Slashdot Mirror


New Alzheimer's Treatment Fully Restores Memory Function For Mice

New submitter wrp103 writes Australian researchers have come up with a non-invasive ultrasound technology [abstract] that clears the brain of neurotoxic amyloid plaques — structures that are responsible for memory loss and a decline in cognitive function in Alzheimer's patients. A slice: Publishing in Science Translational Medicine, the team describes the technique as using a particular type of ultrasound called a focused therapeutic ultrasound, which non-invasively beams sound waves into the brain tissue. By oscillating super-fast, these sound waves are able to gently open up the blood-brain barrier, which is a layer that protects the brain against bacteria, and stimulate the brain’s microglial cells to move in. Microglila cells are basically waste-removal cells, so once they get past the blood-brain barrier, they’re able to clear out the toxic beta-amyloid clumps before the blood-brain barrier is restored within a few hours. The team reports fully restoring the memories of 75 percent of the mice they tested it on, with zero damage to the surrounding brain tissue. They found that the treated mice displayed improved performance in three memory tasks - a maze, a test to get them to recognise new objects, and one to get them to remember the places they should avoid.

48 of 109 comments (clear)

  1. and then they get flowers? by steak · · Score: 1, Insightful

    shortly after their human friend dies.

    1. Re: and then they get flowers? by BarbaraHudson · · Score: 5, Informative

      In the story, Charlie Gordon went back to his old job. Couldn't put up with the pity. Left. (Where he went depends on whether it's the short story or the novel).

      --
      "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
    2. Re: and then they get flowers? by WheezyJoe · · Score: 1

      IIRC, he still had his lucky penny.

      --
      Take it easy, Charlie, I've got an Angle...
    3. Re: and then they get flowers? by BarbaraHudson · · Score: 1

      A lucky penny is sure better than a lucky rabbits foot. After all, it didn't bring luck to the rabbit.

      --
      "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
  2. WTF AM I DOING HERE! by deadweight · · Score: 5, Funny

    So..I'll find myself in a nursing home one day with no idea how I got there, my car will be sold, my pr0n erased, and my wife partying it up with the pool boy? I can see some surprises in store when they fire this up.

    1. Re:WTF AM I DOING HERE! by fuzzyfuzzyfungus · · Score: 5, Interesting

      Unless society develops a sudden interest in increasing the supply of confused and sickly old people, I have to assume that this treatment would be something you do(hopefully you don't have to keep repeating it ever week thereafter forever) when you first start to detect Alzheimer's type memory issues, in order to prevent them from causing any further damage to prior memory or interfering with continued new memory formation; so that there is never any significant period of discontinuity.

      There will be the somewhat interested medical-ethics question of what to do after it(or some other treatment) is first demonstrated to work: Since there will already be a substantial population of Alzheimer's patients, who have lost varying degrees of prior memory and memory function because no (effective) treatment was available; there will be people, probably a lot of them (10s of thousands or more, in all likelihood, counting only countries wealthy enough that treating them is even on the table as a possibility) who have already irreplaceably lost much or all of their past memories; but could be treated such that they would remember subsequent events.

      I imagine that, on the plus side, such treatment would decrease the confusion, fear, and substantial helplessness that such patients face; but that coming back with capacity for new memories but little or nothing about the past has its own challenges.

    2. Re:WTF AM I DOING HERE! by oodaloop · · Score: 1

      , my pr0n erased,

      NOOOOOOOooooooooooooooooo!

      --
      Tic-Tac-Toe, Global Thermonuclear War, and relationships all have the same winning move.
    3. Re:WTF AM I DOING HERE! by MrBigInThePants · · Score: 1

      I have a feeling that having potentially just cheated death for a few more decades would be somewhat of a mitigating factor.

      And the above problem is something that people WITHOUT any disease have to deal with...

      PS: Personal opinion: You have a flash car, pool boy and so are rich and just escaped a horrible death? My heart bleeds for you...not...

    4. Re:WTF AM I DOING HERE! by MichaelSmith · · Score: 1

      Thats what backups are for.

    5. Re:WTF AM I DOING HERE! by ColdWetDog · · Score: 1

      Yes, this will be interesting - but the results may not be as scary as you might think. Assuming this pans out (the first three letters of the word assume are...) and the results are clinically apparent, even a modest benefit would save 'the system' quite a bit of money. Alzehiemer's patients are very expensive to maintain. They live for years, they can be otherwise healthy. They need a lot of human supervision (which doesn't come cheap).

