Despite its ubiquity, the malady was, until recently, considered a "backwater disease" to which little research attention (and funding) was paid. Advances in gene research, some spearheaded by neurologist Rudolph Tanzi, have led to a new understanding of the causes of Alzheimer s disease, and new possibilities for its cure. In this well-written account of that research, Tanzi and journalist-co-author Ann Parson examine the role of amyloid neuritic plaque, "mucked-up, misfolded protein that fibrilizes and forms rock-hard aggregates that the body can t get rid of." This plaque occurs in humans and certain other carnivorous species (including bears and dogs), and it appears to play a role in neurologic disorders of several kinds. Tanzi reports on recent studies in the use of cholesterol-reducing drugs in lessening levels of "brain dirt," as well as on research that suggests that cardiovascular exercise and a diet low in animal fats can benefit the brain as well as the body. He even cautiously hints that the conquest of Alzheimer s may occur in the very near future. For the time being, his book provides a thoughtful portrait of the illness and of the scholars and scientists who have devoted their lives to combating it. --Gregory McNamee
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