Mostrando postagens com marcador Age-related memory loss. Mostrar todas as postagens
Mostrando postagens com marcador Age-related memory loss. Mostrar todas as postagens

terça-feira, 23 de dezembro de 2014

Existing drug, riluzole, may prevent foggy 'old age' brain, research shows

 

Better memory makers: When researchers looked at certain neurons (similar to the one shown on top) in rats treated with riluzole, they found an important change in one brain region, the hippocampus: more clusters of so-called spines, receiving connections that extend from the branches of a neuron (bottom).

Forgetfulness, it turns out, is all in the head. Scientists have shown that fading memory and clouding judgment, the type that comes with advancing age, show up as lost and altered connections between neurons in the brain. But new experiments suggest an existing drug, known as riluzole and already on the market as a treatment for ALS, may help prevent these changes.

Researchers at The Rockefeller University and The Icahn School of Medicine at Mount Sinai found they could stop normal, age-related memory loss in rats by treating them with riluzole. This treatment, they found, prompted changes known to improve connections, and as a result, communication, between certain neurons within the brain's hippocampus.

"By examining the neurological changes that occurred after riluzole treatment, we discovered one way in which the brain's ability to reorganize itself -- its neuroplasticity -- can be marshaled to protect it against some of the deterioration that can accompany old age, at least in rodents," says co-senior study author Alfred E. Mirsky Professor Bruce McEwen, head of the Harold and Margaret Milliken Hatch Laboratory of Neuroendocrinology. The research is published this week in Proceedings of the National Academy of Sciences.

Neurons connect to one another to form circuits connecting certain parts of the brain, and they communicate using a chemical signal known as glutamate. But too much glutamate can cause damage; excess can spill out and excite connecting neurons in the wrong spot. In the case of age-related cognitive decline, this process damages neurons at the points where they connect -- their synapses. In neurodegenerative disorders, such as Alzheimer's disease, this contributes to the death of neurons.

Used to slow the progress of another neurodegenerative condition, ALS (also known as Lou Gehrig's disease), riluzole was an obvious choice as a potential treatment, because it works by helping to control glutamate release and uptake, preventing harmful spillover. The researchers began giving riluzole to rats once they reached 10 months old, the rat equivalent of middle age, when their cognitive decline typically begins.

After 17 weeks of treatment, the researchers tested the rats' spatial memory -- the type of memory most readily studied in animals -- and found they performed better than their untreated peers, and almost as well as young rats. For instance, when placed in a maze they had already explored, the treated rats recognized an unfamiliar arm as such and spent more time investigating it.

When the researchers looked inside the brains of riluzole-treated rats, they found telling changes to the vulnerable glutamate sensing circuitry within the hippocampus, a brain region implicated in memory and emotion.

"We have found that in many cases, aging involves synaptic changes that decrease synaptic strength, the plasticity of synapses, or both," said John Morrison, professor of neuroscience and the Friedman Brain Institute and dean of basic sciences and the Graduate School of Biomedical Sciences at Mount Sinai. "The fact that riluzole increased the clustering of only the thin, most plastic spines, suggests that its enhancement of memory results from both an increase in synaptic strength and synaptic plasticity, which might explain its therapeutic effectiveness."

In this case, the clusters involved thin spines, a rapidly adaptable type of spine. The riluzole-treated animals had more clustering than the young animals and their untreated peers, who had the least. This discovery led the researchers to speculate that, in general, the aged brain may compensate by increasing clustering. Riluzole appears to enhance this mechanism.

"In our study, this phenomenon of clustering proved to be the core underlying mechanism that prevented age-related cognitive decline. By compensating the deleterious changes in glutamate levels with aging and Alzheimer's disease and promoting important neuroplastic changes in the brain, such as clustering of spines, riluzole may prevent cognitive decline," says first author Ana Pereira, an instructor in clinical investigation in McEwen's laboratory.

Taking advantage of the overlap of neural circuits vulnerable to age-related cognitive decline and Alzheimer's disease, Pereira is currently conducting a clinical trial to test the effectiveness of riluzole for patients with mild Alzheimer's.


Story Source:

The above story is based on materials provided by Rockefeller University. Note: Materials may be edited for content and length.


Journal Reference:

  1. Ana C. Pereira, Hilary K. Lambert, Yael S. Grossman, Dani Dumitriu, Rachel Waldman, Sophia K. Jannetty, Katina Calakos, William G. Janssen, Bruce S. McEwen, John H. Morrison. Glutamatergic regulation prevents hippocampal-dependent age-related cognitive decline through dendritic spine clustering. Proceedings of the National Academy of Sciences, 2014; 201421285 DOI: 10.1073/pnas.1421285111

 

quarta-feira, 29 de outubro de 2014

Cocoa Constitutents Fend Off Senior Moments—the Memory of a 30-Year-Old?

