www.perpetualcommotion.com
"Give with a free hand, but give only your own."
 -- J.R.R. Tolkien The Children of Hurin
Notes

What this page is for
Mainstream Medicine
A Rut
Profit Motive
Physicians Vs. Doctors
Who is the customer?
The real challenge...
Possible causes of dementia
The irony of iron
Chelation therapy
Phytic Acid (myo-inositol hexakisphosphate, IP6, InsP6)
Scyllitol (scyllo-inositol, cocositol, quercinitol)
COGNIShunt
Clioquinol
Research & Drugs Under Development
Aluminosilicates
Aluminum
Type III Diabetes
Curcumin
Alternative Alzheimer's Disease Treatment
NPH (Normal Pressure Hydrocephalus)
Infrared
RF
Enbrel (Etanercept)
Polyphenols
Tannins and Tannic Acid
Anesthetics
Copper
Lithium
Cinnamon
Infection and Immune System Response
TNF-Alpha
Chitosan (water-soluble, Chitosan oligosaccharide)
Cat's Claw
Helicobacter Pylori
eSadists, Kevorkians, Ghosts, and the Company of Misery
Rember
Methylene Blue
The circular logic of "Standard of Care"
Coconut Oil / MCT
Mitochondrial Dysfunction
The "Sinatra Solution"
D-Ribose
Magnesium
Acetyl-L Carnitine
Resveratrol
Statins
Coenzyme Q10 (CoQ10)
Lecithin
Fish Oil
Uridine
B-complex Vitamins
Vitamin B6
Vitamin B9 (folic acid)
Vitamin B12 (methylcobalamin)
Niacinamide / nicotinamide
Apple Juice
Tau Busters
Grape Seed Extract
Davunetide
Valproic Acid
Nypta
The Anti-oxidant Trio for Mitochondria
Alpha lipoic acid
Alpha tocopherol
N-acetylcisteine (NAC)
Amyloid Beta and Alzheimer's Disease
Multipe Sclerosis (MS)
CCSVI
Lion's Mane Mushroom
Multifunctional Cocktail
Puruvate
Creatine
Head/Brain Injury
Stem Cell
Brain-derived Neurotrophic Factor (BDNF)
GCSF (granulocyte-colony stimulating factor)
Green Tea  (EGCG, epigallocatechin gallate)
Prozac
Neurogenesis
Blueberries
Vitamin D3
Caffeine



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What this page is for:
I'm creating and maintaining these pages for my own use to keep track and try to make sense of all of this information.  I then make it all available to the entire world in case someone might be helped by it.  The information in these Web pages is for the time when the medical community throws its hands in the air and says, “There’s nothing we can do for you, go home and die.”  This alternative medicine stuff might all be hooey, but given the choice between trying it and going home to wait around for the grim reaper, why not give it a try?  “It ain’t over, ‘til it’s over.”

As I've said before, I'm all for whatever works, whether that's Enbrel, supplements, methylene blue, or licking the butts of South American tree toads (I made that last one up).

Thanks to all of the people who have provided the information I have gleaned from the various message boards. These are clues and leads, and yes, it is OUR responsibility to research them further.

Again I must say that I really appreciate the, "we're gonna take matters into our own hands and do something" attitude of some of the people I have run into, especially on the Alz.org "Medications/Treatments for Alzheimer's and Other Related Dementias" forum, instead of a bunch of people just holding hands and commiserating about how horrible these diseases are, and how the doctors don't have any answers. OK, commiserating can help ease the anxiety and depression, but doing something-- trying some of these things mentioned here and elsewhere-- doing IS helping.

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Mainstream Medicine
I’m not against mainstream, traditional medicine.  It has a lot of offer.  The experience, training, and knowledge of these professionals should not be discounted.  If they have a drug or therapy that makes sense and has solid research and testing behind it, go for it!

Mainstream physicians denounce "alternative medicine" as quackery [from the German word for mercury, quacksalber, once used to treat disease???].  They say that alternative medicine providers are just exploiting people's desperate attempts to find a cure.  But I can assure you that after spending thousands of dollars on tests, neurologists, physicians, and hospitals, just to be told, "sorry, there's nothing we can do for you, just go home and die", mainstream medicine is more than happy to take all your money without even offering hope.  If mainstream medicine can't even offer hope, then pursuing alternatives is more than justified.  AD is a terminal illness.  What difference does it make to the AD suffer if he spends all of his savings on a possible cure that doesn't work?  It's his money to do with as he pleases.  Traditional medicine is just as happy to take every penny of your money as alternative medicine is.   Traditional medicine is every bit as bad when it comes to diseases they are ineffective in dealing with as "quack medicine" is.  Both will take your money with a smile, or with a lawyer and collection agency if necessary.

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A Rut:
A good example of  how physicians can get stuck in a rut and refuse to accept change is stomach ulcers.  For many decades they insisted that if you had a stomach ulcer, you had too much acid, probably because you worried too much or were under too much stress.  However, as time went on, in the 1980’s researchers found that stomach ulcers were caused by a bacteria!  But now comes the sticky part.  What if this bacteria could have been eliminated by eating dandylions instead of an patentable drug?  (This is just an absurd example to illustrate a point.)  What would have been the financial incentive to push the medical community into using dandylions instead of expensive drugs to reduce stomach acid?  Why would the mental health industry want to give up “treating” these obviously overstressed individuals?  There would be no incentive.  Physicians, drug companies, and researchers seeking grant money would have scoffed at the very idea of using a mere common lawn weed to cure a nasty illness.  But fortunately for ulcer suffers, dandylions weren’t the cure, an expensive drug was.

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Profit Motive:
There is nothing wrong making a profit for providing a product or service.  It is the best incentive to get people to do what they are the best at doing when they don’t feel like doing it.  But it is wrong to block competition through the use of artificial government regulations or trade guilds that control a profession (with government endorsement).  It is also wrong to push high cost drugs or therapies that have little or no benefit over other drugs, or even herbs, that have about the same benefit, just because more profit can be made from the high cost products.  For us as consumers of medical care, it is a matter of discerning motive.  Full disclosure of alternatives and benefits would be the ideal, but it is not going to happen while human nature rules human nature.  The cure for this ailment is self-education.

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Physicians Vs. Doctors:
Most physicians and surgeons are not true “doctors”, in that they do not hold a Ph.D.  They ‘practice’ medicine, they don’t create it, study it, or research it.  Few physicians have the time or incentive to truly study the latest research.  If you are lucky, you will be dealing with one that has found the time, or had just been to a conference, or happen to have picked up the right medical journal and read the right article.  Otherwise, they are pretty much in the dark as they race from examining room to examining room to give each patient their full five minutes worth of attention.  So it is left to you, the concerned relative or the patient to educate yourself as much as you can so that you can ask the right questions.  If you don’t get the right answers, then either your information is wrong and you need to do some more digging, or you need to find another physician.  Few physicians will be willing to even acknowledge your self-education, and if your sources are not mainstream, instant contempt for the source will block out any consideration of the information.  When you have to confront the physician (since many drugs and therapies can only be had by way of a physician or his prescriptions), make sure you only quote or provide mainstream publications, studies, journal articles, etc.

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Who is the customer?:
When you are dealing with physicians, hospitals and pharmaceutical companies, remember who the customer is:  Insurance companies and/or the government (Medicare).  The healthcare industry serves the purse holder not you!  Somewhere along the line, these mega organizations have to keep the masses pacified, but if your condition lies outside of the norm, you are out of luck.  They will probably not want to deal with your problem because dealing with you will take too much of their time or their resources.  Since you are not the customer, they only have to take care of enough cases to keep the purse holder happy.  The next time you are in a hospital and you are dismayed by the way you are being treated, remember:  You are not the customer, your insurance company is.

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The real challenge...
The real challenge may be...

Even if you find something in these pages you think might work, and the doctors agree with it, the real challenge might be getting the patient to change their lifestyle.  Habbits and behavior will probably be your greatest obstacle.  This is like watching your grandfather smoke himself to death with cigarettes.  You know they are bad for him, and that his is smoking way way to much.  But what can you do?  You just can't stop him, and so you must just stand there and watch him pound nails in his own coffin.  A person who is starting to show the signs of dementia, either from Alzheimer's or from Vascular Dementia, may not even be able to help themselves.  They may not have an appetite to eat better food.  They may not be able to swallow or feed themselves.  Their primary caregiver may not believe that mere lifestyle and eating habbits and herbs and medicine or anything can help.  Fatalism or a state of denial can doom the dementia sufferer to an inevitable decline.  The only way pills can help you, if they can, is if you have enough faith to swallow them.

This may be your greatest challenge.  This, more than anything else may be something you will not be able to overcome.

The person you used to know is there, but she isn't.  It's like a book with missing pages; a hard drive with sectors randomly wiped out.

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Possible causes of dementia:  [Find out more about these and elaborate]
- Tauopathies (Alzheimer's disease, corticobasal degeneration, FTD, PSP, etc.)
- Multiple "mini strokes", a.k.a. TIA (Transient Ischemic Attacks [check this!!!!!!!!!!]
- Brain tumors
- Chemical imbalances
- Spinal fluid pressure
- Exposure to toxins

Occurrence of beta-methylamino-l-alanine (BMAA) in ALS/PDC patients from Guam.
Acta Neurol Scand. 2004 Oct ;110 (4):267-9  15355492  Cit:30
S J Murch, P A Cox, S A Banack, J C Steele, O W Sacks
Institute for Ethnobotany, National Tropical Botanical Garden, Kalaheo, HI 96741, USA.
We tested the brain tissues of the Chamorro people of Guam who died of amyotrophic lateral sclerosis/Parkinsonism dimentia complex (ALS/PDC) for the neurotoxin beta-methylamino-l-alanine (BMAA). We used validated high-pressure liquid chromatography and liquid chromatography-mass spectrometry analyses to test well-characterized archival tissues of the superior frontal gyrus from eight Chamorros from Guam and a comparison group of 15 Canadians. BMAA was found as a free amino acid in 83% of Chamorro ALS/PDC patients (3-10 microg/g) as a protein-associated amino acid in 100% of the Chamorro individuals (149-1190 microg/g). Both forms of BMAA were also found at comparable levels in two Canadians who died of progressive neurodegenerative disease. BMAA, which is produced by cyanobacteria, may be associated with some cases of neurodegenerative disease.

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The Irony of Iron

Let's put these piece of the puzzle together.

J. S. Richardson, Department of Pharmacology, College of Medicine, University of Saskatchewan, Saskatoon, Can "...feels the major cause of Alzheimer's Disease is excess brain iron levels. So as liver iron builds up, brain iron levels build up. Dr. McLachlan at the University of Toronto Dementia Clinic showed that aluminum was the cause of Alzheimer's Disease (D.R.C. McLachlan et al. Desferroxamine. Lancet, June 1991). He is using an iron chelator called deferoxamine to treat Alzheimer's Disease and his results are probably better than any other treatment program for Alzheimer's. He stated that the drug arrests the disease. Dr. Richardson and Dr. McLachlan have been arguing, "Is it the iron, or is it the aluminum?" The same medication lowered both."  If the presence of excess iron has more impact on the progression of AD, then the administration of an iron chelator is indicated.
http://www.annalsnyas.org/cgi/content/abstract/695/1/73

Now let's fast forward to November of 2005.  From the Dec 12, 2005 online
issue of Drug Topics

"Deferasirox (Exjade, Novartis) was approved in November and touts itself as the first and only once-daily oral iron chelator. The drug is approved for the treatment of chronic iron overload due to blood transfusions in adults and children age two and older. According to Novartis, deferasirox tablets should be dispersed into orange juice, apple juice, or water, and administered as a drink. Previously available iron chelator therapy [intramuscular injections desferal, or desferioxamine or desferrioxamine] often required a subcutaneous infusion lasting eight to 12 hours per night.

"Clinical trials for deferasirox included more than 1,000 adults and children and showed that doses of 20-30 mg/kg/day led to reductions in liver iron concentration, an indication for body iron content in patients receiving blood transfusions. The new drug will cost about 20% more than desferrioxamine (Desferal, Novartis). The list price is $89.49/gm, which at an average dosage, comes to more than $32,000 annually for treatments other than sickle cell disease. Costs for sickle cell treatment are about a third lower."
http://www.drugtopics.com/drugtopics/article/articleDetail.jsp?id=256787

At $89.49/gm, or $32,000 annually, and if this drug is as effective at arresting the progression of AD as DR. McLachlan's desferroxamine trial, then Novartis would have plenty of financial incentive to saturate all media outlets with the news, "Exjade stops Alzheimer's disease".

Interestingly, the clinical trials of EXJADE did not include enough subjects of the age most likely to suffer from Alzheimer's.

Geriatric Use
EXJADE did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Thirty patients ≥65 years of age were included in clinical trials of EXJADE. The majority of these patients had myelodysplastic syndrome (MDS, n=27; other anemias, n=3). In general, caution should be used in elderly patients due to the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.
http://www.fda.gov/cder/foi/label/2005/021882lbl.pdf

Iron Accumulation in Parkinsonian Syndromes:

Another very interesting paper is "Iron metabolism in Parkinsonian syndromes"  Mov Disord. 2006 Sep;21(9):1299-310.  In this paper, it is pointed out that iron metabolism seems to be involved in a host of nasty neuro-degenerative diseases that have Parkinsonism as a primary symptom.  See Parkinsonian Syndromes for more on this topic.

Supplements that might be used to treat iron overload are IP6 and curcumin.

Dr. Paolo Zamboni, a professor of medicine at the University of Ferrara in Italy appears to have found a connection between iron accumulation and multiple sclerosis (MS).  This accumulation of iron in the brain is due to a reduced flow of blood in the vessels that drain blood from the brain.  He hypothesized that iron damages the blood vessels and allows the metal, along with other unwelcome cells, to cross the brain-blood barrier.  Combine this with the "Iron metabolism in Parkinsonian syndromes" article above, and we have the intriguing idea that perhaps Parkinsonian syndromes are also caused by blood circulation problem.  (See more at CCSVI)

One has to wonder what other diseases CCSVI could cause?

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Chelation Therapy

Those few physicians who practice intravenous  chelation therapy to treat heart disease (specifically arterial sclerosis) claim to have noticed that after about 100 treatments [cite source for this], those patients with AD reported a regression of their symptoms.  Unfortunately, there hasn't been a study to back up these claims that the mainstream medical community will accept.  The common excuse given by chelation therapy practitioners as to why this procedure is not accepted is:  There isn't enough money in it.  But surely, we all run the risk of developing these terrible conditions, even doctors and the CEO's of pharmaceutical companies.  Who knows, maybe they secretly use chelation therapy themselves to stave off diseases like AD.  (Isn't it interesting how old former presidents have been getting of late?  Now there's a conspiracy theory for you to chew on!)  The chelation therapist themselves don't know for sure why it works.  Their only claim is that they have observed that it does.  But intravenous chelation therapy is expensive since it must be administered by a physician.  There is an alternative to this alternative:  Oral chelation therapy.  IV chelation practitioners denounce oral chelation therapy, because, well, if people can get the same effect by something they take by mouth, without the assistance of a highly paid physician, then the physician's income might be affected.  I hardly think so, in the long run:  There are plenty of other illnesses to go around, and if you manage to beat AD, something else will surly go wrong.  Physicians and pharmaceutical companies really have nothing to worry about.  Perhaps plain old ignorance and reluctance to accept new ideas [link to section on stomach ulcers] is what is impeding chelation therapy as an accepted treatment for AD and other diseases.

Chelating agents such as Phytic Acid and EDTA may only be a temporary measure to delay further damage until some treatement that treats the cause of the amyloid-beta plaque formation is found.

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Phytic Acid (myo-inositol hexakisphosphate, IP6, InsP6)

 (phytic acid)

A Dr. McLachlan published a paper in the June 1991 issue of the Lancet describing research where AD patients where given the iron/aluminum chelator desferrioxamine.  It was originally theorized that aluminum played a part in AD, and the study was meant to confirm this.  However, later a J.S. Richardson published a paper disputing the aluminum theory and suggesting rather that excess iron was the real culprit.  The interesting thing is that AD in the patients administered desferrioxamine in the McLachlan tests, did not advance.  In fact, some reviewers of this report state that desferrioxamine effectively arrested Alzheimer's disease.

Put the McLachlan study together with the following...

This quote from Inhibition of iron-catalysed hydroxyl radical formation by inositol polyphosphates: a possible physiological function for myo-inositol hexakisphosphate by Phillip T. HAWKINS (and others) Biochem.. J. (U.K) 1993 tells most of the story...

"Some idea of the relative affinity of InsP6 for Fe3+ was deduced by competition experiments measuring the decolorization of FeCl3/catechol complexes (see the Materials and methods section).  Any compound that is able to compete with catechol for Fe3+ in the same concentration range as the Fe'+-catechol complex (0.25 mM in this case) must have an affinity for Fe3+ that is of a similar order to, or greater than, that of catechol (the K1 for which is approx. 10-20; Martell and Smith, 1982). The data (Figure 2) show that InsP6, EDTA and Desferral all fall into this category; the greater potency of InsP6 compared with the other two chelators is presumably because InsP6 has multiple phosphates which are capable of chelating Fe3+ with high affinity (i.e. more than one Fe3+ can be bound per InsP6; Graf et al., 1987)."

If IP6 has a greater affinity for iron than desferrioxamine (desferral), then it seems highly likely that IP6 supplements would have a similar effect on AD.

IP6 is sold in healthfood stores as a "immune system enhancement" for those afflicted with cancer.  Some brands also contain pure myo-inositol (without the phosphates).  This compound, pure myo-inositol, even though it is an isomer of scyllo-inositol, has not shown a positive effect on AD symptoms.

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Scyllitol (scyllo-inositol, cocositol, quercinitol)

Scyllitol (scyllo-inositol) is one of the six naturally occuring isomers of cyclohexanehexol.

According to a paper published in the journal Nature Medicine on June 11, 2006, mice genetically engineered to have Alzheimer's disease when fed scyllitol either did not develop the disease, or recovered most mental function and life expectancy of normal mice.

Upon some research on the web, it turns out that scyllitol is a naturally occuring sugar found in many plants and in soil, (presumably synthesized by bacteria).  Interestingly, the most abundant source I've found so far is coconut palm leaves, and coconut milk.  However, at something like 5 parts per million, you would probably have to consume enormous quantities of coconut milk to get a dose of scyllitol to have an effect.  But the real significance of this is that scyllitol is a naturally occuring substance found in food, and therefore, could not be patented.  Supplement makers should be able to extract it from food sources.  Perhaps the bacteria responsible for the presence of scyllitol in soil could be identified, and then used in sort of a fermentation process.

But since the chemical can not be patented, I envision that it will be denounced as "quack medicine", "dangerous", or whatever; in order to discourage it's manufacture and use.  In my opinion, this is a major breakthrough, and no delay should be allowed in bringing it to mass availability.  Since it's already present in our food, at most, it won't do anything.

It is interesting that US Patent # 4847082 was filed by Robert Sabin on January 21, 1987 for a "Method of treatment of Alzheimer's disease using phytic acid".  That was over 19 years ago.  The patent sould have expired by now.

More info:  Human Metabolome Database

Description:  Scyllitol is an isomer of cyclohexanehexol or inositol. It was first isolated from the kidneys of fish in 1858 by Staedeler and Freierchs. Scyllitol is a naturally occurring plant sugar alcohol found most abundantly in the coconut palm. It appears to accumulate in a number of human tissues and biofluids through dietary consumption. It has traditionally been considered to be a B vitamin although it has an uncertain status as a vitamin and a deficiency syndrome has not been identified in man. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1379). Results reported by Viola et al (PMID: 15340856) suggest that high CSF concentrations of scyllo-inositol can be induced by chronic alcoholism. scyllo-Inositol (also called "scyllitol") when fed to transgenic mice that exhibit a memory disease very similar to human Alzheimer's disease, can block the accumulation of soluble amyloid-beta (Aβ) plaques in the brain. Scyllitol was found to reverse memory deficits in the mice, reduce the amount of Aβ plaque in the brains of the mice, and reversed other symptoms associated with the presence of Aβ in the brain (PMID: 16767098).
http://www.hmdb.ca/metabolites/HMDB06088

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COGNIShunt

An interesting question would be, what happens to the amyloid beta if scyllitol dissolves it?  Imagine a jar full of paint thinner.  Dip your paintbrush into the jar, and the paint comes off the brush, but it's now dissolved in the paint thinner.  If the paint thinner evaporates, the once dissolved paint coats the bottom of the jar.  Perhaps if scyllitol dissolves amyloid beta plaques, then a device such as the COGNIshunt would be needed to clear out the contaminated fluid.

However, the company that was developing the COGNIShunt, Eunoe, Inc. "ceased operations" in 2005.  I guess this means they went out of business.  A company called Integra LifeSciences bought the "intellectual property" of Eunoe, Inc.  But in Integra's December 31, 2006 Annual Report they seem to claim the cost of this aquisition as a loss:

"In September 2005, we acquired the intellectual property estate of Eunoe, Inc. for $0.5 million in cash. Prior to ceasing operations, Eunoe, Inc. was engaged in the development of its innovative COGNIShunt® system for the treatment of Alzheimer’s disease patients. The acquired intellectual property has not been developed into a product that has been approved or cleared by the FDA and has no future alternative use other than in clinical applications involving the regulation of cerebrospinal fluid. Accordingly, we recorded the entire acquisition price as an in-process research and development charge in 2005."

Hmmm.  Too bad.  Seemed like a promising idea.  Was there any real science behind this?  Or was this some sort of bad joke on us all in order to perpetuate some sort of investment scam?  I hope not.

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Clioquinol

  - An old drug with new possibilities

[I wonder if clioquinol is effective against Helicobacter pylori?]

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Research & Drugs Under Development
  [search Google for AF267B 3/2/06]

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Aluminosilicates

If aluminosilicates are in themselves toxic to nerve cells, then the elimination of amyloid beta plaques may not be enough.  It may slow down the progression of AD, but not arrest it.  The body may in fact form Amyloid beta as a way of protecting the brain from the toxic affects of aluminosilicates.  But the band aid itself may eventually becomes a problem when iron (or other metal ions) attach to the AB.  Where do the so called "globulomers" come into play?  How are they formed?  Could the presence of the aluminosilicates cause the formation of the golbulomers? Or, could it be a chemical reaction that occurs on the surface of the AB with iron attached acting as a catalyst that not only forms toxic OH, but also toxic globulomers?  Also, what role does scyllo-inositol play, and how might ethanol consumption botch things up?  It would be informative to know if there is a relationship between ethanol consumption and AD, either promoting or inhibitting.  Apparently, there have been studies that show that red wine consumption is protective against AD.  It has been suggested that it is the red pigments or tannins.  But could it be the ethanol itself promoting the production of scyllitol in the brain?  In mice, adding scyllitol to their diet has been shown to dissolve (or cause the dissolution of) amyloid beta plaques.  But in humans, the body is capable of synthesizing scyllitol.  Ethanol consumption has been shown to cause high levels of scyllitol to accumulate in the CIS. Either ethanol disrupts the normal metabolic processes that scyllitol participates in, or it spurs the CIS to produce more scyllitol than normal.  If the latter is true, then moderate ethanol consumption should lead to the elimination of amyloid beta plaques.

Other interesting things to note:
 - Desferrioxamine, the iron (and aluminum) chelator has been proven to arrest the progression of Alzheimer's disease symptoms.  Do iron or other metal ions bound to beta amyloid plaques play an essential role in AD? Would deferasirox (Exjade) or myo-inositol hexakisphosphate (IP6 or InsP6)be as effective?
- Clioquinol, a antiobiotic and weak metal chelator, has been shown to halt AD progression and cause the eventual dissolution of AB plaues. How does this drug afftect globulomers, which appear to be separate entities from the plaques?  (Perhaps it reduces the Helicobacter pylori bacterial infection?)
-  Could AD be prevented in asymptomatic people by preventing the formation of aluminosilicates in the brain?  This could easily be accomplished by food supplements and/or dietary changes.  [What foods and/or supplements?]
- If aluminosilicate formation is the beginning of the AD process, is there a way to directly attack aluminosilicate?  Such substances as hydrochloric acid will disolve it, but in-vivo use of hydrochloric acid is impossible.  There may be other ways of attacking it.  Perhaps more complex compounds that are able to cross the blood-brain barrier are able to disolve aluminosilicates without causing the surrounding tissue damage. Another far-out thought is the use of modulated x-rays or microwave r.f. to impart enough energy to the aluminosilicate that it will disassociate, and the constituent parts will bind harmlessly with other materials (which would have to be made available before applying the energy). Aluminosilicates are essentially rocks that can not be removed from the brain by usual methods.
-  Could a mechanical pump (e.g. COGNIShunt®) be used to remove CIS fluids, and thereby provide a way to remove aluminosilicate precipitates from the CIS?]

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Aluminum:

I found this paper on the effects of aluminum and tau formation in a rat study.

Do aluminium and/or glutamate induce Alz-50 reactivity?
"...These results suggest: (1) aluminium enters neurons and (2) aluminium alone induces possible conformational changes in tau as detected by the Alz-50 antibody, while aluminium combined with glutamate, or glutamate alone, do not."
PMID: 9530999 [PubMed] and,
http://www.springerlink.com/content/m756l301187u1j84/

I wonder if it possible to have "aluminum poisoning"? I mean, if you somehow ingest too much aluminum, does it stick around like lead and mercury? I wonder if there is a way to flush it out. Also, I wonder if the presence of some other metal, such as mercury or lead or copper, could interfere with normal aluminum elimination processes, leading to excess aluminum, and therefore tau problems.

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Type III Diabetes

See also Coconut Oil, Cinnamon, Methylene Blue

[Need more info-- research in Canada-- Certain diabetes drugs help? -- Basic idea is that brain cells don't metabolize sugar well, leading to build-up of AB plaques.  Also find info on recent research indicating that pancreatic diabetes (types I & II) can be caused by malfunctioning nerve cells in the pancrease.  I wonder if these two are related?]

Getting Diabetes Before 65 More Than Doubles Risk For Alzheimer's Disease
ScienceDaily (Jan. 28, 2009)
"Diabetics have a significantly greater risk of dementia, both Alzheimer's disease — the most common form of dementia — and other dementia, reveals important new data from an ongoing study of twins. The risk of dementia is especially strong if the onset of diabetes occurs in middle age, according to the study..."
http://www.sciencedaily.com/releases/2009/01/090127152835.htm

Related article appearing February 3, 2009 on ScienceDaily.com about AD as a "type 3 diabetes".

So, the question is, does cinnamon help with sugar metabolism, or with preventing and reversing tau protein corruption? Or both? Is there enough of the tau-buster chemical in the typical quantity of cinnamon people have been taking (about 1/2 tsp) to be effective?

When the news about this "water-soluble component of common cinnamon" first appeared last year, this was pretty much our only option to fight tau. Since then, we've learned about methylene blue and niacinamide. For improving sugar metabolism, we now know about MCT oil and coconut oil.

Here's the article:

Insulin Is A Possible New Treatment For Alzheimer's
ScienceDaily (Feb. 3, 2009)
"A Northwestern University-led research team reports that insulin, by shielding memory-forming synapses from harm, may slow or prevent the damage and memory loss caused by toxic proteins in Alzheimer's disease. The findings, which provide additional new evidence that Alzheimer's could be due to a novel third form of diabetes, will be published online the week of Feb. 2 by the Proceedings of the National Academy of Sciences (PNAS)..."
http://www.sciencedaily.com/releases/2009/02/090202174818.htm


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Curcumin (Turmeric extract)

See also Curcumin, Copper, Vitamin D

[Need more info-- Read in Reader's Digest-- villages in India where there is a low incidence of AD.  Could be a genetic thing, like the villages in Italy where heart disease is rare.]

Some observations on the spectrum of dementia
Neurology India, Year: 2004 Volume: 52  Issue: 2  Page: 213-214
Sanjeev Jha, R Patel
Department of Neurology, SGPGIMS, Lucknow, India

A study was designed to generate epidemiological and clinical data on dementia, in a teaching hospital in India. It was conducted on 124 (94 male and 30 female) elderly patients (aged more than 60 years) presenting with clinical syndrome of dementia (DSM-3). Their age range was 64-78 (mean 65.7 4.1) years. Detailed clinical, biochemical, radiological and electrophysiological evaluation was done to establish etiology. Patients with psychiatric ailments, cranial trauma and tumors were excluded. The study period was 4.2 years. Multi-infarct dementia (MID) was observed to be commonest cause of dementia and was present in 59 (47.6%) cases. There were 10 (8%) patients each of tuberculosis (TB) and neurocysticercosis (NCC). Alcohol-related dementia was present in 13 (10.5%), while malnutrition (Vitamin B12 deficiency) was present in 9 (7.2%). Alzheimer's Disease (AD) was present (NINCDS-ADRDA criteria) in 6 patients (4.8%). There were 3 (2.4%) cases 1 each of Huntington's disease, Parkinson's and Normal Pressure Hydrocephalus and 2 each of diabetes, hypothyroidism, hyperthyroidism and Creutzfeldt' Jakob Disease. We conclude that AD, which is irreversible and common in the west, is relatively uncommon in India as compared to MID, infections and malnutrition, which are potentially treatable.
http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2004;volume=52;issue=2;spage=213;epage=214;aulast=Jha

A report in the Journal of Biological Chemistry, February 18, 2005 uses the phrase "disaggregated" amyloid-β fibrils.  Does this mean it disolved amyloid-β?

From Wikipedia:  Little curcumin is absorbed.  Co-supplementation with 20mg piperine (extract of black pepper, a.k.a. Bioperine) increased absorption by 2000%.  However, peperine can interfere with the metabolism of other drugs, and should be taken with caution, if at all.  I'm leaning toward not using peperine.

Curcumin is also a potent iron and copper chelator.

In a study using mice, low-dose curcumin was found to enhance adult hippocampal neurogenesis.
See, Curcumin stimulates proliferation of embryonic neural progenitor cells and neurogenesis in the adult hippocampus.  High dose levels were found to be "cytotoxic": "Curcumin exerted biphasic effects on cultured NPC - low concentrations stimulated cell proliferation, whereas high concentrations were cytotoxic."
http://www.ncbi.nlm.nih.gov/pubmed/18362141?dopt=Abstract

There are anectdotal reports that 500mg of curcumin twice per day will "normalize" high blood pressure.  Those who are on blood pressure medications for high blood pressure should be aware of the possibility of overmedication should this effect of curcumin develop.

Effect on TNF-Alpha:

I know that curcumin is used as an anti-inflammatory agent, so I searched Google on curcumin and TNF. I found research papers saying that curcumin inhibited TNF, and some that said that it "sensitized" cancer cells to TNF (which I guess is a good thing). Here's and example:

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T4P-3YVDRW0-6P&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=7a734d2000776a9f4ca641b1bd4aae02


Scientists ID possible biomarker to gauge Alzheimer's prognosis, effect of therapies
University of California - Los Angeles
17-Mar-2011
...They incubated the immune cells overnight with amyloid beta to test the cells' ability to "turn on" MGAT3. They also added a synthetic form of curcumin to some of the cells to gauge the effect it had on MGAT3 expression and the absorption of amyloid beta.

Based on the results, the researchers identified three groups of Alzheimer's patients.

Type 0 patients: This group had very low expression of MGAT3 and very low absorption rates of amyloid beta.

Type I patients: This group also had low expression of MGAT3 and low amyloid beta absorption rates, but the strength of the MGAT3 message and the absorption of amyloid beta increased when researchers stimulated the macrophages with synthetic curcumin.

Type II patients: This group initially had high amyloid beta absorption rates, but when scientists added synthetic curcumin, MGAT3 expression lessened and absorption was reduced.

In addition, researchers found that for Type I and Type II patients, the clearing of amyloid beta was dependent on vitamin D3, a type of vitamin D that occurs naturally in these cells. When they blocked vitamin D3 use by the macrophages in the laboratory, they found that absorption of amyloid beta suffered.

"These findings demonstrate three very different levels of immunity and possible reactions to natural therapies of vitamin D3 and curcumin," Fiala said. "These differences could point to a new way to track the progression of Alzheimer's disease and the effectiveness of these natural therapies based on an individual patient's immunity."

Fourteen of the 20 Alzheimer's disease patients have been followed for two years, and researchers noted that those who were Type 0 had a worse two-year prognosis regarding the loss of their ability to live independently than the other two types of patients... During the study, researchers also noted that one Type II patient who underwent hip surgery experienced temporary cognitive dysfunction related to the general surgery anesthesia, which is a phenomenon that can occur. Researchers checked the patient's MGAT3 immunity and found that the patient's ability to clear amyloid beta had declined after surgery but improved in later months, along with cognitive function, possibly due to the vitamin D3 supplementation the patient had undertaken...
http://www.eurekalert.org/pub_releases/2011-03/uoc--sip031711.php

Common Yellow Lab Dye Profoundly Extends Lifespan in Healthy Nematodes, and Slows Alzheimer's Disease-Like Pathology in Worms

ScienceDaily (Mar. 30, 2011) — Basic Yellow 1, a dye used in neuroscience laboratories around the world to detect damaged protein in Alzheimer's disease, is a wonder drug for nematode worms. In a study appearing in Nature, the dye, also known as Thioflavin T (ThT)... Alavez said curcumin, the active ingredient in the popular Indian spice turmeric, also had a significant positive impact on both healthy worms and those bred to express a gene associated with Alzheimer's. "People have been making claims about the health benefits of curcumin for many years. Maybe slowing aging is part of its mechanism of action,"...
http://www.sciencedaily.com/releases/2011/03/110330131258.htm

Reference: Silvestre Alavez, Maithili C. Vantipalli, David J. S. Zucker, Ida M. Klang, Gordon J. Lithgow. Amyloid-binding compounds maintain protein homeostasis during ageing and extend lifespan. Nature, 2011

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Alternative Alzheimer's Disease Treatment


See also Patricia's Protocol
         Nutritional Alteratives


The following is speculation.
- MCTs           - to provide an alternative energy source due to neuronal glucose
                   hypometabolism
- Phytic Acid   
- (a.k.a. IP6) to chelate free metal ions involved with nerve cell damage
- Curcumin       - to dissolve
amyloid-β proteins which might cause neuronal damage
- Lithium        - to prevent tau protein corruption, induce neurogenesis
- Cinnamon       - to prevent tau proten correuption, aggregation and undo aggregations
                   already formed
- Niacinamide    -
to prevent tau proten correuption, aggregation and undo aggregations
                   already formed
- Methylene Blue - To prevent tau protein corruption, aggregation, undo aggregations
                   already formed, and prevent neuronal senescence.

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NPH (Normal Pressure Hydrocephalus)

See also CCSVI,

Fluid in the ventricals (cavities) of the brain is not removed as it should causing the cavities to expand and press on the surrounding brain tissue.  This causes a host of mental problems that can be confused with AD or vascular dementia.  However, NPH is treatable with a shunt to carry away the fluid and restore normal pressure.  Unfortunately, most physicians don't look for this since it only affects about 5% of dementia suffers, and may not realize that this is the problem until too much damage has occured.  I must thank my mother in law for showing me an article about this disease that she cut out of the June 1, 2007 issue of Womans Day magazine.  If not for her, I would never have known about it.  Interestingly, a couple of weeks ago I had a chance to ask a woman who lives a few houses down the street from me about the condition of her mother.  We had found her wandering the streets a couple of time a few years ago, and were told that she had AD.  It turns out that a observant radiologist noticed that she in fact had NPH!   All those years she had been treated for AD.  But, much damage had been done by the time they put in the shunt.  Even though her symptoms did improve, she subsequently had a bad fall that cause serious head trauma, and she isn't doing so well.

Recently, I read an article that said that researchers had determined that injury to brain tissue could lead to AD.  The damaged and dying cells cause amyloid beta plaques to form.  The amyloid beta plaques are toxic to the healthy surrounding brain cells, and cause them to expire.  This domino effect, if left unchecked, can lead to full blown AD.  An interesting thought is, for people who have had a brain injury due to either stroke or head trauma, if a substance was administered that prevented the accumulation of amyloid beta, or even dissolved it, or at least made it non-toxic, would that be enough to halt the progression of injury related AD?  Hmmm.  Perhaps it would be a good idea to give brain injury patients 300 to 500 mg of curcumin on an empty stomach every day just to be on the safe side.  Since curcumin has no known side effects, is derived from the curry spice turmeric, and is not expensive; if there is a chance it works as well on humans as it does on mice, then it certainly would be a prudent thing to do.

In many countries with socialized medicine (such as Germany), there is an emphasis on diagnostics to determine who would be likely candidates for a ventriculoperitoneal shunt (i.e. a tube from the cavity in the brain to the gut).  There is no limit to the demand for healthcare, so there must some way to ration it.  In the U.S., it is rationed by who can pay for it.  In socialist countries, it is rationed by how valuable the recipient is to the state.  So, there is a lot of literature about how to diagnose NPH based on if the patient's symptoms improve during testing.  Not much, if anything, about how to halt the progressive decline of someone already suffering from the condition.

It is interesting to note that there is some disagreement about the root cause of the disease.  Most articles you will read mention the "reabsorption of the CSF by the subarachnoid villi", yet research shows that it is in fact the capillaries that do the absorbing.  Perhaps idiopathic (without a known cause) is actually a manifestation of high blood pressure, and could be treated in a similar manner???

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Infrared:

There has been some recent reports that near-infrared light at a wavelength of 1072nm has proven to have beneficial therapeutic effects.  http://www.sciencebasedmedicine.org/?p=32 http://www.sciencedaily.com/releases/2008/01/080124104917.htm  That something this simple could actually stimulate the restoration of neurons definitely stretches one's credulity, but given the simplicity of the technique, it certainly seems worth exploring further.

The researchers created an helmet with several infrared light emitting diodes (LEDs) with light output centered at 1072nm on the inside.  It is claimed that a mere 10 minute per day treatment would be all that is required.  The research was first performed, as is usual, on mice.  "Emotional responses and memory performance of middle-aged CD1 mice in a 3D maze: Effects of low infrared light" by S. Michalikovaa, A. Ennaceura, Author, R. van Rensburgb and P.L. Chazot

Seems simple enough for someone handy with electronics and making things to create such a device.  But a quick search of the Internet for 1072nm LEDs will result in a problem.  1072nm LEDs can't be found.  1070nm LEDs are manufactured, but the cost is prohibitive.  Add to this that it is not clear how much light power, and therefore, how many LEDs are required.

I noticed on
Restorelite's web page about the device they sell to treat cold sores with 1072nm near infrared (NIR) light, that they claim that water is opaque to most of the IR spectrum, EXCEPT for a "window at 1072nm". So, I thought, could an ordinary infrared heating lamp be used as a broad-spectrum source with an interposed zip lock bag full of water as a filter to block the heating IR while allowing the only the 1072nm light to pass? I found sources for industrial IR lamps that target the NIR spectrum too. However, one can buy a 250W IR heating lamp of the type used in bathrooms or to keep food warm in restaurants for about $3.  Since the treatment time per day is short, about 10 minutes, such a lamp connected to a timer switch and a bag full of distilled water might be a very inexpensive source for this light.
 
Yes, 250W is a lot of power, most of which is not useful for this purpose.  It reminds me of that old Star Trek episode where these light sensitive parasitic creatures (which reminded me of flying fried eggs!) make people go crazy.  One gets Spock in the back and to cure him, they expose him to the full spectrum and intensity of the sun at a close distance.  Of course, this blinds poor old Mr. Spock.  Then, Dr. McCoy figures out that only one wavelength was needed to destroy the parasite.

I have not been able to confirm that water is transparent to IR light at 1072nm.  All I've been able to find is the following from Restorelite http://www.restorelite.co.uk/science.php

"Looking at the graph we can see how water transmits virtually all of the light within the ultraviolet and visual spectrum wavelengths. Within most of the infrared wavelengths water acts as a barrier to light apart from a peak transparency at 1072nm and a smaller optical window at 1280nm. If we compare this transmission spectrum with the known and recognised wavelengths at which photobiological reactions occur we can see quite clearly that living cells have adapted by evolution to light transmitted by water."

So, according to Restorelite, water is opaque to most of the IR spectrum, and transparent at 1072nm.

My thoughts were that if water is transparent at 1072nm, then a layer of water would act as a filter.  Only 1072nm (and 1280nm) should pass through, all other IR light should be blocked.  An incandescent heat lamp will produce a wide spectrum of light, from visible to far infrared (heating).  Somewhere in there should be 1072.  A layer of water in a plastic bag would filter out the heating IR.  Of course, a timer switch as is commonly found connected to the heat lamps used in showers and bathrooms would be crucial in order to limit the time that the light was on, prevent burning someone and prevent catching something on fire.  These bulbs get HOT!

In order to test this, it will be necessary to measure the spectrum and intensity of the 1072nm infrared light that passes through such a water filter.  Perhaps this could be accomplished using a standard prism, a light sensor, a protractor, and Snell's law.  Based on where a certain color of visible light appears when passed through the prism, one could predict using Snell's law what angle 1072nm (invisible) light would be at, and measure it's presence.  If water is transparent at 1072nm, then this method should work.  It will also be important to know what the IR transmission spectrum of zip lock plastic bags is.  Using LEDs would be preferable, but until these can be easily obtained, this may be the only option.

Perhaps there is a ionized gas light source, like neon lights, that instead of emitting visible light, would emit NIR light.

