[HN Gopher] Alzheimer's cases tied to no-longer-used medical pro...
       ___________________________________________________________________
        
       Alzheimer's cases tied to no-longer-used medical procedure
        
       Author : leeny
       Score  : 496 points
       Date   : 2024-01-29 21:39 UTC (1 days ago)
        
 (HTM) web link (www.statnews.com)
 (TXT) w3m dump (www.statnews.com)
        
       | m3kw9 wrote:
       | I thought it was still early in 2024 and we have this news but
       | good to know you need to actually transplant brain matter to get
       | it
        
       | Terr_ wrote:
       | 4 hours ago: https://news.ycombinator.com/item?id=39179368
       | 
       | Recycled comment follows.
       | 
       | ___________
       | 
       | To highlight:
       | 
       | > The authors and other scientists stress that the research is
       | based on a small number of people and is related to medical
       | practices that are _no longer used_.
       | 
       | Also that there is zero-reason to believe in any person-to-person
       | spread:
       | 
       | > The study does not suggest that forms of dementia such as
       | Alzheimer's disease can be contagious.
       | 
       | Lastly, a fun vocabulary word [not in that article]: "Iatrogenic"
       | - An illness caused by medical examination or treatment.
        
         | admissionsguy wrote:
         | Another one is "nosocomial" - (disease) originating in a
         | hospital
        
         | dekhn wrote:
         | Don't forget nosocomial- infections acquired in a healthcare
         | setting.
        
       | rajup wrote:
       | My understanding was the beta-amyloid hypothesis itself is under
       | some amount of scrutiny and may not truly explain Alzheimer's.
       | Wonder if this finding adds more evidence for the amyloid
       | hypothesis.
        
         | Mistletoe wrote:
         | I thought CJD was caused by a prion. Was it in the growth
         | hormone prep from the cadavers?
        
           | treyd wrote:
           | Yeah that's correct. The article mentions a few cases of
           | people who died from transmitted CJD that may have also
           | received some beta amyloid or tau proteins that could have
           | catalyzed development into Alzheimer's if only they didn't
           | die from CJD, which seems to develop more quickly through
           | that route. If Alzheimer's is truly is some kind of prion-
           | related disease, which the research is suggesting.
        
           | kibibu wrote:
           | From the article:
           | 
           | > In the interim, scientists had discovered that that type of
           | hormone treatment they got could unwittingly transfer bits of
           | protein into recipients' brains. In some cases, it had
           | induced a fatal brain disease called Creutzfeldt-Jakob
           | disease, or CJD -- a finding that led to the banning of the
           | procedure 40 years ago.
        
           | caycep wrote:
           | there's transmissible CJD, but most cases are a genetic
           | version where you get the prions from your own cells and then
           | it cascades, if I recall
        
         | m3kw9 wrote:
         | Not sure why scientists has to pin point a single cause where
         | as you have different vectors that can cause the same disease
         | is also plausible
        
           | pedalpete wrote:
           | Or that we've been lumping multiple different types of
           | cognitive decline as a single disease.
        
             | hmottestad wrote:
             | Can't you make a definitive diagnosis from an autopsy.
             | Could be that multiple diseases lead to the same findings
             | in the autopsy.
             | 
             | While someone is alive a diagnosis of Alzheimers is more of
             | a diagnosis of elimination. There are several drugs that
             | can be used to slow the progression and I assume that those
             | have a role to play in solidifying the diagnosis.
        
               | hackernewds wrote:
               | That ventures wildly into whether the realm of
               | physicalism explains malaises that happen in the
               | "consciousness" realm. spooky
        
               | tsimionescu wrote:
               | You can check for amyloid plaques in an autopsy, but
               | apparently plenty of old people that show no significant
               | cognitive decline also have amyloid plaques.
               | 
               | So, while we would definitively call it Alzheimer's if
               | you have significant cognitive decline + amyloid plaques,
               | it's not 100% clear that this is a single diagnostic.
        
           | arcticfox wrote:
           | They don't, but my surface understanding is that the
           | medicines that effectively nuke beta amyloid have no effect
           | overall. Which would mean it's not even one of many causes,
           | it seems to not be a cause at all.
        
             | tim333 wrote:
             | I think the medicines likely reduce beta amyloid rather
             | than get rid of all of it which if it has a prion like
             | mechanism wouldn't really fix things.
        
           | 0cf8612b2e1e wrote:
           | Scientists are a bit more savvy than you are giving them
           | credit. Anything neurological is unlikely to have a silver
           | bullet treatment. So researchers are going after what looks
           | most promising with respect to understanding the disease as
           | well as a path towards treatment. Which is currently AB (or
           | Tau), but there is plenty of skepticism that we are chasing
           | the only measurement we have.
           | 
           | Yet many other correlations are even hazier than AB.
        
           | resoluteteeth wrote:
           | I don't think scientists are necessarily assuming a single
           | cause so much as that it's a moot point since we still
           | haven't identified any causes for sure.
           | 
           | If some cases are caused by amyloid plaques and some aren't,
           | for example, and we develop a treatment that cures the
           | amyloid plaque cases but not the others, it will probably
           | become extremely obvious that there are different causes at
           | that point.
        
         | scythe wrote:
         | This finding definitely supports a brain protein hypothesis,
         | but it could just as easily point to tau protein as amyloid.
         | 
         | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399531/
        
         | xenadu02 wrote:
         | The short version as I understand it: amyloid plaques are a
         | symptom but not a cause.
         | 
         | There was a theory floating around that they're a neurological
         | immune response to viral infection but I don't think there's
         | enough evidence to prove that yet.
        
       | m-i-l wrote:
       | Slightly more clickbaity title than the BBC's "Medicine stopped
       | in 1980s linked to rare Alzheimer's cases"[0] which also says
       | "The findings do not mean Alzheimer's is infectious - you cannot
       | catch it from contact with people who have it... The researchers
       | say all of the people in their study had been treated as a child
       | with cadaver-derived human growth hormone, or c-hGH, that was
       | contaminated with brain proteins that are seen in Alzheimer's
       | disease... used to treat at least 1,848 people in the UK between
       | 1959 and 1985".
       | 
       | [0] https://www.bbc.co.uk/news/health-68126907
        
         | caconym_ wrote:
         | I didn't find it clickbaity at all. The contents of the article
         | were exactly what I expected based on the headline, and I
         | didn't know this was possible.
         | 
         | The really interesting thing here is that Alzheimer's seems to
         | be transmissible from person to person via biological material.
         | The BBC headline you quoted, "Medicine stopped in 1980s linked
         | to rare Alzheimer's cases", totally buries the lede and is
         | borderline misleading.
        
           | eek2121 wrote:
           | I didn't either, and I didn't even read the article. The
           | headline was actually dead on factual for me.
        
             | oli-g wrote:
             | For me as well, and I didn't even read the headline.
        
           | jessriedel wrote:
           | My reading is that m-i-l is using "clickbaity" to mean
           | "doesn't prevent all possible wrong conclusions one could
           | draw from the headline". (In this case, the wrong conclusion
           | would be thinking that because there exists cases of
           | alzheimer being transmitted through some mechanism that
           | Alzheimer was contagious.)
           | 
           | While it's certainly understandable that we are all tired of
           | clickbait that _purposefully_ misleads the reader, imo we
           | should not overcorrect by demanding that headlines cannot be
           | misinterpreted by arbitrarily ignorant readers.
        
