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Breakthrough Ultrasound Treatment To Reverse Dementia Moves To Human Trials

An anonymous reader quotes a report from New Atlas: An extraordinarily promising new technique using ultrasound to clear the toxic protein clumps thought to cause dementia and Alzheimer's disease is moving to the first phase of human trials next year. The innovative treatment has proven successful across several animal tests and presents an exciting, drug-free way to potentially battle dementia. The ultrasound treatment was first developed back in 2015 at the University of Queensland. The initial research was working to find a way to use ultrasound to temporarily open the blood-brain barrier with the goal of helping dementia-battling antibodies better reach their target in the brain. However, early experiments with mice surprisingly revealed the targeted ultrasound waves worked to clear toxic amyloid protein plaques from the brain without any additional therapeutic drugs. The new announcement regarding the upcoming move to human trials is underpinned by a large funding injection from the Australian government helping accelerate the treatment's development. The first stage is a phase 1 safety trial, kicking off later in 2019, to explore the safety profile of the treatment in human subjects suffering from Alzheimer's disease.

31 of 167 comments (clear)

  1. Can we deploy them in the Capitol Building? by Anonymous Coward · · Score: 5, Funny

    I wonder if such ultrasound machines placed inside Congress might help some of the demented souls in there. Quite a few Parliaments 'round the world might give it a shot, too.

    Demented, dementia, whatever.

  2. Re: Can we please stop helping the Boomers? by Anonymous Coward · · Score: 4, Insightful

    White Baby boomers produced an average positive net of $1,205,000 tax revenue over the course of their lives. The average black person generates a net loss of $702k.

    I'm not going to assume that is true, but if it is true, the better question is what do we do about it? Are there environmental factors we can address? Is there a lead problem? Pollution? Are the schools a problem? Do we need to basically make a bunch of schools boarding schools so the environment is better controlled? Are people being trained for the jobs that exist?

    Either way, i'd much rather we spent money on this kind of thing that a stupid wall. Cleaning up lead pipes would also be way more important than this wall bullshit. Do it efficiently based on need. Reduce needless lead poisoning and people should be more productive.

  3. Re:Wrong end of the "gun" by NEDHead · · Score: 4, Insightful

    Yup. Remember that next time you take a pill for a fever or headache

  4. ten years can be an eternity by AndyKron · · Score: 2

    Too bad my mom is 82 and treatment is about ten years away.

    1. Re:ten years can be an eternity by mentil · · Score: 4, Insightful

      You could buy an ultrasound device on ebay ($100-$1500), and apply it to her head. May need to mod it to increase its output, though. Of course since it hasn't had Stage 1 trials, safety is unknown.

      --
      Corruption is convincing someone that the selfless ideal is the same as their selfish ideal.
    2. Re:ten years can be an eternity by Anonymous Coward · · Score: 5, Insightful

      This is cargo cult mentality. It will likely work as well as grass huts with coconut and vine radios did for calling in supplies to be airdropped from the gods into pacific island villages.

      In reality, this procedure is likely to require special equipment used in a very specific way, most likely in conjunction with some other equipment and medicines.

    3. Re:ten years can be an eternity by execthis · · Score: 4, Interesting

      Wait for them to show up on eBay for $10.99.

      It will happen.

      This whole thing breathes new life into the question "What's the frequency, Kenneth?".

    4. Re:ten years can be an eternity by Pinky's+Brain · · Score: 4, Informative

      They used a very highly focused ultrasound and more importantly injected the mice with a microbubble liquid. Without the microbubbles you would have to induce cavitation to get a mechanical effect on the plaque ... and that's a lot more destructive than the mild force of a bubble expanding/contracting.

  5. Editorial on the article by torrija · · Score: 5, Informative

    The article seems to be behind a paywall. There's an editorial on the article describing the main points at: http://atm.amegroups.com/artic...

    From that editorial: "Shimamura et al. demonstrated that a microbubble-enhanced ultrasound method successfully delivered therapeutic genes into the CNS with no evidence of brain damage". So it is not only ultrasounds that are required for this procedure to work, but some microbubble injection needed. I could not find any reference on the gas used for this microbubbles, nor their size nor how they generate them. Still sounds like a very promising treatment.

