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Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by svara on Monday December 30, 2019 @06:14AM (#21912554)
A super interesting article, but the title is pure clickbait. In this day and age, feeding into the narrative that science is just another competitive team sport where people compete with whatever means necessary is downright dangerous.

Reality is much more nuanced, and the article actually does a good job of detailing that.

In some sense this all started from the very beginning, from when Alzheimer's disease (AD) was first described: In 1911, Alois Alzheimer found plaques in his dementia patient's brain. [0] These plaques are what researchers would focus on for more than the next 100 years.

Much later, the protein giving rise to the plaques (APP) was discovered and there seemed to be good evidence for a causal role: Mice with mutated APP developed AD.

Quoting the article:

"""

By the mid-1990s, a now-defunct San Francisco biotechnology company, Athena Neurosciences, created the first genetically engineered mice with a mutated, amyloid-producing human gene. The animals’ brains filled with amyloid plaques, and their memories were destroyed. The mice were hailed as a “model for testing therapeutic [Alzheimer’s] drugs”

"""

So we should really take this story as a cautionary tale. There was, however, no conspiracy or "cabal". These were simply people who were convinced they were on the right track. In a way, they were, since hereditary Alzheimer's is caused by APP mutations, it just turns out that this isn't as important as other ways of developing the disease.

[0] https://en.wikipedia.org/wiki/Auguste_Deter

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by leftyted on Monday December 30, 2019 @10:12AM (#21913788)
> In this day and age, feeding into the narrative that science is just another competitive team sport where people compete with whatever means necessary is downright dangerous.

I think that narrative is correct. We can't fix the problem if we don't discuss it. The whole "I believe in science" thing (which you seem to be pushing) is really quite silly.

Funding is a political game and the people who are best at politics tend to be the worst at research (and vice-versa). I think this is exacerbated by the fact that a lot of scientists are hangers-on, i.e. not capable of doing original research. These scientists are terrified of people who can do original research since it makes them look bad (and feel bad, it's actually depressing to think about all the people out there who are way smarter than me).

You can imagine funding schemes that attempt to account for these issues. "For every dollar of funding for interpretation A, earmark 25 cents for alternative interpretations". View science as a market, something beyond our powers to predict, then diversify your investments.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by svara on Monday December 30, 2019 @10:34AM (#21913969)
I actually agree with much of what you wrote, but I think the politics of the funding game just reflect a fundamental problem for which I don't see an obvious solution:

Science has to be conservative, in order to protect the integrity of the record of published findings. This can lead to a situation where a field gets stuck in a local optimum from which progress is no longer possible, because things that don't seem to fit are dismissed as implausible.

But you can't fix that by funding implausible things, because most of these actually do come from people who don't know what they're talking about!

At the end of the day, the question is: can we somehow induce these necessary paradigm shifts more quickly? I really don't know.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by btrettel on Monday December 30, 2019 @10:41AM (#21914021)
> But you can't fix that by funding implausible things, because most of these actually do come from people who don't know what they're talking about!

I think this framing is inaccurate. The alternative ideas aren't necessarily less plausible. The process by which science is funded does not accurately determine plausibility in my view. It's heavily swayed by factors it should be independent of like fads or sounding good to the proposal evaluator (who may not be an expert in the field) but having deeper issues.

To quote from a book I have about writing grant proposals:

> [...] writing a grant application is unlike writing a scholarly manuscript for publication in a prestigious professional journal. In the former case, your target audience is likely to be 1) a reader who is not particularly knowledgeable in the area of your proposal (except in a very general sense); 2) an individual who is overworked, tired, hassled, and intent on getting through the required reading as quickly as possible; and 3) someone committed to reading your proposal only because he or she has to.

From p. 31 of the 2014 edition of this: http://www.grantcentral.com/workbooks/any-other-agency/

The status quo is not the best we can do.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by clairity on Monday December 30, 2019 @12:22PM (#21914984)
science doesn't have to be conservative at all, so why presume it? most (advanced) knowledge is tentative anyway, so why not take the strategy of accepting it all while it's uncertain? negative results are just a valuable as advances, and contradictions are just areas begging for more research.

what you really seem to be asking is "why can't science be more efficient?" and science shouldn't be more efficient. it should be wholly less efficient. we should have more people searching in the dark for the implausible.

conservatism wants the safe and sure, and science is, and must be, anything but.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by bobthechef on Monday December 30, 2019 @02:11PM (#21915839)
When people say that science is conservative, what they mean is that it progresses slowly and cautiously to built up certainty. Science is a tradition that typically progresses incrementally and is revised incrementally (I should say, there are many scientific traditions that proceed this way, not some single, grand, capital S "Science!"). When anomalies occur in the experimental results, it takes a while for them to be digested in a way that leads to model revision and then broad acceptance. Now, that isn't to say that people can't explore unexplored avenues or explore alternatives. They should, but that doesn't contradict the idea that the sciences proceed conservatively. Otherwise, you've got chaos, not science.

