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Promising Blood Test for Alzheimer's
Posted by
kdawson
on Sun Oct 14, 2007 05:59 PM
from the results-look-good-i-forget-why dept.
from the results-look-good-i-forget-why dept.
The online edition of the British journal Nature Medicine has a study of a blood test for Alzheimer's disease, developed at Stanford. The test lights up if 18 specific molecules are present in a blood sample. Using samples of stored blood, the test proved 90% accurate in identifying people who had been diagnosed with the disease by other methods. It was also 87% accurate in distinguishing samples from people who do not have Alzheimer's but exhibit some other form of dementia. The numbers of samples involved were small — SFGate's writeup has some details. The Mercury News's article says the test's developers want to begin selling it to laboratories in 2008, for which FDA approval would not be required. They hope to get FDA approval for general use by 2009.
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Great, but ... (Score:3, Insightful)
Re:Great, but ... (Score:5, Insightful)
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Re:Great, but ... (Score:5, Insightful)
Parent
Re: (Score:3, Insightful)
I did cry when I thought about her as she was and I think she would have appro
Re:Great, but ... (Score:4, Informative)
Actually, there are treatments available to at least delay Alzheimer's disease. They're in the same situation as AIDs medications a decade ago - not much good for reversing the disease, but capable of delaying or stopping it's progress for years.
Give it another decade and we might even be able to reverse it's progress - memories not retained will still be lost, but the functionality, and maybe some past memory, be restored.
I don't know about you, but at this time I'd much rather know, so I could get on the drugs now. It's especially critical for me - I have a family history of Alzheimer's.
Maybe they'll find a cure before it gets bad. Maybe I'll die of something else. But the drugs, especially given early, can delay the disease by decades.
Parent
The ultimate benefit (Score:2, Interesting)
I love it... (Score:5, Funny)
It pisses him off...
Lighten up (Score:3, Insightful)
The best thing... (Score:3, Funny)
(sadly, the same cannot be said about the goatse comments)
The value of the test (Score:5, Insightful)
Big whoop. (Score:5, Informative)
It doesn't matter.
Dementia has lots of possible causes, and there's really no way to tell most of them apart from just seeing the symptoms. That means that a dementia screening is required, and when done by an appropriate specialist (usually a neurologist, neuropsychiatrist, or geriatric psychiatrist), it's roughly 90% accurate, PLUS you have either ruled out or discovered other more easily identifiable and sometimes reversible causes of dementia, which is important for what should be obvious reasons. That is why none of these tests have replaced the standard screening, although the companies that have produced them have spent millions trying to market them as suitable replacements. The accepted diagnostic standards [nih.gov] haven't changed much in 20 years, really, the link given is still the gold standard or still a large part of the basis for more current standards for specialists or generalists.
The only big revolution is that some progress is being made on the metabolic processes that cause the plaques and tangles to appear in the brain, which might allow for preventative treatment, but it would probably need to begin in your 20's. Elan Pharmaceuticals was working on an antibody that could clear plaques from the brain, but it was unclear how much this would help those who were already suffering from AD, as brain cells will eventually start dying, although if this approach proves successful the disease may certainly be stopped and the damage kept from progressing, but it can't reverse existing damage.
And yes, this is my field. Here's some recommended [nih.gov] reading [nih.gov] for those looking for more info.
congratulations, Sherlock (Score:3, Interesting)
But what credit is there to that? Many were the claims to transmute lead into gold. What proved impossible by chemical means was by no means impossible within the framework of the right technology. I think you need to study the "Four Colour Corollary". This theorem states that the truth or falsity of the theorem is entirely independent of the number of bozos who publish unfounded and incorrect speculations
Re: (Score:3, Interesting)
1. It may be able to give diagnosis earlier.
2. It may be cheaper and faster than current screening.
3. When combined with current techniques it may add a few percentages to diagnostic precision. If it is cheap, it will be worth it for that alone.
From my perspective, #1 is key. We need to find the cause of Alzheimer's and many people (including myself) think that plaques are
Re:Lies, Damned Lies and... (Score:4, Funny)
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Re: (Score:3, Funny)
Re: (Score:3, Insightful)
Re: (Score:3, Insightful)
That quote doesn't describe the false positive rate. It describes the number of cases of non-Alzheimer's dementia that their test correctly doesn't call Alzheimer's. The false positive rate would indicate the number of participants without Alzheimer's (including this group of 39) who incorrectly test as having Alzheimers.
Also, remember that their test is also designed to detect people at risk of developing AD years in the future, so, as is also pointed out in t
Re: (Score:3, Informative)
Its not untreatable (Score:5, Informative)
Its not untreatable, and there are a lot of promising new therapies coming online.
However, right here and now, if you know you are going to get the disease in the future, you can:
And cholinesterase blocker drugs will improve cognition in the face of a falling neuron count - improving function although not modifying the disease itself.
Whilst there are many ethical questions to screening tests for diseases you cannot treat, alzheimers does not fit into that category. We all die of something. Its all about getting the most quality time on the planet. Having a test for this would be a good thing.
Please also note that there are already tests that can identify risk of alzheimers, such as for the ApoE epsilon 4 genotype, so the concept of a screening test that helps separate types of demetia already exists.
For a concise reference, see Wikipedia [wikipedia.org]
Michael
Parent
Re:Politicians (Score:5, Interesting)
Parent
Re: (Score:3, Informative)
Don't worry, we already have one of these in office in the US.
How about being denied a job for which the given ailment would prevent you from doing the job? That would be the point of having mental-related standards for people in office, so that they could do their job (and not the one of pandering to the
Re:Politicians (Score:4, Insightful)
Can we require candidates for public office to take the test?
More to the point - can your medical insurer make you take it.
Parent
Re: (Score:3, Insightful)
Who cares about this, all it can do is tell you you might have a disease that we can't cure. At most it would just make the person more depressed into thinking he/she actualy has the disease.
One of the most important benefits of this research is that they've managed to identify some biological changes that occur before clinical symptoms. That means they can start to identify the processes leading to the disease, which might lead to treatments. If this is real then it's a huge step in understanding Alz
Re:FDA Approval? (Score:4, Informative)
However, the FDA does not regulate: Advertsising, Alcohol (woot), Consumer Products, Heatlh Insurance, Drugs of Abuse, Meat and Poultry (USDA), Pesticides, Restaurants, and Water
Parent
Re: (Score:3)
Disclaimer: I am an investor in Elan.