Alzheimer's Fighting off Infections; Who Knew?

 
INTRODUCTION:

Recent research indicates that Alzheimer's can stem from the toxic remnants of the brain's attempt to fight off infections. Team of researchers from Harvard are close to finding the reason behind the origins of plaque tau found in individuals who suffer from Alzheimer's.

Experts on Alzheimer's disease are captivated by the idea that infections, those that are too mild to cause actual symptoms could possibly produce a fierce reaction leaving debris in the brain and in this case causing Alzheimer's in people as they age. The hypothesis makes sense and the data supports the hypothesis in that the major implications for preventing and treating this degenerative brain disease.

Dr. Michael W. Weiner is a radiology professor at University of California, San Francisco. He is the lead investigator of the Alzheimer’s Disease Neuroimaging Initiative where the goal of the organization is to create a large national effort to track the progression of the disease and look for biomarkers like blood proteins and brain imaging to signal the disease’s presence.

A virus, fungus, or a bacterium gets into the brain, passing through the the blood brain barrier membrane which becomes leakier with age. The brain’s defense system rushes in to stop the invader by making a sticky cage out of proteins, called beta amyloid. The microbe gets trapped, leaving behind a plaque that is the unique hallmark of Alzheimer’s. Data from the research, so far, have supported their hypothesis of the neurons growing in petri dishes including those in yeast, roundworms, fruit flies, and mice.

 

 

The origins of this idea and its work started with Robert Moir who had an idea about the function of amyloid proteins, normal brain proteins which have always been a mystery. The hypothesis has been that with age the brain accumulates 'garbage' that were called proteins by scientists. What Dr. Moir noticed that others didn't was that the proteins looked very similar to that of the innate immune system. What does this mean? The innate immune system is a primitive system that is the body's first line of defense against infections.

If these proteins were to be found anywhere else in the body, for example proteins called trap microbes ( viruses, fungi, yeast, bacteria). After the initial defense, the body releases WBCs to clear up any mess formed. Dr. Moir, came to the conclusion of the possibility that amyloids were also part of that system. AT Harvard Medical School and Massachusetts' General hospital, he began working with Rudolph Tanzi on a study to see if amyloids were trapped in microbes in living animals as well as if mice which lack these amyloid proteins were quickly ravaged by infections that amyloid could have stopped.

In a study where salmonella was injected in the bacteria in the brains of young mice that did not have plaques. Overnight, the bacteria gave birth to plaques. The hippocampus was full of plaques, and each plaque had a single bacterium at its center. Those that did not form beta amyloid plaques succumbed more quickly to the bacterial infection. Plaques never formed in their brains.

The idea in researchers minds has always been that the plaques were a form of trash accumulated in the brain. Alzheimer's pathway is supported by years of research. Plaques form and set off the formation of  tangled threadlike tau proteins. Then, as tangles of tau kill nerve cells, the brain becomes inflamed, resulting in the killing of many more nerve cells. There were a few puzzling clues that something else might be going on, but they did not make much sense.

Investigators have indeed reported that individuals who developed Alzheimer’s revealed to have higher levels of antibodies to herpes- an indication of a previous infection- compared to those who did not have the disease. Dr. Berislay Zlokovic's studies also support this statement. The blood brain barrier fits this hypothesis. He discovered that the barrier began degrading due after years of aging and of all the regions, the hippocampus (site of learning and memory) was the leakiest part of the membrane. Coincidentally, this is also where Alzheimer’s plaques form.

 

 

Then there are individuals who have a mutated gene that guarantees that they will eventually develop the disease at an early age. The problem here is that these individuals vastly overproduce beta amyloid. So much of these begin to clump up even without the presence of microbes. Uniquely enough, not everyone who has had a brain infection develops Alzheimers. Some individuals seem to be more vulnerable to the disease than others.

A new theory proposes that the brain has the ability to clear out balls of beta amyloid after they have killed the microbes. Individuals with the gene 'ApoE2' have brains that are skilled at clearing out this plaque subsequently lowering their risk of developing Alzheimer's in their later years. Then there are individuals who have different version of this gene which are inefficient in removing plaque and therefore have a high risk of developing Alzheimer's.

