may slow the growth of beta amyloid and tau, the proteins that lead to the lesions typical of Alzheimer’s. The results also suggest that DHA works better on its own than when paired with omega-6 fatty acids. A typical American diet has a ratio of omega-6 fatty acids to omega-3 fatty acids of 10:1, while studies indicate that the ideal ratio for good health is 3:1 to 5:1. Omega-6 fatty acids are found in corn, peanut and sunflower oils.
This research appears in the April 18 issue of The Journal of Neuroscience. Full reference
http://www.eurekalert.org/pub_releases/2007-04/uoc--ofa041307.htm

Enhanced environment restores memory in mice with neurodegeneration

Research involving genetically engineered mice has found that mice whose brains had lost a large number of neurons due to neurodegeneration regained long-term memories and the ability to learn after their surroundings were enriched with toys and other sensory stimuli. The same effect was also achieved through the use of a drug that encourages neuronal growth. The findings suggest not only new approaches to treatment for those with Alzheimer's or other neurodegenerative diseases, but also supports recent suggestions that "memory loss" may be an inaccurate description of the kinds of mental deficits associated with neurodegenerative diseases. The memories are still there; they are simply inaccessible.
The findings were published online ahead of print April 29 in Nature. Full reference
http://www.eurekalert.org/pub_releases/2007-04/hhmi-eer042507.htm

Commonly used pain medications do not prevent Alzheimer's

Contradicting earlier indications, a study involving more than 2,100 people over age 70 with no signs of dementia but a family history of Alzheimer's disease, has found no benefit from over-the-counter pain medication naproxen and prescription pain reliever celecoxib. Participants were randomly assigned daily doses of naproxen, celecoxib, or placebo for up to four years, but most participants had received the treatments for less than two years.
The study was published online ahead of print April 25 in Neurology. Full reference
http://www.eurekalert.org/pub_releases/2007-04/aaon-cup042407.htm

Brain structure changes years before memory loss begins

Another study provides evidence that people who develop dementia or Alzheimer's disease experience brain structure changes years before any signs of memory loss begin. The study involved 136 people over the age of 65 who were considered cognitively normal at the beginning of the five-year study. By the end of the study, 23 people had developed MCI, and nine of the 23 went on to be diagnosed with Alzheimer's disease. Compared to the group that didn't develop memory problems, the 23 who developed MCI or Alzheimer's disease had less gray matter in key memory processing areas (specifically, anteromedial temporal lobes and left angular gyrus) even at the beginning of the study when they were cognitively normal. They also had lower cognitive test scores, though these scores were still within normal range.
The study was published in the April 17 issue of Neurology. Full reference
http://www.eurekalert.org/pub_releases/2007-04/aaon-bsc041007.htm

Statin treatment improves spatial memory in Alzheimer's mice

Treatment with the cholesterol-lowering statin drug Simvastatin significantly improved spatial in genetically engineered mice. The benefits were more pronounced in males. Levels of nNOS (neuronal nitric oxide synthase) levels were significantly higher in the hippocampus and cortex of statin treated groups as compared to similar mice that did not receive statin. nNOS is responsible for the release of nitric oxide, a substance that causes dilation of the blood vessels in the brain, thus increasing blood flow.
The findings were presented April 30 at Experimental Biology 2007 in Washington, DC.
http://www.eurekalert.org/pub_releases/2007-04/foas-sti042107.htm

March

Survey reveals ethnic differences in knowledge about Alzheimer's

The Alzheimer's Foundation of America's (AFA) second Investigating Caregivers' Attitudes and Needs survey has revealed that African-American and Hispanic caregivers of people with Alzheimer's disease are significantly more likely (37% and 33%, respectively) than caregivers of other races (23%) to consider the disease a normal part of the aging process and also more likely (70% and 67%, vs 53%) to dismiss its symptoms as part of getting older, thus delaying diagnosis. They were also more likely (67% and 63%, vs 49%) to report that they did not know enough about the disease to recognize the symptoms.

Fears of stigma also play a part in delaying diagnosis, with around one-third (33%) of respondents reporting that their loved one's concern about stigma delayed diagnosis, and about a quarter (26%) indicating that their own concern about stigma contributed to the delay. African-American caregivers were significantly more concerned about stigma (36%) than Hispanic (22%) and other race (18%) caregivers.

Races other than African-American and Hispanic were far more likely to consider placing their loved one in a facility: 32% compared to African-American (19%) and Hispanic (21%) caregivers. African-American and Hispanic caregivers were more likely to use a support groups than other races (47% and 50%, vs 29%). Yet only around half of African-American respondents and a little more than one-third of Hispanic respondents said that they felt the support groups they were able to access were appropriate to their specific religious or ethnic background. At diagnosis, caregivers overall wished they had received more information about Alzheimer's disease (75%) and treatment options (75%), with African-American caregivers (83%) significantly more likely than Hispanic (73%) and other (68%) caregivers to wish they had received more information.
http://www.eurekalert.org/pub_releases/2007-03/fi-srm030907.htm