In any case, you're typically going to profit much more by learning from a meticulously examined and fleshed out tradition than you are by starting from proverbial scratch. Science wants certainty which it why, when done properly (aye, there's the rub!), it goes to great lengths to verify things. Conservatism, contrary to widespread misconception, is not about stagnation, but about being careful and responsible with the stewardship of your hard won inheritance.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by clairity on Monday December 30, 2019 @03:59PM (#21916666)
you're idealizing science and literally begging the question[0], in this case, making an a priori assumption that science must proceed conservatively and then trying to rationalize that position.

conservatism unduly burdens science by overly valuing correctness over exploration. science advances on the latter, not the former.

be wrong, it's ok. it only adds to our scientific knowledge. we can't even know when we're wrong without a grueling many attempts at being right.

[0] https://en.wikipedia.org/wiki/Begging_the_question

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by snowwrestler on Monday December 30, 2019 @12:42PM (#21915162)
Scientific funding is a political game only to the extent that the politics are not contradicted by evidence. For example, no matter how good you are at scientific politics, you're not going to get the NSF to give you $1 billion to test whether the Earth is flat, or if gravity is actually caused by little fairies pushing us all down toward the ground.

Why? Because, at least for public scientific funding, it is bad politics for funding committees to look like they value politics over evidence. It opens up a big lane for other scientists to attack them.

If you have 3 groups all studying the same phenomenon, all proposing very similar studies, politics will in part affect who gets that funding. In retrospect, this can look overly conservative and even corrupt... but we must have the discipline to recognize hindsight for what it is.

In real time, trying to make funding decisions with little to no hard evidence for the right course of action, it is scientifically valid to use whatever evidence is available, even if it's something as nebulous as a reputation or a hunch.

Science has a reputation for producing hard evidence and knowledge, but the practice of science exists far out, on the edge of the unknown. The whole point of conducting scientific research is to explore what we don't know. By definition, evidence is scant there.

So what if a group proposes a hypothesis that seems really far out there, or even contradicts existing evidence? It's true that they will be less likely to get funding regardless of their connections.

Is it wrong that radically new ideas and approaches have a steeper hill to climb? Not necessarily; they have worse priors. "Extraordinary claims require extraordinary evidence." It's true that paradigm shifts often start out looking radically new, but it's also true that most radically new ideas end up being wrong.

Setting aside some funding for crazy ideas is not a bad idea, but it should not be very much... it certainly won't be enough to preempt any hindsight disappointment. There will always be a chance we'll look back and say "I wish we had funded those (seemingly crazy) researchers earlier."

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by snapetom on Monday December 30, 2019 @01:27PM (#21915510)
> public scientific funding

If you're talking about "politics" in this sense, then yes, I agree with what you're saying. However, I think the person you're responding to is saying "politics" in terms of inter-group and inter-department relationships.

Egos, arrogance, and insecurities run rampant in academia. Science, like any other fields, are not above these issues, which does hurt "good science."

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by snowwrestler on Monday December 30, 2019 @01:36PM (#21915581)
I was also talking about "politics" in terms of inter-group relationships, not electoral political parties.

What I meant by "public" is that the funding decisions are publicly reviewable in some way; i.e. other scientists can see and judge the funding decisions after the fact. As opposed to going to a company or rich person for private funding, which is less common but does happen.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by mirimir on Monday December 30, 2019 @03:49PM (#21916578)
> gravity is actually caused by little fairies pushing us all down toward the ground.

That's not entirely distinguishable from gravitons in quantum gravity. Or, for that matter, photons.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by JackFr on Monday December 30, 2019 @10:59AM (#21914187)
> Funding is a political game and the people who are best at politics tend to be the worst at research (and vice-versa).