 

By Gary Stix | October 26, 2014


Memory dust?

Scott Small, a professor of neurology at Columbia University’s College of Physicians and Surgeons, researches Alzheimer’s, but he also studies the memory loss that occurs during the normal aging process. Research on the commonplace “senior moments” focuses on the hippocampus, an area of the brain involved with formation of new memories.  In particular, one area of the hippocampus, the dentate gyrus, which helps distinguish one object from another, has lured researchers on age-related memory problems.

In a study by Small and colleagues published Oct. 26 in Nature Neuroscience, naturally occurring chemicals in cocoa increased dentate gyrus blood flow. Psychological testing showed that the pattern recognition abilities of a typical 60-year-old on a high dose of the cocoa phytochemicals in the 37-person study matched those of a 30-or 40-year old after three months. The study received support from the food company Mars, but Small cautions against going out to gorge on Snickers Bars, as most of the beneficial chemicals, or flavanols, are removed when processing cocoa. An edited transcript of an interview with Small follows:

Can you explain what you found in your study?

The main motive of the study was to causally establish an anatomical source of age-related memory loss. A number of labs have shown in the last 10 years that there’s one area of the brain called the dentate gyrus that is linked to the aging process. But no one has tested that concept. Until now the observations have been correlational. There is decreased function in that region and, to prove causation, we were trying to see if we could reverse that.

We turned to cocoa flavanols because of a previous study in mice by another research group led by Rusty Gage at The Salk Institute that showed that flavanols improved the function of the hippocampus and specifically the dentate gyrus. Because it’s a dietary mix, it’s something we can actually give to you.

Finding the cause-and-effect relationship was the main motive for the study but even though it wasn’t our primary goal, we found that this dietary intervention can, in fact, ameliorate or even reverse age-related memory decline.

Do you think this could have an impact on people who have clinically diagnosed cognitive decline like Alzheimer’s?

This has not been formally tested for Alzheimer’s. My guess is that for Alzheimer’s, which is a terribly grinding disorder that involves death of brain cells, diet might not be enough. Age-related memory decline, which affects all of us, is pathophysiologically a lot more subtle and involves loss of synapses [the connection points between brain cells], but not cell loss.

What are the next steps for the cocoa flavanol research?

We’re planning another study, a much larger study, not just to replicate the first one that had pretty compelling statistics, but to extend our understanding. We’d like to test the amount of flavanols needed to produce this effect. Perhaps they might still be beneficial if we give a lower amount. We’d like to know more about the time course. In this first study, we tested the flavanols at the beginning and after three months. We’d also like to know whether you get the benefits after taking them for a month. And we’d like to know once you stop taking the cocoa flavanols how long the benefit lasts.

The flavanols you’re talking about are already commercially available.

You’d have to eat 25 chocolate bars a day to get 900 milligrams of flavanols, the amount we used, which is a bad idea. There is a commercial formulation with a much lower amount [CocoaVia, a supplement from Mars, Inc.]. No commercially available formulation has 900 milligrams. Maybe in the future, companies will develop that.

You were even able to create a psychological test was specifically designed to assess the dentate gyrus’s pattern recognition capabilities. What’s the significance of that?

This is part of a growing wave of studies trying to develop a more sophisticated cognitive tool kit. I think the next generation of neuropsycholgical tests are going to incorporate these new batteries of tests that are more nuanced, more sensitive for selective regions of the brain.

You also study Alzheimer’s. There are a lot of drugs that have failed for dementia. Is there any hope ahead for Alzheimer treatments?

We as doctors always have this tendency to talk about things in terms reminiscent of Soviet five-year plans. In five years, we’ll have a cure. Fifteen years ago when I was first getting started, I was blatantly pessimistic about Alzheimer’s, but that’s changed.

It really has to do with the logic of rational drug discovery, which tries to understand what’s fundamentally wrong at the molecular level. That is how the field has shifted. Genetics, imaging and microarray studies have provided new insight into the defects driving Alzheimer’s.

The older crop of drugs were developed without that understanding. Now we have this newer set of drugs that are being developed that come out of this new biological understanding. It’s dangerous to say what’s the probability in five years of having effective drugs. It’s hard to know.

I don’t like baseball, but I’ll use a baseball analogy. In the past we were on the wrong playing field. Now we’re on the right playing field, which means a home run will be hit. Whether it’s in the next year or the next five years, it’s hard to say.

.source:

www.scientificamerican