AI helps unravel a cause of Alzheimer’s and identify a therapeutic candidate
100 comments
·April 27, 2025avogt27
bilekas
Yeah it’s a really strange title for the actual work, it’s like saying bic pens helped find x y z simply because they used them to take notes.
tim333
>“It really demanded modern AI to formulate the three-dimensional structure very precisely to make this discovery.”
It's not like bic pens. It's a new technique they couldn't do before that helped crack the mystery.
Also the title is "AI Helps..." not "AI Discovers" so that's kind of a strawman. I don't think anyone is denying the humans did great work. Maybe it's more like Joe Boggs uses the Hubble telescope to find a new galaxy and moaning because the telescope gets a mention.
I'm quite enthusiastic about the AI bit. My grandad died with alzheimer's 50 years ago. My sister is due to die of als in a couple of years. Both areas have been kind of stuck for decades. I'm hoping the AI modeling allows some breakthroughs.
taneq
Maybe more like “Excavator helps archaeologists discover new species”?
mk89
With all the money cutting happening, I am not surprised they are joining the bandwagon to get some investors...
I just read some days ago here on HN an interesting link which shows that more than 70% of VC funding goes straight to "AI" related products.
This thing is affecting all of us one way or another...
sublimefire
Yes I do agree that much of the work was done using conventional methods and quite little was done with AI. AI model did do the folding though which was IMO critical to understand the structure and see the secondary substructure.
The title is clickbaity, it would be useful to stress that AI solves a very specific problem here that is extremely hard to do otherwise. It is like a lego piece.
0x70run
Wish I could upvote this more!
frizlab
When I read the title of the article in my RSS feed my first instinct was to go straight to here with a snarky “How was it not actually AI that did this?” in my head…
As usual I was not disappointed.
SwtCyber
Honestly, the fact that the core discovery still relied so heavily on classic biochemistry and experimental validation actually makes it even more impressive to me
bGl2YW5j
Thanks for highlighting this
jamesrcole
[EDIT: people downvoting this, how about you explain what you object to in it]
> It's really a bummer to see this marketed as 'AI Discovers Something New'.
The headline doesn't suggest that. It's "AI Helps Unravel", and that seems a fair and accurate claim.
And that's true for the body of the article, too.
amelius
> The authors in the actual paper carried out an enormous amount of work, the vast majority of which is relatively standard biochemistry and cell biology - nothing to do with computational techniques.
OK but if the AI did all the non-standard work, then that's even more impressive, no?
cdf
I always believed that the AI/LLM/ML hysteria is misapplied to software engineering... it just happens to be a field adjacent to it, but not one that can very well apply it.
Medicine and Law, OTOH, suffers heavily from a fractal volume of data and a dearth of experts who can deal with the tedium of applying an expert eye to this much data. Imagine we start capturing ultrasound and chest xrays en masse, or giving legal advice for those who needs help. LLMs/ML are more likely to get this right, than writing computer code.
rad_gruchalski
This is an interesting observation:
> With AI, they could visualize the three-dimensional structure of the PHGDH protein. Within that structure, they discovered that the protein has a substructure that is very similar to a known DNA-binding domain in a class of known transcription factors. The similarity is solely in the structure and not in the protein sequence.>
Reminds me of: if you come across a dataset you have no idea of what it is representing, graph it.
kylehotchkiss
Pardon my poor bio education but couldn’t this same outcome have been reached if the protein was xray crystallographyed?
colingauvin
I worked for a while on extremeophile Archaeal viruses - the type that infect organisms that manage to live in volcanic hot springs, for instance. These are ecological niches that are old, and extremely divergent. There's little genetic exchange between life around the hot springs, and life within them.
The typical route of discovering those viruses was first genetic. When you get a genome (especially back when this work was initiated), you'd BLAST all the gene sequences against all known organisms to look for homologs. That's how you'd annotate what the gene does. Much more often than not, you'd get back zero results - these genes had absolutely no sequence similarity to anything else known.
My PI would go through and clone every gene of the virus into bacteria to express the protein. If the protein was soluble, we'd crystallize it. And basically every time, once the structure was solved, if you did a 3D search (using Dali Server or PDBe Fold), there would be a number of near identical hits.