That's not necessarily true. There are people who are excellent at both, but I suppose in practice they are relatively rare. The best recognize research as a cooperative human endeavor, and human elements like bias, ego, etc. can never fully be extricated.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by ClumsyPilot on Monday December 30, 2019 @11:48AM (#21914648)
Not sure why you are being down-voted, most research is done in teams, and the likelihood is that a good team has a person who is good as writing grants applications, and having such a person enables them to maintain a team.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by derefr on Monday December 30, 2019 @11:16AM (#21914332)
You’re talking about scientific academia, not science. Much of science occurs outside of academia. Military and industrial scientific R&D, corporations’ basic-research labs, independents, etc. It’s only in scientific academia that these “strictly adhere to the popular scientific paradigm in order to get published” worries exist.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by internet_user on Monday December 30, 2019 @03:21PM (#21916341)
Where do you think military R&D occurs?

They fund universities like anyone else. Yes, there is some internal research, but even in fields like math, where NSA probably does a lot of internal reseach, you still have classified top-secret research performed in public universities.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by tsimionescu on Tuesday December 31, 2019 @06:21AM (#21920287)
As the article explicitly shows, private medical research very much follows academic thought, because of the same incentives that makes public funding a political game.

There is in fact no fundamental difference between a manager deciding what projects to take on and a bureaucrat deciding which projects to fund from public money - in both cases, the person doing the decision is not using their own money, and they don't have the full qualification to make the best scientific decision. Even if they do, they are held responsible by people who do not (upper managers / higher level bureaucrats), who will evaluate them more on the process they followed than on actual results (especially as results are likely to be far off).

Even though 'a company is putting its own money behind the research', it's still people who don't own that money taking the actual decisions. Even start-ups are usually not using 'their own money', but investors' money, with the investors taking the role of grants approvers.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by Gibbon1 on Monday December 30, 2019 @01:35PM (#21915568)
> Funding is a political game and the people who are best at politics tend to be the worst at research (and vice-versa).

I'd be interested in a compare and contrast with AIDs research. Same time frame but AIDs researchers threw everything but the kitchen sink at it and made progress.

You got to wonder one field was dominated by status seekers with fat ego's and the other people working on a disease that mostly afflicts people no one cares about.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by jchallis on Tuesday December 31, 2019 @12:57AM (#21919249)
After reading “And the Band Played On”, early HIV research had enormous ego collisions between Robert Gallo in the US and Luc Montagnier in France.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by shadowgovt on Monday December 30, 2019 @12:05PM (#21914821)
> he people who are best at politics tend to be the worst at research (and vice-versa).

Interesting hypothesis. What is your evidence?

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by leftyted on Monday December 30, 2019 @12:23PM (#21914993)
I would say that the antagonism between politics and truth-seeking goes back to Plato and Aristotle, and people who specialize in one tend to hold the other in contempt (or at least suspicion).

Science is about being right and politics is about a plurality of people working together. In the name of cooperation, politics prefers vague language that is decidedly un-formal whereas science gravitates toward mathematical precision. Both are necessary, but I'd say we're leaning too far into politics these days.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by michaelbarton on Monday December 30, 2019 @06:56AM (#21912714)
> science is just another competitive team sport where people compete with whatever means necessary

Just one data point, but in my experience in academia that was almost exactly how I found it. The exception that it wasn't a team sport because there's only space for one first author.

My feeling is that the recognition and 'impactfulness' tied to being successful in academia are antagonistic to conducting unbiased research.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by Certhas on Monday December 30, 2019 @07:11AM (#21912786)
I completely agree with your second sentence, but also with the OPs statement that there is no conspiracy to suppress correct results. There is intense competition to be right. There is intense competition for funds, so being perceived to be promising is hugely important. But at the end of the day I haven't really ever seen any explicit attempts to suppress uncomfortable results.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by michaelbarton on Monday December 30, 2019 @08:12AM (#21913101)
I agree, that's fair. I don't think it's an explicit conspiracy. However there are some practices that do end up suppressing results. One particular example is that lack of publication of negative results because there is no incentive for doing so. You can imagine a scenario where similar experiments are repeated over and over again in different laboratories because no one writes up the negative result. After all what's the incentive? Not so bad for a few wasted weeks of PhD students time but potentially more damaging for large drug clinical trials?

Ben Goldacre's bad science is a great book on this topic. He's an entertaining speaker too. He describes a solution to that particular problem which is registering a clinical trials beforehand.

https://www.theguardian.com/business/2012/oct/07/ben-goldacr...

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by Certhas on Monday December 30, 2019 @09:54AM (#21913668)
Absolutely, but that's a form of self suppression, rather than a cabal of others suppressing results.

Science is incredibly broken in many ways. I think the big underlying culprit is the prevailing ideology that every human activity is best organized as a competition for scarce resources.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by ethbro on Monday December 30, 2019 @09:10AM (#21913411)
It's a good idea: have a fully-open repository where negative results can be documented. With the ability to tag on if a negative result is replicated.

