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Alzheimer's Disease

The Future of Preventing Alzheimer's Moves Closer to Reality


Author:

Eric Sabo

Medically Reviewed On: August 22, 2005

The most recent work, which is still in its formative stages with regard to imaging, has to do with detection of the actual amyloid protein that is thought to be a major player in the development of Alzheimer's disease. [These proteins, or plaques, gradually clump together in the brains of Alzheimer's patients. It is still unclear if this build up causes the disease or is the result of it.] This is very preliminary, and it's not a diagnostic test by any means at this stage.

But down the road, it may be a combination of measures; perhaps memory, perhaps a structural brain measurement, perhaps measurement of proteins in the brain and perhaps a genetic component. You put all of these together, and we may be able to develop a prediction as to who is more likely to develop Alzheimer's disease in the future.

Can we prevent memory loss if we treat the disease sooner?
That's the presumption. The thought would be that if you identify the disease earlier, hopefully we'll be able to intervene and do something about it; stop it before the damage is done in the brain.

Now, that's a promissory note at this point, since we don't have the preventive treatments, yet. But that's what a lot of people are working on in the basic science laboratory, and I think that we will get there. But before we can use those prevention strategies early, we have to identify people who might be at greater risk for developing this disease.

Your recent study found that patients with mild cognitive impairment could delay more serious memory problems by taking the Alzheimer's treatment, Aricept, but ultimately the drug did not prevent the disease. Is preventing Alzheimer's a matter of finding the disease earlier, a matter of stronger drugs or both?
Both. Our study on mild cognitive impairment indicated that you can intervene at an earlier stage than has previously been recognized. This was the first study demonstrating that you could have any effect at delaying the diagnosis of Alzheimer's. That had not been shown before.

Now, this is not a huge effect, and we didn't stop the disease by any means, but we did indicate that at least this one type of intervention can slow down the progression of Alzheimer's disease by up to 12 months. So, I think if we have better therapeutic interventions and preferably an intervention that would actually have an effect on the underlying disease process, that we can intervene at least at this MCI stage. We'd like to intervene even earlier by getting to those people who have the risk profile of developing Alzheimer's disease before they even become symptomatic.

What other interventions are being tested?
There are several strategies to try to stop the abnormal processing of this amyloid protein in the brain.

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