In other words, these genes had diverged entirely at the sequence level, but without changing anything at the structural (and thus functional) level.
Presumably, if AlphaFold is finding the relationship, there's some information preserved at the sequence level - but that could potentially be indirect, such as co-evolution. Either way, it's finding things no human-guided algorithm has been able to find.
Centigonal
> Presumably, if AlphaFold is finding the relationship, there's some information preserved at the sequence level
This is not my area of expertise, and maybe I'm misunderstanding this, but I thought that what AlphaFold does is extrapolate a structure from the sequence. The actual relationship with the other existing proteins would have been found by the investigators through other, more traditional means (like the 3D search you mentioned).
Teever
Can you explain to a layman how wildly different genes can produce identical proteins?
im3w1l
What about convergent evolution? Are you ruling that out because you reason that there are many possible structures that could do the same job so it's too much of a coincidence how close it matches?
falcor84
Are you arguing that an in-silico result could have alternatively been achieved in-vitro? Yes, I suppose it could, but it sounds like that joke "A month in the laboratory can often save an hour in the library".
voxic11
Yes but that is a big if. xray crystallography is very hard and expensive and its not even always possible to create crystals of proteins.
mobilejdral
Tying this to APOE, specifically e4 which has an increased requirement for choline and when choline levels are low there can be a metabolic push that leads to elevated PHGDH activity and consequently, increased serine synthesis. That is a neat connection and maybe why when we study choline supplements we see positive results.
https://www.sciencedirect.com/science/article/pii/S000291652...
pedalpete
That is super interesting, as is the relationship between choline and sleep. With restorative sleep function, and specifically slow-wave activity, considered to be a significant driver of AD.
https://www.jarlife.net/3844-choline-sleep-disturbances-and-...
mobilejdral
And then this ties to estrogen, HRT is known to reduce the risk of dementia/AD (https://pmc.ncbi.nlm.nih.gov/articles/PMC10480684/).
PEMT (phosphatidylethanolamine N-methyltransferase) is what makes choline in the body, but it depends on estrogen.(https://pmc.ncbi.nlm.nih.gov/articles/PMC3020773/)
pedalpete
Yeah, part of my work is in dementia with slow-wave sleep enhancement, and we're putting together a menopause study hopefully to start in 2026.
xlbuttplug2
> In conclusion, our findings suggest that moderate dietary choline intake, ranging from 332.89 mg/d to 353.93 mg/d, is associated with lower odds of dementia and better cognitive performance.
Gemini tells me that amounts to ~850mg of alpha GPC or ~1900mg of citicoline. Eggs it is then.
criddell
How are you going to check Gemini’s math on that?
Claude tells me that’s 4-5 eggs per day or 5x150 mg alpha gpc capsules.
The eggs would be a lot more expensive in both time and materials plus most egg farms seem cruel (especially male chick killing)… I’m leaning towards alpha gpc supplements.
j45
wow, thanks for sharing.
pedalpete
Its good to see them classifying this as for "late onset Alzheimer's".
There is a theory that Alzheimer's as we currently understand it, is not one disease, but multiple diseases that are lumped into one category because we don't have an adequate test.
This is also where some of the controversy surrounding the Amyloid hypothesis comes from.
jvans
The controversy over the amyloid hypothesis comes from a Stanford professor faking data[1] and setting the field back decades. The amount of harm this individual caused is hard to overstate. He is also still employed by Stanford.
[1] https://stanforddaily.com/2023/07/19/stanford-president-resi...
jcranmer
It's actually pretty easy to overstate the amount of harm caused by that one individual... you're doing it.
There are lots of good reasons to believe in the amyloid hypothesis, and no paper or even line of research is the one bedrock of the hypothesis. It was the foundational bedrock of Alzheimer's research back in the early 1990s (essentially, before Alzheimer's became one of the holy grail quests of modern medicine), after all; well before any of the fraudulent research into Alzheimer's was done.
The main good reason not to believe in amyloid is that every drug targeting amyloid plaques has failed to even slow Alzheimer's, even when they do impressive jobs in clearing out plaques--and that is a hell of a good reason to doubt the hypothesis. But no one is going to discover that failure until you have amyloid blockers read out their phase III clinical trial results, and that doesn't really happen until about a decade ago.
