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continued:

Alzheimer's treatments: What's on the horizon?

Reducing inflammation

Alzheimer's causes chronic, low-level brain cell inflammation. Based on success in treating inflammation elsewhere in the body, researchers are attempting to develop drugs that zero in on specific inflammatory processes at work in Alzheimer's disease.

Capitalizing on the heart-head connection

Growing evidence suggests that brain health is closely linked to heart and blood vessel health. Your brain is nourished by your arteries. The risk of developing Alzheimer's appears to increase as a result of many conditions that damage the heart or arteries. These include high blood pressure, heart disease, stroke, diabetes and high cholesterol. In addition, the strongest known genetic Alzheimer's risk factor is one form of a gene for apolipoprotein E, a protein that carries cholesterol in the blood.

A number of studies are exploring how best to capitalize on this heart-head connection. Strategies under investigation include:

  • Current drugs for heart disease risk factors. Researchers are investigating whether drugs currently used to treat high blood pressure, diabetes and high cholesterol may also help people with Alzheimer's or reduce the risk of developing the disease.
  • Drugs aimed at new targets. Additional projects are looking more closely at how the connection between heart disease and Alzheimer's works at the molecular level to find new drug targets.
  • Heart-healthy lifestyle choices. Still other studies are exploring whether lifestyle choices with known heart benefits, such as exercising on most days and eating a heart-healthy diet, also may help prevent Alzheimer's disease or delay its onset.

Speeding treatment development

Developing new medications is a slow and painstaking process. The pace can be especially frustrating for individuals with Alzheimer's and their families who are waiting for good news about fresh treatment options. To help accelerate discovery, the Coalition Against Major Diseases (CAMD), an alliance of pharmaceutical companies, nonprofit foundations and government advisers, have forged a first-of-its-kind partnership to share data from Alzheimer's clinical trials in which the experimental treatments didn't work as hoped. Researchers anticipate that sharing these data from more than 4,000 study participants will speed development of more effective therapies.

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References
  1. Prins ND, et al. Can novel therapeutics halt the amyloid cascade? Alzheimer's Research and Therapy. 2010;2:5.
  2. Strobel G. Geneva: Biomarker news morsels amid immunotherapy review. Alzheimer Research Forum. http://www.alzforum.org/new/detail.asp?id=2409. Accessed June 16, 2010.
  3. Romero K, et al. The Coalition Against Major Diseases: Developing tools for an integrated drug development process for Parkinson's and Alzheimer's diseases. Clinical Pharmacology & Therapeutics. 2009;86:365.
  4. 2008 Progress report on Alzheimer's disease. National Institute on Aging. http://www.nia.nih.gov/NR/rdonlyres/324E10CB-0E01-46F0-AE85-D2E8A5D53D27/0/NIA_2008_ProgressRpt_1.pdf. Accessed June 18, 2010.
  5. Press D, et al. Future directions in dementia treatments. http://www.uptodate.com/home/index.html. Accessed June 18, 2010.
  6. Cognitive health in older adults. Alzheimer's Association. http://www.alz.org/professionals_and_researchers_14296.asp. Accessed June 18, 2010.
  7. 2008: The year in Alzheimer science. Alzheimer's Association. http://www.alz.org/national/documents/2008_YIS_complete_FIN.pdf. Accessed June 18, 2010.
AZ00048 Aug. 19, 2010

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