Vaccines may be training a part of our immune system long thought to be untrainable.
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[Yo, downvoters: Asking a clarifying question is a Good Thing.]So if I read this correctly, getting an annual regular-strength flu shot for a decade is less beneficial1 than getting one extra-strength flu shot?
1 - Ignoring the whole "not getting the flu" thing, obviously
Still glad BCG used to be mandatory for all infants until just a decade or two ago in my neck of the woods (most of Western Europe made it optional in the late 2000s / early 2010s because of lower TBC prevalence, but there is some talk of bringing it back as TBC is again on the rise, especially with extremely ABX resistant strains).The possible protective benefits of BCG - and the duration of any protection - might be something mineable from existing health care data, given BCG has been widely administered in the past outside of America.
For those who aren't sure if they ever had a BCG jab or not as an infant, the injection location had mostly changed from the shoulder (due to scarring issues) to the infant's foot some time after your time in most places. So the absence of the typical shoulder scar doesn't necessarily mean absence of BCG vaccination.(I still have a pair of clearly visible scars on my left shoulder from BCG shots as a kid more than 40 years ago - a fairly common sign on Brits of my generation)
There was a study some time back that suggested survivorship bias is the real reason "people get more conservative as they age."Another recent tidbit on the medical front: "study shows that conservative Americans experienced worsening health and higher mortality than liberals during the 2010s." Two apparent factors:
- The simple statistical reality that conservatives tend to be older...which is nothing they've done that everybody else doesn't do in the passage of time
- But what they have done: "declining trust in medical professionals among right-leaning individuals, including lower willingness to seek care, follow clinical advice or believe in medication effectiveness, even for issues unrelated to COVID-19."
I'm reading it precisely opposite --that lots of different pathogens each can cause brain damage.So if I'm understanding this correctly, the basic idea is that by periodically using an artificial method (vaccines) of stimulating an immune response, we're basically keeping our immune system revved up and capable of reacting to all pathogens - not just the ones we've trained our system to recognize?
That makes a lot of sense, but also seems to imply that dementia is caused by a specific pathogen that might eventually be identified, and presumably we could then develop a specific vaccine against that, right? If that's correct, it seems to me like maybe the most revolutionary idea in this research.
You can get it, just pay for it out of pocket.If you're over the age of 50, please do. I'm in my 40's but I've had shingles twice. Unfortunately, the vaccine is only available in the US to adults over 50 or those with specific weakened/compromised immune systems/disease states. But shingles itself is so much worse than people tend to be aware. Crippling nerve pain and a risk of blindness if it gets in the ocular nerve. Even right now, I'm dealing with PHN (Postherpetic neuralgia) which is almost as bad as the shingles themselves and never really goes away.
I got shingles and tetanus in the same arm same trip. Don't do that. Bad time.What a terrific article!
The shingles vaccine made me feel quite ill for a day and a half, probably a bigger response than I've had from all other vaccines combined. I gather from people who have had shingles that 36 hours of a bad flu is a small price to pay, and a lower risk of dementia is a cherry on top.
IIRC there was some prelim evidence that the mRNA itself in mRNA vaccines (or more likely the complex of lipid nanoparticle carriers plus the mRNA) might accentuate some immune responses to other diseases (IIRC the study was about COVID‑19 mRNA vaccines seemingly helping with a certain immune med for cancer).The seasonal flu shot reducing dementia risk is intriguing but makes me wonder if the type of vaccine administered makes a difference. With mRNA flu vaccines arriving do they trigger the same innate immune response as the traditional vaccines?
I would imagine that countries with wide scale state vaccine programs would avoid some of that self selection, along with a lot of these vaccines being administered well before dementia onset.Have they checked for causality in the opposite direction: people who don't have dementia take better care of themselves (including requesting shots)?
If you're getting an injection you might as well get inoculated for a disease at the same time as your adjuvent injection.If pretty much all vaccines will protect against dementia, and they all have adjuvants but wildly different targets, then maybe a yearly shot of adjuvant with no antigen would work as well? (For the dementia, not for protection to the diseases those vaccines are targeting.) Also, for the Shingles vaccine it is possible that both the general "any vaccine effect" and the specific viral targeting are in play. That vaccine seems to work especially well to protect against dementia, maybe because it employs two separate mechanisms?
