[HN Gopher] Researchers to retract landmark Alzheimer's paper co...
       ___________________________________________________________________
        
       Researchers to retract landmark Alzheimer's paper containing
       doctored images
        
       Author : instagraham
       Score  : 267 points
       Date   : 2024-06-05 19:49 UTC (1 days ago)
        
 (HTM) web link (www.science.org)
 (TXT) w3m dump (www.science.org)
        
       | instagraham wrote:
       | > Neuroscientist Karen Ashe plans to retract her team's landmark
       | Alzheimer's paper after acknowledging that it contains
       | manipulated images. The 2006 study, which suggested that the
       | disease could be caused by an amyloid beta protein, has been
       | cited nearly 2,500 times. "I had no knowledge of any image
       | manipulations in the published paper until it was brought to my
       | attention two years ago," Ashe wrote on the discussion site
       | PubPeer, adding that she stands by the paper's conclusions.
       | 
       | > Scientists are divided over whether the problems with the paper
       | undermine the dominant, yet controversial, theory that beta-
       | amyloid plaques are a root cause of Alzheimer's disease.
        
         | GenerWork wrote:
         | > Scientists are divided over whether the problems with the
         | paper undermine the dominant, yet controversial, theory that
         | beta-amyloid plaques are a root cause of Alzheimer's disease.
         | 
         | How could it not at least be a wake up call that studies that
         | use this paper as a base could be fundamentally flawed?
        
           | fbdab103 wrote:
           | Part of the problem is that studying the brain is _hard_. We
           | have lots of in vitro or mouse models that tell a story, but
           | nothing is conclusive. There have been many orthogonal
           | studies which can replicate some of the associations, but
           | nothing that can precisely point out underlying cause and
           | effect. Yet people are suffering today, so researchers are
           | following the best leads we have.
        
             | desert_rue wrote:
             | The best leads we have are faked images?
             | 
             | I get that it is complicated but fraud in one area (images)
             | makes the hard data extremely suspect.
        
               | mbreese wrote:
               | The problem is that the altered images represent a still
               | plausible theory. There is a reason why they were
               | believed in the first place. It isn't that these false
               | images are negative evidence. Instead, they don't help or
               | refute the underlying hypothesis at all.
               | 
               | The real question (that I'm not sure about) is if anyone
               | else has been able for replicate the original experiment.
        
               | fbdab103 wrote:
               | There have been many subsequent studies which generate
               | evidence in support of the underlying idea.
               | 
               | As they say, it only takes one result to disprove a
               | theory, but nobody has been able to do so to date.
        
       | next_xibalba wrote:
       | Karen Ashe attended Harvard for both her undergrad and MD. With
       | all the academic fraud committed by Harvard connected people that
       | has come to light in the past few years, one really has to wonder
       | what is up with that institution (and higher ed more generally).
        
         | passwordoops wrote:
         | Harvard makes the news. Sadly it happens everywhere [1]
         | 
         | [1] https://www.nature.com/articles/d41586-023-03974-8
         | (apologies of you don't have access to Nature)
        
         | readthenotes1 wrote:
         | It was her "protege", Sylvain Lesne, that did the dirty work.
         | And apparently has been rewarded with continuing employment.
         | 
         | Perhaps it was Ashe's Harvard education that led her to not
         | consider double-checking the work...
         | 
         | Edit to add: iirc, it was the University of Minnesota that is
         | also responsible for the "food fat is bad" advice that has made
         | obesity than American epidemic...
        
           | garciasn wrote:
           | It was Harvard.
           | 
           | https://www.npr.org/sections/thetwo-
           | way/2016/09/13/493739074...
        
         | monero-xmr wrote:
         | Harvard wants academic celebrities. It's not enough to do solid
         | work, you need awards, plaudits, research that punches through
         | the noise, articles in the mainstream press, and so on. Harvard
         | is a brand first and foremost. If what you want most in life is
         | to be a tenured Harvard professor in your chosen field, you
         | need to publish research that makes a big splash.
         | 
         | The most surefire way to do this was to simply commit fraud
         | rather than conduct experiments and pray you get lucky and find
         | an outlier result worthy of significant rewards. We are
         | witnessing the fallout now as people no longer assume honesty
         | and integrity, and begin to analyze the actual papers for
         | accuracy.
        
           | czl wrote:
           | Indeed. Another example of this is Forbes featuring outlier
           | successful people on its front cover who have later turned
           | out to be involved in criminal activities or scandals. (1)
           | Elizabeth Holmes, founder of Theranos, who was once
           | celebrated as a tech visionary but later convicted of fraud.
           | (2) Sam Bankman-Fried, founder of FTX, who faced multiple
           | fraud charges following the collapse of his cryptocurrency
           | exchange.
        
             | gnz11 wrote:
             | Forbes is just another junk brand looking to turn a profit.
             | With Harvard and other higher education institutions there
             | is the expectation that they are vehement proponents of
             | scientific rigor.
        
         | resource_waste wrote:
         | I met a harvard grad the other day. I was astounded how below
         | average this person was. They just got their PhD. However, it
         | was on a soft science.
         | 
         | I asked him for advice on a problem in his field, and he
         | basically couldn't answer. He talked about his degrees.
         | 
         | I think this person must have cheated. Its the only thing I can
         | imagine.
        
       | kristianp wrote:
       | > published in Nature in 2006
       | 
       | So around 18 years ago. That's a long time for researchers that
       | believed in this papar's conclusions to be going down the wrong
       | rabbit hole. What a huge waste of effort and the lives of those
       | with Alzheimer's.
        
         | wang_li wrote:
         | This kind of fraud should carry a prison sentence.
        
           | datahack wrote:
           | Absolutely. It's not just a bad path, it's taken researchers
           | down a road that robbed approaches that could have helped
           | people of resources because they lied.
        
           | hangonhn wrote:
           | I wonder what the effects on retractions would be though.
           | Some researchers might go down fighting or refuse to
           | cooperate with investigators.
        
         | docbrown wrote:
         | Retracted and sham papers is actually a major problem.
         | Estimated 10,000 papers were retracted in 2023
         | (https://www.theguardian.com/science/2024/feb/03/the-
         | situatio...) and that is thought to be only a small percentage.
        
           | rowanG077 wrote:
           | That's kinda misleading. Not every retracted paper contains
           | doctored results. There just a ton of mistakes as well.
        
