11 Comments
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Louisa Nicola's avatar

APOE4 does not simply increase inflammation. It may alter how inflammatory responses are resolved, creating tissue-specific vulnerability. The risk is context-dependent.

Nurse Jeannie Capone's avatar

*** sex dependent!

louise connolly MD's avatar

Noncontrast CT (Caristo, FDA approved) is a cheaper technology. It could screen Apo E4 carriers for NONSPECIFIC brain inflammation in targeted areas. You Ca+PLA2 AA Pet could then be used in a more specific fashion. At least that's my thinking.

Nurse Jeannie Capone's avatar

What’s wild is we now seem to know that apoe4 carriers have genetically higher cPLA2 activities yet are not really pushing lithium yet as a method to slow it down over a lifetime. We are waiting for a more perfect drug…but I’m not sure what’s wrong with lithium? Not medical advice just speculating based on what I’ve read!

louise connolly MD's avatar

Of course, Zeus is not a done deal. I've only read the press release. But perhaps picking CKD patients with CV disease is just the wrong patient population. They may be just too sick to benefit. Or maybe the true target is IL-1.

I doubt this but timewill tell.

Nurse Jeannie Capone's avatar

I’m looking at IL-17f inhibition with great interest as a female apoe4 carrier!

louise connolly MD's avatar

Well reasoned, well written. It reminds me of Eric Topol's recent comments concerning IL-6 inhibition and pinpointing where the inflammation is taking place. For the coronary arteries, FAI (fat attenuation index) applied to a non contrast CT could be used. If the coronary periarterial fat were inflamed, IL-6 blockade might work better. Could FAI be developed for the brain?

Hussein Yassine's avatar

Thanks!

We are developing PET imaging to see PUFA metabolism in the brain

Nurse Jeannie Capone's avatar

And we can’t wait! 🥳❤️

Terri Orf's avatar

Layman here…EPA is good, DHA is not good?

Hussein Yassine's avatar

Not really

Both are good but not as supplements

Its how the body makes and breaks them what matters

And a good whole diet with exercise helps the metabolism of these omega3s