Then gradually re-enculture review boards to expect any given author to have a substantial number of results published to said repository, if they're actively performing research.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by chiefalchemist on Monday December 30, 2019 @04:22PM (#21916826)
> "...but also with the OPs statement that there is no conspiracy to suppress correct results. There is intense competition to be right. There is intense competition for funds..."

Can you resolve / flesh this out more? If the desire for funding is a key driver of behavior then it would seem most anything is possible, including conspiracy or related nefarious activites.

Humans, especially those with big ideas and big egos, in pursuit of fortune and fame have been known to bend and break the rules.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dmix on Monday December 30, 2019 @07:08AM (#21912765)
If you watched the NBA the top 5% of players/top 5 teams get 90% of the media attention. The rest who are still doing good and interesting things fight for the last 10% of the crumbs and are forever complaining they are being excluded despite performance and other factors.

It happens in a lot of places. And to be honest it’s what most of the people want and while places like r/nba are more neutral and give respect where it is due, ESPN knows the casual 12yr old knows Lebron James and Steph Curry and they recruit “talent” to only talk about them, not just what is going well for the sport as a whole.

It’s a difficult balance that is really up to the power players and the quality of leadership to get right.

With science though you’d hope far more meritocracy than big names, but sadly I believe this is a human and non-expert efficiency thing (as most people are not really experts). Some people might blame capitalism of the bio firms but they are just the sum of their people who run and fund them too.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by pharke on Monday December 30, 2019 @09:51AM (#21913640)
Exactly, it's human nature. No matter what arena it plays out in we only have so many patterns of behaviour at our disposal and you'll see the same types of power plays, favouritism, backbiting, and underhanded dealing. We're good at disguising this behaviour, dressing it up as professional ambition or rationalizing it but it's still the same dogged fight for a spot in the social hierarchy.

We're not good at thinking rationally about things that involve our own benefit. We'll more often than not only think things through to the point where we avoid breaking any existing rules but still go with the lazy choice that benefits us in the short term.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by blaser-waffle on Monday December 30, 2019 @02:10PM (#21915835)
> We're good at disguising this behaviour, dressing it up as professional ambition or rationalizing it but it's still the same dogged fight for a spot in the social hierarchy.

If you're in a modern, first-world country you get to decide which part of the Pareto 80/20 divide you sit on.

The world doesn't need more mediocre people.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by Psyladine on Monday December 30, 2019 @08:38AM (#21913227)
Michael Crichton said as much and the community turned on him.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by SolaceQuantum on Monday December 30, 2019 @09:21AM (#21913474)
I tried to find more information and I'm struggling to find information that Michael Crichton said this exact thing and that turned the scientific community against him. I did find that he was a global warming skeptic and also believed in astral projection and auras and the like, both of which garnered scientific backlash. Could you help me clarify?
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by Psyladine on Monday December 30, 2019 @10:33AM (#21913962)
His talk 'Aliens Cause Global Warming' is about this phenomenon in all but name. Consensus science, marginalizing alternate theories and politicizing scientific inquiry. "your theories differ from mainstream" being a black mark rather than a point of inquiry.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by SolaceQuantum on Monday December 30, 2019 @10:48AM (#21914092)
Right, was the backlash against his global warming skepticism? I'm still confused.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by amw on Monday December 30, 2019 @12:35PM (#21915103)
The backlash against Crichton was well-founded. He used the grain of truth that it's sometimes hard to get new ideas in science funded to build a crazy denialist foundation on that made for exciting fiction, but terrible description of reality.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by Psyladine on Monday December 30, 2019 @11:31AM (#21914465)
Yes, his stance on global warming was controversial at the time and as he died only a few years later is more well known for that, but for reasons he himself laid out in the linked talk.

Most relevant is that he was against consensus science, which was highlighted in the submission. Even if you are 'wrong' and in the group consensus, all is forgiven. If you are 'right' but not in the group, you are blackballed, and if you are wrong and not in the group consensus, you are crucified.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by mrfusion on Monday December 30, 2019 @09:31AM (#21913536)
What do you mean?
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by Psyladine on Monday December 30, 2019 @10:37AM (#21913988)
Crichton called out the disturbing trend of politicizing science. His target was the elephant that is global warming but his reasoning was more general, it could (and would) have been anything that deviated from the pure scientific pursuit.