More articles:

http://www.liebertonline.com/doi/pdf/10.1089/pho.2010.2814

Dementia patient makes 'amazing' progress after using infra-red helmet
15th July 2008
http://www.dailymail.co.uk/health/article-1034936/Dementia-patient-makes-amazing-progress-using-infrared-helmet.html

Terry Pratchett Battles Alzheimer’s With Retro-Futurist Headgear
Jan 20, 2009
http://gizmodo.com/#!5135176/terry-pratchett-battles-alzheimers-with-retro+futurist-headgear?comment=10162103:10162363

Emotional responses and memory performance of middle-aged CD1 mice in a 3D maze: Effects of low infrared light
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WNM-4PMYXT7-1&_user=10&_coverDate=05%2F31%2F2008&_rdoc=1&_fmt=high&_orig=gateway&_origin=gateway&_sort=d&_docanchor=&view=c&_searchStrId=1695274432&_rerunOrigin=scholar.google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=5445b8ba4a927eddda939641b43bccd7&searchtype=a

Infra Red Helmet For Reversing Early Alzheimer's To Be Tested
http://www.medicalnewstoday.com/articles/95334.php

Clinical Trials

Go to clinicaltrials.gov and search for - infrared alzheimer's - and you'll see this:

1 Active, not recruiting - Far Infrared Treatment for Alzheimer's Disease Condition: Alzheimer Disease

2 Recruiting - Efficacy of 1072nm Infrared Stimulation on Executive Functioning in Dementia

3 Active, not recruiting - Far Infrared Radiation Treatment of Dementia and Other Mental Illness


For more info on the actively recruiting clinical trial, see:
http://clinicaltrials.gov/ct2/show/NCT01059877?term=infrared+alzheimer%27s&rank=2

http://tp//www.quietmindfdn.org/NF_media_files/MID_study_promo_piece.pdf

Cold Sore Cure Gives Ray of Light for Alzheimer's
http://www.virulite.com/alzheimer_cure_personal_care_magazine_%20jan_2008.pdf



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RF (Radio Frequency)

Finally, evidence that cellphone radiation may be GOOD for you
LA Times January 6, 2010  3:01 pm
Poor cellphones. They get blamed for causing brain tumors, reducing bone density, prompting headaches and dizziness, and more. Though most rigorous research has exonerated the phones (not to mention the laws of physics), many people remain unconvinced.
Now comes a study from the University of South Florida that links cellphones to Alzheimer’s disease. But there’s a twist: The researchers found that radiation from the phones protected mice from the disease, and might even reverse the symptoms...
http://latimesblogs.latimes.com/booster_shots/2010/01/cell-phone-radiation-alzheimers-disease.html
 
 
Cell Phone Exposure May Protect Against and Reverse Alzheimer's Disease
ScienceDaily (Jan. 7, 2010)
..."It surprised us to find that cell phone exposure, begun in early adulthood, protects the memory of mice otherwise destined to develop Alzheimer's symptoms," said lead author Gary Arendash, PhD, USF Research Professor at the Florida ADRC. "It was even more astonishing that the electromagnetic waves generated by cell phones actually reversed memory impairment in old Alzheimer's mice."...The researchers showed that exposing old Alzheimer's mice to electromagnetic waves generated by cell phones erased brain deposits of the harmful protein beta-amyloid, in addition to preventing the protein's build-up in younger Alzheimer's mice... The highly-controlled study allowed researchers to isolate the effects of cell phone exposure on memory from other lifestyle factors such as diet and exercise. It involved 96 mice, most of which were genetically altered to develop beta-amyloid plaques and memory problems mimicking Alzheimer's disease as they aged. Some mice were non-demented, without any genetic predisposition for Alzheimer's, so researchers could test the effects of electromagnetic waves on normal memory as well.
Both the Alzheimer's and normal mice were exposed to the electromagnetic field generated by standard cell phone use for two 1-hour periods each day for seven to nine months. The mice didn't wear tiny headsets or have scientists holding cell phones up to their ears; instead, their cages were arranged around a centrally-located antenna generating the cell phone signal. Each animal was housed the same distance from the antenna and exposed to electromagnetic waves typically emitted by a cell phone pressed up against a human head.
If cell phone exposure was started when the genetically-programmed mice were young adults -- before signs of memory impairment were apparent -- their cognitive ability was protected...
http://www.sciencedaily.com/releases/2010/01/100106193217.htm

Could Your Cell Phone Help Shield You From Alzheimer's?
WEDNESDAY, Jan. 6 (HealthDay News via Yahoo! news)
Cell phone addicts of the world, listen up: Electromagnetic waves emanating from these ubiquitous gadgets may prevent or even reverse Alzheimer's disease, researchers say.

Normal mice who had long-term exposure to such electromagnetic waves avoided developing Alzheimer's, while mice who were already sick started getting better, scientists report in the Jan. 6 issue of the Journal of Alzheimer's Disease...
http://news.yahoo.com/s/hsn/20100108/hl_hsn/couldyourcellphonehelpshieldyoufromalzheimers

Cellphone Radiation May Thwart Alzheimer's
TechNewsWorld
01/07/10 2:02 PM PT
After years of controversy over whether cellphone radiation might cause cancer, scientists have reached the startling conclusion that it might actually cure Alzheimer's disease. Young mice exposed to long-term radiation equivalent to human cellphone use of a couple of hours a day were protected from Alzheimer's, and memory function was restored in old mice already afflicted.
http://www.technewsworld.com/edpick/69052.html

This is very interesting. In a microwave oven, the RF energy basically causes the water and fat molecules to shake mechanically in order to cause heat. It doesn't break chemical bonds. It's often referred to as "non-ionizing radiation".

However, I would be hesitant to expose my head to this sort of radiation on purpose. If something has the ability to be helpful, it also has the ability to be harmful, or vice-versa.

I should explain the connection to microwave ovens. It is thought that the frequency and power levels in the radio frequency (RF) transmitting devices being discussed only causes heating of materials. Microwave ovens are a good example of this effect. The RF energy is converted into heat in the food, and that is all. When the oven shuts off, no "radiation" remains. Just heat. We may jokingly say things like we're going to "nuke the popcorn", but that's just a phrase.

Also, microwave ovens are pretty good at confining the RF energy inside the oven. Unless the door is damaged. To be safe, I don't stand too close to the door when heating things. No need to inadvertently cook some body part.

It is assumed that for the heating effect, there is nothing special about the frequency being used, other than considerations for interference with other radio communication services, and the costs involved with the equipment.

The energy levels of hand-held communications devices is much much less than microwave ovens, radar transmitters, radio and TV broadcast transmitters, or even cell phone towers.

At the beginning of the 20th century, there was a fight between Thomas Edison and the Westinghouse company over the power generation and distribution technology. Edison's empire was built around the use of "direct current" (DC) electricity. Westinghouse was promoting Nikola Tesla's "alternating current" system. Radio frequency radiation is the same idea, but at a much much higher frequency. Edison produced a lot of propaganda trying to scare people away from using the Westinghouse system. I think that echos of that propaganda can still be heard today, even though few realize where it started.

Accidental discoveries are often the most important ones. I mean, these guys were trying to prove that cell phone use was unhealthy. Instead, they found something completely different.

Here I'm going to deviate from my normal position of "what do you have to lose", and advise caution on this one. BUT... the equipment to do this is readily available, not too expensive, and well... probably no more harmful than having a cell phone plastered to the side of your face for two 1hr periods every day. Of course, if you consider the size of a mouse to that of a man, well, maybe the field strengths (which translate into power levels required by the transmitter at whatever distance from the antenna you are) have to be a bit more. Still, this is easily in reach. For those interested in pursuing this further, you could look to amateur radio (ham radio) dealers for transmitting equipment.

Now, as to why it might work.  If the only effect that non-ionizing RF radiation like this has on tissue is to create heat by shaking water and fat molecules, perhaps the biochemical process that leads to amyloid beta plaque formation is very heat sensitive.  Perhaps even the slight heating cause by the exposure to this RF is enough to prevent the plaque formation.

An interesting connection may also be to "hyperphosphorylation of the tau protein".  As I understand it, these mice they use for these AD experiments do not form the tau tangle characteristic of human Alzheimer's disease.  I could be wrong.  But it was found that anesthesia-induced hypothermia can cause tau hyperphosphylation.  Maybe the heating of the RF prevents this.  It will be interesting to find out.

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Enbrel (Etanercept):

See also Helicobacter pyloriInflammation,

Drug 'can reverse Alzheimer's symptoms in minutes' The Evening Standard (UK)

"A drug used for arthritis can reverse the symptoms of Alzheimer's "in minutes". It appears to tackle one of the main features of the disease - inflammation in the brain."
 
Lead author of the study Edward Tobinick, of the University of California and Director of the Institute for Neurological Research

Published in the Journal of Neuroinflammation, 5.2 (Jan 9, 2008): p2

http://www.enbrel.com/
http://en.wikipedia.org/wiki/Etanercept

Reversal Of Alzheimer's Symptoms Within Minutes In Human Study
ScienceDaily (Jan. 9, 2008)
An extraordinary new scientific study, which for the first time documents marked improvement in Alzheimer’s disease within minutes of administration of a therapeutic molecule, has just been published in the Journal of Neuroinflammation. This new study highlights the importance of certain soluble proteins, called cytokines, in Alzheimer’s disease. The study focuses on one of these cytokines, tumor necrosis factor-alpha(TNF), a critical component of the brain’s immune system. Normally, TNF finely regulates the transmission of neural impulses in the brain. The authors hypothesized that elevated levels of TNF in Alzheimer’s disease interfere with this regulation. To reduce elevated TNF, the authors gave patients an injection of an anti-TNF therapeutic called etanercept. Excess TNF-alpha has been documented in the cerebrospinal fluid of patients with Alzheimer’s. The new study documents a dramatic and unprecedented therapeutic effect in an Alzheimer’s patient: improvement within minutes following delivery of perispinal etanercept, which is etanercept given by injection in the spine. Etanercept (trade name Enbrel) binds and inactivates excess TNF. Etanercept is FDA approved to treat a number of immune-mediated disorders and is used off label in the study...
http://www.sciencedaily.com/releases/2008/01/080109091102.htm


Arthritis drugs could help prevent memory loss after surgery, study suggests
Imperial College London
News and Events
November 1, 2010

Anti-inflammatory drugs currently used to treat diseases such as rheumatoid arthritis may also help prevent cognitive problems after surgery, according to a new study by researchers at Imperial College London and University of California, San Francisco (UCSF).

The research also reveals for the first time that a specific inflammatory response in the brain may explain why many patients experience memory loss or other forms of cognitive dysfunction after surgery or critical illness... Previous studies have linked post-operative cognitive decline with the rise in blood levels of a cytokine called interleukin-1 beta (IL-1β), which is involved in inflammation. For this study, Maze and his colleagues studied another cytokine called tumour necrosis factor (TNF-α), which is known to regulate the immune system's inflammatory response before interleukin-1 is produced...
http://www3.imperial.ac.uk/newsandeventspggrp/imperialcollege/newssummary/news_2-11-2010-9-27-7

Anti-TNF Therapies for Rheumatoid Arthritis Could Reduce Alzheimer’s Risk
American College of Rheumatology (ACR)
11/1/2010 8:00 AM EDT

Newswise - Anti-TNF therapies commonly used to treat rheumatoid arthritis have been found to potentially reduce the risk of developing Alzheimer's dementia among people with rheumatoid arthritis, according to research presented this week at the American College of Rheumatology Annual Scientific Meeting in Atlanta...
http://www.newswise.com/articles/view/570196/?sc=rsmn


TNF-alpha modulation for treatment of Alzheimer's disease: a 6-month pilot study

Abstract

Context
Current pharmacologic treatments for Alzheimer's disease (AD) do not prevent long-term clinical deterioration. Tumor necrosis factor (TNF)-alpha, a proinflammatory cytokine, has been implicated in the pathogenesis of AD.

Objective
To investigate the use of a biologic TNF-alpha inhibitor, etanercept was given by perispinal extrathecal administration for the treatment of AD.

Methods
This was a prospective, single-center, open-label, pilot (proof-of-concept) study, in which 15 patients with mild-to-severe AD were treated for 6 months. We administered etanercept, 25-50 mg, once weekly by perispinal administration. Main outcome measures included the Mini-Mental State Examination (MMSE), the Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog), and the Severe Impairment Battery (SIB).

Results
The average age of our patient population was 76.7. The mean baseline MMSE was 18.2 (n = 15); the mean baseline ADAS-Cog was 20.8 (n = 11); and the mean baseline SIB was 62.5 (n = 5). There was significant improvement with treatment, as measured by all of the primary efficacy variables, through 6 months: MMSE increased by 2.13 ± 2.23, ADAS-Cog improved (decreased) by 5.48 ± 5.08, and SIB increased by 16.6 ± 14.52.

Conclusion
An increasing amount of basic science and clinical evidence implicates inflammatory processes and resulting glial activation in the pathogenesis of AD. This small, open-label pilot study suggests that inhibition of the inflammatory cytokine TNF-alpha may hold promise as a potential approach to AD treatment. Further study in randomized, placebo-controlled clinical trials is merited.
http://www.ncbi.nlm.nih.gov/pubmed/16926764
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1785182/


Arthritis Drugs Linked to Lower Odds of Alzheimer's
TNF Blockers Associated With 55% Reduced Risk of Dementia
By Charlene Laino
WebMD Health News

Nov. 9, 2010 (Atlanta) -- People who take drugs called TNF blockers for rheumatoid arthritis may potentially reduce their odds of developing Alzheimer's disease, preliminary research suggests.

The use of TNF blockers was associated with a 55% lower risk of Alzheimer's disease in people with rheumatoid arthritis... TNF blockers neutralize a protein, called tumor necrosis factor alpha (TNF), that is overproduced in inflammatory diseases like rheumatoid arthritis [...and chronic infections like H.pylori, etc. -ed].

"Studies have shown that TNF is also elevated in the cerebrospinal fluid of Alzheimer's patients and that higher levels correlate with the progression of the disease," Chou tells WebMD.

To further explore the possible association between rheumatoid arthritis, Alzheimer's, and TNF blockers, Chou and colleagues combed through a medical and pharmacy claims database that included information on 8.5 million U.S. adults.

Chou presented his findings here at the annual meeting of the American College of Rheumatology... When they further analyzed the risk according to the three TNF blockers studied, the researchers found that Enbrel was associated with a nearly 70% reduced risk of Alzheimer's... "Theoretically, it may cross the blood-brain earlier more easily,"...
http://www.webmd.com/alzheimers/news/20101108/arthritis-drugs-linked-lower-odds-alzheimers?src=RSS_PUBLIC


Rapid cognitive improvement in Alzheimer's disease following perispinal etanercept administration.
J Neuroinflammation. 2008 Jan 9;5:2.
http://www.ncbi.nlm.nih.gov/pubmed/18184433


TNF-alpha modulation for treatment of Alzheimer's disease: a 6-month pilot study.
MedGenMed. 2006 Apr 26;8(2):25.
http://www.ncbi.nlm.nih.gov/pubmed/16926764


Regulation of peripheral inflammation by spinal p38 MAP kinase in rats.

PLoS Med. 2006 Sep;3(9):e338.

http://www.ncbi.nlm.nih.gov/pubmed/16953659

Intrathecal inflammation precedes development of Alzheimer's disease.
http://www.ncbi.nlm.nih.gov/pubmed/12933918


Anti-TNF therapy in the injured spinal cord.
Esposito E, Cuzzocrea S.
Trends Pharmacol Sci. 2011 Feb;32(2):107-15.
At the time of approval of etanercept by the FDA, the role of TNF in neurological disorders was incompletely understood. Novel methods of drug delivery were needed because of the high molecular weight of etanercept and the problems faced by large molecules in traversing the blood–brain barrier(BBB). Perispinal methods were designed for selective delivery of etanercept. Perispinal administration results in rapid local delivery of etanercept to the vertebral venous system and the cerebrospinalfluid(CSF), with rapid local delivery to sites of TNF excess[52]. Rapid response suggests immediate neutralization of excess TNF, resulting in normalization of synaptic mechanisms.
PubMed
21185611
http://www.ncbi.nlm.nih.gov/pubmed/21185611


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Polyphenols:

See also cinnamon, grape seed extract, tannins, tau busters

"Inhibition of Amyloid Fibril Formation by Polyphenols: Structural Similarity and Aromatic Interactions as a Common Inhibition Mechanism"

http://www.tau.ac.il/lifesci/departments/biotech/members/gazit/documents/52.pdf

I know this is mostly about amyloid-beta (Alzheimer's, or AD), but it also mentions tau (a form of which is also involved in AD). Tannic acid and curcumin are also discussed.

While tau, not amyloid-beta (A-beta), is the mechanism which causes CBD, often people have more than one type of neurodegenerative disease. There may be an AD component to the symptoms of some CBD sufferers. So, medications or supplements that will affect A-beta might be beneficial.

["Polyphenols" may be the "cinnamon proanthocyanidins", "grape seed extract", and "tannins".]

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Tannins and Tannic Acid:

See also cinnamon, grape seed extract, polyphenols, tau busters

I found this interesting chart of some study of the properties of some compounds to inhibit tau oligomer formation. As I understand it, CBD (corticobasal degeneration) is thought to be the result of tau protein accumulations?

http://www.oligomerix.com/Neuroscience2006Poster.pdf


"• Compounds inhibiting aggregation of beta amyloid may inhibit tau oligomer formation (morin), may have no effect (curcumin) or facilitate tau oligomer formation (Congo red, ThS)
• Genistein, a neuroprotective antioxidant, may also function as an inhibitor of aggregation
• A novel compound inhibiting tau oligomer formation was found using this assay (4-amino 1,1'-azobenzene - 3,4-disulfonic acid)"

Tannic acid is also mentioned as a tau oligomer inhibitor. I know what tannic acid is. I found that morin is a plant flavonoid like silymarin, but I don't know much about it.

I wonder what plants are high in morin? I wonder if it crosses the blood/brain barrier? I wonder if tannic acid does?

If tannic acid is a tau oligomer inhibitor, and if it crosses into the brain, I wonder if consuming foods or supplements high in tannins would be helpful.

Wikipedia lists these foods as high in tannins:

+ tea
+ wine (especially red wine)
+ pomegranates
+ persimmons
+ berries (cranberries
+ beer (some, from hops)
+ legumes (red beans, black beans)

From Wikipedia: "The term [tannin] is widely applied to any large polyphenolic compound containing sufficient hydroxyls and other suitable groups (such as carboxyls) to form strong complexes with proteins and other macromolecules."  So, not all tannins are "tannic acid", and I haven't found which type of tannin would inhibit tau oligomer formation.

NOTE:  "proanthocyanidins" are related to tannins.  See Wikipedia.

See also Cinnamon

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Anesthetics:

See also Enbrel

Can inhaled anesthetics initiate a biochemical cascade or domino effect leading to degenerative neurological diseases? So many people have noticed a big change in their LO's mental abilities after surgery that I think there are too many clouds to believe they don't carry the rain.

Symptoms appearing after surgery seems to be a common thread in these tales. In my mother's case, the surgery was in mid 1999. We started noticing symptoms in mid 2000. Since we know that CBD progresses slowly, I think the 1 year between surgery (with inhaled anesthetic) and the development of symptoms is not out of character. It is also interesting that the first case of CBD was identified in 1968, and it was over 10 years later that other cases were reported. Is it possible that the disease, as we see it now, did not exist before this, and is being caused by exposure to a chemical? The inhaled anesthetic, halothane was introduced in 1956, and used through the 1980s. It was replaced in the 1980s by enflurane and isoflurane. [from Wikipedia]. Prior to 1956, volatile anaesthetics such as diethyl ether and cyclopropane were used.

The Inhalation Anesthetic Isoflurane Induces a Vicious Cycle of Apoptosis and Amyloid ß-Protein Accumulation
The Journal of Neuroscience, February 7, 2007, 27(6):1247-1254; doi:10.1523/JNEUROSCI.5320-06.2007
http://www.jneurosci.org/cgi/content/abstract/27/6/1247

"... Collectively, these findings suggest that isoflurane can induce apoptosis, which, in turn, increases BACE and {gamma}-secretase levels and Aß secretion. Isoflurane also promotes Aß aggregation. Accumulation of aggregated Aß in the media can then promote apoptosis. The result is a vicious cycle of isoflurane-induced apoptosis, Aß generation and aggregation, and additional rounds of apoptosis, leading to cell death."

Molecular mechanism behind aggregation of amyloid beta peptide due to anesthetics
Medical Research News Published: Sunday, 28-Jan-2007
http://www.news-medical.net/?id=21529

"Previous studies by the Pittsburgh researchers found that the inhaled anesthetics halothane and isoflurane and the intravenous anesthetic propofol encouraged the growth and clumping of Abeta in a test tube experiment."

Anesthesia Leads to Tau Hyperphosphorylation through Inhibition of Phosphatase Activity by Hypothermia
The Journal of Neuroscience, March 21, 2007, 27(12):3090-3097; doi:10.1523/JNEUROSCI.4854-06.2007
http://www.jneurosci.org/cgi/content/abstract/27/12/3090

"...We found that, regardless of the anesthetic used, anesthesia induced rapid and massive hyperphosphorylation of tau, rapid and prolonged hypothermia, inhibition of Ser/Thr PP2A (protein phosphatase 2A), but no changes in APP metabolism or Aß (ß-amyloid peptide) accumulation. Reestablishing normothermia during anesthesia completely rescued tau phosphorylation to normal levels. Our results indicate that changes in tau phosphorylation were not a result of anesthesia per se, but a consequence of anesthesia-induced hypothermia, which led to inhibition of phosphatase activity and subsequent hyperphosphorylation of tau..."

Hmmm.

Role Of Anesthetics In Alzheimer's Disease: Molecular Details Revealed

ScienceDaily (Jan. 25, 2007) — Inhaled anesthetics commonly used in surgery are more likely to cause the aggregation of Alzheimer's disease-related plaques in the brain than intravenous anesthetics say University of Pittsburgh School of Medicine researchers in a journal article published in the Jan. 23 issue of Biochemistry. This is the first report using state-of-the-art nuclear magnetic resonance (NMR) spectroscopic technique to explain the detailed molecular mechanism behind the aggregation of amyloid β (Aβ) peptide due to various anesthetics...
http://www.sciencedaily.com/releases/2007/01/070125110605.htm

Common Anesthetic May Induce Cell Death, Generation Of Alzheimer's-Associated Protein

ScienceDaily (Feb. 7, 2007) — A new study has found how one of the most commonly used anesthetics may produce Alzheimer's-like changes in the brain. Previous studies have shown that applying the anesthetic isoflurane to cultured neural cells can lead to generation of amyloid-beta protein -- the key component of senile plaques seen in the brains of Alzheimer's patients -- and to the cell-death process known as apoptosis. In the Feb. 7 Journal of Neuroscience, researchers from Massachusetts General Hospital (MGH) and colleagues describe how isoflurane may set off a process in which A-beta generation and apoptosis interact with and magnify each other. Since this work was done in cell cultures, it is unknown whether the findings reflect a possible effect of the anesthetic on human brains...
http://www.sciencedaily.com/releases/2007/02/070207091556.htm

Common Anesthetic Induces Alzheimer's-Associated Changes In Mouse Brains

ScienceDaily (Nov. 14, 2008) — For the first time researchers have shown that a commonly used anesthetic can produce changes associated with Alzheimer's disease in the brains of living mammals, confirming previous laboratory studies...
http://www.sciencedaily.com/releases/2008/11/081112124410.htm

Inhaled Anesthetics Accelerate Appearance Of Brain Plaque In Animals

ScienceDaily (Mar. 10, 2007) — Researchers at the University of Pennsylvania's School of Medicine have discovered that common inhaled anesthetics increase the number of amyloid plaques in the brains of animals, which might accelerate the onset of neurodegenerative diseases like Alzheimer's...
http://www.sciencedaily.com/releases/2007/03/070309141127.htm

Anesthesia And Alzheimer's Disease

ScienceDaily (Apr. 25, 2008) — In studies of human brain cells, the widely-used anesthetic desflurane does not contribute to increased production of amyloid-beta protein; however, when combined with low oxygen conditions, it can produce more of this Alzheimer's associated protein...
http://www.sciencedaily.com/releases/2008/04/080425123402.htm
 
Surgery Not Linked to Memory Problems in Older Patients

ScienceDaily (Nov. 19, 2009) — For years, it has been widely assumed that older adults may experience memory loss and other cognitive problems following surgery. But a new study from researchers at Washington University School of Medicine in St. Louis questions those assumptions. In fact, the researchers were not able to detect any long-term cognitive declines attributable to surgery in a group of 575 patients they studied... We were able to use patients as their own controls before and after surgery and to compare groups of patients over time, and we did not detect any evidence of a long-term cognitive decline," Evers says. "Our findings suggest that if older people physically recover from surgery, they should expect that within six months or a year, they will return to their previous level of cognitive ability, too."...
http://www.sciencedaily.com/releases/2009/11/091119111339.htm

Anesthesia Increases Risk of Developing Alzheimer's Disease in Patients With Genetic Predisposition, Study Suggests

ScienceDaily (Mar. 25, 2010) — A new study confirms that anesthesia is safe for normal mice but potentially harmful for mice with genetic risk factors for Alzheimer's disease (AD). Over several months, investigations have focused on analyzing the effects of the anesthesia in normal mice and in mice with mutations that produce AD. The use of repetitive anesthesia with isoflurane (one of the most common anesthetics by inhalation) increases the risk of developing changes similar to those observed in AD brains in mice with mutations of the amyloid precursor protein (APP)...
http://www.sciencedaily.com/releases/2010/03/100324155359.htm

Alzheimer's: Bigger Molecular-Sized Anesthetics Do Not Promote Amyloid Beta Peptide Micro-Aggregation

ScienceDaily (Apr. 20, 2010) — Alzheimer's disease (AD) is a neurodegenerative disorder affecting millions of people worldwide and has become a major global concern. Uncontrolled oligomerization (aggregation) of Aβ peptide is the hallmark of AD and it is believed to be causally related to AD pathomechanism. Intensive research (biophysical, animal model and clinical) is underway to investigate the cause of this unexplained aggregation of Aβ peptide, which is probably triggered by some agent or process in predisposed individuals, and subsequently to trace the molecular pathways involved in the phenomenon.  In the April issue (Vol 20, 1, pages 127-134, 2010) of the Journal of Alzheimer's Disease, a laboratory observation based on state-of-the-art nuclear magnetic resonance spectroscopy, suggests a molecular pathway for a possible link between anesthesia and Aβ peptide aggregation. It was observed that the larger sized intravenous anesthetic diazepam (both at clinical and at very high concentration), when incubated in isolation with amyloid beta-peptide, does not promote aggregation in laboratory results monitored serially, even sixty-three days after the onset of incubation. However, if diazepam is co-incubated with halothane (a general inhaled anesthetic with small molecular size, and often used as an add-on in the clinical setting), profound amyloid beta-peptide oligomerization is observed, and the presence of the larger molecular-sized diazepam is rendered ineffective in preventing Aβ oligomerization...
http://www.sciencedaily.com/releases/2010/04/100421102528.htm

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Copper:

See also Curcumin

Unraveling Alzheimer's: Simple Small Molecules Could Untangle Complex Disease

ScienceDaily (Dec. 10, 2010) — New molecular tools developed at the University of Michigan show promise for "cleansing" the brain of amyloid plaques, implicated in Alzheimer's disease... In earlier work, Lim and her team developed dual-purpose molecular tools that both grab metal ions and interact with amyloid-beta. The researchers went on to show that in solutions with or without living cells, the molecules were able to regulate copper-induced amyloid-beta aggregation, not only disrupting the formation of clumps, but also breaking up clumps that already had formed...
http://www.sciencedaily.com/releases/2010/12/101209130959.htm


ANN ARBOR: U of M researchers looking at Alzheimer's disease
Monday, December 13, 2010
The researchers went on to show that in solutions with or without living cells, the molecules were able to regulate copper-induced amyloid-beta aggregation, not only disrupting the formation of clumps but also breaking up clumps that already had formed.
http://www.heritage.com/articles/2010/12/13/heritagewest/news/doc4d056b2bc08bb230985066.txt?viewmode=fullstory


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Lithium:

See also Tau Busters

Lithium at 50: have the neuroprotective effects of this unique cation

been overlooked?
Biological Psychiatry. 1999 Oct 1;46(7):929-40. PMID: 10509176 [PubMed]

Manji HK, Moore GJ, Chen G.

Department of Psychiatry and Behavioral Neurosciences,
Wayne State University School of Medicine, Detroit, Michigan 48201, USA.

"Recent advances in cellular and molecular biology have resulted in the identification of two novel, hitherto completely unexpected targets of lithium's actions, discoveries that may have a major impact on the future use of this unique cation in biology and medicine. Chronic lithium treatment has been demonstrated to markedly increase the levels of the major neuroprotective protein, bcl-2 in rat frontal cortex, hippocampus, and striatum. Similar lithium-induced increases in bcl-2 are also observed in cells of human neuronal origin, and are observed in rat frontal cortex at lithium levels as low as approximately 0.3 mmol/L. Bcl-2 is widely regarded as a major neuroprotective protein, and genetic strategies that increase bcl-2 levels have demonstrated not only robust protection of neurons against diverse insults, but have also demonstrated an increase the regeneration of mammalian CNS axons. Lithium has also been demonstrated to inhibit glycogen synthase kinase 3 beta (GSK-3 beta), an enzyme known to regulate the levels of phosphorylated tau and beta-catenin (both of which may play a role in the neurodegeneration observed in Alzheimer's disease). Consistent with the increases in bcl-2 levels and inhibition of GSK-3 beta, lithium has been demonstrated to exert robust protective effects against diverse insults both in vitro and in vivo. These findings suggest that lithium may exert some of its long term beneficial effects in the treatment of mood disorders via underappreciated neuroprotective effects. To date, lithium remains the only medication demonstrated to markedly increase bcl-2 levels in several brain areas; in the absence of other adequate treatments, the potential efficacy of lithium in the long term treatment of certain neurodegenerative disorders may be warranted."


Inhibition of glycogen synthase kinase-3 by lithium correlates with reduced tauopathy and degeneration in vivo
Proceedings of the National Academy of Sciences of the United States
of America
PNAS | May 10, 2005 | vol. 102 | no. 19 | 6990-6995

"Neurofibrillary tangles composed of hyperphosphorylated, aggregated tau are a common pathological feature of tauopathies, including Alzheimer's disease. Abnormal phosphorylation of tau by kinases or phosphatases has been proposed as a pathogenic mechanism in tangle formation. To investigate whether kinase inhibition can reduce tauopathy and the degeneration associated with it in vivo, transgenic mice overexpressing mutant human tau were treated with the glycogen synthase kinase-3 (GSK-3) inhibitor lithium chloride. Treatment resulted in significant inhibition of GSK-3 activity. Lithium administration also resulted in significantly lower levels of phosphorylation at several epitopes of tau known to be hyperphosphorylated in Alzheimer's disease and significantly reduced levels of aggregated, insoluble tau. Administration of a second GSK-3 inhibitor also correlated with reduced insoluble tau levels, supporting the idea that lithium exerts its effect through GSK-3 inhibition. Levels of aggregated tau correlated strongly with degree of axonal degeneration, and lithium-chloride-treated mice showed less degeneration if administration was started during early stages of tangle development. These results support the idea that kinases are involved in tauopathy progression and that kinase inhibitors may be effective therapeutically."
http://www.pnas.org/cgi/content/abstract/102/19/6990?ck=nck


Lithium delays progression of amyotrophic lateral sclerosis.

"ALS is a devastating neurodegenerative disorder with no effective treatment. In the present study, we found that daily doses of lithium, leading to plasma levels ranging from 0.4 to 0.8 mEq/liter, delay disease progression in human patients affected by ALS. None of the patients treated with lithium died during the 15 months of the follow-up, and disease progression was markedly attenuated when compared with age-, disease duration-, and sex-matched control patients treated with riluzole for the same amount of time. In a parallel study on a genetic ALS animal model, the G93A mouse, we found a marked neuroprotection by lithium, which delayed disease onset and duration and augmented the life span. These effects were concomitant with activation of autophagy and an increase in the number of the mitochondria in motor neurons and suppressed reactive astrogliosis. Again, lithium reduced the slow necrosis characterized by mitochondrial vacuolization and increased the number of neurons counted in lamina VII that were severely affected in saline-treated G93A mice. After lithium administration in G93A mice, the number of these neurons was higher even when compared with saline-treated WT. All these mechanisms may contribute to the effects of lithium, and these results offer a promising perspective for the treatment of human
patients affected by ALS."
http://www.pnas.org/cgi/reprint/105/6/2052


Here is another take on the use of lithium:

[From "The Misunderstood Mineral Part 1" By Jonathan V. Wright, M.D.]
http://www.tahoma-clinic.com/lithium1.shtml

I suggest reading the whole article, but here is an excerpt...

Taking (grey) matters into your own hands

"Hercule Poirot, Agatha Christie's famous fictional detective, had an amusing quirk in his incessant concern for his "little grey cells." I thought of Hercule several years ago when I saw the following headline in an issue of the Lancet: "Lithium-induced increase in human brain grey matter."

"That may not sound like an earth-shattering piece of news, but it actually was quite a major discovery. To that point, medical experts believed that once our brains matured, it was all downhill from then on. Decades of autopsies, x-rays, and, more recently, brain scans have repeatedly shown that brains shrink measurably with aging. But according to their report in the Lancet, Wayne State University (Detroit) researchers found that lithium has the ability to both protect and renew brain cells.1 Eight of 10 individuals who took lithium showed an average 3 percent increase in brain grey matter in just four weeks.

"Lithium may help to generate entirely new cells too: Another group of researchers recently reported that lithium also enhances nerve cell DNA replication.2 DNA replication is a first step in the formation of a new cell of any type.

"The Wayne State study used high-dose lithium, but I'm certainly not using that amount myself, nor do I recommend it. Prescription quantities of lithium just aren't necessary for "everyday" brain cell protection and re-growth. Studies done years ago have shown that very low amounts of lithium can also measurably influence brain function for the better."

[From "The Misunderstood Mineral Part 2" By Jonathan V. Wright, M.D.]

Lithium fights crime and some of your most nagging health concerns

"Turns out it's not only the strict use of the death penalty lowering crime rates in some areas of Texas. And while I'm sure "Dubya" would be quick to take credit, it's not stricter laws or changes in sentencing guidelines either. Using 10 years of data accumulated from 27 Texas counties, researchers found that the incidence of homicide, rape, burglary, and suicide, as well as other crimes and drug use, were significantly lower in counties whose drinking water supplies contained 70-170 micrograms of lithium per liter than those with little or no lithium in their water.

"The researchers wrote: "These results suggest that lithium at low dosage levels has a generally beneficial effect on human behavior...increasing the human lithium intakes by supplementation, or the lithiation [adding lithium] of drinking water is suggested as a possible means of crime, suicide, and drug-dependency reduction at the individual and community level."

"And that's not to mention all of the lithium health benefits we went over in Part 1: It may be useful in treating Alzheimer's disease, senile dementia, and possibly Parkinson's disease. Lithium not only protects brain cells against normal wear and tear, but also offers additional protection against a whole variety of toxic molecules, including patent medications. It can also promote brain cell regeneration and increase brain cell mass. In essence, the research suggests that lithium is a brain anti-aging nutrient.

"All of these results are every bit as good as (if not better than) the data that led to dumping toxic waste (fluoride) into so many public water supplies. So why haven't public health and safety "authorities" been pushing for further intensive research on water-borne lithium and criminal behavior?"
http://www.tahoma-clinic.com/lithium2.shtml

Some more on using lithium:

Rescuing Fruit Flies from Alzheimer's Disease

ScienceDaily (July 16, 2010) — Investigators have found that fruit fly (Drosophila melanogaster) males -- in which the activity of an Alzheimer's disease protein is reduced by 50 percent -- show impairments in learning and memory as they age. What's more, the researchers were able to prevent the age-related deficits by treating the flies with drugs such as lithium, or by genetic manipulations that reduced nerve-cell signaling. The research team -- Thomas A. Jongens, Ph.D., associate professor of Genetics at the University of Pennsylvania School of Medicine; Sean M. J. McBride M.D, Ph.D. and Thomas McDonald M.D., at the Albert Einstein College of Medicine; and Catherine Choi M.D., Ph.D. at Drexel University College of Medicine -- worked with the familial form of Alzheimer's disease (FAD), an aggressive form of the disease that is caused by mutations in one of the two copies of the presenilin (PS) or amyloid precursor protein (APP) genes. Studies in animal models have previously shown that the FAD-linked PS mutations lead to less presenilin (psn) protein activity. Their findings are published in the Journal of Neuroscience. "The results from our study suggest a new route to explore for the treatment of familial Alzheimer's disease and possibly the more common sporadic forms of Alzheimer's disease," notes Jongens. "They also reveal that proper presenilin activity levels are required to maintain normal cognitive capabilities during aging."...
http://www.sciencedaily.com/releases/2010/07/100715172014.htm

Fountain of Youth from the Tap? Environmental Lithium Uptake Promotes Longevity, Scientists Demonstrate in Worms

ScienceDaily (Feb. 18, 2011) — A regular uptake of the trace element lithium can considerably promote longevity. This is the result of a new study by scientists of Friedrich Schiller University Jena...
http://www.sciencedaily.com/releases/2011/02/110218111709.htm

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Cinnamon:

See also Tau BustersInflammation,

I ran across this rather tantalizing statement in a Web page:
"cinnamon extract inhibits the aggregation of tau and disassembles fibers that have already formed"

The title is "CINNAMON EXTRACT USEFUL FOR INHIBITING THE AGGREGATION
OF TAU AND TREATING ALZHEIMER'S DISEASE" by a researcher at the
University of California, Santa Barbara by the name of Donald Graves
Published on 2/22/2008???
http://www.ibridgenetwork.org/UCSB/cinnamon-extract-useful-for-inhibiting-the-aggregation-of-tau

Here is the first piece of information I found about this:

Cinnamon extract inhibits the aggregation of tau and disassembles fibers that have already formed

"Researchers at the University of California, Santa Barbara have discovered an extract of common cinnamon that contains a class of small organic molecules that inhibit several key processes in Alzheimer's disease. The cinnamon extract inhibits the aggregation of tau and disassembles fibers that have already formed, suggesting that neurofibrillary tangles can possibly be reversed by these compounds. The extract exhibits potent inhibitory activity, is orally available, water-soluble, non-toxic, and the bioactive molecules are likely brain permeable. The extract is readily produced in large quantities and can be encapsulated in powder form for oral administration. These properties make the cinnamon extract a highly favorable substance for development into an effective therapeutic to slow or prevent Alzheimer's disease."
http://www.ibridgenetwork.org/innovations/download_tech_brief/3417

I'm amazed that in the whole wide universe of the Internet, there is little mention of this.

What I have found out is that there are several types of "cinnamon", depending on what plant they come from. Look it up on Wikipedia:  http://en.wikipedia.org/wiki/Cinnamon

There is no indication of which species of cinnamon plant was used in the research. Since Chinese cinnamon (cassia, or Cinnamomum aromaticum) is the most common species found in the United States, and the research was done at the University of California in Santa Barbara; it is reasonable to assume that they used cassia cinnamon.

There is some debate about a toxic components of cassia cinnamon, especially coumarin (which apparently isn't present in significant proportions in Ceylon cinnamon). The toxins seem to be present in the lipid (fat) soluble components, but not the water soluble parts. Now, in his previous research publications, Graves was looking at "water soluble" components of cinnamon for controlling sugar metabolism. Perhaps a connections between some recent speculation that Alzheimer's disease is, in some cases, a product of sugar metabolism, in essence a "type III" diabetes; and the possible use of a cinnamon extract to treat AD, may have lead them to examine the effects on tau. This would then be one of those surprise discoveries. So,
they were looking at water soluble cinnamon extracts. I take it from reading other web pages on using cinnamon to control diabetes (http://www.mendosa.com/newsletter_april.htm) that the water soluble extracts are relatively easy to separate by "boiling cinnamon in water and pouring off the soluble portion and discarding the solid cinnamon."

(See Patricia's Protcol for more on making a "cinnamon tea"-- extracting the water soluble components of cinnamon.)


Just how much coumarin is in cassia cinnamon?  According to the German government, from "between approximately 2100 and approximately 4400 mg/kg cinnamon powder".  I've found several references on various web sites stating that cassia has a 5% courmarin content.  I think these folks must be mathematically challenged.  There are 1000 grams in a kilogram.  There are 1000 milligrams in a gram.  So, if there are 4400 mg per kg, that is 4400mg per 1000x1000mg or 4400/1,000,000 or 0.44%.  Maximum. So, if you take 1 gram of cassia cinnamon, you get 4.4mg of coumarin. The recommended
Tolerable Daily Intake (TDI) established by the European Food Safety Authority is 0.1 milligram per kilogram (kg) of body weight.  There are 2.2 pounds per kilogram.  So, a 120 lb woman would weight about 55 kg.  She would have to eat 1250mg of cassia cinnamon. If this is a problem, use the "aqueous extract". 

The following is from a German government publication, "High daily intakes of cinnamon: Health risk cannot be ruled out" BfR Health Assessment No. 044/2006, 18 August 2006:

When it comes to individual ingredients the coumarin concentration in cassia cinnamon is particularly problematic. The values measured in cinnamon capsules (CVUA Stuttgart) confirm the high coumarin levels in cassia cinnamon (between approximately 2100 and approximately 4400 mg/kg cinnamon powder) as had also been previously measured by CVUA (Münster, BfR 2006). By contrast, coumarin can only be found in traces or below the measurement limit in Ceylon cinnamon.

Depending on the dose recommendation the taking of capsules with cinnamon powder can lead to an exceeding
of the tolerable daily intake of 0.1 milligram coumarin per kilogram body weight that can be ingested daily over a lifetime without posing a risk to health (Tolerable Daily Intake, TDI) established by the European Food Safety Authority (EFSA).
 