           | eviks wrote:
           | this isn't a big deal since no one reads most of those
           | papers, it's mostly invisible sacrifice to the metrics gods.
           | Very prominent papers like the one discussed, on the other
           | hand, have much bigger consequences
        
             | btilly wrote:
             | Some other fraud in the same subfield lead to an amoral
             | douchebag becoming President of Stanford, where he
             | destroyed the campus culture (read
             | https://www.palladiummag.com/2022/06/13/stanfords-war-on-
             | soc... to verify) and then supported DEI run amok (read
             | https://www.insidehighered.com/news/2023/01/11/amid-
             | backlash... to see some of the fallout from that).
             | 
             | This is in addition to wasting a big chunk of the billions
             | spent each year on Alzheimer's research on false leads (see
             | https://www.alz.org/news/2024/congress-bipartisan-funding-
             | al... for a source on the billions).
             | 
             | Yes, very serious consequences indeed. (Note, I did my best
             | to back up my statements with high quality unbiased factual
             | references. Please read them before disagreeing with my
             | description of the result.)
        
           | marginalia_nu wrote:
           | Not everything gets retracted either. There's a surprisingly
           | deep rot in many parts of science. There are strong
           | incentives to publish, and a lot of the methods you can use
           | to inflate statistical significance (i.e. p-hacking) are hard
           | to distinguish from publication bias and other innocent
           | explanations for falling outside of statistical expectations.
           | 
           | Preregistration might help, but it doesn't really address the
           | misaligned incentives that are at the heart of academic
           | fraud.
        
             | nextos wrote:
             | Even articles that publish legit findings tend to embellish
             | data. I do this for a living, I often try to reproduce
             | prominent results, and I regularly see things that are too
             | good to be true. This is bad because it pushes everyone to
             | do the same, as reviewers are now used to seeing perfect
             | and pristine data.
             | 
             | I have been asked to manipulate data a few times in my
             | career. I have always refused, but this came at the cost of
             | internal fights, getting excluded from other projects for
             | being "too idealistic", or missed promotions. Incentives
             | are just perverse. Fraud and dishonesty are rewarded,
             | pretty depressing.
        
               | thwarted wrote:
               | Tragedy of the Commons Ruins Everything Around Me.
               | 
               | Everyone wants answers, so anyone that provides an answer
               | is elevated, independent of if the answer is right or
               | not. To wit: the current AI push.
               | 
               | Clips from The Big Short surfaced in my YouTube feed
               | recently, and they way you worded this reminded me of the
               | scene with the rating agency.
               | 
               | Is scientific research and publishing headed for it's own
               | CDS/MBS-esque implosion?
        
               | nextos wrote:
               | I think academic research is becoming very inefficient,
               | and traditional Academia might eventually become
               | stagnant. If you don't play the game I described above,
               | it is really hard to stay afloat. I guess industrial
               | labs, where incentives are better aligned, might become
               | more attractive. I have seen lots of prominent scientists
               | moving into industrial labs recently, which would be
               | something hard to imagine even a few years back.
        
               | RicoElectrico wrote:
               | Thank you for doing the right thing.
        
             | schmidtleonard wrote:
             | Yep. Worse, p-hacking can be done by accident. I mean, the
             | term implies intent, but a dogshit null hypothesis is
             | problematic regardless of whether it is dogshit on purpose
             | or merely due to lack of skill on the part of the
             | researcher. Either way, it pumps publication numbers and
             | dumps publication quality. If 100% of researchers were 100%
             | honest, we would still see this effect boost low-quality
             | research.
        
           | blackbear_ wrote:
           | That number alone doesn't say much. Yes it sounds like a lot
           | in absolute terms, but consider that four million papers were
           | published in 2023 alone, and a bit less than 70 millions
           | since 1996 [1].
           | 
           | [1] https://www.scimagojr.com/worldreport.php
        
           | scotty79 wrote:
           | Maybe retraction is something that should be something done
           | in competitive fashion with negatve points awarded to
           | researchers, universities and journals.
        
         | nxobject wrote:
         | Not only effort: millions and millions of public and private
         | dollars wasted on followup research on a false premise, all so
         | that an author could get citations. What a cost.
        
           | xnickb wrote:
           | Playing devil's advocate: perhaps the authors strongly
           | believed in the method but have failed to produce strong
           | enough evidence. Then the goal was to renew financing in
           | hopes of getting somewhere with the research, not to just get
           | citations.
           | 
           | This of course is pure speculation
        
             | akoboldfrying wrote:
             | I think the point you're making is that there need not have
             | been any malicious intent, and I accept that, but I don't
             | really consider this a devil's advocate position, since
             | strongly believing something will work is still not grounds
             | enough to lie about outcomes.
        
               | gorlilla wrote:
               | Fraud is still fraud no matter what color you paint it.
        
             | nxobject wrote:
             | I'm sympathetic to that: the pressure to have produced
             | results must have been very, very heavy.
        
             | misnome wrote:
             | I don't think "Fraud" counts as a devil's advocate
             | position?
        
             | nkrisc wrote:
             | What's the difference?
        
             | chrisBob wrote:
             | Not so bad because they were just trying to secure funding
             | that might have gone to research not based on fraud?
        
             | rybosworld wrote:
             | It's really not an excuse. This has directly led to decades
             | of wasted time/money/effort searching for a cure of a very
             | prevalent disease.
             | 
             | It does lend to an interesting thought experiment, though.
             | 
             | Imagine the researchers were right after all. They just
             | needed more time, and so they faked some results. We might
             | have ended up with an underdog/feel-good movie about how
             | the researchers bravely persevered in spite of the drying
             | up of their funding.
        
         | tommiegannert wrote:
         | Google Scholar says it's been cited 3,455 times. (Having a
         | quick look at the top three results showed the paper was cited
         | together with other papers in the same area, though.)
         | 
         | https://scholar.google.com/scholar?cites=1621513420842042156...
        
         | zosima wrote:
         | This paper is certainly shameful.
         | 
         | But one should not exaggerate the impact it had. The strongest
         | support for the amyloid hypothesis of Alzheimer's comes from
         | multiple sources of evidence that are completely unrelated to
         | this paper.
        
