What clears amyloid plaque from the brain?

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asked Dec 2 in Other- Health by Thestars386 (1,720 points)
What clears amyloid plaque from the brain?

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answered Dec 3 by Adf289 (65,910 points)
What clears amyloid plaque from the brain are the use of anti-amyloid antibody treatments like donanemab and lecanemab which work by targeting plaques and their precursors in people with early stage Alzheimer's disease.

Amyloid plaques are deposits of amyloid beta (Aβ) protein which build up in your brain, primarily due to misfolded proteins in the disease amyloidosis.

Amyloid plaques in the brain can cause damage to neurons and are also a hallmark of Alzheimer's disease, in which they lead to cognitive decline.

Some plaques in the brain occur naturally with age, although a large number of the amyloid plaques are characteristic of Alzheimer's disease.

Amyloid plaque buildup can also occur in blood vessels also known as cerebral amyloid angiopathy, which leads to symptoms like brain bleeds, cognitive decline and other neurological issues.

The 5-5-5 rule for amyloidosis is a finding on a tissue Doppler imaging echocardiogram which indicates someone has advanced cardiac amyloidosis.

The 5-5-5 rule for amyloidosis represents 3 tissue velocities, —systolic (s'), early diastolic (e'), and atrial (a')—all being less than \(5\) cm/s.

These findings suggest significant diastolic dysfunction as a result of the heart muscle being stiffened by amyloid infiltration, which leads to poor relaxation and filling.

The longest someone has lived with amyloidosis is 20 years, especially one person that had primary cardiac amyloidosis, which was from a report from 2006.

It's rare live 20 years or longer than 10 years with amyloidosis although it can and does sometimes happen.

Some people with AL and AA amyloidosis can live 10 years or more with proper treatment and due to modern therapies survival time has increased.

The new treatment for amyloidosis is Dara-CyborD combination therapy.

Dara-CyborD combination therapy was approved by the FDA for light chain AL amyloidosis.

The new treatment for transthyretin amyloidosis (ATTR), is vutrisiran (AMVUTTRA) which is a new gene-silencing therapy that has gained approval for ATTR-CM.

And acoraminidis is a stabilizer drug that is also approved for ATTR-CM amyloidosis.

Other emerging therapies for amyloidosis are protea-some inhibitors and a new class of drugs which target and remove amyloid fibrils themselves.

Amyloidosis does shorten lifespan, although the degree to which amyloidosis shortens your lifespan will vary significantly depending on the organs affected and the type of amyloidosis and whether or not the amyloidosis is treated or not.

For some people types of amyloidosis like AL amyloidosis, the average life expectancy 18 months or less after diagnoses or after getting the AL amyloidosis.

Although due to modern treatments, the survival time with AL amyloidosis and other amyloidosis has increased several years.

Although in some cases life expectancy with amyloidosis including AL amyloidosis can be as short as 6 months, although early treatment and effective treatment for amyloidosis can help you live for several years or even a decade or longer.

The specific type of amyloidosis such as AL, ATTR or AA amyloidosis has a major impact on the prognosis and lifespan of someone with amyloidosis.

The amyloidosis condition can also affect different organs and the prognosis is also worse when any critical organs like the kidneys or heart are severely involved with amyloidosis.

And early diagnosis and treatment for amyloidosis is also critical to improve lifespan with amyloidosis, as later stage amyloidosis is harder to treat and has a poorer outlook.

Modern therapies can improve lifespan with amyloidosis significantly.

Studies have also shown that long term treatments for hereditary ATTR amyloidosis can also extend your lifespan by several years.

Without treatment though, amyloidosis can result in death within 6 months or less.

With modern treatment though for amyloidosis, some people have lived several years and even up to 10 years or even more with amyloidosis.

The average life expectancy or lifespan with hereditary amyloidosis is 7 years to 12 years, after diagnosis, but it can vary depending on the specific genetic mutation and treatment.

Wild type amyloidosis generally has a shorter lifespan, with an average lifespan of 4 years to 5 years and often develops later in life.

In advanced stages of amyloidosis, survival and lifespan is limited, but with early treatment many people can still live more than 10 years after diagnosis.

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