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Published on: January 11, 2020
What is frustrating the search for treatment of dementia? Fraud or ideas?
1Medical Sciences, University of Sydney, Camperdown, NSW, Australia.
Abstract:
The search for a treatment for dementia has been troubled by recent evidence of laboratory fraud. While acknowledging the seriousness of fraud, the author argues that the search for treatment has been slowed more by scientists' failure adequately to address two questions: 1) Why is dementia delayable before diagnosis yet unstoppable after diagnosis? And 2) How did molecular markers of dementia (like the peptide Aβ) evolve? What do they do for the individual, that made their evolution possible? These questions are addressed and their implications for the delay and treatment of dementia are discussed.
Insights
Recent dementia research fraud is concerning, but progress is hindered more by unanswered questions about dementia
Area of Science:
- Neuroscience
- Biochemistry
- Medical Research
Background:
- The search for dementia treatments faces challenges, including recent allegations of laboratory fraud.
- Scientific progress in dementia care is significantly impacted by unresolved fundamental questions.
Purpose of the Study:
- To critically evaluate the impact of laboratory fraud versus fundamental scientific questions on dementia treatment research.
- To explore the reasons behind dementia's delayability before diagnosis and its unstoppable progression post-diagnosis.
- To investigate the evolutionary origins and biological functions of dementia's molecular markers, such as amyloid-beta (Aβ).
Main Methods:
- Conceptual analysis and critical review of existing scientific literature and research paradigms.
- Exploration of evolutionary biology principles to understand the function of molecular markers.
- Discussion of the implications of these fundamental questions for dementia diagnosis and treatment strategies.
Main Results:
- Recent laboratory fraud, while serious, has not been the primary impediment to dementia treatment development.
- Failure to address core scientific questions regarding dementia's progression and the role of molecular markers is a greater obstacle.
- Understanding the evolutionary purpose of markers like Aβ could reveal new therapeutic targets.
Conclusions:
- Addressing fundamental questions about dementia's biology and progression is crucial for advancing treatment.
- The evolutionary context of molecular markers may offer novel insights into dementia's mechanisms.
- A shift in research focus towards these foundational questions could accelerate the development of effective dementia therapies.
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