           | mike_hearn wrote:
           | The problem is we don't know how many of those other lines of
           | evidence are also fraudulent.
           | 
           | What we do know is that finding academic fraud is like
           | shooting fish in a barrel. It's way too easy even for totally
           | unfunded volunteers. The situation in science right now is
           | reminiscent of the situation in computer security circa 1999.
           | Back then there were so many easily exploited RCE vulns in
           | foundational infrastructure that "hacked by teenagers" became
           | a TV trope. Almost anyone could sit down and find a way to
           | hack into a network without much effort. Vendors engaged in a
           | lot of screaming and denial, sometimes even attacking the
           | people who found exploits for them.
           | 
           | But, the industry changed. White hats became widespread,
           | companies hired those ex-teenage hackers in their thousands.
           | They put every employee through trainings. Then when that
           | wasn't enough they started paying out millions in bug
           | bounties, buying sandboxing companies (like Google did for
           | Chrome) and more. Companies did this because bad security was
           | hurting their reputations and in a competitive market that is
           | an exploitable weakness. It was a form of self defense.
           | 
           | Academic science is excluded from market mechanisms by legal
           | fiat, supposedly on the basis that this will yield better
           | research outcomes. What it's actually done is shield
           | universities from any need to make hard changes. Their
           | reputation is tanking but they just don't seem to care and
           | why should they? They'll get grants from the NIH anyway
           | because they're all as bad as each other, and nobody in
           | politics is talking about a total defunding of the sector
           | yet.
           | 
           | Unfortunately even if the grants were cut off tomorrow they
           | probably would still find it hard to change. It's becoming
           | apparent that if a culture tolerates fraud for decades then
           | eventually the leadership of these institutions are people
           | who got there through fraud. How are universities or journals
           | going to reform when the people who run them know full well
           | they can't crack down on fraud without exposing their own
           | career to audit risk?
        
             | dbspin wrote:
             | You've diagnosed the issue then recommended leaches and
             | bleeding.
             | 
             | 'Market mechanisms' already exist - no company is precluded
             | from doing research. We can discuss the deficit in research
             | investment that short termist 'market mechanisms' have led
             | to in contemporary corporations, but its absurd to claim
             | that the market can or should replace academic research.
             | 
             | It's pretty clear that in practice the 'publish or perish'
             | academic culture fostered by the financialisation of the
             | university, the rise of the adjunct and the death of tenure
             | have contributed heavily to the falsification of research.
             | In practice encouraging replication, self directed research
             | and significantly more 'pure' 'blue sky' research than
             | governments and universities are inclined to do, would
             | significantly alleviate this problem.
             | 
             | Academia needs far less exposure to 'market mechanisms'.
             | They're perverse incentives for good science.
        
               | mike_hearn wrote:
               | To say there's a deficit in research spending pre-
               | supposes there's a correct absolute level of resource
               | allocation that is easily discoverable. But the reason we
               | need markets in the first place is that governments
               | aren't able to discover the right levels of resource
               | allocation on their own. That's why the USSR ended up
               | with lots of steel foundries but no software companies,
               | nor even any competitor to the internet.
               | 
               | If anything research is clearly over-funded right now,
               | especially in some fields like medical research. That's
               | why so many scientists turn to fraud in desperation.
               | There just aren't enough genuine discoveries to go round.
               | 
               |  _> encouraging replication, self directed research and
               | significantly more  'pure' 'blue sky' research_
               | 
               | Replication is the opposite of self directed blue sky
               | research, so how do you suggest it be encouraged whilst
               | simultaneously reducing the power of the money givers
               | even further? BTW, many bogus papers will replicate
               | whilst still being wrong. Replicability is not a synonym
               | for good science.
               | 
               | Really, this is a very common claim that needs to go
               | away. The solution to fraud and incompetence is not to
               | give incompetent fraudsters even more freedom and money.
        
               | nyssos wrote:
               | > But the reason we need markets in the first place is
               | that governments aren't able to discover the right levels
               | of resource allocation on their own.
               | 
               | Markets don't discover "the right" (i.e. social welfare
               | maximizing) resource allocation, they discover, under
               | ideal conditions, _a_ pareto-optimal allocation. This is
               | a very weak condition:  "Jeff Bezos owns everything" is
               | pareto-optimal. You need redistribution if you want to
               | turn that into a socially optimal one.
               | 
               | In realistic conditions, they don't even do that: market
               | mechanisms will reliably underinvest in things with
               | positive externalities, and the larger the externality
               | the greater the degree of misallocation. The positive
               | externalities of research are _enormous_ compared to the
               | value captured by the researchers.
        
               | mike_hearn wrote:
               | No market system anywhere ends up with one person owning
               | everything. That is the standard under non-market
               | systems, though.
               | 
               |  _> The positive externalities of research_
               | 
               | ... are only relevant if it 's actually research, and not
               | something that looks a lot like research without actually
               | being so.
        
             | mistermann wrote:
             | > Academic science is excluded from market mechanisms by
             | legal fiat...
             | 
             | And a world class propaganda game. Go onto mainstream
             | social media, pick a science fan at random out of the crowd
             | and pick an argument with them about science. The average
             | fan would have you believe that science is just short of
             | perfect.
             | 
             | In a sense it's hard to blame these people, considering
             | what two years of the media machine's full court press of
             | pro-science culture war propaganda during a global pandemic
             | does to a mind of average intelligence.
             | 
             | I mean, I suppose "winning" is important folks, but is
             | losing your soul in the process worth it?
        
