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Progress is seen on a blood test for Alzheimer’s

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PARIS (AP) — Scientists are closing in on a long-sought goal: A

blood test to screen people for Alzheimer’s disease.

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An experimental test did a good job of indicating how much of the

telltale Alzheimer’s plaque lurks in people’s brains, Australian

researchers reported Wednesday. If the test proves accurate in

larger studies, it could offer a way to check people having memory

problems to see who needs more definitive testing for the

disease.

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Many blood tests are being developed and a few are used in research

settings now, but only the Australian one has been validated

against brain scans and other accepted diagnostic tests with good

accuracy in large groups of people, said Maria Carrillo, senior

director of medical and scientific relations for the Alzheimer’s

Association.

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The results, reported Wednesday at the Alzheimer’s Association

International Conference in France, “give us hope that we may be

able to use a blood test in the near future,” although that doesn’t

mean next year, she said.

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More than 5.4 million Americans and 35 million people worldwide

have Alzheimer’s, the most common form of dementia. It has no cure

and drugs only temporarily ease symptoms. Finding it early allows

patients and their families to prepare, and ruling it out could

lead to diagnosing a more treatable cause of symptoms, such as

sleep problems.

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Brain scans can show signs of Alzheimer’s – sticky clumps of a

protein called beta amyloid – a decade or more before it causes

memory and thinking problems, but scans are too expensive and

impractical for routine use. Doctors and patients need simple ways

to screen people for the disease.

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Samantha Burnham and others at Australia’s national science agency,

CSIRO, working with several universities, used a long-running study

of more than 1,100 people – some healthy, some impaired – to

develop the blood test.

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They started with blood samples from 273 study participants and

identified nine hormones and proteins that seemed most predictive

of amyloid levels in the brain. A cutoff level was set for what was

considered high.

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“The belief is that people above that point will go on to get

Alzheimer’s disease, and the lag is about 8 to 10 years,” Burnham

explained.

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When researchers used the nine-marker blood test on these same

participants, they found that it separated healthy people from

those with mild cognitive impairment or Alzheimer’s as verified by

their brain scans. The test correctly identified 83 percent of

people with high amyloid levels and correctly ruled out 85 percent

of people without this condition.

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“That’s pretty high,” the Alzheimer’s Association’s Carrillo said

of the test’s accuracy.

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More importantly, she said, the Australian researchers validated

the test’s accuracy in two additional groups: the other 817 folks

in the Australian study and 74 people in a big U.S.-led study aimed

at finding novel Alzheimer’s disease biomarkers.

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The test performed well in those situations, too, Burnham

said.

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CSIRO has patented the test and is talking with major companies

about making it commercially available.

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“It sounds like the Australians do have good clinical data” and

that the markers they are testing for track with cases of the

disease, said Creighton Phelps, a neuroscientist with the U.S.

National Institute on Aging.

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The next step is wider validation work and ensuring it can be

standardized to give reliable results regardless of what lab or

doctor would use it, he said.

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Online:

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National Institute on Aging: “text-decoration: none; color: #000066;” href=

“http://www.nia.nih.gov/Alzheimers” target=

“-blank”>http://www.nia.nih.gov/Alzheimers

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Alzheimer’s Association: “text-decoration: none; color: #000066;” href=”http://www.alz.org/”

target=”-blank”>http://www.alz.org

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Marilynn Marchione can be followed at “text-decoration: none; color: #000066;” href=

“http://twitter.com/MMarchioneAP” target=

“-blank”>http://twitter.com/MMarchioneAP

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