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
Helicobacter Pylori
eSadists, Kevorkians, Ghosts, and the Company of Misery
Rember
Methylene Blue
The circular logic of "Standard of Care"
Coconut Oil / MCT
The "Sinatra Solution"
D-Ribose
Magnesium
Acetyl-L Carnitine
Resveratrol
Coenzyme Q10 (CoQ10)
Niacinamide / nicotinamide
Apple Juice
Tau Busters
Grape Seed Extract
Davunetide
Statins
Nypta


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What this page is for:
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.”

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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

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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

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 such 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.

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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.

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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)
[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.]

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 peperine (extract of black pepper) 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.

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.

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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)

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

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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

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 pylori

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

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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:

Can inhaled anesthetics initiate a biochemical cascade or domino effect leading to degenerative neurological diseases?

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, an 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.

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Copper:

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Lithium:

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

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Cinnamon:

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


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Infection and Immune System Response:

See also Helicobacter pylori

"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. Another possibility is the presence of Lyme disease. If they have one of these infections, get it treated.

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

[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]

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.


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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.

********************************************************************************************
Rember

See also
Methylene blue
        
Helicobacter pylori
         Hsp70

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

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.

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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.

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Coconut Oil

See also
Coconut Oil Recipes

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

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

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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Dr. Sinatra (The Sinatra Solution)

See also,
    Coconut Oil / MCT Oil
    D-Ribose
    Acetyl-L Carnitine
    Magnesium
    CoQ10

[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

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

[EDIT NOTE:  Get the list of recommended supplements 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.



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Magnesium

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Acetyl-L Carnitine

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Resveratrol

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Coenzyme Q10 (CoQ10)

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Niacinamide / nicotinamide

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

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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
Amy Chan and Thomas B. Shea. Dietary Supplementation with Apple Juice Decreases Endogenous Amyloid-%u03B2 Levels in Murine Brain. Journal of Alzheimer's Disease, 16:1 (January 2009)

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Tau Busters

There are six substances we have heard about since late 2007 that might be tau-busters. The six "tau buster" candidates known to me at this time are: Cinnamon proanthocyanidins, methylene blue (Rember), niacinamide (nicotinamide), grape seed extract, davunetide and the newest member of the club, Nypta. The wording describing the action 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.

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Grape Seed Extract

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

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/

--- 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.

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Davunetide

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.

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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


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Nypta

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

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Updated: March 12, 2010
Inception: June 5, 2006