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Detect and prevent Alzheimer’s disease before memory loss | Bernard Hanseeuw | TEDxUCLouvain


[Music]

[Music] ad as Imus disease each time I give this

ad as Imus disease each time I give this

ad as Imus disease each time I give this diagnosis to one of my patients I feel

diagnosis to one of my patients I feel

diagnosis to one of my patients I feel like I’m giving them a death sentence

like I’m giving them a death sentence

like I’m giving them a death sentence I’m sorry sir you will progressively

I’m sorry sir you will progressively

I’m sorry sir you will progressively forget everything everything you do

forget everything everything you do

forget everything everything you do everything you’ve done all the ones

everything you’ve done all the ones

everything you’ve done all the ones you’ve loved and this is horrible but

you’ve loved and this is horrible but

you’ve loved and this is horrible but what is Alzheimer’s disease exactly how

what is Alzheimer’s disease exactly how

what is Alzheimer’s disease exactly how does this start by forgetting your keys

does this start by forgetting your keys

does this start by forgetting your keys by not remembering the name of the

by not remembering the name of the

by not remembering the name of the previous speaker or not knowing tomorrow

previous speaker or not knowing tomorrow

previous speaker or not knowing tomorrow that you’ve come here today to this

that you’ve come here today to this

that you’ve come here today to this wonderful TEDx event as a doctor I would

wonderful TEDx event as a doctor I would

wonderful TEDx event as a doctor I would say this is the most serious Simas

say this is the most serious Simas

say this is the most serious Simas disease is characterized by an episodic

disease is characterized by an episodic

disease is characterized by an episodic memory loss forgetting the episodes of

memory loss forgetting the episodes of

memory loss forgetting the episodes of your life the recent events you just

your life the recent events you just

your life the recent events you just left but you can forget for many other

left but you can forget for many other

left but you can forget for many other reasons than as I MERS so it’s not only

reasons than as I MERS so it’s not only

reasons than as I MERS so it’s not only a memory loss as Eimer

a memory loss as Eimer

a memory loss as Eimer is a brain disease but the thing is that

is a brain disease but the thing is that

is a brain disease but the thing is that until very recently we could not see

until very recently we could not see

until very recently we could not see this disease in the brain during life

this disease in the brain during life

this disease in the brain during life and new imaging techniques now allow

and new imaging techniques now allow

and new imaging techniques now allow seeing Al’s Imus regions in vivo and

seeing Al’s Imus regions in vivo and

seeing Al’s Imus regions in vivo and this brings a lot of hope to find a cure

this brings a lot of hope to find a cure

this brings a lot of hope to find a cure for this terrible infection so hoping to