In academia it is tied to laurels and funding. The clue in the article was defender of the so-called cabal saying if it were true, it was because the NIH Alzheimers funding was too low, i.e. it was a fight for who would get what research grants. Go against the concensus and be blacklisted.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by datastoat on Monday December 30, 2019 @08:47AM (#21913286)
What the linked article says:

> In a sea of amyloid-focused grants, there are tiny islands of research on oxidative stress, neuroinflammation, and, especially, a protein called tau.

The Wikipedia article you cite:

> On examining her brain, he found senile plaques and neurofibrillary tangles [which are made of tau protein -- https://en.wikipedia.org/wiki/Neurofibrillary_tangle]

What you actually wrote:

> In 1911, Alois Alzheimer found plaques in his dementia patient's brain. These plaques are what researchers would focus on for more than the next 100 years.

You omitted the tangles and played up the plaques. It looks like you're part of the cabal!

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by svara on Monday December 30, 2019 @10:22AM (#21913851)
You're right, I should have mentioned tau. But the viral link is the really big deal here that was overlooked for too long.

> It looks like you're part of the cabal!

I have no horse in this race ;) I only commented because the title seemed needlessly inflammatory to me. Everybody should just read the full article, like I wrote I think it's very good.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by JackFr on Monday December 30, 2019 @11:03AM (#21914224)
> the title seemed needlessly inflammatory

In the end, it's always the inflammation...

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by amw on Monday December 30, 2019 @12:33PM (#21915078)
I agree that the title is pure clickbait, I disagree that the article completely divorces itself from the premise the title implies. This whole thing where science journalism drums up this huge controversy after the fact when enough science on a topic has been performed to think that maybe a particular explanation is a bad one is a symptom of organizations that have to drum up a saucy narrative to sell.

It is perfectly natural to fund science that seems like a good idea at the time, and not fund ideas that seem less plausible than the prevailing explanation, and while it does suck that it takes a while to overturn the idea that the idea is good, representing our 20/20 hindsight as some irredeemable inertia with conspiracist overtones is a big problem.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by volkse on Monday December 30, 2019 @01:11PM (#21915381)
The title isn’t “pure clickbait” although a little hyperbolic. I worked in a research laboratory in a top medical school in the US. The professor in charge of the lab was an amyloid sceptic, and the existence of this sort of “cabal” was apparent, at least to him. Words like “delusional” were thrown around. This was 7 years ago!

Also, considering the actual harm caused, i don’t think you can be hyperbolic enough about this issue..

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by shakil on Monday December 30, 2019 @12:44PM (#21915178)
See this other link for the case of a Colombian woman whose brain is full of the amyloid plaque but she is dementia free due to a genetic mutation. The biggest difference between her and the rest of her family that suffer from Alzheimer's is the fact that tau buildup is minimal in her brain.

https://www.sciencemag.org/news/2019/11/colombian-woman-s-ge...

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dekhn on Monday December 30, 2019 @10:24AM (#21913872)
"""feeding into the narrative that science is just another competitive team sport where people compete with whatever means necessary is downright dangerous."""

This is precisely what modern science is (well, a major subset). The competition for grant funding and attention space is extremely intense.

I agree there was no "alzheimer's cabal" but it's not uncommon in science for the prevailing mainstream position to (intentionally or otherwise) suppress alternative opinions ("extraordinary ideas require extraordinary evidence" is often used to maintain the status quo).

One of the important issues is when an idea ends up dominating funding. If you have a legitimate alternative hypothesis but can't get the funding to run the experiments to provide that extraordinary evidence, you'll fail to convince people. The people who get the most funding are the ones who are the most competitive, not the smartest, or the rightest.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dccoolgai on Monday December 30, 2019 @10:37AM (#21913984)
Interesting... Are there any current issues you can think of in academia where disagreeing with the prevailing opinion can make one a pariah... Even, perhaps, assigned an epithet like "denier"? I think whenever this happens in academia/science, it is incredibly dangerous. Proper science invites and celebrates denial - seeks to deconstruct it and understand it to be more certain of the truth. The mere presence of any other attitude is a strong smell that something is drastically wrong.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dekhn on Monday December 30, 2019 @01:03PM (#21915319)
It's not relevant today but a well-known virologist, Peter Duesberg, was an HIV-causes-AIDS denialist (before that he was very well known for real accomplishments in virology). However, he never showed any evidence to support his case and there was extensive evidence against it. If you want to be a denier, the reality is that you have to show a lot of compelling evidence both supporting your position, and against the mainstream position.

