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Posted by bookofjoe 18 hours ago

UCLA discovers first stroke rehabilitation drug to repair brain damage (2025)(stemcell.ucla.edu)
352 points | 70 commentspage 2
martinbfine 10 hours ago|
Neuralink.
ninjahawk1 5 hours ago||
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seabass-salmon 15 hours ago||
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caycep 15 hours ago|
It really depends on how much the company wants to invest. If it really worked, then it would be relatively straightforward for them to put together a Phase II. Not cheap, but relatively straightforward. Or at least it would have been when we had a functioning FDA

Also, the other definition in question is what the UCLA PR person means by "repairing brain damage". As far as I can tell from the paper - the "drug" part was using some neurotransmitter blockers on brain cells on a Petri dish to see if they could change gene expression or oscillatory firing patterns matching recordings in mice undergoing "physical therapy". They did not actually test to see if the stuff grew new brain cells or dendritic connections.

dirtbagskier 15 hours ago||
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KnuthIsGod 15 hours ago||
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bawolff 15 hours ago||
People go on about this too much. Its the first step, it shows promise.

Does that mean it will neccesarily work? No, of course not. But its still exciting to see progress being made.

bena 14 hours ago||
But it's not progress. Not really.

Mice are used only partly because they share a considerable amount of DNA with us. But they're mostly used because they're cheap. Both in financial and ethical costs.

They live for about two years, and breed in about three months. They are disposable. Over 100 million are killed each year in various labs across the country.

And for all of this, only about 5% of medicine that show positive animal results make it to market in some fashion. So basically, the best thing we can say about a mouse-tested drug is that "this most likely won't make things worse". But that's like a low bar.

whatshisface 12 hours ago|||
I think there's some kind of fallacy where you can look at five drugs, all of which came from a pool of 100 promising candidates, then look at the next 100 candidates and say for each one individually that it is not worth celebrating. I call it the, "rounding to zero" fallacy.

In reality, if you have 100 5% chances of a cure for a previously incurable illness, you can celebrate each chance a lot.

bawolff 9 hours ago||
> In reality, if you have 100 5% chances of a cure for a previously incurable illness, you can celebrate each chance a lot.

These numbers are obviously entirely made up, but its worth noting that 100 5% chances of a cure, means you have at least 1 cure with (1-(.95)^100) = 99.4% probability.

If you are curing an incurable disease with 99.4% probability, celebrating a lot would be an understatement.

whatshisface 5 hours ago||
In this example, they're all different diseases.
bawolff 10 hours ago||||
> And for all of this, only about 5% of medicine that show positive animal results make it to market in some fashion. A mildly positive result is a neccesary but not sufficient condition to make a marketable drug.

I'm surprised its that high tbh. And i suspect it would be a similar low number if we tested on humans instead of animals.

And yes, being able to test early stage ideas cheaply is critical to innovating. We use mice in biology for the same reason we use computer simulations in other fields.

Anyways, if we took your numbers of 5% chance at face value, that means there is a 1 in 20 chance of this press release turning into a real drug that saves real people's lives. Personally i dont think the chance is actually that high, but if it was that would only further my point that this is a milestone worth celebrating.

anarticle 9 hours ago|||
Hi, sorry, this is so disingenuous of a statement I cannot pass by it without commenting. My bona fides are 10y of lab work, specifically in bioenergetics. I can tell you that 5% is a dramatic UNDERESTIMATION on the value of animal models for medicine at large.

This is ignoring at least these benefits: surgery, development, genetic studies, grafts, anesthesia, and many MANY more. Some non-drug related, some drug adjacent, and they definitely have downstream benefits to humans.

Here's a survey paper with myriad examples: https://pmc.ncbi.nlm.nih.gov/articles/PMC9247923/

I really don't like when bioscience articles land here in HN because they are always commented on with:"in mice", as if to say nothing we see from mouse work works. Well, not everything is software and this kind of work takes years, if not decades. It is real science unfortunately which means that most of it doesn't work! Science, and bioscience specifically, are not efficient systems. In general, the things you do are hard and probably won't work. That doesn't mean you give up.

Animal models are not great, but they are the best progression we can do right now from cell models. And as for being disposable, there are controls on how animals are used in labs in the US: every institution that has animal experimentation has an IACUC (institutional animal care and use committee) that every research proposal must go through, and they do not a rubber stamp your proposal. They want to know why you can't use cell models, and why you can't do it with less or even no animals.

