Wednesday, February 15, 2012

Overeating May Double Risk of Memory Loss

ScienceDaily (Feb. 13, 2012) — New research suggests that consuming between 2,100 and 6,000 calories per day may double the risk of memory loss, or mild cognitive impairment (MCI), among people age 70 and older.


The study was just released and will be presented at the American Academy of Neurology's 64th Annual Meeting in New Orleans April 21 to April 28, 2012. MCI is the stage between normal memory loss that comes with aging and early Alzheimer's disease.

"We observed a dose-response pattern which simply means; the higher the amount of calories consumed each day, the higher the risk of MCI," said study author Yonas E. Geda, MD, MSc, with the Mayo Clinic in Scottsdale, Arizona and a member of the American Academy of Neurology.


The study involved 1,233 people between the ages of 70 and 89 and free of dementia residing in Olmsted County, Minn. Of those, 163 had MCI. Participants reported the amount of calories they ate or drank in a food questionnaire and were divided into three equal groups based on their daily caloric consumption. One-third of the participants consumed between 600 and 1,526 calories per day, one-third between 1,526 and 2,143 and one-third consumed between 2,143 and 6,000 calories per day.

The odds of having MCI more than doubled for those in the highest calorie-consuming group compared to those in the lowest calorie-consuming group. The results were the same after adjusting for history of stroke, diabetes, amount of education, and other factors that can affect risk of memory loss. There was no significant difference in risk for the middle group.

"Cutting calories and eating foods that make up a healthy diet may be a simpler way to prevent memory loss as we age," said Geda.


The co-authors of the study include Ronald C. Petersen, MD, Fellow of the American Academy of Neurology, and other investigators of the Mayo Clinic Study of Aging in Rochester, Minn.

The study was supported by the National Institutes of Health, the Robert Wood Johnson Foundation and the Robert H. and Clarice Smith and Abigail van Buren Alzheimer's Disease Research Program.

Good Aerobic Capacity Promotes Learning

Aerobic fitness has a favorable effect on cognitive functions. For example, physically active elderly people are less prone to aging-related cognitive decline than those who lead a sedentary lifestyle. An increase in physical activity raises both aerobic capacity and learning ability in both humans and animals. However, it is not known whether it is the aerobic capacity or the pleasure and enrichment of physical activity that promotes cognitive functions.



A study conducted by research groups at the University of Jyväskylä shows that aerobic fitness -- not physical activity as such -- promotes cognitive abilities.

- In this study, we used rat strains raised at the University of Michigan. They had been selectively bred over 23 generations for their endurance running capacity. Due to this breeding, there were natural-born long-distance runners and very poor runners. Results from a test that is a counterpart to the human maximal endurance test indicate that the difference between these strains was 500%, says Heikki Kainulainen, Professor of Exercise Physiology.

- Rats were trained in a discrimination learning test that measures flexible cognition. They were first taught to fetch a food reward in the presence of one tone and to ignore the other one. After learning this rule, the stimulus assignment was reversed and they were required to abandon the old rule and learn a new one, describes Dr. Jan Wikgren, Senior Researcher at the Department of Psychology.


It was found that rats with intrinsically high aerobic capacity clearly outperformed those with intrinsically low aerobic capacity. It must be emphasized that the animals were not given any physical exercise before the learning test. Thus, the results suggest that it is the aerobic capacity and not physical activity alone that is related to flexible cognition.

The results gave rise to many questions. Probably the most crucial seeks to determine the neurobiological mechanisms that mediate the effect of aerobic capacity on brain function.


- In future experiments we aim at studying the possible differences between these strains from the molecular to neurophysiological levels of analysis. Ultimately, we hope to investigate plausible exercise interventions that protect the brain from the detrimental effects of aging, Wikgren and Kainulainen explain. At least it is safe to say that physical activity is good for your brain at any age.

Saturday, January 7, 2012

Novel Brain Tumor Vaccine Acts Like Bloodhound to Locate Cancer Cells

ScienceDaily (Jan. 5, 2012) — A national clinical trial testing the efficacy of a novel brain tumor vaccine has begun at Wake Forest Baptist Medical Center, the only facility in the Southeast to participate. The vaccine will be tested in patients with newly diagnosed glioblastoma multiforme (GBM), the most aggressive and highest grade malignant glioma. Wake Forest Baptist will treat a minimum of 25 patients in this randomized, placebo-controlled phase II clinical trial of ICT-107. A total of 20 sites across the country are participating in the trial to test the safety and efficacy of this novel cancer vaccine.