The consumption of capsules containing cassia cinnamon powder is also likely to lead to an exceeding of the above-mentioned TDI for coumarin. Solely regarding this coumarin exposure, there are theoretically two steps which could be taken to reduce it:

¤ the replacement of cassia cinnamon by Ceylon cinnamon (so far we do not know whether it has a similar effect on the blood sugar level of diabetics to that of cassia cinnamon; the recommendation of replacement is subject to the assumption that the effects of cassia cinnamon are confirmed by reliable studies),

¤ the use of aqueous extracts of cassia cinnamon which, according to the CVUA analyses in Stuttgart, leads to far lower coumarin exposure (exhaustion of the TDI only in the single-digit percentage range). These extracts probably also have a far lower proportion of essential oils (in particular cinnamaldehyde).

http://www.bfr.bund.de/cm/245/high_daily_intakes_of_cinnamon_health_risk_cannot_be_ruled_out.pdf

[I am highly suspicious of EU regulation and certification, and of that from any individual EU country.  There is a high degree of industrial protectionism in them.  They create artificial barriers to competitors entering a market.  The governments protect their businesses, not only from foreign competitors, but from domestic entrepreneurs.  The "old boys network". People are expected to not disrupt the order of things, and definitely not aspire to attain wealth beyond their class.]

I haven't been able to find much more about this, but as you can imagine, I'm extremely interested. I don't know what the "extract" is, exactly, and if regular old cinnamon has enough of this stuff to do the job.  You would think that, if real, this would be a MAJOR news story.  Yet I found it difficult to even find mention of it.

I want to make it clear that I'm not saying that this WILL work. There haven't been any formal studies done yet.  At least, I haven't been able to find any.  All I've found are reports from people giving it to someone afflicted with AD.  I believe that it MIGHT work; that it is cheap, easy enough and safe enough to try.  You don't have to get government funding, insurance coverage, or a physician to administer it.  If it doesn't work, you are out a small amount of money, time, and someone ate a lot of cinnamon for two months.  But if it does work... Instead of watching your loved one slip away from you a little each day, here you have the chance to DO something more than just watch in frustration.

In the bigger picture are the millions of other people suffering with these tauopathies, and their families who have no idea that there is a spice in their own cupboards that might help.  If this works-- if this water-soluble cinnamon extract actually is able to interrupt the tau protein step of the disease process-- millions of people might find relief from these horrible afflictions.  But they will need to know about it, and they will need to believe in it enough to try it.

On the down side, the price of cinnamon is likely to skyrocket. I wonder if it is possible to buy "cinnamon futures"?  ;)

Another point.  These tauopathies eventually lead to the loss of brain tissue.  Interrupting the disease process will not restore this.  Other compounds or therapies will be needed to do that job, if it is possible.  The information and memories lost with when neurons expire obviously can not be recovered.  The conditions and processes that produced the corrupted tau in the first place will not be affected and will continue to exist.  The best you can hope for is some slight recovery while neurons that are still viable but just inactive come back on line, followed by a period of stabilization.  I would be happy with this.

Update Feb. 25, 2009
I have found more information!  A patent appliation on the World Intellectual Property Organization web site, proves that this idea is real. It was published on October 9, 2008. I still wonder if there is enough of this stuff in raw, ground cinnamon, of whatever species, to help. For now, I can still hope.

For those who doubted...

Title: PROANTHOCYANIDINS FROM CINNAMON AND ITS WATER SOLUBLE EXTRACT INHIBIT TAU AGGREGATION

Abstract: Compositions comprising proanthocyanidin compositions (e.g. those extracted from cinnamomum species) that are observed to bind tau and inhibit its aggregation as well as methods for making and
using such compositions are disclosed. In certain embodiments of the invention, the proanthocyanidins can be used as a probe to identify and/or characterize tau isoforms in a variety of contexts. In other embodiments of the invention, these compositions are used in methods designed to treat neurological disorders associated with tau aggregation (e.g. Alzheimer's disease).

Pub. No.: WO/2008/121412 International Application No.: PCT/US2008/004236
Publication Date: 09.10.2008 International Filing Date: 31.03.2008

IPC: A61K 36/54 (2006.01)
Applicants: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA [US/US]; 1111
Franklin Street, 12th Floor, Oakland, CA 94607 (US) (All Except US).
LEW, John [CA/US]; (US) (US Only).
GRAVES, Donald, J. [US/US]; (US) (US Only).
Inventors: LEW, John; (US).
GRAVES, Donald, J.; (US).
http://www.wipo.int/pctdb/en/wo.jsp?WO=2008121412
http://www.wipo.int/pctdb/en/wo.jsp?WO=2008121412&IA=US2008004236&DISPLAY=DESC

Update November 5, 2009

Cinnamon Extract Inhibits Tau Aggregation Associated with Alzheimer's Disease In Vitro
Journal Journal of Alzheimer's Disease
Publisher IOS Press
ISSN 1387-2877 (Print) 1875-8908 (Online)
Issue Volume 17, Number 3 / 2009
DOI 10.3233/JAD-2009-1083
Pages 585-597
Subject Group Neurosciences
Authors
Dylan W. Peterson1, Roshni C. George1, Francesca Scaramozzino1, Nichole E. LaPointe1, Richard A. Anderson2, Donald J. Graves1, John Lew1
1Department of Molecular, Cellular, and Developmental Biology, University of California, Santa Barbara, CA, USA
2Beltsville Human Nutrition Center, Beltsville, MD, USA

Abstract
An aqueous extract of Ceylon cinnamon (C. zeylanicum) is found to inhibit tau aggregation and filament formation, hallmarks of Alzheimer's disease (AD). The extract can also promote complete disassembly of recombinant tau filaments and cause substantial alteration of the morphology of paired-helical filaments isolated from AD brain. Cinnamon extract (CE) was not deleterious to the normal cellular function of tau, namely the assembly of free tubulin into microtubules. An A-linked proanthocyanidin trimer molecule was purified from the extract and shown to contain a significant proportion of the inhibitory activity. Treatment with polyvinylpyrolidone effectively depleted all proanthocyanidins from the extract solution and removed the majority, but not all, of the inhibitory activity. The remainder inhibitory activity could be attributed to cinnamaldehyde. This work shows that compounds endogenous to cinnamon may be beneficial to AD themselves or may guide the discovery of other potential therapeutics if their mechanisms of action can be discerned.
http://iospress.metapress.com/content/06h5g61751404678/
http://www.ncbi.nlm.nih.gov/pubmed/19433898?dopt=Abstract
http://www.diabetesaction.org/site/DocServer/Tau_J_Alzheimers_09.pdf?docID=781

Here is some information on Dr. Richard Anderson:
http://www.sparc.ars.usda.gov/pandp/people/people.htm?personid=144

There is also a commercial water-soluble product available called Cinnulin for those who want to avoid the inconvenience of making the cinnamon tea.  It appears to be made using the process detailed in the above patent application.  This is just for your information and should not be construed as an endorsement of the product.

Study Confirms Cinnulin PF Effectively Increases Insulin Sensitivity in Pre-Diabetes Sufferers
2005-08-10 - Integrity Nutraceuticals International (INI)
...Cinnulin PF, a 20:1 water extract of cinnamon, retains the active components without the potentially harmful compounds, making it completely safe for every day use.  Cinnulin PF is the only cinnamon extract standardized for the recognized active component in cinnamon, double-linked Type-A Polymers...
http://www.npicenter.com/anm/templates/newsATemp.aspx?articleid=13268&zoneid=23

http://www.npicenter.com/images/profile/integ/INI_BloodSugarGotYouDown_8.5x11_4pgs.pdf

INSULIN ENHANCING PRODUCTS FROM CINNAMON
PROJECT DIRECTOR: ANDERSON R A
PERFORMING ORGANIZATION
BELTSVILLE AGR RES CENTER
BELTSVILLE,MD 20705
http://www.reeis.usda.gov/web/crisprojectpages/410118.html

http://www.integritynut.com/products-and-services/cinnulin_pf_

http://www.cinnulin.com/more_info.html


http://www.planetarynutrition.com/Cinnulin_PF_s/233.htm

Cinnamon may also inhibit the effects of TNF-alpha (See Immune System effects and Enbrel for more info.)
Research Project: CHROMIUM AND POLYPHENOLS FROM CINNAMON IN THE PREVENTION AND ALLEVIATION OF GLUCOSE INTOLERANCE

Research Project:  CHROMIUM AND POLYPHENOLS FROM CINNAMON IN THE PREVENTION AND ALLEVIATION OF GLUCOSE INTOLERANCE

Location: Diet, Genomics and Immunology Lab

Title: Tumor Necrosis Factor-alpha Stimulates the Overproduction of Intestinal Apolipoprotein B48-containing Very Low Density Lipoproproteins

Authors
item    Qin, Bolin - ARS RESEARCH ASSOCIATE
item    Khosrowl, Adeli - UNIV OF TORONTO, ONTARIO
item    Anderson, Richard

Research conducted cooperatively with:
item    Integrity Nutraceuticals International

Submitted to: Diabetes
Publication Type: Abstract
Publication Acceptance Date: March 12, 2008
Publication Date: June 10, 2008
Citation: Qin, B., Khosrowl, A., Anderson, R.A. 2008. Tumor Necrosis Factor-alpha Stimulates the Overproduction of Intestinal Apolipoprotein B48-containing Very Low Density Lipoproproteins. Diabetes. 888:102.

Technical Abstract: Tumor necrosis factor-alpha(a)(TNFa), a proinflammatory cytokine, is involved in obesity-associated pathologies including type 2 diabetes and atherosclerosis. TNFa enhanced postprandial apoB48-VLDL1 overproduction by about 89% compared with the control after 90 min olive oil loading; TNFa did not significantly affect apoB-48 VLDL2 expression. In addition, acute oral treatment of Cinnulin PF (a water soluble cinnamon extract, 50 mg per kg BW), which has insulin-like metabolic actions, inhibits TNFa-induced postprandial overproduction of apoB48-containing lipoproteins. Fresh isolated primary enterocytes of hamsters were stimulated with TNFa (10 ng per mL for 4hs), to investigate the expression of insulin signaling pathway genes, insulin receptor (IR), IRS1, IRS2, Akt1, and phosphatidylinositol3-kinase (PI3K), and the key regulators of lipid metabolism, microsomal triglyceride transfer protein(MTP), sterol regulatory element-binding protein (SREBP)1c, and phosphatase and tensin homology (PTEN), as well as the inflammatory factor genes, ILa, ILBeta, IL6, and TNFa. Quantitative real-time PCR assays showed that TNFa decreased IR, IRS1, IRS2, PI3K and Akt1 mRNA levels of enterocytes by 45, 59, 60, 59, and 38%, respectively, of controls. In summary, TNFa stimulates the postprandial apoB-48 VLDL1 overproduction via regulation of mRNA levels of proteins in the intestinal insulin signaling pathway, and perturbs the expression of MTP, PTEN, and SREBP1c, as well as enhances the expression of inflammation factors. Taken together with previous studies, the improvement of insulin sensitivity will inhibit the overproduction of apoB48-containing lipoproteins induced by factors and diets that increase TNFa levels.
http://www.ars.usda.gov/research/publications/publications.htm?seq_no_115=222820

And also...

Location: Diet, Genomics and Immunology Lab (United States Department of Agriculture Agricultural Research Service)

Project Number: 1235-51520-037-00
Project Type: Appropriated

Start Date: Nov 18, 2004
End Date: Jan 22, 2009

Objective:
Overall objective of the proposed research is to help control the incidence of impaired glucose metabolism and decrease the conversion of glucose intolerance to diabetes. Specific objectives include the following. 1)Elucidate the role of Cr in the onset of impaired glucose metabolism using a stress-induced rat model for Cr deficiency. 2)Determine methods to assess Cr status and elucidate its functions in human nutrition. 3)Define the role and mechanistic effects of insulin potentiating polyphenols from cinnamon on intracellular signals that regulate insulin-induced glucose uptake and oxidative stress.

Approach:
Compounds that enhance insulin activity lead to a more sensitive response to insulin and improve glucose tolerance. Increased levels of stress lead to loss of nutrients including chromium (Cr), a nutrient that is involved in glucose and insulin metabolism. We propose to elucidate the role of Cr in a stress-induced diabetes rat model. Steroid-induced diabetes in people taking steroids such as prednisone has been shown to be reversed by increased intake of chromium. This project is designed to elucidate the role of the chronic stress of low level administration of the steroid, dexamethasone, in the augmentation of deficiency of chromium. These studies will facilitate our collaborative human study to elucidate the roles of Cr in human nutrition and also methods to assess Cr status. There are currently no reliable methods to assess Cr status. This study will combine reliable analytical measures of chromium status with studies to elucidate the function of chromium in human nutrition. We also propose to define the role and mechanistic effects of insulin potentiating polyphenols from cinnamon on intracellular signals that regulate insulin-induced glucose uptake, oxidative stress and NF-'B activation. These studies should lead to a greater understanding of the roles of chromium and polyphenols from cinnamon in the prevention and alleviation of glucose intolerance and type 2 diabetes.
http://www.ars.usda.gov/research/projects/projects.htm?ACCN_NO=408448


Update July 30, 2010
There has been some reports on the Alz.org message board that whole cinnamon has been more effective than the water-soluble extract.  Most people have been opting to use Ceylon cinnamon rather than the cheaper and more readily available cassia (Chinese) cinnamon because Ceylon cinnamon contains less of the blood-thinning chemical coumarin.  This allows people to take more of it-- say 1 tsp three times per day-- without being concerned with the buildup of coumarin.

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Infection and Immune System Response:

See also Helicobacter pylori
         HSV
         Inflammation

"A number of chronic diseases are in fact caused by one or more infectious agents. For example, stomach ulcers are caused by Helicobacter pylori, chronic lung disease in newborns and chronic asthma in adults are both caused by Mycoplasmas and Chlamydia pneumonia, while some other pathogens have been associated with atherosclerosis. The realization that pathogens can produce slowly progressive chronic diseases has opened new lines of research into Alzheimer's disease."

Here are some excerpts from an article found on ScienceDaily.com:

Cold Sore Virus Linked To Alzheimer's Disease: New Treatment, Or Even Vaccine Possible
ScienceDaily (Dec. 7, 2008)

"Professor Itzhaki explains: "We suggest that HSV1 enters the brain in the elderly as their immune systems decline and then establishes a dormant infection from which it is repeatedly activated by events such as stress, immunosuppression, and various infections."

"The ensuing active HSV1 infection causes severe damage in brain cells, most of which die and then disintegrate, thereby releasing amyloid aggregates which develop into amyloid plaques after other components of dying cells are deposited on them."

"Her colleague Dr Matthew Wozniak adds: "Antiviral agents would inhibit the harmful consequences of HSV1 action; in other words, inhibit a likely major cause of the disease irrespective of the actual damaging processes involved, whereas current treatments at best merely inhibit some of the symptoms of the disease..."

"They believe the herpes simplex virus is a significant factor in developing the debilitating disease and could be treated by antiviral agents such as acyclovir, which is already used to treat cold sores and other diseases caused by the herpes virus."
http://www.sciencedaily.com/releases/2008/12/081207134109.htm


Another earlier article:

New Evidence Found Linking Herpes And Alzheimer’s
ScienceDaily (May 12, 2000)
"Could Lead to New Treatments Targeting the Herpes Virus"

"Researchers have long suspected a connection between the herpes virus and Alzheimer’s disease. A new study provides a potential explanation that could lead to development of a vaccine to prevent the disease or new drugs to treat it, according to the researchers. The study appears in the May 16 issue of Biochemistry, a peer-reviewed publication of the American Chemical Society, the world’s largest scientific society."

"Researchers at the University of California, Irvine, demonstrated that a synthetic protein that resembles the herpes simplex 1 virus (HSV-1) mimics the structure and function of a protein called beta-amyloid, a toxic agent that accumulates in the brains of Alzheimer’s patients."

"Genetic sequencing revealed that two-thirds of a portion of the viral protein is identical to the beta-amyloid protein. The researchers showed that, like beta-amyloid, it could kill brain neurons, a key feature in the development of Alzheimer’s. Moreover, in laboratory experiments, the viral protein formed abnormal twisted fibers like those found in the brains of Alzheimer’s patients — the definitive hallmark of the disease..."
http://www.sciencedaily.com/releases/2000/05/000512083302.htm

And, another...

Cold Sore Virus Might Play Role In Alzheimer's
ScienceDaily (Jan. 3, 2007)
"A gene known to be a major risk factor for Alzheimer's disease puts out the welcome mat for the virus that causes cold sores, allowing the virus to be more active in the brain compared to other forms of the gene..."
http://www.sciencedaily.com/releases/2007/01/070103110103.htm

From these articles (I suggest reading the full articles and others you can find), it seems to be a reasonable theory that this HSV1 virus invades the brain as one's immune system weakens with age, stress or truma. Infected cells then expire, leaving behind amyloid beta (AB). Some people's central nervous system (NS) are probably better than other people's at removing this amyloid beta. So, most people develop the classic characteristics of AD, which are loss of brain mass, clumps of AB, and intracellular tau tangles. Others, whose CNS clears out the AB still suffer the loss of brain mass as the disease ravages the brain, and other proteins accumulate, such as just the tau tangles or clumps of tau.  Could this be behind CBD?

What this theory says to me is that there is a chance that many of what today seem like separate neurodegenerative diseases may actually be manifestations of the same root cause: A virus. But it also says that most of the things we have been trying will ultimately fail. Enbrel addresses inflammatory responses. Methylene blue and cinnamon attack tau and maybe help neurons live longer. MCT's (coconut oil) and cinnamon address sugar metabolism. Lithium fights tau corruption. Curcumin is used in the hopes of reducing the AB load. Likewise with all of the other the pharmaceuticals and supplements we have discussed and had such hopes for.

But, none of these attack what might be the root cause, HSV1; and if they don't, then their positive effects are all doomed to eventually be overwhelmed by the virus' insatiable hunger for brain cells. It is every bit as horrific as the plot from some "B" science fiction movie.

Does anyone have experience with this drug they mention in the first article, acyclovir? What is the likelihood that a physician would prescribe this drug to someone suspected of having AD just to see if it helps?

[NOTE:  Jan. 17, 2009: Recently, some people have mentioned in posts to some discussion forums that curcumin, resveratrol and lauric acid (coconut oil!) may fight the HSV-1 virus. Need to find more info and links to sources.]

I've read before about urinary tract infections causing a sudden worsening of AD symptoms. The question that came to my mind was, why does this happen?

I think I have a possible answer. And with this answer comes the opportunity to do something for someone suffering from AD.

There was a small two-year study done in Greece that was recently published. 50 subjects with AD symptoms were tested for the presence of a Helicobacter pylori (Hp) infection (the bacteria that is said to cause most stomach ulcers). It turned out that nearly 90% of the subjects had H.pylori. So the researchers treated the infection. Eradication of the bacteria was successful in about 85% of the cases. The amazing thing was that in ALL of the 85% where the eradication of the H.pylori was successful, their AD symtoms did not progress over the 2 years of the study, and in fact, their mental abilities improved somewhat. Even though this was a very small study with only 50 participants, to me the results say that there might be something to this that we can use.

How can an H.pylori infection of the stomach affect the brain? The researchers speculated that the body produces substances in its fight against the bacteria that might have deleterious side effects when the blood carries them to the brain. One of these substances is called "tumor necrosis factor alpha", (TNF-alpha).

Last year, there was some excitement over a drug being researched called "Rember". It was theorized that this drug acted directly on the tau protein of the neurons to prevent them from becoming corrupted, or to even dissolve clumps and tangles of currupted tau that had already formed. The researchers were disappointed to discover that the highest dose pill they used was not effective because, unlike its smaller dose cousins, the 100mg pill dissolved in the intestines rather than the stomach. What is "Rember"? Well, it is essentially methylene blue. And methylene blue happens to be an antibiotic known to kill off H.pylori.

Let's go to the other side of the Earth for another piece of the puzzle. In California there is this controversial physician, Dr. Tobinick, who discovered by accident that when he injected the arthritis drug Enbrel into the spines of his patients suffering from spinal arthritis, sometimes their AD symptoms would suddenly improve in a matter of minutes. How could this happen? Well, Enbrel blocks the effects of TNF!

What does this have to do with urinary tract infections? Could a UTI cause the body to produce TNF? A quick search of the Internet with Google using the two phrases "tumor necrosis factor" "urinary tract infection" makes me think that, yes indeed, we may have the connection. The body produces TNF in its fight against the UTI bacteria, which is then circulated by the blood to the brain.

What can you do with this? Find out if your loved one with AD symptoms has a chronic infection. Look for H.pylori, a UTI, maybe even pockets of infection in the jaw left over from a tooth problem. Periodontal (gum) disease may increase the risk of cognitive dysfunction associated with Alzheimer's disease in healthy individuals as well as in those who already are cognitively impaired. Another possibility is the presence of Lyme disease. If they have one of these infections, get it treated.

Lyme Disease:

Chitosan Oligosaccharide has found a nich use in treatment of Lyme disease symptoms.
http://www.lyme-disease-research-database.com/alan-macdonald-transcription.html

Borrelia:

Borrelia and Alzheimer disease
Posted 21 August 2005 [to www.alzforum.org]
By Liz Shepherd

Here in South Carolina, several patients diagnosed with Alzheimer disease actually had DNA PCR positive Borrelia cultures grown from their brains. The symptoms for these illnesses do in fact overlap. Many psychiatrists now say that all brain disease is infectious. Have you actually LOOKED for a common denominator? Have all Alzheimer brains been checked for Borrelia? My guess is you may be very surprised to find out what is causing Alzheimer's.
http://www.alzforum.org/res/adh/hyp/default.asp#borrelia

The Pathogen Hypothesis (Live Discussion on www.alzforum.org)
Moderator’s summary: Pathogens as a cause of Alzheimer’s disease
By June Kinoshita

The notion that microbes such as herpes simplex virus 1 (HSV1) and Chlamydophila pneumoniae (Cp) could be a causal factor in Alzheimer’s diseases would probably be viewed by the main stream of AD researchers as being beyond the pale. Although a small body of recent findings has reported strikingly strong associations between these pathogens and AD [1,7], subsequent attempts to replicate the findings have met with mixed results (discussed in [10]). At this juncture, it might be convenient to dismiss the hypothesis, but as both sides of this debate session agreed, there are plausible reasons for these discrepancies that deserve to be resolved through further research. While opinions diverged on the strength of evidence for and against the hypothesis, there was a consensus that the possibility of common infectious agents causing such a widespread scourge of old age is one that is too important to ignore.
http://www.alzforum.org/res/for/journal/balin/default.asp


Among Older Patients, Severe Sepsis Associated With Development of Cognitive and Functional Disability
ScienceDaily (Oct. 27, 2010)
Older adults who survived severe sepsis were more likely to develop substantial cognitive impairment and functional disability, according to a study in the October 27 issue of JAMA... The researchers found that the prevalence of moderate to severe cognitive impairment increased 10.6 percentage points among patients who survived severe sepsis, and their odds of acquiring moderate to severe cognitive impairment were 3.3 times higher. Also, a high rate of new functional limitations was seen following sepsis, with an additional average increase of 1.5 new functional limitations per person among those with no or mild to moderate pre-existing functional limitations.


Nonsepsis general hospitalizations were associated with no change in moderate to severe cognitive impairment and with the development of fewer new limitations.

"Cognitive and functional declines of the magnitude seen after severe sepsis are associated with significant increases in caregiver time, nursing home admission, depression, and mortality. These data argue that the burden of sepsis survivorship is a substantial, underrecognized public health problem with major implications for patients, families, and the health care system."...
http://www.sciencedaily.com/releases/2010/10/101026161241.htm

Tooth Loss May Be Linked to Memory Loss
Gum infection may cause inflammation that affects the brain, researcher suggests
TUESDAY, Jan. 4 (HealthDay News)
http://www.businessweek.com/lifestyle/content/healthday/648432.html

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TNF-Alpha

See also Enbrel
         Chitosan
         Cat's Claw
         Cinnamon
         Curcumin
         Inflammation
         NT-020 references in AFA

Supplements that might block TNF-Alpha

Enbrel
Water-soluble chitosan (chitosan oligosaccharaide)
Cat's Claw
Cinnamon (?)
Curcumin (?)
NT-020 (See references in AFA)

Note:  The body uses TNF-alpha to fight infections.  Blocking tumor necrosis factor-alpha (an inflammation-causing cytokine), raises the risk of activating a latent infection such as tuberculosis due to the importance of this cytokine in the immune defense against them.

From the Alz.org message board "Medications/Treatments for Alzheimer's and Other Related Dementias"

Posted August 05, 2008 12:11 PM
...I would love to see that replicated by a supplement that is relatively free of side-effects such as Chitosan oligosaccharide, cats, claw, or whatever. So I'm looking at these and others to see if there is yet more than one road that leads to Rome so to speak. I've always heard there are many. I bet there is. Right now I'm kind of excited about cats claw (cc) as it passes through the BBB in 2 minutes. There appears to be very limited experience with it on AD patients so we don't really know what sort of response it might elicit from an AD patient, yet it has good data showing it works by TNF-alpha suppression...and it has been reported to be as safe as coffee. Nevertheless some side-effects have been reported that might involve kidney function...so maybe not as safe as coffee. Also very rapid response of cc has been reported in other inflammatory diseases that it has been used for in human patients...

http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/4081064272?r=3891056613#3891056613

Some more references to earlier research:

Elevated circulating tumor necrosis factor levels in Alzheimer's disease.
Fillit H, Ding WH, Buee L, Kalman J, Altstiel L, Lawlor B, Wolf-Klein G.
Neurosci Lett. 1991 Aug 19;129(2):318-20.

Cellular localization of human immunodeficiency virus infection within the brains of acquired immune deficiency syndrome patients.
Wiley CA, Schrier RD, Nelson JA, Lampert PW, Oldstone MB.
PNAS 1986;83(18): 7089-7093

Role of human immunodeficiency virus and cytomegalovirus in AIDS encephalitis.
Wiley CA, Nelson JA. Am J Pathol.
1988 October; 133(1): 73–81.

Tumor necrosis factor identified in multiple sclerosis brain.
Hofman FM, Hinton DR, Johnson K, Merrill JE. J
Exp Med. 1989 August 1; 170(2): 607–612.

http://www.pnas.org/cgi/doi/10.1073/pnas.1014557107

See Haark 2004, Medeiros 2007, Riazi 2008, McAfoose and Baume 2008, and Leisz 2009.

Breakthrough or False Hope? Etanercept Case Report Draws Scrutiny
http://www.alzforum.org/new/detail.asp?id=1738


Targeting TNF-Alpha to Elucidate and Ameliorate Neuroinflammation in Neurodegenerative Diseases.
CNS Neurol Disord Drug Targets. 2011 Feb 2. [Epub ahead of print]
Frankola KA, Greig NH, Luo W, Tweedie D.
PMID: 21288189


Systemic inflammation is associated with MCI and its subtypes: the Sydney Memory and Aging Study.
Dement Geriatr Cogn Disord. 2010;30(6):569-78. Epub 2011 Jan 20.
PMID: 21252552


Tumor necrosis factor-alpha mediated signaling in neuronal homeostasis and dysfunction.
Cell Signal. 2010 Jul;22(7):977-83. Epub 2010 Jan 21.
Park KM, Bowers WJ.

Department of Pharmacology and Physiology, University of Rochester Medical Center, Rochester, NY 14642, USA.
Abstract
Tumor necrosis factor-alpha (TNF-alpha) is a potent pro-inflammatory molecule, which upon engagement with its cognate receptors on target cells, triggers downstream signaling cascades that control a number of cellular processes related to cell viability, gene expression, ion homeostasis, and synaptic integrity. In the central nervous system (CNS), TNF-alpha is produced by brain-resident astrocytes, microglia, and neurons in response to numerous intrinsic and extrinsic stimuli. This review will summarize the key events that lead to TNF-alpha elaboration in the CNS, and the effects that these inflammatory signals impart on neuronal signaling in the context of homeostasis and neuropathology.
PMID: 20096353

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Chitosan (Water-soluble Chitosan, chitosan oligosaccharide)

Here is a Pubmed citation:

Inhibitory effect of high molecular weight water-soluble chitosan on hypoxia-induced inflammatory cytokine production.
http://www.ncbi.nlm.nih.gov/pubmed/12736519

It says that that WSC (water-soluble chitosan) inhibited "TNF-alpha". I assume there is a "TNF-beta", etc. What brand of TNF does etanercept inhibit?

Interestingly, they used desferrioxamine (desferral) to create the elevated levels of TNF. But, other researchers in Canada have used desferral to arrest the progression of AD. So, *there's* a puzzle...

Desferral is used primarily as a powerful iron chelator, on the same order as phytic acid (IP6).

This research was done in Japan. I wonder if WSC is available in the US?

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T0G-451DD9T-1&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=ee4019d7850933a86133b8fc20be802d


From the Alz.org message board "Medications/Treatments for Alzheimer's and Other Related Dementias":

Posted July 23, 2008 01:43 PM
After very extensive review of nearly everything out there for treatment of AD, I have come to the conclusion that water-soluble chitosan (WSC) is the only non-drug "supplement" out there that targets TNF. Let me say that again...WSC targets TNF in the brain. Because it appears to be safe, has never been linked to shell-fish allergies (a topic addressed in the chitosan literature) is marketed in edible form, and is used as a general energy and anti-aging tonic, mostly in China, and has animal model AD research showing that it targets TNF in a manner similar to Enbrel, I think it is worthy of trying...
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/4081064272?r=2661005413#2661005413

Sources???:  http://en.haidebei.com/newEbiz1/EbizPortalFG/portal/html/ProductInfoExhibit.html?ProductInfoExhibit_ProductID=c373e911f56523978f6e9d2e0a9b4fa4&ProductInfoExhibit_isRefreshParent=false

             http://www.outletnutrition.com/713947559905.html

             http://heavenshealth.com/benefits.htm

             This is a US supplier of water soluble chitosan.
             http://www.alibaba.com/countrysearch/US-suppliers/Water_Soluble_Chitosan.html


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Cat's Claw
  (Uncaria tomentosa, Una de Gato)

The content of this topic was moved to Notes_II

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Helicobacter pylori (the stomach ulcer bacteria):

See also  Infection and Immune System Response
          Broccoli Sprouts
          Cinnamon
          Enbrel
          Methylene blue
          Rember

Can a Helicobacter pylori bacterial infection be the root cause of many (75%) cases of Alzheimer's disease cases?  Genetic or other factors would then comprise the root cause of the other 25%.

"Eradication of Helicobacter pylori may be beneficial in the management of Alzheimer’s disease"
Abstract: Infectious agents have been proposed as potential causes of Alzheimer’s disease (AD). Recently, we documented a high prevalence of Helicobacter pylori (Hp) infection in patients with AD. We aim to access the effect of Hp eradication on the AD cognitive (MMSE: Mini Mental State Examination and CAMCOG: Cambridge Cognitive Examination for the Elderly) and functional (FRSSD: Functional Rating Scale for Symptoms of Dementia) status parameters. In the first part of the study, a total of 50 consecutive patients with AD and 30 age-matched anaemic controls underwent an upper gastrointestinal endoscopy, and gastric mucosal biopsies were obtained to detect the presence of Hp infection by histologic analysis and rapid urease test. Serum anti-Hp-specific IgG level was analysed by enzyme-linked immunosorbent assay. In the second part, Hp-positive AD patients received a triple eradication regimen (omeprazole, clarithromycin and amoxicillin), and all patients were followed up for 2 years, while under the same treatment with cholinesterase inhibitors. Hp was detected in 88% of AD patients and in 46.7% of controls (P < 0.001). Hp eradication was successful in 84.8% of treated patients. At the 2-year clinical endpoint, cognitive and functional status parameters improved in the subgroup of patients where Hp eradication was successful (P < 0.001 and P = 0.049 for MMSE and CAMCOG, respectively; P < 0.001 for FRSSD), but not in the other patients. Hp eradication may positively influence AD manifestations, suggesting a possible common link between Hp and AD.
http://www.springerlink.com/content/83147756538x7031/?p=4d07d65b60894df3bab4620921dcd1e6&pi=2

What caught my attention is this statement: "At the 2-year clinical endpoint, cognitive and functional status parameters improved in the subgroup of patients where Hp eradication was successful ..., but not in the other patients. Hp eradication may positively influence AD manifestations, suggesting a possible common link between Hp and AD."

I have to connect the links here to AD here.

We've recently read that corrupted tau proteins can have characteristics similar to the prions of "mad cow disease", scrapie, chronic wasting disease of deer, and CJD of humans:

Rogue protein 'spreads in brain'
BBC Sunday, 7 June 2009
Scientists have shown a rogue protein thought to cause Alzheimer's can spread through the brain, turning healthy tissue bad. They believe the tau protein may share characteristics with the prion proteins which cause vCJD. When injected into the brains of healthy mice it triggered formation of protein tangles linked to Alzheimer's. However, experts stressed the Nature Cell Biology study did not mean tau could be passed from person to person. Tau is a protein present in all nerve cells, where it plays a key role in keeping them functioning properly. But a rogue form of the protein can trigger the formation of protein clumps within nerve cells known as neurofibrillary tangles. It is thought that these tangles are likely to be a major cause of Alzheimer's disease... Tau is a protein present in all nerve cells, where it plays a key role in keeping them functioning properly. But a rogue form of the protein can trigger the formation of protein clumps within nerve cells known as neurofibrillary tangles. It is thought that these tangles are likely to be a major cause of Alzheimer's disease.
http://news.bbc.co.uk/2/hi/health/8084787.stm

It is interesting to note that the degeneration tends to follow the path of neural networks:

Neuronal subpopulations and genetic background in tauopathies: a catch 22 story?
L. Bue´e*, A. Delacourte
Neurobiology of Aging 22 (2001) 115–118
"...these vulnerable neurons degenerate following precise pathways. Regarding encephalopathy such as PEP, it is clear that a virus follows neural networks for its propagation. It is now well established that there is also a sequential degeneration of vulnerable networks of neurons in AD and PSP. In AD, both biochemical and neuropathological studies show that NFT formation starts in the hippocampal formation (from transentorhinal to entorhinal and then hippocampus), progresses sequentially as follows anterior, inferior and medium temporal cortex, and then spreads into polymodal association areas, unimodal areas and primary and/or sensory areas..."
http://www.alzheimer-adna.com/pdf/2001/2001Bueecatch22.pdf


Vulnerable Brain Region May Be Central to Progression of Alzheimer's Disease
ScienceDaily (Nov. 7, 2010)
New research is helping to unravel the events that underlie the "spread" of Alzheimer's disease (AD) throughout the brain. The research, published by Cell Press in the November 4th issue of the journal Neuron, follows disease progression from a vulnerable brain region that is affected early in the disease to interconnected brain regions that are affected in later stages... "Our findings directly support the hypothesis that AD-related dysfunction is propagated through networks of neurons, with the EC as an important hub region of early vulnerability,"...
http://www.sciencedaily.com/releases/2010/11/101103135239.htm

[Note:  here seems to be a similar progression in Parkinson's disease: 

How The Pathology Of Parkinson's Disease Spreads
ScienceDaily (July 29, 2009) — Accumulation of the synaptic protein alpha-synuclein, resulting in the formation of aggregates called Lewy bodies in the brain, is a hallmark of Parkinson's and other related neurodegenerative diseases. This pathology appears to spread throughout the brain as the disease progresses. Now, researchers at the University of California, San Diego School of Medicine and Konkuk University in Seoul, South Korea, have described how this mechanism works... "The discovery of cell-to-cell transmission of this protein may explain how alpha-synuclein aggregates can pass to new, healthy cells," said first author Paula Desplats, project scientist in UC San Diego's Department of Neurosciences. "We demonstrated how alpha-synuclein is taken up by neighboring cells, including grafted neuronal precursor cells, a mechanism that may cause Lewy bodies to spread to different brain structures."... In these studies, autopsies of deceased Parkinson's patients who had received implants of therapeutic fetal neurons 11 to 16 years prior revealed that alpha-synuclein had propagated to the transplanted neurons...
http://www.sciencedaily.com/releases/2009/07/090727191914.htm

How Disordered Proteins Spread from Cell to Cell, Potentially Spreading Disease

ScienceDaily (Feb. 18, 2011) — ...Kopito found that the mutant protein associated with Huntington's disease can leave one cell and enter another one, stirring up trouble in each new cell as it progresses down the line. The spread of the misfolded protein may explain how Huntington's progresses through the brain.

This disease, like Parkinson's and Alzheimer's, starts in one area of the brain and spreads to the rest of it. This is also similar to the spread of prions, the self-replicating proteins implicated in mad cow disease and, in humans, Creutzfeldt-Jakob disease. As the misfolded protein reaches more parts of the brain, it could be responsible for the progressive worsening of these diseases...
http://www.sciencedaily.com/releases/2011/02/110218165254.htm
]

Apparently, the amyloid beta plaques have prion-like properties too:

Alzheimer's has 'infectious' mechanism
Cosmos Online
Monday, 25 October 2010

by Gareth Barton

These misfolded proteins have properties similar to prions, the researchers concluded. Prions are tiny, infectious protein particles can cause disease, such as mad cow disease which passes from infected cattle to humans through their meat.


In the study, the researchers removed brain tissue from mice with Alzheimer's-like symptoms, and injected into it into the stomach cavity of healthy mice. Four months later, the previously healthy mice showed symptoms similar to those of Alzheimer's disease and their brains had similarly disease brain tissue.
http://www.cosmosmagazine.com/news/3824/alzheimers-disease-has-infectious-element


Peripheral Induction of Alzheimer's-Like Brain Pathology in Mice
ScienceDaily (Oct. 25, 2010)
Pathological protein deposits linked to Alzheimer's disease and cerebral amyloid angiopathy can be triggered not only by the administration of pathogenic misfolded protein fragments directly into the brain but also by peripheral administration outside the brain...
http://www.sciencedaily.com/releases/2010/10/101021141453.htm


Peripherally Applied Aβ-Containing Inoculates Induce Cerebral β-Amyloidosis
Yvonne S. Eisele
Science DOI: 10.1126/science.1194516
Published Online October 21, 2010
The intracerebral injection of β-amyloid–containing brain extracts can induce cerebral β-amyloidosis and associated pathologies in susceptible hosts. Here, we found that intraperitoneal inoculation with β-amyloid–rich extracts induced β-amyloidosis in the brains of β-amyloid precursor protein transgenic mice after prolonged incubation times
http://www.sciencemag.org/cgi/content/abstract/science.1194516

Could A-beta plaques from animal tissue in our food be a problem?  I'm not a vegetarian, but (pardon the pun) it is food for thought.

Can toxins produced by bacteria initiate the process?

Profiling the culprit in Alzheimer's disease (AD): bacterial toxic proteins - Will they be significant for the aetio-pathogenesis of AD and the transmissible spongiform encephalopathies?
Schmitt HP. Institute of Pathology, Department for Neuropathology, University of Heidelberg, Germany
http://www.ncbi.nlm.nih.gov/pubmed/17337124?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

Can a Hp infection explain the success some people have been experiencing with the "perispinal Enbrel injections"? Enbrel is thought to work by inhibiting the effects of "tumor necrosis factor alpha", (TNF-alpha). And guess what substance a Helicobactor pylori infection in the stomach causes the body to produce? Yep, TNF-alpha. In the full text of the Heliobacter article, it says on page 8, "However, Hp, an extracellular bacterium, could affect the brain and other target organs, such as the heart, indirectly, through the release of numerous cytokines, including TNF-[alpha] acting at a distance."

To me, this gives a reason for why the perispinal injection of Enbrel should work, why reports of its success are not merely wishful thinking. It's the link to a cause that validates the idea. I think that the success of Enbrel also supports the theory for the mechanism by which Hp in the stomach affects the brain.

For those experiencing improvements from Enbrel treatments, I think this says, check to see if there is also an H-pylori infection present. If so, treating the H.pylori infection may increase the time needed between treatments, or may even eliminate the need for Enbrel treatments entirely.  (There may be other bacteria or viruses that could cause the body to produce TNF-alpha, such as Herpes simplex virus type 1 (HSV1) and Chlamydophila (Chlamydia) pneumoniae.)

Here is the link to the full text of the paper. Even for those like me, still in the process of learning language of biochemistry, it is understandable enough for one to grasp the ideas.  (It is rarely necessary to know the intimate details of how a computer works in order to be effective in using a computer.):
http://www.springerlink.com/content/83147756538x7031/fulltext.pdf

Wild speculation time:
If an Hp infection turns out to be the initiating factor
in many cases of AD, then for those currently suffering with the disease, I would first stop the progression, then eradicate the infection(s). We appear to have at least two ways to stop the progression at this time: Enbrel or the MCT oil regimen. They don't seem to conflict, targetting different steps of the disease process, so it would probably be wise to use both.  There may also be some benefit to suing the tau busters, as this may attack even another step in the disease process.

Obviously, if eliminating a chronic bacterial infection reduces the body's production of TNF-alpha to normal levels, there would be no need for TNF-alpha blocking drugs such as Enbrel. This news will not be greeted with enthusiasm by the pro-Tobinick faction.  Nor will it make the "there's nothing we can do, we're powerless, everyone should just die now and get it over with" crowd happy.

In the Greek study, Hp was detected in 88% of AD patients. Hp eradication was successful in 84.8% of treated patients, which is about normal for all cases of Hp infection.  If you multiply 88% by 84.8%, you get ~75%... which, coincidently, seems to be about the percentage of people that are helped by MCT/coconut oil.

I'm sure people are thinking, my loved one never had a stomach ulcer, yet now she has AD.  Well, one does not need to have an ulcer to have an Hp infection. I don' t know where they got this statistic, but I found...