             | m-i-l wrote:
             | That's right. Living in the UK and taking an interest in
             | popular science during the "mad cow disease crisis"[0], I
             | had been aware that prion diseases can be transmitted in
             | humans if (for example) you eat (infected) brains of your
             | dead ancestors[1], but the headline as originally submitted
             | ("Scientists document first-ever transmitted Alzheimer's
             | cases") did suggest to me that we might be at the start of
             | something altogether new and much more alarming.
             | 
             | [0] https://en.wikipedia.org/wiki/Bovine_spongiform_encepha
             | lopat...
             | 
             | [1] https://en.wikipedia.org/wiki/Kuru_(disease)
        
         | mike_d wrote:
         | > "The findings do not mean Alzheimer's is infectious"
         | 
         | It may not be infectious like a cold or herpes, but it was
         | amazing to me that it is transmissible. I spent some time
         | Googling and it looks like the appropriate term is "Donor-
         | Derived Infections."
        
           | tsimionescu wrote:
           | I think that, in principle, any disease that a donor has has
           | some small chance of affecting the recipient. Infections,
           | cancers, prion diseases, toxins are well known to do so, some
           | immune issues also have a clear pathway, but in principle
           | even genetic issues could affect the recipient depending on a
           | whole host of complicated biology that we don't fully
           | understand.
        
         | josu wrote:
         | >The findings do not mean Alzheimer's is infectious - you
         | cannot catch it from contact with people who have it.
         | 
         | Alzheimer's being an infectious disease is still being
         | researched. The article does nothing to disprove it.
        
         | BizarroLand wrote:
         | I wonder if we will ever find methods of flushing the brain out
         | or doing anything within the human brain that will allow us to
         | defend against things like this.
         | 
         | I know our brains are very protected in our bodies and for good
         | reason but I still wonder how far we will be able to go if we
         | can ever safely and humanely bypass that.
        
       | bjourne wrote:
       | Afaict, this is not an entirely new finding. For example, this
       | page (https://www.nature.com/articles/d41586-018-07771-6)
       | references a 2018 article about the issue of Alzheimer's being
       | transmitted (or rather "seeded") through growth hormone extracted
       | from cadavers. Perhaps the new article provides additional
       | evidence or perhaps the other article only suspected a casual
       | link and this one proves that there is one. I haven't read it
       | thoroughly.
       | 
       | What I find interesting and scary is the "seeding" part. The
       | small amount of growth hormone injected to the children cannot
       | itself have caused Alzheimer's. But it must have caused some
       | rewiring of the brain to make it accumulate more plaque which
       | over a period of many decades slowly decreased their brain
       | performance. If this effect is synthesizeable then one can easily
       | imagine many countries using it to develop terrifying biological
       | weapons.
        
         | diob wrote:
         | It mentions brain proteins contaminating it, makes me think of
         | prions.
        
           | EdwardDiego wrote:
           | Yeah, these paragraphs from the paper sounds like the amyloid
           | proteins can sometimes look/act like a prion if you squint:
           | 
           | > The far wider relevance of prion mechanisms was first
           | exemplified with the discovery of yeast prions but has also
           | widened considerably with the recognition that the more
           | common human neurodegenerative diseases, including
           | Alzheimer's and Parkinson's diseases, involve accumulation
           | and spread of assemblies of misfolded host proteins in what
           | is often described as a 'prion-like' fashion with
           | experimental transmission of relevant pathology in primates
           | or mouse models. However, the importance for human disease
           | was unclear until the recognition of human transmission of
           | amyloid-beta (Ab) pathology via iatrogenic routes after
           | prolonged incubation periods, causing iatrogenic cerebral
           | amyloid angiopathy (CAA) and raising the possibility that
           | iatrogenic Alzheimer's disease may occur at even longer
           | latency.
        
             | jychang wrote:
             | The thing is (despite popular misconception that prions are
             | common and many proteins that can turn into prions), there
             | is only a specific protein that can be a prion- the PrP
             | protein.
             | 
             | https://en.wikipedia.org/wiki/Major_prion_protein
             | 
             | Demonstrating "some other other protein behaving like a
             | prion" is close to nobel prize territory.
        
               | DoingIsLearning wrote:
               | Perhaps a first pass research question is:
               | 
               | Do people who undergo spinal, brain, retinal surgery have
               | a higher incidence of Alzheimer when compared with the
               | rest of the population?
               | 
               | Otherwise there is no point in chasing this "some other
               | other protein behaving like a prion" avenue.
        
               | tim333 wrote:
               | There are quite a lot of diseases where a prion like
               | mechanism is suspected
               | https://en.wikipedia.org/wiki/Prion#In_other_diseases
               | 
               | ie. some protein other than PrP gets misfolded and then
               | acts as a template to cause more misfolding. I've read up
               | a bit on ALS as my sister has it and while it's not fully
               | understood the most likely cause seems misfolding of a
               | proteins called or TDP-43 or SOD1. Eg from a paper:
               | 
               | >recent cultured cell line and animal model studies
               | suggest that the misfolded forms of SOD1 and TDP-43 do
               | self-propagate within neuronal cells and transmit to
               | neighboring cells
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363329/
        
               | Thorrez wrote:
               | Wikipedia seems to say there's another one:
               | 
               | >All known mammalian prion diseases were caused by PrP
               | until 2015, when a prion form of alpha-synuclein was
               | hypothesized to cause multiple system atrophy (MSA).[10]
               | 
               | https://en.wikipedia.org/wiki/Prion
        
           | goku12 wrote:
           | The article mentions that the procedure was banned due to
           | incidence of Creutzfeldt-Jakob disease. That is a prion
           | disease.
        
             | klipt wrote:
             | They still use pieces of cadaver for other surgeries. E.g.
             | gum and bone transplants done by periodontists. Seems risky
             | to me.
        
               | woleium wrote:
               | as long as it's not spine or brain matter it's probably
               | okay. During the mad cow outbreak (BSE, the bovine
               | equivalent of CJD) in the UK, they banned "beef on the
               | bone" but not all beef.
        
               | emayljames wrote:
               | And CJD came about from farmers using ground and
               | processed cow brains to feed cows. What could possibly go
               | wrong feeding a cow some cow brains!
        
               | ljf wrote:
               | It is worse than that - it first made the jump to cows
               | when condemned sheep, infected with the similar prion
               | disease 'scrapie', were ground up and fed to cows.
        
               | meepmorp wrote:
               | There's a human prion disease, kuru, which was caused by
               | the practice of funerary cannibalism - where family would
               | ritually consume parts of their deceased relatives'
               | bodies.
               | 
               | The moral of the story seems to be, don't eat brains.
        