    --
    I hate signatures
  6. Odd Choice of Target by PseudoAnon · · Score: 5, Interesting

    Clinical medication/drug trials have repeatedly shown that removing amyloid clusters doesn't reverse dementia and usually doesn't even slow its progression. I won't get my hopes up, but it'd be wonderful if things go better this time. The target seems strange, but it sounds like there might be a little more to this approach.

    1. Re:Odd Choice of Target by ShanghaiBill · · Score: 2, Interesting

      Clinical medication/drug trials have repeatedly shown that removing amyloid clusters doesn't reverse dementia and usually doesn't even slow its progression.

      Do you have a citation for this? I am not aware of any drugs that significantly reduce beta amyloids, so how can we say that removing them doesn't work ... when we aren't removing them?

      I won't get my hopes up, but it'd be wonderful if things go better this time.

      Indeed. Dementia costs the American economy $200B annually. Worldwide, it costs more than $1T. When you consider the enormous benefits of a cure, it is obvious that dementia research is vastly underfunded, as is mental health research in general. Schizophrenia costs America another $100B annually, and autism costs $125B, and far more worldwide.

    2. Re:Odd Choice of Target by PseudoAnon · · Score: 5, Informative

      Sure. Here's a link from a quick Google search:
      https://consumer.healthday.com...
      There were other drugs with the same target in at least a few other companies' research pipelines at the time, but they all ended up also fizzling out without results. This particular link is suggesting that it might slow progression, but I was under the impression that that wasn't correct either for most people with the condition. Most pharmaceutical companies have moved on to looking at tau.

    3. Re:Odd Choice of Target by labradort · · Score: 4, Interesting

      He's right. Researchers over 10 years ago believed they had a chemical that would chelate with these proteins. Same idea. The experiment worked, and the symptoms were not touched. They found the proteins are tags that tell them there is presence of the disease, the protein is not the cause.

      Strange there are repeatedly massively funded research projects targeting the same solution that is known to not work. One wonders what is the real goal of the researchers? Possibly just job security.

      If you read the linked article carefully, it says the method works on mice brain models, not actual mice. What do you know, the theory backs the theory. Using the same model oriented methods, the moon model is made of cheese.

    4. Re:Odd Choice of Target by Pinky's+Brain · · Score: 3, Interesting

      AFAICS those medicines could only dissolve the plaques in theory, in practice they didn't (except with topical application, which isn't really an option for humans). The mechanical action of ultrasound might break up the plaques sufficiently so those medicines would actually work.

  7. Ultrasound penetration by Anonymous Coward · · Score: 3, Interesting

    Ultrasound can go 3-4 cm before the signal isn't coherent enough to reflect. This might be fine in mice, but they will have to stick the transducers into brains to work in people.

    1. Re:Ultrasound penetration by Dunbal · · Score: 4, Informative

      Alzheimer's affects the cortex, which is on the surface of the brain.

      --
      Seven puppies were harmed during the making of this post.
  8. Re:Wrong end of the "gun" by Anonymous Coward · · Score: 2, Insightful

    It is common practice to treat the symptoms of an infection/toxin/etc rather than cure it - when you know, a cure doesn't exist. Think of viruses, antibiotic resistant bacteria, etc.

  9. I really hope this works, Alzheimer's is FUCKED by t0qer · · Score: 5, Interesting

    Let's put aside the effects of the disease first, and it's impact on the patients body. I want to talk about just how fucked this thing is for the rest of slashdotters, and what the worst part about the disease is. It's greed.

    Let me rewind to 2 years ago. It was Christmas at my Grandma's. Grandma's really special to me, as a kid she fostered me when my druggy parents could not. She made me the man I am today, took me off the streets. Taught me things that would last a lifetime, like saying, "Please, Thank you sir, and no ma'am".

    She had also amassed quite a fortune, to the tune of what I'd later learn was $20 million dollars or so. Her sons never worked. They grew up thinking they were royalty of our town. Back to Christmas though.

    My father whispered to me, "This is the last Christmas we'll be having here, your uncle is going to put her in a home!" I thought he was joking. 20 years earlier, my uncle had talked her letting him be a trustee of a new trust. The trust gave him powers that in the event she lost mental faculty, he could "Do what is necessary for her care" A pretty broad statement.

    He had been shopping her to various doctors around town looking for one that would give her a diminished capacity declaration. Most of them refused, but the last few he met were more than happy to do it, and recommend she be placed in a secured memory facility. Basically a prison for folks with Alzheimer's. Some of these doctors did this without ever having met my grandmother.

