Wednesday, December 31, 2008

Looking at molecular roots of Alzheimer's
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Researchers have found that two proteins which work in tandem in the brain's blood vessels present a double whammy in Alzheimer's disease. Not only do the proteins lessen blood flow in the brain, but they also reduce the rate at which the brain is able to remove amyloid beta, the protein that builds up in toxic quantities in the brains of patients with the disease. Scientists were surprised at the finding, which puts two proteins known for their role in the cardiovascular system front and center in the development of Alzheimer's disease. "This is quite unexpected," said Berislav Zlokovic, M.D., Ph.D., a neuroscientist and a senior author of the study. "On the other hand, both of these processes are mediated by the smooth muscle cells along blood vessel walls, and we know that those are seriously compromised in patients with Alzheimer's disease, so perhaps we shouldn't be completely surprised."

The new findings are the result of a seven-year collaboration between two laboratories. Zlokovic heads the Center for Neurodegenerative and Vascular Brain Disorders, looking at molecular roots of diseases like Alzheimer's. Several years ago, after he found that several genes well known to cardiovascular researchers seemed to be especially affected in Alzheimer's patients, he turned to Joseph Miano, Ph.D. to help analyze the findings. Miano is interim director of Aab Cardiovascular Research Institute and associate professor of Medicine, and he is senior co-author of the new study. "To some, it might seem odd that a cardiovascular group would intersect with a neuroscience group to study Alzheimer's disease," Miano said. "But there's a great deal of evidence to suggest that Alzheimer's disease is a problem having much to do with the vascular plumbing. And Rochester is the type of institution where partnerships like these are easy to strike up."

For 15 years Zlokovic's laboratory has focused on the molecular mechanisms regulating blood supply and the role of the blood-brain barrier in the development of Alzheimer's disease. It's not simply that reduced blood supply hurts brain cells by causing a shortage of oxygen and other nutrients. Rather, deterioration of blood flow seems to gum up the brain's ability to remove toxic amyloid beta. Normally, amyloid is picked up efficiently by blood vessels that then whisk the toxic trash away. But in Alzheimer's disease, the system no longer is able to keep up with the body's production of the substance. The molecular trash accumulates, and Zlokovic and others believe the buildup kills brain cells.

The current work focuses on two proteins well known to cardiovascular researchers, SRF (serum response factor) and myocardin. The two work together within smooth muscle cells that line blood vessels to activate genes that are necessary for smooth muscle to function properly. SRF binds to certain snippets of DNA called CArG boxes and serves as an anchor, while myocardin piggybacks along and turns on the genes to which SRF sticks. Together they act as a master switch that determines whether smooth muscle cells contract - one of many ways the body controls just how much blood is flowing in the body.

Two years ago, Zlokovic and Miano published a study showing that the two proteins are much more active in the blood vessels of brains of people with Alzheimer's disease than in people who do not have the disease. They showed that when they reduced the activity of the proteins, blood flow in the brain increased, and when the genes were more active, blood flow decreased. The latest report goes further, implicating the molecular duo in the slowed removal of amyloid beta. The team found that SRF and myocardin working together turn on a molecule known as SREBP2. That protein inhibits a molecule known as LRP-1, which helps the body remove amyloid beta. In other words, when SRF and myocardin are active, toxic amyloid beta accumulates. The findings came primarily from the team's studies of brain cells taken from people who had Alzheimer's disease and comparing them to cells from healthy elderly people.

Compared to the smooth muscle cells from healthy adults, the cells from patients with Alzheimer's disease had about five times as much myocardin and four times as much SRF, about five times as much SREBP2, and about 60 percent less LRP-1. That translated into a reduced ability to remove amyloid beta: Cells taken from patients with the disease had only about 30 percent of the ability to remove the substance as cells taken from their healthy counterparts.