               | adrian_b wrote:
               | Which is rather unfortunate.
               | 
               | I no longer eat meat, but when I was younger I considered
               | the brains as the tastiest part of an animal, when
               | properly prepared and cooked.
               | 
               | It is said that in USA eating organs is not very popular,
               | so it is likely that many have never experienced well
               | cooked brains, to know what they are missing.
               | 
               | There exists a hypothesis that is rather plausible, that
               | breaking bones and eating their content of brains and
               | marrow has played an important role in the evolution of
               | humans, by providing an abundant source of long-chain
               | fatty acids, enabling the unusual mass ratio between the
               | central nervous system and the whole body that
               | characterizes humans.
        
               | woleium wrote:
               | Brains, cooked contains 210 calories per 140 g serving.
               | This serving contains 15 g of fat, 16 g of protein and
               | 2.1 g of carbohydrate. The latter is 0 g sugar and 0 g of
               | dietary fiber, the rest is complex carbohydrate. Brains,
               | cooked contains 3.3 g of saturated fat and 4304 mg of
               | cholesterol per serving.
               | 
               | If you do not have risk factors for heart disease, you
               | should limit your cholesterol intake to no more than 300
               | milligrams a day.
               | 
               | 1000% your rda of cholesterol in a single serving!
        
               | djmips wrote:
               | Might depend on the age of the patient.
        
               | pvaldes wrote:
               | Periodontists have been also linked with a higher number
               | of Alzheimer cases. Is a group of risk in this disease.
        
               | bagels wrote:
               | The doctor or their patients have the higher risk?
        
               | pvaldes wrote:
               | if I remember correctly Dentists had more cases of
               | alzheimer than other groups of doctors. I heard it some
               | time ago.
               | 
               | If is a prion, it should resist most sterilization of
               | dental instruments by heat on autoclave. So is obvious
               | IMAO that this could be a way to spread the disease from
               | one patient to other, but I'm not an expert on clinic
               | procedures and the protocols may have been updated. This
               | is known, or at least suspected, since maybe a decade or
               | so.
        
               | meindnoch wrote:
               | >Dentists had more cases of alzheimer than other groups
               | of doctors
               | 
               | Herpes?
               | 
               | 1. Travels along nerve cells
               | 
               | 2. Causes lifelong infection
               | 
               | 3. Can enter the brain (HSV encephalitis)
               | 
               | 4. Herpetic whitlow used to be an occupational disease of
               | dental workers (still is to some extent)
               | 
               | "Overwhelming Evidence for a Major Role for Herpes
               | Simplex Virus Type 1 (HSV1) in Alzheimer's Disease (AD);
               | Underwhelming Evidence against"
               | 
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8234998/
        
           | emayljames wrote:
           | What I found odd, is in the article it talked of the
           | importance of sterilising medical tools used, that may have
           | had prions on them. Prions can't even be destroyed by extreme
           | temperatures, they are extremely scary.
        
             | kvgr wrote:
             | Over 900c for several hours vs 250 in autoclave... if
             | Alzhaimers can spread this way, i am done, because I spent
             | days in dentist chair...
        
         | seesawtron wrote:
         | Both new and old articles are from the same lab. So they
         | hypothesized it in previous article and now found signs of
         | dementia in some of patients who survived. Still no evidence of
         | actual transmission of A-Beta.
        
         | Zigurd wrote:
         | Prions are exactly the tiny, hard to detect things that could
         | make Alzheimers transmissible. There are likely to remain many
         | questions to resolve, but this sure suggests a line of inquiry:
         | Is Alzheimer's one distinct disease? Can a prion be isolated as
         | the cause? Can a diagnostic test be designed that detects this
         | prion? Etc.
        
           | angiosperm wrote:
           | There is no reason to assume this is a matter of proteins.
           | 
           | It could just as easily be viral or bacterial infection.
           | Classically, people always just assumed that brains had no
           | such infections. Until somebody checked, and they turn out to
           | be very common.
           | 
           | But they still don't look for infections in Alzheimer's
           | patients' brains, probably because it would make them seem
           | negligent. (Which they are.)
        
             | rantallion wrote:
             | > There is no reason to assume this is a matter of
             | proteins.
             | 
             | Except that there's increasing evidence that specific
             | proteins do in fact play a part in various forms of
             | dementia.
             | 
             | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4072215/
        
       | aurizon wrote:
       | New prion diseases are being found in other animals and might
       | evolve to enter humans. There is a deer version being watched -
       | not yet found in people, AFAWK?
       | https://www.cdc.gov/prions/cwd/index.html
       | 
       | There have been many cases of assorted Human Papilloma viruses
       | (HPV) transmitted by kissing as well as assorted variances of
       | oral sex. Recent vaccines are very
       | effective.https://www.cdc.gov/vaccines/vpd/hpv/public/index.html
        
         | CommanderData wrote:
         | Do you mean HSV? I have seen articles implicating that virus
         | but it's the first time I've heard of a HPV association.
        
           | aurizon wrote:
           | different to HPV. More on HSV
           | https://www.healthline.com/health/herpes-simplex#causes
        
         | caconym_ wrote:
         | What do these two things have to do with each other?
        
           | aurizon wrote:
           | Not much, deer prion wasting disease is forced shape-fold
           | mimicry and HPV is DNA insertions affecting repressed cancer
           | causing genes having increased expression. I referenced it,
           | but it does not really fit in.
        
       | genman wrote:
       | So is this small bit of information any use for figuring out the
       | general case?
        
         | Reubend wrote:
         | Yes, definitely. It hints to the root cause being "very similar
         | in many respects to what happens in the human prion diseases
         | like CJD, with the propagation of these abnormal aggregates of
         | misfolded proteins and misshapen proteins."
         | 
         | So while this might be unrelated to the general cases, it's
         | still a promising area of investigation.
        
       | jollyllama wrote:
       | Why isn't the procedure used anymore, since they stopped using it
       | before this was discovered?
        
         | bemusedthrow75 wrote:
         | Because it was shown to also spread a prion disease (CJD,
         | though not the variant kind as far as I have understood)
        
         | Reubend wrote:
         | As the article says, there is now a synthetic hormone which is
         | given to the patients. We don't need to extract the hormone
         | from dead people anymore.
        
           | bemusedthrow75 wrote:
           | Yes, but that just would cause the derived product not to be
           | needed, when it was actually actively banned because it was
           | proven to have caused some cases of CJD.
        
         | skissane wrote:
         | We worked out to produce these hormones (or equivalent
         | compounds) synthetically, so we no longer need to extract them
         | from the brains of deceased humans, a procedure which risks
         | transmitting disease.
         | 
         | Not just human growth hormone, also other hormones used to be
         | derived this way, e.g. those used to induce ovulation in
         | fertility treatment.
         | 
         | I know someone who received cadaver-derived fertility hormones
         | in the 1980s. She has a small risk of developing CJD and dying
         | from it. It hasn't happened yet, and probably never will, but
         | no one can say for sure if she is infected. If you don't
         | develop symptoms (some people are infected but never progress,
         | others suddenly develop symptoms one day after decades of being
         | asymptomatic), the only way to know for sure if you had it is
         | at autopsy, through destructive testing of brain tissues.
        
         | munificent wrote:
         | Second paragraph of the article:
         | 
         |  _> In the interim, scientists had discovered that that type of
         | hormone treatment they got could unwittingly transfer bits of
         | protein into recipients' brains. In some cases, it had induced
         | a fatal brain disease called Creutzfeldt-Jakob disease, or CJD
         | -- a finding that led to the banning of the procedure 40 years
         | ago._
         | 
         | In other words, it gave people mad cow disease.
        