for this terrible infection so hoping to

for this terrible infection so hoping to find a cure three years ago I quit my

find a cure three years ago I quit my

find a cure three years ago I quit my doctor’s job and I went to Harvard

doctor’s job and I went to Harvard

doctor’s job and I went to Harvard University to do research

University to do research

University to do research so instead of giving diagnoses like a

so instead of giving diagnoses like a

so instead of giving diagnoses like a judge give sentences I became a

judge give sentences I became a

judge give sentences I became a scientist looking for answers kind of a

scientist looking for answers kind of a

scientist looking for answers kind of a detective and that is the adventure I’d

detective and that is the adventure I’d

detective and that is the adventure I’d like to take you on today because now is

like to take you on today because now is

like to take you on today because now is the time for even more research but let

the time for even more research but let

the time for even more research but let me start by giving you some background

me start by giving you some background

me start by giving you some background about Alzheimer’s disease here is the

about Alzheimer’s disease here is the

about Alzheimer’s disease here is the very first patient diagnosed by dr. Hans

very first patient diagnosed by dr. Hans

very first patient diagnosed by dr. Hans Zimmer with what I call to the time the

Zimmer with what I call to the time the

Zimmer with what I call to the time the dementia of forgetfulness dementia comes

dementia of forgetfulness dementia comes

dementia of forgetfulness dementia comes from latin d mention literally losing

from latin d mention literally losing

from latin d mention literally losing your mind losing what makes you human

your mind losing what makes you human

your mind losing what makes you human a lot of diseases can cause dementia a

a lot of diseases can cause dementia a

a lot of diseases can cause dementia a brain tumor

brain tumor

brain tumor for instance Al’s i’ma starts with

for instance Al’s i’ma starts with

for instance Al’s i’ma starts with forgetfulness a memory loss that

forgetfulness a memory loss that

forgetfulness a memory loss that progressively evolved to dementia a

progressively evolved to dementia a

progressively evolved to dementia a stage at which you are no longer able to

stage at which you are no longer able to

stage at which you are no longer able to care for yourself that is the stage

care for yourself that is the stage

care for yourself that is the stage everybody is afraid of and we have very

everybody is afraid of and we have very

everybody is afraid of and we have very good reasons to be afraid no treatment

good reasons to be afraid no treatment

good reasons to be afraid no treatment and it seems unavoidable

and it seems unavoidable

and it seems unavoidable the two main risks for Alzheimer’s our

the two main risks for Alzheimer’s our

the two main risks for Alzheimer’s our age and genetics sorry madam I can’t

age and genetics sorry madam I can’t

age and genetics sorry madam I can’t change your genes and whatever we do we

change your genes and whatever we do we

change your genes and whatever we do we all getting older this just seems

all getting older this just seems

all getting older this just seems hopeless the thing why not trying

hopeless the thing why not trying

hopeless the thing why not trying research maybe if we understand better

research maybe if we understand better

research maybe if we understand better what’s happening in the brain we can fix

what’s happening in the brain we can fix

what’s happening in the brain we can fix it like hair could borrow would

it like hair could borrow would

it like hair could borrow would elucidate a murder in Agoura Christi

elucidate a murder in Agoura Christi

elucidate a murder in Agoura Christi let’s try to understand how why and what

let’s try to understand how why and what

let’s try to understand how why and what an Alzheimer skills or minds but above

an Alzheimer skills or minds but above

an Alzheimer skills or minds but above all what could we do to prevent this

all what could we do to prevent this

all what could we do to prevent this murder doctor Alzheimer’s paved the way

murder doctor Alzheimer’s paved the way

murder doctor Alzheimer’s paved the way by giving a description of the brain

by giving a description of the brain

by giving a description of the brain pathology after his first patient died

pathology after his first patient died

pathology after his first patient died he performed the brain atop C and

he performed the brain atop C and

he performed the brain atop C and identified two lesions which together

identified two lesions which together

identified two lesions which together define Alzheimer’s disease these two

define Alzheimer’s disease these two

define Alzheimer’s disease these two lesions are amyloid plaques and two

lesions are amyloid plaques and two

lesions are amyloid plaques and two tangles

tangles

tangles sounds complicated but this too after

sounds complicated but this too after

sounds complicated but this too after the Greek letter with that name and

the Greek letter with that name and

the Greek letter with that name and amoled are still today a century later

amoled are still today a century later

