OT: Potential Milestone in the Prevention & Treatment of CTE

Submitted by DrewGOBLUE on
Yesterday, the findings of a study conducted at NYC's Boston's Beth Israel Medical Center on the pathogenesis of neurodegenerative diseases like CTE and Alzheimer's were published in Nature (possibly the most prestigious academic journal). Link

This article by ScienceDaily sums it up pretty well. Link

Author Kun Ping Lu, MD, PhD, Chief of the Division of Translational Therapeutics in the Department of Medicine at BIDMC and Professor of Medicine at Harvard Medical School (HMS), states "Our study shows that an early neurodegenerative process induced by the toxic tau protein can begin just hours after a traumatic brain injury. In both cell models of stress and in mouse models simulating sport- and military-related TBI, the production of this pathogenic protein, called cis P-tau, disrupts normal neurological functioning, spreads to other neurons and leads to widespread neuronal death.

We have developed a potent monoclonal antibody that can prevent the onset of widespread neurodegeneration by identifying and neutralizing this toxic protein and restoring neurons' structural and functional abilities."

Whether or not this research translates into effective interventions, there's still typically the caveat of new treatments taking years to receive FDA approval. Fortunately, though, that's a topic which is receiving some attention -- Kate Upton's Uncle Fred actually proposed a bill to congress that, if passed, would accelerate the process.

SF Wolverine

July 16th, 2015 at 8:30 PM ^

lots of contact sports are going to be under a lot of pressure until/unless there are some good solutions to the concussion issues.  Avoiding them in the first instance is best, but keeping them from doing long-term damage when they do happen is also a big part of the solution

TESOE

July 17th, 2015 at 10:34 AM ^

Evidence for past concussion is a problem for any researcher. Coincident yes, often coincident again yes, correlate no. Sub concussive blows are needed precursors as CTE exists in cases without concussion. To equate the two is wrong.

Blue in Yarmouth

July 17th, 2015 at 11:00 AM ^

no one said (at least I don't think anyone did) that you need to have a concussion in order to develop CTE nor did anyone say that if you had a concussion you would definitely end up developing CTE. But to say they don't correlate means there is no correlation and that is clearly not true.

There is an increased incidence of CTE in people who have had a traumatic brain injury when compared to those people who haven't and thus, there is a correlation. Maybe we just disagree on what correlation means....

If your chances of developing CTE are increased by sustaining a traumatic brain injury, is that not the very definition of a correlation? Is a concussion not a traumatic brain injury? 

TESOE

July 17th, 2015 at 2:22 PM ^

A lack of correlation is a correlation as well...I suppose.  I agree if you plot CTE vs. Concussion/TBI you will get a number that suggestive of correlation.  If you plot CTE vs. TBI severity or occurence you probably get a number that is less suggestive but still pretty high..  That is coincidence however.  Subconcussive blows are a precursor of CTE as well.  It's not clear why it develops in some cases and not others.  If we take concussions out of the game we are still going to have CTE.

SF Wolverine equates concussion and CTE.  That is what I was responding to before stepping into the correlation/causation morass.  To address the morass is to define concussion - which in the study of CTE at least is problematic.  

bacon

July 16th, 2015 at 8:50 PM ^

No more cte means healthier former players. As a fan it's hard not to like that players (especially college kids) may have some treatment someday that helps mitigate the long term brain damage they might face from playing the sport we're obsessed with watching.

SchrodingersCat

July 16th, 2015 at 9:09 PM ^

Good luck using an antibody therapy whose target is intracellular AND in the brain.... Also tau is damn common, it'll be like the kinase inhibitor argument all over again. Specificity will be king here, but that doesn't matter if the target isn't druggable. This is not going to go well if this is the best target they have at the moment. 

https://en.wikipedia.org/wiki/Tau_protein

Iceman

July 16th, 2015 at 11:41 PM ^

Bispecific antibodies can do it. This is actually a great article and very promising. I believe something special will happen very soon in the Alzheimer's fight. This drug, coupled with Merck's BACE inhibitor and Biogen's Aducanumab show a lot of hope. Drug companies are making this disease a priority and focusing quite a bit of money on the R&D for these drugs.

coldnjl

July 16th, 2015 at 9:11 PM ^

Nature may be the most prestigious journal, but it's research articles are commonly retracted or proven wrong, due to the pressure to publish placed on academics. 

Hotel Putingrad

July 16th, 2015 at 9:15 PM ^

but wouldn't this just be akin to an aspirin or mega-painkiller for the brain. I mean, an antibody isn't going to reduce the cranial pressure or fluid from sloshing around. Not trying to be an ass, just curious about how this would actually prevent cumulative long-term damage?

Durham Blue

July 16th, 2015 at 9:39 PM ^

Not clear on this, or maybe I'm just drunk, but does this reverse the effects of CTE/tau that is already in place in a human brain?  Or is it preventive?  The former would be extremely good.

bluebyyou

July 16th, 2015 at 10:18 PM ^

Monoclonal antibodies had been perceived a couple of decades ago as the potential silver bullet to cure a wide array of diseases.  Unfortunately, things didn't work out as well as expected...not by a long shot.

Maybe this will be one of those times that they get it right.

YouRFree

July 16th, 2015 at 11:17 PM ^

I don't knwo whether this can be used as a diagnosis or a biomarker for TBI. the diagnosis of TBI is very hard, and sometimes more important. 

Tony Soprano

July 17th, 2015 at 9:20 AM ^

I would love to see a cure for this.  My mom died of Alzheimer's last November.  My mom suffered a stroke and it coincided with her development of alzheimers.  Her doctor said there was no relationship between the two, but I couldn't help but think there was, as she was fine before her stroke.   Her deteriation was extremely difficult to watch and live through - so very sad and heart breaking.  She got it in her early-60's, which robbed her of her golden years.  It is a very cruel disease, not just for the victims, but for their loved ones as well.  

I hope and pray for a cure so that other victims and their families don't suffer.