           | MathMonkeyMan wrote:
           | That's not to mention the zombies. There was a huge cover up.
        
           | bemusedthrow75 wrote:
           | Not "mad cow disease", but CJD.
           | 
           | "Mad Cow Disease" specifically refers to the variant form
           | that is said to have been caused by prions from infected
           | animals turning up in beef products.
           | 
           | Though in fact all we know for sure about the link there is
           | that it's the same prion in the cattle and human cases; the
           | suggestion that there's a direct food chain connection is
           | still only considered very likely, not proven.
        
         | jjtheblunt wrote:
         | Did you even try reading? It's made super clear at the start.
        
           | jollyllama wrote:
           | Yes, I read the whole thing but I missed the second half of
           | the last sentence of the second paragraph. The fact that one
           | poster replied that it's due to the advent of synthetic
           | hormones and others replied about the spread of CJD indicates
           | it's not super clear, but sibling replies got me the insight
           | I was looking for.
        
       | jovial_cavalier wrote:
       | I've often wondered if Alzheimer's is actually novel instances of
       | prion disease.
       | 
       | For instance, Kuru was developed within I think a handful of
       | generations in a population of ~20,000 with limited opportunities
       | for transmission (only transmitted when someone dies and their
       | family eats their brain).
       | 
       | If the base incidence rate for a novel prion is that high, can
       | you explain Alzheimer's as just that? It would be sad news for
       | pharmaceutical companies - it would render Alzheimer's as a
       | disease in the same class as cancer. Total systems breakdowns
       | that are low-probability but inevitable on a long enough
       | timescale.
        
         | karmajunkie wrote:
         | it's almost certainly not, or you would see epidemiological
         | evidence for chains of transmission. prion diseases require
         | contact transmission which is all but absent from the
         | alzheimer's story.
        
           | throwaway8877 wrote:
           | Is it still possible that the chains are there but are missed
           | because of the disease very slow progress?
        
           | jovial_cavalier wrote:
           | We don't eat the brains of people with Alzheimer's, so we
           | don't see it transmit?
           | 
           | I know CWD transmits from pretty much any shedding of the
           | animal, but is that necessarily universally true?
           | 
           | Can we map that onto human beings who practice hygeine and
           | don't eat leaves that another human urinated on?
        
             | karmajunkie wrote:
             | consumption of neural tissue isn't the only transmission
             | vector though. (See TFA for an example, in fact.) If it
             | were a prion disease, just the law of averages dictates
             | that we'd see some transmission from things like organ
             | transplants from pre-symptomatic carriers. There's no
             | evidence of that at all that i'm aware of. (disclaimer: I
             | work at a startup in cognitive testing, so while i'm
             | certainly not a researcher in the field, i do see quite a
             | bit of research on dementia-adjacent diseases)
        
               | jovial_cavalier wrote:
               | But don't you also have a windowing effect there? How
               | many >50 y/o people are donating their organs?
               | 
               | You could also explain the age skewness by allowing for
               | the fact that it takes time for the prions to replicate
               | to the point that you notice symptoms.
               | 
               | Other I think this would predict: lifetime exposure to
               | mutagens is a predictor for Alzheimer's. Alzheimer's is
               | more heritable from the mother than the father.
        
           | resoluteteeth wrote:
           | > it's almost certainly not, or you would see epidemiological
           | evidence for chains of transmission. prion diseases require
           | contact transmission which is all but absent from the
           | alzheimer's story.
           | 
           | I think what the parent comment is saying is, what if it _isn
           | 't_ transmitted, what if a prion is just occurring in the
           | brains of the people who develop alzheimers?
           | 
           | That seems unlikely to me, but on the other hand, the article
           | seems to be suggesting that transferring brain proteins from
           | people with alzheimers to people who are younger will cause
           | them to develop alzheimers which would be roughly consistent
           | with that.
           | 
           | I don't know whether that would be possible, but, for
           | example, what if there was somehow a specific protein in the
           | brain that could easily be misfolded to become a prion, and
           | the eventually if people live long enough they tend to
           | produce that prion at least once, so it occurs essentially as
           | a result of old age, but it can theoretically also be
           | transmitted in the manner described in the article?
        
       | boringuser2 wrote:
       | I actually don't believe this conclusion based off the fact that
       | it would be slam-dunk evidence for the pathogenesis of
       | Alzheimer's, which we don't have.
        
         | echelon wrote:
         | Multiple pathways could lead to the disease.
         | 
         | It's entirely possible that a metabolic dysfunction or viral
         | origin causes immune dysfunction and the downstream
         | dysregulation, misfolding, amyloid/tau signals, etc.
         | 
         | There might be multiple entry points to causing this disease.
        
           | boringuser2 wrote:
           | That might be true, but I don't think this makes the
           | conclusion any more compelling because it now fails Occam's
           | razor.
           | 
           | Chances are greater the conclusion is simply incorrect.
        
             | echelon wrote:
             | > it now fails Occam's razor.
             | 
             | I mean, mechanistically speaking, so does cancer. I don't
             | think that's quite the lens to apply to biological systems.
             | 
             | Biology is wildly complex and subverts expectations all the
             | time.
        
               | boringuser2 wrote:
               | It is the lens to apply to any system.
               | 
               | You don't defend a tenuous conclusion by doubling down
               | with a tenuous defense.
               | 
               | "Science" is constantly inaccurate. I can pull two papers
               | right now with opposing conclusions.
               | 
               | Assuming a scientific conclusion is simply incorrect is a
               | pretty good bet, even if you have absolutely no context
               | or idea what is happening at all.
        
               | echelon wrote:
               | > It is the lens to apply to any system.
               | 
               | I can point to countless instances where it fails to
               | adequately guide investigation in biology.
               | 
               | Occam's razor leads to premature simplification. When the
               | space is vast, dynamical, and unknown, it's absolutely
               | not a tool.
               | 
               | Do you think, for instance, that V(D)J recombination
               | satisfied Occam's razor when we asked ourselves how
               | adaptive immunity worked, or how some forms of diseases
               | such as SCID manifested?
               | 
               | There is a metric ton of pure serendipity in the study of
               | biology. We're drawing new connections between systems
               | all the time. This is just a new data point.
        
               | boringuser2 wrote:
               | I think you're misunderstanding slightly the utility
               | function of the logical device here.
               | 
               | It's not so much that we cannot analyze a complex system
               | using this criterion, it's moreso a tool that allows us
               | to identify a logically tenable pathway for investigating
               | a specific element of reality.
               | 
               | For example, a poster above noted that I was misapplying
               | the razor because he went one level below where I was
               | analyzing. He's not necessarily incorrect, and neither am
               | I.
               | 
               | You interrogate reality at multiple levels of
               | magnification, which is why you don't need to know how
               | genes specifically work to know that they work and make
               | predictions based on their prevalence, for example.
        
             | cbsmith wrote:
             | That's a misapplication of the razor here. The simplest
             | explanation for the statistically unusual prevalence of the
             | disease amongst these patients is indeed that there is a
             | causal link.
        
