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Boosting the Brain s Garbage Disposal Could Assist Alzheimer s Therapies

  The drainage network in a mouse s brain is outlined in blue and green, and dotted with clumps of the Alzheimer s protein amyloid beta (red). Researchers at Washington University School of Medicine in St. Louis have found that improving the function of the network, known as the meningeal lymphatics, can make certain experimental Alzheimer s therapies more effective in mice. Credit: Sandro Da Mesquita Read Time: Experimental Alzheimer s drugs have shown little success in slowing declines in memory and thinking, leaving scientists searching for explanations. But new research in mice has shown that some investigational Alzheimer s therapies are more effective when paired with a treatment geared toward improving drainage of fluid and debris from the brain, according to a study led by researchers at Washington University School of Medicine in St. Louis.

Repairing faulty drains could be key to unlocking the potential of Alzheimer s therapies

Repairing faulty drains could be key to unlocking the potential of Alzheimer s therapies Experimental Alzheimer s drugs have shown little success in slowing declines in memory and thinking, leaving scientists searching for explanations. But new research in mice has shown that some investigational Alzheimer s therapies are more effective when paired with a treatment geared toward improving drainage of fluid -; and debris -; from the brain, according to a study led by researchers at Washington University School of Medicine in St. Louis. The findings, published April 28 in the journal Nature, suggest that the brain s drainage system -; known as the meningeal lymphatics -; plays a pivotal but underappreciated role in neurodegenerative disease, and that repairing faulty drains could be a key to unlocking the potential of certain Alzheimer s therapies.

Could unclogging the brain s drainage system improve the efficacy of Biogen s aducanumab in Alzheimer s?

Apr 28, 2021 11:00am A new Nature study has found that improving the function of the brain s drainage system, known as meningeal lymphatics (blue and green), could potentially make Biogen s Alzheimer s candidate aducanumab more effective in mice. (Sandro Da Mesquita) One popular theory in the quest to develop cures for Alzheimer’s disease is that targeting the toxic clumps of the protein beta-amyloid in the brain that are a hallmark of the disease could ameliorate symptoms. One such anti-amyloid drug, Biogen and Eisai’s aducanumab, has shown mixed efficacy in slowing cognitive decline in two clinical trials, while several similar candidates have simply failed to register any benefit, leaving many doubtful about the strategy.

Brain s waste removal system may offer path to better outcomes in Alzheimer s therapy | National Institutes of Health (NIH)

NIH-funded study in mice suggests lymphatic boost could help reduce amyloid buildup. Study of mouse brain shows the meningeal lymphatics system (purple and pink) could help reduce amyloid. Sandro Da Mesquita, Ph.D. Enhancing the brain’s lymphatic system when administering immunotherapies may lead to better clinical outcomes for Alzheimer’s disease patients, according to a new study in mice. Results published April 28 in Nature suggest that treatments such as the immunotherapies BAN2401 or aducanumab might be more effective when the brain’s lymphatic system can better drain the amyloid-beta protein that accumulates in the brains of those living with Alzheimer’s. Major funding for the research was provided by the National Institute on Aging (NIA), part of the National Institutes of Health, and all study data is now freely available to the broader scientific community.

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