Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, March 1, 2023

Osteopontin may play key role in Alzheimer’s disease

Your doctor and hospital will need to ensure research gets done to find out how to have less of this protein. 

Your risk of dementia, has your doctor told you of this?

1. A documented 33% dementia chance post-stroke from an Australian study?   May 2012.

2. Then this study came out and seems to have a range from 17-66%. December 2013.`    

3. A 20% chance in this research.   July 2013.

4. Dementia Risk Doubled in Patients Following Stroke September 2018 

The latest here:

Osteopontin may play key role in Alzheimer’s disease

At a Glance

  • Osteopontin, a protein produced by certain immune cells, may aid the formation of the amyloid beta plaques that characterize Alzheimer’s disease.
  • Mice lacking the protein had a substantial reduction in these plaques and improvements in cognition.
  • Blocking osteopontin in the brain may be a potential strategy for the treatment of Alzheimer’s disease.
Microglial cell near the long stalk of a neuron. The activity of microglial cells, shown here near a neuron, may be a potential target for Alzheimer’s disease treatment. Juan Gaertner / Shutterstock

Millions of people in the U.S. are living with Alzheimer’s disease, a devastating type of dementia, and the number is expected to rise in coming decades. Currently, no available treatments can substantially slow progression of the disease, let alone reverse it.

Abnormal functioning of certain immune cells found in the brain, called microglia, is a feature of Alzheimer’s disease. But the wide variety of microglia, which all have different jobs, has made it difficult to understand whether they play a role in development of the disease.

An NIH-funded research team has been studying a protein called osteopontin, which can be produced by microglia. This protein contributes to inflammation and has been linked to neurologic diseases, including Alzheimer’s disease. In their new study, the team examined the brains of mice engineered to develop Alzheimer’s disease. They tracked osteopontin production by microglia in the brains. Results were published on February 7, 2023, in the Proceedings of the National Academy of Sciences.

The researchers found that only a small subset of microglia in the brain produced osteopontin. These all belonged to a type called CD11c+ microglia. However, only some CD11c+ microglia produced the potentially toxic protein. As Alzheimer’s disease progressed, the amount of osteopontin production in the mouse brains doubled to tripled.

The team next engineered the mice so that their microglia couldn’t produce osteopontin. These mice showed a marked reduction in the build-up of amyloid-beta (Aβ) plaques in the brain—a hallmark of Alzheimer’s disease. Cognitive function in the mice lacking osteopontin also improved by about 50%.

In further work, the researchers found that osteopontin inhibited a pathway by which microglia in the brain normally remove Aβ, leaving Aβ to form harmful plaques. In contrast, CD11c+ microglia that didn’t produce osteopontin helped with the ingestion and breakdown of Aβ, protecting the brain.

To see whether osteopontin may also play a role in Alzheimer’s disease in people, the team examined brain tissue from people with the disease. Compared to people with normal cognitive function, people with Alzheimer’s had on average three times as much osteopontin—and the microglia that produce it—in their brains. Higher levels of osteopontin correlated with greater severity of dementia.

In a proof-of-concept study, the researchers treated mice engineered to develop Alzheimer’s disease with an antibody that blocks osteopontin. After two months of treatment, the Aβ plaques in the mouse brains decreased by more than half.

“Targeting osteopontin production in the brain represents a potential new approach to the treatment of Alzheimer’s disease,” says Dr. Harvey Cantor of Harvard University, who helped lead the study. Before testing this strategy in people, however, more work is needed to identify potential drugs that could cross into the brain and target osteopontin.

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