             | magicalhippo wrote:
             | Isn't the point that when comparing multiple explanations
             | of a phenomenon one applies Occams razor to pick the "best"
             | one?
             | 
             | In this case we don't have any explanations to compare yet,
             | just suggestive lines of research. So it's premature to
             | bring out the razor.
        
       | eigenvalue wrote:
       | I wonder what other stuff is being unwittingly transferred during
       | standard blood transfusions. I've seen some interesting research
       | about the "signalling" power of blood from both older and younger
       | donors, with the "young blood" causing a slow down of senescence
       | in cells, and the "old blood" causing a speed-up in senescence.
       | Any time you take biological material out of other human beings
       | and put them in a different body, it seems like you are
       | introducing a lot more uncertainty and risk than when you inject
       | a person with a comparatively "simple" small-molecule drug.
        
         | axus wrote:
         | My mom developed an allergy to eggs after a blood transfusion.
         | She long regretted never being able to eat another chocolate
         | eclair.
        
           | eigenvalue wrote:
           | That's nuts. Seems like researchers should look really
           | closely at weird side effects of blood transfusions since
           | these are effectively "natural experiments" that would be
           | impossible or unethical to run normally.
        
             | EdwardDiego wrote:
             | They do. These incidences are rare, but documented, and
             | researched.
             | 
             | https://www.scientificamerican.com/article/when-peanut-
             | aller...
             | 
             | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562830/
             | 
             | It looks like the allergy isn't permanent though.
        
             | kccqzy wrote:
             | Generally, I think if a patient needs blood transfusions
             | there's a bigger and more immediate life-and-death problem
             | right there. I think allergies would be preferable to
             | death.
             | 
             | Is my understanding correct? I hope blood transfusion
             | hasn't become a routine procedure these days.
        
               | fastball wrote:
               | I don't think GC was suggesting that we stop blood
               | transfusions, but rather that we do better tracking to
               | improve our understanding in a way that normally would be
               | unethical (if not for the fact that, as you say, blood
               | transfusions are a life-saving intervention).
        
               | eigenvalue wrote:
               | Yes exactly.
        
               | bobsmooth wrote:
               | You get a blood transfusion for any major surgery.
        
               | Arrath wrote:
               | Makes me wonder if there is any possibility to give blood
               | in the lead-up to your surgery, such that you're
               | transfused with your own blood?
        
               | blendergeek wrote:
               | It's called an autotransfusion and it's a thing.
               | 
               | https://en.wikipedia.org/wiki/Autotransfusion
        
               | mhaberl wrote:
               | You get it IF there is a need for it, not always.
               | 
               | I had an open heart surgery and didn't get a blood
               | transfusion.
        
               | theshackleford wrote:
               | No.
        
               | TechnicalVault wrote:
               | Before the 1990's but not anymore. The contaminated blood
               | scandal in the United Kingdom
               | (https://www.infectedbloodinquiry.org.uk/) and a lot of
               | papers showing benefits to avoiding blood loss in the
               | first place have changed practices. We haven't eliminated
               | the use of allogeneic blood transfusions but they're
               | indicated a lot less than they used to be.
        
             | RajT88 wrote:
             | Well, the boffins figured out somehow that if you get a
             | blood transfusion from an Opossum you become immune to all
             | snake venom for a while.
             | 
             | (Seems wikipedia removed this factoid now... and other
             | sources state "most" snake venom)
             | 
             | I assume they tested on animals, not humans.
        
               | bglazer wrote:
               | Can you provide a source? That sounds unlikely
        
               | RajT88 wrote:
               | Here is something scholarly:
               | 
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315628/
               | 
               | I cannot find anything now talking about a blood
               | transfusion (I probably read about it 10 years back). It
               | more or less jives with the scholarly article in that
               | "immunogenic effects are reported".
               | 
               | A slightly less dry read:
               | 
               | https://www.grunge.com/1105496/how-an-opossum-could-be-
               | the-r...
        
             | d1sxeyes wrote:
             | No, eggs, not nuts.
             | 
             | I'll see myself out.
        
             | lynx23 wrote:
             | As someone who has been deliberately used at a young age by
             | a doctor for a medical experiment, I can tell you this is
             | how human experiments are done these days. Take someone
             | with condition X which is life threatening, and suddenly
             | you can do all your unethical stuff without having to be
             | afraid of consequences. You just have to crank up the
             | severity and you suddenly are free to do whatever you want.
        
               | seunosewa wrote:
               | Can you sue?
        
           | teaearlgraycold wrote:
           | If your mom's still around let her know about vegan egg
           | alternatives!
        
             | syndicatedjelly wrote:
             | Vegan egg tastes like butts
        
             | elzbardico wrote:
             | I am not a vegan, but I eat a lot of vegetables, most
             | vegetables, if prepared correctly are delicious, there are
             | a lot of traditional dishes in every cuisine in the world
             | that take absolutely no animal products on their
             | preparation and have a wonderful taste and aroma.
             | 
             | I see no reason to eat those franken-foods just because
             | you're a vegan, a lot of them have strange additives to
             | make them taste and look like animal stuff, it is simply
             | not worth the risk to eat them IMHO.
             | 
             | Of course, this is a personal view point.
        
               | Cpoll wrote:
               | > I see no reason to eat those franken-foods just because
               | you're a vegan, a lot of them have strange additives to
               | make them taste and look like animal stuff, it is simply
               | not worth the risk to eat them IMHO.
               | 
               | "Just Egg" is mung bean and canola oil. You can DIY it
               | for cheaper, it's like buying pancake mix. There's always
               | a few strange additives for these sorts of products
               | (improve shelf life, anti-caking, emulsion, whatever),
               | but that's not a vegan-specific thing.
        
               | timschmidt wrote:
               | Seed oils like canola aren't great for health. They're
               | fairly new to the food stream (only widely available
               | since about 1900), heavily processed, and chock full of
               | compounds the plant was making to protect it's seeds,
               | many of which cause inflammation and other negative
               | health effects. Olive oil, coconut oil, and animal fats
               | have all been in use longer, and seem to be better for
               | us. Avocado oil also seems to be decent, though it can be
               | challenging to find quality unadulterated oils of any
               | kind.
        
               | wisty wrote:
               | Any proper evidence or is this just some internet meme?
               | https://www.consumerreports.org/health/healthy-eating/do-
               | see...
        
               | timschmidt wrote:
               | You're welcome to eat the non-food. I won't stop you.
        
               | pnw wrote:
               | Aquafaba is a completely natural vegan egg substitute
               | used in baking.
               | 
               | https://en.m.wikipedia.org/wiki/Aquafaba
        
               | teaearlgraycold wrote:
               | I've used it with amazing success as a non vegan in both
               | chocolate chip cookies and pancakes
        
             | axus wrote:
             | She honestly asks me to bring over vegan mayonnaise
             | sometimes. She also has a good egg-free cake recipe.
        
           | withinboredom wrote:
           | You are supposed to declare your issues before (or at least
           | after) you give blood. Kinda messed up that whoever donated
           | that blood didn't report it. Then again, I'm glad the blood
           | was available...
        
