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Alzheimer's Researchers Switch Focus to Prevention Methods
As people live longer, there is growing pressure to develop a drug or vaccine1 that stops dementia.
Health and Human Services Secretary Kathleen Sebelius says setting priorities and coordinating2 research now will save time later.
"We've made the first historic investment of funds and a 15 year commitment to prevention and treatment," she said.
In the past, the disease could be diagnosed only by doing an autopsy3 after the patient died.
Alzheimer's researcher Ronald Petersen says new methods now can provide evidence while the patient is still alive.
"We use biomarkers, various imaging tests, blood tests, spinal4 fluid tests that are going to tell us that these are in fact indicators5 of what the disease is going to be," he stated.
In images provided by the Banner Alzheimer's Institute in Phoenix6, Arizona, you can see the progression of the disease.
Inside the brain of an aging patient, the dark areas are formed by plaques7 - made up of the amyloid protein - and tangles8 - composed of another protein called tau. The result is a loss of brain cells and neurons responsible for memory and learning.
During a national summit last month on Alzheimer's research, two promising9 clinical trials generated a lot of interest. In this trial, patients already showing signs of Alzheimer's are given nasal syringes of insulin that push the drug into the neurons of the brain.
"Nearly three-quarters of participants showed improvement in memory over the four-month period, a 50 percent improvement," said Dr. Suzanne Craft, who is in charge of the study..
But another study may promise earlier treatment to actually prevent the disease. Two years ago, New York Times reporter Pam Belluck and a photographer traveled to Colombia to visit an extended family afflicted10 by early onset11 Alzheimer's. Approximately one-third carry a genetic12 mutation13 that brings on the disease while they in their '30s and '40s. Belluck says the healthier, older generation, often cares for younger victims.
"They may be bedridden. They need to be fed. They may need to be diapered. They're also agitated," Belluck spoke14 with VOA via Skype.
Early next year, a team of American scientists and Colombian doctors will begin a five-year clinical trial of more than 3,000 members of the family. Not all of the patients carry the genetic marker and some will get a placebo15.
The head of the American team, Dr. Eric Reiman, says the immunization drug being tested is designed to clear the amyloid quickly from the brain.
"If we intervene sufficiently16 early before the disease has ravaged17 the brain, we think these treatments might have their best shot of having a profound effect," he said.
Pam Belluck says the Colombian family members are anxious for something - or someone - to help them. Facing a grim future, many say they are willing to step forward if it will help them and future generations.
1 vaccine | |
n.牛痘苗,疫苗;adj.牛痘的,疫苗的 | |
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2 coordinating | |
v.使协调,使调和( coordinate的现在分词 );协调;协同;成为同等 | |
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3 autopsy | |
n.尸体解剖;尸检 | |
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4 spinal | |
adj.针的,尖刺的,尖刺状突起的;adj.脊骨的,脊髓的 | |
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5 indicators | |
(仪器上显示温度、压力、耗油量等的)指针( indicator的名词复数 ); 指示物; (车辆上的)转弯指示灯; 指示信号 | |
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6 phoenix | |
n.凤凰,长生(不死)鸟;引申为重生 | |
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7 plaques | |
(纪念性的)匾牌( plaque的名词复数 ); 纪念匾; 牙斑; 空斑 | |
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8 tangles | |
(使)缠结, (使)乱作一团( tangle的第三人称单数 ) | |
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9 promising | |
adj.有希望的,有前途的 | |
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10 afflicted | |
使受痛苦,折磨( afflict的过去式和过去分词 ) | |
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11 onset | |
n.进攻,袭击,开始,突然开始 | |
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12 genetic | |
adj.遗传的,遗传学的 | |
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13 mutation | |
n.变化,变异,转变 | |
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14 spoke | |
n.(车轮的)辐条;轮辐;破坏某人的计划;阻挠某人的行动 v.讲,谈(speak的过去式);说;演说;从某种观点来说 | |
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15 placebo | |
n.安慰剂;宽慰话 | |
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16 sufficiently | |
adv.足够地,充分地 | |
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17 ravaged | |
毁坏( ravage的过去式和过去分词 ); 蹂躏; 劫掠; 抢劫 | |
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