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Reversal Of Alzheimer's Symptoms Within Minutes In Human Study
Science Daily ^ | 1-8-2008 | University of Arkansas for Medical Sciences.

Posted on 01/09/2008 2:14:21 PM PST by blam

Reversal Of Alzheimer's Symptoms Within Minutes In Human Study

PET Scan of Alzheimer's Disease Brain. (Credit: NIH/National Institute On Aging)

ScienceDaily (Jan. 9, 2008) — An extraordinary new scientific study, which for the first time documents marked improvement in Alzheimer’s disease within minutes of administration of a therapeutic molecule, has just been published in the Journal of Neuroinflammation.

This new study highlights the importance of certain soluble proteins, called cytokines, in Alzheimer’s disease. The study focuses on one of these cytokines, tumor necrosis factor-alpha(TNF), a critical component of the brain’s immune system. Normally, TNF finely regulates the transmission of neural impulses in the brain. The authors hypothesized that elevated levels of TNF in Alzheimer’s disease interfere with this regulation. To reduce elevated TNF, the authors gave patients an injection of an anti-TNF therapeutic called etanercept. Excess TNF-alpha has been documented in the cerebrospinal fluid of patients with Alzheimer’s.

The new study documents a dramatic and unprecedented therapeutic effect in an Alzheimer’s patient: improvement within minutes following delivery of perispinal etanercept, which is etanercept given by injection in the spine. Etanercept (trade name Enbrel) binds and inactivates excess TNF. Etanercept is FDA approved to treat a number of immune-mediated disorders and is used off label in the study.

The use of anti-TNF therapeutics as a new treatment choice for many diseases, such as rheumatoid arthritis and potentially even Alzheimer’s, was recently chosen as one of the top 10 health stories of 2007 by the Harvard Health Letter.

Similarly, the Neurotechnology Industry Organization has recently selected new treatment targets revealed by neuroimmunology (such as excess TNF) as one of the top 10 Neuroscience Trends of 2007. And the Dana Alliance for Brain Initiatives has chosen the pilot study using perispinal etanercept for Alzheimer’s for inclusion and discussion in their 2007 Progress Report on Brain Research.

The lead author of the study, Edward Tobinick M.D., is an assistant clinical professor of medicine at the University of California, Los Angeles and director of the Institute for Neurological Research, a private medical group in Los Angeles. Hyman Gross, M.D., clinical professor of neurology at the University of Southern California, was co-author.

The study is accompanied by an extensive commentary by Sue Griffin, Ph.D., director of research at the Donald W. Reynolds Institute on Aging at the University of Arkansas for Medical Sciences (UAMS) in Little Rock and at the Geriatric Research and Clinical Center at the VA Hospital in Little Rock, who along with Robert Mrak, M.D., chairman of pathology at University of Toledo Medical School, are editors-in-chief of the Journal of Neuroinflammation.

Griffin and Mrak are pioneers in the field of neuroinflammation. Griffin published a landmark study in 1989 describing the association of cytokine overexpression in the brain and Alzheimer’s disease. Her research helped pave the way for the findings of the present study. Griffin has recently been selected for membership in the Dana Alliance for Brain Initiatives, a nonprofit organization of more than 200 leading neuroscientists, including ten Nobel laureates.

“It is unprecedented that we can see cognitive and behavioral improvement in a patient with established dementia within minutes of therapeutic intervention,” said Griffin. “It is imperative that the medical and scientific communities immediately undertake to further investigate and characterize the physiologic mechanisms involved. This gives all of us in Alzheimer’s research a tremendous new clue about new avenues of research, which is so exciting and so needed in the field of Alzheimer’s. Even though this report predominantly discusses a single patient, it is of significant scientific interest because of the potential insight it may give into the processes involved in the brain dysfunction of Alzheimer’s.”

While the article discusses one patient, many other patients with mild to severe Alzheimer’s received the treatment and all have shown sustained and marked improvement.

The new study, entitled “Rapid cognitive improvement in Alzheimer’s disease following perispinal etanercept administration,” and the accompanying commentary, entitled “Perispinal etanercept: Potential as an Alzheimer’s therapeutic,” are available on the Web site of the Journal of Neuroinflammation.

Author Hyman Gross, M.D., has no competing interests. Author Edward Tobinick, M.D. owns stock in Amgen, the manufacturer of etanercept, and has multiple issued and pending patents assigned to TACT IP LLC that describe the parenteral and perispinal use of etanercept for the treatment of Alzheimer’s disease and other neurological disorders, including, but not limited to, U.S. patents 6015557, 6177077, 6419934, 6419944, 6537549, 6982089, 7214658 and Australian patent 758523.

Adapted from materials provided by University of Arkansas for Medical Sciences.


TOPICS: News/Current Events
KEYWORDS: aging; alzheimer; alzheimers; brain; disorders; reversal; study
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To: Callahan

I inevitably think of Reagan whenever Alzheimer’s comes up. There are an incredibly tiny number of mortal men I consider to be heroes, people genuinely worthy of mass adoration. For me, Reagan is at the top of that list. He was a genuinely great man and I (notorious in my small world for being unemotional) can easily tear up when watching any kind of show about him.

MM (in TX)


41 posted on 01/09/2008 3:13:43 PM PST by MississippiMan
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To: Steve_Seattle
It's difficult to produce. It isn't synthesized in a yeast cell, where you can ramp up production in industrial-sized vats. It's produced in a mammalian cell (CHO, or Chinese Hamster Ovary) that is much more difficult to keep active and clean in large batches. So you have to build lots of small reactors to produce the stuff.