             | elzbardico wrote:
             | We can't conclude that the donor had an egg allergy. The
             | immune system is complicated as hell, it could be the case
             | that he had some weird protein circulating on his blood
             | that was recognized by her immune system, and by chance
             | this protein was structurally close enough to some egg
             | protein that now eggs trigger an immune response on her.
        
               | scythe wrote:
               | Worth noting that the most prevalent protein in blood is
               | albumin, and the major protein in eggs is, yep, albumin.
        
               | hirvi74 wrote:
               | Are you implying there is a connection? Even if it's just
               | for nonsense, I'd love to read it. Because other
               | prevalent commonalities, you could make the same argument
               | about water, for example.
        
               | twothamendment wrote:
               | "The immune system is complicated as hell."
               | 
               | You got that right! My wife used to eat a banana every
               | day. Then something in her flipped and she reacts as if
               | she is allergic to bananas and the rest of the world -
               | not exaggerating. She can eat a very small number of
               | foods and has to avoid most people because of smells. It
               | isn't allergies it is - you guessed it - her immune
               | system.
               | 
               | If we could just flip it back to "normal"...
        
               | mips_r4300i wrote:
               | Same thing happened to me. I was eating bananas, beef,
               | coffee, etc. then I got some sort of viral infection. My
               | thyroid became inflamed for a couple months. No doctor
               | was able to find anything wrong with me.
               | 
               | Little did I know, having postviral sequelae causes my
               | immune system to start hating many things I used to eat.
               | A food blood sensitive test showed that bananas, beef,
               | coffee were what set my immune system off the most.
               | 
               | I was told it was gut permeability causing food particles
               | to leak into the blood stream causing the immune
               | response. So the fix has been to stop eating those, let
               | the gut heal, and over time I've been able to eat those
               | foods in moderation years later.
        
             | fbdab103 wrote:
             | Some 30% of people have allergies. It can already be
             | challenging to source enough blood with the current
             | eligible population.
        
             | jraph wrote:
             | I don't think I ever had to declare allergies when donating
             | my blood (France).
             | 
             | They focus on infections and cancers I think.
             | 
             | Why would they ask for allergies if we don't yet know that
             | they can be transmitted like this?
        
               | withinboredom wrote:
               | I thought it was well known that certain allergies
               | (eggs/peanuts) can transfer via transfusions? At least
               | for awhile. It looks like there's some literature on it
               | at least, but I didn't dig into it or anything. I just
               | thought this was "common" knowledge since that's what I
               | was told years ago by a nurse I was dating in college, a
               | long time ago.
        
               | jraph wrote:
               | Maybe it's known but I don't know about it :-)
        
               | dghughes wrote:
               | I would assume things like that maybe after a bone marrow
               | transplant but having a blood transfusion seems pretty
               | mild I wouldn't expect any affects from it.
        
           | dehrmann wrote:
           | Eggs or chicken eggs? Could always use duck eggs.
        
           | BurningFrog wrote:
           | Killjoy note that the allergy may well be unrelated to the
           | transfusion, despite occurring after it.
        
             | tim333 wrote:
             | Though it seems quite plausible something in the blood
             | caused an immune reaction that then also gets set of by egg
             | protein.
        
               | BurningFrog wrote:
               | FWIW, ChatGPT 3.5 says:
               | 
               | "The development of a new food allergy, such as an
               | allergy to eggs, as a direct result of a blood
               | transfusion is extremely rare and not a well-documented
               | phenomenon. Food allergies are typically triggered by
               | exposure to specific allergenic proteins found in foods,
               | and blood transfusions do not typically involve the
               | introduction of food proteins."
        
               | ImPostingOnHN wrote:
               | ChatGPT 3.5 is known to make mistakes, hallucinate, and
               | not care about the factuality of its responses.
               | 
               | Given this, a comment which does nothing but quote
               | chatGPT 3.5 verbatim can do more harm than not commenting
               | at all, especially on health matters, where such
               | qualities can constitute outright recklessness.
               | 
               | If you want to share your own thoughts, though, I know
               | I'd welcome them. At least humans have a greater than 0%
               | chance of caring about the well-being of humans.
        
               | tim333 wrote:
               | Dunno but it seems not unheard of see eg. Peanut and fish
               | allergy due to platelet transfusion in a child
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562830/
        
         | lostlogin wrote:
         | > I've seen some interesting research about the "signalling"
         | power of blood from both older and younger donors, with the
         | "young blood" causing a slow down of senescence in cells
         | 
         | Maybe the Silicon Valley 'blood boy' can be brought to market.
        
           | aeternum wrote:
           | I believe Ambrosia was the (real) startup that was the
           | inspiration for that story arc.
           | 
           | Looks like they're still around but have pivoted to boring
           | wearables and of course AI.
           | 
           | A supposed win for the FDA, but perhaps a loss to humanity
           | since there does seem to be evidence that the idea actually
           | worked.
        
             | rsynnott wrote:
             | For once, a pivot to AI is a bit of a relief...
        
         | q1w2 wrote:
         | Not only blood transfusions, but ligament/tendon transplants
         | from cadavers are extremely common for people who tear their
         | ACL.
         | 
         | It would be a disaster if this type of surgery also transmitted
         | some prior/protein misfolding disease decades later. Millions
         | would be impacted. The practice stared in the 1980s, but really
         | only became popular in the early 2000s with the boom in
         | arthroscopic surgery standardization.
         | 
         | Hopefully the blood-brain barrier prevents this.
        
           | eigenvalue wrote:
           | Oh man, I bet you're right and enough time hasn't gone by to
           | see the fallout from it! I bet rich people will start bidding
           | up tendons and ligaments from younger cadavers (probably
           | mostly motorcycle accident victims). Although given that so
           | many of those have toxoplasmosis, maybe that's also not
           | great...
        
             | fbdab103 wrote:
             | One estimate says that 30-50% of all human beings have
             | toxoplasmosis, so I would put that as pretty low on the
             | list of risks.
             | 
             | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963851/
        
           | coffeebeqn wrote:
           | Could they test the donor first for these proteins or
           | whatever is causing it?
        
             | PeterisP wrote:
             | We probably could, but only after we'd figure out what
             | exactly is causing it.
        
           | ikrenji wrote:
           | those tissues are unlikely to carry prions. prions are
           | concentrated in the brain.
        
             | timschmidt wrote:
             | Unlikely != zero risk, and concentrated != isolated?
        
         | selcuka wrote:
         | > I've seen some interesting research about [...] the "young
         | blood" causing a slow down of senescence in cells,
         | 
         | This is excellent material for the conspiracy theorists.
        
           | tim333 wrote:
           | Yeah see https://techcrunch.com/2017/06/14/no-peter-thiel-is-
           | not-harv...
        
         | palijer wrote:
         | >Any time you take biological material out of other human
         | beings and put them in a different body, it seems like you are
         | introducing a lot more uncertainty and risk
         | 
         | But this always had to be weighed against the risks of not
         | getting the transfusion. Typically the consequences of not
         | getting a transfusion when it is medically indicated is pretty
         | severe.
         | 
         | We don't really need to worry about unlikely not-yet-understood
         | edge cases that happen years later from procedures we've done
         | millions of times. We gotta gotta about blood loss.
        
