Alzheimer’s disease (AD) is a complex neurological disease that is the most common form of dementia, or loss of brain function. Individuals suffering from Alzheimer's display impairments in learning and memory, as well as changes in personality and mood. According to the World Health Organisation, dementia is currently the fastest growing global health epidemic. AD is most often diagnosed in people that are older than 65, although there are a few rare cases of early-onset of the disease. The prevailing hypothesis about the cause of AD involves the protein amyloid precursor protein (APP), which is found in the outer membrane of nerve cells and that, instead of being broken down, forms a harmful substance called beta-amyloid. This noxious version of the protein can accumulate as plaques and kill brain cells. Needless to say, the disease is devastating to many all over the world, and a huge cost for society.
Researchers around the world have been investigating genetic and environmental factors that may put individuals at risk, as well as how beta-amyloid can cause neurodegeneration. Moreover, other theories besides the APP theory exist to explain the cause of AD. While there is currently no cure for the disease, scientists have been trying different approaches to treat the disease; one of them has been vaccines. The first vaccination study conducted almost a decade ago, showed some efficiency in clearing up beta-amyloid plaques, but did not help with dementia at all. Furthermore, the vaccine caused too many adverse side effects, including an autoimmune reaction, and was soon abandoned.
A recent study from researchers at the Karolinska Institutet in Stockholm points to the first successful attempt at a vaccine treatment for AD. The new treatment is an active vaccine and the idea is to use a type of vaccine designed to trigger the body's immune defence against beta-amyloid. In this set of clinical trials, the vaccine was modified such that it only affects the harmful form of APP, that is beta-amyloid. The investigators observed that 80 per cent of the participating patients developed protective antibodies against beta-amyloid, without suffering any side effects that were observed in previous trials of this study. The researchers believe that the treatnent, called CAD106 vaccine, could be an effective and tolerable way to treat patients with mild to moderade AD. More large-scale clinical trials have to be conducted to further determine the efficacy of CAD106, but the discovery is very encouraging for AD patients and their families.