      So even if the equipment manufacturers charge and arm and leg for the procedure the overall health care dollar might go down. Another interesting issue is that this is a pretty cheap treatment - standard ultrasound machines, no expensive drugs* and a protocol that may well be so simple as to be effectively unpatentable.

      So stay tuned. Quite a bit of work to do but some the 8 digit UIDs might be able to take advantage of the treatment (again, assuming that they are not running for their lives from a Zombie / Ebola / Ted Cruz infestation).

      * Some of the treatments do work better with microbubbles which might end up costing some money. See the accompanying editorial for more info (needs a Science subscription).

      --
      Faster! Faster! Faster would be better!
    6. Re:WTF AM I DOING HERE! by pepty · · Score: 1
      I agree, repeatedly permeabilizing the BBB to the extent that cells larger than bacteria can get in sounds a wee bit risky. Also:

      The team reports fully restoring the memories of 75 percent of the mice they tested it on, with zero damage to the surrounding brain tissue.

      The abstract mentioning completely clearing amyloid plaques in 75% of the mice, which, while awesome, is not fully restoring memory.

    7. Re:WTF AM I DOING HERE! by Anonymous Coward · · Score: 2, Insightful

      Yes they can. I went to visit my mom at the hospital shortly before she lost the ability of speech due to advanced alzheimers, (and admittedly also dementia), when an extant family member told her that her son (then named me) just arrived, and she said, "I don't have a son named ".." (me)". She seemed to have regressed back increasingly in time as the disease progressed.

    8. Re:WTF AM I DOING HERE! by lord_mike · · Score: 2

      Yes, having had a similar experience, it really is like time travel in many ways. Alzheimers patients really travel back through time. It's not just that they remember it, in their minds they are actually living in that time in the past as their present... and that time point goes further and further back as the disease progresses. It's very discomforting to witness.

    9. Re:WTF AM I DOING HERE! by rock_climbing_guy · · Score: 2

      The parent poster is right. I watched a grandmother in my family slowly fade away with Alzheimer's Disease, eventually succumbing to kidney disease. (Oftentimes, Alzheimer's doesn't kill the patient directly, but something else does.) I don't know how much her medication costed, but she required increasing human supervision as the illness progressed. When they could no longer care for her at home, they institutionalized her at great cost. I think that financial assistance is available to those who qualify, but the full price is greater than most people's salary.

      --
      Wh47 d1d j00 541, 31337 15n't t3h r0xor5 ne m0r3???
    10. Re:WTF AM I DOING HERE! by Altrag · · Score: 2

      I can't think of any scenario where being cured and missing memories is in any way better than still missing those memories but having your brain slowly being eaten away and losing even more memories.

      These are already confused and sickly old people.. curing them if such a thing is possible will mean that they can eventually become less confused. Probably with a lot of therapy and rehab, similar to what we do after significant physical trauma leaves a person's body incapacitated.

      But absolutely, the people who will benefit the most from such a treatment would be those who are diagnosed early and can be treated before they lose too much.

    11. Re:WTF AM I DOING HERE! by Altrag · · Score: 1

      Presumably this would be done in a sterile room and that the patient would need to be cleared for any potentially hazardous bacterial infections and the such.

      They noted that the BBB is restored within a few hours. Assuredly not a 100% safe treatment to be sure, but that's hardly new in medical science (think of all the potential side-effects listed with every medication. Never mind things like full body irradiation as prep for bone marrow transplants, cutting up (or even out) pieces of the brain to reduce seizures and so on.)

      Sometimes the cure is worth taking some risks. Of course "sometimes" isn't the same as "always" and it would need to be determined case by case based on the patient's other co-existing conditions, the will of the family, financial situation, etc.

    12. Re:WTF AM I DOING HERE! by jafiwam · · Score: 1

      Presumably this would be done in a sterile room and that the patient would need to be cleared for any potentially hazardous bacterial infections and the such.

      They noted that the BBB is restored within a few hours. Assuredly not a 100% safe treatment to be sure, but that's hardly new in medical science (think of all the potential side-effects listed with every medication. Never mind things like full body irradiation as prep for bone marrow transplants, cutting up (or even out) pieces of the brain to reduce seizures and so on.)

      Sometimes the cure is worth taking some risks. Of course "sometimes" isn't the same as "always" and it would need to be determined case by case based on the patient's other co-existing conditions, the will of the family, financial situation, etc.

      They are using sound waves. It may be non-invasive and require little more than shaving the target point and applying a lubricant to the skin.

      Though, if they are going through the skull there is a VAST difference in what will get through a mouse skull from what will get through a human skull.

