Can Cancer really save you from Alzheimer’s? Some great research, but also some caveats

Could having cancer really protect you from Alzheimers? For years epidemiologists  have noticed that  people who have had cancer — especially certain solid tumours — seem to have a reduced statistical risk of developing Alzheimer’s, but the mechanisms have been unclear. Now an exciting mew study suggests a possible explanation. Some cancer cells overproduce a protein called Cystatin C. This enters the brain where it interacts with the amyloid-β plaques which many researchers associate with the development of Alzheimer’s. Now, we can’t do better than put you onto Nature Briefing  Why Cancer and Alzheimer’s don’t mix. and their admirable analysis of a paper that originally appeared in then Journal Cell. It contains all the links and primary source matter you will need. But we’ll make a couple of observations( see below); for that is our wont.

Cystatin C, a protein produced by cancer cells, could partially explain why people who have had cancer have a lower risk of Alzheimer’s disease. In a study in mice, researchers found that the protein can infiltrate the brain and bind to the molecules that make up the hallmark brain plaques of Alzheimer’s disease. This interaction draws the attention of immune cells, which then degrade the plaques. If confirmed in humans, the findings could suggest a path toward new therapies for Alzheimer’s, says cancer researcher Jeanne Mandelblatt. Nature | 5 min read
Reference: Cell paper

Firstly the research is obviously tip-top and exciting- regular readers will know our love of an  unexpected truth hiding in plain sight .   There’s potential here for some really radical treatments for Alzheimer’s and goodness knows what other neurological conditions. However: so far, the work only pertains to mice. That’s usual: but as it scales up to humans, there’s many a slip ‘twixt cup and lip as the old adage would have it. What’s more,  the relationship between cancer and Alzheimer’s is complex and multifactorial — immune system changes, metabolic shifts, treatment effects and environmental and epigenetic factors may all have their say.  And Cystatin C itself has been implicated in both protective and harmful processes in the brain, depending on context.

And there is a deeper problem which has nothing to do with the earnest efforts of the researchers but everything to do with the less than acute hominins who surround them and who will read about this in popular daily newspapers and in mediabytes on dubious feeds. Ever prone to believe stories rather than weigh evidence some will conclude that “ a cure for Alzheimer’s has been found!” Others will ignore the old warnings of the logic teachers, ever suspicious of over hasty correlation between cause and effect. Yes, this is exciting research, But cautious people will expect no life changing applications any time soon.

#Cystatin C #cancer #alzheimer’s #neurology #brain #health #medicine

Did your long-ago BCG Vaccine save you from Dementia?

Ask elderly readers of this blog about their BCG vaccine and they will recall an age of 45rpm records, Ben Sherman shirts and George Harrison‘s Concert for Bangladesh. But they still bear tiny marks, high on their left arms from they day they lined up outside the school dispensary. Ostensibly, the vaccination was against TB. But it may have been doing something else which concerns them very much here and now. It may actually have been protecting them against dementia. Get this from an excellent article by Amy Fleming of The Guardian:

…...BCG vaccine was originally used against tuberculosis, but it is also often part of a treatment programme for bladder cancer. “It stimulates the immune system,” says Lathe. A team of researchers in Jerusalem, he says, decided to look at patients who survived bladder cancer and compare dementia prevalence among patients treated with BCG and those who weren’t. “Do they differ in the rate at which they get Alzheimer’s disease?” The answer is yes – the BCG group appeared to get 75% protection against Alzheimer’s. A number of studies have now found varying levels of protection from BCG, with an average, according to one meta‑analysis, of 45%. [1]

And that is only the tip pf the iceberg, gentle readers. For what Amy’s article is really all about is a set of discoveries that the brain’s privileged position as a microbe-free zone is now under serious challenge. It was a position suspected by no less a scientist than the great Alzheimer himself. But was then rather complacently dismissed for many following years. It’s a theme which we’ve alluded to here before (LSS 14 9 24) following leads by the excellent team at the New Scientist. If so, we could at least be on the verge of real cures for all kinds of mental disturbances. And when we think of the terrible suffering such illnesses inflict both on the immediate victim, and their families and carers, we see that as a step forward indeed.

The patient careful thought of researchers and scientists offers the only real hope of ameliorating the human condition. How sad to live in an age when it is eclipsed by the passionate emotion of savage, ignorant mobs. That’s a theme we shall return to, as well.

https://www.theguardian.com/lifeandstyle/2024/dec/01/the-brain-microbiome-could-understanding-it-help-prevent-dementia?CMP=Share_iOSApp_Other

#bcg #vaccines #dementia #alzheimer #immune system #brain #microbiology ]#new scientist

The Startling Truth about early-onset dementia

Of course it’s terrible when a family hears the dread news that Alzheimer’s disease, or dementia, has started to afflict one of their members. But until today, when we spoke with a most educated young woman from Alzheimer’s Research UK, we thought it was a disease of the elderly. We had no idea that it can affect relatively young people, that is to say, in their thirties or forties.

But it can and does, as our links for you make abundantly clear. [1] [2]. We apologise for using UK statistics, but Alzheimers UK estimate that there are 70, 800 cases of one of the various dementias in people who are under 65. You can scale that up or down according to the size of your own country with a simple calculator app (UK population 2024=67.33 million) Meanwhile, we invite you to browse the links, as you will be riding on the frontier of one of the great unresolved research questions of our time.

And what to take away from all this? Firstly, you never know when you will learn something unexpected. Especially when you have access to intelligent people. (If you can’t find any to hand right now, we hope this blog will go some way to ameliorating the deficit) Secondly, keep your brain alive. Puzzles, maths, learning a foreign language or even studying the rules of logic might help. Or at least stave the thing off, for a while [3]. So might keeping fit. And finally-if by some miracle we save the scientific method from the various fanatical culture warriors who are currently afflicting the globe, we might just one day find a method to find that no one ever has to live with it again.

[1]https://www.alzheimersresearchuk.org/dementia-information/types-of-dementia/young-onset-dementia/

[2]https://en.wikipedia.org/wiki/Early-onset_Alzheimer%27s_disease

[3]https://www.health.harvard.edu/blog/can-physical-or-cognitive-activity-prevent-dementia-202109162595

#Alzheimer’s disease #dementia #Alzheimer’s Research UK #scientific method #neurology #age