DavidSJ
every drug targeting amyloid plaques has failed to even slow Alzheimer's
Lecanemab and donanemab succeeded in slowing Alzheimer’s.
As did gantenerumab in a recent prevention trial: https://www.alzforum.org/news/research-news/plaque-removal-d...
matthewdgreen
I know that it is very important for HN folks to be angry. But as someone who has a parent with this disease, I would like to be certain that the amyloid hypothesis is definitely not correct before we throw it entirely out with the bathwater. These simplified “one researcher caused an entire field to go astray for decades” explanations are much too pat for me to have any confidence in them.
jvans
A lot of people should be mad at Marc Tessier-Lavigne, not just HN folks. He lied for personal gain at the expense of scientific progress and millions of patients who suffer
DaiPlusPlus
> These simplified “one researcher caused an entire field to go astray for decades” explanations are much too pat for me to have any confidence in them.
Right, monocausal explanations in-general will set-off my skept-o-sense too; but then my mind made me think of another example: Andrew Wakefield (except that AW succeeded more at convincing Facebook-moms than the scientific establishment - but still harmed society just as much, IMO)
adastra22
The amyloid hypothesis is absolutely not correct. We know this unequivocally.
Amyloid deposits correlate with Alzheimer’s, but they do not cause the symptoms. We know this because we have drugs which (in some patients, not approved for general use) completely clear out amyloids, but have no affect on symptoms or outcomes. We have other very promising medications that do nothing to amyloids. We also have tons of people who have had brain autopsies for other reasons and found to have very high levels of amyloid deposits, but no symptoms of dementia prior to death.
Alzheimer’s isn’t caused by amyloids.
pedalpete
My uncle died of the disease, and I work in neurotech/sleeptech, specifically in slow-wave enhancement which is showing promise in Alzheimer's.
I 100% agree with you that we shouldn't throw the baby out with the bathwater on this one. Data being falsified and the hypothesis being wrong are two different things.
Aurornis
> These simplified “one researcher caused an entire field to go astray for decades” explanations are much too pat for me to have any confidence in them.
Anyone who believes that an entire field and decades of researched pivoted entirely around one researcher falsifying data is oversimplifying. The situation was not good, but it’s silly to act like it all came down to this one person and that there wasn’t anything else the industry was using as their basis for allocating research bets.
dev1ycan
Researchers spent decades already on it and couldn't get results for a reason.
bawolff
Regardless, it is still important not to fall into the fallacy fallacy (just because someone made a bad argument for something does not imply that the conclusion is neccesarily false)
null
SwtCyber
The more we learn, the more it feels like "Alzheimer's" is just a convenient label for a bunch of different underlying pathologies that happen to look similar on the surface.
insin
It's a pity the ridiculous level of LLM overhype from those chasing investment and profit is dragging "AI" through the mud with it
01100011
The ridiculous hype behind LLMs, like 3D gaming before it, is helping to pay for the advances in HW that enable this "AI".
dsign
This piece of the puzzle, and its finding, if confirmed, is very neat. But I think we are barking at the wrong tree, because senescence is inherently chaotic. Sometimes we identify a disease with a set of common symptoms because there are many alternative causes that lead to those very symptoms. It's like "convergent symptoms", so to speak.
If I had any funding to work freely in these subjects, I would instead focus on the more fundamental questions of computationally mapping and reversing cellular senescence, starting with something tiny and trivial (but perhaps not tiny nor trivial enough) like a rotifer. My focus wouldn't be the biologists' "we want to understand this rotifer", "or we want to understand senescence", but more "can we create an exact computational framework to map senescence, a framework which can be extended and applied to other organisms"?
Sadly, funding for science is a lost cause, because even where/when it is available, it comes with all sort of political and ideological chains.
tim333
There's a lot of interesting research going on in cellular reprogramming to make cells seem younger. See for example https://www.washingtonpost.com/wellness/2025/03/06/cellular-...
po
Have you ever lived with or helped a person with AD? It's not cellular senescence. What you're talking about is fine and well, but AD is a devastating disease that has very particular symptoms. We may not know all of the causes, but reversing cellular senescence isn't going to solve this.
