Alzheimer's Updates Digest: 2017

Monday, October 9, 2017

Sleep Deprivation and Alzheimer's

Sleep Deprivation and Alzheimer's

A recent study conducted by Stanford University, Washington School of Medicine and Raboud University Medical Centre in the Netherlands concluded that sleep deprivation may increase proteins associated with Alzheimer's disease (AD)

Previous studies showed that sleep deprivation resulted in increased levels of beta-amyloid, which is a protein strongly associated with AD.

What type of sleep was not known until this study. It was found that changes in slow wave activity resulted in a 10% increase in beta-amyloid levels (as measured by cerebrospinal fluid) after a bad night's sleep. Tau, the other brain protein associated with AD, did not increase until after several nights of interrupted sleep. (see previous post of Tau vs. Amyloid April 2017).

It was noted that poor sleep for short periods of time would not impact AD, but chronic sleeplessness could.

Yo-El Ju, the primary author, noted that although good night's sleep is something that we should all strive for, the increased proteins associated with sleep deprivation do not necessarily mean that good sleeping habits will decrease the risk the risk of developing AD.

Unfortunately, like so many studies regarding AD, the jury is still out as to cause, treatment or prevention.

Monday, May 15, 2017

Music and Dementia

This is a very interesting and personal topic to me, as my mom has had Alzheimer's for many years and I noted years ago that music had a beneficial effect on her. What makes it more interesting is that although most of her memory is gone, she still can partially sing, or at least recognize, words to songs that she knew. It is one of the few remnants of her reality that is compelling and genuine.

This should come as no surprise, as my ex-schoolteacher fiancé keeps reminding me, children learn the alphabet by song. Then there are the music clichés such as "music soothes the savage beast." There is something intrinsic about music that is truly universal.

Researchers at Brown University reported on the first national study that compared nursing homes that adopted a program called Music and Memory to those that did not implement the program. The study included more than 25,000 residents in 196 nursing homes.

The study found that residents with dementia became significantly more likely to discontinue anti-psychotic and anti-anxiety medications, and significantly less likely to engage in disruptive behaviors when exposed to the Music and Memory programs. The study did not identify a significant improvement in mood (I find this rather strange. Maybe the researchers did not know how to thoroughly check for moods).

"The study's findings reinforced personal reports among caregivers and family, including those presented in the documentary "Alive Inside," suggesting that personalized music helps patients even when their dementia is highly advanced."

The study was authored by Kali S. Thomas et al in The American Journal of Geriatric Psychiatry (2017).

antipsychotic and antianxiety medications and significantly less likely to engage in disruptive behaviors,

Read more at: https://medicalxpress.com/news/2017-05-personalized-music-nursing-home-residents.html#jCp

residents with dementia became significantly more likely to discontinue antipsychotic and antianxiety medications and significantly less likely to engage in disruptive behaviors

Read more at: https://medicalxpress.com/news/2017-05-personalized-music-nursing-home-residents.html#jCp

the first national study to compare key outcomes in homes that implemented an individualized music program called MUSIC & MEMORY

Read more at: https://medicalxpress.com/news/2017-05-personalized-music-nursing-home-residents.html#jCp

Thursday, April 27, 2017

Tau vs. Amyloid - An Alzheimer's Dilemma

For starters, this post is not about a sporting event, even though the title might lead one to think otherwise. The fact is there have been different approaches regarding research of the basic cause of Alzheimer's (AD), and hopefully, an eventual treatment and cure. The focus has been on protein changes in the brain.

The majority of the Alzheimer's research field has mainly focused on the protein ß-amyloid over the last 25 years. Brain scans performed over the last decade revealed that amyloid accumulated as AD progressed, so most Alzheimer's models are based on amyloid toxicity. (It has been found that amyloid can start accumulating in the brain by age 20).

The evidence however, left something to be desired. Even though studies have demonstrated that as a general rule, people with AD have far more ß-amyloid plaques in their brains than non AD people, studies have also revealed a puzzle: roughly 30% of people without any signs of dementia have brains “chock-full” of ß-amyloid at autopsy, said neurologist Beau Ances at Washington University in St. Louis in Missouri. This finding has been well known for many years.