             | pocketsand wrote:
             | > Academic science is excluded from market mechanisms by
             | legal fiat.
             | 
             | This to me just seems untrue. What is your basis for this
             | claim? There is plenty of research privately funded by
             | corporations, some of which is very influential. Often this
             | work is published by university researchers. Ask any
             | university researcher about the numerous compliance courses
             | we all have to take about funding and conflict of interest.
             | 
             | It is true that the biggest funders (NSF, NIH) are not
             | market-focused, but for good reason. The market does not
             | prioritize the public good. I know first hand -- my son has
             | a rare disease (1 out of 20,000 people). There are many
             | drug companies putting vast resources into drug development
             | in the hopes of a huge payoff. In reality this benefits a
             | small number of people (I remain grateful for how
             | improvements have helped us). I'm grateful our major
             | scientific funding bodies are not swayed entirely by market
             | influences because it would lead to us focusing on a narrow
             | set of scientific problems which would ultimately limit the
             | way it helps the public good.
             | 
             | Im any event, I work in biomedical research. I think your
             | diagnosis (incentives, process) is correct, but the way you
             | discuss the attitudes and motives of researchers is wrong-
             | headed.
             | 
             | You say:
             | 
             | > Their reputation is tanking but they just don't seem to
             | care and why should they? They'll get grants from the NIH
             | anyway because they're all as bad as each other, and nobody
             | in politics is talking about a total defunding of the
             | sector yet.
             | 
             | You're talking about hundreds of thousands of researchers
             | as if they're all psychotic citation fanatics with no care
             | for truth. That is not reality. I think the kind of
             | psychotic, data-manipulating researcher who would put
             | people's health and lives at risk for citations -- or
             | fabricate data sets out of thin air -- are vanishingly
             | small. We can point to a handful of them -- the author of
             | this paper, and the Daniel Ariely's and Francesca Gino's of
             | the world -- but there are tens of thousands of people in
             | every field working on research in good faith, with utmost
             | care. The vast, vast majority never have any scandal, never
             | get caught up in data manipulation, and so on.
             | 
             | No field I know of out-right tolerates fraud (and I follow
             | all the retraction stories fairly closely). I think the
             | closest we get to "toleration" is researchers dealing with
             | scientific problems who more or less say "we're not going
             | to publicly flay you but behind your back we're all going
             | to know what you did and your future is limited when it
             | comes to big grants, prestigious invitations, and so on."
             | People who are credibly accused of fraud become pariahs and
             | often targets of scorn not only within the research
             | community but in the press and wider community.
             | 
             | The most serious issue IMO is not outright but poor norms
             | around scientific practice, leading to p-hacking, harking,
             | and other "forking paths" problems. Calling that type of
             | behavior "fraudulent" is perhaps justifiable under some
             | ways of thinking, but I think the word fraud
             | mischaracterizes what is going on. There are, in fact, many
             | serious efforts to root out this type of behavior and put
             | in transparency rules to open up research to scrutiny,
             | including among funders like the NIH.
        
               | mike_hearn wrote:
               | _> What is your basis for this claim?_
               | 
               | Well you answered your own question: _It is true that the
               | biggest funders (NSF, NIH) are not market-focused_. A lot
               | of research is funded by taxes. That 's an exclusion from
               | market mechanisms. They don't have to convince the actual
               | consumers of the research to buy it, we are all
               | collectively forced to buy it by law.
               | 
               |  _> No field I know of out-right tolerates fraud_
               | 
               | I know quite a few such fields, so we might have a
               | different definition of "tolerate". After all this story
               | contains the following paragraph:
               | 
               | "It's unfortunate that it has taken 2 years to make the
               | decision to retract," says Donna Wilcock, an Indiana
               | University neuroscientist and editor of the journal
               | Alzheimer's & Dementia. "The evidence of manipulation was
               | overwhelming."
               | 
               | We're talking about a retraction here, which is the
               | weakest response possible. So ... it took two years of
               | "investigation" to do nearly nothing, after other people
               | did all the investigative work for free, and one of the
               | authors continues to be employed with no consequences
               | whatsoever even though his co-author admitted the figures
               | were tampered with. I'd argue this is what institutional
               | tolerance of fraud looks like.
        
         | kylebenzle wrote:
         | A lot of science is fake, if not most of it. I learned the hard
         | way in academia that it really seems the majority of PhD level
         | researchers are there because they are willing to stretch the
         | truth to "tell a good story".
        
           | eigenschwarz wrote:
           | Talk about a sweeping conclusion based on n=1! Very
           | unscientific ;)
        
             | Fatnino wrote:
             | Sounds ready to publish
        
       | bhk wrote:
       | I'm amazed at how this one specific easily detectable type of
       | fraud is so common. One has to wonder about all the other, less
       | obvious, ways of comitting fraud and how common they must be.
        
         | BurningFrog wrote:
         | Was it as easily detectable in 2006?
        
           | mike_hearn wrote:
           | Sure. They're not using advanced ML to find these. Just
           | visual inspection and the kind of transforms you could do in
           | Photoshop in 1991.
        
         | hn_throwaway_99 wrote:
         | This is why you're going to see an explosion of fraud cases
         | stemming from the 90s and early-to-mid 00s. That was the period
         | where PCs were widespread so it was pretty easy to _copy_ words
         | and images, but actually looking at any individual set of words
         | or images and asking  "Were these copied from somewhere?" was
         | much more difficult. A lot of people copied/manipulated then
         | because they thought it would be too hard to catch them. Well,
         | technology caught up.
         | 
         | Just look at the multiple plagiarism cases against the former
         | Harvard president. It was clear, at least to me, she copied
         | liberally more out of laziness/lack of confidence because she
         | didn't think she would get caught for small phrases here and
         | there. I mean, who goes through all of the trouble to write a
         | dissertation and then plagiarizes _the acknowledgements_???
        
           | DiogenesKynikos wrote:
           | In the Claudine Gay case, she didn't actually steal anyone's
           | work in any of the publicized examples I saw. She clearly
           | attributed the ideas and statements she was using, but then
           | sometimes proceeded to paraphrase them too closely, without
           | using quotation marks. You could argue that it's technically
           | plagiarism, but morally, it isn't. The reason she got nailed
           | was because billionaire donors were upset that she wasn't
           | cracking down on pro-Palestinian student protesters.
           | 
           | Ironically, the guy who led the charge against Gay, Bill
           | Ackman, is married to a celebrity academic who committed
           | real, bona fide plagiarism. Once that came out, Ackman
           | suddenly had all sorts of excuses for his wife's actual
           | misconduct, which makes it clear that he never actually cared
           | about the issue of plagiarism. He just wants kids who protest
           | against the war in Gaza to get expelled.
        
             | hn_throwaway_99 wrote:
             | I agree with everything you've said about Ackman's
             | rationale and actions.
             | 
             | I don't necessarily agree with your overall
             | characterization of Gay's plagiarism. While some of it is
             | clearly of the kind you site (e.g. she's clearly
             | referencing other work in a lot of her analysis, so the
             | fact that she doesn't just reword some phrases a little
             | more seems like a very minor transgression to me), there
             | are other cases that are more than just sloppiness and are
             | outright weird, like the acknowledgements issue. This
             | opinion article from Ruth Marcus (a generally left-leaning
             | writer) of the Washington Post highlighted the issues very
             | well IMO: https://archive.vn/h8lqM
        
               | DiogenesKynikos wrote:
               | I don't think anyone cares what is written in
               | acknowledgment sections. That's where people thank their
               | mom and dad. If they thank their mom and dad in exactly
               | the same way as someone else, who cares?
               | 
               | Ruth Marcus may be liberal, but she's also extremely pro-
               | Israeli. The entire motivation for going after Claudine
               | Gay was that she didn't stop students from protesting
               | against Israel's war in Gaza, so Marcus' political stance
               | on that issue likely colors her view on the plagiarism
               | accusations.
        