Study examines genetic risk factors for Alzheimer's disease

A Welsh study that tested more than 17,000 gene variants in 4,000 volunteers has found evidence for several genes contributing to Alzheimer’s disease, the most interesting one being GALP, thought to affect the development of tangles within brain cells.
The findings will be published in a future issue of Human Molecular Genetics.
http://www.eurekalert.org/pub_releases/2007-03/cu-seg030507.htm

February

Loneliness increases risk of Alzheimer's disease

Social isolation has been linked with an increased risk of dementia and cognitive decline, but perceived isolation — feeling alone rather than being alone — hasn’t been investigated. A new four-year study of 823 older adults provides evidence that loneliness is a risk factor for Alzheimer’s. 76 individuals developed Alzheimer’s over the course of the study, and the risk of developing it increased around 51% for each point on the 5-point loneliness score. The findings did not change significantly when the researchers factored in markers of social isolations, such as a small network and infrequent social activities. Autopsies performed on 90 individuals who died during the study show that loneliness is a risk factor rather than an early sign of the disease.
The study was published in the February issue of Archives of General Psychiatry. Full reference
http://www.eurekalert.org/pub_releases/2007-02/rumc-law020207.htm
http://pn.psychiatryonline.org/cgi/content/full/42/6/22?etoc

Vasectomy may put men at risk for type of dementia

A small survey of men with Primary Progressive Aphasia (PPA), a neurological disease in which people have trouble recalling and understanding words, has found that 40% of them had had a vasectomy, in comparison to 16% of controls. Additionally, of those who had PPA, those who had undergone a vasectomy developed it at a younger age (58 years) than those who hadn't had one (62 years). Preliminary evidence from the study also indicates a possible link between frontotemporal dementia and a vasectomy. No such association was found with Alzheimer’s.
http://www.eurekalert.org/pub_releases/2007-02/nu-vmp021207.htm
http://www.northwestern.edu/newscenter/stories/2007/02/vasectomy.html

More on why high cholesterol might increase your risk of Alzheimer’s

A cell study provides more understanding of why there might be a link between cholesterol and Alzheimer's disease. The study found that proteins which help control cholesterol levels in arterial walls were also present in neurons, and when the genes for these proteins were over-expressed, production of amyloid beta protein fell. The finding suggests a new approach to slowing Alzheimer’s. The study also showed that the apoE protein is extremely good at regulating cholesterol removal from neurons — the gene for this protein is a well-known genetic risk factor for Alzheimer's.
The study appeared in the February issue of the Journal of Biological Chemistry.
http://www.newscientist.com/article/mg19325905.200?DCMP=NLC-nletter&nsref=mg19325905.200

Inhaled anesthetics might increase the risk of Alzheimer's

A study using a new imaging technique has been able to see why anesthetics might cause amyloid β peptides to clump together, and whether one method of anesthesia was better than another. Previous studies have found that the inhaled anesthetics halothane and isoflurane and the intravenous anesthetic propofol encouraged the growth and clumping of Aβ in a test tube experiment. The new study found that the inhaled anesthetics caused the highest levels of Aβ aggregation, while the injected anesthetic propofol only interacted and caused aggregation at high concentrations, and thiopental did not cause the clustering of Aβ peptides even at high concentrations.
The study was published in the January 23 issue of Biochemistry. Full reference
http://www.eurekalert.org/pub_releases/2007-01/uopm-roa012507.htm

January

Bilingualism has protective effect in delaying onset of dementia

An analysis of 184 people with dementia (132 were diagnosed with Alzheimer’s; the remaining 52 with other dementias) found that the mean age of onset of dementia symptoms in the 91 monolingual patients was 71.4 years, while for the 93 bilingual patients it was 75.5 years — a very significant difference. This difference remained even after considering the possible effect of cultural differences, immigration, formal education, employment and even gender as influencers in the results.
The study was published in the February issue of Neuropsychologia. Full reference
http://www.eurekalert.org/pub_releases/2007-01/bcfg-css011107.htm

Learning slows physical progression of Alzheimer's disease

A mouse study has found that short but repeated learning sessions can slow the development of two brain lesions that are the hallmarks of Alzheimer's disease —beta amyloid plaques, and tau tangles. The researchers are now investigating whether more frequent and vigorous learning will have bigger and longer benefits.
The study appears in the January 24 issue of the Journal of Neuroscience. Full reference
http://www.eurekalert.org/pub_releases/2007-01/uoc--lsp011807.htm

Transdermal vaccine effective in treating Alzheimer's disease in mice

Previous research on an Alzheimer's vaccine proven safe and effective in an animal model was suspended when the initial clinical trial caused brain inflammation and death in a small percentage of patients. A new mouse study has now had success with a transdermal method of delivery (a skin patch), that doesn’t appear to trigger the toxic reaction of past immunization strategies. Further research is needed to assess whether the transdermal vaccine can curb memory loss as well as reduce Ab plaque.
The study was published online before print on January 30 in the Proceedings of the National Academy of Sciences. Full reference
http://www.eurekalert.org/pub_releases/2007-01/uosf-tve011807.htm

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