Modern denialism tends to be more centered around climate change- whether it is occurring, and what the impacts will be in the near and long term, and how to respond. Many physics people (who worked on high energy particle physics, etc) have looked at the claims from the various climate change promoters and found the source evidence to be less than convincing. If they articulate this, they are often described as denialists. Here's an example: https://en.wikipedia.org/wiki/William_Happer

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by internet_user on Monday December 30, 2019 @03:11PM (#21916260)
Literally anything that contradicts your bosses position.

a.n.y.t.h.i.n.g

I've watched very experienced, top school trained MDs freeze up and begin to stutter, as they've just realized they said something their lab chief does not like.

Coincidentally, that chief writes treatment guidelines and consults the FDA, and is probably one of the most powerful physicians in the profession.

Medicine is a very hierarchical top-down command structure type of field.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by shakil on Monday December 30, 2019 @01:49PM (#21915684)
Dr Atkins invited the wrath of the medical community because he pushed for a low carb, high fat diet at a time when the medical consensus was that fats are the root of all evil. They eventually took his license for some unrelated issue but the driving force was the fact he went against the medical establishment and ridiculed low-fat but high-carb diets
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by internet_user on Monday December 30, 2019 @03:23PM (#21916357)
I thought his license was only pulled temporarily and was reinstated?

Did he end up permanently losing it?

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dnautics on Monday December 30, 2019 @07:31AM (#21912889)
I think the evidence goes deeper than that. Humans with downs syndrome, which duplicates the APP gene, evince symptoms of Alzheimer's as they reach their 40s.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by nextos on Monday December 30, 2019 @09:09AM (#21913402)
Genetics is important, but lots of current research in biology reduces everything to genetics. Paradoxically, when twin studies have shown environmental factors typically make an equally important contribution towards disease onset.

For example, consider type 1 diabetes (T1D). Lots of research tries to understand genetic risk factors. Despite this being so difficult to translate into treatment, as its many small effects past the top 3 genes, and twin studies show 50% is contribution from the environment.

So very recently, someone said OK the immune system is a classifier that takes sets of little protein chunks in a tissue microenvironment and decides whether its seeing self or something foreign and acts accordingly. Then, your own microbiome has to do something to avoid immune immune responses, as the immune system is only pre-trained using your own DNA. Then, let's assume your microbiome has to mimic (copy) some of your DNA to signal self to the immune system.

And it turns out it is true [1]. Lots of bacteria mimic insulin. And when those bacteria end up being classified as non-self, you also destroy your pancreatic beta cells, which produce insulin.

There's good evidence for lots of other diseases. For example, multiple sclerosis [2]. The first paper cites other diseases, including Alzheimer's that look like mis-classification induced by dysbiosis in the microbiome or an infection.

[1] https://www.biorxiv.org/content/10.1101/2019.12.18.881433v1

[2] https://stm.sciencemag.org/content/10/462/eaat4301

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by el_cujo on Monday December 30, 2019 @06:30PM (#21917643)
>In this day and age, feeding into the narrative that science is just another competitive team sport where people compete with whatever means necessary is downright dangerous.

>Reality is much more nuanced, and the article actually does a good job of detailing that.

It's bad to sow too much mistrust in science, sure, but it certainly feels like society right now is way too far in the opposite direction right now, with people blindly believing any headline following the phrase "a new study says..." or "scientists say...". A lot of scientific fields are very competitive for funding right now, there is immense pressure to twist every result into a "win" while equally important null results ("we tried X and surprisingly it did not worked") are basically treated as worthless.

People shouldn't blindly mistrust science, but blind trust is just as dangerous, the system right now is far from perfect. I believe most researchers still ultimately want to solve mysteries in nature and improve life, but they're also human beings who ultimately want to be able to keep working and provide for themselves and their families, these two motivations are not always perfectly aligned.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dang on Monday December 30, 2019 @02:13PM (#21915850)
What's a better title? We can change it.

Better = more accurate and neutral, using representative language from the article.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by mirimir on Monday December 30, 2019 @03:02PM (#21916182)
How about "The beta-amyloid paradigm thwarted progress toward an Alzheimer’s cure"?
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by hitekker on Monday December 30, 2019 @07:14PM (#21917888)
I disagree. The article articulates a political problem, not an error in reasoning.

These few scientists did not just choose a stable approach that later turned out to be wrong: they doubled-down, tripled-down on a shakey guess for decades and suppressed voices to the contrary. The seemingly credentialed, respected, and authoritative experts of Alzheimer's sabotaged the science around a hot-button problem for their own personal gain, while society suffered the consequences.