      Opening the head up to get it done... well that's sort of going to cause other problems so the treatment won't be ethical / used due to risks elsewhere.

    13. Re:WTF AM I DOING HERE! by bzipitidoo · · Score: 1

      My mother has Alz, which has become severe now. I think she still remembers me, but maybe not. It's hard to really know. She doesn't know anyone's name anymore, and her speech has become fragmentary.

      Big Pharma may have caused or contributed to her condition. About 15 years ago, this Hormone Replacement Therapy, for women only, became quite popular. My mother was given this treatment. Then some more information about HRT came out. Seems the treatment doubles the risk of the patient developing dementia. It might also increase the chance of breast cancer, and cause hearing loss. The HRT treatments and drugs were quietly stopped and dropped, pretty much without explanation.

      The issue is complicated. Newer research suggests that whiel synthetic versions of estrogen increase the chance of dementia, perhaps the exact molecule decreases that risk. What to believe?

      --
      Intellectual Property is a monopolistic, selfish, and defective concept. It is "tyranny over the mind of man"
    14. Re: WTF AM I DOING HERE! by phocion · · Score: 2

      There would be no debate at all, even for those who have experienced extreme memory loss. They might not remember their past, but the ability to retain new memories would mean they could relearn it. To give an example, when my grandmother was suffering from Alzheimer's there were days she didn't know her own daughters even though she would see them every day. Just the ability to remember from day to day who someone is would make it worth performing the treatment.

      --
      Smile, it makes people wonder what you're up to.
    15. Re:WTF AM I DOING HERE! by mattack2 · · Score: 1

      Do we know for sure that they have "lost" their memories, and haven't instead lost the ability to access the memories? At least the cliched "they sometimes remember their kids" moments seem to imply the latter.

      Computer analogy: The hard drive's still there, but not plugged in.

      Car analogy: The gas tank's full, but the fuel line is plugged.

    16. Re:WTF AM I DOING HERE! by Demena · · Score: 1

      Strange. I never thought about "forgetting". But my passwords and records will be recoverable after my death by means of a divided secret and just for kicks, solving a puzzle.

      Tell me, A.C., why do you think there is a problem?

    17. Re:WTF AM I DOING HERE! by Demena · · Score: 1

      Well, the only thing I have that might remotely be classified as pr0n would be my personal sketches as I like to draw nudes. There are no other images. Since they are my personal artistic output they might have some value to my family and perhaps not. None are obscene anyway.

      But the split/shared secret is easy to set up. Trivial in fact. I am not sure why you think it is "extensive".

    18. Re:WTF AM I DOING HERE! by Demena · · Score: 1

      Well, I understood the thread to be about pr0n and other things. More particularly, it was about how you would recover your digital property if you were to lose and partly recover your memory.

      I have nothing on any hard disk nor any memory stick (or its ilk) that I am ashamed of. I am a human being (I figured that out long ago) and not perfect. But I actually do not have anything I feel I need to hide. My kids figured out my fetishes in their teens, nothing to hide there. I would say that there would be more people in my situation than yours. Anyway it is irrelevant.

      The point that you are failing to see is that setting up a shared secret is trivial, even if it is unknown to the parties that they have it. And that is the only point I have to make.

    19. Re:WTF AM I DOING HERE! by Demena · · Score: 1

      You are mistaken.

      You are also abusive. I would say "have a nice life" but I know that will not be so unless you change markedly.

  3. Put me in line by Whiteox · · Score: 1

    Why teh fuck did I start this? Oh yeah. I'm game. I need my brain to be ultrasounded asap.

    --
    Don't be apathetic. Procrastinate!
  4. Mouse brains are tiny. by hey! · · Score: 1, Informative

    Just as a rough comparison, a mouse brain weighs 0.4 g, a human brain 1320 g. So right off the bat I'd be skeptical of whether this could be scaled up to treat humans. But still, it's a very interesting result.

    --
    Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    1. Re:Mouse brains are tiny. by blue+trane · · Score: 1

      How much does a bird brain weigh, but they're such good musicians, and migrate thousands of miles?

    2. Re:Mouse brains are tiny. by azaris · · Score: 2

      They are smaller no doubt, but in both cases the blood brain barrier is just beneath the surface of the skull

      No it's not. It's formed by the endothelium (thin layer one cell thick that is in direct contact with the cerebral blood stream) on the smallest capillaries that penetrate deep into the brain matter.

    3. Re:Mouse brains are tiny. by hey! · · Score: 1

      Just a few semesters of brain science at MIT before I chose a different major.

