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Can antivirals slow down Alzheimer's? Scientists seek answers

Do viruses cause Alzheimer's? The number of scientists who believe it is possible is growing, and they wonder: could antivirals be the solution?...
18-03-2025 20:10







  1. Revolution in the fight against Alzheimer's
  2. Proteins or viruses? That is the question
  3. The shingles vaccine: an unexpected heroine?
  4. The era of antivirals

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Revolution in the fight against Alzheimer's



Imagine if a simple antiviral could change the game in the fight against Alzheimer's? Well, it seems that a growing group of scientists is seriously considering it. It all started with an unexpected discovery in the summer of 2024.

It turns out that people vaccinated against shingles were less likely to develop dementia. What a surprise! And it wasn't just a random study.

Several teams, including that of the famous Pascal Geldsetzer from Stanford, found that the original shingles vaccine, which includes the live varicella-zoster virus, could prevent up to one-fifth of dementia diagnoses. Incredible, right?

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Proteins or viruses? That is the question




For years, researchers have blamed amyloid and tau proteins for being the main villains behind Alzheimer's. These proteins formed plaques and tangles in the brain, wreaking havoc on neurons. However, recent research on herpes zoster has strengthened an alternative theory: that viruses could trigger the disease.

Ruth Itzhaki, a pioneer in this field, has argued for nearly four decades that the herpes simplex virus 1 (HSV1) could be behind Alzheimer's. Although it sounds like science fiction, her experiments show that HSV1 infection increases amyloid levels in brain cells. A real revelation!

Some critics argued that the viral theory did not fit with the strong genetic component of Alzheimer's. But what if the amyloid and tau proteins were actually the brain's defense against pathogens, as suggested by William Eimer from Harvard?

In small amounts, these proteins could be beneficial. But if the immune system becomes overwhelmed, they could aggregate and form the harmful plaques and tangles. It's as if the brain is fighting an internal battle against invisible invaders.

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The shingles vaccine: an unexpected heroine?



The finding that vaccination against herpes zoster could protect against dementia has left many astonished. Who would have imagined it? This discovery could explain why people with Down syndrome, who produce more amyloid protein, are more prone to Alzheimer's. Furthermore, individuals with a genetic variant called ApoE4 are more vulnerable, but only if they have HSV1 in the brain. It's as if the virus and genetics are conspiring together!

It has even been found that the reactivation of HSV1 can be triggered by another pathogen, the herpes zoster virus. This could be the reason why the herpes zoster vaccine offers protection. And surprise, surprise, a traumatic brain injury could also awaken dormant HSV1 and initiate the formation of plaques and tangles.

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The era of antivirals




In light of these findings, scientists are reconsidering the role of antivirals in the fight against Alzheimer's. Medical histories have been reviewed looking for links between antivirals and a lower incidence of dementia.

In Taiwan, it was found that older adults taking antivirals after an outbreak of cold sores reduced their risk of dementia by 90%. Clinical trials are even being conducted to evaluate the effectiveness of valacyclovir, a common antiviral, in patients with early-stage Alzheimer's. Could this be the key to changing the course of the disease?

With 32 million people affected by Alzheimer's worldwide, any advancement, no matter how small, could have a monumental impact. So, the next time you see an antiviral, give it a little more respect. It could be the unexpected hero in this battle against one of the greatest challenges of our era.



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