BRAIN DRAIN
Alzheimer’s could be ‘REVERSED’ as breakthrough paves the way for new treatment that offers hope to millions
Plus, how to lower you risk of developing Alzheimer's disease
SCIENTISTS investigating Alzheimer's disease have made a key breakthrough, identifying a key cellular process that drives most common cause of dementia.
American researchers say it marks a "promising" target for drug treatments aiming to slow, or even reverse, the disease's development.
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A team from the Advanced Science Research Center at The City University of New York (CUNY ASRC) discovered the critical mechanism that links cellular stress in the brain to the progression of Alzheimer's.
The study, published in the journal Neuron, says the brain's primary immune cells - called microglia - play a key role in protecting the brain from the disease.
Microglia are often dubbed the brain's "first responders", but scientists say these same cells can play a double-edged role.
Some protect brain health, while others worsen neurodegeneration, spurring on Alzheimer's.
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Understanding the differences between these cells has been a research focus for Professor Pinar Ayata, the study's principal investigator.
Prof Ayata said: "We set out to answer what are the harmful microglia in Alzheimer's disease and how can we therapeutically target them.
"We pinpointed a novel neurodegenerative microglia phenotype in Alzheimer's disease characterised by a stress-related signalling pathway."
The research team discovered that activation of this stress pathway, known as the integrated stress response (ISR), causes microglia to produce and release toxic lipids.
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These lipids damage neurons and oligodendrocyte progenitor cells - two cell types that are essential for brain function and are most impacted in Alzheimer's disease.
But scientists found that blocking the stress response or the formation of lipids reversed symptoms of Alzheimer's in preclinical models using mice.
Lacanemab is a drug shown to slow the progression of Alzheimer's disease
Preclinical models are research tools used to test new treatments before trying them on people, which can involve testing on cell sor animals.
This step is important to make sure that only the best and safest treatments are tested on humans in clinical trials.
The team examined postmortem brain tissues from Alzheimer's patients using electron microscopy, a technique that uses a beam of electrons to create detailed images of very tiny objects, much smaller than what we can see with regular microscopes.
They found an accumulation of "dark microglia" - a subset of these cells associated with cellular stress and neurodegeneration - in disease sufferers' brain tissues.
Ways to lower your risk of Alzheimer's
There are things you can do to reduce your own risk of developing dementia, including Alzheimer's.
No single behaviour is guaranteed to prevent dementia - but there's lots of evidence to suggest that making tweaks to your lifestyle choices could affect your risk.
Dementia risk is lowest in people who have healthy behaviours in mid-life - from the age of 40 to 65 - according Alzheimer's Society.
Here are a few easy changes you can make:
- Exercise regularly to boost your heart health and circulation and help maintain a healthy weight.
- Drink less alcohol - try to have no more than 14 units of alcohol a week, about one pint of beer or a small glass of wine each day. If you regularly drink much more than this, you are increasing your risk of damage to your brain and other organs, and so increasing your risk of dementia.
- Don't smoke - it does a lot of harm to the circulation of blood around the body, particularly the blood vessels in the brain, as well as the heart and lungs.
- Engaging in social activities to help to build up your brain’s ability to relieve stress and improve your mood - depression and social isolation have both been linked to dementia.
- Manage health conditions, such as high blood pressure, high cholesterol or diabetes, which can increase the risk of getting dementia.
- Protect your eyesight and hearing - vision loss increases a person’s risk of developing dementia. The same goes for hearing loss, which can also be an early symptom of dementia.
- Wear a helmet - as traumatic brain injuries can start a process in the brain where the substances that cause Alzheimer’s disease build up around the injured area.
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Levels of these cells were twice as high in Alzheimer's patients as they were in the brains of healthy people.
Co-lead author Anna Flury - a member of Prof Ayata's lab and a Ph.D. student - said: "These findings reveal a critical link between cellular stress and the neurotoxic effects of microglia in Alzheimer's disease."
"Targeting this pathway may open up new avenues for treatment by either halting the toxic lipid production or preventing the activation of harmful microglial phenotypes."
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The research team say their study highlights the potential of developing drugs that target specific microglial populations or mechanisms triggered by stress.
Co-lead author Leen Aljayousi, a member of Prof Ayata's lab, added: "Such treatments could significantly slow or even reverse the progression of Alzheimer's disease, offering hope to millions of patients and their families."
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