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New Research Offers Hope

When I found out a that close relative was diagnosed with Alzheimer’s disease, I volunteered for the NYC Chapter in order to educate myself and learn how to provide support.

I love my family, and like many of you, would do anything to spare them from the suffering of Alzheimer’s and its inexorable march towards loss of memory, cognition and identity. My family consists of bright, vibrant role models. Without them I wouldn’t be who I am, a writer who depends upon the use of language and cognitive skills.

To learn about the cutting edge of Alzheimer’s research, I eagerly attended the 20th Annual Chapter Meeting,
“Competing Paradigms in Alzheimer’s Research,” which took place on September 25th at The Rockefeller University. A large, eclectic audience attended, including scientists, elected officials, clergy, board members, family members, persons with Alzheimer’s disease and other interested parties.

The event was a panel presentation moderated by Dr. Elemer Piros of Rodman & Renshaw. The panel consisted of three eminent research scientists, renowned in their field: Dr. Peter Davies, who has been focused on the biochemistry of Alzheimer’s disease for the last 33 years; Dr. Norman R. Relkin, who is a neuroscientist as well as a practicing physician; and Dr. Rudolph E.Tanzi, who has been investigating the molecular genetics of human neurodegenerative disease since 1980.

Their presentations gave me cause for hope. Dr. Davies spoke of his tau research. Tau is a protein found in the tangled nerve fibers of the brain cells of Alzheimer’s patients. He discovered evidence that changes in tau mimicked cell division in cancer cells. Researchers managed to induce the cell cycle in mice,which resulted in tau tangles similar to those in Alzheimer’s patients. If the activation of this cell cycle can be prevented, possibly Alzheimer’s, too, can be prevented.

Dr. Relkin discussed the “amyloid cascade” theory, which holds that Alzheimer’s brain plaque contains a protein called beta-amyloid which causes the disease. He cited the work of Dr. Dale Shenk at Elan Pharmaceuticals who tested the hypothesis that the body’s immunological response could be used to fight off the amyloid plaque formation. A vaccine was developed, which injected amyloid protein strains into research participants. Unfortunately, several trial participants died due to inflammation of the brain, so the trial was stopped.

However, despite the severe reaction of some of the patients, others in the interrupted trial may have responded positively to the vaccine. Autopsies of five trial participants who later died of natural causes revealed evidence of plaque-clearing in their brains. This result supported the theory that Alzheimer’s disease could be attacked using the body’s immune system, giving rise to a new therapy called Intravenous Immunoglobin (IVIG). Instead of vaccinating patients with amyloid protein to produce antibodies, scientists infused patients directly with pre-made antibodies derived from human blood plasma.

A version of IVIG was used in human clinical trials. After treatment, anti-amyloid antibodies increased in trial participants. Their mental states also improved.

Dr.Tanzi is seeking genetic clues for therapies. Now that scientists have the technology to scan the entire human genome, a genome map can be created. Then genetic profiles can be developed for study, and possibly indicate the risk of Alzheimer’s disease. If you know your risk, you can take action to reduce your chances of getting Alzheimer’s. Dr.Tanzi is exploring many factors regarding the genetics of Alzheimer’s, including the role of heredity and gene therapy.

The advances in technology and scientific knowledge displayed at the Annual Meeting gave me great hope that new Alzheimer’s disease treatments may be able to stop, reverse or even prevent this extremely complex disease. This would be a boon to me personally and to society in general.

— Kathi Berke

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