You have to keep this stuff incredibly pure because it's used in such small amounts with such large systemic effects. That costs, too.

42 posted on 01/09/2008 3:14:03 PM PST by Billthedrill
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To: fightinJAG

Nursing Homes here is SW Virginia are going for 4K to 6K a month. This is a drug that if it worked, it could save Medicare. Hopefully the FDA will fast track this drug. One funny side effect will be what happens when the patieats memory returns, They are going to be pissed to find out their house got sold to pay for their nursing home care.


43 posted on 01/09/2008 3:23:12 PM PST by ClayinVA
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To: blam

http://money.cnn.com/2008/01/08/news/companies/alzheimers/index.htm?source=yahoo_quote


44 posted on 01/09/2008 3:28:30 PM PST by RXSalesman
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To: Loud Mime
I hope this works. Our family is dealing with my father right now.

Right with you. One hopes like the wonder drugs Streptomycin and Penicillin, the financial cost will not be prohibitive. It would pay government to factor in the eventual savings, should Alzheimers be halted. As a WW2 veteran, your father must have seen quite a lot of life and his memories would have been a mainstay.

I had an ingrowing abcess in the shoulder bone at 15 years of age in 1947. I was told that three years earlier, I would have faced an amputation. Forty years earlier, very likely my demise. Scotsman Fleming is my man of the century. Penicillen saved me. Plus surgery.

My respects and well wishes to your father.

45 posted on 01/09/2008 3:29:35 PM PST by Peter Libra
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To: Hegemony Cricket

lol


46 posted on 01/09/2008 3:30:46 PM PST by Lancey Howard
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To: gridlock
If we cure Alzheimer’s, what will the advocates of Embryonic Stem Cell Research use to justify the destruction of human embryos?

The multi-billion-dollar infanticide industry and chief laundromat for Democrat campaign dough will come up with something.

47 posted on 01/09/2008 3:33:46 PM PST by Lancey Howard
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To: blam

Wow, hope it’s true. My maternal grandmother died of this. It was horrible, and it took forever. In the end, she had the cognition of a mouse, maybe less. Didn’t recognize anyone or anything and didn’t understand a thing going on around her — and was scared out of her wits by it all. No one deserves that. Well, maybe bin Laden.


48 posted on 01/09/2008 3:35:49 PM PST by LibWhacker (Democrats are phony Americans)
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To: dandelion

But they give it intrathecal, right in the spinal cord and the docs may not do that. But man, this is exciting isn’t it?


49 posted on 01/09/2008 3:39:18 PM PST by cajungirl
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To: CholeraJoe
A dose of Enbrel costs about $900

I'd work extra or overtime if one of my parents (long gone now) needed it.

50 posted on 01/09/2008 3:40:26 PM PST by Ace's Dad ("but every now and then, the Dragon comes to call")
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To: NDpapajoe

Imagine,,a drug that would help Altz and arthritis!

Is your memory better?


51 posted on 01/09/2008 3:41:16 PM PST by cajungirl
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To: Honeybunch

Ping.


52 posted on 01/09/2008 3:44:35 PM PST by OKSooner
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To: blam
It remains to be seen whether this is really going to be all that effective. FWIW, there are antibodies specifically for Alzheimer's in development from a variety of sources which have a good chance of being very effective, 5 - 7 years from now.
53 posted on 01/09/2008 3:47:45 PM PST by NMR Guy
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To: Pride in the USA

This is something to keep an eye on!


54 posted on 01/09/2008 3:50:21 PM PST by lonevoice (It's always "Apologize to a Muslim Hour"...somewhere)
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To: CholeraJoe
A dose of Enbrel costs about $900. If everyone with Alzheimer’s gets one shot per month, that’s $45 million a month or half a billion per year.

Your numbers are off by a few orders of magnitude - 5 million patients * $900/month * 12 months/year = $54 billion per year.

In all likelihood, Enbel won't end up being ideal on it's own for Alzheimer's, so we'll have to see what the cost ends up being for the product(s) that are. It'll be big money, in any case

55 posted on 01/09/2008 3:52:51 PM PST by NMR Guy
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To: CholeraJoe
Oh man is this going to cost alot

45 million a month. Chickenfeed. You oughta see what Alzheimers' is costing now, not just in medicine but nursing home costs, hospitalizations and all the associated services.

56 posted on 01/09/2008 3:59:12 PM PST by hinckley buzzard
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To: blam
Embrel is what I want my brother to take for his Psoriasis.

Interesting article.

57 posted on 01/09/2008 4:06:35 PM PST by Smogger (It's the WOT Stupid)
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To: blam
There are lots of folks on this subcutaneously for RA, fewer but still alot, on it for psoriasis that way and probably collectively a lot across several other indications. It’s pricey used the usual way. But if this is given via a spinal to acheive levels in just the CSF rather than the whole body I’d expect the dose required to be much less and thus the price lower.
58 posted on 01/09/2008 4:08:17 PM PST by JohnBovenmyer
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To: Peter Libra

Or like Jonas Salk and his work.


59 posted on 01/09/2008 4:23:02 PM PST by biff
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To: NMR Guy
a good chance of being very effective, 5 - 7 years from now.

Heard that same song all my life and I am 70 now.

60 posted on 01/09/2008 4:25:14 PM PST by itsahoot (Gingrich: "We don't have a peace process. We have a surrender process." (Duncan Hunter gets it.))
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