All patients enrolled in the study will receive the current standard treatment for GBM, which includes surgery followed by radiation and chemotherapy. Two thirds of the participants will then also get the experimental vaccine treatment, which will be administered in the post radiation phase of treatment, while the others will get a "dummy," or placebo vaccine in addition to standard therapy.

"This vaccine is for newly-diagnosed patients," said Glenn Lesser, M.D., a professor of internal medicine, hematology-oncology, at Wake Forest Baptist and principal investigator for the study. "Scientifically, it's a very well designed study and we are excited to participate in this clinical trial. We've been asked to participate based on our reputation as an outstanding brain tumor center and the expertise our center has with bringing novel therapies and novel therapeutics to patients."


The approach with this particular vaccine is unique, Lesser added, because it is targeting the antigens or proteins that are present on glioma stem cells, whereas other treatment approaches mostly target differentiated tumor cells.

"The antigens used in this vaccine target the tumor stem cells -- the handful of cells that keep the tumor alive and dividing. Most of the cells we kill with standard treatment are likely not the ones driving the tumor growth. If the stem cells aren't targeted, they keep generating more tumors."


According to the biotechnology company that is conducting the trial, the Phase I clinical study of ICT-107 in GBM involved 16 newly-diagnosed patients who received the vaccine in addition to standard therapy -- surgery, radiation and chemotherapy. Those patients demonstrated a one-year overall survival of 100 percent and a two-year survival of 80 percent. Although only a small number of patients were treated, these results compare favorably with historical 61percent one-year and 26 percent two-year survival with standard care alone.

Vaccines for brain tumors are new and experimental, said Lesser, but are gaining more attention in the glioma world. "Vaccines are a way to harness the body's own defenses -- which are usually used to ward off or control infections like the flu -- to fight cancer cells instead," Lesser explained. "It is a way of presenting antigens or proteins normally found on the surface of the cancer cells to the immune system so that immune cells can seek out and kill those cancer cells anywhere in the body. This is not unlike giving a piece of clothing to a bloodhound and then letting it loose to find a missing person."


Wake Forest Baptist is also involved in another brain tumor vaccine trial for patients with low-grade or slower growing gliomas. Among the targets of both of these vaccines is a new protein found on the surface of glioma cells discovered by Waldemar Debinski, M.D., Ph.D, director of the Wake Forest Baptist Brain Tumor Center of Excellence.

"Early studies of vaccines for patients with brain tumors are showing promising results," Lesser said. "We want to help definitively determine how good these novel therapies really are for patients."

What Determines the Capacity of Short-Term Memory?

ScienceDaily (Dec. 15, 2011) — Short-term memory plays a crucial role in how our consciousness operates. Several years ago a hypothesis has been formulated, according to which capacity of short-term memory depends in a special way on two cycles of brain electric activity. Scientists from the Nencki Institute of Experimental Biology of the Polish Academy of Sciences in Warsaw have now demonstrated this experimentally for the first time.


A human being can consciously process from five to nine pieces of information simultaneously. During processing these pieces of information remain in the short-term memory. In 1995 researchers from Brandeis University in Waltham suggested that the capacity of short-term memory could depend on two bands of brain's electric activity: theta and gamma waves. However, only now, through carefully designed experiments conducted at the Nencki Experimental Biology Institute of the Polish Academy of Sciences (Nencki Institute) in Warsaw, it was possible to unambiguously prove that such a relationship really exists.


For an electroencephalography exam (EEG) several electrodes are placed on patient's head. The recorded brain electric signals contain waves of different frequencies, among other theta waves with the frequency of 4-7 Hz and gamma waves with the frequency of 25-50 Hz. It has been known for some time that these waves are used for retaining information in the brain. It was observed for example that the amplitudes of theta and gamma waves increased when people were forced to store more information in short-term memory.

