Alzheimer’s is a progressive disease where dementia symptoms
gradually worsen over a number of years. As of right now there are treatments
for this disease, but there are no cures for it until now. Researchers at West
Virginia University Rockefeller Neuroscience Institute recently performed their
first procedure of a phase II clinical trial which uses focused ultrasound to
treat a patient with early stage Alzheimer’s. An injection of microscopic
bubbles is injected into the bloodstream and when hit with the focused
ultrasound they temporarily cause the blood brain barriers to open at that specific
brain region. This would allow doctors the ability to break the buildup of the plaques
that block up the brain’s connectivity. I thought it was interesting that these
plaques which come from amyloid precursor proteins are useful in the human body
as a synapse regulator. When they are cleaved, they become the amyloid beta
protein which when it aggregates causes this disease. The study did not mention
much about that formation process, but I wonder if that should have been the
next step to finding a cure rather than breaking the plaques. Would the breakup
of those plaques, cause a re-occurrence of that buildup or worsen it? Although
this is an amazing breakthrough, this is just the beginning trials of this procedure
and would still need to be evaluated. One of the drawbacks of this procedure
would be that it would only be beneficial to those with the early cases of Alzheimer’s,
maybe this can pave the way to the reversal of the more damaging effects in
severe cases.
https://wvumedicine.org/news/article/west-virginia-university-rockefeller-neuroscience-institute-pioneers-promising-new-alzheimer-s-thera/
This sounds like a very interesting form of treatment, but also poses many questions. For starters, are these microscopic bubbles putting the patients at risk for emboli? And how long is the blood brain barrier "open"? Additionally, can a break up of these plaques lead to further problems as you mentioned above?
ReplyDeleteAnother study that utilizes these microbubbles explain that the bubbles are only present in the circulatory system for 5 minutes. This indicates that the blood brain barrier should be protected from other harmful intruders as it will only be open for this small amount of time.
https://www-ncbi-nlm-nih-gov.dml.regis.edu/pmc/articles/PMC4601836/
I was unfortunately unable to find any data to answer the other questions, but researchers are also attempting to use this same technology to break up blood clots. I think there are some awesome potential therapies that could come from this!