So if I'm understanding this correctly, the basic idea is that by periodically using an artificial method (vaccines) of stimulating an immune response, we're basically keeping our immune system revved up and capable of reacting to all pathogens - not just the ones we've trained our system to recognize?
That makes a lot of sense, but also seems to imply that dementia is caused by a specific pathogen that might eventually be identified, and presumably we could then develop a specific vaccine against that, right? If that's correct, it seems to me like maybe the most revolutionary idea in this research.
What a terrific article!
The shingles vaccine made me feel quite ill for a day and a half, probably a bigger response than I've had from all other vaccines combined. I gather from people who have had shingles that 36 hours of a bad flu is a small price to pay, and a lower risk of dementia is a cherry on top.
I doubt it would be hard to find a physician that would approve a course of Shingrix despite being outside the approved study group. It certainly wouldn't hurt to at least ask.
My bad luck was that Shingrix was approved in the US in October, 2017 and being 51 I was in the approved group but they were pushing to vaccinate older people first so it wasn't recommended to me until after I had shingles wipe me out for all of February and March 2018. Lousy timing on my part.I asked my physician about this. It's not covered by insurance if you aren't in the approved group, and they don't recommend it as a matter of course, but at least he would give a prescription to anyone who thought they were in a higher risk.
They do explicitly address "healthcare-seeking behavior" and selection bias, yes. While they acknowledge that those who get vaccinated may generally just be more health conscious, they argue that three types of evidence from natural experiments strongly suggest the effect is biological rather than just behavioral:Have they checked for causality in the opposite direction: people who don't have dementia take better care of themselves (including requesting shots)?
Medically speaking, I'd say yes, they should.The seasonal flu shot reducing dementia risk is intriguing but makes me wonder if the type of vaccine administered makes a difference. With mRNA flu vaccines arriving do they trigger the same innate immune response as the traditional vaccines?
What about the relationship between viruses and hearing, and then hearing and social interaction, and interaction and dementia? And then a vicious cycle between dementia, forgetfulness, not using hearing aids, lack of social interaction…
You can get it, just pay for it out of pocket.
Several friends paid for vaccines when they didn't "qualify for coverage"
It is good that you have it all figured out, especially that part about NOTHING bearing any fruit, which sounds rather ABSOLUTE.Observations related to shingles and other viral infections/vaccinations align well with other observations about oral health and dementia wherein bacteria responsible for gingivitis have been spotted in the brain of Alzheimer's patients and correlates with severity. Both of these combined with the hallmark of compromised blood-brain barrier in Alzheimers seem to point to pathogens leaking into the brain, and the brain drowning itself in inflammation trying to deal with it. There's still a massive chicken and egg problem. Neuroinflammation can compromise the blood-brain barrier so its not yet clear if neuroinflammation comes first, or if leaky barrier is first and ramps inflammation leading to a feedback loop. Studying dementia is extremely difficult. My spouse did their dissertation work on dementia, and now works in pharma on dementias. I've worked a bit on dementia in pharma as well. One thing is for certain, neuroscience needs to break free of dogma. The brain is difficult to study, you can't just biopsy living people's brains like you can with skin, liver, lungs, muscle, etc. Nonetheless, the brain cannot be studied in a vacuum. And the amyloid focused approach has yet to bear fruit after decades. The amyloid mafia is very real. There are some experts in the field (who sit on committees to review and approve grants for the NIH) that will shut down anything that goes against their decades of research on the amyloid theory of alzheimers. So I'm glad to see other disciplines making progress and chipping away at the dogma.
There's actually a good reason for this, which is that the BCG vaccine isn't always reliable and can cause false positives on skin tests. Instead, TB is controlled by aggressive monitoring, contact tracing, and treatment.Tuberculosis vaccine is "far from routine" in US. My head exploded.