amoled are still today a century later the two main suspects in alzhiemer’s

the two main suspects in alzhiemer’s

the two main suspects in alzhiemer’s disease but if a doctor can’t see them

disease but if a doctor can’t see them

disease but if a doctor can’t see them he can never be sure

he can never be sure

he can never be sure someone has Alzheimer’s early detection

someone has Alzheimer’s early detection

someone has Alzheimer’s early detection and Prevention I’m possible then however

and Prevention I’m possible then however

and Prevention I’m possible then however we learned a lot from these of top C

we learned a lot from these of top C

we learned a lot from these of top C studies and the most important thing we

studies and the most important thing we

studies and the most important thing we have learned is that amyloid plaques are

have learned is that amyloid plaques are

have learned is that amyloid plaques are not only present in the brain of

not only present in the brain of

not only present in the brain of patients with Alzheimer’s dementia but

patients with Alzheimer’s dementia but

patients with Alzheimer’s dementia but also in normal individuals like you and

also in normal individuals like you and

also in normal individuals like you and me and the older we get the more common

me and the older we get the more common

me and the older we get the more common it becomes at the age of 35 years old a

it becomes at the age of 35 years old a

it becomes at the age of 35 years old a third of us has amyloid pathology in our

third of us has amyloid pathology in our

third of us has amyloid pathology in our brain but wait a minute should we care

brain but wait a minute should we care

brain but wait a minute should we care about this is that Alzheimer’s disease

about this is that Alzheimer’s disease

about this is that Alzheimer’s disease having amyloid in the brain but a normal

having amyloid in the brain but a normal

having amyloid in the brain but a normal memory I think we should care about this

memory I think we should care about this

memory I think we should care about this because if we look at the risk for exam

because if we look at the risk for exam

because if we look at the risk for exam as dementia we see a similar curve 15

as dementia we see a similar curve 15

as dementia we see a similar curve 15 years later at the age of 90 years old

years later at the age of 90 years old

years later at the age of 90 years old it is a third of us who will suffer from

it is a third of us who will suffer from

it is a third of us who will suffer from Alzheimer’s dementia we should try to do

Alzheimer’s dementia we should try to do

Alzheimer’s dementia we should try to do something about this and I think these

something about this and I think these

something about this and I think these 15 years during which pathology slowly

15 years during which pathology slowly

15 years during which pathology slowly builds up but memory symptoms are not

builds up but memory symptoms are not

builds up but memory symptoms are not present yet our wonderful opportunity

present yet our wonderful opportunity

present yet our wonderful opportunity for who wants to prevent the disease

for who wants to prevent the disease

for who wants to prevent the disease from occurring catching the killer

from occurring catching the killer

from occurring catching the killer before murder is committed

brain uh Topsy that’s quite a late stage

brain uh Topsy that’s quite a late stage for doing this so the first breakthrough

for doing this so the first breakthrough

for doing this so the first breakthrough I’d like to mention to you is amulet

I’d like to mention to you is amulet

I’d like to mention to you is amulet imaging for the past ten years now we’ve

imaging for the past ten years now we’ve

imaging for the past ten years now we’ve been able to perform a scan and

been able to perform a scan and

been able to perform a scan and visualize amyloid in the brain – in life

visualize amyloid in the brain – in life

visualize amyloid in the brain – in life hidden red on the scan and we could

hidden red on the scan and we could

hidden red on the scan and we could confirm that at the age of 75 a third of

confirm that at the age of 75 a third of

confirm that at the age of 75 a third of us have a positive scan for amulet the

us have a positive scan for amulet the

us have a positive scan for amulet the big lesson here is that this complicated

big lesson here is that this complicated

big lesson here is that this complicated thing named amulet is not important for

thing named amulet is not important for

thing named amulet is not important for memory right now but it has a drastic

memory right now but it has a drastic

memory right now but it has a drastic impact on how memory will evolve in the

impact on how memory will evolve in the

impact on how memory will evolve in the future so what’s happening

future so what’s happening

future so what’s happening how can someone have a head full of

how can someone have a head full of

how can someone have a head full of amyloid his memories working fine and

amyloid his memories working fine and

amyloid his memories working fine and then suddenly he becomes demented what’s

then suddenly he becomes demented what’s

then suddenly he becomes demented what’s new I think that the second lesion in as

