Move to create common diagnosis for Alzheimer’s

Brain with Alzheimers.jpgParis: Two studies to help establish an internationally consistent approach to detecting Alzheimer’s disease have been reported at the Alzheimer’s Association International Conference 2011 in Paris.

 The research, focusing on biomarkers – telltale biological indicators of Alzheimer’s – could help standardise the detection of the disease and increase the accuracy of clinical trials by ensuring those most likely to benefit from drugs or preventions take part.
The first study examined the association between a well-established Alzheimer’s risk gene – APOE4 – age, and a hallmark protein in Alzheimer’s – amyloid – to test the consistency of the relationship across ethnic groups. Led by researchers from Japan, the study took data from three different national populations – the US, Australia and Japan – all three of which include people with Alzheimer’s, mild cognitive impairment and normal individuals.
The team evaluated the influence of the APOE4 risk gene and age on the build up of amyloid in the brain, measured by PET scans. Amongst the three populations, the researchers observed consistency in the way amyloid build-up was affected by the risk gene and age, showing the biomarkers to be consistent across different ethnic groups – crucial for a test to be internationally applicable.
A second study concentrated on the hippocampus, responsible for the formation of new memories and usually the first area of the brain to be affected by Alzheimer’s. MRI scans have become increasingly important in tracking shrinkage in this area of the brain, which can be useful for diagnosis and measuring disease progress.
Researchers in Italy have been examining and compiling the different approaches to MRI scanning used in worldwide dementia research to measuring volume changes in the hippocampus. The team’s next step is to review the different approaches and draw on the input of an international panel of experts to determine a common protocol.
Dr Simon Ridley, Head of Research at the UK‘s leading dementia research charity, Alzheimer’s Research UK, said: “If we are to effectively test new treatments or preventions, we have to be able detect Alzheimer’s early to get people involved in trials who stand to benefit most. An approach to detection that works consistently across the world is crucial to the global effort to defeat dementia and work towards that goal is to be welcomed.
“Numbers or people living with dementia are spiralling towards a million in the UK alone; research is the only answer to defeating the condition. Investment across all areas of dementia research – diagnosis, prevention and treatment – is urgently needed”.
More Information about Alzheimer’s Research UK

• Alzheimer’s Research UK is the UK’s leading charity specialising in finding preventions, treatments and a cure for dementia

• To help us defeat dementia, donate today by visiting or calling 01223 843899

• We are currently supporting dementia research projects worth £17 million in leading Universities across the UK

• The Alzheimer’s Association International Conference (AAIC) is the world’s largest conference of its kind, bringing together researchers from around the world to report and discuss groundbreaking research and information on the cause, diagnosis, treatment and prevention of Alzheimer’s disease and related disorders

• Ref: Kenji Ishii, MD; et al. Age, APOE ε4, and Ethnic Effect on [C-11]PiB in Multi-national ADNI Studies – Direct Comparison of J-ADNI, US-ADNI and AIBL Data

• Ref: Giovanni Frisoni, MD; et al. Estimating the Impact of Differences among Protocols for Manual Hippocampal Segmentation on Alzheimer’s Disease-Related Atrophy: Preparatory Phase for a Harmonized Protocol.

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