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What causes Alzheimer's? Scientists are rethinking the answer

quantamagazine.org

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Re: What causes Alzheimer's? Scientists are rethinking the answer

#11

In many scientific research projects the same dangerous theme keeps surfacing: monolithic thinking, with “no alternatives allowed”. I feel this is very detrimental to both scientific progress as well as to the broader society.

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Re: What causes Alzheimer's? Scientists are rethinking the answer

#12
As someone who has a close relative diagnosed with this disease, I'm always on the lookout for new information. So this is interesting.

One area I'm particularly interested in is the correlation to diabetes. It's a factor that I found being mentioned here and there in some references. In the immediate case that interests me, there's a 20+ year history of type 2 diabetes and a recent scan showed severe bilateral hypocampal atrophy. When googling for a link between the two I found this: "Lower insulin secretion was significantly associated with HPGA (hippocampal and parahippocampal gyrus atrophy) in patients with type 2 diabetes mellitus. The results of this study support the hypothesis that insulin‐signaling abnormalities are involved in the pathophysiology of Alzheimer’s disease." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8504906/

Yet, the mechanism of this, if indeed there's causality (not just correlation) does not seem to be known.

Re: What causes Alzheimer's? Scientists are rethinking the answer

#13

In many scientific research projects the same dangerous theme keeps surfacing: monolithic thinking, with “no alternatives allowed”. I feel this is very detrimental to both scientific progress as well as to the broader society.

This discussion about the cause of Alzheimer's is not new, it has been going on for something like 10-15 years at least. What is triggering the publicity now is that two drugs targeting amyloid failed to produce real improvement even though they were effective at reducing amyloid. Especially the newer one produced very large and measurable reduction of amyloid, but only very small (but measurable) cognitive improvement.

In any case the whole amyloid system is involved somehow, I think that much is very likely. Just not in the way that the visible amyloid fibers are the cause, but might just be another symptom. This is not anything like heretical talk, this suspicion was pretty much mainstream when I studied biochemistry ~15 years ago. It was only a hypothesis, but it certainly wasn't suppressed.

Re: What causes Alzheimer's? Scientists are rethinking the answer

#14

Was there ever an examination of this[1]? I'm somewhat confused about how such a long article never mentioned it... [1]: https://www.theguardian.com/society/2022/jul/23/alzheimers-s...

The article does in fact mention this event in the below paragraph:

"The hypothesis took another hit last July when a bombshell article in Science revealed that data in the influential 2006 Nature paper linking amyloid plaques to cognitive symptoms of Alzheimer’s disease may have been fabricated. The connection claimed by the paper had convinced many researchers to keep pursuing amyloid theories at the time. For many of them, the new exposé created a “big dent” in the amyloid theory, Patira said."

Re: What causes Alzheimer's? Scientists are rethinking the answer

#17

As someone who has a close relative diagnosed with this disease, I'm always on the lookout for new information. So this is interesting. One area I'm particularly interested in is the correlation to diabetes. It's a factor that I found being mentioned here and there in some references. In the immediate case that interests me, there's a 20+ year history of type 2 diabetes and a recent scan showed severe bilateral hypoc…

in some medical circles, alzheimers is referred to as "type 3 diabetes"

Re: What causes Alzheimer's? Scientists are rethinking the answer

#18
post #16

could be prions from eating meat, could be genetic... it's likely similar to "what causes cancer?"

AFAIK Alzheimer’s is a single disease, whereas cancer is kind of a catch-all category for a huuuuge set of different disorders caused and treated by different things.
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