           | abirch wrote:
           | Yes, usually if you need a blood transfusion there are bigger
           | issues.
           | 
           | Please remember to ask your doctor about autologous
           | transfusion, where you bank your own blood before a planned
           | procedure.
        
           | TechnicalVault wrote:
           | Depends what the indication is, for some kinds of trauma the
           | evidence is that transfusions are what will keep the patient
           | alive, e.g. you're dumping pints on the table and it's likely
           | to be contaminated, you can't salvage and reinfuse. However,
           | for pre-planned surgery the evidence suggests avoiding blood
           | loss where you can is the best practice. Studies have also
           | shown that pre-deposit autologous blood donation before
           | surgery is of uncertain benefit so it tends to be contra-
           | indicated in the UK at least.
           | 
           | Before we understood the risks we used to do transfusions a
           | lot more frequently than we do now and this led to a
           | generation of anaesthetists who would basically treat with
           | blood transfusion at the slightest sign of low blood count.
           | More recent studies have suggested that a lower blood count
           | can be tolerated than was previously realised and that you
           | can often get away with guaranteed pathogen free (and much
           | cheaper) volume expanders. There has also been developments
           | in cell salvage to reinfuse suctioned blood and methods to
           | avoid blood loss in the first place.
           | 
           | Medical practice has also changed to reflect this and the
           | changed evidence base, especially given the relative costs
           | (hospital managers love to save money). Hip and knee
           | replacement surgery used to use blood routinely and were
           | almost always done under general anaesthetic, but given we
           | now want to get patients out within a day or two post surgery
           | we do the surgery under spinal block and minimise blood loss
           | as much as we can.
           | 
           | tldr; We still need transfusions for some things but we
           | should be using them less than we do.
        
         | bregma wrote:
         | > I wonder what other stuff is being unwittingly transferred
         | during standard blood transfusions.
         | 
         | Back in the early 1990s my wife worked in epidemiology studies
         | at the national blood agency in our country. There was a lot of
         | work to be done since at the time being a hemophiliac and
         | receiving blood products meant a good chance of dying from AIDS
         | or non-A non-B hepatitis (now known as Hep C). The agency did
         | not test each and every donation for the presence of these
         | pathogens because the available inexpensive tests had a poor
         | success rate (high false positive) and the better tests were
         | prohibitively expensive and the policy was "if we destroyed any
         | suspected donations we'd have to destroy all of them". The idea
         | of a screening questionnaire was floated but because most
         | sexually transmissible diseases are also transmissible through
         | blood, the question "Have you ever had sex?" would eliminate
         | quite a few donations. They were a tough time for the blood
         | agency.
         | 
         | Thankfully technology has progressed and testing for known
         | pathogens in a blood sample is rapid and inexpensive. Testing
         | for unknown pathogens is still a challenge.
        
           | mauvehaus wrote:
           | If you want to read more about this history in the US, I
           | cannot recommend And the Band Played On highly enough. The
           | book deals with the early history of the HIV/AIDS epidemic
           | and touches on the issues related to blood donations and
           | transfusions given the technical limitations at the time.
           | 
           | It's also a crushingly depressing book.
        
             | eigenvalue wrote:
             | Yeah, the blood bank companies end up looking really evil
             | in that. If you were a hemophiliac in the early 80s, you
             | were playing Russian roulette constantly.
        
         | seesawtron wrote:
         | There is no evidence of actual transfer. It is just a possibile
         | hypothesis.
        
         | matheusmoreira wrote:
         | > it seems like you are introducing a lot more uncertainty and
         | risk
         | 
         | Of course. What matters though isn't the absolute risk, it's
         | whether such treatments provide enough benefits to outweigh
         | those risks. Not dying outweighs pretty much everything.
        
       | caycep wrote:
       | There is a line of research into the "transmissible' phenomena of
       | a lot of these neurodegen dz. Epidemiologically, it's probably
       | not infectious from one person to another bc we don't see spouses
       | getting PD or AD often. But there's interesting phenomena - i.e.
       | one of the Parkinson's stem cell implantation trials got a lot of
       | press after the trial (which failed, didn't show benefit) bc
       | after subjects passed several years later and got autopsied, they
       | found clumps of parkinsonian proteins (lewy bodies) on the
       | histology slides of the implanted stem cells.
       | 
       | Similarly, there's some papers w/ mice w/ knockout Parkinsonian
       | genes getting parkinsonian features and lewy bodies when injected
       | w/ abnormal misfolded synuclein from another mouse.
       | 
       | What exactly to do w/ this, no one is entirely sure yet.
        
         | foota wrote:
         | I guess if your brain proteins are mixing with someone elses
         | you normally have a bigger issue.
        
           | knodi123 wrote:
           | I don't know where _your_ neuro-jack is installed, but if it
           | 's not in the skull then I don't know how you even connect to
           | the all-mind.
        
         | dimask wrote:
         | > we don't see spouses getting PD or AD often
         | 
         | Actually it may seem so [1], though still there is not any
         | conclusive evidence to support a transmission hypothesis really
         | as all this could be due to increased stress and such factors.
         | Also, brain surgeons' increased risk of AD and more reports of
         | associated risks with regard to contamination from brain
         | operations [2] (similar to the article's ones) provide more
         | indications that such a hypothesis is not completely
         | implausible. Though also far from strongly supporting it or
         | anything, as there is no proper experiment design with control
         | groups etc to make better conclusions.
         | 
         | [1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945313/ [2]
         | https://www.medicaldesignandoutsourcing.com/report-suggests-...
        
         | devmor wrote:
         | Can you explain more or give a source on that parkinsons stem
         | cell trial? I'm not sure I understand what happened and I'd
         | like to learn about it.
        
         | msla wrote:
         | > w/ mice
         | 
         | Is this a special kind of mouse?
        
           | elzbardico wrote:
           | Mice are a good animal model for a lot of the human
           | physiology.
        
           | mbo wrote:
           | "w/" is an abbreviation for "with". "w/ mice" should be read
           | as "with mice".
        
             | pvaldes wrote:
             | The savings of just two characters does not worth the
             | effort and mental pause to decode it
        
               | RugnirViking wrote:
               | it's an exceptionally common way of writing with and
               | without. similar to "etc." standing for "et cetera." at
               | some point you don't "decode" it, thats just what it
               | means.
        
               | peterfirefly wrote:
               | It's a great abbreviation for handwriting, though. It
               | also meshes really well with w/o.
        
           | denysvitali wrote:
           | w/ = with
           | 
           | w/o = without
           | 
           | This comment is full of abbreviations (PD = Parkinson's
           | Disease, AD = Alzheimer's Disease) that makes it a bit
           | difficult to read (if you don't know / realize what those
           | abbreviations stand for)
        
         | parsabg wrote:
         | > What exactly to do w/ this, no one is entirely sure yet.
         | 
         | Sounds like a sensible next step would be to try and replicate
         | this in animal models (i.e. treat animals with growth hormones
         | extracted from cadavers of same species) to identify the
         | proteins/prions that trigger the pathogenesis of Alzheimer's,
         | which could perhaps be drug targets for at least a subset of AD
         | causes.
        
