Reduced brain volume may act as a clock for progression to early-onset dementia
Peer-Reviewed Publication
In honor of Alzheimer's Awareness Month, we’re exploring the science and stories surrounding Alzheimer’s disease.
Updates every hour. Last Updated: 26-Oct-2026 14:16 ET (26-Oct-2026 18:16 GMT/UTC)
In people diagnosed with early-onset Alzheimer’s disease, a biomarker tool that detects shrinkage of the brain’s gray matter may predict how quickly someone may progress from mild cognitive impairment (MCI) to dementia, according to a new study published August 26, 2026, in Neurology®, an official journal of the American Academy of Neurology.
What if amyloid plaques are not the whole story of Alzheimer’s disease? New research suggests that a broad range of Alzheimer’s pathologies may be orchestrated by a molecular switch called ERBB4 when it turns on in the wrong neurons. Once activated, this misplaced signal can set off a chain reaction that disrupts brain circuits, eliminates synapses, activates glial cells, increases amyloid pathology and impairs memory.
A research team led by Associate Director CHUNG Won-Suk at the Center for Vascular Research within the Institute for Basic Science (IBS) has identified aberrant ERBB4 expression in excitatory neurons as an early driver of multiple Alzheimer’s disease pathologies. The researchers found that when ERBB4, a receptor normally associated mainly with inhibitory neurons, appears in excitatory neurons, it can trigger neuronal hyperactivity, abnormal synapse loss, reactive gliosis, amyloid accumulation, and cognitive impairment.A research team has shown that the cortical thinning caused by the disease follows a precise pattern, linked to specific genes and neurotransmitters and to the architecture of brain connections.
Researchers have found that HRT may reduce the risk of dementia, particularly for certain groups of women. The team followed more than 180,000 postmenopausal women in the UK for this, the largest study of its kind to date. They found that women who had used HRT had a 16 per cent lower risk of developing Alzheimer’s (the main form of dementia) compared with those who had never used it. The greatest reduction was seen in women who had undergone surgical menopause, with a 26 per cent lower risk of developing any type of dementia, compared with non‑users. The study also found that women who naturally had lower lifetime oestrogen exposure, due to starting their periods late or early menopause, seemed to benefit more from HRT - with a 16 per cent lower risk of any type of dementia.
A new international study led by Concordia researchers finds that stronger brain waves during deep sleep may protect people with Alzheimer’s against cognitive decline associated with elevated levels of the neurotransmitter orexin. The three-year study suggests that sleep quality could help slow disease progression and may offer new avenues for monitoring and treatment. (concordia.ca)