"In countries with poor sanitation, 90% of the adult population can be infected. In the U.S., 30% of the adult population is infected."
http://www.medterms.com/script/main/art.asp?articlekey=3676

90% of the people with an Helicobacter pylori (Hp) infection do not have stomach trouble or ulcers. Or, to put it another way, only 10% of people with an Hp infection have stomach trouble.

"H. pylori gastritis produces no symptoms in 90 percent of infected persons. The prevalence of H. pylori infection varies geographically and has been demonstrated to be as high as 52 percent in the United States. Factors associated with higher infection rates are increasing age, African-American or Hispanic race, lower levels of education, and birth in a developing country."
http://www.aafp.org/afp/20020401/1327.html

I'm sure that not everyone with an Hp infection will develop AD. However, one of the greatest risk factors for developing AD is age.  Perhaps the cumulative effects of a chronic H.pylori infection explains this.

I looked up the statistics for Aricept. It is only effective for 50% of the people who take it, and then, it is only effective for about 6 to 12 months.

If the statistics of the Greek study holds true, then one could expect the eradication of an Hp infection to be effective for about 75% of those treated, and that the effect should last at least 2 years (which was the limit of how long they tracked the test participants).

If I were in charge of an insurance company, I think I would consider the cost of treating an Hp infection followed by the stabilization of the patient as a discount when compared to six months worth of Aricept, followed by the cost of a nursing home.

There are some interesting charts in the full text .pdf file of the paper:
http://www.springerlink.com/content/83147756538x7031/fulltext.pdf


The original article was from researchers in Greece, so the statistics given for the prevalence of Hp infection may be different in your country.

Another thought I had was that the treatment for Hp is a two or three week course of multiple antibiotics. This probably knocks out a whole bunch of other bacteria in all parts of the body. What if the culprit is NOT Hp, but gets killed off by the Hp antibiotics?

Whatever the case, I think there are some simple tests such as a blood test for Hp antibodies, or this "breath test" that could be done relatively easily. I think it's worth asking the phsyicians about.

From what I've read, this bug is particularly hard to treat. They seem to be using a cocktail of three drugs for something like 14 days. The antibiotics can have side effects, making the treatment unpleasant.


I started thinking, what substances, other than prescription antibiotics, inhibit or eliminate Hp bacteria? I've heard that Pepto-Bismol will (the bismuth in it). And then I remembered that in Chinese medicine, cinnamon had long been used to treat stomach problems. A quick search of the Internet found that yes, indeed, cinnamon has been and is being investigated for its anti-Hp potential. But, which component of cinnamon is it? I don't know. This may mean that using whole ground cinnamon may be more effective than using extracts.

Some foods or spices may also reduce the Hp infection, but I haven't found anything yet, other than prescription antibiotics, that will eliminate it.  Broccoli sprouts, dill, and cinnamon may be good candidates.  "Probiotics", or "good bacteria" may help by crowding out the H-pylori.  Others will have to be explored.

For broccoli sprouts, it's the sulforaphane in them that seems to help.

Of course, if you can get a physician to test for Hp, and then prescribe antibiotics, go for it!

There are probably several conditions that eventually lead to AD. This particular one would not address genetic causes or exposure to a toxin.

I doubt that this is the end of the story. Never the less, I think that the idea of Helicobacter pylori being involved should be aggresively researched.
If eliminating a Helicobacter pylori infection worked for 3 out of 4 cases, that would be a good start!  How much needless suffering could be avoided if people only knew this?

I started thinking about other antibiotics. I read that methylene blue is used as an antibiotic to treat urinary tract infections, malaria, and even bacteria "infections" in fish aquariums. Does it also eliminate Hp? Could that be why it has helped people with AD (Rember study)? Well, maybe. I found this article, but I don't have the whole text. It is intriguing.

"Evaluation of methylene blue and triple therapy for eradication of Helicobacter pylori infection in the nude mouse model"
KARITA M. (1) ; TADA M. (1) ; OKITA K. (1) ; TSUDA M. ; NAKAZAWA T.
International symposium on Helicobacter pylori and its diseases No5, Tokyo , JAPON (04/04/1992)
1993, vol. 5, SUP1 (6 ref.), pp. S79-S83
European journal of gastroenterology & hepatology

Abstract: "Objective: To determine how far Helicobacter pylori infection can be eradicated with methylene blue and triple therapy (amoxicillin, metronidazole, bismuth subnitrate), using a nude mouse model. Methods: Four weeks after inoculation of H. pylori into the stomach, two groups of nude mice were administered methylene blue or triple therapy via the stomach for 1 week. A control group of nude mice was given culture fluid alone after the inoculation. The number of H. pylori and histological changes in the stomach were determined weekly for 5 weeks, starting from the completion of drug administration. Results: In the methylene blue treatment group, the concentration of H. pylori was significantly reduced for 1-3 weeks after treatment compared with the control group..."
http://cat.inist.fr/?aModele=afficheN&cpsidt=4893514

It is interesting to note in this article about the experimental drug Rember,
ICAD: Tau-Targeted Therapy Slows Alzheimer's Progression for 19 Months it says,

"In the trial reported here, 321 patients were randomized to 30 mg, 50 mg, 100 mg or placebo. The drug, Dr. Wischik said, was effective when it dissolved in the stomach, but was not effective when the drug was absorbed through the intestines. This was an issue for the 100-mg dose, which had 'absolutely no activity because it didn't dissolve in the stomach.'"
http://www.medpagetoday.com/MeetingCoverage/ICAD/10320

As I wrote above, the Helicobacter pylori bacteria finds methylene blue to be rather toxic. This tends to support the idea that the dominant effect of Rember may not have been as a "Tau aggregation inhibitor (TAI)", but rather as an antibiotic. This would explain why the 100mg dose was not effective when it dissolved in the intestines, whereas the 30 and 60mg doses, which disolved in the stomach, were effective. The antibiotic effect of the rember (which is basically methylene blue) reduced the H.pylori infection, thereby reducing the TNF levels. It seems to me that anyone getting Enbrel injections to reduce TNF levels should take a hard look at this.

A final thought on this topic, this concept may also apply to the other rare neurodegenerative diseases such as PSP, CBD, the FTD, etc.

Other things to research:  Lauric acid in coconut oil kills H.pylori?

********************************************************************************************


eSadists, Kevorkians, Ghosts, and the Company of Misery

Over the course of the last two years, I have run across a curious breed of people who seem to get off on the pain and suffering of others. In general, they're called "sadists". That's not really something new, but these people I'm talking about inhabit Internet discussion groups, often obtaining a measure of control by becoming "moderators", or cozying up to the moderators.  They maintain a facade of compassion and seem very knowledgeable about the disease. I call these people "eSaists". They seem to feed off the fear, despair and desperation of people watching helplessly as their loved-ones slowly slip away. They are like some creature from an old episode of Star Trek or the "horla" of 19th century French literature.

An eSadist enjoys the suffering of others, and often infests discussion groups where hopelessly incurable diseases are discussed. They talk incessantly about things like hospice, durable powers of attorney, and brain donations. They taunt desperate people with "possible cures" and new developments that are years and years away. "They're working on it now, but it won't be available to help your loved one."

The real test is when a possible treatment is brought up that those interested could start pursuing TODAY. The eSadist will balk at the idea. They will openly attack not only the idea, but the person who dares to introduce the subject. If they have the power to squelch the idea and the person, they will use it. Another key characteristic of an eSadist is that since a possible treatment available immediately might rob them of sad and desperate souls to taunt and feed off of, they will never pass along their knowledge of a ray of hope for an effective treatment. They will keep it to themselves, and only dispense their knowledge when their credibility and motives are challenged.

Kevorkians behave in a similar manner, but they have given up.  To them, death is the only answer.  They are tired, and want to be free from the burden of caring and worrying about their loved one.  They don't want there to be an effective therapy.  They don't want to preserve a life that they have judged to be not worth living any longer.  Their excuse is that that don't want their loved one to suffer any longer.  But the real reason is selfishness, and that they can not admit.

Those in the Company of Misery are like ghosts haunting an old wishing well.  They have already lost a loved one to some incurable disease.  Like the Kevorkians and the eSadists, they really don't want to see any drug, supplement or therapy work, especially if such could have been available to help their departed loved one, if only they had known in time. They just can't move on with their lives.  They want others to join in.  Misery loves company.

It is wise to identify personalty types like these, and avoid them.

Your body is a machine.  It drags you, the soul, along whether you want to go or not, first to life, then to death.

Ecclesiastes 8:8 "No man has power to retain the spirit, or authority over the day of death..."

You do not have have an internal on/off switch that you can switch off at will.  The idea that you do is a New Agey style concept that subtly attempts to dismiss Christ's supernatural act of giving up his spirit as his final miracle performed in his human body, ending the torment of his crucifixion.  It was a supernatural act, get it?  We do not have that ability.  All we can do is inflict violence on ourselves to kill the machine.  That is suicide.  Our bodies do not tidy things up like a shopkeeper at the end of the day to shut down in an organized manner.  Our bodies want to keep going no matter what our minds may want to do, and they fight to survive.  But, they do at some point lose the battle.  There is a common sequence of events to this defeat that many incorrectly describe as "their body shutting down".  That phrase implies that the person's mind or body wills it.  But the mind can't will it, and the body has no will of its own.  Again, it is a machine.  At any point in the failure sequence, if the cause of the failure is identified and corrected, the body rebounds, and continues on. Physicians say this when in fact, they just don't know what else to do.  They lack the skills, knowlege, medicine or equipment.  Saying "their body is shutting down" is a way of shifting the blame for their inadequacies from themselves to the patient.  If the patient or their body or both have decided to "give up the ghost", then, well heck, the physicians are not to blame, and can justify not trying anything else.

I'm trying to figure out what is driving force behind hospice.  I mean, it sounds like a kind an compasionate thing to do, to help suffering and dying people in their final days by giving them palative care and pain-killing drugs.  Most people rave about how much help they are.  But if you look deeper, you find problems.  First is, who pays for it and why?  It's not cheap to hire all of these people and someone has to pay.  Obviously, there is a limit since if you don't expire quick enough, hospice disappears.  Hmmm.  So, are insurance companies behind hospice to save money by keeping people out of hospitals and from seeking extraordinary medications?  Is it Medicare?

Is there something more nefarious going on?

When the noted French atheist Voltaire expired, it is said that he was screaming as he saw the gates of Hell opening up for him:

History tells the story of the renowned atheist, Voltaire, one of the most aggressive antagonists of Christianity. He wrote many things to undermine the church, and once said of Jesus Christ, "Curse the wretch. In 20 years, Christianity will be no more. My single hand will destroy the edifice it took 12 apostles to rear."

Needless to say, Voltaire was less than successful. And on his deathbed, a nurse who attended him was reported to have said, "For all the wealth in Europe, I would not see another atheist die."

The physician, waiting up with Voltaire at his death, said that he cried out with utter desperation, "I am abandoned by God and man. I will give you half of what I am worth if you will give me six months of life. Then I shall go to hell and you will go with me, oh, Christ, oh, Jesus Christ!"
http://www.wnd.com/index.php?pageId=44827

Rather inconvenient for those who, like Voltaire seek to "
destroy the edifice it took 12 apostles to rear".  What better way of preventing people from witnessing the final moments of a non-believer's agony than to drug them up with morphine, or what have you?  So, is the purpose of hospice to prevent the Voltaire effect and therefore thwart the inadvertent conversion of any who happen to be in the vicinity?

If the purpose of hospice is to prevent suffering, I'm all for it.  But it just doesn't seem that all those providing the services are doing so out of the goodness of their hearts.

********************************************************************************************

Rember

See also
Methylene blue
        
Helicobacter pylori
         Hsp70
        
Tau Busters

Rember:  "The drug works by dissolving the tangle of tau fibres which releases waste products that kill nerve cells, and by preventing the fibres from becoming tangled."
http://www.dailymail.co.uk/health/article-1039677/Daily-pill-halts-Alzheimers-hailed-biggest-breakthrough-disease-100-years.html
http://www.msnbc.msn.com/id/25918231
http://www.telegraph.co.uk/news/uknews/2471076/Alzheimerandrsquos-sufferers-given-hope-by-new-generation-of-drugs.html
Cost/Availability:  Unobtainable for the next couple of years.  Except,
                    Rember is said to be a close cousin of methylene blue!

It is interesting to note that in this article
about Rember,
ICAD: Tau-Targeted Therapy Slows Alzheimer's Progression for 19 Months it says,
"In the trial reported here, 321 patients were randomized to 30 mg, 50 mg, 100 mg or placebo. The drug, Dr. Wischik said, was effective when it dissolved in the stomach, but was not effective when the drug was absorbed through the intestines. This was an issue for the 100-mg dose, which had 'absolutely no activity because it didn't dissolve in the stomach.'"
http://www.medpagetoday.com/MeetingCoverage/ICAD/10320

As I wrote elsewhere, the Helicobacter pylori bacteria finds methylene blue to be rather toxic. This tends to support the idea that the dominant effect may not have been as a "Tau aggregation inhibitor (TAI)", but rather as an antibiotic. This would explain why the 100mg dose was not effective when it dissolved in the intestines, whereas the 30 and 60mg doses, which disolved in the stomach, were effective. The antibiotic effect of the rember (which is basically methylene blue) reduced the H.pylori infection, thereby reducing the TNF levels. It seems to me that anyone getting Enbrel injections to reduce TNF levels should take a hard look at this.

********************************************************************************************

Methylene Blue

See also Rember
         Helicobacter pylori
         Hsp70
         Tau Busters
         Mitochondrial Dysfunction

Potential Alzheimer's, Parkinson's Cure Found In Century-old Drug
ScienceDaily (Aug. 18, 2008)
"A new study conducted by researchers at Children's Hospital & Research Center Oakland shows that a century-old drug, methylene blue, may be able to slow or even cure Alzheimer's and Parkinson's disease. Used at a very low concentration – about the equivalent of a few raindrops in four Olympic-sized swimming pools of water – the drug slows cellular aging and enhances mitochondrial function, potentially allowing those with the diseases to live longer, healthier lives."

"Methylene blue, first discovered in 1891, is now used to treat methemoglobinemia, a blood disorder. But because high concentrations of methylene blue were known to damage the brain, no one thought to experiment with low concentrations. Also, drugs such as methylene blue do not easily reach the brain."
http://www.sciencedaily.com/releases/2008/08/080818101335.htm

No mention in the full article of its possible effect on tau, which, given the close connection between Rember and methylene blue, is interesting.

Given this new piece of information, and the other article about Rember, I checked into the availability of methylene blue.

"Methylene blue has been around forever, used for urinary tract infections, malaria, and all sorts of things, up to treating protozoal infections in fish tanks. (For that matter, it's turned up over the years as a surreptitious additive to blueberry pies and the like, turning the unsuspecting consumer's urine greenish/blue, generally to their great alarm: a storied med school prank from the old days)."
http://pipeline.corante.com/archives/2008/07/31/rember_for_alzheimers_methylene_blues_comeback.php

Sure enough, methylene blue is available from pet supply stores. Here is an example:
http://www.petsolutions.com/default.aspx?ItemId=64000052&EID=SZ64000052&SID=SHZIL

I don't know if I would try this pet store MB or not. I offer it only for your information.  It doesn't seem to hurt fish. But according to that other article from Science Daily on August 18, it is "used at a very low concentration – about the equivalent of a few raindrops in four Olympic-sized swimming pools of water".  Seems kind of dilute to me.

********************************************************************************************

The circular logic of "Standard of Care"
(Don't expect any help from your physician)

You:  "Hi, doctor.  Thanks for calling me back.  As you know, my mother has this incurable and ultimately fatal disease.  I read that methylene blue was found to halt it's progression.  Can we try giving it to my mother for a month and see how she does?"

Physician:  "Well, no one in our area is using it for that, so I can't.  It wouldn't be the current standard of care."

You: "So no physician will use it until some other physician uses it?"

Physician: "That's right.  You will have to find a clinical study somewhere."

You: "Is this 'standard of care' a legal restriction?"

Physician:  "No.  But if a procedure isn't the current 'standard of care', I can't prescribe it."

You: "If it's not a legal restriction, who says you can't?"

Physician:  "Well, if I were to use a treatment that was not the current 'standard of care', and the patient has a bad reaction, then there would be legal problems."

You: "So this is to avoid law suits?"

Physician:  [crickets]

You: "She's got a terminal illness, what can it hurt?"

Physician:  "You will have to find a research hospital studying this."

You: "What if I can't?  What if all the physicians say they can't try it because no one else has tried it yet?"

Physician:  "I can't help you."

You: "You can help, but you won't.  You know what's going to happen if something isn't done."

Physician:  "I can't help you."

You:  "I can get methylene blue from other sources, but I would rather have the prescription drug and medical supervision."

Physician:  "You mean you are going to try to treat her yourself?"

You: "If I have to.  You won't.  No physician will because no other physician will.  You leave me no choice."

Physician: "You can't do that."

You: "Why not?"

Physician:  "You might hurt her."

You:  "Hurt her?  She's dying!  I have to try something."

Physician: "You can't try something no one else has tried.  How do you know that it will work?"

You: "I don't know.  But I do know what happens to someone with this disease if the current 'standard of care' is all they get."

The medical establishment derrides "alternative medicine" as quackery, but it is too timid to try anything without a massive clinical trial with double-blind studies and millions of dollars spent of physican salaries to oversee it.  Who will pay for such an expensive thing if there is no money to be made on the drug being tested?  And even if some government or charity ponies up the cash, how long will it take for the study to be completed?  You can count on it taking way to long.  Your loved one will be past the point of help, and the outcome for them will be the same as if you tried an experimental drug and it failed.

Make good friends of Ms. Google and Mr. Yahoo. Search. Keep searching, and never ever give up. Motivation sometimes finds answers that education misses.

********************************************************************************************

Coconut Oil (Medium Chain Triglycerides, MCT)

See also
Coconut Oil Recipes
   
More posts by Dr. Newport
    Mitochondrial Dysfunction
    Dr. Sinatra

Note:
1.  MCT oil may decrease the frequency and severity of myoclonus in patients with certain neurodegenerative diseases such as Alzheimer's disease, corticobasal syndrome (CBS, CBD, CBGD), and frontotemporal dementia (FTD).

2. MCT oils added to the diet may also reduce the frequency and severity of cold sores (herpes simplex virus-1) and other related herpes viruses such as herpes zoster (chicken pox/shingles).


Coconut oil:

Doctor says an oil lessened Alzheimer's effects on her husband
By Eve Hosley-Moore, Times Correspondent
In print: Wednesday, October 29, 2008

" In Alzheimer's disease, certain brain cells may have difficulty metabolizing glucose, the brain's principal source of energy. Without fuel, these precious neurons may begin to die. But researchers have identified an alternative energy source for brain cells — fats known as ketone bodies, explained Dr. Theodore VanItallie, a medical doctor and professor emeritus at the College of Physicians and Surgeons at Columbia University in New York City. He has been researching ketones for more than 35 years.

"Ketones are a high-energy fuel that nourish the brain," VanItallie said, explaining that when you are starving, the body produces ketones naturally. When digested, the liver converts MCT oil into ketones. In the first few weeks of life, ketones provide about 25 percent of the energy newborn babies need to survive.

"As Dr. Newport continued to read about MCT oil and the new medication, she discovered something surprising: Non-hydrogenated coconut oil is more than 60 percent MCT oil, and this medication derived its MCT oil from this readily available tropical tree."
http://www.tampabay.com/news/aging/article879333.ece

See also Scyllitol

Glucose Hypometabolism:

Note: ALA may also positively affect glucose metabolism.

Impaired Energy Metabolism Linked With Initiation Of Plaques In Alzheimer's Brain
ScienceDaily (Jan. 3, 2009)
"Here, for the first time we provide evidence linking impaired energy metabolism, an AD-relevant stress, with BACE1 translation mediated by eIF2α phosphorylation," says Dr. Vassar. "Our findings implicate phosphorylated eIF2α in both the initiation and progression of sporadic AD. Future experiments will determine whether inhibition of eIF2α phosphorylation could be an efficacious therapeutic approach for the prevention and treatment of AD..."
http://www.sciencedaily.com/releases/2008/12/081224215536.htm

Brain Starvation As We Age Appears To Trigger Alzheimer's: Improving Blood Flow
To Brain Is Preventive Strategy
ScienceDaily (Dec. 28, 2008)
"A slow, chronic starvation of the brain as we age appears to be one of the major triggers of a biochemical process that causes some forms of Alzheimer's disease..."
http://www.sciencedaily.com/releases/2008/12/081224215704.htm

Blood Sugar Linked To Normal Cognitive Aging
ScienceDaily (Dec. 31, 2008)
"Maintaining blood sugar levels, even in the absence of disease, may be an important strategy for preserving cognitive health, suggests a study published by researchers at Columbia University Medical Center (CUMC)..."
http://www.sciencedaily.com/releases/2008/12/081230072238.htm


Brain fuel metabolism, aging, and Alzheimer's disease.
Nutrition. 2011 Jan;27(1):3-20. Epub 2010 Oct 29.
Cunnane S, Nugent S, Roy M, Courchesne-Loyer A, Croteau E, Tremblay S, Castellano A, Pifferi F, Bocti C, Paquet N, Begdouri H, Bentourkia M, Turcotte E, Allard M, Barberger-Gateau P, Fulop T, Rapoport SI.

Abstract

Lower brain glucose metabolism is present before the onset of clinically measurable cognitive decline in two groups of people at risk of Alzheimer's disease--carriers of apolipoprotein E4, and in those with a maternal family history of AD. Supported by emerging evidence from in vitro and animal studies, these reports suggest that brain hypometabolism may precede and therefore contribute to the neuropathologic cascade leading to cognitive decline in AD. The reason brain hypometabolism develops is unclear but may include defects in brain glucose transport, disrupted glycolysis, and/or impaired mitochondrial function. Methodologic issues presently preclude knowing with certainty whether or not aging in the absence of cognitive impairment is necessarily associated with lower brain glucose metabolism. Nevertheless, aging appears to increase the risk of deteriorating systemic control of glucose utilization, which, in turn, may increase the risk of declining brain glucose uptake, at least in some brain regions. A contributing role of deteriorating glucose availability to or metabolism by the brain in AD does not exclude the opposite effect, i.e., that neurodegenerative processes in AD further decrease brain glucose metabolism because of reduced synaptic functionality and hence reduced energy needs, thereby completing a vicious cycle. Strategies to reduce the risk of AD by breaking this cycle should aim to (1) improve insulin sensitivity by improving systemic glucose utilization, or (2) bypass deteriorating brain glucose metabolism using approaches that safely induce mild, sustainable ketonemia.

PMID: 21035308 [PubMed]
http://www.ncbi.nlm.nih.gov/pubmed/21035308


As far as I can determine, the test "FDG-PET" ([(18)F]-fluoro-deoxyglucose positron emission tomography) detects areas of the brain experiencing glucose hypometabolism.
 
Typical cerebral metabolic patterns in neurodegenerative brain diseases.
Mov Disord. 2010 Jul 28. [Epub ahead of print]
Teune LK, Bartels AL, de Jong BM, Willemsen AT, Eshuis SA, de Vries JJ, van Oostrom JC, Leenders KL.

Department of Neurology, University Medical Center Groningen, Groningen, The Netherlands.

Abstract

The differential diagnosis of neurodegenerative brain diseases on clinical grounds is difficult, especially at an early disease stage. Several studies have found specific regional differences of brain metabolism applying [(18)F]-fluoro-deoxyglucose positron emission tomography (FDG-PET), suggesting that this method can assist in early differential diagnosis of neurodegenerative brain diseases.We have studied patients who had an FDG-PET scan on clinical grounds at an early disease stage and included those with a retrospectively confirmed diagnosis according to strictly defined clinical research criteria. Ninety-six patients could be included of which 20 patients with Parkinson's disease (PD), 21 multiple system atrophy (MSA), 17 progressive supranuclear palsy (PSP), 10 corticobasal degeneration (CBD), 6 dementia with Lewy bodies (DLB), 15 Alzheimer's disease (AD), and 7 frontotemporal dementia (FTD). FDG PET images of each patient group were analyzed and compared to18 healthy controls using Statistical Parametric Mapping (SPM5).Disease-specific patterns of relatively decreased metabolic activity were found in PD (contralateral parietooccipital and frontal regions), MSA (bilateral putamen and cerebellar hemispheres), PSP (prefrontal cortex and caudate nucleus, thalamus, and mesencephalon), CBD (contralateral cortical regions), DLB (occipital and parietotemporal regions), AD (parietotemporal regions), and FTD (frontotemporal regions).The integrated method addressing a spectrum of various neurodegenerative brain diseases provided means to discriminate patient groups also at early disease stages. Clinical follow-up enabled appropriate patient inclusion. This implies that an early diagnosis in individual patients can be made by comparing each subject's metabolic findings with a complete database of specific disease related patterns. (c) 2010 Movement Disorder Society.

PMID: 20669302
http://www.ncbi.nlm.nih.gov/pubmed/20669302

Fluorodeoxyglucose-Positron Emission Tomography in the differential diagnosis of early-onset dementia: a prospective, community-based study

Peter K Panegyres, Jeffrey M Rogers, Michael McCarthy, Andrew Campbell and Jing Shan Wu

1  Neurodegenerative Disorders Research, 185 York St, Subiaco WA, Australia
2  Neurosciences Unit, Health Department of Western Australia, Perth WA, Australia
3  Department of Nuclear Medicine, Royal Perth Hospital, Perth WA, Australia
4  WA PET/Cyclotron Service, Sir Charles Gairdner Hospital, Perth WA, Australia

BMC Neurology 2009, 9:41doi:10.1186/1471-2377-9-41

Background

The aim of this study was to evaluate the diagnostic accuracy of positron emission tomography (PET) using F18 fluorodeoxyglucose (FDG) in the differential diagnosis of early-onset Alzheimer's disease (AD) and other dementias in a community-dwelling population.
Methods

A prospective sample of 102 individuals presenting consecutively to a primary care centre for examination of suspected early-onset dementing diseases. The mean age of symptom onset of dementia in our patients was 60.06 ± 4.28 years (mean ± 1SD, 95% lower confidence intervals (CI) 54.75, upper 63.37). Patients were evaluated using standard clinical criteria for the diagnosis of dementia. Functional neuroimaging data was obtained and nuclear medicine physicians blind to the clinical diagnosis generated FDG-PET diagnoses. Final clinical diagnoses based on all available data were then established and compared against PET diagnoses.
Results

Forty-nine patients received a final clinical diagnosis of early-stage AD (MMSE score 20.97 ± 5.10). There were 29 non-AD demented patients, 11 depressed patients and a miscellaneous group of 13 patients. Among patients with AD, the sensitivity and specificity of FDG-PET was 78% (95% CI: 66–90%) and 81% (95% CI: 68–86%), respectively. The positive likelihood ratio (PLR) for a FDG-PET scan positive for the diagnosis of AD was 4.11 (95% CI: 2.29–7.32) and negative likelihood ratio (NLR) for a negative FDG-PET scan in the absence of AD was 0.27 (95% CI: 0.16–0.46). The pre-test probability was 48% and post-test probability was 79.02%. The specificity of FDG-PET in the differential diagnosis of other dementias, including frontotemporal dementia, was greater than 95%.

Recruitment methods in this study provide a sample that may be more representative of patients in the general population and indicate that FDG-PET imaging can contribute to the diagnosis of AD in younger adults with major increases in the positive likelihood rates and post-test probability.
Conclusion

The high specificity of FDG-PET suggests this technique might help in the diagnosis of frontotemporal dementia and other forms of early-onset dementia...
http://www.biomedcentral.com/1471-2377/9/41


Ketone bodies are selectively used by individual brain regions.
Science. 1979 Jul 20;205(4403):325-7.
Hawkins RA, Biebuyck JF.
Abstract

Close study of 3-hydroxybutyrate uptake by brain suggests that its metabolism is limited by permeability. Furthermore, the permeability characteristics vary from region to region; areas known to have no blood-brain barrier show the highest rate of utilization. The results imply that rather than substitute fuels, ketone bodies should be considered supplements which partially supply specific areas but are incapable of supporting the entire energy requirement of all brain regions.

PMID: 451608 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/451608?dopt=AbstractPlus

It is interesting that the idea of using ketone bodies as a "subsitute fuel" was around in 1979.  I haven't read the whole paper, so I don't know the context.  It probably was not in regards to combating glucose hypometabolism.  So, what fuels the brains of people when they are starving?  Is it the conversion of muscle protein to glucose?  I have to wonder if more modern imaging technology agrees with this paper from 1979.

Posts and articles from Dr. Mary Newport about MCT oil and coconut oil:

Doctor says an oil lessened Alzheimer's effects on her husband
Eve Hosley-Moore, Times Correspondent
St. Petersburg Times
In Print: Wednesday, October 29, 2008
"After two weeks of taking coconut oil, Steve Newport's results in an early onset Alzheimer's test gradually improved says his wife, Dr. Mary Newport. Before treatment, Steve could barely remember how to draw a clock. Two weeks after adding coconut oil to his diet, his drawing improved. After 37 days, Steve's drawing gained even more clarity. The oil seemed to "lift the fog," his wife says..."
http://www.tampabay.com/news/aging/article879333.ece

More posts by Dr. Newport

Dr. Newport's web site: http://www.coconutketones.com
Dr. Newport's blog:  http://coconutketones.blogspot.com
Dr. Newport's April 2009 "update" (.pdf version)
Dr. Newport's September 2009 "Diet guidelines" (.pdf version)

Update 11/15/2009:

I thought I should bring Dr. Newport's Thursday, October 29, 2009 blog entry to your attention. There are some very intriguing ideas here. And, they involve supplements that could easily be obtained by the average person who would like to pursue these ideas further.Here is an excerpt:

I hear from some people who are very discouraged because they do not see improvement in their loved one with Alzheimer's. About half of the people in the MCT oil studies declined minimally rather than improving, but declined less than the people who took the placebo. So this strategy may be worthwhile continuing even if results are not obvious in the beginning. Also, some people improve rather slowly but over two to three months, the changes may become more apparent, or perhaps you will see that things are not worse.

If you are considering giving up on this, you might consider the possibility that this strategy could at least stabilize or slow down the process for your loved one. Hopefully we will be able to learn why some people improve and others don't. After attending the American College of Nutrition Conference at the beginning of October, I have some ideas about why this happens. It could be that the cells are so depleted of the various substances they need to make energy inside the cell that the cells don't recover simply by providing ketone. I learned more about other disease processes where there is also a problem with energy production in mitochondria, the organelles inside of the cells that manufacture ATP, the very basic energy that drives the whole function of the cell. Each cell has hundreds to thousands of mitochondria.

Dr. Stephen Sinatra discussed several dietary supplements that help people with severe congestive heart failure by providing certain subtances involved in manufacturing ATP in the mitochondria in the cells. In the case of congestive heart failure, the cardiac cells have become depleted of these substances and are not making enough ATP to keep the cell going. Three of the supplements we have been giving Steve for quite some time, CoQ10, L-carnitine and magnesium, but the fourth I did not know about, D-ribose. D-ribose is a simple sugar normally made inside the cell from glucose, and is one of the building blocks for ATP. It makes sense that if glucose cannot even get into the cell that the cell will not be able to make D-ribose, which is critical to making ATP. It is not stored elsewhere in the body and it is not present in any quantity in foods, but is used by body builders and available as a supplement. For people with cardiac diseases, Dr. Sinatra recommends taking about 5 - 7 grams of D-ribose per day. It comes in a powder (disappears without much taste in coffee or any drink) or chewable tablet (not so good to my tastebuds.) I have many questions about it, such as does it cross the blood brain barrrier and how does it enter the cell, and of course, it is safe? I have not been able to find out much about it. If there is a chemist or other scientist out there with more information about D-ribose, I would appreciate hearing from you. When I learn more I will post something about it.

Dr. Sinatra has a book called, "The Sinatra Solution: Metabolic Cardiology" that discusses these supplements in detail, but is very technical. I believe that this strategy could help people with AD since the mitochondria work the same as far as producing enery in all of the cells. After reading up about this, part of the problem in AD may be that the cells become depleted of these substances, such as CoQ10, from some of the medications our people with AD are often on (anti-depressants, statins.) Also the whole process of making energy in the mitochondria depends on being able to get glucose (or ketone bodies as an alternative) into the cells in the first place and this is not happening...
http://coconutketones.blogspot.com/

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Mitochondrial Dysfunction

See also,
    Dr. Sinatra
   
More posts by Dr. Newport
   
Multifunctional Cocktail
          Anti-oxidant trio therapy [?]
    Methylene Blue
    ALA
    Cognisure
    Parkinson's Disease

"It could be that the cells are so depleted of the various substances they need to make energy inside the cell that the cells don't recover simply by providing ketone. I learned more about other disease processes where there is also a problem with energy production in mitochondria, the organelles inside of the cells that manufacture ATP (adenosine triphosphate), the very basic energy that drives the whole function of the cell. Each cell has hundreds to thousands of mitochondria."

The article below talks about research into the role of amyloid-beta proteins in creating nitric oxide, which then damages the "powerhouse" of the cell, the mitochondria. Could this be why neurons then have a problem with glucose metabolism, and why MCTs help?

I remember reading another article about how LOW concentrations of methylene blue may help preserve mitochondrial function: "the drug slows cellular aging and enhances mitochondrial function". The concentration is reported to be ridiculously low (meaning, more research into the original paper is warranted.) But, if it is true that very dilute methylene blue solutions are beneficial, then I have an "act of desperation" option: Kordon's 2.3% Methylene Blue solution... for fish! If a "very low concentration -- about the equivalent of a few raindrops in four Olympic-sized swimming pools of water" would be effective, then what about a drop of fish aquarium methylene blue in a gallon or five of drinking water?

But even if you were to decide on going with laboratory-grade MB, which is a bit pricey, at this level of concentration, a small quantity of MB would last years.

Here are the articles:

Alzheimer's Disease Linked To Mitochondrial Damage
ScienceDaily (Apr. 2, 2009)
Investigators at Burnham Institute for Medical Research (Burnham) have demonstrated that attacks on the mitochondrial protein Drp1 by the free radical nitric oxide—which causes a chemical reaction called S-nitrosylation—mediates neurodegeneration associated with Alzheimer's disease. Prior to this study, the mechanism by which beta-amyloid protein caused synaptic damage to neurons in Alzheimer's disease was unknown... These findings suggest that preventing S-nitrosylation of Drp1 may reduce or even prevent neurodegeneration in Alzheimer's patients. The paper was published in the April 3 issue of the journal Science... The team of scientists, led by neuroscientist and clinical neurologist Stuart A. Lipton, M.D., Ph.D., director of the Del E. Webb Center for Neuroscience, Aging and Stem Cell Research, showed that S-nitrosylated Drp1 (SNO-Drp1) facilitates mitochondrial fragmentation, damaging regions of nerve cell communication called synapses. Mitochondria are the energy storehouses of the cell, and their compromise by excessive fragmentation causes synaptic injury and eventual nerve cell death. Synapses are critical for learning and memory and their impairment leads to the dementia seen in Alzheimer's patients...
http://www.sciencedaily.com/releases/2009/04/090402143453.htm


Interesting research suggests that maybe "free radicals" may not be as big of a problem...

Free Radicals Good for You? Banned Herbicide Makes Worms Live Longer

ScienceDaily (Dec. 20, 2010) — It sounds like science fiction – Dr. Siegfried Hekimi and his student Dr Wen Yang, researchers at McGill’s Department of Biology, tested the current “free radical theory of aging” by creating mutant worms that had increased production of free radicals, predicting they would be short-lived. But they lived even longer than regular worms! Moreover, their enhanced longevity was abolished when they were treated with antioxidants such as vitamin C...
http://www.sciencedaily.com/releases/2010/12/101220084442.htm

Methylene blue...

Potential Alzheimer's, Parkinson's Cure Found In Century-old Drug
ScienceDaily (Aug. 18, 2008)
A new study conducted by researchers at Children's Hospital & Research Center Oakland shows that a century-old drug, methylene blue, may be able to slow or even cure Alzheimer's and Parkinson's disease. Used at a very low concentration – about the equivalent of a few raindrops in four Olympic-sized swimming pools of water – the drug slows cellular aging and enhances mitochondrial function, potentially allowing those with the diseases to live longer, healthier lives.

Methylene blue, first discovered in 1891, is now used to treat methemoglobinemia, a blood disorder. But because high concentrations of methylene blue were known to damage the brain, no one thought to experiment with low concentrations. Also, drugs such as methylene blue do not easily reach the brain...
http://www.sciencedaily.com/releases/2008/08/080818101335.htm

This also begs the question, as I've stated before, that if such an unimaginably small concentration of MB can be beneficial, can comparatively dilute solutions of other chemicals in our water, food, or environment be harmful?

Another point I would like to make is that there are steps to the disease process. All of these things we have discussed appear to interrupt different stages. So even if low-concentration MB is effective, other steps of the disease process, once set in motion, may still progress. I'm thinking of this in relation to why attacking the amyloid beta plaque problem doesn't seem too effective. Perhaps it really is, in the long term, or if the therapy was started early enough before symptoms appeared. But once symptoms appear, there is a whole freight train of other ones in motion. So, snipping off the locomotive without activating the breaks on the box cars means that the train will keep rolling on and on for a long, long time.

Early Role of Mitochondria in Alzheimer's Disease May Help Explain Limitations to Current Beta Amyloid Hypothesis

ScienceDaily (Oct. 13, 2010) — Before Alzheimer's patients experience memory loss, the brain's neurons have already suffered harm for years... A new study in mouse models by researchers at Columbia University Medical Center has found that the brain's mitochondria -- the powerhouses of the cell -- are one of the earliest casualties of the disease. The study, which appeared in the online Early Edition of PNAS, also found that impaired mitochondria then injure the neurons' synapses, which are necessary for normal brain function.

"The damage to synapses is one of the earliest events in Alzheimer's disease, but we haven't been able to work out the events that lead to the damage. Our new findings, along with previous research, suggest that mitochondrial changes harm the synapses, and that we may be able to slow down Alzheimer's at a very early stage by improving mitochondrial function."

Drugs that restore mitochondria function may be able to treat Alzheimer's disease in its earliest stages. One potential drug, cyclosporin, is already used in organ transplant and autoimmune patients. Cyclosporin suppresses the immune system, but it also blocks amyloid beta (Aβ) peptides-induced mitochondrial injury, Dr. Yan has found in previous studies (Du et al. Nature Medicine, 2008).

Cyclosporin, however, has too many toxic side effects for long term use in other patients...

Most Alzheimer's researchers initially believed that Aβ peptides caused the disease after aggregating together in large, extracellular plaques, a defining feature of Alzheimer's-affected brains. But Dr.Yan's findings, along with those of many other scientists, now point to an earlier role for Aβ peptides inside the brain's neurons.

The mitochondria are damaged, the researchers found, when (Aβ) peptides breach the mitochondria's walls and accumulate on the inside. Even low concentrations of Aβ peptides, equivalent to the levels found in cells years before symptoms appear, impair the mitochondria, particularly mitochondria that supply power to the neuron's synapses.

When filled with Aβ peptides, these synaptic mitochondria were unable to travel down the neurons' long axons to reach, and fuel, the synapse. And the mitochondria that did make the journey failed to provide adequate energy to operate the synapses. Without operating synapses, neurons are unable to function.

"Since cyclosporin is already FDA approved for use in organ transplant and autoimmune patients, this research has the potential to lead to more rapid clinical trials and progress quickly," said Dr. Yan...
http://www.sciencedaily.com/releases/2010/10/101013122557.htm
   

In Parkinson's Disease, Brain Cells Abandon Mitochondria

ScienceDaily (Oct. 8, 2010) — In a study that sheds new light on the causes of Parkinson's disease, researchers report that brain cells in Parkinson's patients abandon their energy-producing machinery, the mitochondria. A shutdown in fuel can have devastating effects on brain cells, which consume roughly 20 percent of the body's energy despite making up only 2 percent of body weight... researchers, now show that a root cause of Parkinson's disease may lie in 10 gene sets related to energy production that spur neurons in the brain to "divorce" their mitochondria and related energy-producing pathways..."The most exciting result from our study for me is the discovery of PGC-1alpha as a new therapeutic target for early intervention in Parkinson's disease. PGC-1alpha is a master switch that activates hundreds of mitochondrial genes, including many of those needed to maintain and repair the power plants in the mitochondria,"... FDA-approved medications [Actos, CoQ10] that activate that PGC-1alpha are already available for widespread diseases like diabetes. These medications may jumpstart the development of new Parkinson's drugs; instead of having to start from scratch, pharmaceutical companies may be able to dust off their drug libraries and find look-alike drugs capable of targeting PGC-1alpha in the brain. "As we wrap up our first year of publishing the journal, the new study from Zheng et al. exemplifies the goal of Science Translational Medicine, applying knowledge and technology from different fields-such as neuroscience, genomics and bioinformatics-to achieve new discoveries,"...
http://www.sciencedaily.com/releases/2010/10/101006151557.htm


Brain Might Be Key to Leptin's Actions Against Type 1 Diabetes, Researchers Find
ScienceDaily (Nov. 14, 2010)

New findings by UT Southwestern Medical Center researchers suggest a novel role for the brain in mediating beneficial actions of the hormone leptin in type 1 diabetes... They found that infusing leptin into the lateral ventricle of the animals' brains reversed the lethal consequences of type 1 diabetes. The results establish the brain as a potentially critical site for mediating the metabolism-improving actions of leptin,...
http://www.sciencedaily.com/releases/2010/10/101019171711.htm


As mentioned earlier, one inherits their mitochondria from their mothers...