       | jokoon wrote:
       | weird that the bulk of patients are in france and UK, does that
       | indicate diet?
        
         | EdwardDiego wrote:
         | All the researchers are all UK based, and the UK became verrrry
         | interested in prion diseases due to a very bad habit UK
         | agriculture had gotten into of incorporating culled animals
         | (other cattle, which furthered the spread, but the ultimate
         | cause was likely grinding up sheep infected with scrapies, an
         | ovine spongiform encephalopathy) supplementary cattle feed for
         | animals later eaten by humans which led to the CJD outbreak in
         | the UK. European agriculture also had a similar bad habit, but
         | maybe less sheep or scrapies or something?
         | 
         | France probably imported British beef and so were affected
         | also. They certainly banned it the longest afterwards.
         | 
         | And I was about to do the usual Kiwi thing of "Just let the
         | cows eat grass, duh", but every Western country tends to
         | supplementary feed dairy cows, including mine, except we prefer
         | to use palm kernel, thus promoting deforestation in Borneo,
         | yay!
         | 
         | But it turns out a lot of British beef comes from their dairy
         | herds, so "just feed the beef cattle grass" wouldn't have
         | helped.
        
           | the_optimist wrote:
           | A compelling book on this topic:
           | 
           | https://www.simonandschuster.com/books/Deadly-
           | Feasts/Richard...
        
           | coffeebeqn wrote:
           | Cows are also fed "sewage solids" from water treatment
           | plants. Now that I think about it maybe I should stop eating
           | / drinking cow products
        
         | sidewndr46 wrote:
         | My understanding is France has a history of ignoring risks,
         | including intentional spread of HIV to patients:
         | 
         | https://en.wikipedia.org/wiki/Contaminated_blood_scandal_in_...
        
         | sschueller wrote:
         | Interesting since the UK was part of the huge Mad Cow (BSE a
         | variant of Creutzfeldt-Jakob) disaster[1] in Europe back in the
         | 90s which introduced new rules in Switzerland requiring marking
         | origin and banning certain feeding methods.
         | 
         | [1] https://en.wikipedia.org/wiki/United_Kingdom_BSE_outbreak
        
       | inasio wrote:
       | Alzheimer's as a (transmittable) prion disease is the stuff of
       | nightmares (prion disease == incurable)
        
       | gustavus wrote:
       | I'll admit that I am somewhat ignorant here. But I thoughts the
       | "Alzheimer's is caused by plaque buildup in the brain" theory was
       | on its last leg and pretty much disregarded by most new
       | scientists.
        
         | devmor wrote:
         | I am also a layman but I believe I've read that its no longer
         | believed to be caused by the plaque, but the plaque is a clear
         | signal/comorbidity of the underlying cause - whatever it is?
        
       | fastball wrote:
       | I'm somewhat surprised by this publication's restraint when
       | referencing Creutzfeldt-Jakob disease, as usually news orgs like
       | mentioning the fact that Creutzfeldt-Jakob is the human form of
       | mad cow disease.
        
         | yungporko wrote:
         | it does say that that BSE is the bovine equivalent of CJD in
         | the article
        
       | radium3d wrote:
       | Hmm, I wonder if the same could occur from a bone graft from a
       | cadaver, like for a tooth implant?
        
       | LASR wrote:
       | I wonder what other practices from decades ago are lurking to be
       | discovered as catastrophic to currently living people.
       | 
       | I remember reading about cattle rearing practices a while ago
       | that might be responsible for some prion related diseases. Can't
       | remember the exact source. These things get you from entirely
       | unrelated sources.
        
         | Gare wrote:
         | There was a whole epidemic:
         | https://en.wikipedia.org/wiki/United_Kingdom_BSE_outbreak
        
       | lswank wrote:
       | "Is it circumcision?" I love how this is what people say when
       | reading over my shoulder.
        
       | anthk wrote:
       | Thanks to CIC Biogune too for the early research:
       | 
       | https://www.cicbiogune.es/news/us-alzheimer-association-fund...
        
       | hackernewds wrote:
       | I thought the beta ameloid theory was largely debunked since the
       | publisher had manipulated data. Now it's attached again? I'm so
       | confused
        
         | tim333 wrote:
         | It's complicated. Read all about it
         | https://www.science.org/content/blog-post/faked-beta-amyloid...
        
       | caesil wrote:
       | This is one of the reasons that, despite no direct evidence of
       | harm, I will only ever take marine collagen instead of bovine
       | collagen.
       | 
       | Do not fuck with the possibility of ingesting cow nervous system
       | tissue, let alone human.
        
         | dmead wrote:
         | Tell that to my heart valve. All bovine baby.
        
         | yungporko wrote:
         | why is cow or hunan nervous system tissue particularly
         | dangerous? what animal is marine collagen from and why is it
         | less dangerous?
        
           | ultra_nick wrote:
           | Prions.
           | 
           | Non-mammal prions have a different enough shape to avoid
           | breaking mammalian biomechanisms.
        
       | dukeofdoom wrote:
       | Might be somewhat related. Government in Canada has fully
       | legalize what they call MAID (Medical assistance in dying). Do
       | they know something big might be coming soon.
       | 
       | http://hmi-us.com/publications/sars-cov-2-prion-like-domains...
        
       | elcook4000 wrote:
       | This is really fascinating, horrifying and hopeful at the same
       | time.
       | 
       | It makes sense that some neurodegenerative diseases with unknown
       | etiologies are caused by prions or prion-like proteins.
       | 
       | It could be fruitful to study the rate of Alzheimer's among
       | nursing assistants who work in elder care. I found a few
       | resourcas stating a higher rate for caregiver's in general along
       | with nurses.
       | 
       | I have thought decreased immune function from aging leads to the
       | increased permeability of the blood brain barrier: which leads to
       | the infiltration of pathogens and now possibly prions.
       | 
       | I would assume this could be, or possibly has been, studied in
       | animal models.
        
         | tim333 wrote:
         | From my limited understanding the blood brain barrier doesn't
         | really stop things. However it is difficult to transmit from
         | one person / animal to another usually resulting from things
         | like transplants or being injected in.
        
       | sebazzz wrote:
       | Prions are most scary bit of biology there is. Almost impossible
       | to eleminate, causes victim proteins to unfold.
        
       | parsabg wrote:
       | Sounds like a sensible next step would be to try and replicate
       | this in animal models (i.e. treat animals with growth hormones
       | extracted from cadavers of same species) to identify the
       | proteins/prions that trigger the pathogenesis of Alzheimer's,
       | which could perhaps be drug targets for at least a subset of AD
       | causes.
        
         | Qem wrote:
         | If they still have some samples of this old, corpse-sourced
         | hormone, perhaps they can analyse them to try isolate candidate
         | compounds.
        
         | emayljames wrote:
         | For CJD the testing isn't needed, it is established that cows
         | eating processed cow brains caused the outbreak.
        
       | meindnoch wrote:
       | prions
        
       | lasermike026 wrote:
       | Give me the friggen files. Here is a hard drive.
        
       | troyvit wrote:
       | This "one weird trick" will eat your brain!
        
       | DrNosferatu wrote:
       | ...Michael J. Fox?
        
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