             | dekhn wrote:
             | I disagree; I inspected Gay's writing closely and compared
             | it to the original and from what I can tell, she had
             | specific intent to spend the least amount of effort and
             | skill to make something that barely passed the threshold
             | for being publishable, or she lacked the skill entirely to
             | write her own unique text.
             | 
             | I expect somebody who reaches her level of achievement to
             | adhere to the rules of academic plagiarism to the letter.
        
       | bagels wrote:
       | Elisabeth Bik has a twitter where, at least in the past, she
       | exposed a bunch of questionable things in papers (lots of
       | manipulated images or images copied from other papers)
       | 
       | https://x.com/MicrobiomDigest
       | 
       | https://x.com/MicrobiomDigest/status/902016709019672577
       | 
       | These efforts are just going to accelerate with AI applied, new
       | and exciting frauds will be discovered.
        
         | etrautmann wrote:
         | Yes, but AI tools also make it easier for bad actors to
         | generate false images that are harder to detect as false going
         | forward. The ones that get caught now seem to be incredibly
         | simplistic manipulations.
        
           | bagels wrote:
           | That is also true. There are decades of fraudulent papers out
           | there to find from the before times, so it'll still be
           | useful.
        
           | theGnuMe wrote:
           | Ehh maybe, the images will be too perfect. I don't think they
           | can model every source of bias, that would be a huge training
           | problem.
        
       | blindriver wrote:
       | I know 2 people including my own mother who died of Alzheimer's
       | and one who has it right now. Who knows where would we be right
       | now if we didn't go on the wrong track with this fraudulent
       | paper? Things like this is why trust in scientists are at an all-
       | time low. There's corruption at every single layer of our society
       | and I don't know what we can do to get honor and honesty back as
       | top moral goals for citizens.
       | 
       | This amyloid theory has been completely debunked at this point
       | but has wasted almost two decades of progress because of it. It's
       | so infuriating, but I don't see this stopping because there's no
       | accountability.
        
         | OutOfHere wrote:
         | Everyone in power is in on it for revenue maximization.
         | Treating someone at an early stage is never the goal; making
         | money and winning awards is the goal. The FDA is 100% in on it.
        
           | pvaldes wrote:
           | > Treating someone at an early stage is never the goal
           | 
           | This claim is just an opinion. I bet that if we check the
           | real statistics there are lots of cases that show exactly the
           | opposite behavior.
           | 
           | > making money and winning awards is the goal
           | 
           | We should remind that making money and winning awards are
           | perfectly legit goals, as long as the work is done honestly.
           | 
           | Working with Alzheimer patients rank probably among some of
           | the most emotionally hardest and more depressive works that I
           | could imagine. We should stop treating scientists as
           | missionary figures that were born to save all of us for free.
        
             | OutOfHere wrote:
             | Those who don't even see the problem are already corrupted.
             | Early stage treatments at scale can be very possible with
             | cheap preventative bloodwork and inexpensive small
             | molecules. Instead, we have no diagnostics until it's
             | already too late, and then we have 50K/year "treatments"
             | that don't even work. The ones you referred to are not
             | scientists; they're scientific mercenaries.
        
           | inglor_cz wrote:
           | Billionaires and powerful politicians (and their parents and
           | other loved ones) die of Alzheimer's too.
           | 
           | If it was just a big cartel conspiracy, you would see a
           | different disease pattern when comparing the elites to
           | everyone else.
        
         | DarknessFalls wrote:
         | I think we're already well into looking at Alzheimers as an
         | auto-immune response by the brain.
        
           | hi-v-rocknroll wrote:
           | So far, it appears to be a degenerative process with manifold
           | causes still to be elucidated. Perhaps in ~50 years, there
           | will be a wider corpus of knowledge and treatments to attack
           | more of them.
           | 
           | Of note: _Cancer and Alzheimer's disease inverse
           | relationship: an age-associated diverging derailment of
           | shared pathways_ Molecular Psychiatry vol. 26, pp. 280-295
           | (2021)
           | 
           | https://www.nature.com/articles/s41380-020-0760-2
        
         | pvaldes wrote:
         | > this is why trust in scientists are at an all-time low
         | 
         | People needs to stop making excuses to avoid science, use their
         | brain cells and grow some critic sense. When you feel afraid of
         | science, stop and think that the other option is worse.
        
       | BenFranklin100 wrote:
       | If one wants less fraud change incentives.
       | 
       | 1. Grants and faculty positions should be less dependent on
       | number of publications, and more on the quality of publications.
       | 
       | 2. Place more emphasis on basic research and less on
       | translational research. The latter encourages hyperbole and
       | p-hacking. In the late 90s, the NIH initiated a strong emphasis
       | that all research should have an immediate practical value. This
       | is not reasonable and as a result, researchers grossly exaggerate
       | the impact of their work, and some even engage in an outright
       | fraud.
        
         | nradov wrote:
         | How do we measure quality of publications? I know there have
         | been attempts to do so based on journal impact factor and
         | quantity of citations but those metrics are also manipulated.
        
           | desert_rue wrote:
           | I know we would have to change a lot from how it is set up
           | today, but here are some ideas:
           | 
           | - How many times has the results been reproduced by others? -
           | Add another layer of blindness: the person doing the lab work
           | is not the person crunching the results. It could even be
           | where two different groups crunch the numbers, and all groups
           | are unknown to the others. - Avoid p hacking with pre
           | determined (and registered!) p values - Register the
           | experiment with hypothesis before the start of the experiment
           | - Register authors as they are added and removed, and have
           | that history be publicly available - All results have to be
           | uploaded to a website before publication - The method of
           | calculation has to be public on a website before publication.
           | 
           | So a high quality paper is one where - the experiment was
           | logged in advance - the history of authors is known - there
           | is a distinct separation of experimenter and cruncher - the
           | public can get the results themselves and run the same
           | analysis to confirm (or not!) the results - the experiment is
           | repeated and confirmed by others. Even if the first
           | experiment is bad or a fraud, and the second one doesn't
           | confirm it, a third experiment could be the tie breaker. It
           | would be more traceable to understand if it was the lab or
           | the cruncher that made a mistake or was committing fraud.
           | 
           | Overall, we have to incentivize good science.
        
