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Science

He Was Expected To Get Alzheimer's 25 Years Ago. Why Hasn't He? (nytimes.com) 44

Doug Whitney carries a genetic mutation that guaranteed he would develop Alzheimer's disease in his late forties or early fifties. His mother and nine of her thirteen siblings died from the disease. His oldest brother died at 45. The mutation has decimated his family for generations. Whitney is now 76 and remains cognitively healthy. The New York Times has a fascinating long read on Whitney and things happening around him.

Scientists at Washington University School of Medicine in St. Louis have studied Whitney for 14 years. They extract his cerebrospinal fluid and conduct brain scans during his periodic visits from Washington State. His brain contains heavy amyloid deposits but almost no tau tangles in regions associated with dementia. Tau accumulation correlates directly with cognitive decline. Whitney accumulated tau only in his left occipital lobe, an area that does not play a major role in Alzheimer's.

Researchers identified several possibly protective factors in Whitney's biology. His immune system produces a lower inflammatory response than other mutation carriers. He has unusually high levels of heat shock proteins, which prevent proteins from misfolding. Scientists believe his decade working in Navy engine rooms at temperatures reaching 110 degrees may have driven this accumulation. He also carries three gene variants his afflicted relatives lack. His son Brian inherited the mutation and remains asymptomatic at 43. Brian received anti-amyloid drugs in clinical trials. Researchers published their findings on Whitney in Nature Medicine. They described the study as a call for other scientists to help solve the case.
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He Was Expected To Get Alzheimer's 25 Years Ago. Why Hasn't He?

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  • I'm sorry, but if I had such a genetic mutation, having kids would simply be out of the question. I'd adopt.
    • Why? We are working to find therapies, and maybe some day preventative cures.
    • What if you only had to live somewhere hot for it to become irrelevant?
  • by fahrbot-bot ( 874524 ) on Thursday October 09, 2025 @05:01PM (#65715224)

    He Was Expected To Get Alzheimer's 25 Years Ago. Why Hasn't He?

    ... he forgot. :-)

  • He has unusually high levels of heat shock proteins, which prevent proteins from misfolding. Scientists believe his decade working in Navy engine rooms at temperatures reaching 110 degrees may have driven this accumulation.

    Let's try soaking geezers on saunas.

    Oh wait, I'm a geezer too.

    • by Tablizer ( 95088 )

      Correction: in saunas.

      Geezer moment.

    • Yeah I was thinking this too.

      If so, then this is a neat living example of the "sauna use protects against dementia" hypothesis.

      • by cusco ( 717999 )

        Wonder if Finns have a lower incidence of Alzheimers, since saunas are such a part of their culture.

        Woah! They're the highest in the world! Guess I'll cancel that sauna install . . .

        https://www.worldlifeexpectanc... [worldlifeexpectancy.com]

        • Maybe they still don't get enough exposure. This guy may have been spending 8 hours a day in 110F temperatures, which is quite a bit longer than the typical schvitz.

          Finland is also cold. What about places with high average temperatures? What are rates like in Phoenix? Saudi Arabia?

          • by cusco ( 717999 )

            There's a map at that link, and it shows that Brazil, India and Egypt are low, but then so are Russia, Kazakhstan and Chile. Libya, Saudi Arabia and Australia are all high, so climate doesn't appear to make much difference. The US is #8 in the rankings but right next door Mexico is #175, an interesting juxtaposition.

        • That is surprising! (at least to me)

          I wonder how to reconcile that with the observational studies showing a link between frequent sauna use and reduced incidences of Alzheimers? Heat-shock proteins and all that... hmm...
    • Wouldn't it be interesting if almost universal deployment of air conditioning in the advanced countries is leading to...worse health?
  • Air-conditioning makes you demented.

  • If heat-shock proteins are involved, and he has more because of all that time in boiler rooms, then we should look at places where 110F is common and see if they have lower rates of Alzheimer's. America's Southwest, Northern Mexico, the Middle East...

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