new I think that the second lesion in as

new I think that the second lesion in as Amos has now come into play now

Amos has now come into play now

Amos has now come into play now pathology so the pathology is strongly

pathology so the pathology is strongly

pathology so the pathology is strongly correlated with memory in individuals

correlated with memory in individuals

correlated with memory in individuals who had a normal memory during life only

who had a normal memory during life only

who had a normal memory during life only future pathology is observed at the top

future pathology is observed at the top

future pathology is observed at the top see what you can see here on the left in

see what you can see here on the left in

see what you can see here on the left in brown but for individuals who had mild

brown but for individuals who had mild

brown but for individuals who had mild cognitive impairment at the end of their

cognitive impairment at the end of their

cognitive impairment at the end of their life

life

life we observed motor pathology and an

we observed motor pathology and an

we observed motor pathology and an expanded to pathology all over the brain

expanded to pathology all over the brain

expanded to pathology all over the brain is almost always associated with

is almost always associated with

is almost always associated with dementia so emulate might be the first

dementia so emulate might be the first

dementia so emulate might be the first culprit in Alzheimer’s disease but do

culprit in Alzheimer’s disease but do

culprit in Alzheimer’s disease but do seems closer to the symptoms the Opeth

seems closer to the symptoms the Opeth

seems closer to the symptoms the Opeth ology starts accumulating in the brain

ology starts accumulating in the brain

ology starts accumulating in the brain region that is the most important for

region that is the most important for

region that is the most important for memory and the morte accumulates the

memory and the morte accumulates the

memory and the morte accumulates the more memory declines so let me share to

more memory declines so let me share to

more memory declines so let me share to you my current understanding of

you my current understanding of

you my current understanding of Alzheimer’s disease and compare this to

Alzheimer’s disease and compare this to

Alzheimer’s disease and compare this to the three steps of a

the three steps of a

the three steps of a murder first someone wishes you’d that

murder first someone wishes you’d that

murder first someone wishes you’d that and actually that might happen more

and actually that might happen more

and actually that might happen more often than you think but it doesn’t

often than you think but it doesn’t

often than you think but it doesn’t necessarily mean you will die this is a

necessarily mean you will die this is a

necessarily mean you will die this is a me looat building up in the brain that

me looat building up in the brain that

me looat building up in the brain that is actually quite frequent with age it

is actually quite frequent with age it

is actually quite frequent with age it doesn’t necessarily mean you will have

doesn’t necessarily mean you will have

doesn’t necessarily mean you will have dementia but for sure that increases the

dementia but for sure that increases the

dementia but for sure that increases the risk if you have no amulet no Alzheimer

risk if you have no amulet no Alzheimer

risk if you have no amulet no Alzheimer if no one wishes you dead you won’t die

if no one wishes you dead you won’t die

if no one wishes you dead you won’t die from a murder but in the second step the

from a murder but in the second step the

from a murder but in the second step the one who wishes you dad actually contacts

