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.

Tuesday, August 26, 2025

Blocking a Brain “Death Complex” Slows Alzheimer’s

 

Will you competent? doctor and hospital ENSURE RESEARCH IS CREATED that tests whether this could be used to prevent Alzheimers post stroke? Oh no, your doctor and hospital ARE DOING NOTHING!

The reason you need dementia prevention: 

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. 

Parkinson’s Disease May Have Link to Stroke March 2017 

The latest here:

Blocking a Brain “Death Complex” Slows Alzheimer’s

Summary: Scientists have discovered that a toxic complex formed between NMDA receptors and TRPM4 channels drives neuron death in Alzheimer’s disease. Using a novel molecule called FP802, researchers were able to break apart this “death complex” in mice, preventing cognitive decline, synapse loss, and mitochondrial damage.

The treatment also reduced amyloid buildup, suggesting it could offer broader protection than existing therapies. While still in early stages, the findings open a promising new path for treating Alzheimer’s and other neurodegenerative diseases like ALS.

Key Facts

  • Toxic Complex Identified: The NMDAR/TRPM4 complex causes neuronal death and fuels Alzheimer’s progression.
  • Drug Candidate: FP802 disrupted the complex in mice, preserving memory, synapses, and mitochondrial health.
  • Novel Approach: Targets downstream cell death mechanisms instead of directly removing amyloid plaques.

Source: Heidelberg University

A molecular mechanism that significantly contributes to the progression of Alzheimer’s disease has been discovered by a research team led by neurobiologist Prof. Dr Hilmar Bading of Heidelberg University.

In joint experiments with researchers from Shandong University (China), the team, using an Alzheimer’s mouse model, demonstrated that a neurotoxic protein-protein complex is responsible for nerve cells in the brain dying off and the resulting cognitive decline.

This shows a brain surrounded by proteins in a snow globe.
According to Prof. Bading, this approach fundamentally differs from previous treatment strategies for Alzheimer’s disease. Credit: Neuroscience News

According to the scientists, this finding opens up new perspectives for the development of effective treatments.

The protein-protein complex, known from previous studies, consists of the NMDA receptor and the TRPM4 ion channel. NMDA receptors, which take part in signal transmission between nerve cells, are found on the surface of the cells and are present both in the synapses and outside these contact points between nerve cells.

They are activated by a biochemical messenger, the neurotransmitter glutamate. While the activation of synaptic NMDA receptors in the brain is critical for the survival of nerve cells as well as the preservation of cognitive abilities, TRPM4 gives the extrasynaptic NMDA receptors toxic properties.

Together they build a “death complex” that can lead to damage as well as the death of nerve cells, explains Hilmar Bading, who directs the Institute of Neurobiology at Heidelberg University’s Interdisciplinary Center for Neurosciences (IZN).

The neurotoxic NMDAR/TRPM4 complex is present at much higher levels in Alzheimer’s mice than in healthy animals, the research shows.

Using the novel pharmaceutical compound FP802, a so-called “TwinF Interface Inhibitor” discovered in previous studies by Prof. Bading and his team at the IZN, the international research team demonstrated that the NMDAR/TRPM4 complex plays a key role in the progression of cognitive decline.

In experiments on a mouse model, they succeeded in breaking the deadly protein-protein complex apart using this neuroprotective molecule. FP802 binds to the so-called “TwinF” contact surface through which TRPM4 interacts with NMDA receptors, thereby blocking the physical interaction between the two proteins and dissolving the complex.

“In Alzheimer’s mice treated with the molecule, disease progression was markedly slowed,” states Dr Jing Yan, a researcher in Prof. Bading’s team who now works at FundaMental Pharma, a biotech offshoot of the IZN’s Institute of Neurobiology.

Typical cellular changes due to Alzheimer’s disease – including the loss of synapses and structural and functional damage to mitochondria, the powerhouses of the cell – developed only to a limited extent or not at all, the scientists report.

Cognitive abilities such as learning and memory remained largely preserved. In addition, the characteristic formation of beta-amyloid deposits in the brain was significantly reduced.

According to Prof. Bading, this approach fundamentally differs from previous treatment strategies for Alzheimer’s disease.

“Instead of targeting the formation or removal of amyloid from the brain, we are blocking a downstream cellular mechanism, the NMDAR/TRPM4 complex, that can cause the death of nerve cells and – in a disease-promoting feedback loop – promotes the formation of amyloid deposits,” states the Heidelberg neurobiologist.

In prior studies, the team was able to demonstrate comparable neuroprotective effects of the TwinF Interface Inhibitor FP802 in disease models for amyotrophic lateral sclerosis (ALS), in which the NMDAR/TRPM4 complex also plays a role.

The researchers therefore believe they have found in the novel inhibitor a potentially widely applicable pharmacological principle that could slow or even stop the progression of neurodegenerative diseases like Alzheimer’s and ALS. Prof. Bading reports, however, that a prospective clinical application is still a long way off.

“The previous results are quite promising in the preclinical context, but comprehensive pharmacological development, toxicological experiments, and clinical studies are needed to realize a possible application in humans,” stresses the scientist.

In close cooperation with FundaMental Pharma, the neuroprotective molecule FP802 is to be optimized for this in the coming years.

Funding: The research was funded by the German Research Foundation, the European Research Council, the former Federal Ministry of Education and Research, the National Natural Science Foundation of China, and the east Chinese province of Shandong.

The results were published in the journal Molecular Psychiatry.

About this genetics and Alzheimer’s disease research news

Author: Ute Mueller-Detert
Source: Heidelberg University
Contact: Ute Mueller-Detert – Heidelberg University
Image: The image is credited to Neuroscience News

Original Research: Open access.
The NMDAR/TRPM4 death complex is a major promoter of disease progression in the 5xFAD mouse model of Alzheimer’s disease” by Hilmar Bading et al. Molecular Psychiatry


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