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Why has there been so little progress on Alzheimer's disease?

freakonomics.com

171–180 of 355 posts

Re: Why has there been so little progress on Alzheimer's disease?

#171

Earlier quoted context omitted.

> It's much like climate science today: any dissent at all, even just questioning the predictions of catastrophe, immediately brands you as a heretic. I think this is not a great example, as there’s a huge group of people that, in fact, does not agree with the consensus and would happily fund research that (tries to) prove otherwise. I fully agree with your point, though, just not the example.

That’s not true. If you want to have a job at a prestigious institution then the research committees are pretty consistent in their biases.

Expecting scientific rigor is not a bad bias: everyone who has been willing to do actual science agrees that climate change is real and significant. For example, Richard Muller was a climate skeptic who had a great job at one of the most prestigious universities in the world, got funding to establish a team to critically review climate science research … and concluded it was right:

“When we began our study, we felt that skeptics had raised legitimate issues, and we didn’t know what we’d find. Our results turned out to be close to those published by prior groups. We think that means that those groups had truly been very careful in their work, despite their inability to convince some skeptics of that.”

https://www.nas.org/blogs/article/after_climate_research_phy...

If you haven’t read up on both, it’s hard to appreciate how unlike climate science is from the beta amyloid theory. The latter has some evidence but there were always alternate theories by serious researchers because it involved multiple systems which scientists were still working to understand and basic questions around causation and correlation had significant debate.

In contrast, climate scientists reached consensus about climate change four decades ago and by now have established many separate lines of evidence which all support what has been the consensus position. More importantly, since the 1970s they have been making predictions which were subsequently upheld by measured data from multiple sources. The ongoing research is in fine-tuning predictions, estimating efficacy of proposed interventions, etc. but nobody is seriously questioning the basic idea.

Almost all of the people you hear dismissing climate change are funded by a handful of companies like Exxon, whose own internal research showing climate change was a significant threat produced a chart in 1982 which has proven accurate:

https://skepticalscience.com/pics/Exxonpredictions.png

https://insideclimatenews.org/news/16092015/exxons-own-resea...

Re: Why has there been so little progress on Alzheimer's disease?

#172

The major problem has been lock-in of the Abeta 42 peptide fragment as the cause. This monomaniacal focus was rewarded by grant awards to team players. Karl Herrup has a terrific book on the topic How Not to Study a Disease — The Story of Alzheimer’s from MIT Press (2021, ISBN 9780262045902). He did not win many friends but I think he is right. The consensus now is that many factors contribute to the heterogeneous di…

Reminds me of schizophrenia. A hodgepodge of different things lumped into a single label of "broad class of things we don't understand"

Some day autisim, neurodivergent and ADHD can join that illustrious list.

Re: Why has there been so little progress on Alzheimer's disease?

#173

Earlier quoted context omitted.

> Autopsies of brains of Alzheimer's patients were rife with amyloid Do you want think carefully about how this can possibly suggest this is a causal link? > People with mutations that caused amyloid got Alzheimer's earlier than others. People with mutations in those genes got a particular type of inherited alzheimers early, this says nothing about the cause of general Alzheimers.

This comment is so needlessly aggressive and argumentative. I hate this about HN

It is sad. That reply, which you rightfully were irritated by, could have been expressed as a polite question.

That sort of question is what the response from user @bsder above helpfully tries to answer. That mode would invite more productive discussion, not more defensive annoyance.

Rules on HN say “Be kind. Don't be snarky. Converse curiously; don't cross-examine. Edit out swipes.” but it is hard.

All I can suggest is: be patient and try to be positive

Re: Why has there been so little progress on Alzheimer's disease?

#175
post #108

Earlier quoted context omitted.

>I am David Schneider-Joseph, an engineer formerly with SpaceX and Google, now working in AI safety. Alzheimer’s isn’t my field If anyone wants to know who wrote the article linked before wasting time reading it, there you go.

For you, simply listing the author of the post is enough to discard it. Not everyone is that well informed, so it would be helpful for you to add another sentence explaining why this author has no credibility with you.

It is self-evident? What do you mean. The guy is not an expert, end of story

Re: Why has there been so little progress on Alzheimer's disease?

#179
There's progress, just only for those with access and can afford it

The President is singlehandedly kept this side of functional via infusions of this drug each month

https://beingpatient.com/fda-alzheimers-leqembi-nih-memo-tru...

They mysteriously rushed approval despite all other activity suspended the week after he was sworn-in

Watch how he disappears for a few days each month, that's why, it can only be done in a hospital and they have to do MRI for leakage

Re: Why has there been so little progress on Alzheimer's disease?

#180

Earlier quoted context omitted.

> Autopsies of brains of Alzheimer's patients were rife with amyloid Do you want think carefully about how this can possibly suggest this is a causal link? > People with mutations that caused amyloid got Alzheimer's earlier than others. People with mutations in those genes got a particular type of inherited alzheimers early, this says nothing about the cause of general Alzheimers.

This comment is so needlessly aggressive and argumentative. I hate this about HN

It is also wrong...
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