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Protein biomarkers predict dementia 15 years before diagnosis in new study

warwick.ac.uk

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Re: Protein biomarkers predict dementia 15 years before diagnosis in new study

#23
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Now is there something that can be done early or is it 15 extra years of suffering

From what I understand, the medicine available is fairly successful at staving off further disease progression but the normal late stage diagnosis often means it’s far too late. This might make outcomes significantly better if it works as well as reported.

That is true for some diseases but not all. I don't think we know how to prevent dementia. But identifying biomarkers is useful, at the very least for selecting people for enrollment in future trials.

Re: Protein biomarkers predict dementia 15 years before diagnosis in new study

#24
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Earlier quoted context omitted.

Finding a novel correlate that precedes the other observed effects of the disease in question is progress in prevention.

people thought for years that amyloid plaques were driving the disease only to be proven utterly wrong you might want to have a bit of humility when dealing with complex systems

I agree with you. I think being proven utterly wrong is a huge accomplishment nonetheless. We shouldn’t be sure of ourselves, but we should treasure any progress even if it’s in the form of negating causes rather than isolating them.

Re: Protein biomarkers predict dementia 15 years before diagnosis in new study

#25

GFAP as dementia biomarker isn't a new discovery. Here's a 2023 meta-analysis that used papers as old as 2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10177296/

> Proteins (for example Glial Fibrillary acidic protein, GFAP) had previously been identified as potential biomarkers for dementia in smaller studies, but this new research was much larger and conducted over several years.

The article (University press release) does mention this... but seeing a known suspect in the biomarker list would lend some confidence to any novel biomarkers found. So, it's good to see multiple studies having similar hits.

Re: Protein biomarkers predict dementia 15 years before diagnosis in new study

#26
post #13
post #12

Earlier quoted context omitted.

Finding a novel correlate that precedes the other observed effects of the disease in question is progress in prevention.

people thought for years that amyloid plaques were driving the disease only to be proven utterly wrong you might want to have a bit of humility when dealing with complex systems

‘Utterly wrong’ is a harsh conclusion. You may want a touch of humility yourself. Amyloid plaques are the defining feature of AD and assuredly provide vital clues about the biomolecular processes driving AD across the brain. There is renewed interest in the what causative role amyloid plays [1]. Whether plaques are causative or a byproduct is an open question, especially when we consider the heterogeneity in neurodegenerative diseases. AD itself probably is an umbrella term capturing several subtypes (such as CAA). Whatever role amyloid plays, the OP is correct: correlates open interesting research avenues and this is an interesting paper if for no other reason we have few predictors of who will develop AD.

[1] https://www.nature.com/articles/s41392-023-01484-7

Re: Protein biomarkers predict dementia 15 years before diagnosis in new study

#27

GFAP as dementia biomarker isn't a new discovery. Here's a 2023 meta-analysis that used papers as old as 2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10177296/

They mention this in the article, and of course, the scientific method means we _want_ to have more than one suggestive meta-analysis before we declare any kind of "discovery" at all.

> Proteins (for example Glial Fibrillary acidic protein, GFAP) had previously been identified as potential biomarkers for dementia in smaller studies, but this new research was much larger and conducted over several years.

Re: Protein biomarkers predict dementia 15 years before diagnosis in new study

#28
post #13
post #12

Earlier quoted context omitted.

Finding a novel correlate that precedes the other observed effects of the disease in question is progress in prevention.

people thought for years that amyloid plaques were driving the disease only to be proven utterly wrong you might want to have a bit of humility when dealing with complex systems

Can you please not post in the flamewar style? You've broken the site guidelines here and we've already had to ask you not to do that.

https://news.ycombinator.com/newsguidelines.html

Edit: actually, since your recent comments look like this, I've banned the account:

https://news.ycombinator.com/item?id=39341879

https://news.ycombinator.com/item?id=39341602

https://news.ycombinator.com/item?id=39341585

https://news.ycombinator.com/item?id=39341578

https://news.ycombinator.com/item?id=39308894

https://news.ycombinator.com/item?id=39281272

https://news.ycombinator.com/item?id=39249635

https://news.ycombinator.com/item?id=39238628

https://news.ycombinator.com/item?id=39237978

That's completely unacceptable on HN. If you don't want to be banned, you're welcome to email hn@ycombinator.com and give us reason to believe that you'll follow the rules in the future.

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