Sunday, December 10, 2017

Alzheimer's Disease and its Possible Early-Onset Treatments: Dantrolene & Betabloc


“One in every eight individuals above the age of sixty-five have Alzheimer’s disease.” (Stutzmann) For the most part, 95% of the affected people contract the sporadic type of Alzheimer’s disease (AD), where the symptoms become apparent in late adulthood. The current therapeutic targets that exist for this condition include: amyloid plaques, neurofibrillary tangles, cholinergic cell loss, as well as memory and synaptic loss. Specifically, the two treatments available in the pharmaceutical market today (known as cholinesterase inhibitors and Memantine) address the symptoms of AD in decreasing their progression only after they have already become present within the subjects' life. These remedies give emphasis on the late-onset features of AD. For this reason, Dr. Beth Stutzmann sought out to develop a treatment that avoids the rise of synaptic loss before it becomes apparent. Synaptic loss is the only feature of Alzheimer’s disease that directly correlates with cognitive impairment and limits the formation of new memories.
New memories are created when neurons, the nerve cells that transmit information throughout our bodies, are able to receive electric stimuli and communicate among themselves to pass these along to our brain. They are able to do so when calcium rushes into their ion channels and thus ensues a response within them to pass along the information to the neuron closest to it. Furthermore, the process is repeated again in the next neuron and a cycle is formed until the stimuli reaches the brain and the information is decoded. In AD patients, however, this communication is disrupted, resulting in memory loss of recently acquired facts. To study how she could stop this from occurring, Dr. Stutzmann measured calcium responses in mice that had Alzheimer’s disease. She saw that calcium signals are much larger in AD neurons and that this dysfunction was causing them to use up the vesicles they utilize to transmit the stimuli in. Moreover, she discovered that they lost vesicles in a rate that they could later not catch up with. Therefore, the neurons are unable to replenish themselves and end up depleted of their pre-synaptic vesicles. This leads to a decrease in neurological activity. Consequently, a drug that restores calcium levels back to normal could help AD individuals from suffering synaptic loss.



Membrane Potential, Ion Transport and Nerve Impulse. (n.d.). Retrieved December 9, 2017, from https://wikispaces.psu.edu/display/230/Membrane Potential%2C Ion Transport and Nerve Impulse

After various trials and errors, she found the drug Dantrolene could serve this purpose. Not only did it restore synaptic plasticity and calcium levels, but it also reduced the AD neurons' amyloid levels. Presently, Dr. Stutzmann and her team are working on creating a Dantrolene-derived medicine that targets the Central Nervous System—the system within our bodies that is most affected by Alzheimer’s disease. For now, her discovery is promising and has worked in both AD mice neurons, as well as the human ones she has cultivated in her lab.
Another encouraging discovery has been that of the Betabloc, a vaccine that “attacks the build-up of a protein called beta-amyloid, which forms a damaging waxy plaque on brain cells” (Chapman, James). Just like Dr. Stutzmann's treatment, this vaccine also tackles the early-onset aspect of AD symptoms. Although it is still being tested, they have also had positive outcomes in AD mice neurons. Additionally, they have also seen the removal of such proteins and the restoration of mental function in their second set of safety trials with eighty Alzheimer’s disease patients. “It would not be unrealistic to say that [they] might see a treatment within five years.” (Cayton, Harry)
These alternatives might not cure Alzheimer’s disease just yet, but they do promise a step in the right direction towards achieving that purpose!


Works Cited
Chapman, J. (2014, December 21). Cure for Alzheimer's Closer. Retrieved December 9, 2017, from http://www.dailymail.co.uk/news/article-10539/Cure-Alzheimers-closer.html

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