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FW: PET imaging in Alzheimer's Disease





>  FYI: a recent newsworthy article Concerning PET imaging of Alzheimer's:

> 

> Wednesday January 9 4:03 PM ET 

> New Imaging Agent Shows Alzheimer's in Patients

> By Maggie Fox, Health and Science Correspondent

> 

> WASHINGTON (Reuters) - A new imaging agent that homes in on the gummy

> plaques and tangles that jam up the brains of Alzheimer's patients has

> allowed doctors to see the disease in a living person for the first time,

> researchers said on Wednesday.

> 

> They saw the messy clumps of dead cells in the brains of nine living

> Alzheimer's patients. The disease, which is always fatal and has no cure,

> can now only be definitively diagnosed by looking at the brain after a

> patient has died.

> 

> The finding means that Alzheimer's, which affects 4 million Americans and

> millions more around the world, may be diagnosed in the early stages, when

> treatments might be able to do some good, said Jorge Barrio of the

> University of California Los Angeles, who helped lead the study.

> 

> The method might also be useful in testing whether treatments for

> Alzheimer's are working, Barrio said.

> 

> ``This discovery will help us select appropriate patients for treatment

> trials and studies aimed at disease prevention,'' Barrio said in a

> telephone interview.

> 

> Barrio said his team made the finding by accident. They were working to

> develop an agent that could be used to help pick out proteins in general.

> 

> The researchers are specialists in nuclear medicine, which uses

> radioactive compounds to help make images of the body. They designed and

> built a molecule called FDDNP.

> 

> To his surprise, Barrio found that FDDNP had a specific affinity for the

> neurofibrillary tangles and beta-amyloid plaques found in the brains of

> Alzheimer's patients.

> 

> They tested the compound first in laboratory dishes, then in animals.

> Writing in the American Journal of Geriatric Psychiatry, they said they

> finally tested it in nine Alzheimer's patients and seven healthy

> volunteers.

> 

> After injecting FDDNP, they used positron emission tomography (PET) scans,

> which can show how tissue is acting by measuring its use of sugar for

> basic energy.

> 

> SCANS SHOW CLEAR LESIONS

> 

> The scans clearly showed lesions in the areas of the brain associated with

> Alzheimer's.

> 

> Then one of the patients died, and Barrio's team was able to examine the

> brain. Indeed, the patient had damage in the areas suggested by the scan,

> and clearly had Alzheimer's.

> 

> ``This is a huge step forward in getting a jump on the disease before it

> progresses to cause brain impairment,'' Dr. Stephen Bartels, president of

> the American Association for Geriatric Psychiatry, said in a statement.

> 

> Barrio said his team planned to apply to the U.S. Food and Drug

> Administration (news - web sites) (FDA) for a license to use the method to

> check at-risk people for Alzheimer's.

> 

> By the time symptoms of Alzheimer's show up -- memory loss, confusion and

> other problems -- a patient already has considerable brain damage, Barrio

> said.

> 

> But studies show the disease starts years before, and progresses without

> showing symptoms. Studies have also shown that people who take

> aspirin-related drugs such as naproxen and ibuprofen regularly have a

> lower risk of Alzheimer's.

> 

> Barrio said his team used their FDDNP-PET scan to show that these two

> drugs also home in on and attack the plaques, which may explain why they

> seem to prevent Alzheimer's. What they may be doing, Barrio said, is

> stopping the damage while it is still in its early stages.

> 

> Patients who show early signs of the disease with the scans might be able

> to take daily doses of naproxen or ibuprofen and arrest or at least slow

> the disease, he speculated.

> 

> His team is developing other molecules that may work even better, Barrio

> said.

> 

> ``I have been in contact with the pharmaceutical industry, of course,

> about these issues,'' Barrio said. ``Every single one I know has a drug or

> two in the pipeline for Alzheimer's disease (news - web sites).'' 

> 

> Submitted by,

> M Iannaccone,

> mario.iannaccone@state.ma.us

>  

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