             | mike_hearn wrote:
             | Many of these ideas have been tried already. Unfortunately
             | they don't work.
             | 
             | 1. Pre-registration. Great idea, it's often being done.
             | Doesn't work because universities don't enforce it. They'd
             | have to proactively check that papers match their pre-
             | registrations and then fire people when they don't.
             | 
             | 2. Reproducibility. Nobody gets funded to do this but even
             | if they did, there are lots of bogus studies that can
             | easily be reproduced. The problems are in the methods
             | rather than the data. If you specify a logically invalid or
             | unscientific method, then people following your
             | instructions will calculate the same results and still be
             | wrong.
             | 
             | 3. Blindness/splitting work up. This is already how many
             | papers are made and academics turn it around as a defense.
             | Notice how in _every single case_ where this stuff happens,
             | the people whose names are on the paper claim the fraud was
             | done by someone else and they had no idea. Universities
             | invariably accept this claim without question.
             | 
             | 4. All results have to be uploaded before publication. Did
             | you mean raw data? Results are the primary content of the
             | paper, so it's unclear what this would mean. Researchers in
             | some fields heavily resist publishing raw data for various
             | (bad) reasons, like academic culture rewarding papers but
             | not data collection efforts, so they're incentivized to
             | squeeze as many papers out of a dataset as possible before
             | revealing it to competitors. In a few fields (like
             | climatology) they often refuse to publish raw data because
             | they're afraid of empowering people who might check their
             | papers for errors, who they see as a sort of shadowy enemy.
             | 
             | 5. Authorship history. Which frauds are you thinking of
             | that this would fix?
             | 
             | I spent a lot of lockdown time looking at this question.
             | You've listed five ideas, I churned through maybe 15-20.
             | None of them work. On investigation they've usually been
             | tried before and academics immediately work around them.
             | Science is littered with integrity theatre in which systems
             | are put in place in response to some fraud, and they appear
             | to be operating on the surface, but nothing is actually
             | being checked or enforced.
             | 
             |  _> Overall, we have to incentivize good science._
             | 
             | I'm by now 95% convinced the only way to do this is for
             | scientific research to be done commercially. No government
             | or charitable funding of science at all. As long as science
             | is being firehosed with money by people who don't actually
             | use or consume the resulting papers, the incentive will
             | always be to provide the appearance of doing science
             | without actually doing it. It's just so much more effective
             | for fundraising. Commercial science that's purchased by
             | someone has a customer who will actually try to check they
             | got what they paid for at some point, and can vote with
             | their wallet if they didn't. Also legal protections and
             | systems to stop fraud in markets are well developed. Notice
             | that Elizabeth Holmes went to prison for defrauding
             | investors. If she'd done the same thing at a university
             | she'd have gotten away with it scot free.
        
               | ModernMech wrote:
               | > If she'd done the same thing at a university she'd have
               | gotten away with it scot free.
               | 
               | But she didn't though. She was rejected from academia,
               | which is why she turned to private capital. Her fraud
               | worked on private investors, not government funding
               | agencies. She couldn't even convince her professor to get
               | behind her idea, but private funds threw millions of
               | dollars at her.
        
               | mike_hearn wrote:
               | I haven't read her bio, so would be interested to know
               | more about her being rejected from academia. The official
               | story is that she dropped out during her undergrad and
               | immediately formed a company. Or are you referring to her
               | professors telling her they didn't think her idea would
               | work? If so then they were right, but her profs are not
               | the people handing out grants. There's no sign she
               | wouldn't have got a grant for such a thing given that
               | government funding is justified by the fact that it can
               | fund long shot ideas that some say won't work, and people
               | doing things that clearly can't work regularly get
               | grants.
        
         | otherme123 wrote:
         | How do you determine quality? Right now, publishing below Q2 or
         | even below Q1 in some cases is the same as not publishing at
         | all. I've seen grants that only accept D1 papers. As a
         | curiosity, Gregor Mendel original work was published in a small
         | and newly created local Brno journal. It was cited three times
         | in the following 35 years. By all metrics, it was a low quality
         | work. Only 40 years after being published it was rediscovered
         | as a fundamental work.
         | 
         | That on the clean part. I've also seen papers published well
         | above its merit just because the authors know the editors, or
         | the paper comes from a reputable lab so it must be good. Also,
         | the opposite is true: your work is from a small or unknown lab,
         | or goes against the grain, and you'll be lucky if you get
         | published at all.
        
           | kergonath wrote:
           | > How do you determine quality?
           | 
           | Certainly not by citations counts. Citations have more to do
           | with the authors social or scientific network than the worth
           | of the papers.
           | 
           | > It was cited three times in the following 35 years. By all
           | metrics, it was a low quality work.
           | 
           | It was not low quality work (although it did spark quite a
           | bit of controversy due to its perceived or actual issues). It
           | was just an article written by an unknown author in an
           | unknown journal.
        
           | czl wrote:
           | FYI: Some have suggested that Mendel's data might be too
           | perfect, indicating possible manipulation or fraud. (1)
           | Mendel's results are unusually close to the expected ratios
           | of 3:1 for dominant and recessive traits. Some argue that
           | real-world data often show more variation. (2) In 1936,
           | statistician Ronald A. Fisher analyzed Mendel's data and
           | suggested it was "too good to be true." Fisher believed the
           | results might have been altered or selectively reported to
           | better match Mendel's hypothesis. (3) Despite these concerns,
           | many of Mendel's experiments have been replicated, and his
           | fundamental findings remain valid. Most scientists believe
           | any discrepancies in Mendel's data were not due to
           | intentional fraud but possibly unconscious bias or error.
        
           | admissionsguy wrote:
           | > Also, the opposite is true: your work is from a small or
           | unknown lab, or goes against the grain, and you'll be lucky
           | if you get published at all.
           | 
           | Unfortunately, many papers that come from obscure labs and go
           | against the grain are both bad and wrong. It's a hard
           | problem.
        
           | marginalia_nu wrote:
           | If money is the problem, maybe money is the solution?
           | 
           | Like open a betting market for study replication. If no
           | methodological errors are found and the study can be
           | successfully replicated the authors get a percentage of the
           | pool, replication effort is run by a red team that gets paid
           | the same percentage of the pool regardless of outcome making
           | their incentive to find bets that just attract a lot of bets.
           | 
           | This would incentivize scrutinizing big findings like the one
           | in the OP where a failure would be big, but also act as a
           | force for unearthing dark horse findings in journals off the
           | beaten path where replication success would be big.
        
