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Freakonomics, M.D.

49. Why Don’t We Have a Cure for Alzheimer’s?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 12 August 2022

⏱️ 31 minutes

🧾️ Download transcript

Summary

Promising drugs keep failing in trials. Allegations of fraud have cast a shadow over the field. An expert explains why Alzheimer’s treatments have been so hard to find — and why one clue may lie in the Andes Mountains.

Transcript

Click on a timestamp to play from that location

0:00.0

In 1906, Dr. Eloy's Alzheimer spoke of a female patient with, quote, an unusual disease

0:12.7

of the cerebral cortex.

0:14.9

Her symptoms included memory loss, disorientation, and hallucinations.

0:20.9

After she died at age 50, an autopsy revealed that her cerebral cortex was unusually thin

0:27.3

and contained what are now known as amyloid plaques, which previously had only been observed

0:33.2

in elderly people.

0:35.0

The autopsy also showed tangled threads of protein inside the neurons.

0:40.8

A few years later, a colleague would name this constellation of symptoms and brain changes

0:46.0

Alzheimer's disease.

0:48.3

More than 6 million people in the US currently live with Alzheimer's disease, and that number

0:53.5

is expected to reach 13 million by 2050.

0:57.8

The disease isolates its patients in a twilight world of forgetfulness, confusion, and agitation.

1:05.2

To this day, a defining feature of the disease has been the presence of abnormal plaques and

1:10.5

protein tangles in the brain.

1:13.5

Researchers, hunting for treatments, have looked to those plaques and tangles as likely

1:18.2

targets.

1:20.2

We don't entirely know what role they play in the disease's progression, if any.

1:28.5

If you intervene before any significant brain changes have occurred, can you stave off

1:35.2

the amyloid and then the other downstream effects?

1:39.0

That's still an open question.

1:40.8

Dr. Pierterio is an Alzheimer's disease physician and researcher.

1:45.4

He's been searching for answers to this question for a while.

...

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