It would be nice if people were a bit more even handed when these types of articles come by. I think HN can do better.

An adage from the lab: "If what we did always worked it would be business, not science."

650REDHAIR 14 hours ago|||
You’re right.

Let’s just skip straight to human trials.

functionmouse 14 hours ago||
very happy for those mice
mlmonkey 15 hours ago|
Are there any supplements that can work for neurogenesis? I've heard Lions Mane extract can do this, but I'm not sure. Anybody know of anything?
toasty228 15 hours ago||
If you don't sleep 8+ hours a day every single day, exercise regularly, live in a place with clean air, eat clean food, don't drink alcohol, etc. you're losing your time, no amount of supplement will make up for our modern way of life, you're going to optimise the 0.1% while missing the 99.9% that matters
SilentM68 15 hours ago||
That is true, but keep in mind that routine is very difficult to do for someone that makes their living running the rat race, with stress, no time, responsibilities, worry, untreated health problems, etc. If you have the money, job security, then you'll have peace of mind. That will then allow one to live that kind of optimized lifestyle.
rexpop 14 hours ago||
This is why we cannot abide scabs.
SilentM68 11 hours ago||
I see your point :)
rexpop 10 hours ago||
Self-respect is an act of charity.
throwforfeds 15 hours ago|||
There's (minimal) research on psilocybin doing just that. One of the tragedies of prohibition is that we just weren't able to study these psychedelic compounds easily for 50+ years.
thinkcontext 1 hour ago|||
Not to take away from your point about psilocybin but the mushroom brought up, lions mane, is not hallucinogenic.
grvdrm 13 hours ago|||
Have any sources? I’d love to read what you are thinking about.

I haven’t used psilocybin in a clinical setting but have gone through an alternative psychedelic-assisted therapy process. Very interesting results and many positives.

sowbug 12 hours ago||
Not necessarily neurogenesis, but evidence of neuroplasticity: https://news.ycombinator.com/item?id=48030098
dirtbagskier 15 hours ago|||
Cardiovascular exercise and strength training. Both are thought to contribute to neurogenesis, even in healthy people
NDlurker 15 hours ago|||
Noopept

https://en.wikipedia.org/wiki/Omberacetam

RobotToaster 12 hours ago|||
Supposedly NGF eye drops https://www.independent.co.uk/news/science/is-this-the-secre...
aeonik 14 hours ago|||
Alpha-GPC and Uridine Monophosphate appear to have some effect, though minor. Also not exactly neurogenesis, but adjacent stuff. Evidence is complicated, there seems to be a signal but it's a weak effect.
caycep 15 hours ago|||
Of note, cautionary tale is too much neurogenesis is brain cancer...
dymk 15 hours ago||
No, brain cancer is brain cancer.
caycep 13 hours ago||
which is poorly differentiated cells undergoing unchecked neurogenesis...
dymk 7 hours ago|||
That’s like saying a fire on an oil rig is the same as combustion in a car engine
adastra22 7 hours ago||
It’s not as bad an analogy as you make it sound. It is more like “fire is what makes our factories run, and oil fuels fire. So let’s douse our factories in gasoline to speed things up.”
SilentM68 11 hours ago|||
I've read online that "Bacopa Monnieri" is a particularly strong and researched herbal supplement for cognitive maintenance, enhancement and neuroprotection, with the potential of supporting neurogenesis.

I've not tried that stuff since money is hard to come by these days. There have been a few human studies.

You can find more info here:

https://pubmed.ncbi.nlm.nih.gov/?term=bacopa+monnieri+cognit...

and here:

https://www.nccih.nih.gov/health/bacopa-monnieri

sysreq_ 14 hours ago||
Nicotine is the only psychoactive substance proven to increase intellectual function. Rote neurogenisis does not - much in the same way height isn’t a proxy for IQ. Stimulants like Adderall, Caffiene, etc are Dunning-Kruger by proxy.
oharapj 9 hours ago|||
You mean placebo? Not sure that Dunning-Kruger is applicable here
sysreq_ 8 hours ago||
Maybe a better term is “stimulant-induced metacognitive miscalibration”. An induced a state of overconfidence similar to Dunning-Kruger - even thought the underlying mechanism is different.

You perceive the idea as great not because you suddenly understand it better or know more. You think the idea is great because of the dopamine flooding your brain. And much like Dunning-Kruger, even thought you might think you did better, real world results don’t match your expectations.

contingencies 11 hours ago|||
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