    A letter was sent out to the family, that he was going to do this to her from the lawyer that drew up the trust.

    Thankfully the court was on her side. She wanted to stay home, and had always been told by my grandfather that's where she'll stay. It took 2 years of fighting, since he had access to her money. Ironic he used her own money against her to hire lawyer after lawyer. There was a compromise made, but it was in her favor for the most part. Uncle would not have conservator over her medical or financials. He would still be a trustee of the trusts, but under a yearly audit from the courts. He would pay all of her bills (including caretakers) and for repairs to her house.

    It was during that fight though that pained me the most. Him and his brothers would go over there and lie to her, tell her things to confuse her. While I was at work, they'd go over there and tell her I was the bad guy. Her story changed when she talked to the court investigator, but the investigator knew what was going on, as well as my team.

    Watching family lie and manipulate the affected is the most fucked part in Alzheimer's. It reduces what's called a persons susceptibility to undue influence. I'm not going to diminish the fact that my grandma's mental state deteriorated, but the stress of court, doctors, her sons trying to manipulate her (and scaring her at one point to draw a pistol on my uncle) accelerated her condition and left her in a state I can only describe as post traumatic.

    I hope this cure works. I pray it works. Been hopeful before.

    1. Re:I really hope this works, Alzheimer's is FUCKED by GerryGilmore · · Score: 5, Insightful

      I was in a different situation. Mom developed Alzheimers and I became "the responsible adult". Long story short, had I not been making six-figures and had a spare house for her and her live-in caretaker to live and cover all the expenses, her life would have been a thousand times more hellish than it was already. Our society is failing these folks, not least by not universally allowing voluntary euthanasia for those who choose not to subject themselves to the indignities that result from - essentially - losing your mind.

    2. Re:I really hope this works, Alzheimer's is FUCKED by Bandraginus · · Score: 2

      Thanks for sharing your story.

    3. Re:I really hope this works, Alzheimer's is FUCKED by jpaine619 · · Score: 4, Insightful

      Nope, they go together.

      Another rousing game of "Spot the Liberal" who refuses to distinguish between things and behaviors.

      A pile of cash, sitting on a table in the middle of the room will not cause everyone who walks by to be evil. Nobody who qualifies as a good person is going to steal it.

      When it is stolen it will be by an evil person or a weak willed person with some evil in their heart.

    4. Re:I really hope this works, Alzheimer's is FUCKED by johnsie · · Score: 2

      Many moons ago I worked for a short while at a bank call centre. Many of the calls were family members trying to sneakily access old people's accounts. Of course that cannot be done without power of attorney, so I always referred them to their bank branch where the matter could be dealt with in person. I wouldn't even confirm if the account existed or not. They got so angry, but it was not my problem if they weren't prepared to go through the correct legal channels.

    5. Re:I really hope this works, Alzheimer's is FUCKED by johnsie · · Score: 2

      Oh and I also had an old lady on the line who had lost her husband a few years ago. She was really friendly but very confused and worried that she might not be able to pay her monthly bills. It was a sad, conversation but also very enlightening listening to the lady's stories for about 30 minutes. And in the end I was able to tell her that she had an account that she didn't know about with lots of money in it. Her husband had created a joint account and been saving it it.

    6. Re:I really hope this works, Alzheimer's is FUCKED by Miser · · Score: 3, Interesting

      I'm going to undo all my moderation to post this.

      100% agree with you. I have known relatives that have had to spend down all their assets to stay in a "memory care" unit when they could no longer be legitimately safe at home. To me, it's total bullshit. If this happens to me, give me something laced with something else and let me go to sleep permanently. Also, a underground safe to hide cash, as well as a dead mans switch for folks to find it when I'm gone.

      It's horrible to see everything you've worked for just flushed down the toilet for you to "just exist". Horrible way to live.

      Here's hoping there's a cure. Or even a "stop" - i.e. if you start experiencing symptoms, get this treatment and it stops the disease in its tracks. Reversal would be a holy grail but I'm not holding my breath.

  10. Other studies have managed this too by umafuckit · · Score: 5, Insightful

    If you read the literature (or just Google) you'll see that others have also managed to eliminate the plaques in various ways. However it remains unclear whether removal of the plaques leads to cognitive improvements. In some cases the animal models show improvement and in other cases not. The situation is even more unclear in people. There's a quick overview here. My own hunch is that a combination of early detection and then a treatment of some sort will be the way forward. Probably cognitive impairement will be hard to fix.