one who wishes you dad actually contacts

one who wishes you dad actually contacts a killer and that’s what becomes more

a killer and that’s what becomes more

a killer and that’s what becomes more serious because he asked him to prepare

serious because he asked him to prepare

serious because he asked him to prepare the murder and that is a merit

the murder and that is a merit

the murder and that is a merit increasing to pathology no memory

increasing to pathology no memory

increasing to pathology no memory symptoms yet but soon the patient will

symptoms yet but soon the patient will

symptoms yet but soon the patient will come and see his doctor because he has

come and see his doctor because he has

come and see his doctor because he has noticed some memory loss and bam he

noticed some memory loss and bam he

noticed some memory loss and bam he receives a death sentence he learns he

receives a death sentence he learns he

receives a death sentence he learns he has Alzheimer’s disease and very little

has Alzheimer’s disease and very little

has Alzheimer’s disease and very little can be done to save him many brain

can be done to save him many brain

can be done to save him many brain regions have been destroyed by a

regions have been destroyed by a

regions have been destroyed by a militant to and repairing the brain

militant to and repairing the brain

militant to and repairing the brain would be as difficult as resuscitating

would be as difficult as resuscitating

would be as difficult as resuscitating someone after murder what we should do

someone after murder what we should do

someone after murder what we should do is prevention preventing a melittin –

is prevention preventing a melittin –

is prevention preventing a melittin – from destroying the brain but that was

from destroying the brain but that was

from destroying the brain but that was not quite possible if we could not see

not quite possible if we could not see

not quite possible if we could not see these lesions during life and it is only

these lesions during life and it is only

these lesions during life and it is only three years ago then two scans we

three years ago then two scans we

three years ago then two scans we developed in Harvard University and this

developed in Harvard University and this

developed in Harvard University and this invention two scans is probably a

invention two scans is probably a

invention two scans is probably a turning point in Alzheimer’s research

turning point in Alzheimer’s research

turning point in Alzheimer’s research because now we have the technical

because now we have the technical

because now we have the technical capability of observing both amulet and

capability of observing both amulet and

capability of observing both amulet and – because now we have the two main

– because now we have the two main

– because now we have the two main suspects in custody

suspects in custody

suspects in custody and we can question

and we can question

and we can question so I went to Harvard to learn more about

so I went to Harvard to learn more about

so I went to Harvard to learn more about it and the first two scans confirmed

it and the first two scans confirmed

it and the first two scans confirmed what we knew from a Topsy – is really

what we knew from a Topsy – is really

what we knew from a Topsy – is really bad for your memory if you have a lot of

bad for your memory if you have a lot of

bad for your memory if you have a lot of – pathology in your brain you’re

– pathology in your brain you’re

– pathology in your brain you’re probably going to be demented

probably going to be demented

probably going to be demented in contrast emulate increase very early

in contrast emulate increase very early

in contrast emulate increase very early at a time when memory is still normal

at a time when memory is still normal

at a time when memory is still normal and it can stay normal for many years

and it can stay normal for many years

and it can stay normal for many years despite a meal of it and that is the

despite a meal of it and that is the

despite a meal of it and that is the point we should try to prevent

point we should try to prevent

point we should try to prevent Alzheimer’s over the past 20 years

Alzheimer’s over the past 20 years

Alzheimer’s over the past 20 years 95% of clinical trials in Alzheimer’s

95% of clinical trials in Alzheimer’s

95% of clinical trials in Alzheimer’s disease have failed but we were looking

disease have failed but we were looking

disease have failed but we were looking in the dark we could not verify newman’s

in the dark we could not verify newman’s

in the dark we could not verify newman’s if a drug was effective or not

if a drug was effective or not

if a drug was effective or not except in a very long trial we were

except in a very long trial we were

except in a very long trial we were waiting for cognitive decline basically

waiting for cognitive decline basically

waiting for cognitive decline basically we needed the murder to happen to

we needed the murder to happen to

we needed the murder to happen to identify the murderer no prevention was

identify the murderer no prevention was

identify the murderer no prevention was possible but now that both amulet and

possible but now that both amulet and

possible but now that both amulet and tool scans have been developed we can

tool scans have been developed we can

tool scans have been developed we can start thinking of prevention therapies

start thinking of prevention therapies

start thinking of prevention therapies so now that we understand a little bit

so now that we understand a little bit

so now that we understand a little bit better how this plot is built now that

better how this plot is built now that

better how this plot is built now that we understand better Alzheimer’s disease

we understand better Alzheimer’s disease

we understand better Alzheimer’s disease let’s imagine strategies to fix it

let’s imagine strategies to fix it

let’s imagine strategies to fix it who do you want to see in jail the one

who do you want to see in jail the one

who do you want to see in jail the one who wished you that or the killer I

who wished you that or the killer I

who wished you that or the killer I would say both of them but actually

would say both of them but actually

would say both of them but actually stopping one might be enough to prevent

stopping one might be enough to prevent

stopping one might be enough to prevent the murder so far many clinical trials

the murder so far many clinical trials

the murder so far many clinical trials have intended to remove amyloid from the

have intended to remove amyloid from the

have intended to remove amyloid from the brain and they were not quite successful

brain and they were not quite successful

brain and they were not quite successful but one of the potential reasons is that