When the team lowered levels of SRF to the same level that exists in healthy cells, the cells from Alzheimer's patients improved in their ability to remove amyloid beta, doing it just as well as cells from healthy individuals. Conversely, when the team boosted levels of SRF and myocardin in the healthy cells, the changes lowered by about 65 percent those cells' ability to remove amyloid beta. In mice, the team found parallel results. When the team boosted SRF or myocardin in healthy mice, those mice had about twice as much SREBP2 in their smooth muscle cells in the brain's blood vessels. They also had 90 percent less LRP-1, three times as much amyloid beta in their arteries, and 70 percent more amyloid beta in their brain tissue. When the team reduced SRF and myocardin in mice prone to developing Alzheimer's disease, those mice had 60 percent less SREBP2, about four times as much LRP-1, and a 50-percent reduction in amyloid beta in their blood vessels. ... http://www.medicalnewstoday.com

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Casting an eye forward to 2009

As we wind down the online printing presses here at NutraIngredients for 2008, it seems appropriate to cast our eyes forward and locate those trends that are likely to battle for the functional foods and supplements spotlight in the coming year. ...http://www.nutraingredients.com

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Tuesday, December 30, 2008

Gray and white matter in Alzheimer's disease
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To examine the relationship between commonly used screening cognitive measures with gray and white matter integrity in patients with mild to moderate AD. New neuroimaging techniques, such as voxel-based morphometry (VBM), make it possible to study the relationship between structural brain integrity and cognitive functioning in AD. Gray and white matter integrity was evaluated using VBM in fifteen patients with mild to moderate AD. ADAS-Cog and MMSE scores were also performed as part of the baseline assessment for a larger clinical trial in the AD patients. Correlations between cognitive measures and VBM were performed.

Both the ADAS-Cog and the MMSE showed a similar relationship with gray matter degeneration, reflecting greater cognitive impairment with decreased gray matter in the left temporal lobe. However, the MMSE score was much more reflective of underlying white matter changes than ADAS-Cog scores, particularly in frontotemporal region. These findings suggest that the ADAS-Cog and MMSE reflect different aspects of the underlying brain changes observed in AD. The ADAS-Cog was more specific to gray matter integrity whereas the MMSE reflected a more global reduction in both gray and white matter. These results support using neuroimaging markers of neural integrity as an important consideration when evaluating treatment efficacy. Furthermore, whole-brain analyses such as VBM help to evaluate neural systems that are not necessarily targeted by the treatment. ... Journal of Alzheimer's Disease Volume 9, Number 3/2006

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Nano trojan horse delivers antioxidant benefits

29-Aug-2008 - dangerously low in high-risk individuals such as those at risk of developing Alzheimer’s disease, diabetes ...http://www.nutraingredients.com

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Sunday, December 28, 2008

Fruit and vegetable juices relate to the risk of Alzheimer’s disease
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In vitro and in vivo data show that chronic accumulation of reactive oxygen species in the brain may exhaust antioxidant capacity, including antioxidant vitamins, and lead to the onset and progression of Alzheimer’s disease. A recent large clinical trial and several previous prospective epidemiologic studies suggest that antioxidant vitamins from dietary fruits and vegetables, but not from supplements, play a role in delaying the onset of Alzheimer’s disease.
Other than antioxidant vitamins, the most abundant dietary antioxidants come from nonvitamin polyphenols. Several thousand polyphenols have been identified in plants. Most polyphenols exist primarily in the outer sections of fruits and vegetables, and therefore culinary preparation has a critical impact on the concentrations. For example, peeling or boiling can lead to the loss of a majority of the quercetin content in apples, tomatoes, and onions. None of the food frequency questionnaires used in current epidemiologic studies are able to collect data on food preparation; therefore it is impossible to accurately measure total intake of polyphenols. Beverages, such as tea, juices, and wine, are major sources of polyphenols, although many fruits and vegetables and herbs possess polyphenols. Several studies have found that consumption of polyphenols from wine, but not tea, may be associated with a reduced risk of Alzheimer’s disease. A number of studies have reported that commercial fruit and vegetable juices, normally made from frozen concentrates, also possess a high concentration of powerful antioxidant polyphenols. Furthermore, under high extracting mechanical pressure, high concentrations of both peel and pulp components from whole fruits or vegetables enter the liquids from which juice concentrates are produced. No epidemiologic study has yet investigated the association between consumption of fruit and vegetable juices and Alzheimer’s disease risk. Growing evidence from in vitro, in vivo studies, and clinical trials has shown that polyphenols from apple, grape, and citrus fruit juices possess a stronger neuroprotection than antioxidant vitamins. On the basis of these findings, we hypothesized that consumption of fruit and vegetable juices, as a rich source of polyphenols, would be protective and would delay the onset of Alzheimer’s disease. ... Am J Med. 2006 Sep;119(9):751-9

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How will organic food hold up in the recession?

Market analysis have expressed concern this year that demand for organic food will shrink in the tight economic situation, as consumers become less willing to part with a premium. ...http://www.nutraingredients.com

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