Could something else be the real cause of AD? Something like tau, which is a protein found in neurons (nerve cells)?

In an article published in Brain in 2015 researchers at the Mayo Clinics in Florida and Minnesota
concluded that tau is the culprit. The researchers were able to simultaneously look at the evolution of amyloid and tau using neuropathologic measures (over 3500 brain autopsies and scans).

The lead author, Melissa Murray, Ph.D., a neuroscientist at Mayo Clinic stated: "Imagine looking at the rings of a tree—you can identify patterns, like the changing seasons and the aging of the tree, when viewing the tree's cross-section...Studying brains at different stages of Alzheimer's gives us a perspective of the cognitive impact of a wide range of both amyloid and tau severity. Tau can be compared to railroad ties that stabilize a train track that brain cells use to transport food, messages and other vital cargo throughout neurons. In Alzheimer's, changes in the tau protein cause the tracks to become unstable in neurons of the hippocampus, the center of memory. The abnormal tau builds up in neurons, which eventually leads to the death of these neurons. Evidence suggests that abnormal tau then spreads from cell to cell, disseminating pathological tau in the brain's cortex. The cortex is the outer part of the brain that is involved in higher levels of thinking, planning, behavior and attention mirroring later behavioral changes in Alzheimer's patients"

She continued: "Our study shows that the accumulation of amyloid has a strong relationship with a decline in cognition. When you account for the severity of tau pathology, however, the relationship between amyloid and cognition disappears—which indicates tau is the driver of Alzheimer's."

Furthermore, Dr. Murray noted, "Our findings highlight the need to focus on tau for therapeutics, but it also still indicates that the current method of amyloid brain scanning offers valid insights into tracking Alzheimer's."

At the current time, there is not an accurate way to measure tau. Of particular interest is that large pharmaceutical firms, trying to find a treatment for AD, are spending hundreds of millions of dollars to develop drugs that try to stop or slow down amyloid deposits.

America....world...stay tuned.

Brain scans performed over the last decade revealed that amyloid accumulated as people progressed, so most Alzheimer's models were based on amyloid toxicity

Read more at: https://medicalxpress.com/news/2015-03-thousands-brains-reveals-tau-driver.html#jCp

Sunday, April 16, 2017

Memory as a Predictor

We are all aware that memory disturbances are a prominent feature of dementia, 75% of which is classified as Alzheimer's. As studies continue to try to shed some light on this dreaded condition, we are slowly dissecting some pre-Alzheimer's conditions that might shed light on what to expect in terms of our own future vulnerabilities. In fact, 90% of what we know about Alzheimer’s has been discovered in the last 15 years. What to expect includes invasive and non-invasive testing.

MCI, or Mild Cognitive Impairment, is a condition where cognitive changes are serious enough to be noticed by the individuals experiencing them or to other people but are not severe enough to interfere with daily life or independent functions. Currently there are 2 recognized types of MCI.

MCI that primarily affects memory is known as "amnestic MCI." With aMCI, a person loses episodic memory and may start to forget valuable information that he or she would previously have recalled easily, such as appointments, conversations or recent events. People with aMCI are more likely to develop Alzheimer's.

MCI that affects thinking skills other than memory is known as "non-amnestic MCI." Thinking skills that may be affected by non-amnestic MCI include the ability to make sound decisions, judge the time or judge a sequence of steps needed to complete a complex task.

Some MCI cases stay the same; some can revert to normal. Why this is we do not yet know. The chance of progressing to Alzheimer's from any MCI are dependent on multiple factors, so there is no clear number percentage of what to expect in any given individual. In general, it has been reported that there is around a 50% chance of developing Alzheimer's within 5 years.

