In the past few years, Big Pharma has released not one, but three new treatments for Alzheimer’s disease.

Aducanemab (2021), Lecanemab (2023), and Donanemab (2024), are the first treatments to effectively clear the brain of amyloid plaques — the sticky protein clumps whose build-up in the brain has defined the disease for decades. The problem? They may not help patients at all.

Today’s guest, Stanford neurologist Mike Greicius, considers the new amyloid-clearing drugs a major disappointment — and worse, says they likely do more harm than good for patients.

Despite this critique, Greicius, thinks that the next few years will be an exciting time for novel Alzheimer’s therapies, as growing biological understanding of Alzheimer’s risk and resilience bear fruit with promising new approaches to treatment.

Learn More:

Greicius is the Iqbal Farrukh and Asad Jamal Professor of Neurology and Neurological Sciences at Stanford Medicine, and a member of the Knight Initiative for Brain Resilience and Alzheimer's Disease Research Center at Stanford University.

Amyloid Drug Skepticism:

• Substantial Doubt Remains about the Efficacy of Anti-Amyloid Antibodies
  (Commentary, Journal of Alzheimer's Disease, 2024)
• New Drug Approved for Early Alzheimer’s (New York Times, 2024)
• Alzheimer's drug adoption in US slowed by doctors' skepticism (Reuters, 2024)
• One step back: Why the new Alzheimer’s plaque-attack drugs don’t work (Stanford Medicine Scope Blog, 2024)

Alzheimer's Genetics Research:

• Knight-funded research uncovers gene mutations that may prevent Alzheimer’s Disease (Knight Initiative for Brain Resilience, 2024)
• Why is a common gene variant bad for your brain? (Stanford Medicine Magazine, 2024)
• Scientists find genetic Alzheimer’s risk factor tied to African ancestry (Stanford Medicine, 2023)

Episode Credits

This episode was produced by Michael Osborne, with production assistance by Morgan Honaker, and hosted by Nicholas Weiler. Art by Aimee Garza.

Send us a text!

Thanks for listening! If you're enjoying our show, please take a moment to give us a review on your podcast app of choice and share this episode with your friends. That's how we grow as a show and bring the stories of the frontiers of neuroscience to a wider audience.

Learn more about the Wu Tsai Neurosciences Institute at Stanford and follow us on Twitter, Facebook, and LinkedIn.

Getting help for depression can be like purgatory. Setting aside for a moment the stigma and other barriers to seeking treatment in the first place, finding the right combination of medication and/or therapy can be a months- or years-long process of trial and error. And for about one third of people, nothing seems to work.

Today we're talking with Dr. Leanne Williams, the founding director of the Stanford Center for Precision Mental Health and Wellness and Vincent V.C. Woo Professor in the Stanford Department of Psychiatry and Behavioral Sciences.

Williams and her team have recently used brain imaging and machine learning techniques to identify six distinct "biotypes" of depression — each of which may require a different approach to treatment. Beyond setting the stage for more targeted therapies, better understanding the biology behind the disease could finally cut through the stigma of one of the world's most common brain disorders.

Learn more

• Williams' Personalized and Translational Neuroscience Lab (PANlab)
• The Stanford Center for Precision Mental Health and Wellness
• NEW: Cognitive behavioral therapy enhances brain circuits to relieve depression (Stanford Medicine, 2024)
• Six distinct types of depression identified in Stanford Medicine-led study
  (Stanford Medicine, 2024)
  • Personalized brain circuit scores identify clinically distinct biotypes in depression and anxiety (Nature Medicine, 2024)
• Brain scans could help personalize treatment for people who are depressed or suicidal (Science, 2022)
• Williams' scientific publications
  
  

Episode Credits
This episode was produced by Michael Osborne, with production assistance by Morgan Honaker, and hosted by Nicholas Weiler. Art by Aimee Garza.

Send us a text!

Thanks for listening! If you're enjoying our show, please take a moment to give us a review on your podcast app of choice and share this episode with your friends. That's how we grow as a show and bring the stories of the frontiers of neuroscience to a wider audience.

Learn more about the Wu Tsai Neurosciences Institute at Stanford and follow us on Twitter, Facebook, and LinkedIn.

Today, we're talking with Stanford neuro-oncologist, Michelle Monje. This is actually the third time we've had Michelle on the show, in part because she's been a pioneer of three exciting frontiers in neuroscience — so far!

This week, we're going to talk about cancer neuroscience. Michelle founded this new field with her discovery that deadly brain tumors not only link up physically with the healthy brain tissue surrounding them, but the cancers actually need the brain's electrical activity to grow and spread.

It turns out that many cancers — not only in the brain — depend on nervous system innervation for their survival. Understanding this dependent relationship better may present an exciting new line of attack for oncology.

Join us to learn more!

News coverage

• Brain tumors caused by normal neuron activity in mice predisposed to such tumors
• Brain tumors form synapses with healthy neurons, Stanford-led study finds
• Deadly brain cancers act like 'vampires' by hijacking normal cells to grow
• Engineered immune cells target broad range of pediatric solid tumors in mice

Relevant Publications

• Glioma synapses recruit mechanisms of adaptive plasticity
• Glioblastoma remodelling of human neural circuits decreases survival
• Electrical and synaptic integration of glioma into neural circuits
• Targeting neuronal activity-regulated neuroligin-3 dependency in high-grade glioma
• Neuronal Activity Promotes Glioma Growth through Neuroligin-3 Secretion

Review Articles

• The neuroscience of cancer
• Cancer hallmarks intersect with neuroscience in the tumor microenvironment
• Roadmap for the Emerging Field of Cancer Neuroscience

Episode Credits
This episode was produced by Michael Osborne, with production assistance by Morgan Honaker, and hosted by Nicholas Weiler. Art by Aimee Garza.

Send us a text!

Thanks for listening! If you're enjoying our show, please take a moment to give us a review on your podcast app of choice and share this episode with your friends. That's how we grow as a show and bring the stories of the frontiers of neuroscience to a wider audience.

Learn more about the Wu Tsai Neurosciences Institute at Stanford and follow us on Twitter, Facebook, and LinkedIn.