Alzheimer's Disease Inherited Through Maternal Line, Study Finds
ScienceDaily (Nov. 15, 2010)

"Our data indicate that adult children of mothers with Alzheimer's may be at increased risk for developing the disease.  It is therefore extremely important to understand the genetic mechanisms involved in maternal transmission of Alzheimer's disease, which are currently unknown. Identifying a genetic predictor for the disease might lead to preventive treatments years before the onset of clinical symptoms."
http://www.sciencedaily.com/releases/2010/11/101115111007.htm


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Dr. Sinatra (The Sinatra Solution)

See also,
    Coconut Oil / MCT Oil
    D-Ribose
    Acetyl-L Carnitine
    Magnesium
    CoQ10
    Mitochondrial Dysfunction
   
More posts by Dr. Newport
   

[Adaptation of The Sinatra Solution to treat brain glucose hypometabolism]

Heart Health Center
http://www.drsinatra.com/MainSite/HealthCenter.aspx?Healthcenter=JRCA_HC Heart Health

http://www.drsinatra.com/sinatra-health-center-heart-health-dr-sinatras-healthy-heart-program

Memory Health Center
http://www.drsinatra.com/MainSite/HealthCenter.aspx?Healthcenter=JRCA_HC Memory

[EDIT NOTE:  Get the list of the four recommended supplements (carnitine, D-ribose, magnesium, CoQ10) from this site, and add to Nutritional Alternatives page]

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D-Ribose

D-Ribosylated Tau forms globular aggregates with high cytotoxicity.
Chen L, Wei Y, Wang X, He R.
State Key Laboratory of Brain and Cognitive Sciences, Institute of Biophysics, Chinese Academy of Sciences, 15 Datun Road, Chaoyang District, 100101 Beijing, China.
Cell Mol Life Sci. 2009 Aug;66(15):2559-71. Epub 2009 Jun 11.

Although the glycation of Tau that is involved in paired helical filament formation in Alzheimer's disease has been widely studied, little attention has been paid to the role of D-ribose in the glycation of Tau. Here, we show that Tau is rapidly glycated in the presence of D-ribose, resulting in oligomerization and polymerization. Glycated derivatives appeared after 24 h incubation. Western blotting indicated the formation of advanced glycation end-products (AGEs) during initial stages of glycation. Thioflavin T-positive (ThT-positive) aggregations that appeared from day 4 indicated the globular-like features. Atomic force microscopy revealed that the surface morphology of ribosylated Tau40 was globular-like. Kinetic studies suggested that D-ribosylated Tau is slowly oligomerized and rapidly polymerized with ThT-positive features. Moreover, D-ribosylated Tau aggregates were highly toxic to SHSY5Y cells and resulted in both apoptosis and necrosis. This work has demonstrated that D-ribose reacted with Tau protein rapidly, producing ThT-positive aggregations which had high cytotoxicity.
PMID: 19517062
http://www.ncbi.nlm.nih.gov/pubmed/19517062?ordinalpos=1&itool=PPMCLayout.PPMCAppController.PPMCArticlePage.PPMCPubmedRA&linkpos=1

I was able to get the full text of the article from my school's library (it helps that the university has a medical school). No, I don't understand most of it. But I keep trying to educate myself on the terms I don't understand. Wikipedia is a great help. Even if it sometimes has errors, it provides a good starting point.

An important term in this discussion is "glycation": "(sometimes called non-enzymatic glycosylation) is the result of a sugar molecule, such as fructose or glucose, bonding to a protein or lipid molecule without the controlling action of an enzyme. All blood sugars are reducing molecules. Glycation may occur either inside the body (endogenous glycation) or outside the body (exogenous glycation). Enzyme-controlled addition of sugars to protein or lipid molecules is termed glycosylation; glycation is a haphazard process that impairs the functioning of biomolecules, whereas glycosylation occurs at defined sites on the target molecule and is required in order for the molecule to function. Much of the early laboratory research work on fructose glycations used inaccurate assay techniques that led to drastic underestimation of the importance of fructose in glycation."

The paper says that D-ribose is produced both internal to cells and externally, so cells are continuously exposed to this simple sugar. It may be that while D-ribose is an important chemical in intracellular processes, dietary D-ribose may have no effect since apparently the body produces the stuff anyway.

The type of tau protein corruption described in the paper caused by "ribosylation" is "clumping". In AD, tau aggregations are always described as twisted helical pairs, not clumps. However, other neurodegenerative diseases such as the FTD corticobasal degeneration (CBD) DO have this characteristic. What I still want to find out is, are the clumped tau proteins of CBD the same as those described in the D-ribose paper? If so, perhaps the problem is that D-ribose *is* being produced, but not used. It just hangs around. Eventually, it runs into a tau protein, binds with it in some random fashion, and clumps form.

Some confusing thoughts and questions come to mind. I'm just thinking in writing here...

Say for this case there are mitochondria in a neuron that are still functioning and converting glucose to D-ribose, which if I understand the process correctly, is used to create ATP (adenosine triphosphate). I understand that ATP is used and recycled over and over again as the currency of energy for cellular processes, but does it need to be replaced every so often? Do ketones allow malfunctioning cells to use the D-ribose instead of letting it just float around until it causes mischief? But then, if you can live on medium chain triglycerides as a back-up energy source, and D-ribose is needed to create ATP, do cells eventually need glucose to replace lost ATP?

For the case of CBD (corticobasal degeneration) or PSP (progressive supranuclear palsy), perhaps D-ribose is not a good thing to add to the diet, or at best it has no effect; whereas for congestive heart failure it is. For CBD and PSP, there may be an excess of D-ribose. But maybe the other supplements mentioned in the "Sinatra solution" of magnesium, L-carnitine (acetyl-L carnitine for the brain?), and CoQ10, along with MCTs, would help use up the excess D-ribose before it caused problems.

Some other aticles:

1. Chen L, Wei Y, Wang X, He R. D-Ribosylated Tau forms globular aggregates with high cytotoxicity Cell Mol Life Sci. 2009, 66(15), 2559-2571.

2. Lan Chen, Yan Wei, Xueqing Wang, Rongqiao He (2010) Ribosylation rapidly induces a-synuclein protein into advanced glycation end products in molten globules with high cytotoxicity. PLoS ONE 5(2): e9052.

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Magnesium

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Acetyl-L Carnitine

Dr. Stephen Sinatra - Statins, CoQ10, and Carnitine
Statins, CoQ10, and Carnitine - What Doctors Don't Tell Patients
...Carnitine's role is to exclusively ferry fatty acids to be oxidized to make ATP.  So the body needs a lot of it to be optimally energized.  A normal heart muscle derives 60-70 percent of its fuel from fat... Equally important, carnitine transports waste material out of the mitochondria, such as toxic metabolites that could otherwise disturb the burning of fats and cause disruption inside of cells...
http://www.spacedoc.net/stephen_sinatra_3

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Resveratrol

See also Metformin

Extending Life and Fighting Disease with Resveratrol
Life Extension magazine article(8pgs)
August 2009
by Julius Goepp, MD.

Scientists are dicovering significant additional benefits that resveratrol confers in fighting aging and degenerative disease.

While much of this research was initiated by a prolific group at Harvard University and in the biotech industry, scientists around the globe are now making unprecedented discoveries that define resveratrol's multiple preventive and therapeutic potentials.

Most exciting are findings showing how resveratrol may help protect against devastating age-related diseases including cancer, diabetes, atherosclerosis and Alzheimer's...."

...We've long known that resveratrol has potent antioxidant and anti-inflammatory effects, making it a key item in our armamentarium of supplements that can prevent age-associated chronic illnesses. The real news is that resveratrol continues to be linked to the life-extending effects of the powerful sirtuin molecules that control the fundamental processes associated with aging itself. By potently activating sirtuins, resveratrol stabilizes DNA to prevent cancerous changes, switches on antioxidant and anti-inflammatory defense mechanisms native to cells, and even instructs certain cells to commit organized suicide by apoptosis. The end result is an almost incredible array of health benefits, from reduction in cardiovascular risk factors to protection against neurodegenerative disease to cancer prevention. Indeed, resveratrol is being actively explored now by big pharmaceutical companies eager to cash in on its potency by creating new drugs derived from the natural molecule....
[NEED LINK!]


Compound Found in Red Wine Neutralizes Toxicity of Proteins Related to Alzheimer's
ScienceDaily (June 22, 2010)
... research led by Rensselaer Professor Peter M. Tessier. The findings, published in the May 28 edition of the Journal of Biological Chemistry... "We've shown how resveratrol has very interesting selectivity to target and neutralize a select set of toxic peptide isoforms. Because resveratrol picks out the clumps of peptides that are bad and leaves alone the ones that are benign, it helps us to think about the structural differences between the peptide isoforms." Isoforms are different packing arrangements of a particular peptide. Deformations of a particular peptide -- the Aβ1-42 peptide -- have been linked to Alzheimer's disease. Improperly folded peptides have been shown to collect in accumulations called "plaques" within the brain. Those plaques are often found near areas of cell death in diseased brains...
http://www.sciencedaily.com/releases/2010/06/100622112556.htm



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Statins

Perhaps physicians have been too enthusiastic about the use of statins, prescribed them too often, instead of telling people, "exercise more, lose weight and change what you eat."

Statins Show Dramatic Drug And Cell Dependent Effects In The Brain
ScienceDaily (Oct. 28, 2009) — Besides their tremendous value in treating high cholesterol and lowering the risk of heart disease, statins have also been reported to potentially lower the risks of other diseases, such as dementia. However, a study in the October Journal of Lipid Research finds that similar statin drugs can have profoundly different effects on brain cells -both beneficial and detrimental. These findings reinforce the idea that great care should be taken when deciding on the dosage and type of statin given to individuals, particularly the elderly...
http://www.sciencedaily.com/releases/2009/10/091028114017.htmPerhaps different statin drugs have different effects.

I found this article recently on ScienceDaily.com. It is about the effects of Simvastatin (Zocor?) on Parkinson's disease in a "mouse model". I did a quick search on Google for the protein mentioned in the article, "p21Ras". It seems that it is involved with several diseases.

Widely Used Cholesterol-lowering Drug May Prevent Progression Of Parkinson's Disease
ScienceDaily (Nov. 9, 2009)
Simvastatin, a commonly used, cholesterol-lowering drug, may prevent Parkinson's disease from progressing further. Neurological researchers at Rush University Medical Center conducted a study examining the use of the FDA-approved medication in mice with Parkinson's disease and found that the drug successfully reverses the biochemical, cellular and anatomical changes caused by the disease. Pahan and colleagues from Rush, along with researchers at the University of Nebraska Medical Center in Omaha published these findings in the October 28 issue of the Journal of Neurosciences. The authors have shown that the activity of one protein called p21Ras is increased very early in the midbrain of mice with Parkinson's pathology. Simvastatin enters into the brain and blocks the activity of the p21Ras protein and other associated toxic molecules, and goes on to protect the neurons, normalize neurotransmitter levels, and improves the motor functions in the mice with Parkinson's...
http://www.sciencedaily.com/releases/2009/10/091029211647.htm
Here's a link to another article about the same paper which was published in the Oct. 28 issue of the Journal of Neuroscience:
http://www.medpagetoday.com/Neurology/ParkinsonsDisease/16754?userid=116512&impressionId=1257229214086&utm_source=mSpoke&utm_medium=email&utm_campaign=DailyHeadlines&utm_content=Group1

A supplement called "Red Yeast Rice" (RYR) is said to have the same effects as statin drugs.  Here is a good case where just because something is "natural" doesn't mean it is without deleterious effects.

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Coenzyme Q10 (CoQ10)

Note:  CoQ10 may be useful in combating the negative effects of certain statin drugs.

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Fish Oil (EPA/DHA, docosahexaenoic acid)

DHA,Part of the Gerbil Food Cocktail for memory enhancement.

Liver Defect Likely Cause of DHA Deficiency in Alzheimer's Patients, UCI Study Finds
ScienceDaily (Sep. 9, 2010
UC Irvine researchers have discovered that markedly depleted amounts of an omega-3 fatty acid in brain tissue samples from Alzheimer's patients may be due to the liver's inability to produce the complex fat, also contained in fish-oil supplements. In postmortem liver tissue from Alzheimer's patients, the UCI team found a defect in the organ's ability to make DHA from shorter molecules present in leafy plants and other foods. Previous studies have shown that most brain DHA is manufactured in the liver. Non-Alzheimer's livers did not have this defect...
http://www.sciencedaily.com/releases/2010/09/100908171122.htm


DHA 'Fish Oil' Supplements Do Not Seem to Slow Cognitive, Functional Decline in Alzheimer's Disease
ScienceDaily (Nov. 3, 2010)

Patients with mild to moderate Alzheimer's disease (AD) who received supplementation with the omega-3 fatty acid docosahexaenoic acid (DHA), believed to possibly reduce the risk of AD, did not experience a reduction in the rate of cognitive and functional decline, compared to patients who received placebo, according to a study in the November 3 issue of JAMA, a theme issue on aging...
http://www.sciencedaily.com/releases/2010/11/101102101623.htm


DHA Improves Memory and Cognitive Function in Older Adults, Study Suggests
ScienceDaily (Nov. 9, 2010)

A study published in the November edition of Alzheimer's & Dementia: The Journal of the Alzheimer's Association suggests that taking docosahexaenoic acid (DHA) may improve memory and learning in older adults with mild cognitive impairments. This is promising news for many aging Americans who are searching for options to maintain memory and support overall cognitive health...
http://www.sciencedaily.com/releases/2010/11/101108151346.htm


Cognitive findings of an exploratory trial of docosahexaenoic acid and lutein supplementation in older women.
Nutr Neurosci. 2008 Apr;11(2):75-83.
Johnson EJ, McDonald K, Caldarella SM, Chung HY, Troen AM, Snodderly DM.

Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts 02111, USA. elizabeth.johnson@tufts.edu
Abstract

INTRODUCTION: Low dietary intake of docosahexaenoic acid (DHA) and/or foods rich in lutein may be associated with increased risk of cognitive decline in the elderly.

SUBJECTS AND METHODS: The cognitive benefit of DHA and lutein in unimpaired elder women was explored in the context of a 4-month, double-blind, intervention trial of DHA and lutein supplementation for eye health. Forty-nine women (aged 60-80 years) were randomized to receive DHA (800 mg/day; n = 14), lutein (12 mg/day; n = 11), a combination of DHA and lutein (n = 14) or placebo (n = 10). Subjects underwent cognitive tests measuring verbal fluency, memory, processing speed and accuracy, and self-reports of mood at randomization and upon completion of the trial.

RESULTS: Following supplementation, verbal fluency scores improved significantly in the DHA, lutein, and combined treatment groups (P < 0.03). Memory scores and rate of learning improved significantly in the combined treatment group (P < 0.03), who also displayed a trend toward more efficient learning (P = 0.07). Measures of mental processing speed, accuracy and mood were not affected by supplementation.

CONCLUSIONS: These exploratory findings suggest that DHA and lutein supplementation may have cognitive benefit for older adults.

PMID: 18510807 [PubMed]
http://www.ncbi.nlm.nih.gov/pubmed/18510807


Algal DHA Omega-3 Improved Memory and Learning in Healthy Adults 55 and Older

"... MIDAS found that healthy people with memory complaints who took 900 mg algal DHA capsules for six months had almost double the reduction in errors on a test that measures learning and memory performance versus those who took a placebo, a benefit roughly equivalent to having the learning and memory skills of someone three years younger. The DHA was well-tolerated and subjects taking the DHA also experienced a lower heart rate, providing a significant cardiovascular benefit...
http://www.alzheimersreadingroom.com/2010/05/algal-dha-omega-3-improved-memory-and.html


Algal DHA improves memory function in healthy aging adults
http://www.news-medical.net/news/20100504/Algal-DHA-improves-memory-function-in-healthy-aging-adults-MIDAS.aspx

Good Diets Fight Bad Alzheimer's Genes: Diets High in Fish Oil Have a Beneficial Effect in Patients at Risk, Researcher Says

ScienceDaily (Feb. 15, 2011)... In preliminary results, the researchers are exhilarated to find that a diet high in Omega 3 oils and low in cholesterol appears to significantly reduce the negative effects of the APOE4 gene in mouse models... "The main take-away message here is that good diets can alleviate the effects of bad genes..."
http://www.sciencedaily.com/releases/2011/02/110215102848.htm

Supplementing with DHA (fish oil) increases BDNF?  If you find a good source for uridine (UMP), please let me know!

Chronic Administration of DHA and UMP Improves the Impaired Memory of Environmentally Impoverished Rats
Sarah Holguin, Yi Huang, Jenny Liu, and Richard Wurtman
UMP and DHA may protect the brains of IC reared animals by restoring neuronal function to levels normally observed in brains of control or EC rats. Rats exposed to IC conditions [43] or made DHA-deficient [44] have decreased brain weight and size, while DHA administration increases brain weight and size [44]. Brains of IC reared rats also exhibit decreased neurogenesis [45] and synaptogenesis [46], DHA has been shown to promote neurite outgrowth in hippocampal neurons [47] and uridine promotes neurite outgrowth from PC12 cells [24]. DHA supplementation increased brain-derived neurotrophic factor (BDNF) levels in rats [48] while consuming a diet deficient in DHA decreased these levels [49]; BDNF induces neurogenesis in the hippocampal dentate gyrus [50]..
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2478743/?tool=pubmed


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Lecithin (choline)

Part of the Gerbil Food Cocktail for memory enhancement.

From the Now Foods website:

Lecithin: A Forgotten Giant?

"Lecithin is composed of a group of phosphorus containing fats or phospholipids the most important being phosphatidylcholine, phosphatidylinositol, and phosphatidylethanolamine. Lecithin can be found in a variety of foods including egg yolks, milk, meats, fish, and legumes... Commercially lecithin is derived from soybeans."
http://www.nowfoods.com/HealthLibrary/HealthArticles/HealthNotes/M013934.htm

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Uridine

Part of the Gerbil Food Cocktail for memory enhancement.

Wikipedia entries:

    Uridine:

Uridine is a molecule (known as a nucleoside) that is formed when uracil is attached to a ribose ring (also known as a ribofuranose) via a β-N1-glycosidic bond.

If uracil is attached to a deoxyribose ring, it is known as a deoxyuridine.
[edit] Dietary sources of uridine

Uridine is one of the four basic components of ribonucleic acid (RNA); the other three are adenosine, guanosine, and cytidine. Upon digestion of foods containing RNA, uridine is released from RNA and is absorbed intact in the gut. Some common food sources of uridine are:

    * Sugarcane extract
    * Tomatoes (0.5 to 1.0 g uridine per kilogram dry weight)
    * Brewer’s yeast (3% uridine by dry weight)
    * Beer
    * Broccoli
    * Organ meats (liver, pancreas, etc.)

Consumption of RNA-rich foods may lead to high levels of purines (adenosine and guanosine) in blood. High levels of purines are known to increase uric acid production and may aggravate or lead to conditions such as gout. Moderate consumption of yeast, about 5 grams per day, should provide adequate uridine for improved health with minimal side effects.[citation needed]

Note: It has been suggested that the RNA content of yeast products should be chemically reduced if these products are to be consumed in high amounts (50 grams or more per day) as a source of protein. However, such processing is expensive and, as of 2008, commonly available brewer's yeast products were not RNA-reduced.[citation needed]

Harvard researchers report that supplementation in rats with a combination of uridine and EPA/DHA omega-3 fatty acids has antidepressant activity equivalent to that of commonly prescribed antidepressant medications, such as Prozac and other SSRIs.[5]
http://en.wikipedia.org/wiki/Uridine

    Uridine monophosphate:

Uridine monophosphate, also known as 5'-uridylic acid and abbreviated UMP, is a nucleotide that is found in RNA. It is an ester of phosphoric acid with the nucleoside uridine. UMP consists of the phosphate group, the pentose sugar ribose, and the nucleobase uracil; hence, it is a ribonucleoside monophosphate. Another common shorthand for the molecule is uridylate - the deprotonated form of the molecule, which is predominant in aqueous solution. As a substituent it takes the form of the prefix uridylyl-...

Uridine Monophosphate in Foods

In brain research studies such as those mentioned in this article, uridine monophosphate is used as a convenient delivery compound for uridine. Uridine is the active ingredient of the compound. A common misconception is that uridine and its compounds are not available in significant quantities from foods and must be obtained from expensive supplements or prescription drugs. This is not so. Uridine monophosphate is a major component of RNA. Any food rich in RNA, such as Brewer's yeast or some organ meats, will provide significant quantities of it. For more information, consult the article on uridine.

http://en.wikipedia.org/wiki/Uridine_monophosphate

Another name for orotic acid is uracil-6-carboxylic acid. Uracil is one ribose sugar away from uridine.

Found in breast milk.  Metabolized from orotates. I'm not sure it can be obtained in the diet.  The articles I've read about the Gerbil Food Cocktail say that it is synthesized by the liver and kidneys.

Brewer's yeast is a good source of uridine (from the RNA).  Many brewer's yeasts are byproducts of brewing beer, and are therefore quite bitter and beer-like.  You can find brewer's yeast that is grown on sugar beets or molasses, and has a much better taste.

I found this interesting statement in a post to a message board.  I don't know the source.

Citicoline, a dietary supplement ingredient, is a precursor of phosphatidylcholine, a type of phospholipid that is a component of cell membranes. When the body absorbs Citicoline, it is broken down into uridine and choline...
http://www.dr-bob.org/babble/alter/20050414/msgs/493638.html


Effect of oral CDP-choline on plasma choline and uridine levels in humans.
Wurtman RJ, Regan M, Ulus I, Yu L.
Department of Brain & Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Biochem Pharmacol. 2000 Oct 1;60(7):989-92.
Twelve mildly hypertensive but otherwise normal fasting subjects received each of four treatments in random order: CDP-choline (citicoline; 500, 2000, and 4000 mg) or a placebo orally at 8:00 a.m. on four different treatment days. Eleven plasma samples from each subject, obtained just prior to treatment (8:00 a.m.) and 1-12 hr thereafter, were assayed for choline, cytidine, and uridine. Fasting terminated at noon with consumption of a light lunch that contained about 100 mg choline. Plasma choline exhibited dose-related increases in peak values and areas under the curves (AUCs), remaining significantly elevated, after each of the three doses, for 5, 8, and 10 hr, respectively. Plasma uridine was elevated significantly for 5-6 hr after all three doses, increasing by as much as 70-90% after the 500 mg dose, and by 100-120% after the 2000 mg dose. No further increase was noted when the dose was raised from 2000 to 4000 mg. Plasma cytidine was not reliably detectable, since it was less than twice blank, or less than 100 nM, at all of the doses. Uridine is known to enter the brain and to be converted to UTP; moreover, we found that uridine was converted directly to CTP in neuron-derived PC-12 cells. Hence, it seems likely that the circulating substrates through which oral citicoline increases membrane phosphatide synthesis in the brains of humans involve uridine and choline, and not cytidine and choline as in rats.
PMID: 10974208 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/10974208

So, it sounds like 500 mg to 1000 mg citicholine taking along with fish oil might be worth a shot at duplicating those test results??

Dietary uridine-5'-monophosphate supplementation increases potassium-evoked dopamine release and promotes neurite outgrowth in aged rats.
Wang L, Pooler AM, Albrecht MA, Wurtman RJ.
Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA 02142, USA.
J Mol Neurosci. 2005;27(1):137-45.

Abstract

Membrane phospholipids like phosphatidylcholine (PC) are required for cellular growth and repair, and specifically for synaptic function. PC synthesis is controlled by cellular levels of its precursor, cytidine-5'-diphosphate choline (CDP-choline), which is produced from cytidine triphosphate (CTP) and phosphocholine. In rat PC12 cells exogenous uridine was shown to elevate intracellular CDP-choline levels, by promoting the synthesis of uridine triphosphate (UTP), which was partly converted to CTP. In such cells uridine also enhanced the neurite outgrowth produced by nerve growth factor (NGF). The present study assessed the effect of dietary supplementation with uridine-5'-monophosphate disodium (UMP-2Na+, an additive in infant milk formulas) on striatal dopamine (DA) release in aged rats. Male Fischer 344 rats consumed either a control diet or one fortified with 2.5% UMP for 6 wk, ad libitum. In vivo microdialysis was then used to measure spontaneous and potassium (K+)-evoked DA release in the right striatum. Potassium (K+)-evoked DA release was significantly greater among UMP-treated rats, i.e., 341+/-21% of basal levels vs. 283+/-9% of basal levels in control rats (p<0.05); basal DA release was unchanged. In general, each animal's K+-evoked DA release correlated with its striatal DA content, measured postmortem. The levels of neurofilament-70 and neurofilament-M proteins, biomarkers of neurite outgrowth, increased to 182+/-25% (p<0.05) and 221+/-34% (p<0.01) of control values, respectively, with UMP consumption. Hence, UMP treatment not only enhances membrane phosphatide production but also can modulate two membrane-dependent processes, neurotransmitter release and neurite outgrowth, in vivo.
PMID: 16055952 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/16055952

The opinion that uridine can not be obtained from the diet seems to have come from an interview by
Anne Trafton of the MIT News Office for an April 27, 2006 article about Richard Wurtman's research, which was published in the November issue of Brain Research.  A similar statement was in a November 26, 2007 article.

MIT research offers new hope for Alzheimer's patients
Anne Trafton, News Office
April 27, 2006

Choline can be found in meats, nuts and eggs, and omega-3 fatty acids are found in a variety of sources, including fish, eggs, flaxseed and meat from grass-fed animals. Uridine, which is found in RNA and produced by the liver and kidney, is not obtained from the diet. However, uridine is found in human breast milk, which is a good indication that supplementary uridine is safe for humans to consume, Wurtman said.
http://web.mit.edu/newsoffice/2006/alzheimers.html

'Cocktail' of compounds improves brain function in rodents
Treatment undergoing a clinical study in Alzheimer's patients
Anne Trafton, News Office
November 26, 2007
...Omega-3 fatty acids are not produced in the body but are found in a variety of sources, including fish, eggs, flaxseed and meat from grass-fed animals. Choline can be synthesized in the body and obtained through the diet; it is found in meats, nuts and eggs. Uridine cannot be obtained from food sources, but is a component of human breast milk and can be produced in the body.
http://web.mit.edu/newsoffice/2007/alzheimers-1126.html

This may be the paper mentioned in Trafton's 2006 article:

Oral uridine-5'-monophosphate (UMP) increases brain CDP-choline levels in gerbils.

Cansev M, Watkins CJ, van der Beek EM, Wurtman RJ.
Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, E25-604, MIT, Cambridge, MA 02139, USA.
Brain Res. 2005 Oct 5;1058(1-2):101-8. Epub 2005 Aug 29.

Abstract

We examined the biochemical pathways whereby oral uridine-5'-monophosphate (UMP) increases membrane phosphatide synthesis in brains of gerbils. We previously showed that supplementing PC12 cells with uridine caused concentration-related increases in CDP-choline levels, and that this effect was mediated by elevations in intracellular uridine triphosphate (UTP) and cytidine triphosphate (CTP). In the present study, adult gerbils received UMP (1 mmol/kg), a constituent of human breast milk and infant formulas, by gavage, and plasma samples and brains were collected for assay between 5 min and 8 h thereafter. Thirty minutes after gavage, plasma uridine levels were increased from 6.6 +/- 0.58 to 32.7 +/- 1.85 microM (P < 0.001), and brain uridine from 22.6 +/- 2.9 to 89.1 +/- 8.82 pmol/mg tissue (P < 0.001). UMP also significantly increased plasma and brain cytidine levels; however, both basally and following UMP, these levels were much lower than those of uridine. Brain UTP, CTP, and CDP-choline were all elevated 15 min after UMP (from 254 +/- 31.9 to 417 +/- 50.2, [P < 0.05]; 56.8 +/- 1.8 to 71.7 +/- 1.8, [P < 0.001]; and 11.3 +/- 0.5 to 16.4 +/- 1, [P < 0.001] pmol/mg tissue, respectively), returning to basal levels after 20 and 30 min. The smallest UMP dose that significantly increased brain CDP-choline was 0.05 mmol/kg. These results show that oral UMP, a uridine source, enhances the synthesis of CDP-choline, the immediate precursor of PC, in gerbil brain.

PMID: 16126180 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/16126180

The following research was done on rats.  I have not found similar research on humans.  Please send me a note if you find some.

The effect of RNA supplementation of rat diets on the composition of body fluids.
Heaf DJ, Davies JI.
Br J Nutr. 1976 Nov;36(3):381-402.

Abstract

1. In a number of separate experiments, yeast RNA, mixtures of its constituent nucleosides, its constituent bases and ribose were administered orally to rats. In each instance, the resultant changes in the composition of body fluids were monitored using sensitive methods. 2. Ingestion of RNA (100 g/kg diet) caused detectable increases in intestinal ribose, inorganic phosphate, uridine, pseudouridine, uracil, inosine, uric acid and probably other purine bases. Their accumulation did not detectably affect the rate of passage of food along the digestive tract, even though some nucleosides are known to affect gut motility. 3. Although plasma levels of uric acid and uridine were higher when RNA was administered in the diet, these changes were very slight compared with those in plasma uracil, which in some experiments were increased more than 20-fold compared with control levels (300 mumol/l). Analysis of erythrocytes indicated that the internal environment of at least some cells of the body are similarly altered. 4. Analyses indicated that all dietary RNA-phosphate passed into the urine from the gut but most of the RNA-ribose was probably metabolized. Uracil and uric acid levels in the urine reflected plasma composition. 5. The effect of orally administered mixed nucleosides on blood and urine composition was similar to that of RNA, but the response to an equivalent mixture of free bases differed in several respects; cytosine, adenine and hypoxanthine appeared in urine only under these circumstances.

PMID: 795459 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/795459

This is perhaps the most useful article.  Beer consumption raised blood plasma uridine levels by a factor of 1.8 (180%) compared to overnight fasting levels.

Effect of beer on the plasma concentrations of uridine and purine bases.
Yamamoto T, Moriwaki Y, Takahashi S, Tsutsumi Z, Ka T, Fukuchi M, Hada T.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Metabolism. 2002 Oct;51(10):1317-23.

Abstract

We conducted the present study to determine whether beer, both with and without ethanol content, increases the plasma concentration and urinary excretion of purine bases and uridine. Because 10 mL of regular beer (with ethanol) was found to contain 0.34 g of freeze-dried beer (without ethanol) and 0.5 mg of uridine, 5 healthy males were given regular beer (10 mL/kg of body weight) and freeze-dried beer (0.34 g/kg of body weight) or uridine (0.5 mg/kg of body weight). The plasma concentrations of hypoxanthine, xanthine, and uridine increased by 3.5-fold (P <.05), 4.7-fold (P <.05), and 1.8-fold (P <.05), respectively, 30 minutes after regular beer ingestion, and the urinary excretion of hypoxanthine, xanthine, and uridine increased by 4.0-fold (P <.05), 4.5-fold (P <.01), and 1.7-fold (P <.05), respectively, when measured 1 hour after ingestion. The plasma concentrations of uric acid and total purine bases increased by 6.5% (P <.05) and 7.6% (P <.05), respectively, 30 minutes after regular beer ingestion, whereas the urinary excretion of uric acid did not increase, while that of total purine bases increased by 1.3-fold (P <.05) when measured 1 hour after ingestion. As for freeze-dried beer, the plasma concentrations of uric acid total purine bases increased by 4.4% (P <.05) and 4.6% (P <.05), respectively, and that of uridine by 1.5-fold (P <.01) 30 minutes after ingestion, while the urinary excretion of uridine increased by 1.4-fold (P <.01) 1 hour after ingestion. However, the plasma concentrations and urinary excretion of hypoxanthine and xanthine and the urinary excretion of uric acid and total purine bases did not change significantly. As for uridine ingestion, the plasma concentration of uridine increased by 1.37-fold (P <.01) 30 minutes after ingestion, and the urinary excretion of uridine increased by 1.3-fold (P <.01) 1 hour after ingestion. However, the plasma concentrations and urinary excretion of hypoxanthine, xanthine, uric acid, and total purine bases did not change significantly. These results suggest that the purines in beer played a major role in the increase in the plasma concentration of uric acid, while both uridine and ethanol in beer had a significant effect on the increase in plasma concentration of uridine.

PMID: 12370853 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/12370853

This article is only useful in that it provides the amount of RNA in baking yeast, which is the same species as brewer's yeast. 66.2g of RNA per kg of dry yeast.  Table 1 on p. 239

Safety considerations of DNA in food.
Jonas DA, Elmadfa I, Engel KH, Heller KJ, Kozianowski G, König A, Müller D, Narbonne JF, Wackernagel W, Kleiner J.
Institute of Nutritional Sciences, University of Vienna, Vienna, Austria.
Ann Nutr Metab. 2001;45(6):235-54.

PMID: 11786646 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/11786646



Effect of oral CDP-choline on plasma choline and uridine levels in humans.
Wurtman RJ, Regan M, Ulus I, Yu L.
Department of Brain & Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Biochem Pharmacol. 2000 Oct 1;60(7):989-92.

Abstract

Twelve mildly hypertensive but otherwise normal fasting subjects received each of four treatments in random order: CDP-choline (citicoline; 500, 2000, and 4000 mg) or a placebo orally at 8:00 a.m. on four different treatment days. Eleven plasma samples from each subject, obtained just prior to treatment (8:00 a.m.) and 1-12 hr thereafter, were assayed for choline, cytidine, and uridine. Fasting terminated at noon with consumption of a light lunch that contained about 100 mg choline. Plasma choline exhibited dose-related increases in peak values and areas under the curves (AUCs), remaining significantly elevated, after each of the three doses, for 5, 8, and 10 hr, respectively. Plasma uridine was elevated significantly for 5-6 hr after all three doses, increasing by as much as 70-90% after the 500 mg dose, and by 100-120% after the 2000 mg dose. No further increase was noted when the dose was raised from 2000 to 4000 mg. Plasma cytidine was not reliably detectable, since it was less than twice blank, or less than 100 nM, at all of the doses. Uridine is known to enter the brain and to be converted to UTP; moreover, we found that uridine was converted directly to CTP in neuron-derived PC-12 cells. Hence, it seems likely that the circulating substrates through which oral citicoline increases membrane phosphatide synthesis in the brains of humans involve uridine and choline, and not cytidine and choline as in rats.

PMID: 10974208 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/10974208


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B-complex Vitamins

See also B6
         B9
         B12
         Niacinamide

Recommended dosages gleaned from the articles cited below:

B-Vitamin Trio:
vitamin B6
(pyridoxine HCl)       - 20mg
vitamin B9 (folate or folic acid) - 0.8mg (= 800 mcg.)
vitamin B12
(cyanocobalamin)      - 0.5mg (= 500 mcg.)

Here in the U.S., I found "Tri-B" from Carlson.  It has 25mg B-6, 800mcg B9, 400mcg B-12.  Close enough for me!

B vitamins found to halve brain shrinkage in old
Wed Sep 8, 2010 5:01pm EDT

LONDON (Reuters) - Daily tablets of large doses of B vitamins can halve the rate of brain shrinkage in elderly people with memory problems and may slow their progression toward dementia... The pills, called "TrioBe Plus" contained around 300 times the recommended daily intake of B12, four times daily advised folate levels and 15 times the recommended amount of B6...
http://www.reuters.com/article/idUSTRE6875CL20100908


B-Complex Vitamins May Help Slow Progression of Dementia
ScienceDaily (Oct. 27, 2010)
Large doses of B-complex vitamins could reduce the rate of brain shrinkage by half in elderly people with memory problems and slow the progression of dementia.

http://www.sciencedaily.com/releases/2010/10/101027155126.htm


Vitamin B treatment could delay onset of Alzheimer's - study
Published Date: 08 September 2010
The research, published in the online journal Public Library of Science ONE, is controversial because it defies current scientific dogma about the way to tackle Alzheimer's...
http://www.yorkshireeveningpost.co.uk/news/Vitamin-B-treatment-could-delay.6520596.jp


10p pill to beat Alzheimer's disease: Vitamin B halts memory loss in breakthrough British trial
By Fiona Macrae
Last updated at 12:12 PM on 9th September 2010


The breakthrough centres on a compound called homocysteine which is naturally made in the body and, at high levels, has been linked to memory loss and Alzheimer's... Vitamin B is known to break down homocysteine, so the researchers decided to look at whether giving patients the vitamin would be good for memory... High dose vitamins may trigger cancer and are known to fuel existing cancers. They may also react with medicines including arthritis and psoriasis drugs. Despite this, Professor Smith says he ‘would not hesitate’ to take the cocktail of 20mg of vitamin B6, 0.8mg of vitamin B9, or folate, and 0.5mg of vitamin B12, himself, if he were diagnosed with MCI.
http://www.dailymail.co.uk/health/article-1310330/Vitamin-B-halts-memory-loss-10p-pill-beat-Alzheimers-disease.html

Read more: http://www.dailymail.co.uk/health/article-1310330/Vitamin-B-halts-memory-loss-10p-pill-beat-Alzheimers-disease.html#ixzz0zOqfSHaZ

Homocysteine-Lowering by B Vitamins Slows the Rate of Accelerated Brain Atrophy in Mild Cognitive Impairment: A Randomized Controlled Trial
A. David Smith1, Stephen M. Smith, Celeste A. de Jager, Philippa Whitbread, Carole Johnston, Grzegorz Agacinski, Abderrahim Oulhaj, Kevin M. Bradley, Robin Jacoby, Helga Refsum

Results

A total of 168 participants (85 in active treatment group; 83 receiving placebo) completed the MRI section of the trial. The mean rate of brain atrophy per year was 0.76% [95% CI, 0.63–0.90] in the active treatment group and 1.08% [0.94–1.22] in the placebo group (P = 0.001). The treatment response was related to baseline homocysteine levels: the rate of atrophy in participants with homocysteine >13 µmol/L was 53% lower in the active treatment group (P = 0.001). A greater rate of atrophy was associated with a lower final cognitive test scores. There was no difference in serious adverse events according to treatment category...

The treatment group received oral TrioBe Plus® (Meda AB/Recip AB, Box 906, Pipers väg 2A, SE-170 09 Solna, Sweden) containing 0.8 mg folic acid, 0.5 mg cyanocobalamin and 20 mg pyridoxine HCl, or a placebo.

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0012244


B Vitamins Slow Brain Atrophy in People With Memory Problems

ScienceDaily (Sep. 12, 2010) — Daily tablets of certain B vitamins can halve the rate of brain shrinkage in elderly people who suffer from mild memory problems, an Oxford University study has shown... The team found that on average the brains of those taking the folic acid, vitamin B6 and B12 treatment shrank at a rate of 0.76% a year, while those in the placebo group had a mean brain shrinkage rate of 1.08%. People with the highest levels of homocysteine benefited most, showing atrophy rates on treatment that were half of those on placebo...
http://www.sciencedaily.com/releases/2010/09/100912213050.htm

According to the Wikipedia entry for B12, cyanocobalamin is converted to methylcobalamin.


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Vitamin B6 (Pyridoxine)

Seven forms of this vitamin are known:

    * Pyridoxine (PN), the form that is given as vitamin B6 supplement
    * Pyridoxine 5'-phosphate (PNP)
    * Pyridoxal (PL)
    * Pyridoxal 5'-phosphate (PLP), the metabolically active form
    * Pyridoxamine (PM)
    * Pyridoxamine 5'-phosphate (PMP)
    * 4-Pyridoxic acid (PA), the catabolite which is excreted in the urine

All forms except PA can be interconverted.

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Vitamin B9 (folate, folic acid)


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Vitamin B12 (cobalamin, cyanocobalamin, methylcobalamin)

Wikipedia entry:

Vitamin B12, vitamin B12 or vitamin B-12, also called cobalamin, is a water soluble vitamin with a key role in the normal functioning of the brain and nervous system, and for the formation of blood. It is one of the eight B vitamins. It is normally involved in the metabolism of every cell of the human body, especially affecting DNA synthesis and regulation, but also fatty acid synthesis and energy production. As the largest and most structurally complicated vitamin, it can be produced industrially only through bacterial fermentation-synthesis.

Vitamin B12 consists of a class of chemically-related compounds (vitamers), all of which have vitamin activity. It contains the biochemically rare element cobalt. Biosynthesis of the basic structure of the vitamin in nature is only accomplished by simple organisms such as some bacteria and algae, but conversion between different forms of the vitamin can be accomplished in the human body. A common synthetic form of the vitamin, cyanocobalamin, does not occur in nature, but is used in many pharmaceuticals and supplements, and as a food additive, because of its stability and lower cost. In the body it is converted to the physiological forms, methylcobalamin and adenosylcobalamin, leaving behind the cyanide, albeit in minimal concentration. More recently, hydroxocobalamin (a form produced by bacteria), methylcobalamin, and adenosylcobalamin can also be found in more expensive pharmacological products and food supplements. The utility of these is presently debated...
http://en.wikipedia.org/wiki/Vitamin_b12


Vitamin B12 May Reduce Risk of Alzheimer's Disease

ScienceDaily (Oct. 18, 2010) — A new study shows that vitamin B12 may protect against Alzheimer's disease, adding more evidence to the scientific debate about whether the vitamin is effective in reducing the risk of memory loss... The study found that for each micromolar increase in the concentration of homocysteine, the risk of Alzheimer's disease increased by 16 percent, whereas each picomolar increase in concentration of the active form of vitamin B12 reduced risk by two percent. The results stayed the same after taking into account other factors, such as age, gender, education, smoking status, blood pressure and body mass index. The addition of folate did not appear to raise or lower the risk of Alzheimer's disease...
http://www.sciencedaily.com/releases/2010/10/101018162922.htm


Another resource is the book
"Could It Be B12?: An Epidemic of Misdiagnoses"
by Sally M. Pacholok RN and Jeffrey J. Stuart DO

Here is one reader review from Amazon.com:

I am an MD, a nutritional physician, and a psychiatrist (Canadian-board-certified) who has been studying vitamin B12 extensively since 1976, and applying that knowledge in my private nutritional, metabolic and psychiatric practice in Tucson AZ since 1994 (and Portsmouth VA before that).

