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Are cancer survivors less likely to develop Alzheimer’s? | Science

Title: Unraveling the Inverse Relationship Between Cancer and Alzheimer’s Disease: What Recent Studies Reveal

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As populations in the UK and beyond continue to age, the prevalence of age-related diseases such as cancer and Alzheimer’s dementia has become a pressing concern for healthcare systems and families alike. Several groundbreaking studies have revealed a puzzling inverse relationship between these two formidable health conditions, suggesting that a history of one may reduce the risk of developing the other.

The intriguing correlation first gained attention decades ago when researchers at a New York psychiatric centre noted that patients exhibiting both diseases displayed an unexpected prevalence pattern upon autopsy. Further investigations by Jane Driver at Brigham and Women’s Hospital in Boston added credence to these observations. In her 2012 epidemiological study, Driver examined 1,278 participants aged 65 and older over an average span of ten years. The findings revealed that cancer survivors had a 33% decreased risk of subsequently developing Alzheimer’s disease compared to their cancer-free counterparts.

Since then, this inverse relationship has been corroborated through multiple studies conducted across various populations. Erin Abner, a professor at the University of Kentucky, stressed the significance of this persistent observation. “Many questioned the results and sought alternative explanations, but the inverse association continues to emerge, even after controlling for confounding factors,” she stated.

In a pivotal study published two years ago, Abner turned her focus to clinical evidence derived from brain autopsies at her university’s Alzheimer’s Disease Research Center. “Our findings indicated a consistent association: individuals with a history of cancer displayed lower levels of amyloid pathology in their brains—a key characteristic of Alzheimer’s disease,” she explained.

The narrative does not end there, however. Further investigations revealed a reciprocal aspect to this phenomenon: those diagnosed with Alzheimer’s disease were found to have a reduced likelihood of developing cancer. Driver’s initial 2012 study noted that the inverse relationship operates in both directions. This was later validated through extensive research in northern Italy and South Korea, where findings indicated that patients with Alzheimer’s exhibited a 37% lower risk of developing overall malignancy.

While these results have been met with skepticism regarding potential screening biases in dementia patients, Elio Riboli, a researcher at Imperial College London, affirmed the growing consensus in the scientific community. “The evidence has been repeatedly reinforced, and experts largely accept that this inverse relationship is real,” Riboli stated.

Looking ahead, researchers are eager to uncover the biological mechanisms driving this curious interplay. Some theories posit that cancer treatments, particularly chemotherapy, may influence dementia risk by reducing neuroinflammation—a significant factor in Alzheimer’s progression.

To this end, researchers at Imperial College London have embarked on genetic analyses, identifying a distinctive genetic profile that associates increased cancer risk with a lower likelihood of developing dementia. “Our findings suggest that there may be underlying biological mechanisms connecting these two diseases in complex and likely opposite ways,” Riboli concluded.

As the correlation between cancer and Alzheimer’s disease gains visibility, the quest for a deeper understanding of their interrelationship holds promise for future therapeutic developments. With ongoing research, the hope is that unraveling the mysteries of these entwined conditions will not only improve outcomes for patients but also necessitate new strategies for the care of aging populations.

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