The incidence of dementia has been declining is the past few years. The reasoning behind the results of these recent data suggests that individuals have been taking better control of their blood pressures and cholesterol levels. By doing so, they are starving off mini strokes which can cause dementia. Much more work is needed in this area of medical research.

 

 

 

The Cure Alzheimer’s Fund is initiating a large collaborative project that will use gene sequencing technology to carefully look for microbes in the brain. These careful observations will range from the brains of people who had Alzheimer's and those who never developed the disease. The microbes located within the plaques in human brains will also be collected. Dr. Tanzi strongly suggests that the very first question that needs to be answered is whether there are microbes that can sneak into the brain as we age triggering amyloid deposition so that we can then set a new goal in stopping them.

Links:
(A)http://www.nytimes.com/2016/05/26/health/alzheimers-disease-infection.html?_r=0

*Please note! These images are not mine. They were found on various tumblr sites! If any are yours please let me know so that I can give you credit for them! Also the people in the images have no relation to the diseases, illnesses, or cancers I write about. Thanks so much & enjoy~

Robin Williams: Dementia with Lewy Bodies VS Alzheimer's

 "You are only given a little spark of madness. You must not lose it"~ R. Williams  

 

D is not a rare disease. It affects an estimated 1.4 million individuals and their families in the United States, but many doctors or other medical professionals still are not familiar with LBD. - See more at: http://www.lbda.org/learn_about_lbd#sthash.KJTg8Hv4.dpuf

D is not a rare disease. It affects an estimated 1.4 million individuals and their families in the United States, but many doctors or other medical professionals still are not familiar with LBD. - See more at: http://www.lbda.org/learn_about_lbd#sthash.KJTg8Hv4.dpuf

Many people did not know what Robin Williams, beloved actor and inspiration to all, was suffering quietly alone. He suffered from depression, paranoia,  Parkinson's Disease, as well as dementia. These symptoms describe dementia with Lewy Bodies (DLB). The symptoms fluctuate in their intensities in very unpredictable ways. DLB is the second most common cause of dementia in older individuals, where Alzheimer's is the first. (A)

 According to the LBDA (Lewy Body Dementia Association) there are 3 common symptoms: some will begin with movement disorder leading to Parkinson's Disease then later to dementia. (diagnosis: Parkinson's Disease Dementia), another group of individuals will have cognitive/memory disorder that could easily be mistaken for Alzheimer's Disease, but time will show more distinctive characteristics that leads to LBD. Next, is the smalls group of this disease who at first show neuropsychiatric symptoms (e.x: Hallucinations, behavioral problems, and have a hard time with more complex mental activities) (B)

• Some individuals will start out with a movement disorder leading to the diagnosis of Parkinson's disease and later develop dementia. This is diagnosed as Parkinson’s disease dementia.
• Another group of individuals will start out with a cognitive/memory disorder that may be mistaken for AD, but over time two or more distinctive features become apparent leading to the diagnosis of ‘dementia with Lewy bodies’ (DLB).
• Lastly, a small group will first present with neuropsychiatric symptoms, which can include hallucinations, behavioral problems, and difficulty with complex mental activities, also leading to an initial diagnosis of DLB.

Regardless of the initial symptom, over time all three presentations of LBD will develop very similar cognitive, physical, sleep and behavioral features. - See more at: http://www.lbda.org/content/10-things-you-should-know-about-lbd#sthash.O4YsoqVj.dpuf

 

LBD can have three common presentations:

• Some individuals will start out with a movement disorder leading to the diagnosis of Parkinson's disease and later develop dementia. This is diagnosed as Parkinson’s disease dementia.
• Another group of individuals will start out with a cognitive/memory disorder that may be mistaken for AD, but over time two or more distinctive features become apparent leading to the diagnosis of ‘dementia with Lewy bodies’ (DLB).
• Lastly, a small group will first present with neuropsychiatric symptoms, which can include hallucinations, behavioral problems, and difficulty with complex mental activities, also leading to an initial diagnosis of DLB.