         | vlovich123 wrote:
         | Why not criminal charges for fraud? Besides the fact that this
         | kind of stuff is used to obtain funding in the first place
         | (defrauding the funding agency), it's theft (stealing funds
         | that would otherwise be allocated to competitors), and breaking
         | the public trust since usually these kinds of funds are
         | allocated by government agencies.
        
         | mike_hearn wrote:
         | Are you arguing that Alzheimer's research isn't basic research?
         | That it's got so much fraud because people demand immediate
         | practical value from it? How does that square with the fact
         | that they've been researching it for decades, haven't found a
         | cure or even a solid understanding of the cause, and still get
         | funded? Surely this is an exemplar of basic research?
        
           | AceyMan wrote:
           | 'Basic research' has a specific meaning in the natural
           | sciences, which, I suspect, is how the OP was using the
           | phrase.
        
           | BenFranklin100 wrote:
           | If the authors are pushing a novel or shaky hypothesis that
           | purports to provide a potential cure (as they often do), yes
           | this might not fall under basic research. For instance,
           | arguing a particular pathway is the cause of AD without first
           | characterizing the pathway and how it affects humans can
           | waste tens of million dollars and cost years.
           | 
           | In the balance between trying to quickly develop a
           | therapeutic and understanding the basic mechanisms driving
           | the disease etiology, we see a lot of research groups with
           | under powered studies playing fast and loose and hyping their
           | research. Is it outright fraud? Rarely. But it's not good
           | science either.
        
         | hi-v-rocknroll wrote:
         | E.g., return to the rigor and quality-aspects of research
         | standards c. 1940 before it declined into the Sears, Roebuck
         | and Co. model we find today.
         | 
         | The commercialization of academia rewards churn and volume
         | rather than $upporting (a semi-orthogonal constraint) and
         | promoting landmark hard-work that takes longer to gather data
         | or develop.
         | 
         | Perhaps data-oriented research needs to consider extraordinary
         | rigor as the new normal, perhaps with internal and external
         | audits to assure standards and practices are sound.
        
         | kylebenzle wrote:
         | As it is now, bad researches get rewarded and good researches
         | who speak up get pushed out. One of the most despicable people
         | I've ever met is a long term "successful" academic researcher
         | at a major university.
        
       | elefanten wrote:
       | > Lesne, who did not reply to requests for comment, remains a UMN
       | professor and receives National Institutes of Health funding. The
       | university has been investigating his work since June 2022. A
       | spokesperson says UMN recently told Nature it had reviewed two
       | images in question, and "has closed this review with no findings
       | of research misconduct pertaining to these figures." The
       | statement did not reference several other questioned figures in
       | the same paper. UMN did not comment on whether it had reached
       | conclusions about other Lesne papers with apparently doctored
       | images.
       | 
       | Horrifying. 2 years investigating and they've commented on two
       | images?
        
         | mike_hearn wrote:
         | It's standard. Universities always drag these things out for
         | years, and often acquit either without explanation or with an
         | explanation like "this unfortunate event was caused merely by
         | enormous incompetence", even when that can't possibly be true.
         | 
         | Universities cannot/will not investigate their own staff
         | properly.
        
           | LgWoodenBadger wrote:
           | No one (institutional or human), anywhere, can investigate
           | themselves competently.
           | 
           | It should never be acceptable.
        
       | jl6 wrote:
       | This article contains the actual alleged doctored images:
       | 
       | https://www.science.org/content/article/potential-fabricatio...
        
       | DeathArrow wrote:
       | Too late, the tens of thousands of papers citing this paper and
       | drawing conclusions based on it won't be retracted. Nor would be
       | retracted papers based on papers based on this paper.
        
         | midtake wrote:
         | There should be some sort of "taint" checking that will
         | indicate how many retracted papers any given one is based on.
         | It shouldn't be too difficult since publications are highly
         | structured.
         | 
         | With LLMs we can read all the papers at once and flag the most
         | strongly derived for further review.
        
         | jcranmer wrote:
         | It's dubious that a lot of the papers citing this paper are
         | actually drawing conclusions based on this paper. Per Derek
         | Lowe [1]:
         | 
         | > I could be wrong about this, but from this vantage point the
         | original Lesne paper and its numerous follow-ups have largely
         | just given people in the field something to point at when asked
         | about the evidence for amyloid oligomers directly affecting
         | memory. [...] The expressions in the literature about the
         | failure to find *56 (as in the Selkoe lab's papers) did not de-
         | validate the general idea for anyone - indeed, Selkoe's lab has
         | been working on amyloid oligomers the whole time and continues
         | to do so.
         | 
         | [1] https://www.science.org/content/blog-post/faked-beta-
         | amyloid...
        
           | dekhn wrote:
           | It's interesting that Lowe said this: >When I review a paper,
           | I freely admit that I am generally not thinking "What if all
           | of this is based on lies and fakery?" It's not the way that
           | we tend to approach scientific manuscripts. Rather, you ask
           | whether the hypothesis is a sound one and if it was tested in
           | a useful way: were the procedures used sufficient to trust
           | the results and were these results good enough to draw
           | conclusions that can in turn be built upon by further
           | research?
           | 
           | I have, over time, come to treat every paper I read as being
           | based on lies and fakery (or incompetence, unconscious bias,
           | or intentional omission of key details), and I work to
           | convince myself that the paper is not fradulent or false.
           | That is, my null hypothesis is that published work is wrong.
           | 
           | After chattiing with many people about this, I've found that
           | most people default ot believing a paper is right and if the
           | figures and conclusion agree with their bias, they just move
           | on, beliving the paper to be true. I've been guilty of this
           | in the past as well.
        
         | RevEng wrote:
         | The only papers that are likely to draw conclusions directly
         | from the cited papers are meta-analysis and reviews. Any pure
         | research will have its own hypothesis, its own experiments, its
         | own results, and its own conclusions. Most papers will simply
         | cite it as background or related works. Even if the evidence in
         | the cited work is doctored, the hypothesis can still be true
         | and future papers based on it can still find valid, positive
         | results.
         | 
         | This paper being manipulated doesn't imply anything about the
         | hypothesis or any subsequent studies - it simply fails to be
         | useful as any form of evidence.
        