    1. Re:Other studies have managed this too by apol · · Score: 3, Interesting

      Personally I see more hope in the personalized, drugless approaches, such as Dr. Bredesen's MEND protocol. For me large part of medical scientists are too obsessed about finding drugs and don't pay enough attention to alternatives.

      https://www.ncbi.nlm.nih.gov/p...

      https://chriskresser.com/new-h...

      https://www.aging-us.com/artic...

  11. Re:Wrong end of the "gun" by MadKeithV · · Score: 5, Informative

    If you'd even read the article you linked, you would see that the amyloid plaque "cages" are left behind after the infectious agent has been killed, so yes, treating the plaques would actually make great sense - the human body fights off the infection and a non-invasive simple treatment removes the detritus. Of course, the testing will have to reveal how the brain reacts to this, but it could be a great way of staving off dementia.

  12. Turmeric/Curcumin by greylion3 · · Score: 2

    I find it odd that this hasn't been mentioned in the comments already.

    Turmeric has the very useful effect of dissolving brain plaque.
    No need for expensive treatment.

    --
    Privacy begins with ..
  13. That finally explains it! by Locke2005 · · Score: 3, Funny

    Those noises in my head are just trying to knock the plaque loose!

    --
    I've abandoned my search for truth; now I'm just looking for some useful delusions.
  14. Re:Unless the plaques are a symptom by Shaitan · · Score: 2

    "Red meat time and time again comes out as increasing risks for a wide array of ailments, in normal weight people as well."

    Correlation does not equal causation. The most recent study combining the available data from studies across the globe across two hundred years actually found high vegetable fat content rather than animal fats as the biggest contributor to heart problems.

    Red meat is higher in cholesterol, heavy exercise (heavy weight, not high intensity) triggers hormonal reactions that cause your body to actually utilize cholesterol in natural hormone production. That natural hormone production also increases lean mass. Not only does your cardiovascular fitness increase but you expend more calories in every activity you perform, for that matter you burn more calories even when resting.

    Additionally, heavy lifting puts short bursts of high pressure on your blood vessels, this strengthens and widens them both keeping their walls flexible, elastic, and smooth which prevents the plaque build-up that leads to vascular problems like heart attacks and expands your blood and therefore total blood oxygen content which helps prevent things like congestive heart failure. It isn't magic, the body is just responding to the stresses you put on it and you are physically pushing (gently because hydraulics distribute the pressure across the entire vascular system) on the blood vessels in bursts and at the same time putting a requirement for heavy amounts of oxygen across major muscle groups.

    I do draw a big distinction through between multiple group full body exercise with free weights and body building however. Heavy full body exercises with free weights are difficult to perform correctly and require learning proper technique. An improper movement loaded with a heavy weight can obviously injure you quickly. Body building and isolation techniques result in large muscle mass that is cosmetic and not in proportion to the way the body has evolved, accessory muscles are weakened, and frankly the culture that surrounds it pushes unsafe diet and chemicals. Lifting for strength without those things will result in a lean and fit body but not a hulk.

    All things in moderation however, there was a famous power lifter who ate nothing but McDonalds and did have a heart attack. Heavy lifting counteracts some of the risks of high overall cholesterol, that doesn't mean your cholesterol shouldn't have an appropriate ratio of ldl and hdl. Also, I'm not saying it isn't easier to avoid red meat, that is probably the answer to most since it is unlikely everyone is going to begin a heavy freeweight 5x5 three times a week. But if they did, combined with moderate red meat intake and calorie intake, they'd all have superior heart health, live longer, be less obese, and have healthy natural sex drives.

  15. Re:Wrong end of the "gun" by TechyImmigrant · · Score: 2

    Alzheimer's is likely the result of the brain trapping infectious agents: https://www.nytimes.com/2016/0.... It makes little sense to treat the symptom of an infection rather than its cause.

    I wouldn't call it likely. It's a recent observation. No path of causation has been shown.

    It looks like the smart money is on the Alzheimers == Type 3 diabetes hypothesis. There's lots of solid causation pathways there.

    --
    I should use this sig to advertise my book ISBN-13 : 978-1501515132.