This book is an outstanding compilation of anecdotes, references and experiences on the "underground devastator" of our society. The reason why this is not common knowledge in the medical profession in the US is because the laboratory "normal range" is way too low. In Japan the range is 2.5 times higher at its low end - and Japan has very little "Alzheimer's Dementia", and less depression and bipolar disorders, than we do in the US.

In the 26 years that I have been investigating B12, memory disorders and depressive/ bipolar illnesses, NO patient who came to me with a memory problem (early Alzheimer's) has gone on to Alzheimer's dementia, and I have a near-perfect track record in helping people overcome depression and bipolar disorders. These outcomes are largely due to my permanent optimization of every patient's serum B12 level.

Congratulations to Ms Sally Pacholok RN on an outstanding recording of most of the important facts and treatments for this serious condition. I believe it to be the best book out there for a combination of both medical and lay readers on this condition.

[To anyone reading this review: Please do not simply go and buy B12 tablets or lozenges and start taking them, before getting an accurate serum level measured.]

John V Dommisse MD, MBChB, FRCP(C)
Tucson, AZ, USA


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Protective effects of a vitamin B12 analogue, methylcobalamin, against glutamate cytotoxicity in cultured cortical neurons
Akaike A Tamura Y Sato Y Yokota T,
Eur J Pharmacol (1993 Sep 7) 241(1):1-6

The effects of methylcobalamin, a vitamin B12 analogue, on glutamate-induced neurotoxicity were examined using cultured rat cortical neurons. Cell viability was markedly reduced by a brief exposure to glutamate followed by incubation with glutamate-free medium for 1 h. Glutamate cytotoxicity was prevented when the cultures were maintained in methylcobalamin-containing medium. Glutamate cytotoxicity was also prevented by chronic exposure to S-adenosylmethionine, which is formed in the metabolic pathway of methylcobalamin. Chronic exposure to methylcobalamin and S- adenosylmethionine also inhibited the cytotoxicity induced by methyl-D-aspartate or sodium nitroprusside that releases nitric oxide. In cultures maintained in a standard medium, glutamate cytotoxicity was not affected by adding methylcobalamin to the glutamate-containing medium. In contrast, acute exposure to MK-801, a NMDA receptor antagonist, prevented glutamate cytotoxicity. These results indicate that chronic exposure to methylcobalamin protects cortical neurons against NMDA receptor-mediated glutamate cytotoxicity.


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Methylcobalamin and Diabetic Neuropathy

Clinical usefulness of intrathecal injection of methylcobalamin in patients with diabetic neuropathy
Ide H Fujiya S Asanuma Y Tsuji M Sakai H Agishi Y, Clin Ther (1987) 9(2):183-92

Seven men and four women with symptomatic diabetic neuropathy were treated with methylcobalamin (2,500 micrograms in 10 ml of saline) injected intrathecally. Treatment was begun when patients had good metabolic control, as determined by measurements of plasma glucose and hemoglobin, and was repeated several times with a one-month interval between injections. Three patients were re-treated one year after the last intrathecal injection. Symptoms in the legs, such as paresthesia, burning pains, and heaviness, dramatically improved. The effect appeared within a few hours to one week and lasted from several months to four years. The mean peroneal motor-nerve conduction velocity did not change significantly. The mean (+/- SD) concentration of methylcobalamin in spinal fluid was 114 +/- 32 pg/ml before intrathecal injection (n = 5) and 4,752 +/- 2,504 pg/ml one month after intrathecal methylcobalamin treatment (n = 11). Methylcobalamin caused no side effects with respect to subjective symptoms or characteristics of spinal fluid. These findings suggest that a high concentration of methylcobalamin in spinal fluid is highly effective and safe for treating the symptoms of diabetic neuropathy.


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Nerve Regeneration with Methylcobalamin

Ultra-high dose methylcobalamin promotes nerve regeneration in experimental acrylamide neuropathy.
Watanabe T Kaji R Oka N Bara W Kimura J, J Neurol Sci (1994 Apr) 122(2):140-3

Despite intensive searches for therapeutic agents, few substances have been convincingly shown to enhance nerve regeneration in patients with peripheral neuropathies. Recent biochemical evidence suggests that an ultra-high dose of methylcobalamin (methyl-B12) may up-regulate gene transcription and thereby protein synthesis. We examined the effects of ultra-high dose of methyl-B12 on the rate of nerve regeneration in rats with acrylamide neuropathy, using the amplitudes of compound muscle action potentials (CMAPs) after tibial nerve stimulation as an index of the number of regenerating motor fibers. After intoxication with acrylamide, all the rats showed equally decreased CMAP amplitudes. The animals were then divided into 3 groups; rats treated with ultra-high (500 micrograms/kg body weight, intraperitoneally) and low (50 micrograms/kg) doses of methyl- B12, and saline-treated control rats. Those treated with ultra-high dose showed significantly faster CMAP recovery than saline-treated control rats, whereas the low-dose group showed no difference from the control. Morphometric analysis revealed a similar difference in fiber density between these groups. Ultra-high doses of methyl-B12 may be of clinical use for patients with peripheral neuropathies.


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Methylcobalamin, Bell's Palsy

Methylcobalamin treatment of Bell's Palsy
Jalaludin MA, Methods Find Exp Clin Pharmacol (1995 Oct) 17(8):539-44

Bell's palsy patients were assigned into three treatment groups: steroid (group 1), methylcobalamin (group 2) and methylcobalamin + steroid (group 3). Comparison between the three groups was based on the number of days needed to attain full recovery, facial nerve scores, and improvement of concomitant symptoms. The time required for complete recovery of facial nerve function was significantly shorter in the methylcobalamin and methylcobalamin plus steroid groups than in the steroid group. The facial nerve score after 1-3 weeks of treatment was significantly more severe (p < 0.001) in the steroid group compared to the methylcobalamin and methylcobalamin plus steroid groups. The improvement of concomitant symptoms was better in the methylcobalamin treated groups than the group treated with steroid alone.


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Nerve Terminal Regeneration

Methylcobalamin (methyl-B12) promotes regeneration of motor nerve terminals degenerating in anterior gracile muscle of gracile axonal dystrophy (GAD) mutant mouse.
Yamazaki K Oda K Endo C Kikuchi T Wakabayashi T, Neurosci Lett (1994 Mar 28) 170(1):195-7

We examined the effects of methylcobalamin (methyl-B12, mecobalamin) on degeneration of motor nerve terminals in the anterior gracile muscle of gracile axonal dystrophy (GAD) mutant mice. GAD mice received orally methyl-B12 (1 mg/kg body wt/day) from the 40th day after birth for 25 days. In the distal endplate zone of the muscle, although most terminals were degenerated in both the untreated and methyl-B12-treated GAD mice, sprouts were more frequently observed in the latter. In the proximal endplate zone, where few degenerated terminals were seen in both groups of the mice, the perimeter of the terminals was increased and the area of the terminals was decreased significantly in the methyl-B12-treated GAD mice. These findings indicate that methyl-B12 promotes regeneration of degenerating nerve terminals in GAD mice.


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Fighting Neurotoxicity

Protective effects of methylcobalamin, a vitamin B12 analogue, against glutamate-induced neurotoxicity in retinal cell culture.
Kikuchi M Kashii S Honda Y Tamura Y Kaneda K Akaike, Invest Ophthalmol Vis
Sci (1997 Apr) 38(5):848-54

Purpose: To examine the effects of methylcobalamin on glutamate- induced neurotoxicity in the cultured retinal neurons. Methods: Primary cultures obtained from the fetal rat retina (gestation days 16 to 19) were used for the experiment. The neurotoxicity was assessed quantitatively using the trypan blue exclusion method. Results: Glutamate neurotoxicity was prevented by chronic exposure to methylcobalamin and S-adenosylmethionine (SAMe), which is formed in the metabolic pathway of methylcobalamin. Chronic exposure to methylcobalamin and SAMe also inhibited the neurotoxicity induced by sodium nitroprusside that release nitric oxide. By contrast, acute exposure to methylcobalamin did not protect retinal neurons against glutamate neurotoxicity. Conclusions: Chronic administration of methylcobalamin protects cultured retinal neurons against N-methyl-D- aspartate-receptor-mediated glutamate neurotoxicity, probably by altering the membrane properties through SAMe-mediated methylation.


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Methyl Donor Effects

Effect of cobalamin derivatives on in vitro enzymatic DNA methylation: methylcobalamin can act as a methyl donor.
Leszkowicz A Keith G Dirheimer G, Biochemistry (1991 Aug 13) 30(32):8045-51

Methylcytosine synthesis in DNA involves the transfer of methyl groups from S-adenosylmethionine to the 5'-position of cytosine through the action of DNA (cytosine-5)-methyltransferase. The rate of this reaction has been found to be enhanced by cobalt ions. We therefore analyzed the influence of vitamin B12 and related compounds containing cobalt on DNA methylation. Vitamin B12, methylcobalamin, and coenzyme B12 (methylcobalamin) were found to enhance significantly the de novo DNA methylation in the presence of S-adenosylmethionine for concentrations up to 1 microM, but at higher concentrations these compounds were found to inhibit DNA methylation. Methylcobalamin behaves as a competitive inhibitor of the enzymatic methylation reaction (Ki = 15 microM), the Km for S-adenosylmethionine being 8 microM. In addition, the use of radioactive methylcobalamin shows that it can be used as a methyl donor in the de novo and maintenance DNA methylation reactions. Thus, two DNA methylation pathways could exist: one involving methylation from S-adenosylmethionine and a second one involving methylation from methylcobalamin.

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Niacinamide / nicotinamide

See also Tau Busters
         B-complex Vitamins

Wikipedia entry:
Nicotinamide, also known as niacinamide and nicotinic acid amide, is the amide of nicotinic acid (vitamin B3 / niacin). Nicotinamide is a water-soluble vitamin and is part of the vitamin B group. Nicotinic acid, also known as niacin, is converted to nicotinamide in vivo, and, though the two are identical in their vitamin functions, nicotinamide does not have the same pharmacologic and toxic effects of niacin, which occur incidental to niacin's conversion. Thus nicotinamide does not reduce cholesterol or cause flushing,[1] although nicotinamide may be toxic to the liver at doses exceeding 3 g/day for adults. In cells, niacin is incorporated into nicotinamide adenine dinucleotide (NAD) and nicotinamide adenine dinucleotide phosphate (NADP), although the pathways for nicotinamide and nicotinic acid are very similar. NAD+ and NADP+ are coenzymes in a wide variety of enzymatic oxidation-reduction reactions...
http://en.wikipedia.org/wiki/Niacinamide

Here is a
thread about niacinamide on the Alz.org forum. It is from early November of 2008:
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/3931050033

Apparently, nicotinamide combats the tau protein problem common to so many of these neurodegenerative diseases. Also known as "niacinamide", it appears to be readily available from health food stores. The dosing given to the mice was 200 mg/kg/day in their drinking water. I don't know if this number is for the mass of the water, or the body weight of the mice. "The mice received the equivalence of about 2 g of nicotinamide for humans." Several supplement suppliers make 500mg capsules or tablets. This would mean one would have to take 4 of these per day. Not so bad.

Here are the article cited in the thread:

First, a Google search:
http://news.google.com/news?hl=en&tab=in&ned=us&q=vitamin+b3&btnG=Search+News

Vitamin Holds Promise for Alzheimer's Disease
Treatment cured memory problems in mice, researchers found
U.S. News and World Report
Posted November 5, 2008
http://health.usnews.com/articles/health/healthday/2008/11/05/vitamin-holds-promise-for-alzheimers-disease.html


The abstract for the niacinamide study:

Nicotinamide Restores Cognition in Alzheimer's Disease Transgenic Mice via a Mechanism Involving Sirtuin Inhibition and Selective Reduction of Thr231-Phosphotau

Kim N. Green,1 Joan S. Steffan,2 Hilda Martinez-Coria,1 Xuemin Sun,3 Steven S. Schreiber,3,5 Leslie Michels Thompson,1,2,4 and Frank M.
LaFerla1

Departments of 1Neurobiology and Behavior, 2Psychiatry and Human Behavior, 3Neurology, 4Biological Chemistry, and 5Anatomy and Neurobiology, University of California, Irvine, Irvine, California 92697-4545

"Memory loss is the signature feature of Alzheimer's disease, and therapies that prevent or delay its onset are urgently needed. Effective preventive strategies likely offer the greatest and most widespread benefits. Histone deacetylase (HDAC) inhibitors increase histone acetylation and enhance memory and synaptic plasticity. We evaluated the efficacy of nicotinamide, a competitive inhibitor of the sirtuins or class III NAD+-dependent HDACs in 3xTg-AD mice, and found that it restored cognitive deficits associated with pathology. Nicotinamide selectively reduces a specific phospho-species of tau (Thr231) that is associated with microtubule depolymerization, in a manner similar to inhibition of SirT1. Nicotinamide also dramatically increased acetylated {alpha}-tubulin, a primary substrate of SirT2, and MAP2c, both of which are linked to increased microtubule stability. Reduced phosphoThr231-tau was related to a reduction of monoubiquitin-conjugated tau, suggesting that this posttranslationally modified form of tau may be rapidly degraded. Overexpression of a Thr231-phospho-mimic tau in vitro increased clearance and decreased accumulation of tau compared with wild-type tau. These preclinical findings suggest that oral nicotinamide may represent a safe treatment for AD and other tauopathies, and that phosphorylation of tau at Thr231 may regulate tau stability.
http://www.jneurosci.org/cgi/content/abstract/28/45/11500

Nicotinamide Restores Cognition in Alzheimer's Disease Reduces Alzheimer's tau lesions and memory loss in mice
By Will Block Life Enhancement

"At the end of the trial, the AD mice performed as well in memory testing as healthy mice, a remarkable result strongly suggesting that nicotinamide had protected their brains from memory loss, and restored memory that would have been lost. “Cognitively, they were cured,” first author of the study, Dr. Kim Green said. “They performed as if they’d never developed the disease.”3 “The vitamin completely prevented cognitive decline associated with the disease, bringing them back to the level they’d be at if they didn’t have the pathology,” said Dr. Green. “It actually improved behavior in non-demented animals too.”4 Meaning that healthy mice fed nicotinamide outperformed mice on a normal diet. “This suggests that not only is it good for Alzheimer’s disease, but if normal people take it, some aspects of their memory might improve,” said Dr. Frank LaFerla, the lead author of the study..."

"Nicotinamide is a water soluble member of the B vitamin group. Also known as niacinamide, nicotinamide is the amide of nicotinic acid (vitamin B3), also known as niacin. In vivo, niacin is converted to nicotinamide and although the two are identical in their vitamin functions, nicotinamide does not have the same pharmacologic effects of niacin, which may affect the liver negatively in some individuals. Unlike niacin, nicotinamide does not reduce cholesterol or cause flushing. In cells, niacin forms the coenzymes nicotinamide adenine dinucleotide (NAD) and nicotinamide adenine dinucleotide phosphate (NADP). Although the pathways for nicotinamide and nicotinic acid are very similar. NAD+ and NADP+ are coenzymes in a wide variety of enzymatic oxidation-reduction reactions..."

"In their search for just what was going on, nicotinamide did not affect levels of the protein beta amyloid, which clumps in the brain to form plaques, the second type of Alzheimer’s lesion. Given this lack of effect on beta amyloid levels, the researchers figured the compound must be improving cognition through some other mechanism. Upon analyzing protein extracts from whole brain samples of treated and control AD mice, they found a 20 percent reduction in levels of tau in the nicotinamide-treated animals. They saw no differences at several tau sites typically phosphorylated in AD mice at the end of eight months, but a whopping 60 percent reduction in Thr231-phospho-tau—a particular species of tau that has been reported to interfere with microtubule polymerization and is a commonly used biomarker for AD—in the nicotinamide group compared with vehicle. “It’s incredibly dramatic,” Green told the Alzheimer’s Research Forum. “This thing [a biomarker for AD] is just wiped from the brain very specifically...”5

References

   1. Wang SS. When Alzheimer’s hits at 40. New York Times, Nov. 14, 2008.
   2. Green KN, Steffan JS, Martinez-Coria H, Sun X, Schreiber SS, Thompson LM,LaFerla FM. Nicotinamide restores cognition in Alzheimer’s disease transgenic mice via a mechanism involving sirtuin inhibition and selective reduction of Thr231-phosphotau. J Neurosci 2008 Nov 5;28(45):11500-10.
   3. Dotinga R. Vitamin holds promise for Alzheimer’s disease. Healthday Nov. 5, 2008.
   4. Sample I. Vitamin pill that may slow Alzheimer’s goes on trial. The Guardian, Nov. 05 2008.
   5. Anon. Alzheimer’s Research Forum. Nov. 8, 2008.
http://www.life-enhancement.com/article_template.asp?ID=2049

Understanding neurofibrillary tangles (image)
http://www.life-enhancement.com/images/LEM0901tangles_large.jpg

Vitamin B3 Reduces Alzheimer's Symptoms, Lesions: Clinical Trial On Nicotinamide Effect In Alzheimer's Patients

ScienceDaily (Nov. 5, 2008) — An over-the-counter vitamin in high doses prevented memory loss in mice with Alzheimer's disease, and UC Irvine scientists now are conducting a clinical trial to determine its effect in humans. Nicotinamide, a form of vitamin B3, lowered levels of a protein called phosphorylated tau that leads to the development of tangles, one of two brain lesions associated with Alzheimer's disease. The vitamin also strengthened scaffolding along which information travels in brain cells, helping to keep neurons alive and further preventing symptoms in mice genetically wired to develop Alzheimer's. "Nicotinamide has a very robust effect on neurons," said Kim Green, UCI scientist and lead author of the study. "Nicotinamide prevents loss of cognition in mice with Alzheimer's disease, and the beauty of it is we already are moving forward with a clinical trial."...
http://www.sciencedaily.com/releases/2008/11/081104180926.htm

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Apple Juice

Apple Juice Can Delay Onset Of Alzheimer's Disease, Study Suggests
ScienceDaily (Jan. 24, 2009)
"In the most recent study Shea and his team demonstrated that mice receiving the human equivalent of 2 glasses of apple juice per day for 1 month produced less of a small protein fragment, called "beta-amyloid" that is responsible for forming the "senile plaques" that are commonly found in brains of individuals suffering from Alzheimer's disease..."
http://www.sciencedaily.com/releases/2009/01/090122100826.htm


Dietary supplementation with apple juice decreases endogenous amyloid-beta levels in murine brain.
Amy Chan and Thomas B. Shea.
Journal of Alzheimer's Disease, 16:1 (January 2009)
http://www.ncbi.nlm.nih.gov/pubmed/19158432

Apple juice may also increased the amount of acetylcholine:

An Apple a Day for AD? Antioxidants in Apples May Help Memory and Fight Alzheimer's Disease
By Jennifer Warner
WebMD Health News
Aug. 4, 2006 -- "An apple (or two) a day may help keep Alzheimer's away -- and fight the effects of aging on the brain. A new study shows drinking apple juice may improve memory by preventing the decline of an essential neurotransmitter known as acetylcholine..."
http://www.webmd.com/alzheimers/news/20060804/alzheimers-apple

WARNING: Juices can interact with prescription meds either negating or enhancing their effect. So, you have to do your homework. For example, if you take the beta blocker atenenol, you shouldn't take it with orange juice. The OJ will will block the drug's effect.

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Tau Busters

See also Cinnamon
         Methylene Blue
         Niacinamide
         Grape seed extract
         Davunitide
         Nypta
         Valproic Acid
         Tau
         Metformin
         Epothilone D

Discovery Of Molecular Cause Of Alzheimer's Disease Could Bring Early Diagnosis, Treatment Closer
25 May 2009

... The crucial protein, called a tau protein, is a normal part of the brain and central nervous system. But in Alzheimer's patients, tau proteins go out of control and form tangles that, along with senile plaques, are the primary cause of the degenerative disease.

Several years ago, it was discovered that tau proteins in normal brains contain only three to four attached phosphates, while abnormal tau in Alzheimer's patients have anywhere from 21 to 25 additional phosphates...
http://www.medicalnewstoday.com/articles/151234.php

There are several substances we have heard about since late 2007 that might be tau busters
:

1. Cinnamon proanthocyanidins
2. methylene blue (Rember)
3. niacinamide (nicotinamide)
4. grape seed extract
5.
davunetide
6. Nypta

7. Valproic acid (VPA, Depakote)
8. Metformin
9.
Epothilone D

The wording describing the action of the first six of these is almost identical: "capable of inhibiting tau peptide aggregations, as well as dissociating preformed tau peptide aggregates".

GSK-3 inhibitor drugs lithium and "NP-12" (Noscira, Spain), may also prevent tau protein corruption.  Lithium has side effects that make it difficult to use.  Clinical trials of NP-12 are ongoing (as of 3/6/2010).  In the clinical trials, the drug is referred to as "
NP031112"  NP-12 is the commonly used name for NP031112. The drug is also known as Nypta®. The active ingredient is 4-benzyl-2-naphtalen-1-yl-1,2,4-thiadiazolidine-3,5-dione.


Phenothiazine-mediated rescue of cognition in tau transgenic mice requires neuroprotection and reduced soluble tau burden

It has traditionally been thought that the pathological accumulation of tau in Alzheimer's disease and other tauopathies facilitates neurodegeneration, which in turn leads to cognitive impairment. However, recent evidence suggests that tau tangles are not the entity responsible for memory loss, rather it is an intermediate tau species that disrupts neuronal function.


Thus, efforts to discover therapeutics for tauopathies emphasize soluble tau reductions as well as neuroprotection.

Results: Here, we found that neuroprotection alone caused by methylene blue (MB), the parent compound of the anti-tau phenothiaziazine drug, RemberTM, was insufficient to rescue cognition in a mouse model of the human tauopathy, progressive supranuclear palsy (PSP) and fronto-temporal dementia with parkinsonism linked to chromosome 17 (FTDP17): Only when levels of soluble tau protein were concomitantly reduced by a very high concentration of MB, was cognitive improvement observed. Thus, neurodegeneration can be decoupled from tau accumulation, but phenotypic improvement is only possible when soluble tau levels are also reduced.

Conclusions: Neuroprotection alone is not sufficient to rescue tau-induced memory loss in a transgenic mouse model.

Development of neuroprotective agents is an area of intense investigation in the tauopathy drug discovery field. This may ultimately be an unsuccessful approach if soluble toxic tau intermediates are not also reduced.

Thus, MB and related compounds, despite their pleiotropic nature, may be the proverbial "magic bullet"because they not only are neuroprotective, but are also able to facilitate soluble tau clearance. Moreover, this shows that neuroprotection is possible without reducing tau levels.

This indicates that there is a definitive molecular link between tau and cell death cascades that can be disrupted.

Author: John O'LearyQingyou LiPaul MarinecLaura BlairErin CongdonAmelia JohnsonUmesh JinwalJohn KorenJeffrey JonesClara KraftMelinda PetersJose AbisambraKaren DuffEdwin WeeberJason GestwickiChad Dickey
Credits/Source: Molecular Neurodegeneration 2010
http://7thspace.com/headlines/362179/phenothiazine_mediated_rescue_of_cognition_in_tau_transgenic_mice_requires_neuroprotection_and_reduced_soluble_tau_burden_.html

PMID: 21040568 [PubMed - in process]PMCID: PMC2989315
http://www.ncbi.nlm.nih.gov/pubmed/21040568

Full text of the article:
Molecular Neurodegeneration 2010, 5:45doi:10.1186/1750-1326-5-45
http://www.molecularneurodegeneration.com/content/5/1/45

Pub Med Central:  PMCID: PMC2989315
Mol Neurodegener. 2010; 5: 45.
Published online 2010 November 1. doi: 10.1186/1750-1326-5-45.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989315/?tool=pubmed

On page 11 of the article, it says "A treatment of 650mg/day in a 70kg (154lb) human equates to 9.3mg/kg/day." So, 650mg spread through the day. However, on Page 2 it says that FDA guidelines are 10mg/kg (of body mass) for a mouse is equivalent to ~1mg/kg for a human. This seems to be a contradiction. I'm not sure where they got that 650mg number from. In the article it mentions that they were using 5 times the recommended dose. I don't know where they got the "recommended dose" from. It might be that they are using this 10:1 mouse to man ratio. It probably should have been 65mg/day dose for a 70kg human is about 1mg/kg. Then multiply by 10. The equivalent for a mouse would be about 10mg/day for a mouse. But a short cut to get that number would be to multiply the human dose by 10 and then divide by the weight of 70kg. If this is so, 65mg isn't so bad. If I remember correctly, the clinical trials of Rember (a variation on the methylene blue theme) used something like 60mg 3 times per day. There is a post about it on the group's Yahoo web site about 2 years ago.


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Grape Seed Extract

See also Tau Busters

A message was posted on the Yahoo "PSPinformatin" discussion group in late June of 2009:

--- In pspinformation@yahoogroups.com, Connie Arizzo <conniearz@...> wrote:
>
> Aletta, My nephew, a research doctor attended a seminar about psp. He had heard of the disease, but took more interest in it when my husband was diagnosed with it. He said that grape seed extract given to mice and rats in the laboratory reversed the symtoms in psp. It did not cure it, but the lab animals were able to function again with less help. However, the extract has not been tested in humans. He suggested to me that my husband take six pills a day, 2 each morning, noon and night. He said the pills would not hurt him as they are just grape seed extract, and it would take months to see a difference, if any. Since we are both home bound I put him on the extract so now, its a wait and see situation. The extract can be purchased at Sam's club, costco, bj's etc. very cheaply. Time will tell.
http://health.groups.yahoo.com/group/pspinformation/message/10381

I did a quick search with Google. This is all I came up with, but I probably
missed something:

Grape Seed Polyphenolic Extract as a Potential Novel Therapeutic Agent in Tauopathies
Journal Journal of Alzheimer's Disease
Publisher IOS Press
ISSN 1387-2877 (Print) 1875-8908 (Online)
Issue Volume 16, Number 2 / 2009
Pages 433-439

Abstract: "Abnormal misfoldings of the microtubule-associated protein tau, leading to the aggregation of tau into paired helical filaments that are ultimately deposited as neurofibrillary tangles, is a key neuropathologic feature of a number of neurodegenerative disorders collectively referred to as tauopathies. We recently observed that a particular grape seed polyphenolic extract (GSPE), namely, Meganatural-Az® may attenuate the generation and stability of misfolded proteins. We hypothesized that Meganatural-Az® GSPE might also attenuate tau protein misfolding that leads to the generation of tau filamentary aggregates that are critical for the initiation and progression of neurodegeneration and/or cognitive dysfunctions in tauopathies. In this study, we used in vitro aggregations of synthetic Ac-^{306}VQIVYK^{311} tau peptide as a model system to explore whether Meganatural-Az® GSPE might modulate aggregations of tau protein. We demonstrate that this GSPE is capable of inhibiting tau peptide aggregations, as well as dissociating preformed tau peptide aggregates. Results from this study suggest that this GSPE might provide beneficial disease-modifying bioactivities in tau-associated neurodegenerative disorders by modulating tau-mediated neuropathologic mechanisms. Our observation, in conjunction with the emonstrated bioavailability, as well as safety and tolerability, of this GSPE, supports the development of Meganatural-Az® GSPE for the prevention and/or treatment of tau-associated
neurodegenerative disorders."
http://iospress.metapress.com/content/fq65p9545646548m/

Some more on grape seed extract....

Development of a grape seed polyphenolic extract with anti-oligomeric activity as a novel treatment in progressive supranuclear palsy and other tauopathies.
J Neurochem. 2010 Jun 20. [Epub ahead of print]
Pasinetti GM, Ksiezak-Reding H, Santa-Maria I, Wang J, Ho L.

Center of Excellence for Novel Approaches to Neurodiagnostics and Neurotherapeutics, Brain Institute, Center of Excellence for Research in Complementary and Alternative Medicine in Alzheimer's Disease, Department of Neurology, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, Box 1137, New York, NY 10029, USA.
Abstract

A diverse group of neurodegenerative diseases - including progressive supranuclear palsy (PSP), corticobasal degeneration (CBD) and Alzheimer's disease (AD) among others, collectively referred to as tauopathies - are characterized by progressive, age-dependent intracellular formations of misfolded protein aggregates that play key roles in the initiation and progression of neuropathogenesis. Recent studies from our laboratory reveal that grape seed-derived polyphenolic extracts (GSPE) potently prevent tau fibrillization into neurotoxic aggregates and therapeutically promote the dissociation of preformed tau aggregates (Ho et al., 2009). Based on our extensive bioavailability, bioactivity and functional pre-clinical studies, combined with the safety of GSPE in laboratory animals and in humans, we initiated a series of studies exploring the role of GSPE (Meganatural-Az((R)) GSPE) as a potential novel botanical drug for the treatment of certain forms of tauopathies including PSP, a neurodegenerative disorder involving the accumulation and deposition of misfolded tau proteins in the brain characterized, in part, by abnormal intracellular tau inclusions in specific anatomical areas involving astrocytes, oligodendrocytes and neurons (Takahashi et al., 2002). In this mini-review article, we discuss the biochemical characterization of GSPE in our laboratory and its potential preventative and therapeutic role in model systems of abnormal tau processing pertinent to PSP and related tauopathies.

PMID: 20569300 [PubMed]
http://www.ncbi.nlm.nih.gov/pubmed/20569300


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Davunetide

See also Tau Busters

A message was posted on another message board I frequent about a drug called davunetide. It is a press release from a company called Allon Therapeutics Inc. about another potential tau-buster drug they call "davunetide intranasal" (AL-108). They are conducting a clinical trial for a tauopathy FTD called PSP (progressive supranuclear palsy).
http://allontherapeutics.com/ir_news_25Jun_2009.html

If the reason that Rember appeared to be effective was because of its effect on the Helicobacter pylori (and the resulting reduction in TNF), not on its ability to "prevent tau aggregation and disaggregate aggregations already formed", then I expect the results of the AL-108 clinical trial will be disappointing.

However, if it does pan out, then this will support the rationale for attacking the tau problem.

So, now we have 5 potential tau-busters: cinnamon proanthocyanidins, methylene blue, niacinamide, grape seed extract, and davunetide. Anyone who holds the opinion that davunetide has the potential to be effective because of its effect on the tau protein problem of tauopathies should also be encouraged to know that the other potential tau-busters are MUCH easier to obtain than davunetide.


Pilot Clinical Trial Meets Primary Endpoint With Allon's Davunetide
Medical News Today
Article Date: 11 Oct 2010 - 3:00 PDT

Allon Therapeutics Inc. (TSX: NPC) announced that a pilot clinical trial successfully met its primary endpoint of safety and tolerability, with the Company's lead neuroprotective drug candidate davunetide, in patients with progressive supranuclear palsy (PSP) and other types of frontotemporal dementia (FTD) like corticobasal syndrome, and progressive non-fluent aphasia. FTD is a group of rapidly progressive and fatal degenerative brain diseases, often misdiagnosed as Parkinson's or Alzheimer's disease... Allon's laboratory and animal studies have shown that davunetide improves cognition in a number of disease models through a mechanism believed to involve effects on microtubules, structures in the brain critical to communication between cells...
http://www.medicalnewstoday.com/articles/204182.php



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Valproic Acid (
Depakote)

See also Tau Busters

Valproic acid (VPA) is a chemical compound that has found clinical use as an anticonvulsant and mood-stabilizing drug, primarily in the treatment of epilepsy, bipolar disorder, and less commonly major depression. It is also used to treat migraine headaches and schizophrenia. It is marketed under the brand names Depakote, Depakote ER, Depakene, Depacon, Depakine, Stavzor.

Related drugs include the sodium salts sodium valproate, used as an anticonvulsant, and a combined formulation, valproate semisodium, used as a mood stabilizer and additionally in the U.S. also as an anticonvulsant.

VPA is a histone deacetylase inhibitor and is under investigation for treatment of HIV and various cancers...
http://en.wikipedia.org/wiki/Valproic_acid

Phase II trial: Active (NCT00385710 on clinicaltrials.gov)

"Progressive Supranuclear Palsy (PSP) is a relentlessly progressive neurodegenerative disorder, clinically characterized by parkinsonism with prominent axial involvement and postural instability, bulbar symptoms, supranuclear ophthalmoplegia, and executive dysfunction. Abnormal neuronal and glial tau aggregations affecting the basal ganglia and selective brainstem structures result in dysfunction of the five frontosubcortical circuits and brainstem functions. There is no effective treatment for PSP. One of the key feature in the aggregation of tau is its phosphorylation by kinases such as glycogen synthase kinase 3b (GSK3b). Recent reports have shown that valproic acid was able to inhibit the activity of GSK3b and could exert a neuroprotective effect through this inhibition. The investigators thus decided to conduct this controlled study to assess the putative neuroprotective effects in patients with PSP."

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Nypta

See also Tau Busters, Inflammation,

GSK-3 inhibitor drugs lithium and "NP-12" (Noscira, Spain), may also prevent tau protein corruption.  Lithium has side effects that make it difficult to use.  Clinical trials of NP-12 are ongoing (as of 3/6/2010).  In the clinical trials, the drug is referred to as "
NP031112"  NP-12 is the commonly used name for NP031112. The drug is also known as Nypta®. The active ingredient is 4-benzyl-2-naphtalen-1-yl-1,2,4-thiadiazolidine-3,5-dione.

More about Nypta:

From the PSP Association (Europe):  http://www.pspeur.org/news_and_events/detail.html?id=245

From ClinicalTrials.gov "Safety, Tolerability, and Efficacy of Two Different Oral Doses of NP031112 Versus Placebo in the Treatment of Patients With Mild-to-Moderate Progressive Supranuclear Palsy (Tauros)" http://www.clinicaltrial.gov/ct2/show/NCT01049399


NP031112, a thiadiazolidinone compound, prevents inflammation and neurodegeneration under excitotoxic conditions: potential therapeutic role in brain disorders.

Luna-Medina R, Cortes-Canteli M, Sanchez-Galiano S, Morales-Garcia JA, Martinez A, Santos A, Perez-Castillo A.

Instituto de Investigaciones Biomédicas, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, 28029 Madrid, Spain.
Abstract

Inflammation and neurodegeneration coexist in many acute damage and chronic CNS disorders (e.g., stroke, Alzheimer's disease, Parkinson's disease). A well characterized animal model of brain damage involves administration of kainic acid, which causes limbic seizure activity and subsequent neuronal death, especially in the CA1 and CA3 pyramidal cells and interneurons in the hilus of the hippocampus. Our previous work demonstrated a potent anti-inflammatory and neuroprotective effect of two thiadiazolidinones compounds, NP00111 (2,4-dibenzyl-[1,2,4]thiadiazolidine-3,5-dione) and NP01138 (2-ethyl-4-phenyl-[1,2,4]thiadiazolidine-3,5-dione), in primary cultures of cortical neurons, astrocytes, and microglia. Here, we show that injection of NP031112, a more potent thiadiazolidinone derivative, into the rat hippocampus dramatically reduces kainic acid-induced inflammation, as measured by edema formation using T2-weighted magnetic resonance imaging and glial activation and has a neuroprotective effect in the damaged areas of the hippocampus. Last, NP031112-induced neuroprotection, both in vitro and in vivo, was substantially attenuated by cotreatment with GW9662 (2-chloro-5-nitrobenzanilide), a known antagonist of the nuclear receptor peroxisome proliferator-activated receptor gamma, suggesting that the effects of NP031112 can be mediated through activation of this receptor. As such, these findings identify NP031112 as a potential therapeutic agent for the treatment of neurodegenerative disorders.
J Neurosci. 2007 May 23;27(21):5766-76.
PMID: 17522320 [PubMed]
http://www.ncbi.nlm.nih.gov/pubmed/17522320
Free article:  Journal of Neuroscience http://www.jneurosci.org/cgi/content/full/27/21/5766


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Anti-oxidant trio therapy

See also Alpha lipoic acid (ALA)
         Alpha tocopherol (vitamin E)
         N-acetylcysteine (NAC)

Single drug to arrest Alzheimer's
Arnab Ganguly, Times of India, Feb 5, 2009, 01.08am IST

A team of researchers at SSKM Hospital's bio-chemistry department is working on a medicine that will be, at one and the same time, a preventive cure for Alzheimer's and age-related diseases.

The medicine will be derived from three known anti-oxidants alpha lipoic acid, alpha tocopherol and n-acetylcysteine which are used for treating chronic obstructive pulmonary diseases, diabetes and a number of other diseases...
http://timesofindia.indiatimes.com/city/kolkata-/Single-drug-to-arrest-Alzheimers-age-woes/articleshow/4078149.cms

http://findarticles.com/p/articles/mi_8012/is_20090205/ai_n39536073/?tag=content;col1

Unfortunately, at this time (April 29, 2101), I don't know how much of each supplement to use.  For the time being, I will use the manufacturer's recommended dosage found on the bottles.

This might be the paper referred to in the Times of India article cited in my earlier post:

Neurosci Lett. 2010 Oct 11;483(2):123-6. Epub 2010 Aug 5.
Sinha M, Saha A, Basu S, Pal K, Chakrabarti S.

Department of Biochemistry, Institute of Postgraduate Medical Education and Research (IPGMER), Kolkata, West Bengal, India.
Abstract

The study has shown that in aged (22-24 months) rat brains an elevation of homocysteine level (42%) and a decrease in dehydroepiandrosterone sulphate (DHEA-S) content (32%) occur compared to those in the brains of young rats (4-6 months). Such changes in the brain levels of homocysteine and DHEA-S in aged rats are prevented, when the diet daily of the rats is supplemented with a combination of antioxidants (N-acetyl cysteine 50 mg, alpha-lipoic acid 3 mg and alpha-tocopherol 1.5 mg - each per 100 g of body weight) starting from 18 months until these are sacrificed between 22 and 24 months. The brain content of reduced glutathione is also decreased in aged rats as compared to that in young ones and the phenomenon can again be prevented completely by the same regimen of antioxidant supplementation. The changes in the levels of homocysteine and DHEA-S in aged rat brain have been related to associated glutathione depletion and oxidative stress and the implications of the results highlighted in the pathogenesis of Alzheimer's disease.

PMID: 20691758 [PubMed - in process]
http://www.ncbi.nlm.nih.gov/pubmed/20691758

Let's see how these quantities would translate to a person weighing 100lbs.  There are 2.2lbs per kilogram (kg).  There are 1000g per kg.  For a 100lb woman, 45.5kg

N-acetyl cysteine (NAC)    50 mg/100g (of body weight) 500mg/kg        22727mg    23.0g (WOW!)    
alpha-lipoic acid (ALA)    3 mg/100g                    30mg/kg        1363mg      1.4g
alpha-tocopherol (Vit. E)  1.5 mg/100g                  15mg/kg        682mg       0.7g

Methinks something is rotten in the state of West Bengal.


[Does this target mitochondrial dysfunction?????]

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Alpha-lipoic Acid (ALA)

See also Anti-oxidant trio therapy

ALA is available only by prescription in Europe.  It is available over the counter in the U.S.

Alpha-lipoic acid as a new treatment option for Alzheimer's disease--a 48 months follow-up analysis.

Hager K, Kenklies M, McAfoose J, Engel J, Münch G.
Department of Medical Rehabilitation and Geriatrics, Henriettenstiftung, Hannover, Germany.
J Neural Transm Suppl. 2007;(72):189-93.

Oxidative stress and neuronal energy depletion are characteristic biochemical hallmarks of Alzheimer's disease (AD). It is therefore conceivable that pro-energetic and antioxidant drugs such as alpha-lipoic acid might delay the onset or slow down the progression of the disease. In a previous study, 600mg alpha-lipoic acid was given daily to nine patients with AD (receiving a standard treatment with choline-esterase inhibitors) in an open-label study over an observation period of 12 months. The treatment led to a stabilization of cognitive functions in the study group, demonstrated by constant scores in two neuropsychological tests (the mini mental state exam, MMSE and the Alzheimer's diseaseassessment score cognitive subscale, ADAScog). In this report, we have extended the analysis to 43 patients over an observation period of up to 48 months. In patients with mild dementia (ADAScog < 15), the disease progressed extremely slowly (ADAScog: +1.2 points/year, MMSE: -0.6 points/year), in patients with moderate dementia at approximately twice the rate. However, the progression appears dramatically lower than data reported for untreated patients or patients on choline-esterase inhibitors in the second year of long-term studies. Despite the fact that this study was not double-blinded, placebo-controlled and randomized, our data suggest that treatment with alpha-lipoic acid might be a successful 'neuroprotective' therapy option for AD. However, a state-of-the-art phase II trial is needed urgently.

PMID: 17982894 [PubMed - in process]

Laboratory studies have also indicated that lipoic acid reverses the age-associated decline in the proper functioning of mitochondria.
[From http://www.raysahelian.com/lipoic.html Need citation!  It could be in mprovement of insulin sensitivity in patients with type 2 diabetes mellitus after oral administration of alpha-lipoic acid.
Kamenova P. Hormones (Athens). 2006 Oct-Dec;5(4):251-8. Department of Diabetology, University Hospital of Endocrinology, Medical University, Sofia, Bulgaria. ]

From the Linus Pauling Institute at Oregon State University:

Supplements

...Since taking LA with a meal decreases its bioavailability, it is generally recommended that LA be taken on an empty stomach (one hour before or two hours after eating)...

Glucose Utilization

There is limited evidence that high doses of LA can improve glucose utilization in individuals with type 2 DM [diabetes mellitus]...