"The hypothesis formulated by Lisman and Idiart in 1995 assumes that we are able to memorise as many 'bites' of information, as there are gamma cycles for one theta cycle. Research to date provided only indirect support for this hypothesis," say psychologist Jan Kamiński, PhD student from the Nencki Institute and main author of experiments conducted by the team of Prof. Andrzej Wróbel in cooperation with Dr. Aneta Brzezicka from the Warsaw School of Social Sciences and Humanities.


A 'bite' of information refers to its portion in memory. A 'bite' may be a number, letter, idea, situation, picture or smell. "Designing experiments on the capacity of memory one needs to be very careful not to make it too easy for the subject to group many 'bites' into one," stresses Kamiński and as an example gives the following sequence of letters: 2, 0, 1, 1. "Such four 'bites' of information are easy to group into the number corresponding to current year. Instead of four bites of information we are left with just one."

Interpreting the length of theta and gamma waves from EEG recording is not easy either. These waves are not directly visible in the EEG signal. Kamiński proposed a new method of determining them. Researchers recorded brain's electric activity in seventeen volunteers resting with closed eyes for five minutes. Next they filtered the signals and analysed not the cycles themselves but their correlations. Only based on discovered correlations the ratio of the length of theta wave to gamma wave was determined and the likely capacity of verbal short-term memory was determined.


Following the EEG recording, the volunteers, were subjected to classic short-term memory capacity test. It consisted of repeated display of longer and longer sequences of numbers. Each number was presented for one second. Then volunteers had to reconstruct the sequence from memory. At first the sequence consisted of three numbers but at the end of the exam of as many as nine. "We have observed that the longer the theta cycles, the more information 'bites' the subject was able to remember; the longer the gamma cycle, the less the subject remembered. Next we determined the correlation between the results of the tests and estimates from the EEG measurements. Just as expected the correlation turned out to be very high and it confirmed the hypothesis of Lisman and Idiart," says Kamiński.


Capacity of short-term memory impacts the effects of reasoning -- the greater the capacity, the better the effects. Currently researchers conduct studies on developing the most effective ways of training short-term memory.

Thursday, June 9, 2011

Moderate to Intense Exercise May Protect the Brain

Older people who regularly exercise at a moderate to intense level may be less likely to develop the small brain lesions, sometimes referred to as "silent strokes," that are the first sign of cerebrovascular disease, according to a new study published in the June 8, 2011, online issue of Neurology®, the medical journal of the American Academy of Neurology (AAN).


"These 'silent strokes' are more significant than the name implies, because they have been associated with an increased risk of falls and impaired mobility, memory problems and even dementia, as well as stroke," said study author Joshua Z. Willey, MD, MS, of Columbia University in New York and a member of the American Academy of Neurology. "Encouraging older people to take part in moderate to intense exercise may be an important strategy for keeping their brains healthy."


The study involved 1,238 people who had never had a stroke. Participants completed a questionnaire about how often and how intensely they exercised at the beginning of the study and then had MRI scans of their brains an average of six years later, when they were an average of 70 years old.

A total of 43 percent of the participants reported that they had no regular exercise; 36 percent engaged in regular light exercise, such as golf, walking, bowling or dancing; and 21 percent engaged in regular moderate to intense exercise, such as hiking, tennis, swimming, biking, jogging or racquetball.


The brain scans showed that 197 of the participants, or 16 percent, had small brain lesions, or infarcts, called silent strokes. People who engaged in moderate to intense exercise were 40 percent less likely to have the silent strokes than people who did no regular exercise. The results remained the same after the researchers took into account other vascular risk factors such as high blood pressure, high cholesterol and smoking. There was no difference between those who engaged in light exercise and those who did not exercise.

"Of course, light exercise has many other beneficial effects, and these results should not discourage people from doing light exercise," Willey said.

The study also showed that the benefit of moderate to intense exercise on brain health was not apparent for people with Medicaid or no health insurance. People who exercised regularly at a moderate to intense level who had Medicaid or no health insurance were no less likely to have silent infarcts than people who did no regular exercise. "It may be that the overall life difficulties for people with no insurance or on Medicaid lessens the protective effect of regular exercise," Willey said.

The study was supported by the National Institute of Neurological Disorders and Stroke.


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The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by American Academy of Neurology.