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Alzheimer’s cases tied to no-longer-used medical procedure

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Re: Alzheimer’s cases tied to no-longer-used medical procedure

#51

Why isn't the procedure used anymore, since they stopped using it before this was discovered?

Did you even try reading? It's made super clear at the start.

Yes, I read the whole thing but I missed the second half of the last sentence of the second paragraph. The fact that one poster replied that it's due to the advent of synthetic hormones and others replied about the spread of CJD indicates it's not super clear, but sibling replies got me the insight I was looking for.

Re: Alzheimer’s cases tied to no-longer-used medical procedure

#53

I've often wondered if Alzheimer's is actually novel instances of prion disease. For instance, Kuru was developed within I think a handful of generations in a population of ~20,000 with limited opportunities for transmission (only transmitted when someone dies and their family eats their brain). If the base incidence rate for a novel prion is that high, can you explain Alzheimer's as just that? It would be sad news f…

it’s almost certainly not, or you would see epidemiological evidence for chains of transmission. prion diseases require contact transmission which is all but absent from the alzheimer’s story.

Re: Alzheimer’s cases tied to no-longer-used medical procedure

#54
post #7
post #4

My understanding was the beta-amyloid hypothesis itself is under some amount of scrutiny and may not truly explain Alzheimer's. Wonder if this finding adds more evidence for the amyloid hypothesis.

Not sure why scientists has to pin point a single cause where as you have different vectors that can cause the same disease is also plausible

Scientists are a bit more savvy than you are giving them credit. Anything neurological is unlikely to have a silver bullet treatment. So researchers are going after what looks most promising with respect to understanding the disease as well as a path towards treatment. Which is currently AB (or Tau), but there is plenty of skepticism that we are chasing the only measurement we have.

Yet many other correlations are even hazier than AB.

Re: Alzheimer’s cases tied to no-longer-used medical procedure

#55

I've often wondered if Alzheimer's is actually novel instances of prion disease. For instance, Kuru was developed within I think a handful of generations in a population of ~20,000 with limited opportunities for transmission (only transmitted when someone dies and their family eats their brain). If the base incidence rate for a novel prion is that high, can you explain Alzheimer's as just that? It would be sad news f…

it’s almost certainly not, or you would see epidemiological evidence for chains of transmission. prion diseases require contact transmission which is all but absent from the alzheimer’s story.

Is it still possible that the chains are there but are missed because of the disease very slow progress?

Re: Alzheimer’s cases tied to no-longer-used medical procedure

#57
post #26
post #8

Afaict, this is not an entirely new finding. For example, this page ( https://www.nature.com/articles/d41586-018-07771-6 ) references a 2018 article about the issue of Alzheimer's being transmitted (or rather "seeded") through growth hormone extracted from cadavers. Perhaps the new article provides additional evidence or perhaps the other article only suspected a casual link and this one proves that there is one. I h…

It mentions brain proteins contaminating it, makes me think of prions.

Yeah, these paragraphs from the paper sounds like the amyloid proteins can sometimes look/act like a prion if you squint:

> The far wider relevance of prion mechanisms was first exemplified with the discovery of yeast prions but has also widened considerably with the recognition that the more common human neurodegenerative diseases, including Alzheimer’s and Parkinson’s diseases, involve accumulation and spread of assemblies of misfolded host proteins in what is often described as a ‘prion-like’ fashion with experimental transmission of relevant pathology in primates or mouse models. However, the importance for human disease was unclear until the recognition of human transmission of amyloid-beta (Aβ) pathology via iatrogenic routes after prolonged incubation periods, causing iatrogenic cerebral amyloid angiopathy (CAA) and raising the possibility that iatrogenic Alzheimer’s disease may occur at even longer latency.

Re: Alzheimer’s cases tied to no-longer-used medical procedure

#58

[flagged]

I'm not sure it's anywhere as widespread as you think it is, or why it's relevant to this apart from "it too involves medicine" and, well, people are researching medical interventions longitudinally full-time, so I suspect it'll be analysed accordingly.

Interesting that you've prejudged it to be clearly bad, I'd wait for scientific evidence of that.

Re: Alzheimer’s cases tied to no-longer-used medical procedure

#60
post #6

Slightly more clickbaity title than the BBC's "Medicine stopped in 1980s linked to rare Alzheimer's cases"[0] which also says "The findings do not mean Alzheimer's is infectious - you cannot catch it from contact with people who have it... The researchers say all of the people in their study had been treated as a child with cadaver-derived human growth hormone, or c-hGH, that was contaminated with brain proteins that…

I didn't find it clickbaity at all. The contents of the article were exactly what I expected based on the headline, and I didn't know this was possible.

The really interesting thing here is that Alzheimer's seems to be transmissible from person to person via biological material. The BBC headline you quoted, "Medicine stopped in 1980s linked to rare Alzheimer's cases", totally buries the lede and is borderline misleading.

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