One predictive test uses electroencephalogram (EEG) technology, a more affordable and non-invasive alternative compared to other methods (such as PET scans) to measure neural responses. In a study published in the Journal of Alzheimer's Disease, scientists found that individuals with amnestic mild cognitive impairment (aMCI) have twice the risk of others in their age group of progressing to Alzheimer's after identifying a specific variation in their brain waves. These EEG findings reveal a pattern of delayed neural activity that is directly related to the severity of cognitive impairment during a word task and may indicate an early progression to Alzheimer's.

After more vetting, the prospective EEG diagnostic tool could potentially provide complementary information for diagnosis of pre-dementia stages, including MCI, and possibly identify neural changes that precede cases of Alzheimer's disease.

In a study published in the Journal of Alzheimer's Disease, scientists found that individuals with amnestic mild cognitive impairment (aMCI) have twice the risk of others in their age group of progressing to Alzheimer's after identifying a specific variation in their brain waves.

In a study published in the Journal of Alzheimer's Disease, scientists found that individuals with amnestic mild cognitive impairment (aMCI) have twice the risk of others in their age group of progressing to Alzheimer's after identifying a specific variation in their brain waves.

Read more at: https://medicalxpress.com/news/2015-09-alzheimer.html#jCp

Saturday, April 1, 2017

Diet and Alzheimer's

Much has been published about the interrelationship between diet, lifestyle and AD. The following advice was posted by Dr Stephen Sinatra, a prominent and respected cardiologist who brought attention to the world of taking CoQ 10. He is the medical director of the HeartMD Institute
It should be noted that it's always best to try to eat organic foods.

1. The healthiest diets on the planet, associated with the lowest incidence of chronic illnesses, are the traditional Mediterranean and Asian diets.

2. Research says unequivocally that the more vegetables you eat, the less susceptible you will be to age related memory problems. The types of vegetables that offer the most protection are leafy greens like spinach, and the cruciferous varieties such as broccoli, cauliflower, and kale.

3. Avoid or significantly reduce sugar and refined carbohydrates. We over consume these problematic foods. They increase blood sugar and insulin levels, triggering inflammation and eventually diabetes, and are linked to Alzheimer’s and other forms of dementia.

4. Be sure to include a variety of fresh fruit in your diet, especially antioxidant rich berries.
Blueberries, in particular, are high in specific antioxidants called anthocyanins that can actually enhance your brain cells’ ability to communicate with each other.

5. Recent research suggests that heart healthy HDL cholesterol not only protects against heart disease and stroke but can provide protection against dementia as well. The best way to raise your HDL level is to make vegetables and fruits the largest part of your diet.

6. Make sure you get enough B vitamins in your diet, especially folate (folic acid). Inadequate folate can triple your risk of dementia later in life. Foods rich in folate include leafy green vegetables such as turnip greens and spinach, and legumes like chickpeas and kidney beans.

7. The combination of antioxidant-rich spinach and free-range, organic eggs packs quite a memory-boosting punch. The healthy fat in egg yolk allows beneficial nutrients in the spinach to be fully absorbed by the body.

8. Go for garlic. In addition to its pungent aroma, garlic packs antioxidants with the power to reduce inflammation involved in cognitive issues.

9. Eat healthy, anti-inflammatory fats by consuming plenty of nuts, fish such as wild-caught salmon and sardines, and avocados on a daily basis. They protect and fortify brain function. And don’t forget the extra virgin olive oil! (Blog editor's note - it has been reported that wild caught salmon from the Pacific Northwest may be contaminated with parasites)

10. A glass of red wine up to six times a week has been found to benefit brain function. It slows down mental decline, according to research. Drinking more does not help.

11. The curry spice turmeric and its pigment extract curcumin rank among the most potent food- derived anti-inflammatory agents. In a study, curcumin appeared to have a destructive effect on plaque in the memory circuits of the brains of Alzheimer’s patients.

12. Introduce flavorful cinnamon into your diet by sprinkling onto smoothies, whole grain cereal, and fruit. Cinnamon provides a strong antioxidant effect and helps stabilize blood sugar.

For additional information, click on this line Dementia Diet