Scientists were working on a vaccine for
Alzheimer's
|
Experts have issued a cautious welcome to results showing a
vaccine could help slow the progress of Alzheimer's disease.
Although the Swiss study had to be stopped early after some
patients developed a dangerous brain inflammation, it did show some
positive results.
Around 385,000 people in the UK are estimated to have
Alzheimer's, the most common form of dementia.
It gradually destroys the brain, causing memory loss. There is no
cure, but some drugs can temporarily slow the disease's progress.
If
these results are confirmed in the report of
the whole study then this would be very
powerful evidence that the vaccine is having
a real effect on the Alzheimer's disease in
these people
Dr Richard Harvey, Alzheimer's Society
|
An international team of researchers gave the vaccine, called
AN-1792, to 300 patients with Alzheimer's.
It targets the beta amyloid proteins which form plaques in the
brain of someone with Alzheimer's.
Patients given the vaccine began to produce antibodies designed
to attack beta amyloid.
But the study was halted in March 2002 after 17 patients
developed the potentially fatal brain inflammation
meningoencephalitis.
'Not a cure'
Researchers at the University of Zurich then studied 30 of the
300 patients,including three with encephalitis.
They found 20 had generated antibodies against beta-amyloid and
seen a slow-down in the development of their condition, including
two who had developed the encephalitis.
But the researchers stressed the vaccine was not a cure for
Alzheimer's.
Dr Roger Mitsch, who led the study, said: "Patients with high
levels of antibodies were essentially protected from disease
progression over the one year study period.
"This is the first time that antibodies against beta amyloid were
shown to be effective in slowing the course of Alzheimer's disease."
Caution
Dr Richard Harvey, head of research at the UK's Alzheimer¿s
Society, said: "It's very exciting to see the first glimpse of the
results of the large scale trial of the anti-Alzheimer vaccine.
"However, great caution is needed as the results presented here
represent only a 10% sample of those who took part in the trial -
and a small sample makes it much more likely that the result seen is
simply due to chance and not a real effect."
But he added: "Nevertheless, if these results are confirmed in
the report of the whole study then this would be very powerful
evidence that the vaccine is having a real effect on the Alzheimer's
disease in these people."
Dr Harvey said a full study would have shown other important
effects, such as the rate of brain tissue loss.
He added: "Showing that the vaccine had slowed the loss of brain
tissue associated with Alzheimer's disease would be the first
evidence of a true disease modifying therapy.
"But despite safety problems with this initial version of the
vaccine, vaccine/immune based therapies still hold tremendous
potential for delivering an effective treatment for this terrible
disease."
The research is published in the journal Neuron.
'Test tube benefits'
A second study by Canadian researchers on mice has suggested the
drug lithium, usually used to treat manic depression, can help stop
the build up of the plaques
Dr Harvey said the research, published in the journal Nature,
said the study confirmed previous findings.
He said: "Lithium as a drug is highly toxic and not easy to use,
requiring regular monitoring of blood levels.
"Whether the benefits seen in the test tube will translate into
real life, and then tip the risk/benefit balance remains to be
seen."