This antipattern can be seen as a kind of "academic rent-seeking" or "false-expertise". It can also be called "collusion" given that an organized group of people semi-intentionally marginalized their opposition at the outset, and at great cost to the broader public.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by mirimir on Monday December 30, 2019 @08:23PM (#21918234)
That's why I suggested "paradigm". Because that includes all the political stuff. Not just a widely accepted hypothesis.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dang on Monday December 30, 2019 @04:21PM (#21916819)
Ok, we'll use something like that. Thanks!

Edit: I've changed it back because readers are divided on this.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by hitekker on Monday December 30, 2019 @02:44PM (#21916048)
How about "Collusion" instead of "Cabal"?

Wikipedia defines collusion as "a secret cooperation or deceitful agreement in order to deceive others, although not necessarily illegal".

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

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dang on Monday December 30, 2019 @04:22PM (#21916822)
The word 'collusion' doesn't appear in the article and has its own triggering capacities these days. Best not to go there.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by mcguire on Monday December 30, 2019 @03:57PM (#21916659)
You'd have to demonstrate 'deceit' and 'cooperation'.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by anigbrowl on Monday December 30, 2019 @05:17PM (#21917152)
I really think it's better to defer to the original authors or the submitter on titles. Retroactive title changes have become common on HN and they're somewhat annoying. Certainly the original title upset some people, but perhaps that is a conversation worth having; Statnews isn't a frivolous news outlet, and the revised title elides the intradisciplinary conflict at the heart of this story, creating the impression that researchers in that field had moved toward some other consensus (which does not appear to be the case).
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dang on Tuesday December 31, 2019 @12:48PM (#21922878)
HN's way of dealing with titles has been around forever and functions surprisingly well overall. When grumblings come up they are usually reasonable and we usually react by changing the title until readers stop grumbling. But these cases are a small percentage of the total. Sometimes the community is divided about what's reasonable, in which case every title change generates grumbling and the process never converges. In that case we either stick with the original title or just make a call and move on.

I think you make a good point about this title. In a case like this it's best to break the tie with the original title, so I've changed it back above.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by anigbrowl on Tuesday December 31, 2019 @06:05PM (#21925416)
Thanks for your thoughtful response Dan. I guess you're right about how long it's been going on, I am probably mis-remembering practices from back when HN was much smaller than today.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by aaron695 on Monday December 30, 2019 @07:30AM (#21912884)
> There was, however, no conspiracy or "cabal". These were simply people who were convinced they were on the right track.

No one thought the weapons of mass destruction were fake and lied and said they were real.

The conspiracy was "These were simply people who were convinced they were on the right track." so did not allow competing theories.

Exactly the same with the VW emissions issue.

This is exactly how conspiracies and cabals work. They are emergent behaviour.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by DarkmSparks on Monday December 30, 2019 @08:05AM (#21913076)
Really interesting observation, fascinating to see it described as "emergent behaviour". WMDs were known to be fake from the start though, they were just stealing Iraqi oil, and David Kelly lost his life trying to expose it - could you suggest a better example?

Article is great to, came to post something along the lines of "no it wasn't a conspiracy", but the article summerises exactly what happened under the picture - "Amyloid plaques have long been the suspected cause of cognitive decline experienced by Alzheimer’s patients. Drug companies have spent billions of dollars creating amyloid-targeting drugs, yet they’ve all failed"

->They went "all in" on bad science.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by amw on Monday December 30, 2019 @12:28PM (#21915038)
> They went "all in" on bad science.

They went "all in" on science, that happens with hindsight to maybe not have been an accurate model for reality. Nobody can know that a particular explanation is bad without actually doing the science first, no matter what post facto explanations we can come up with after we realize we've been chasing a unicorn.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by DarkmSparks on Monday December 30, 2019 @05:04PM (#21917080)
"bad science" because it was proven wrong after spending hundreds of billions of dollars.

no particular judgement, but saying "mistakes were made" would be something of an understatement.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by efa on Monday December 30, 2019 @03:08PM (#21916235)
I'm sure what were fake. The US GAVE Saddam WMDs during the war with Iran (maybe you don't consider these WMDs). No one argues that he didn't use mustard gas on the Kurds.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by DarkmSparks on Monday December 30, 2019 @05:00PM (#21917062)
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by JackFr on Monday December 30, 2019 @11:18AM (#21914347)
> This is exactly how conspiracies and cabals work. They are emergent behaviour.

