TUESDAY, July 13 (HealthDay News) -- Several new studies to be
presented Tuesday at a major Alzheimer's conference describe
progress in a series of immune-based therapies that target the tau
protein, one of the two major proteins implicated in Alzheimer's
disease.
As a focus of research, tau protein "tangles" have typically
taken a backseat to another protein, the beta amyloid plaques that
proliferate in the brains of people with Alzheimer's.
However, the new studies suggest that not only do some
tau-focused therapies show promise, some treatments targeted
against beta amyloid also affect tau.
William Thies, chief medical and scientific officer at the
Alzheimer's Association, called the new results "encouraging."
"These are two landmark lesions associated with Alzheimer's. We had thought that affecting one would affect the other," he said. "This suggests we're getting at the heart of the science, though we still have to show that [these approaches] reduce symptoms."
But another expert added a note of caution.
Dr. Gary Kennedy, director of geriatric psychiatry at Montefiore
Medical Center in New York City, said that although attempts to
battle beta amyloid and tau might yield treatment results down the
line, both deposits "may be manifestations of the disease and not
its origin." That comes back to a basic science question plaguing
the Alzheimer's field: Do these protein accumulations actually
cause Alzheimer's, or are they merely a result of another
process?
Also, only two of the studies presented at the meeting was
conducted in humans and they only involved a few dozen humans at
that -- meaning that the results should be considered very
preliminary.
Still, scientists continue to unravel the mystery of Alzheimer's
and what it does to the brain. There are currently no curative
treatments for this form of dementia, which affects millions of
people worldwide.
The findings, from American and international teams of
researchers, are slated for presentation at the Alzheimer's
Association's International Conference on Alzheimer's Disease 2010
in Honolulu.
Two studies presented together found that treatments aimed at
beta amyloid plaques might also tackle tau.
In one study, an antibody known as bapineuzumab -- which
actually aims for beta amyloid plaques -- also reduced levels of an
abnormal form of tau known as phospho-tau (P-tau) in spinal fluid.
The study authors reported ties with drug makers Elan
Pharmaceuticals, Janssen Alzheimer Immunotherapy and Pfizer.
Similarly, a second presentation showed that a compound known as
AN1792 (made by Elan), by attacking beta amyloid plaques, also was
associated with reductions in tau levels.
This trial involved continued follow-up on 10 patients involved
in a trial that was halted in 2002 after some participants
developed symptoms of brain inflammation.
All 10 patients had been immunized with AN1792. They were
compared with 28 Alzheimer's patients who had not been
immunized.
And finally, two other animal studies looked at immunization
targeted directly at the tau protein.
One found that "passive immunization" with a compound known as
the PHF1 antibody not only decreased tau levels but also symptoms
in mice.
The study was partially supported by Applied Neurosolutions Inc.
and the Alzheimer's Association.
And a group of European researchers reported developing a new
rat model that enables researchers to study tau neurofibrillary
tangles.
When immunized with an early version of a tau vaccine, the rats
showed decreases in tau tangles with associated improvements in
functioning, the researchers said.
But again, Kennedy cautioned that the promise from this type of
research may still not pan out.
While he believes that this type of study should be pursued, "a
lot of us think that both beta amyloid and tau are a blind alley,
that something farther upstream may be causing Alzheimer's,"
Kennedy said.
There is another problem with the approach, though, in that
humans make amyloid and tau normally. "Immunizing against naturally
occurring natural constituents of the brain, it is a risk," Kennedy
said.
More information
There's much more about Alzheimer's disease at the
Alzheimer's Association.