      --
      Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    4. Re:Mouse brains are tiny. by hey! · · Score: 1

      I'm not saying this is bad science; it sounds like great science. I'm just saying the geometry and scale are very different so people shouldn't jump to the conclusion that this will immediately lead to usable therapies for humans.

      When I was a student I took a course where we got to handle a variety of vertebrate brains, including human ones. When you hold a human brain in your hand the first impression (other than awe) is that it's not terribly big. But it's huge compared to the brain of a small animal, and some of the structures we may be interested in are deep inside.

      --
      Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
  5. A money-saver by BarbaraHudson · · Score: 1

    If this works, it will be a big money-saver by emptying a lot of "homes" where people need 24/7 care because of their mental condition and the accompanying physical problems.

    --
    "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
    1. Re:A money-saver by BarbaraHudson · · Score: 1
      Hi! Until the findings are replicated by other researchers (perhaps with a better methodology), we can't assume much of anything ... but it's nice to dream. However, they did say that when they examined the brains of the two groups (which necessitated sacrificing the mice) , they did find differences between the test mice and the controls:

      We used repeated scanning ultrasound (SUS) treatments of the mouse brain to remove A, without the need for any additional therapeutic agent such as anti-A antibody. Spinning disk confocal microscopy and high-resolution three-dimensional reconstruction revealed extensive internalization of A into the lysosomes of activated microglia in mouse brains subjected to SUS, with no concomitant increase observed in the number of microglia. Plaque burden was reduced in SUS-treated AD mice compared to sham-treated animals, and cleared plaques were observed in 75% of SUS-treated mice.

      ... so I'm hoping that there's "something there" and want to see the results replicated by others.

      --
      "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
  6. Amazing! by illestov · · Score: 1

    This is the best news i have gotten in a while!! I can't believe there is now a cure for .. ummm let me read the article again

  7. Re:No, wrong by MichaelSmith · · Score: 1

    Another overblown cure. The amyloid plaques are associated with permanent damage (ie. actual neuron loss), so you won't cure anyone by removing all of the plaques. You'd have to regrow neurons, and only certain portions of the brain can do that - even if you did, you'd still have to relearn and get new memories.

    That might be a good thing. We do that all the time and memories lost from the last are not necessarily a bad thing. If you can restore function and record new memories, that would be a huge improvement.

  8. Re:No, wrong by Anonymous Coward · · Score: 1

    Another overblown cure. The amyloid plaques are associated with permanent damage (ie. actual neuron loss), so you won't cure anyone by removing all of the plaques. You'd have to regrow neurons, and only certain portions of the brain can do that - even if you did, you'd still have to relearn and get new memories.

    In other words, like a damaged hard drive, fixing the heads doesn't bring back the lost data.

    Further, the ultrasound can't penetrate the brain the way it can with a mouse, so the treatment won't work for humans.

    Then, it also doesn't address the cause of the plaques, which is thought to be a diabetes-like process that will continue.

    Obviously you don't wait until the person has become non-functional.
    You do this to prevent the future progress of Alzheimers, or even as a preventative.
    You begin the treatment as soon as evidence of the plaques occurs, or even better, do it as part of regular checkups. Perhaps every 5 years would suffice because generally speaking, the progress of Alzheimer's is slow.
    The best part of this is that it may be a relatively inexpensive preventative treatment. Prevention is far far more important than cure.

    As for ultrasound (not) penetrating the human brain, cranial imaging using scanning ultrasound has been SOP for some time.

  9. Re:Simple Request by ColdWetDog · · Score: 4, Insightful

    If you read and understood TFS you would note that they indeed make this inference. You'd have to read the paper to see the details.

    You might want to look at an accompanying editorial for more details but here is some additional info:

    The blood-brain barrier, a tightly packed layer of cells that lines the brain's blood vessels, protects it from infections, toxins, and other threats but makes the organ frustratingly hard to treat. A strategy that combines ultrasound with microscopic blood-borne bubbles can briefly open the barrier, in theory giving drugs or the immune system access to the brain. In the clinic and the lab, that promise is being evaluated.

    This month, in one of the first clinical tests, Todd Mainprize, a neurosurgeon at the University of Toronto in Canada, hopes to use ultrasound to deliver a dose of chemotherapy to a malignant brain tumor. And in some of the most dramatic evidence of the technique's potential, a research team reports this week in Science Translational Medicine that they used it to rid mice of abnormal brain clumps similar to those in Alzheimer's disease, restoring lost memory and cognitive functions. If such findings can be translated from mice to humans, “it will revolutionize the way we treat brain disease,” says biophysicist Kullervo Hynynen of the Sunnybrook Research Institute in Toronto, who originated the ultrasound method.