No, conspiracies and cabal are by their very nature intentional. Groupthink https://en.wikipedia.org/wiki/Groupthink is a much better term for describing an emergent dysfunctional decision process brought on through social dynamics.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by aaron695 on Monday December 30, 2019 @05:37PM (#21917316)
No, definitely not Groupthink. It's open behaviour.

It's really hard to find non-fiction examples of cabals, but when applied to real life I stick with they are almost always emergent behaviour.

I would have thought the Phoebus cartel is an example of a cabal, but it seems Google doesn't agree.

But it's an example of progress kept back from emergent behaviour.

There's a reason there's two memes attached to Phoebus cartel, 1. They stopped long lasting light bulbs, 2. Actually long lasting light bulbs burn to much electricity.

The emergent behaviour from 2. caused 1. which made them more money.

This is not Groupthink.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by greglindahl on Monday December 30, 2019 @11:49AM (#21914656)
I thought we were talking about science, not spycraft or non-independent emissions testing?

An independent science lab causd the VW scandal by publishing independent measures of emissions. That's one way the process of science corrects itself.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by aaron695 on Monday December 30, 2019 @06:02PM (#21917478)
What veterinarians know that physicians don't - https://www.ted.com/talks/barbara_natterson_horowitz_what_ve...

Not totally sold on the meme, but looking at crossovers between disciplines is a thing.

Although I'd argue it's all under anthropology in this case.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dnautics on Monday December 30, 2019 @07:34AM (#21912904)
The funny thing about that conspiracy is that the WMD were real. Hussein had them, and and its true that he didn't give them up, and he refused access. Here's the but: they were found by the US, under seal exactly in the place of record according to the UN. It's pretty clear that Hussein wasn't actively developing it anymore.

http://www.nbcnews.com/id/25546334

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by temac on Monday December 30, 2019 @08:13AM (#21913105)
Your source for the belief tha Iraq had WMD is an article explaining they had yellowcake? Even a youtuber made some and processed it (and this was completely legal)
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dnautics on Monday December 30, 2019 @12:33PM (#21915074)
Yes? That was, after all, concretely the claim made by the administration before the invasion (recall the joke by Dave Chappelle about yellow cake)

There's also plenty of evidence that Iraq had (known, small) stockpiles of chemical weapons, too (last I checked those were classed as WMD), which are widely accepted to be a likely cause of gulf war syndrome and a contributing factor to congenital disease in some parts of iraq.

Mind you: I'm not claiming that it's ethical to invade a country on shoddy pretenses.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by temac on Monday December 30, 2019 @08:31PM (#21918266)
If you are thinking about the fear of contraband imports of yellowcake, well none of that has ever been found and its highly unlikely to have existed. The removed yellowcake had been stockpiled prior to the first Gulf War, and was declared to the International Atomic Energy Agency and under IAEA safeguards.

Of course at one old point Iraq had WMD programs. But you were completely misrepresenting the situation by stating for the later period that "The funny thing about that conspiracy is that the WMD were real. Hussein had them, and and its true that he didn't give them up". Even the very article you linked stated clearly: "There was no evidence of any yellowcake dating from after 1991, the official said." As for the small amount of chemical weapons or precursors, they also have not been interpreted afterwhile has having any significance regarding the willingness to comply.

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by blaser-waffle on Monday December 30, 2019 @02:21PM (#21915899)
Saddam had chemical weapons and actively used them on the Iranians during the Iran-Iraq War, and later against the Kurds.

Saddam also received considerable material support from the US during the Iran-Iraq War -- those pictures of Donald Rumsfeld shaking Saddam's hand aren't fake. Lots of jokes about "we knew Saddam had WMDs cuz we gave em to him!" were, to a degree, credible on paper.

Saddam had long since stopped working on them, but made a point to look like he was. This allowed him to drum up support by posturing like he was standing up to the US, and also to look threatening to the Iranians (plus the Kurds + Shias).

Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by SiempreViernes on Monday December 30, 2019 @07:57AM (#21913031)
Um, the article talks about the removal of an unrefined ingredient for a weapon, not exactly finished weapons.
Re:How an Alzheimer’s ‘cabal’ thwarted progress toward a cure by dnautics on Monday December 30, 2019 @12:39PM (#21915131)
Yes, the pre invasion claim made to the UN was that Iraq was in violation of its obligation to allow inspectors in to monitor its WMD program.

I'm not justifying the actions of the administration or even the legal basis for it, but per my understanding, the claims were not untrue, notwithstanding how it was sold to the us public (especially as filtered by the complicit media)