Researching and curing AD is not barking up the wrong tree. There is a horrible deadly monster in that tree that needs defeating. I hope people also get scientific funding for other age-related issues.
jedberg
This is a strong argument for universal healthcare. If we had universal healthcare in the USA, we'd have to have a common charting protocol and a medical chart exchange.
One thing that AI/ML is really good at is taking very large datasets and finding correlations that you wouldn't otherwise. If everyone's medical chart were in one place, you could find things like "four years before presenting symptoms of pancreatic cancer, patients complain of increased nosebleeds", or things like that.
Of course we don't need universal healthcare to have a chart exchange, and the privacy issues are certainly something that needs consideration.
But the point is, I suspect we could find cures and leading indicators for a lot of diseases if everyone's medical records were available for analysis.
smallnix
Universal healthcare and having everyones medial chart stored centrally can be related, but must not be. There are many countries with some form of universal healthcare and no centralized records.
jedberg
> There are many countries with some form of universal healthcare and no centralized records.
I believe you, but I'm curious how that works. When you go to a random doctor, do they have to request your records from all your other doctors? Similar to here in the USA when you have a PPO?
adastra22
Yes. What’s surprising about this? The two topics seem orthogonal.
Universal healthcare is about who is paying, not necessarily about who is running the service.
seszett
There are several different things here.
One, in some of the countries I know (with universal healthcare and no centralised records) you don't go to a random doctor. You have a declared family doctor and you have to go to them unless they are unavailable, in which case the other doctor you go to has to declare that you couldn't go to your doctor. It's a small hurdle to prevent doctor shopping, but it means people are more likely to always see the same doctor. Specialists are given the relevant information by the family doctor when referring a patient to a specialist, and in most other cases records are not really needed, or the ER will contact whoever to get the information they think they need. It might sound hazardous but in practice it works fine.
Second, some places have centrally-stored records but the access is controlled by the patient. Every access to the record is disclosed to the patient and he has the possibility to revoke access to anyone at any time. That generally goes together with laws that fundamentally oppose any automated access or sharing of these records to third parties.
And third, I don't understand what any of this has to do with who whether healthcare access is universal or not? Universal healthcare without centralised records exists (in France, unless it has changed in recent years, but it at least existed for 60 years or so) and centralised records without universal healthcare could exist (maybe privately managed by insurance companies, since the absence of universal healthcare would indicate a pretty disengaged state).
ViscountPenguin
Until very recently this was the case in Australia. If you started going to a different doctor you had to sign a form authorising record transfer.
This was somewhat annoying since unlike the UK system, the Australian system is essentially private GPs getting paid for your individual appointments by the government (so called bulk billing), so there's no guarantee that you can go to the same doctor every time.
grepfru_it
>in the USA when you have a PPO
This was the last decades way of doing things. The current decade is to stay within the desired charting system. That way you can one-click share data between doctors. Typically you would search for doctors that utilize the same charting platform. EPIC is probably the largest one in US today
piotrkaminski
That certainly used to be the case in Canada 20 years ago, don't know if they've standardized since.
OJFord
Leaving aside common EHR / central database being orthogonal to universal healthcare, as addressed in sibling comments, having this data centrally still doesn't even make this as easy as you hope.
'patient complains of increased nosebleeds' isn't structured data you can query (or feed to ML) like that. It actually takes a physician having this kind of hypothesis, to then trawl through the records, reading unstructured notes, creating their own database for the purpose - you know, had/did not have nosebleed, developed/did not develop pancreatic cancer within 4 years, or whatever - so then they can do the actual analysis on the extracted data.
Where I think LLMs could indeed be very helpful is in this data collection phase: this is the structured data I want, this is the pile of notes, go. (Then you check some small percentage of them and if they're correct assume the rest are too. There's already huge scope for human error here, so this seems acceptable.)
threatripper
Universal Healthcare is neither necessary nor sufficient for this. It's mostly about data protection laws why this doesn't work in Europe.
Calamitous
> If we had universal healthcare in the USA, we'd have to have a common charting protocol and a medical chart exchange.
Isn't this exactly what HIPAA was supposed to address?
apwell23
can't they simply create a law for that instead of universal healthcare.
xyst
EHRs (electronic health records) were suppose to be the "common charting protocol" back when ACA passed.