Cognitive Decline and Dementia


LA alone or in combination with other antioxidants or L-carnitine has been found to improve measures of memory in animal models of age-associated cognitive decline, including rats (62, 63), mice (64) and dogs (65). However, it is not clear whether oral LA supplementation can slow cognitive decline related to aging or other pathology in humans. An uncontrolled, open-label trial in 9 patients with Alzheimer’s disease and related dementias, who were also taking acetylcholinesterase inhibitors, reported that oral supplementation with 600 mg/day of racemic LA appeared to stabilize cognitive function over a one-year period (66). However, the significance of these findings is difficult to assess without a control group for comparison. A randomized controlled trial found that oral supplementation with 1200 mg/day of racemic LA for 10 weeks was of no benefit in treating HIV-associated cognitive impairment (67). Although studies in animals suggest that LA may be helpful in slowing age-related cognitive decline, randomized controlled trials are needed to determine whether LA supplementation is effective in preventing or slowing cognitive decline associated with age or neurodegenerative disease.
http://lpi.oregonstate.edu/infocenter/othernuts/la/

I think I also read somewhere that ALA is not a strong antioxidant, so it might be broken down disadvantageously if combined with other antioxidants.

Some message board threads about alpha lipoic acid:

Alpha-lipoic acid as a new treatment option for Alzheimer's disease
Alz.org message board Nov. 7, 2007
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/375102261/m/8591018062

Alpha Lipoic Acid
Alz.org message board March 26, 2010
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/903303553

Ray Sahelian:  http://www.raysahelian.com/lipoic.html

Dr. Sahelian recommends 10-50mg per day or every other day.  There have been reports that higher doses of ALA can cause tachycardia or heart arrhythmias (in susceptible people).

WebMD: http://www.webmd.com/vitamins-supplements/ingredientmono-767-Alpha+Lipoic+Acid+ALPHA-LIPOIC+ACID.aspx?activeIngredientId=767&activeIngredientName=Alpha+Lipoic+Acid+(ALPHA-LIPOIC+ACID)&source=2

(r)-, but not (s)-alpha lipoic acid stimulates deficient brain pyruvate dehydrogenase complex in vascular dementia, but not in Alzheimer dementia.
J Neural Transm. 2004 Mar;111(3):295-310. Epub 2003 Oct 24.
Frölich L, Götz ME, Weinmüller M, Youdim MB, Barth N, Dirr A, Gsell W, Jellinger K, Beckmann H, Riederer P.
In dementia of Alzheimer type (DAT), cerebral glucose metabolism is reduced in vivo, and enzymes involved in glucose breakdown are impaired in post-mortem brain tissue. Pyruvate dehydrogenase complex activity (PDHc) is one of the enzymes known to be reduced, while succinate dehydrogenase activity (SDH), another enzyme of oxidative glucose metabolism is unchanged. In dementia of vascular type (DVT), variable changes in glucose metabolism have been demonstrated in vivo, while changes of enzyme activities in post-mortem brain tissue are unknown. Here, PDHc and SDH activity were stimulated with each of the two stereoisomers of alpha lipoic acid in post-mortem parietal brain cortex of patients with DAT, DVT, and one case of Pick's disease and compared to stimulation effects in a control group, matched for age, sex, post-mortem delay, and storage time of brain tissue. PDHc in DAT and DVT, but not in Pick's disease was reduced. PDHc activity could be slightly stimulated by 10 micro M of the physiological stereoisomer (r)-alpha-lipoic acid, in controls and DVT (possibly also in Pick's disease), but not in DAT. In all groups investigated SDH was activated by 100 micro M and 1 mM of both isomers of alpha-lipoic acid, whereas 10 mM of both stereoisomers of alpha-lipoic acid caused an inhibition of both, PDHc and SDH activity. The loss of basal and of (r)-alpha-lipoic acid stimulated PDHc activity indicate that a functional or structural impairment of PDHc may exist in DAT and DVT which is not merely attributable to loss of mitochondria since basal and stimulated SDH activities are similar in controls, DVT and DAT, thus indicating selective vulnerability of PDHc.
http://www.ncbi.nlm.nih.gov/pubmed/14991456?dopt=Abstract

Lipoic acid: a novel therapeutic approach for multiple sclerosis and other chronic inflammatory diseases of the CNS.
Salinthone S, Yadav V, Bourdette DN, Carr DW.

Abstract

The naturally occurring antioxidant lipoic acid (LA) was first described as an essential cofactor for the conversion of pyruvate to Acetyl-CoA, a critical step in respiration. LA is now recognized as a compound that has many biological functions. Along with its reduced form dihydrolipoic acid (DHLA), LA reduces and recycles cellular antioxidants such as glutathione, and chelates zinc, copper and other transition metal ions in addition to heavy metals. LA can also act as a scavenger of reactive oxygen and nitrogen species. By acting as an insulin mimetic agent, LA stimulates glucose uptake in many different cell types and can also modulate insulin signaling. The p38 and ERK MAP kinase pathways, AKT and NFkappaB are all regulated by LA. In addition, LA activates the prostaglandin EP2 and EP4 receptors to stimulate the production of the small molecule cyclic adenosine 5' monophosphate (cAMP). These diverse actions suggest that LA may be therapeutically effective in treating oxidative stress associated diseases. This review discusses the known biochemical properties of LA, its antioxidant properties, its ability to modulate signal transduction pathways, and the recent progress made in the utilization of LA as a therapeutic alternative for multiple sclerosis, Alzheimer's disease and diabetic neuropathy.

PMID: 18537699 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/18537699


Lipoic acid as an anti-inflammatory and neuroprotective treatment for Alzheimer's disease.

Maczurek A, Hager K, Kenklies M, Sharman M, Martins R, Engel J, Carlson DA, Münch G.
Department of Pharmacology, School of Medicine, University of Western Sydney, Australia.
Adv Drug Deliv Rev. 2008 Oct-Nov;60(13-14):1463-70. Epub 2008 Jul 4.

Abstract

Alzheimer's disease (AD) is a progressive neurodegenerative disorder that destroys patient memory and cognition, communication ability with the social environment and the ability to carry out daily activities. Despite extensive research into the pathogenesis of AD, a neuroprotective treatment - particularly for the early stages of disease - remains unavailable for clinical use. In this review, we advance the suggestion that lipoic acid (LA) may fulfil this therapeutic need. A naturally occurring cofactor for the mitochondrial enzymes pyruvate dehydrogenase and alpha-ketoglutarate dehydrogenase, LA has been shown to have a variety of properties which can interfere with the pathogenesis or progression of AD. For example, LA increases acetylcholine (ACh) production by activation of choline acetyltransferase and increases glucose uptake, thus supplying more acetyl-CoA for the production of ACh. LA chelates redox-active transition metals, thus inhibiting the formation of hydroxyl radicals and also scavenges reactive oxygen species (ROS), thereby increasing the levels of reduced glutathione. In addition, LA down-regulates the expression of redox-sensitive pro-inflammatory proteins including TNF and inducible nitric oxide synthase. Furthermore, LA can scavenge lipid peroxidation products such as hydroxynonenal and acrolein. In human plasma, LA exists in an equilibrium of free and plasma protein bound form. Up to 150 muM, it is bound completely, most likely binding to high affinity fatty acid sites on human serum albumin, suggesting that one large dose rather than continuous low doses (as provided by "slow release" LA) will be beneficial for delivery of LA to the brain. Evidence for a clinical benefit for LA in dementia is yet limited. There are only two published studies, in which 600 mg LA was given daily to 43 patients with AD (receiving a standard treatment with choline-esterase inhibitors) in an open-label study over an observation period of up to 48 months. Whereas the improvement in patients with moderate dementia was not significant, the disease progressed extremely slowly (change in ADAScog: 1.2 points=year, MMSE: -0.6 points=year) in patients with mild dementia (ADAScog<15). Data from cell culture and animal models suggest that LA could be combined with nutraceuticals such as curcumin, (-)-epigallocatechin gallate (from green tea) and docosahexaenoic acid (from fish oil) to synergistically decrease oxidative stress, inflammation, Abeta levels and Abeta plaque load and thus provide a combined benefit in the treatment of AD.

PMID: 18655815 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/18655815



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Alpha tocopherol (Vitamin E)

See also Anti-oxidant trio therapy

Ray Sahelian:  http://www.raysahelian.com/vitamine.html
WebMD:  http://www.webmd.com/vitamins-supplements/ingredientmono-954-VITAMIN+E.aspx?activeIngredientId=954&activeIngredientName=VITAMIN+E&source=3

Phytonutrients and Metabolic Stimulants as protection Against Neurodegeneration and Excitotoxicity
The Journal of the American Nutraceutical Association
January 2000 Vol. 2, No. 3 Pg. 33
In a subsequent study reported in the Annals of Neurology in 1992, Stanley Fahn found that supplementing early stage Parkinson’s patients with 3,200 iu/day of vitamin E (the form was not disclosed), and 3000mg /day of vitamin C could delay the onset of a need for levodopa by 2 to 3 years.69 This was a pilot study and not controlled.

http://www.ana-jana.org/Journal/journals/JANAVol23.pdf

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N-acetylcysteine (NAC)

See also Anti-oxidant trio therapy

Ray Sahelian:  http://www.raysahelian.com/acetylcysteine.html
WebMD:  http://www.webmd.com/vitamins-supplements/ingredientmono-1018-N-ACETYL+CYSTEINE.aspx?activeIngredientId=1018&activeIngredientName=N-ACETYL+CYSTEINE&source=3

["Cerefolin with NAC (http://www.cerefolin.com/) contains Vitamin B12, methylfolate, NAC?]

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Amyloid Beta and Alzheimer's Disease

See also Curcumin
         Infection
         Copper
         Apple Juice
         EGCG (Green Tea Extract)
         Oligomers

There has been some discussion that perhaps amyloid beta proteins are not a step in the process of Alzheimer's disease, but rather a symptom.  This would explain the rather disappointing results from drug trials for medications that target amyloid beta plaques.


Alzheimer's Memory Problems Originate With Protein Clumps Floating in the Brain, Not Amyloid Plaques

ScienceDaily (Apr. 28, 2010) — Using a new mouse model of Alzheimer's disease, researchers at Mount Sinai School of Medicine have found that Alzheimer's pathology originates in amyloid-beta (Abeta) oligomers in the brain, rather than the amyloid plaques previously thought by many researchers to cause the disease...
http://www.sciencedaily.com/releases/2010/04/100427111257.htm


Cold Sore Virus Linked To Alzheimer's Disease: New Treatment, Or Even Vaccine Possible
ScienceDaily (Dec. 7, 2008)

"Professor Itzhaki explains: "We suggest that HSV1 enters the brain in the elderly as their immune systems decline and then establishes a dormant infection from which it is repeatedly activated by events such as stress, immunosuppression, and various infections."

"The ensuing active HSV1 infection causes severe damage in brain cells, most of which die and then disintegrate, thereby releasing amyloid aggregates which develop into amyloid plaques after other components of dying cells are deposited on them."

"Her colleague Dr Matthew Wozniak adds: "Antiviral agents would inhibit the harmful consequences of HSV1 action; in other words, inhibit a likely major cause of the disease irrespective of the actual damaging processes involved, whereas current treatments at best merely inhibit some of the symptoms of the disease..."

"They believe the herpes simplex virus is a significant factor in developing the debilitating disease and could be treated by antiviral agents such as acyclovir, which is already used to treat cold sores and other diseases caused by the herpes virus."
http://www.sciencedaily.com/releases/2008/12/081207134109.htm


New Evidence Found Linking Herpes And Alzheimer’s
ScienceDaily (May 12, 2000)
"Could Lead to New Treatments Targeting the Herpes Virus"

"Researchers have long suspected a connection between the herpes virus and Alzheimer’s disease. A new study provides a potential explanation that could lead to development of a vaccine to prevent the disease or new drugs to treat it, according to the researchers. The study appears in the May 16 issue of Biochemistry, a peer-reviewed publication of the American Chemical Society, the world’s largest scientific society."

"Researchers at the University of California, Irvine, demonstrated that a synthetic protein that resembles the herpes simplex 1 virus (HSV-1) mimics the structure and function of a protein called beta-amyloid, a toxic agent that accumulates in the brains of Alzheimer’s patients."

"Genetic sequencing revealed that two-thirds of a portion of the viral protein is identical to the beta-amyloid protein. The researchers showed that, like beta-amyloid, it could kill brain neurons, a key feature in the development of Alzheimer’s. Moreover, in laboratory experiments, the viral protein formed abnormal twisted fibers like those found in the brains of Alzheimer’s patients — the definitive hallmark of the disease..."
http://www.sciencedaily.com/releases/2000/05/000512083302.htm


The Alzheimer's Disease-Associated Amyloid β-Protein Is an Antimicrobial Peptide
Soscia, Kirby, Washicosky, Tucker, Ingelsson, Hyman, Burton, Goldstein, Duong, Tanzi, Moir
March 3, 2010

Abstract

Background

The amyloid β-protein (Aβ) is believed to be the key mediator of Alzheimer's disease (AD) pathology. Aβ is most often characterized as an incidental catabolic byproduct that lacks a normal physiological role. However, Aβ has been shown to be a specific ligand for a number of different receptors and other molecules, transported by complex trafficking pathways, modulated in response to a variety of environmental stressors, and able to induce pro-inflammatory activities.

Methodology/Principal Findings

Here, we provide data supporting an in vivo function for Aβ as an antimicrobial peptide (AMP). Experiments used established in vitro assays to compare antimicrobial activities of Aβ and LL-37, an archetypical human AMP. Findings reveal that Aβ exerts antimicrobial activity against eight common and clinically relevant microorganisms with a potency equivalent to, and in some cases greater than, LL-37. Furthermore, we show that AD whole brain homogenates have significantly higher antimicrobial activity than aged matched non-AD samples and that AMP action correlates with tissue Aβ levels. Consistent with Aβ-mediated activity, the increased antimicrobial action was ablated by immunodepletion of AD brain homogenates with anti-Aβ antibodies.

Conclusions/Significance

Our findings suggest Aβ is a hitherto unrecognized AMP that may normally function in the innate immune system. This finding stands in stark contrast to current models of Aβ-mediated pathology and has important implications for ongoing and future AD treatment strategies.

Soscia "The Alzheimer’s Disease-Associated Amyloid b-Protein Is an Antimicrobial Peptide" PLOS March 2010,Volume 5, Issue 3, e9505: www.plosone.org
http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0009505

The Amyloid Question
Chemical & Engineering News Volume 88, Number 14 pp. 12 - 17
April 5, 2010
Lisa M. Jarvis

...The worry among some experts is that the development of amyloid-β-targeting compounds by Pfizer, Elan Pharmaceuticals, Eli Lilly & Co., Bristol-Myers Squibb, and others began long before the underlying biology of the peptide was well understood. New research suggests that amyloid-β may also play a beneficial role in the brain, whereas other studies claim the peptide is overproduced only after another neurotoxin does its dirty work. With nearly every drug in the pipeline targeting some aspect of the amyloid-β pathway, some Alzheimer’s researchers are concerned that industry has placed all its eggs in one fragile basket... Currently, patients’ only treatment options are drugs that dampen the symptoms of the disease. Pfizer’s Aricept keeps acetylcholinesterase from breaking down the neurotransmitter acetylcholine, maximizing the amount available to carry messages, and Forest Laboratories’ Namenda blocks a glutamate receptor thought to play a role in learning and memory...
http://pubs.acs.org/cen/email/html/8814cover.html


Researchers Discover Weak Link in Alzheimer’s Drug Candidates
Nanotech-Now.com
April 2nd, 2010


...Some current therapies being investigated for Alzheimer's disease may cause further neural degeneration and cell death, according to a breakthrough discovery by UC San Diego researchers. By combining three dimensional computer simulations with high resolution atomic force microscopy membrane protein and cell imaging, electrical recording and various cellular assays, UCSD nano-biophysicist Ratnesh Lal and his colleagues investigated the structure and function of truncated peptides, known as nonamyloidgenic peptides, formed by some Alzheimer's drug candidates...
http://www.nanotech-now.com/news.cgi?story_id=37558


The research paper:

Truncated β-amyloid peptide channels provide an alternative mechanism for Alzheimer’s Disease and Down syndrome
PNAS
February 16, 2010

...The toxicity of nonamyloidogenic peptides via an ion channel mechanism necessitates a reevaluation of the current therapeutic approaches targeting the nonamyloidogenic pathway as avenue for AD treatment...
http://www.pnas.org/content/107/14/6538.long


Alzheimer's drugs cause brain damage and actually worsen memory loss
NaturalNews
April 21, 2010

...Big Pharma drugs that are being used on humans right now and promoted as potential treatments for Alzheimer's disease (AD) could cause the very brain damage and memory loss they are supposed to treat. That's the conclusion of University of California at San Diego (UCSD) scientists who just published their groundbreaking findings in the Proceedings of the National Academy of Sciences...
http://www.naturalnews.com/028622_Alzheimers_brain_damage.html


Insights Give Hope for New Attack on Alzheimer’s
December 13, 2010
...It turns out that most people with Alzheimer’s seem to make perfectly normal amounts of amyloid. They just can’t get rid of it. It’s like an overflowing sink caused by a clogged drain instead of a faucet that does not turn off...
http://www.nytimes.com/2010/12/14/health/14alzheimers.html?pagewanted=1&_r=1&emc=eta1

The medical device CogniShunt was conceived as a way to drain CFS (cerebral-spinal fluid) in the hopes that this would lower the amyloid beta protein levels in the brain.

Alzheimer's Plaques Lead to Loss of Nitric Oxide in Brain

ScienceDaily (Jan. 17, 2011)... Levels of nitric oxide (NO) -- a signaling molecule that helps regulate blood flow, immune and neurological processes -- are known to be low in the brains of people who have Alzheimer's disease, but the reason for that hasn't been clear, said study co-author Jeffrey S. Isenberg, M.D., M.P.H., associate professor, Division of Pulmonary, Allergy, and Critical Care Medicine, Pitt School of Medicine.

"Our research sheds light on how that loss of NO might happen, and reveals biochemical pathways that drug discoverers might be able to exploit to find new medicines for Alzheimer's. There is evidence that suggests enhancing NO levels can protect neurons from degenerating and dying."...
http://www.sciencedaily.com/releases/2011/01/110110103832.htm

An Alzheimer's Vaccine in a Nasal Spray?

ScienceDaily (Feb. 28, 2011)
...researchers led by Dr. Dan Frenkel of Tel Aviv University's Department of Neurobiology at the George S. Wise Faculty of Life Sciences are working on a nasally-delivered 2-in-1 vaccine that promises to protect against both Alzheimer's and stroke. The new vaccine repairs vascular damage in the brain by rounding up "troops" from the body's own immune system...
http://www.sciencedaily.com/releases/2011/02/110228104310.htm

Alzheimer's-Like Brain Changes Found in Cognitively Normal Elders With Amyloid Plaques

ScienceDaily (Mar. 30, 2011) — Researchers using two brain-imaging technologies have found that apparently normal older individuals with brain deposits of amyloid beta -- the primary constituent of the plaques found in the brains of Alzheimer's disease patients -- also had changes in brain structure similar to those seen in Alzheimer's patients...
http://www.sciencedaily.com/releases/2011/03/110330111353.htm

Reference: J. Alex Becker, Trey Hedden, Jeremy Carmasin, Jacqueline Maye, Dorene M. Rentz, Deepti Putcha, Bruce Fischl, Douglas N. Greve, Gad A. Marshall, Stephen Salloway, Donald Marks, Randy L. Buckner, Reisa A. Sperling, Keith A. Johnson. Amyloid-β associated cortical thinning in clinically normal elderly. Annals of Neurology, 2011

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Multiple Sclerosis (MS)

See also CCSVI
         ALA

Here are some news articles about MS from Science Daily I ran across.

Multiple Sclerosis Successfully Reversed In Mice: New Immune-Suppressing Treatment Forces The Disease Into Remission

ScienceDaily (Aug. 12, 2009) — A new experimental treatment for multiple sclerosis (MS) completely reverses the devastating autoimmune disorder in mice, and might work exactly the same way in humans, say researchers at the Jewish General Hospital Lady Davis Institute for Medical Research and McGill University in Montreal...
http://www.sciencedaily.com/releases/2009/08/090811143725.htm

New Pill To Treat Multiple Sclerosis

ScienceDaily (Apr. 30, 2009) — A new drug for multiple sclerosis can dramatically reduce the chances of a relapse or a deterioration of the condition, according to a new study from researchers at Queen Mary, University of London...
http://www.sciencedaily.com/releases/2009/04/090429205613.htm

Little Pill Means Big News in the Treatment of Multiple Sclerosis

ScienceDaily (Jan. 26, 2010) — A new drug for multiple sclerosis promises to change the lives of the 100,000 people in the UK who have the condition, say researchers at Queen Mary, University of London. A major trial of the oral drug Cladribine -- results of which are published in the New England Journal of Medicine on 20 January 2010 -- has shown that it significantly reduces relapse and deterioration of the disease, and goes a long way to eliminating the unpleasant side effects associated with existing therapies. Cladribine promises to be the first ever treatment in tablet form for MS, and only needs be taken for between 8 to 10 days a year, eliminating the need for regular injections and intravenous infusions otherwise endured by sufferers. The ease with which Cladribine tablets can be administered, combined with its relatively few side effects, make it a hugely exciting development in the world of MS...
http://www.sciencedaily.com/releases/2010/01/100120211016.htm

Inexpensive Hypertension Drug Could Be Multiple Sclerosis Treatment, Study Suggests

ScienceDaily (Aug. 19, 2009) — Turning serendipity into science, researchers at the Stanford University School of Medicine have found a link, in mice and in human brain tissue, between high blood pressure and multiple sclerosis. Their findings suggest that a safe, inexpensive drug already in wide use for high blood pressure may have therapeutic value in multiple sclerosis, as well... Next, the investigators turned to an equally well-established animal model: a laboratory-bred strain of mouse that, after being immunized with a particular chemical, develops brain lesions very similar to those observed in multiple sclerosis. When, before immunization with the disease-triggering chemical, mice got lisinopril dosages equivalent to those prescribed for humans with high blood pressure, they didn't develop the paralysis characteristic of disease progression. Strikingly, if it was given after the mice developed full-blown symptoms, lisinopril reversed their paralysis...
http://www.sciencedaily.com/releases/2009/08/090817184437.htm

Note: lisinopril is available NOW. Even though it is a blood pressure drug, if it is safe to try, a physician can prescribe it "off label".

Promising Therapy for Relapsing Multiple Sclerosis

ScienceDaily (Feb. 18, 2010) — An international team of researchers has found that adding a humanized monoclonal antibody called daclizumab to standard treatment reduces the number of new or enlarged brain lesions in patients with relapsing multiple sclerosis. This new study was published online Feb. 16, 2010, and in the March edition of the Lancet Neurology...
http://www.sciencedaily.com/releases/2010/02/100216140307.htm

Note: Daclizumab had been available in Europe. It was used to prevent rejection of transplanted organs, such as a kidney. Due to low sales volumes, the manufacturer no longer sells it. Perhaps this will change if it is effective against MS.

Lipoic acid: a novel therapeutic approach for multiple sclerosis and other chronic inflammatory diseases of the CNS.
Salinthone S, Yadav V, Bourdette DN, Carr DW.

Abstract

The naturally occurring antioxidant lipoic acid (LA) was first described as an essential cofactor for the conversion of pyruvate to Acetyl-CoA, a critical step in respiration. LA is now recognized as a compound that has many biological functions. Along with its reduced form dihydrolipoic acid (DHLA), LA reduces and recycles cellular antioxidants such as glutathione, and chelates zinc, copper and other transition metal ions in addition to heavy metals. LA can also act as a scavenger of reactive oxygen and nitrogen species. By acting as an insulin mimetic agent, LA stimulates glucose uptake in many different cell types and can also modulate insulin signaling. The p38 and ERK MAP kinase pathways, AKT and NFkappaB are all regulated by LA. In addition, LA activates the prostaglandin EP2 and EP4 receptors to stimulate the production of the small molecule cyclic adenosine 5' monophosphate (cAMP). These diverse actions suggest that LA may be therapeutically effective in treating oxidative stress associated diseases. This review discusses the known biochemical properties of LA, its antioxidant properties, its ability to modulate signal transduction pathways, and the recent progress made in the utilization of LA as a therapeutic alternative for multiple sclerosis, Alzheimer's disease and diabetic neuropathy.

PMID: 18537699 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/18537699

The discovery detailed in the next article may be related to CCSVI.

Multiple Sclerosis Blocked in Mouse Model: Barring Immune Cells from Brain Prevents Symptoms

ScienceDaily (Mar. 7, 2011) — Scientists have blocked harmful immune cells from entering the brain in mice with a condition similar to multiple sclerosis (MS)...
http://www.sciencedaily.com/releases/2011/03/110307103652.htm

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CCSVI

See also Multiple Sclerosis (MS), Inflammation, NPH,

Dr. Paolo Zamboni, a professor of medicine at the University of Ferrara in Italy appears to have found a connection between iron accumulation and multiple sclerosis (MS).  This accumulation of iron in the brain is due to a reduced flow of blood in the vessels that drain blood from the brain.  He hypothesized that iron damages the blood vessels and allows the metal, along with other unwelcome cells, to cross the brain-blood barrier.  Combine this with the "Iron metabolism in Parkinsonian syndromes" article above, and we have the intriguing idea that perhaps Parkinsonian syndromes are also caused by blood circulation problem.

Researcher's labour of love leads to MS breakthrough
André Picard and Avis Favaro

From Saturday's Globe and Mail Published on Friday, Nov. 20, 2009 9:07PM EST Last updated on Tuesday, Dec. 15, 2009 9:20PM EST

Elena Ravalli was a seemingly healthy 37-year-old when she began to experience strange attacks of vertigo, numbness, temporary vision loss and crushing fatigue. They were classic signs of multiple sclerosis, a potentially debilitating neurological disease.

It was 1995 and her husband, Paolo Zamboni, a professor of medicine at the University of Ferrara in Italy, set out to help. He was determined to solve the mystery of MS – an illness that strikes people in the prime of their lives but whose causes are unknown and whose effective treatments are few.

What he learned in his medical detective work, scouring dusty old books and using ultra-modern imaging techniques, could well turn what we know about MS on its head: Dr. Zamboni's research suggests that MS is not, as widely believed, an autoimmune condition, but a vascular disease.

Fighting for his wife's health, Dr. Zamboni looked for answers in the medical literature. He found repeated references, dating back a century, to excess iron as a possible cause of MS. The heavy metal can cause inflammation and cell death, hallmarks of the disease. The vascular surgeon was intrigued – coincidentally, he had been researching how iron buildup damages blood vessels in the legs, and wondered if there could be a similar problem in the blood vessels of the brain.

Using ultrasound to examine the vessels leading in and out of the brain, Dr. Zamboni made a startling find: In more than 90 per cent of people with multiple sclerosis, including his spouse, the veins draining blood from the brain were malformed or blocked. In people without MS, they were not.

He hypothesized that iron was damaging the blood vessels and allowing the heavy metal, along with other unwelcome cells, to cross the crucial brain-blood barrier. (The barrier keeps blood and cerebrospinal fluid separate. In MS, immune cells cross the blood-brain barrier, where they destroy myelin, a crucial sheathing on nerves.)

More striking still was that, when Dr. Zamboni performed a simple operation to unclog veins and get blood flowing normally again, many of the symptoms of MS disappeared. The procedure is similar to angioplasty, in which a catheter is threaded into the groin and up into the arteries, where a balloon is inflated to clear the blockages. His wife, who had the surgery three years ago, has not had an attack since.

The researcher's theory is simple: that the underlying cause of MS is a condition he has dubbed “chronic cerebrospinal venous insufficiency.” If you tackle CCSVI by repairing the drainage problems from the brain, you can successfully treat, or better still prevent, the disease...

http://www.theglobeandmail.com/news/national/researchers-labour-of-love-leads-to-ms-breakthrough/article1372414/

First Blinded Study of Venous Insufficiency Prevalence in Multiple Sclerosis Shows Promising Results

ScienceDaily (Feb. 14, 2010) — More than 55 percent of multiple sclerosis patients participating in the initial phase of the first randomized clinical study to determine if persons with MS exhibit narrowing of the extracranial veins, causing restriction of normal outflow of blood from the brain, were found to have the abnormality... These preliminary results are based on the first 500 participants in the Combined Transcranial and Extracranial Venous Doppler Evaluation (CTEVD) study, which began at UB in April 2009. Investigators are planning to examine 500 additional subjects, who will be assessed in the second phase of the study with more advanced diagnostic tools. Complete data on the first 500 will be presented at the American Academy of Neurology meeting in April. Robert Zivadinov, MD, PhD, UB associate professor of neurology and principal investigator on the study, says he is "cautiously optimistic and excited" about the preliminary data. Zivadinov directs the Buffalo Neuroimaging Analysis Center (BNAC), located in Kaleida Health's Buffalo General Hospital, where the study is being conducted... The investigation is the first step in determining if a condition called chronic cerebrospinal venous insufficiency (CCSVI) is a major risk factor for MS. CCSVI is a complex vascular condition discovered and described by Paolo Zamboni, MD, from Italy's University of Ferrara. Zamboni's original investigation in a group of 65 patients and 235 controls showed CCSVI to be associated strongly with MS, increasing the risk of having MS by 43 fold. Zamboni and Zivadinov hypothesize that this narrowing restricts the normal outflow of blood from the brain, resulting in alterations in the blood flow patterns within the brain that eventually cause injury to brain tissue and degeneration of neurons.
http://www.sciencedaily.com/releases/2010/02/100210110744.htm

One has to wonder what other diseases CCSVI could cause? (See more at Irony of Iron)

Alzheimer's Disease
...The role venous drainage issues play in the brain in causing neurodegenerative diseases is not new, however. I have been writing about it since 1987. If you do a Google search for "stenosis Alzheimer's" or "NPH Alzheimer's" you will find an article I published in 1990 calling for epidemiological research into the role of venous drainage issues in the brain in Alzheimer's disease.

When I first started looking for a possible cause of normal pressure hydrocephalus I found an old neurology textbook by Adams and Victor. In the section on NPH it stated that, "A matter of considerable interest is the role of blockage of the dural sinuses (the large main veins of the brain) in tension hydrocephalus. The problem is that blockages are rarely found."... http://www.upright-health.com/alzheimers.html

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Lion's Mane Mushroom (a.k.a Bearded Tooth Mushroom, Hedgehog Mushroom, Bearded Hedgehog Mushroom, pom pom mushroom, or Bearded Tooth Fungus)

See also BDNF, Neurogenesis

From the Alz.org messag board thread "Anyone on Lion's Mane Mushroom?"

The Anti-Dementia effect of Lion's Mane mushroom and its clinical application - Hericium erinaceum - Lion's Mane
Townsend Letter for Doctors and Patients, April, 2004 by Hirokazu Kawagishi, Cun Zhuang, Ellen Shnidman

Our research on components of Lion's Mane mushroom (Hericium erinaceum) and their biological activities in cell culture is a case where positive antidementia results in the laboratory have been confirmed by analogous results in human use. In this article, we will introduce both the results from the laboratory and their clinical application... One of the major new approaches to the study of treatments for Alzheimer's disease concerns the search for agents that stimulate Nerve Growth Factor (NGF) production in the brain. NGF is part of a family of proteins that play a role in the maintenance, survival and regeneration of neurons during adult life... We have been engaged in a study to search for NGF synthesis-promoting agents in medicinal mushrooms since 1991. We discovered a class of benzyl alcohol and chroman derivatives in the fruit body of Lion's Mane mushroom called the hericenones C-H that stimulate NGF production from mouse astroglial cells in culture...

http://findarticles.com/p/articles/mi_m0ISW/is_249/ai_114820665/

Here's a study about another mushroom with a very similar scientific name. Lion's Mane is Hericium erinaceum. Yamabushitake is Hericium erinaceus. Hmm...

PHYTOTHERAPY RESEARCH
Phytother. Res. 23, 367–372 (2009)
Published online 10 October 2008 in Wiley InterScience
(www.interscience.wiley.com) DOI: 10.1002/ptr.2634

Improving Effects of the Mushroom Yamabushitake (Hericium erinaceus) on Mild Cognitive Impairment: A Double-blind Placebo-controlled Clinical Trial

Koichiro Mori1*, Satoshi Inatomi1, Kenzi Ouchi1, Yoshihito Azumi1 and Takashi Tuchida2
1Mushroom Laboratory, Hokuto Corporation, 800-8, Shimokomazawa, Nagano, 381-0008, Japan
2Isogo Central and Neurosurgical Hospital, 1-16-26, Mori, Isogoku, Yokohama, 235-0023, Japan


A double-blind, parallel-group, placebo-controlled trial was performed on 50- to 80-year-old Japanese men and women diagnosed with mild cognitive impairment in order to examine the efficacy of oral administration of Yamabushitake (Hericium erinaceus), an edible mushroom, for improving cognitive impairment, using a cognitive function scale based on the Revised Hasegawa Dementia Scale (HDS-R). After 2 weeks of preliminary examination, 30 subjects were randomized into two 15-person groups, one of which was given Yamabushitake and the other given a placebo. The subjects of the Yamabushitake group took four 250 mg tablets containing 96% of Yamabushitake dry powder three times a day for 16 weeks. After termination of the intake, the subjects were observed for the next 4 weeks. At weeks 8, 12 and 16 of the trial, the Yamabushitake group showed significantly increased scores on the cognitive function scale compared with the placebo group. The Yamabushitake group’s scores increased with the duration of intake, but at week 4 after the termination of the 16 weeks intake, the scores decreased significantly. Laboratory tests showed no adverse effect of Yamabushitake.

The results obtained in this study suggest that Yamabushitake is effective in improving mild cognitive impairment.
http://www.saferemedies.com/downloads/Hericeum_Erinaceus_Clinical_Trial.pdf

Neurotrophic factors are essential to maintain and organize neurons functionally; thereby neurotrophic factor-like substances or their inducers are expected to be applied to the treatment of neurodegenerative diseases such as Alzheimer's disease. In the present study, we firstly examined the effects of ethanol extracts of four edible mushrooms, Hericium erinaceus (Yamabushitake), Pleurotus eryngii (Eringi), Grifola frondosa (Maitake), and Agaricus blazei (Himematsutake), on nerve growth factor (NGF) gene expression in 1321N1 human astrocytoma cells. Among the four mushroom extracts, only H. erinaceus extract promoted NGF mRNA expression in a concentration-dependent manner. In addition, secretion of NGF protein from 1321N1 cells was enhanced by H. erinaceus extracts, and the conditioned medium of 1321N1 cells incubated with H. erinaceus extract enhanced the neurite outgrowth of PC12 cells. However, hericenones C, D and E, constituents of H. erinaceus, failed to promote NGF gene expression in 1321N1 cells. The enhancement of NGF gene expression by H. erinaceus extracts was inhibited by the c-jun N-terminal kinase (JNK) inhibitor SP600125. In addition, H. erinaceus extracts induced phosphorylation of JNK and its downstream substrate c-Jun, and increased c-fos expression, suggesting that H. erinaceus promotes NGF gene expression via JNK signaling. Furthermore we examined the efficacy of H. erinaceus in vivo. ddY mice given feed containing 5% H. erinaceus dry powder for 7 d showed an increase in the level of NGF mRNA expression in the hippocampus. In conclusion, H. erinaceus contains active compounds that stimulate NGF synthesis via activation of the JNK pathway; these compounds are not hericenones.
http://www.ncbi.nlm.nih.gov/pubmed/18758067


It was found that an exo-biopolymer (M.W. 1,000,000, molar ratio of 1.5:1.7:1.2:0.6:0.9, glucose:galactose:xylose:mannose:fructose, purity 99%) purified from the liquid culture broth of Hericium erinaceus mycelium enhanced the growth of rat adrenal nerve cells. The polymer also improved the extension of the neurites of PC12 cell. Its efficacy was found to be higher than those from known nerve growth factors such as Nerve Growth Factor (NGF) and Brain-Derived Nerve Factor (BDNF). The effect of two standards has not been observed above 0.1 (mg l(-1)) of supplementation; however, the polymer did show the effect of cell growth and neurite extension at up to 1.0 (mg l(-1)) of addition. While the polymer improved both cell growth and neurite extension, NGF and BDNF did only outgrowth of the neurites. Maximum cell density and length of the neurites were observed as 1.5x10(5) (viable cells ml(-1)) and 230 mum, respectively in adding 0.8 (mg l(-1)) of the biopolymer for 8 days cultivation. The control growth was observed only as 1.2x10(5) (viable cell ml(-1)) of maximum cell density and 140 mum of maximum length, respectively. It was also confirmed that the polymer reacted with the nerve cells within 30 min after adding the sample, compared to 80 min in adding two other growth factors. Number of neurite-bearing cells remained relatively steady in adding the polymer even when the cell growth started to be decreased. It was interesting that the polymer effectively delayed apoptosis of PC12 cells by dramatically reducing the ratio of apoptotic cells to 20% from 50% of the control.
http://www.ncbi.nlm.nih.gov/pubmed/19003308

Here's a couple of links to websites that sell the mushroom either in powdered or extract form. This is information only, no endorsement should be inferred.  I don't know enough yet about which is better. The clinical trials mentioned above used 5 grams of the whole dried mushroom once a day, in a soup for the patients so I imagine either way is good. The real erinacine extract isn't available yet and with that patent lock on it, may never be as an over the counter drug.

http://www.cordycepsreishiextracts.com/lions_mane_mushroom_extract.htm
http://www.sunfood.com/buy/1/8/433/Lion-s-Mane--Mushroom-Science--90-veg-caps--300-mg--All-Natural/1297.aspx
http://www.swansonvitamins.com/SW1096/ItemDetail
http://www.alohamedicinals.ca/hericium.htm
http://www.mushroomharvest.com/catalog/product_info.php?cPath=36_39&products_id=102
http://www.mushroomharvest.com/catalog/product_info.php?cPath=36_40&products_id=222

Here's a website that explains the difference in water vs alcohol extract.

http://www.cordycepsreishiextracts.com/quality_difference.htm


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Multifunctional Cocktail

See also
Pyruvate, creatine, niacinamide
         Anti-oxidant trio therapy
         Mitochondrial Dysfunction

Phase I trial: Active (NCT00605930 on clinicaltrials.gov) (as of September 11, 2010).

"A bar of 2 gm of pyruvate and 1 gm of creatine, and a pill of 1 gm of niacinamide once a day for 24 weeks."
http://clinicaltrials.gov/ct2/show/NCT00605930?term=NCT00605930&rank=1

[From PubMed ID#: 20472654]

See:

Rational therapeutic approaches to progressive supranuclear palsy
Brain 2010: 133; 1578–1590
http://brain.oxfordjournals.org/content/133/6/1578.full.pdf+html

Table 1 of the above article lists "puruvate".  This must be a typo.  In the text, it refers to "pyruvate".

"Pyruvate is a free radical scavenger..."

Fernandez-Gomez FJ, Pastor MD, Garcia-Martinez EM, Melero-
Fernandez de Mera R, Gou-Fabregas M, Gomez-Lazaro M, et al.
Pyruvate protects cerebellar granular cells from 6-hydroxydopamineinduced cytotoxicity by activating the Akt signaling pathway and increasing glutathione peroxidase expression. Neurobiol Dis 2006;
24: 296–307.

Wang X, Perez E, Liu R, Yan LJ, Mallet RT, Yang SH. Pyruvate protects
mitochondria from oxidative stress in human neuroblastoma SK-N-SH
cells. Brain Res 2007; 1132: 1–9.

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Pyruvate

Also see ALA

Wikipedia entries:

Pyruvic acid (CH3COCOOH) is an organic acid. It is also a ketone, as well as being the simplest alpha-keto acid. The carboxylate (COOH) ion (anion) of pyruvic acid, CH3COCOO-, is known as pyruvate, and is a key intersection in several metabolic pathways. It can be made from glucose through glycolysis, supplies energy to living cells in the citric acid cycle (also known as the Krebs cycle), and can also be converted to carbohydrates via gluconeogenesis, to fatty acids or energy through acetyl-CoA, to the amino acid alanine and to ethanol...
http://en.wikipedia.org/wiki/Pyruvic_acid

Pyruvate kinase (EC: 2.7.1.40) is an enzyme involved in glycolysis. It catalyzes the transfer of a phosphate group from phosphoenolpyruvate (PEP) to ADP, yielding one molecule of pyruvate and one molecule of ATP...
http://en.wikipedia.org/wiki/Pyruvate_kinase

Here are some other links...

Our bodies make pyruvate naturally every day during the metabolism or digestion of sugars and starches. Pyruvate is the compound to start the Krebs cycle.

The Krebs cycle is an energy cycle in the body of enzymes and chemical actions that yield direct precursors to ATP or ATP itself.

Pyruvate is actually derived from pyruvic acid. Although pyruvic acid alone is chemically unstable and can cause gastrointestinal discomfort and nausea, when combined with a salt (such as sodium or calcium), it becomes stabilized pyruvate. As well as being a naturally formed product of digestive processes, pyruvate also exists in many different foods. Red apples, cheese, dark beer, and red wine are just a few. Dietary supplements of pyruvate are also available. Bodybuilding.com's carries the highest quality pyruvate supplements... It works by increasing amount of ATP available to the energy engines of cells, mitochondria, as well as inhibiting fat production...
http://www.bodybuilding.com/store/pyruvate.html

PYRUVATE:  A COMPREHENSIVE REVIEW
http://www.williamsukala.com/articles/pyr_comp_review_1997.htm

Pyruvate Dehydrogenase & Krebs Cycle
Glycolysis enzymes are located in the  cytosol of cells.  Pyruvate enters the mitochondrion to be metabolized further.