Regardless of the initial symptom, over time all three presentations of LBD will develop very similar cognitive, physical, sleep and behavioral features. - See more at: http://www.lbda.org/content/10-things-you-should-know-about-lbd#sthash.O4YsoqVj.dpuf

"To live...To live would be an awfully great adventure." ~Williams as Peter Pan in Hook  

Individuals who suffer from Parkinson's disease have symptoms of shaking tremors, slow movements of their limbs, and shuffling style of walk. Lewy bodies were found in people with Parkinsons. Lewy bodies are microscopic clumps of protein (aka: alpha-synucein) where under specific conditions- still unknown to scientists and physicians- accumulate in the nerve cells of the brain. This accumulation involving the brainstem, midbrain structures, and substantia nigra accounts for the loss of Dopamine (a neurotransmitter) in the brain leading to Parkinson's Disease. Recent studies show that Lewy bodies do in fact affect other parts of the brain that can occur in autonomic and PNS producing symptoms of low blood pressure, constipation, and sweating. These symptoms are very commonly known as vegetative symptoms. (A)

The most common symptoms of LBD include impaired thinking, fluctuations in cognition(attention or awareness), visual hallucinations,sleep disorders, behavioral and mood symptoms i.e. depression, anxiety, agitation, delusions, paranoia), and changes in autonomic body functions (i.e blood pressure control, temp regulation, bladder and bowel function) (B)

Impaired thinking, such as loss of executive function (planning, processing information), memory, or the ability to understand visual information.

Fluctuations in cognition, attention or alertness;

Problems with movement including tremors, stiffness, slowness and difficulty walking

Visual hallucinations (seeing things that are not present)

Sleep disorders, such as acting out one’s dreams while asleep

Behavioral and mood symptoms, including depression, apathy, anxiety, agitation, delusions or paranoia

Changes in autonomic body functions, such as blood pressure control, temperature regulation, and bladder and bowel function.

- See more at: http://www.lbda.org/content/10-things-you-should-know-about-lbd#sthash.O4YsoqVj.dpuf

DLB diagnosed patients have lewy bodies within the cerebral cortex. The symptoms begin with mild, fluctuating disturbances in attention and wakefulness. The individual will appear vague, drowsy or confused as their interests decrease and inabilities to reason and carry out daily tasks. (Similar to Apathy but is mistaken for depression). R. Williams' visuo-perceptual function was also affected as he would get bruising from bumping into objects. He would also have very life like hallucinations which is common in 80% of cases. (A)

"No matter what people tell you... words and ideas CAN change the world"~ Williams in Dead Poets Society

 As the lewy body disease progresses, general cognitive impairment and dementia get worse although it occurs in a fluctuating pattern of intervals. The hallucinations that these individuals suffer from can be life threatening, confusing as well as frustrating as to why they are unable to recognize familiar faces or strangers. Some have hallucinations as a form of nightmares which develops in part as a specific sleep disorder. The initial diagnosis of Parkison's disease is dementia followed by symptoms of short term memory failure, alzheimer's diseass pathology in the brain, and the walking nightmares people like Williams suffered with on a daily basis. (A)

 

 "Please, don't worry so much, because in the end, none of us have very long on this earth"~ Williams in Jumanji

If DLB is so common, why did it take so long for physicians to recognize it in Williams? Unfortantely, lewy bodies are extremely difficult to see in the brain using conventional methods such as staining. 

"You will always have bad times, but they will wake you up to things you weren't paying attention to"~Williams 

Trials for DLB have been rare because there is a lack of compounds to test. A preoccupation with targeting Alzheimer's and a reluctance of regulatory bodies to recognize DLB are just some of the obstacles researchers face. Because of Robin William's, pharmacological trials for DLB, will increase public awareness. Families will now search for organizations that provide information, advice, advocacy, and support for research activity. DLB is the key to unlock the key to BOTH parkinson's and Alzheimer's disease. (A)

"Never say goodbye because goodbye means going away and going away means forgetting"~Peter Pan, Neverland

Links:
(A)http://www.iflscience.com/health-and-medicine/robin-williams-had-dementia-lewy-bodies-so-what-it-and-why-has-it-been-eclipsed
(B) http://www.lbda.org/learn_about_lbd

*These images are not mine they were found on various tumblr sites! If any are yours please let me know so that I can give you credit~ Thanks so much!