       | seydor wrote:
       | People have been using these mice as mouse model of alzheimer's
       | for decades, so there must be something here. It's not like the
       | whole research direction was "wrong"
        
       | gnicholas wrote:
       | There's a strong incentive to get a high citation count for your
       | papers. This encourages behavior like the manipulations we're
       | seeing here, on the part of fraudsters. But it also fails to
       | incentivize caution on the part of researchers who cite existing
       | works. If there were a "bamboozled count" that showed how many
       | times a researcher cited a work that was later retracted, that
       | would incentivize people to be a little more cautious, and
       | perhaps avoid citing work of people who are suspected to be
       | fudging the numbers.
        
         | graemep wrote:
         | Making the system more elaborate would also make it more
         | complex, and people would just find more complex ways to game
         | it. it might even make things worse.
         | 
         | I am sure most citations are not by people who suspected the
         | numbers were fudged.
         | 
         | If anything, the way to go is to stop using flawed metrics.
         | Most people want to do a good job and build a good reputation.
         | Incentives just distort this.
        
         | F-Lexx wrote:
         | While we're at it, let's also add a "rickrolled counter" for
         | people who open the link and close it in less than 10 seconda.
         | That should incentivize people to be a little more cautious,
         | and perhaps avoid clicking on links without first
         | doublechecking the URL.
        
           | gnicholas wrote:
           | This is basically the academic version of that.
        
       | phromo wrote:
       | One red flag should be that nowhere in this news article is the
       | reader made aware of the exact nature of the manipulated images
       | or their implications. If you go to the linked pubpeer review
       | page you'll find why -- it's much less dramatic and all the
       | findings were also replicated following this inquiry to show that
       | any image alteration, that might have been made for editorial
       | purposes, does not affect conclusions....
       | 
       | Drama drama drama, feed the people more drama... _sigh_
        
         | el_cujo wrote:
         | >One red flag should be that nowhere in this news article is
         | the reader made aware of the exact nature of the manipulated
         | images or their implications.
         | 
         | Because that was covered in detail when the manipulations were
         | first reported and those articles are linked to in the above
         | article. This is just reporting on the resulting retraction two
         | years after that initial report.
         | 
         | >it's much less dramatic and all the findings were also
         | replicated following this inquiry to show that any image
         | alteration, that might have been made for editorial purposes,
         | does not affect conclusions
         | 
         | Other groups had issues replicating the results with the same
         | oligomer (often just chalked up to its instability), it's not
         | like someone just happened to stumble upon these manipulations
         | casually. This retraction only happened because Nature rejected
         | the author's attempt to publish a correction. This whole thing
         | is a black mark on Nature's record as well so if it really was
         | just some minor change to make a picture look prettier for
         | publishing purposes, I doubt they would have insisted on this
         | action
        
         | oefrha wrote:
         | "All the findings were replicated" is a claim by the accused,
         | which is disputed by the researcher who originally found the
         | issues, and he detailed all the contradicting claims right in
         | that thread https://pubpeer.com/publications/8FF7E6996524B73ACB
         | 4A9EF5C0A.... Image alteration "that might have been made for
         | editorial purposes" is a laughable euphemism for fraud, even
         | the accused didn't dare to use that phrasing. Not sure what's
         | in it for you to seriously misrepresent scientific fraud.
        
         | dekhn wrote:
         | I disagree with this assessment. If Bik sees "shockingly
         | blatant" copying, it's almost certain the author (or one of the
         | authors) specifically, with intent, committed fraud. The other
         | main explanation is incompetence (it's not impossible to
         | misattribute a specific figure if your data handling is poor).
        
       | zxxh wrote:
       | I actually know one of the guys who faked this data from a young
       | age. He was basically losing his mind because of rage issues due
       | to his extreme phobia of being poor/ falling into poverty. It's
       | interesting to me how these companies basically played into his
       | fear of losing his funding to push this BS.
        
       | eigenvalue wrote:
       | This person Lesne shouldn't have a job at a university after
       | this. In fact, I strongly believe this person should be behind
       | bars for having swindled the government and tax payers out of
       | many millions of dollars in wasted grant money. The incentives
       | for perpetuating this kind of fraudulent research have to be
       | utterly devastating to those who do it to even hope for a
       | deterrence against future malfeasance.
        
       | therobots927 wrote:
       | They should be sent to prison for this, as should all fraudulent
       | researchers big and small.
        
         | oneepic wrote:
         | I may be alone in this, but I think these threats like jailtime
         | for fraudulent research would have the side effect of
         | discouraging researchers that don't even engage in that stuff.
         | I think pulling out the pitchforks is a misguided idea, and
         | it's a shame that it's so common today.
         | 
         | On one hand, these people have a big responsibility to do good
         | work and stay out of trouble for the sake of the ones they're
         | helping (i.e. Alzheimer's patients), but on the other hand
         | their impact depends a lot on their mental/emotional state --
         | if you put more bs in their mental buffer, it's naturally going
         | to mess with them and lead to a decline in quality. They have
         | to focus.
        
           | therobots927 wrote:
           | Does that same reasoning apply to people who work in finance
           | or accounting?
           | 
           | Distrust in science is at an all time high and these frauds
           | cause incalculable damage to scientific integrity. They are
           | literally poisoning the well of human knowledge. That should
           | be considered a high crime.
        
       | canadiantim wrote:
       | I still firmly believe a large portion of alzheimer cases are due
       | to candida or other forms of gut dysbiosis, leading to the
       | breakdown of the blood-brain barrier. Candida then enters the
       | brain and the glial cells break down the candida producing
       | amyloid plaques. But the root cause is from the gut.
        
         | theGnuMe wrote:
         | The microbiome is significant. Could it not also be olfactory?
        
           | canadiantim wrote:
           | Olfactory in what way? I think toxins could definitely get in
           | by breathing it in, e.g. like mold, which is a generally
           | underestimated, but in my opinion significant source of
           | complex chronic conditions. So for sure those are
           | possibilities too.
           | 
           | I suspect alzheimers (which is a subset of dementia), is a
           | cluster of diseases similar to cancer. I think a large subset
           | is due to candida, but I wouldn't be surprised if mold and
           | other environmental toxins cause other subsets.
        
       | waveywaves wrote:
       | I have been reading Outlive by Dr. Peter Attia. I believe this
       | research is used in the book to talk about Alzheimer's. I'm
       | guessing the book will have to be revised. Gonna have to check in
       | the acknowledgements of the book now.
        
         | waveywaves wrote:
         | This paper is not cited in the book thankfully.
        
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