    Some scientists stress that rodent findings can be hard to translate to humans and caution that there are safety concerns about zapping the brain with even the low-intensity ultrasound used in the new study, which is similar to that used in diagnostic scans. Opening up the blood-brain barrier just enough to get a beneficial effect without scorching tissue, triggering an excessive immune reaction, or causing hemorrhage is the “crux,” says Brian Bacskai, a neurologist at Massachusetts General Hospital in Boston who studies Alzheimer's disease and used to work with Hynynen.

    My emphasis.

    --
    Faster! Faster! Faster would be better!
  10. I'm sorry by tomhath · · Score: 1

    What was this article about again?

    1. Re:I'm sorry by Greyfox · · Score: 1

      Mental floss

      --

      I'm trying to teach myself to set people on fire with my mind... Is it hot in here?

  11. Slashdot reports on an obscure mice experiment... by Wdi · · Score: 1

    while there is right now a really promising result from Biogen, in clinical trials on humans:

    http://www.cnbc.com/id/102521170

    THAT is news. Not some un-vetted academic work, interesting as it might be, which will need at least 10 more years of experimentation before human trials, if this approach does not die before (at least 98% probability, but of course I wish the researchers luck).

    I think Slashdot needs more expertise in selecting science stories.

  12. Re:Slashdot reports on an obscure mice experiment. by sonamchauhan · · Score: 1

    Well, Biogen's drug may have its place but it isn't exactly a Speedy Gonzales, and its side-effects include brain swelling.

    http://www.forbes.com/sites/ma...
    "Wall Street analysts predict could get the drug to market by 2020"

    Also, this research is more elegant - it uses your blood's own cleanup cells to fight the plaques, versus injecting you with a foreign antibody like Biogen's does.

  13. amazing by CryoKeen · · Score: 1

    This is potentially an amazing breakthrough! Let's hope it does scale up safely for human trails.

  14. Brain blood barrier by manu0601 · · Score: 3, Interesting

    The brain blood barrier is not just a fence against bacterias (evolution would have gave us blood barriers for other critical organs). It is also there to prevent neurotransmitters to leak or to break in.

    For instance, eating dopamine does not increase dopamine in the brain. If you want to increase dopamine, you can either take a drug that prevent it from being cleared, or eat a precursor that can cross the barrier like Tyrosine, or closer, L-dopa, but here the brain remain capable to regulate dopamine increase.

  15. Vernor Vinge's "Rainbow's End" by billstewart · · Score: 1

    There's starting to be some interesting science fiction about the problems of what happens when we can cure Alzheimer's.

    And I suspect Sir Terry Pratchett would have volunteered to try this if they'd announced it a few months earlier.

    --

    Bill Stewart
    New Fast-Compression-only CPR http://preview.tinyurl.com/dy575ks
  16. Re:No, wrong by s.t.a.l.k.e.r._loner · · Score: 1

    RN here. There was old lady in a nursing home who had no memory of her husband having passed away several years before. Numerous times every day, she would ask when her husband would be in to see her... One inexperienced nurse explained to her that her husband was dead; she cried hysterically. A few hours later, she asked again when her husband would be in to see her. The standard answer is, "He'll be here a little later, honey".

  17. Good news... by gweihir · · Score: 1

    This is one of the first things that promise to be effective. Of course, it will still take a decade or so to be safe, but given the tremendous loss Alzheimer patients face, even significant risk would be worth it.

    --
    Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
  18. Good News by Udom · · Score: 1

    "clears the brain of neurotoxic amyloid plaques...". On autopsy, some alzheimers patients have been seen to have had no amyloid plaque while others who had no symptoms of alzheimers had large amounts of amyloid plaque... The brain produces it's own insulin and the high levels of fructose and related sugars in western diets result in Type 3 diabetes. Fructose is to alzheimers now as smoking was to lung cancer in the 20th century... But there's another important contributing factor, which is how the brain creates and maintains memory. Memories that no longer have importance are deleted. When you warehouse elderly people, drug them, take away all decisions and responsibilities and isolate them from their families they have nothing left to care about. Combine social isolation with fructose induced Type 3 diabetes and you have an alzheimers epidemic.

  19. I can't be the only one curious... by forbin_meet_hal · · Score: 1

    a maze, a test to get them to recognise new objects, and one to get them to remember the places they should avoid.

    I really, really want to see that third test.