(r)-, but not (s)-alpha lipoic acid stimulates deficient brain pyruvate dehydrogenase complex in vascular dementia, but not in Alzheimer dementia.
http://www.ncbi.nlm.nih.gov/pubmed/14991456?dopt=Abstract

Mitochondrial compartments:

The mitochondrial matrix contains Pyruvate Dehydrogenase and enzymes of Krebs Cycle, plus other pathways such as fatty acid oxidation...
http://rpi.edu/dept/bcbp/molbiochem/MBWeb/mb1/part2/krebs.htm


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Creatine

Creatine supplementation and cognitive performance in elderly individuals.
Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2007 Sep; McMorris T, Mielcarz G, Harris RC, Swain JP, Howard A. School of Sport, Exercise and Health Sciences, University of Chichester, College Lane, Chichester, West Sussex PO19 6PE, UK.
The purpose of this study was to examine the effect of creatine supplementation on the cognitive performance of elderly people. Participants were divided into two groups, which were tested on random number generation, forward and backward number and spatial recall, and long-term memory tasks to establish a baseline level. Group 1 were given 5 g four times a day of placebo for 1 week, followed by the same dosage for the second week. Group 2 were given placebo both weeks. Participants were retested at the end of each week. Results showed a significant effect of creatine supplementation on all tasks except backward number recall. It was concluded that creatine supplementation aids cognition in the elderly...

From Dr. Ray Sahelian's web site:
[Advise for bodybuilders using creatine] A cautious approach would be to limit intake to 3 to 5 grams almost every day for two weeks followed by 3 grams two to four times a week. It would be wise to take a few days off each month. It would also be safer to take two full weeks off every 3 to 4 months.
http://www.raysahelian.com/creatine.html

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Head/Brain Injury

See also Tau Busters

Lou Gehrig may not have had Lou Gehrig's disease?

Sports Brain Trauma May Cause Disease Mimicking ALS, Researchers Find

ScienceDaily (Aug. 17, 2010) — New research by the Center for the Study of Traumatic Encephalopathy (CSTE) at Boston University School of Medicine (BUSM) and the Department of Veterans Affairs (VA) provides the first pathological evidence that repetitive head trauma experienced in collision sports is associated with motor neuron disease, a neurological condition that affects voluntary muscle movements. The most common form of motor neuron disease is amyotrophic lateral sclerosis (ALS) or Lou Gehrig's disease. The findings will be published in the September issue of the Journal of Neuropathology and Experimental Neurology... In this study, funded in part by an unrestricted gift from the National Football League (NFL) to the CSTE, McKee found that when they died, all 12 athletes showed neuropathological evidence of chronic traumatic encephalopathy (CTE), a progressive degenerative brain disease characterized by deposits of an abnormal form of tau protein and believed to be caused by repetitive head trauma. In the three athletes with motor neuron disease, abnormal tau protein deposits were not only found throughout the brain, but also in the spinal cord...
http://www.sciencedaily.com/releases/2010/08/100817134304.htm

There have been some discussion about head injury, stroke, or other brain injury being the [spark] that begins the downward spiral of several neurodegenerative diseases, especially, Alzheimer's disease.

Phytonutrients and Metabolic Stimulants as protection Against Neurodegeneration and Excitotoxicity
The Journal of the American Nutraceutical Association
January 2000 Vol. 2, No. 3 Pg. 30
With severe injuries to the brain the amount of glutamate in the extracellular space may reach levels 100X that normally seen.7,8 This can overwhelm the glutamate transporter system, resulting in prolonged activation of the glutamate receptor with a resultant excess calcium entry into the neuron. Normally, intracellular calcium is carefully regulated within the cell, either by extrusion from the cell or by trapping by the mitochondria or endoplasmic reticulum. In cases of cellular dysfunction, as seen with ischemia/hypoxia, hypoglycemia and neurodegenerative disorders, these homeostatic mechanism malfunctions lead to calcium accumulation intracellularly. Elevated levels of calcium can trigger activation of protein kinase C with subsequent expression of membrane bound phospholipase A2 triggering the release of arachidonic acid from the cell membrane. Arachidonic acid is then acted on by lipoxygenase and cyclooxygenase I and II, leading to the generation of leukotrienes and prostaglandins ( PGE2, PGD2 ). These eicosanoids are responsible for a cascade of inflammatory reactions that include the generation of reactive oxygen species and inflammatory cytokines ( IL-1ß,IL-6, TNF-alpha).11-12 These reactive oxygen species damage cellular proteins ( protein carbonyl products), DNA and lipids ( lipid peroxidation). Intracellular calcium also induces and activates nitric oxide synthease ( NOS) which, when overactive, can lead to the formation of the powerful nitrogen radical peroxynitrite formed from a reaction of nitric oxide with the superoxide radical.13 Peroxynitrite can enter the mitochondria and damage the electron transport enzymes, especially complex I and IV, leading to impaired energy production by the mitochondria, making the neuron infinitely more susceptible to excitotoxicity The generation of increased levels of free radicals within the cell, if intense enough, can activate the p53 tumor suppressor gene triggering apoptosis.14 Excess glutamate can also kill neurons by necrosis as well.
http://www.ana-jana.org/Journal/journals/JANAVol23.pdf


Can head injury cause motor neuron disease?
Neurology Now:
November/December 2010 - Volume 6 - Issue 6 - p 11–13
doi: 10.1097/01.NNN.0000392627.15551.f6
Departments: The Waiting Room

http://journals.lww.com/neurologynow/Fulltext/2010/06060/Can_head_injury_cause_motor_neuron_disease_.4.aspx

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Stem Cell Therapy

See also BDNF
         GCFS
         Lion's Mane Mushroom
        
Aphanizomenon flos-aquae (AFA)

There has been a lot of excitement over the use of stem cell therapy in treating neurodegenerative diseases.  If the progression can be stopped, do things like stem cell therapy or neurogenesis become realistic options? That's what I keep wondering.

Some people are going to China and Germany for stem cell therapy. Maybe with GCSF, this will not be necessary.

Alzheimer's Symptoms Reversed: Blood Stem Cell Growth Factor Reverses Memory Decline In Mice
ScienceDaily (July 2, 2009)

"The granulocyte-colony stimulating factor (GCSF) significantly reduced levels of the brain-clogging protein beta amyloid deposited in excess in the brains of the Alzheimer's mice, increased the production of new neurons and promoted nerve cell connections."

"The researchers showed that injections under the skin of filgrastim (Neupogen®) -- one of three commercially available GCSF compounds -- mobilized blood stem cells in the bone marrow and neural stem cells within the brain and both of these actions led to improved memory and learning behavior in the Alzheimer's mice. "The beauty in this less invasive approach is that it obviates the need for neurosurgery to transplant stem cells into the brain,"

"GCSF is a blood stem cell growth factor or hormone routinely administered to cancer patients whose blood stem cells and white blood cells have been depleted following chemotherapy or radiation. GCSF stimulates the bone marrow to produce more white blood cells needed to fight infection. It is also used to boost the numbers of stem cells circulating in the blood of donors before the cells are harvested for bone marrow transplants..."

"GCSF has been used and studied clinically for a long time, but we're the first group to apply it to Alzheimer's disease..."
http://www.sciencedaily.com/releases/2009/07/090701160557.htm

But, I'm not so enthusiastic...

Watching Stem Cells Repair The Human Brain
ScienceDaily (Aug. 19, 2009)
There is no known cure for neurodegenerative
diseases such as Huntington's, Alzheimer's and Parkinson's. But new hope, in the form of stem cells created from the patient's own bone marrow, can be found —  and literally seen — in laboratories at Tel Aviv University.

This study is based on differentiated mesenchymal cells (MSC), which were discovered at Tel Aviv University. Bone marrow cells are transformed into NTFs-secreting stem cells, which can then be used to treat neurodegenerative diseases. This advance circumvents the ethical debate caused by the use of stem cells obtained from embryos.

Although there is a drawback to using this particular type of stem cell — the higher degree of difficulty involved in rendering them "neuron-like" — the benefits are numerous. "Bone marrow-derived MSCs bypass ethical and production complications," says Dr. Cohen, "and in the long run, the cells are less likely to be rejected because they come from the patients themselves. This means you don't need immunosuppressant therapy."
http://www.sciencedaily.com/releases/2009/08/090819153931.htm

How The Pathology Of Parkinson's Disease Spreads
ScienceDaily (July 29, 2009)
Accumulation of the synaptic protein alpha-synuclein, resulting in the formation of aggregates called Lewy bodies in the brain, is a hallmark of Parkinson's and other related neurodegenerative diseases. This pathology appears to spread throughout the brain as the disease progresses. Now, researchers at the University of California, San Diego School of Medicine and Konkuk University in Seoul, South Korea, have described how this mechanism works.

Their findings – the first to show neuron-to-neuron transmission of alpha-synuclein – will appear in the Proceedings of the National Academy of Sciences (PNAS) on July 29.

"The discovery of cell-to-cell transmission of this protein may explain how alpha-synuclein aggregates can pass to new, healthy cells," said first author Paula Desplats, project scientist in UC San Diego's Department of Neurosciences. "We demonstrated how alpha-synuclein is taken up by neighboring cells, including grafted neuronal precursor cells, a mechanism that may cause Lewy bodies to spread to different brain structures."

"Our findings indicate that the stem cells used to replace lost or damaged cells in the brains of Parkinson's disease patients are also susceptible to degeneration,"

In a large proportion of Parkinson's disease cases, the aggregation of alpha-synuclein progresses in a predictable pattern – from the lower brainstem, into the limbic system and eventually to the neocortex, the part of the brain responsible for higher level cognitive functions. The hypothesis of disease progression by neuron-to-neuron transmission of alpha-synuclein that encouraged this study was supported by findings of two separate reports in 2008. In these studies, autopsies of deceased Parkinson's patients who had received implants of therapeutic fetal neurons 11 to 16 years prior revealed that alpha-synuclein had propagated to the transplanted neurons.

Next, the team tested to determine if alpha-synuclein could be transmitted directly from host to grafted cells in a mouse model of Parkinson's disease. Brains of the mouse model were grafted with fresh, healthy stem cells. Within four weeks, cells containing Lewy body-like masses were quite common, supporting the cell-to cell transmission mechanism.
http://www.sciencedaily.com/releases/2009/07/090727191914.htm

There are substances that are touted as being able to "release more adult stem cells" from the bone marrow into the body.  See Aphanizomenon flos-aquae (AFA)

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Brain-Derived Neurotrophic Factor (BDNF)

See also Lion's Mane Mushroom

Alzheimer's Prevented And Reversed With Natural Protein In Animal Models
ScienceDaily (Feb. 9, 2009)
"Memory loss, cognitive impairment, brain cell degeneration and cell death were prevented or reversed in several animal models after treatment with a naturally occurring protein called brain-derived neurotrophic factor (BDNF). The study by a University of California, San Diego-led team – published in the February 8, 2009 issue of Nature Medicine – shows that BDNF treatment can potentially provide long-lasting protection by slowing, or even stopping the progression of Alzheimer's disease in animal models... For these experiments, the researchers injected the BDNF gene or protein in a series of cell culture and animal models, including transgenic mouse models of Alzheimer's disease; aged rats; rats with induced damage to the entorhinal cortex; aged rhesus monkeys, and monkeys with entorhinal cortex damage...."
http://www.sciencedaily.com/releases/2009/02/090208133135.htm

Axons Necessary For Voluntary Movement Regenerated
ScienceDaily (Apr. 9, 2009)
"For the first time, researchers have clearly shown regeneration of a critical type of nerve fiber that travels between the brain and the spinal cord and which is required for voluntary movement... "This finding establishes a method for regenerating a system of nerve fibers called corticospinal motor axons. Restoring these axons is an essential step in one day enabling patients to regain voluntary movement after spinal cord injury,"... This work builds on another study from Tuszynski's laboratory, published in the February 8, 2009 issue of Nature Medicine, which reported that BDNF also exhibits potential as a therapy for reducing brain cell loss in Alzheimer's disease..."
http://www.sciencedaily.com/releases/2009/04/090406192229.htm

On January 07, 2009 11:02 AM Dr Mary Newport posted the following to the "New Study: Brain starvation appears to trigger AD" topic on the Alz.org Medications and Treatments forum:
"...There is a substance called BDNF (brain derived neurotrophic factor) that is believed to be involved with this and it increase with vigorous exercise and learning."
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/4621036733?r=1701087833#1701087833

On February 15, 2009 01:30 PM RArmant post the following to the "Ultimate Alzheimer's Cocktail" topic:
"Fish oil can help keep the arteries from blocking up. DHA and EPA both drive down blood triglyceride level about equally. However DHA appears to be important for the brain. It can help increase Brain-derived neurotrophic factor(bdnf). Bdnf might help with brain repair... My suggestion for Alzheimer's is to go with fish oil that has a high DHA to EPA ratio such as Carlson's Super-DHA that contains 500 mgs of DHA and 100 mg of EPA per capsule."
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/1891020913?r=4371031443#4371031443

There is also mention of BDNF in a post by vend95 on May 05, 2008 in the "Promising Drug PRX-03140" topic:
"PRX-03140 is a novel, oral investigational drug candidate for Alzheimer's disease. It is selective for the 5-HT4 receptor in the brain and is believed to stimulate both acetylcholine production and release - which enables symptomatic improvement in Alzheimer's patients - and the alpha-secretase pathway - which may slow Alzheimer's disease progression. Recent Phase 2a results indicated that patients receiving daily oral 150 mg doses of PRX-03140 as monotherapy for two weeks achieved a mean 3.6 point improvement on the Alzheimer's Disease Assessment Scale cognitive subscale (ADAS-cog) versus a 0.9 point worsening in patients on placebo (p= 0.021). In three Phase 1 trials and the Phase 2a trial, with more than 180 patients and healthy subjects, PRX-03140 has been well-tolerated. In a 14-day Phase 1b clinical trial, treatment with PRX-03140 resulted in changes in brain wave activity in Alzheimer's patients that are consistent with those seen in clinical trials with currently approved drugs for Alzheimer's disease. In preclinical studies, PRX-03140 has shown to improve cognitive function through increasing levels of acetylcholine, and has led to increased levels of soluble amyloid precursor protein (sAPP) and brain-derived neurotrophic factor (BDNF) in regions of the brain known to be important for memory."
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/3231069892?r=4751085103#4751085103

Post by neuroprof on May 04, 2009 01:04 PM:
"There is growing evidence to suggest that amino acids such as acetyl-l-carnitine, l-tyrosine, and cysteine are critical to the aging brain and may be crucial in the production of BDNFA (Brain-Derived Neurotrophic Factor)."
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/1891020913?r=90310869#90310869

Post by neuroprof on July 31, 2009 10:41 AM
"...In terms of other amino acids that may be good N-acetyl-l-cysteine looks like it can help with the production of BDNF (brain-derived neurotrophic factor)..."
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/1891020913?r=362105861#362105861

Post by lucho on August 01, 2009 07:12 PM
"According to some trials and researches Mianserin and Remeron are the only psychotropic drugs which are allowed for different dementias because benzodiazepines and neuroleptics deplete some neurotransmitters in the brain. Mianserin and Remeron also stimulate BDNF and NGF (Nerve Growth Factor) release in the brain."
http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/34110941?r=262104961#262104961

Neural Stem Cells May Rescue Memory In Advanced Alzheimer's, Mouse Study Suggests
ScienceDaily (July 22, 2009)
UC Irvine scientists have shown for the first time that neural stem cells can rescue memory in mice with advanced Alzheimer's disease, raising hopes of a potential treatment for the leading cause of elderly dementia that afflicts 5.3 million people in the U.S... The stem cells didn't improve cognition by becoming new neurons, nor did they act by reducing the number of plaques and tangles. Rather, the stem cells were found to have secreted a protein called brain-derived neurotrophic factor, or BDNF. This caused existing tissue to sprout new neurites, strengthening and increasing the number of connections between neurons. When the team selectively reduced BDNF from the stem cells, the benefit was lost, providing strong evidence that BDNF is critical to the effect of stem cells on memory and neuronal function... Diseased mice injected directly with BDNF also improved cognitively but not as much as with the neural stem cells, which provided a more long-term and consistent supply of the protein...
http://www.sciencedaily.com/releases/2009/07/090720190726.htm

You can also do a search on ScienceDaily.com for BDNF
http://www.sciencedaily.com/search/?type=news&keyword=BDNF&section=all&filename=&period=1825&sort=relevance

Supplementing with DHA (fish oil) increases BDNF?

Chronic Administration of DHA and UMP Improves the Impaired Memory of Environmentally Impoverished Rats
Sarah Holguin, Yi Huang, Jenny Liu, and Richard Wurtman
UMP and DHA may protect the brains of IC reared animals by restoring neuronal function to levels normally observed in brains of control or EC rats. Rats exposed to IC conditions [43] or made DHA-deficient [44] have decreased brain weight and size, while DHA administration increases brain weight and size [44]. Brains of IC reared rats also exhibit decreased neurogenesis [45] and synaptogenesis [46], DHA has been shown to promote neurite outgrowth in hippocampal neurons [47] and uridine promotes neurite outgrowth from PC12 cells [24]. DHA supplementation increased brain-derived neurotrophic factor (BDNF) levels in rats [48] while consuming a diet deficient in DHA decreased these levels [49]; BDNF induces neurogenesis in the hippocampal dentate gyrus [50]..
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2478743/?tool=pubmed

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Granulocyte-colony Stimulating Factor(GCSF)

This drug is apparently available and in use for other diseases. Good luck
convincing a physician to use this "off label".

Alzheimer's Symptoms Reversed: Blood Stem Cell Growth Factor Reverses Memory Decline In Mice
ScienceDaily (July 2, 2009)

The granulocyte-colony stimulating factor (GCSF) significantly reduced levels of the brain-clogging protein beta amyloid deposited in excess in the brains of the Alzheimer's mice, increased the production of new neurons and promoted nerve cell connections.

The researchers showed that injections under the skin of filgrastim (Neupogen®) -- one of three commercially available GCSF compounds -- mobilized blood stem cells in the bone marrow and neural stem cells within the brain and both of these actions led to improved memory and learning behavior in the Alzheimer's mice. "The beauty in this less invasive approach is that it obviates the need for neurosurgery to transplant stem cells into the brain,

GCSF is a blood stem cell growth factor or hormone routinely administered to cancer patients whose blood stem cells and white blood cells have been depleted following chemotherapy or radiation. GCSF stimulates the bone marrow to produce more white blood cells needed to fight infection. It is also used to boost the numbers of stem cells circulating in the blood of donors before the cells are harvested for bone marrow transplants...

GCSF has been used and studied clinically for a long time, but we're the first group to apply it to Alzheimer's disease...
http://www.sciencedaily.com/releases/2009/07/090701160557.htm

 

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Green Tea  (EGCG, epigallocatechin gallate)

See also Oligomers,

Green Tea Has Rejuvenating Effect on Damaged Brain Cells
Researchers at the Technion Institute of Science in Haifa have shown that feeding green tea extract to mice with Parkinson's and Alzheimer's disease protects brain cells from dying, and helps 'rescue' already damaged neurons in the brain...
http://alzheimersweekly.com/content/green-tea-has-rejuvenating-effect-damaged-brain-cells


EGCG remodels mature alpha-synuclein and amyloid-beta fibrils and reduces cellular toxicity. Bieschke J, Russ J, Friedrich RP, Ehrnhoefer DE, Wobst H, Neugebauer K, Wanker EE.
Proc Natl Acad Sci U S A. 2010 Apr 27;107(17):7710-5.

Abstract

Protein misfolding and formation of beta-sheet-rich amyloid fibrils or aggregates is related to cellular toxicity and decay in various human disorders including Alzheimer's and Parkinson's disease. Recently, we demonstrated that the polyphenol (-)-epi-gallocatechine gallate (EGCG) inhibits alpha-synuclein and amyloid-beta fibrillogenesis. It associates with natively unfolded polypeptides and promotes the self-assembly of unstructured oligomers of a new type. Whether EGCG disassembles preformed amyloid fibrils, however, remained unclear. Here, we show that EGCG has the ability to convert large, mature alpha-synuclein and amyloid-beta fibrils into smaller, amorphous protein aggregates that are nontoxic to mammalian cells. Mechanistic studies revealed that the compound directly binds to beta-sheet-rich aggregates and mediates the conformational change without their disassembly into monomers or small diffusible oligomers. These findings suggest that EGCG is a potent remodeling agent of mature amyloid fibrils.
http://www.ncbi.nlm.nih.gov/pubmed/20385841?dopt=Abstract


Alzheimer Research Forum Comment by:  Jun Tan, Terrence Town      
    Submitted 27 April 2010     Posted 27 April 2010
   
...Erich Wanker and colleagues show that EGCG, the main polyphenolic constituent of green tea, reduces cellular toxicity by inhibiting β amyloid and α-synuclein fibrillogenesis...
http://www.alzforum.org/pap/annotation.asp?powID=101554


Green tea consumption and cognitive function: a cross-sectional study from the Tsurugaya Project 1.
Am J Clin Nutr. 2006 Feb;83(2):355-61.

Kuriyama S, Hozawa A, Ohmori K, Shimazu T, Matsui T, Ebihara S, Awata S, Nagatomi R, Arai H, Tsuji I.

Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.

Abstract

BACKGROUND: Although considerable experimental and animal evidence shows that green tea may possess potent activities of neuroprotection, neurorescue, and amyloid precursor protein processing that may lead to cognitive enhancement, no human data are available.

OBJECTIVE: The objective was to examine the association between green tea consumption and cognitive function in humans.

DESIGN: We analyzed cross-sectional data from a community-based Comprehensive Geriatric Assessment (CGA) conducted in 2002. The subjects were 1003 Japanese subjects aged > or =70 y. They completed a self-administered questionnaire that included questions about the frequency of green tea consumption. We evaluated cognitive function by using the Mini-Mental State Examination with cutoffs of <28, <26, and <24 and calculated multivariate-adjusted odds ratios (ORs) of cognitive impairment.

RESULTS: Higher consumption of green tea was associated with a lower prevalence of cognitive impairment. At the <26 cutoff, after adjustment for potential confounders, the ORs for the cognitive impairment associated with different frequencies of green tea consumption were 1.00 (reference) for < or =3 cups/wk, 0.62 (95% CI: 0.33, 1.19) for 4-6 cups/wk or 1 cup/d, and 0.46 (95% CI: 0.30, 0.72) for > or =2 cups/d (P for trend = 0.0006). Corresponding ORs were 1.00 (reference), 0.60 (95% CI: 0.35, 1.02), and 0.87 (95% CI: 0.55, 1.38) (P for trend = 0.33) for black or oolong tea and 1.00 (reference), 1.16 (95% CI: 0.78, 1.73), and 1.03 (95% CI: 0.59, 1.80) (P for trend = 0.70) for coffee. The results were essentially the same at cutoffs of <28 and <24.

CONCLUSION: A higher consumption of green tea is associated with a lower prevalence of cognitive impairment in humans.

PMID: 16469995 [PubMed]
http://www.ncbi.nlm.nih.gov/pubmed/16469995
Free article: American Journal of Clinical Nutrition, Vol. 83, No. 2, 355-361, February 2006
              http://www.ajcn.org/content/83/2/355.long

http://www.ncbi.nlm.nih.gov/pubmed/20617284

http://www.ncbi.nlm.nih.gov/pubmed/19828710

http://www.ncbi.nlm.nih.gov/pubmed/19793850

http://www.ncbi.nlm.nih.gov/pubmed/18614745

http://www.ncbi.nlm.nih.gov/pubmed/16469995

http://www.ncbi.nlm.nih.gov/pubmed/16372926

Green tea consumption and mortality due to cardiovascular disease, cancer, and all causes in Japan: the Ohsaki study.
http://www.ncbi.nlm.nih.gov/pubmed/16968850


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Prozac

Prozac (Fluoxetine)

Prozac - The University Of Maryland School Of Medicine treated Down syndrome mice with prozac for 24 days (2006). It increased neurogenesis (the formation of new nerves) to a normal level (View details). This is like increasing the hardware on your computer. It allows you to run more complicated software. In fetuses with Down syndrome, neurons fail to show normal dendritic development, yielding a "tree in winter" appearance. This developmental failure is thought to result in mental retardation

http://www.changingmindsfoundation.com/education.html

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Neurogenesis

See also ALA, Anatabine, Blueberries,
BDNF, Curcumin, GCSF, Lion's Mane Mushroom, Lithium,
         Prozac,
Stem Cell Therapy,
 


The Reinvention of the Self
Brain & Behavior / by Jonah Lehrer / February 23, 2006

Elizabeth Gould overturned one of the central tenets of neuroscience. Now she’s building on her discovery to show that poverty and stress may not just be symptoms of society, but bound to our anatomy.
http://seedmagazine.com/content/article/the_reinvention_of_the_self/P1/


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Blueberries

See also AFA, Inflammation,

This article has some eye catching claims from studies with mice and blueberry extract. Among all the claims, the performance of blueberry extract fed mice with amyloid plaque along with blueberries' potential for neurogenesis and diminishing inflammation are particularly noteworthy. I remember reading years ago that Dr. J. Joseph was so impressed with some findings with blueberries that he added them to his diet daily.

Food for the Aging Mind
United States Department of Agriculture Agricultural Research Service
...Examination of the brain tissue of those blueberry-fed rats showed much higher levels of dopamine than were found in the other groups. Dopamine has many functions within the brain. In particular, it can affect the way the brain controls movements.

“We suspected that the combined antioxidant potency of compounds in blueberry extract may have reduced inflammatory compounds in the brains of these older animals,” says Joseph. “Inflammation ordinarily contributes to neuronal and behavioral shortfalls during aging.”

Tests have since shown that blueberry compounds cross the blood-brain barrier and localize in rodent brain tissue...
http://www.ars.usda.gov/is/AR/archive/aug07/aging0807.htm

Milk Destroys Antioxidant Benefits in Blueberries
Tuesday, February 03, 2009 by: Barbara L. Minton, citizen journalist

(NaturalNews) Not much is better than a bowl of fresh blueberries. Bursting with flavor and sweetness, low in calories, and packed with nutrients and antioxidants, these tiny fruits are anti-aging superstars. There is however one word of caution. Blueberries lose their power when eaten with milk.

...A study reported in the August, 2008 journal Nutrition and Neuroscience looked at cognitive impairment in age-related neurodegenerative diseases such as Alzheimer's as being due to long-term exposure and increased susceptibility to inflammatory insults. They investigated whether polyphenols in blueberries could reduce the deleterious effects of induced inflammation.

Rats were fed a diet that included a non-steroidal anti-inflammatory drug (NSAID), or a 2 percent blueberry diet. After two weeks and behavioral evaluation, the rats were examined and total RNA from the hippocampus was extracted to analyze the expression of inflammation-related genes. The researchers found the blueberry diet was able to improve cognitive performance to a much greater degree than was the NSAID diet. Blueberry eaters showed a reduction in several factors influencing the inflammatory response. They concluded that blueberry polyphenols can lessen learning impairments resulting from neurotoxic insult and exert anti-inflammatory actions, perhaps by alteration of gene expression.

Other studies have found that diets rich in blueberries significantly improved both the learning capacity and motor skills of aging animals, making them mentally equivalent to animals much younger.
http://www.naturalnews.com/025516.html

That's the not so good news from a study presented in this article if it makes it inconvenient to prepare a serving/dose. It's been reported that milk/protein will have harmful effects on green tea also. The better part of the article tells of a study with rats looking at blueberries in relation to inflammation and cognitive performance.

I'm certainly pleased to find out all of these good tasting things like blueberries, cinnamon, coconut, and even tea are good for you. It would be a bummer if it were things like cloves and radishes.

When they say, "Blueberry eaters showed a reduction in several factors influencing the inflammatory response", I wonder what those "factors" are? I'm going to have to look into it. What I'm wondering about is if TNF-alpha is affected. This would then tie into chronic infection and Enbrel.

More articles about blueberry extract:

Blueberry Extracts Boost Brain Function
By Rosalie Marion Bliss
August 8, 2007

A single dietary change has allowed laboratory animals with a genetic tendency toward Alzheimer's disease to perform as well as healthy peers in maze tests. Agricultural Research Service (ARS) scientists noted the diet-induced behavioral differences in the Alzheimer's-prone animals after feeding them blueberry extracts from the equivalent of their early adulthood to early middle age...
http://www.ars.usda.gov/is/pr/2007/070808.htm

Blueberry Juice Improves Memory in Older Adults
ScienceDaily (Jan. 21, 2010)
Scientists are reporting the first evidence from human research that blueberries -- one of the richest sources of healthful antioxidants and other so-called phytochemicals -- improve memory. They said the study establishes a basis for comprehensive human clinical trials to determine whether blueberries really deserve their growing reputation as a memory enhancer... In the study, one group of volunteers in their 70s with early memory decline drank the equivalent of 2-2 l/2 cups of a commercially available blueberry juice every day for two months. A control group drank a beverage without blueberry juice. The blueberry juice group showed significant improvement on learning and memory tests, the scientists say...
http://www.sciencedaily.com/releases/2010/01/100120121552.htm


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Vitamin D3

See also Curcumin
        
Recommendation from The Vitamin D Council

Here is a new study out that claims to clear Beta Amyloid plaques by combining vitamin D3 and a bio-available, possibly synthetic, curcumin.

Vitamin D, Curcumin May Help Clear Amyloid Plaques Found In Alzheimer's Disease

ScienceDaily (July 16, 2009) — UCLA scientists and colleagues from UC Riverside and the Human BioMolecular Research Institute have found that a form of vitamin D, together with a chemical found in turmeric spice called curcumin, may help stimulate the immune system to clear the brain of amyloid beta, which forms the plaques considered the hallmark of Alzheimer's disease...
http://www.sciencedaily.com/releases/2009/07/090715131558.htm

Vitamin D, curcumin may help clear amyloid plaques found in Alzheimer's
UCLA Newsroom
Early research findings may lead to new treatments for the disease
By Rachel Champeau July 15, 2009 Category: Health Sciences, Research

UCLA scientists and colleagues from UC Riverside and the Human BioMolecular Research Institute have found that a form of vitamin D, together with a chemical found in turmeric spice called curcumin, may help stimulate the immune system to clear the brain of amyloid beta, which forms the plaques considered the hallmark of Alzheimer's disease.
 
The early research findings, which appear in the July issue of the Journal of Alzheimer's Disease, may lead to new approaches in preventing and treating Alzheimer's by utilizing the property of vitamin D3 — a form of vitamin D — both alone and together with natural or synthetic curcumin to boost the immune system in protecting the brain against amyloid beta...
http://newsroom.ucla.edu/portal/ucla/ucla-study-finds-vitamin-d-may-94903.aspx


Higher vitamin D linked to better physical functioning in elderly

by Neha Jindal - April 27, 2010

In a notable study, researchers claim to have found that higher blood levels of vitamin D improve physical functioning in the elderly.

Researchers at Wake Forest University in Winston-Salem, U.S., established that high levels of vitamin D not only help battle cold, cancer, diabetes and heart diseases but also perk up physical activity in the aged.

Lead researcher and assistant professor, internal medicine, Wake Forest University, Denise Houston, PhD, RD, was quoted by WebMD as saying, “Those with better vitamin D levels started out better and ended up better on physical performance tests.”
http://www.themedguru.com/20100427/newsfeature/higher-vitamin-d-linked-better-physical-functioning-elderly-86134554.html


Low Vitamin D Level Tied to Cognitive Decline

Study Shows Elderly People With Higher Vitamin D Levels Performed Better on Mental Tests

By Charlene Laino
WebMD Health News
Reviewed by Louise Chang, MD

April 16, 2010 (Toronto) -- Two new studies add to evidence that older people with low levels of vitamin D may be more likely to suffer from cognitive impairment.

The hope is that vitamin D supplements may be able to slow mental decline -- an intervention that one research team plans to put to the test this summer.

Vitamin D is best known for helping the body absorb calcium, which restores and strengthens bone, protecting against fracture.

But vitamin D also seems to have anti-inflammatory effects that may help keep blood vessels healthy, ensuring nutrient- and oxygen-rich blood flow to brain cells, says Amie Peterson, MD, of Oregon Health & Science University in Portland.

In addition, the presence of vitamin D receptors throughout the brain suggests that it may directly affect brain tissue, she tells WebMD.
http://www.webmd.com/healthy-aging/news/20100416/low-vitamin-d-level-tied-to-cognitive-decline


Do Vitamin D Deficiency and Cognitive Decline Go Hand‐in‐Hand?

Neurology Today
7 January 2010; Volume 10(1); p 10
FALLIK, DAWN

Two independent research groups showed a connection between vitamin D deficiency and cognitive decline in cross-sectional studies, while the third found no statistically significant association in a longitudinal study.

While vitamin D has long been known to assist calcium absorption in the body, investigators have begun to explore, as well, its role in supporting cognitive function and preventing dementia.

But exactly what that role is requires further research, according to the lead investigators of three studies published online Nov. 25 ahead of the Jan. 5 print edition of Neurology. Two independent research groups showed a connection between vitamin D deficiency and cognitive decline in cross-sectional studies, while the third found no statistically significant association in a longitudinal study.

Although the findings were inconclusive, the investigators agreed on this point: Clinicians need to be careful in prescribing supplements, because it is unclear what dose, if any, is most effective. And they warned patients not to consider vitamin D a “wonder drug,” because, unlike vitamin C excess, which the body eliminates, vitamin D is stored in fat, and an overdose can cause problems...
http://www.aan.com/elibrary/neurologytoday/?event=home.showArticle&id=ovid.com:/bib/ovftdb/00132985-201001070-00007

Originally posted November 19, 2009 12:16 PM to the Alz.org "Curcumin clinical trial" thread on the  Medications/Treatments for Alzheimer's and Other Related Dementias discussion forum:

"...Another study has found that stimulation of scavenger cells (macrophages) by the vitamin D derivative 1,25 hydroxyvitamin D (which is the hormonally active form of the vitamin), in combination with compounds called curcuminoids, also have effects on macrophages which may result in removal of the offending substances and structures. Vitamin D is known to have beneficial effects on immunity, and cucurmin (from turmeric) has been shown before to have beneficial properties..."

Sources: Masoumi A, et al. J Alzheimers Disease 2009;17:703–17.
http://www.everybody.co.nz/page-8cbc924f-812b-4ba5-8ffa-ad7e42580d64.aspx

It seems rather intriguing. No, I don't understand it completely but it seems that some form of vitamin D increases the effectiveness of curcuminoids.

Here is the abstract of the cited paper:

1α,25-dihydroxyvitamin D_{3} Interacts with Curcuminoids to Stimulate Amyloid-β Clearance by Macrophages of Alzheimer's Disease Patients
Journal of Alzheimer's Disease
Publisher IOS Press
ISSN 1387-2877 (Print) 1875-8908 (Online)
Issue Volume 17, Number 3 / 2009
DOI 10.3233/JAD-2009-1080
Pages 703-717

Authors
Ava Masoumi1, Ben Goldenson1, Senait Ghirmai2, Hripsime Avagyan1, Justin Zaghi1, Ken Abel2, Xueying Zheng2, Araceli Espinosa-Jeffrey3, Michelle Mahanian1, Phillip T. Liu4, Martin Hewison1, Matthew Mizwicki5, John Cashman2, Milan Fiala1

Abstract

Patients with Alzheimer's disease (AD) suffer from brain amyloidosis related to defective clearance of amyloid-β (Aβ) by the innate immune system. To improve the innate immune system of AD patients, we studied immune stimulation of macrophages by 1α,25(OH)_{2}-vitamin D_{3}(1,25D3) in combination with curcuminoids. AD patients' macrophages segregate into Type I (positively stimulated by curcuminoids regarding MGAT-III transcription) and Type II (not stimulated). In both Type I and Type II macrophages, 1,25D3 strongly stimulated Aβ phagocytosis and clearance while protecting against apoptosis. Certain synthetic curcuminoids in combination with 1,25D3 had additive effects on phagocytosis in Type I but not Type II macrophages. In addition, we investigated the mechanisms of 1,25D3 and curcuminoids in macrophages. The 1,25D3 genomic antagonist analog MK inhibited 1,25D3 but not curcuminoid effects, suggesting that 1,25D3 acts through the genomic pathway. In silico, 1,25D3 showed preferential binding to the genomic pocket of the vitamin D receptor, whereas bisdemethoxycurcumin showed preference for the non-genomic pocket. 1,25D3 is a promising hormone for AD immunoprophylaxis because in Type I macrophages combined treatment with 1,25D3 and curcuminoids has additive effects, and in Type II macrophages 1,25D3 treatment is effective alone. Human macrophages are a new paradigm for testing immune therapies for AD.
http://iospress.metapress.com/content/k457101686r62685/?p=299e6f877b2848309f40294ee2a89c52&pi=20

http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/834108421?r=195102752#195102752


Originally posted January 16, 2010 09:17 AM to the Alz.org "Curcumin clinical trial" thread on the  Medications/Treatments for Alzheimer's and Other Related Dementias discussion forum:

While re-reading the older posts in this tread, I saw a message I posted back on November 19 about vitamin D that I completely forgot about.

If I'm reading the articles correctly, it seems that Vitamin D helps the body use curcumin more effectively to remove the amyloid beta plaques.

The wording of the abstract makes it sound like they used some exotic form of Vitamin D, but according to Wikipedia, Vitamin D is converted to this "1,25 hydroxyvitamin D".

"After vitamin D is produced in the middle layers of skin or consumed in food, it is converted in the liver and kidney to form 1,25 dihydroxyvitamin D, (1,25(OH)2D), the physiologically active form of vitamin D (when "D" is used without a subscript it refers to either D2 or D3). This physiologically active form of vitamin D is known as calcitriol. Following this conversion, calcitriol is released into the circulation, and by binding to a carrier protein in the plasma, vitamin D binding protein (VDBP), it is transported to various target organs."
http://en.wikipedia.org/wiki/Vitamin_D

http://alzheimers.infopop.cc/eve/forums/a/tpc/f/762104261/m/834108421?r=512106603#512106603


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Caffeine

Caffeine May Slow Alzheimer's Disease and Other Dementias, Restore Cognitive Function, According to New Evidence

ScienceDaily (May 17, 2010) — Although caffeine is the most widely consumed psychoactive drug worldwide, its potential beneficial effect for maintenance of proper brain functioning has only recently begun to be adequately appreciated. Substantial evidence from epidemiological studies and fundamental research in animal models suggests that caffeine may be protective against the cognitive decline seen in dementia and Alzheimer's disease (AD)...

http://www.sciencedaily.com/releases/2010/05/100517111937.htm
http://news.bbc.co.uk/2/hi/health/8132122.stm
http://iospress.metapress.com/content/t13614762731/


Caffeine protects Alzheimer's mice against cognitive impairment and reduces brain beta-amyloid production.
Arendash GW, Schleif W, Rezai-Zadeh K, Jackson EK, Zacharia LC, Cracchiolo JR,
Shippy D, Tan J.
The Byrd Alzheimer's Center and Research Institute, Tampa, FL 33647, USA.
Neuroscience. 2006 Nov 3;142(4):941-52. Epub 2006 Aug 28.

A recent epidemiological study suggested that higher caffeine intake over decades reduces the risk of Alzheimer's disease (AD). The present study sought to determine any long-term protective effects of dietary caffeine intake in a controlled longitudinal study involving AD transgenic mice. Caffeine (an adenosine receptor antagonist) was added to the drinking water of amyloid precursor protein, Swedish mutation (APPsw) transgenic (Tg) mice between 4 and 9 months of age, with behavioral testing done during the final 6 weeks of treatment. The average daily intake of caffeine per mouse (1.5 mg) was the human equivalent of 500 mg caffeine, the amount typically found in five cups of coffee per day. Across multiple cognitive tasks of spatial learning/reference memory, working memory, and recognition/identification, Tg mice given caffeine performed significantly better than Tg control mice and similar to non-transgenic controls. In both behaviorally-tested and aged Tg mice, long-term caffeine administration resulted in lower hippocampal beta-amyloid (Abeta) levels. Expression of both Presenilin 1 (PS1) and beta-secretase (BACE) was reduced in caffeine-treated Tg mice, indicating decreased Abeta production as a likely mechanism of caffeine's cognitive protection. The ability of caffeine to reduce Abeta production was confirmed in SweAPP N2a neuronal cultures, wherein concentration-dependent decreases in both Abeta1-40 and Abeta1-42 were observed. Although adenosine A(1) or A(2A) receptor densities in cortex or hippocampus were not affected by caffeine treatment, brain adenosine levels in Tg mice were restored back to normal by dietary caffeine and could be involved in the cognitive protection provided by caffeine. Our data demonstrate that moderate daily intake of caffeine may delay or reduce the risk of AD.
PMID: 16938404

The complete paper to the above abstract can be found at --
http://www.byrdinstitute.org/mediaroom/caffeine-study/Caffeine%20Paper.pdf

When they refer to "adenosine", I wonder if they mean ATP.  See Mitochondrial Dysfunction for more on this.

The Caffeine Study
Press Release --
http://www.byrdinstitute.org/mediaroom/caffeine-study/caffeine%20press%20release%20FINAL.pdf

Caffeine reverses memory impairment in Alzheimer's mice
New studies show caffeine markedly reduced the hallmark protein for Alzheimer's disease in the brains and blood of the mice
http://www.eurekalert.org/pub_releases/2009-07/uosf-crm070109.php

http://www.neurology.org/cgi/content/abstract/69/6/536
http://www.sciencedaily.com/releases/2009/01/090114200005.htm


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Updated: December 17, 2010
Inception: June 5, 2006