but one of the potential reasons is that

but one of the potential reasons is that this trial included patients with

this trial included patients with

this trial included patients with dementia a stage that might be too late

dementia a stage that might be too late

dementia a stage that might be too late to be effective

to be effective

to be effective so currently a very large American trial

so currently a very large American trial

so currently a very large American trial is giving anti-amyloid drug to normal

is giving anti-amyloid drug to normal

is giving anti-amyloid drug to normal individuals who are older than 65 and F

individuals who are older than 65 and F

individuals who are older than 65 and F evidence of Pama late on a scan and we

evidence of Pama late on a scan and we

evidence of Pama late on a scan and we should have the results of this very

should have the results of this very

should have the results of this very first preventive trial in three years

first preventive trial in three years

first preventive trial in three years from now but we should probably also

from now but we should probably also

from now but we should probably also follow other tracks like drugs against

follow other tracks like drugs against

follow other tracks like drugs against to pathology stopping the killer might

to pathology stopping the killer might

to pathology stopping the killer might be the most effective way to stay alive

be the most effective way to stay alive

be the most effective way to stay alive and to share a personal conviction I

and to share a personal conviction I

and to share a personal conviction I think we’re still missing a very

think we’re still missing a very

think we’re still missing a very important piece in Alzheimer’s disease

important piece in Alzheimer’s disease

important piece in Alzheimer’s disease who is the messenger how do you amyl it

who is the messenger how do you amyl it

who is the messenger how do you amyl it until interact actually no one really

until interact actually no one really

until interact actually no one really knows but now we have the tools to

knows but now we have the tools to

knows but now we have the tools to investigate these questions we can look

investigate these questions we can look

investigate these questions we can look for answers and that is a game changer

for answers and that is a game changer

for answers and that is a game changer the research we will conduct today will

the research we will conduct today will

the research we will conduct today will help us not only to live longer but also

help us not only to live longer but also

help us not only to live longer but also in a better mental health however we

in a better mental health however we

in a better mental health however we need to hurry if you want to catch these

need to hurry if you want to catch these

need to hurry if you want to catch these criminals if you want to avoid the

criminals if you want to avoid the

criminals if you want to avoid the serial killing predicted by global aging

serial killing predicted by global aging

serial killing predicted by global aging if we do nothing we all gotta have

if we do nothing we all gotta have

if we do nothing we all gotta have Alzheimer’s once we have been cured from

Alzheimer’s once we have been cured from

Alzheimer’s once we have been cured from cardiovascular disease and cancer so

cardiovascular disease and cancer so

cardiovascular disease and cancer so let’s take together in this fight and

let’s take together in this fight and

let’s take together in this fight and make aging fun again this detective

make aging fun again this detective

make aging fun again this detective story can have a happy ending over the

story can have a happy ending over the

story can have a happy ending over the past few months I resumed the memory

past few months I resumed the memory

past few months I resumed the memory clinics every Wednesday in Brussels and

clinics every Wednesday in Brussels and

clinics every Wednesday in Brussels and I’m still doing research but now with

I’m still doing research but now with

I’m still doing research but now with this increased knowledge I can reassure

this increased knowledge I can reassure

this increased knowledge I can reassure my patients and their families they’re

my patients and their families they’re

my patients and their families they’re not crazy their memory symptoms have a

not crazy their memory symptoms have a

not crazy their memory symptoms have a biological explanation and you also know

biological explanation and you also know

biological explanation and you also know why now

why now

why now and we can do more research to

and we can do more research to

and we can do more research to understand this better and try to fix it

understand this better and try to fix it

understand this better and try to fix it and this hope is really important for

and this hope is really important for

and this hope is really important for the patients with the disease but also

the patients with the disease but also

the patients with the disease but also for you and me who might have the

for you and me who might have the

for you and me who might have the disease in the future my deepest wish is

disease in the future my deepest wish is

disease in the future my deepest wish is to see a prevention for Alzheimer’s

to see a prevention for Alzheimer’s

to see a prevention for Alzheimer’s disease as soon as possible and if we

disease as soon as possible and if we

disease as soon as possible and if we all fight for this I am sure we can do

all fight for this I am sure we can do

all fight for this I am sure we can do it

it

it thank you for supporting research

”

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