Unfortunately so many junk systems were pushed to the market and the "common charting protocol" is highly dependent on the EHR used by the hospital system.
There _was_ supposed to be some interoperability between EHRs but I honestly haven’t been following it for quite some time.
As for availability of medical history to researchers, I highly doubt this will happen.
Big tech has ruined the trust between people and technology. People gave up their data to G, MS, FB, and others for many years.
We have yet to see any benefit for the common man or woman. Only the data is used against us. Used to divide us (echo chambers). Used to manipulate us (buy THIS, hate that, anti WoKe). Used to control uneducated and vulnerable population. Used to manipulate elections. Used to enrich the billionaire class.
netdevphoenix
The 202x trend of adding AI into every story when is irrelevant is getting tiresome
codr7
It's a hell of a lot more likely to find the primary causes of Alzheimers outside of the human body imo, medicines/pollution/additives/radiation etc.
The human body is a pretty amazing construction, nature doesn't make a lot of mistakes.
bawana
I wonder if they used the output of alpha fold? Remember that Deepmind published the 3D structure of hundreds of millions of proteins for FREE. Imagine if they walled off that data behind an Elsevier like subscription wall? They shoould credit Deep Mind at least
colingauvin
AlphaFold is regurgitating structural information from 10s of thousands of experimental structures acquired at great cost and published to the PDB for free, with no license restrictions of any kind.
derektank
You make a fair point but much of that work was funded by public grants, while AlphaFold was privately funded. Those generally come with different expectations
vikramkr
looks like it - it's such a minor and brief mention in the paper for the article to focus on it so much lol. They probably should have cited it, looks like they decided it was minor enough (or forgot) that they didn't put it in their software used/citation. Super commonly used though I wouldn't be stunned if most of its uses never got cited- just a quick check if it thinks deleting some section or doing some sort of fusion is gonna cause a problem, or if you've got something without a PDB structure finding a site to mess with that looks like it's not gonna cause any problems. You can't count on it blindly obviously but it's super helpful. Like if it's pretty confident about some section of a protein it hasn't seen before, the weird stuff you're studying might not be folded properly by the model, but if you want to stick a handle onto the protein to grab it with whatever it can let you know where's the least likely to be a waste of time and money to try.
falcor84
Good point, the article [0] does mention AlphaFold but doesn't cite it.
[0] https://www.cell.com/cell/fulltext/S0092-8674(25)00397-6
HarHarVeryFunny
> With AI, they could visualize the three-dimensional structure of the PHGDH protein.
Sure sounds like it.
DaiPlusPlus
While I (loosely) understand the concept of using a custom (foundational?) machine-learning model to explore some problem-space and devise solutions, I don't understand why it says they used "AI" to "visualize" a structure. A layperson is going to think they simply asked ChatGPT to solve the problem for them and it just worked and now OpenAI owns the cure for Alzheimer's.
...I ask because bio/chem visualization and simulation was a solved problem back in the 1980s (...back when bad TV shows used renders of spinning organic-chemistry hexagons on the protagonist's computer as a visual-metaphore for doing science!).
tibbar
Protein folding is one of the oldest and hardest problems in computational biology. It is fair to describe the result of protein folding as a 3D model/visualization of the protein. DeepMind's AlphaFold was a big breakthrough in determining how arbitrary structures are folded. Not always correct, but when it is, often faster and cheaper than traditional methods. I believe the latest versions of AlphaFold incorporate transformers, but it's certainly not a large language model like ChatGPT.
SwtCyber
Curious to see how this line of research evolves, especially once they get into clinical trials
It's really a bummer to see this marketed as 'AI Discovers Something New'. The authors in the actual paper carried out an enormous amount of work, the vast majority of which is relatively standard biochemistry and cell biology - nothing to do with computational techniques. The AlphaFold3 analysis (the AI contribution) literally accounts for a few panels in a supplementary figure - it didn't even help guide their choice of small molecule inhibitors since those were already known. AlphaFold (among other related tools) is absolutely a game changer in structural biology and biophysics, but this is a pretty severe case of AI hype overshadowing the real value of the work.