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Research News

Latest Discoveries Linking Alpha-1 Antitrypsin to Multiple Diseases

Stay informed about the latest research supporting the Mark Egly Foundation's mission and discoveries. The scientific community is increasingly recognizing the broader role of Alpha-1 Antitrypsin (AAT) in health and disease.


Recent Research Highlights

Alzheimer's Disease and Neuroinflammation

Groundbreaking Connection: COPD and Alzheimer's Disease Share Common Pathways

Recent research published in Alzheimer's & Dementia (December 2024) identified common genetic variants and biological pathways between COPD and Alzheimer's disease, validating the Mark Egly Foundation's position that these conditions share underlying mechanisms.

Key Finding: The study of over 300,000 individuals in the UK Biobank revealed significant genetic overlap between COPD and Alzheimer's disease, suggesting shared inflammatory and protease-related mechanisms.

🔗 Common Genetic Variants and Pathways Between COPD and AD: UK Biobank Study - Alzheimer's & Dementia, December 2024

Why This Matters: This research supports our understanding that Alpha-1 Antitrypsin deficiency, which causes emphysema and COPD, may also contribute to neurological conditions like Alzheimer's through similar inflammatory pathways.


Neuroinflammation and Brain Health

The Role of Inflammation in Alzheimer's Disease

A comprehensive review published in Alzheimer's & Dementia (December 2024) examines neuroinflammation's central role in Alzheimer's disease progression, emphasizing the importance of inflammatory control in preventing and treating neurodegenerative conditions.

🔗 Neuroinflammation in Alzheimer's Disease: The Role of the P2X7 Receptor - Alzheimer's & Dementia, December 2024

Connection to Our Work: Uncontrolled inflammation—driven by excess neutrophil elastase when Alpha-1 Antitrypsin is deficient—can damage brain tissue and contribute to neurological decline. This supports the Foundation's research into AAT's neuroprotective potential.


Alpha-1 Antitrypsin in Alzheimer's Pathology

AAT Present in Alzheimer's Brain Lesions

Early research (1992) demonstrated that Alpha-1 Antitrypsin is present in the characteristic lesions of Alzheimer's disease, suggesting the body's attempt to control inflammation in affected brain tissue.

🔗 Alpha 1-antitrypsin and alpha 1-antichymotrypsin are in the lesions of Alzheimer's disease - Neuroreport, 1992

Significance: The presence of AAT in Alzheimer's lesions suggests the protein plays a role in the disease process—potentially as a protective response to inflammation. This early observation laid groundwork for understanding AAT's broader neurological importance.


Protein Misfolding and Disease

Understanding Z-AAT Polymer Formation

Recent research (2022) in Science Advances revealed how misfolded Z-variant Alpha-1 Antitrypsin undergoes phase transitions in liver cells, providing insights relevant to multiple protein-misfolding diseases including Alzheimer's and Parkinson's.

🔗 Z-alpha(1)-antitrypsin polymers undergo phase transition in the endoplasmic reticulum - Science Advances, April 2022

Broader Implications: Understanding protein misfolding mechanisms in AATD helps illuminate similar processes in other neurodegenerative diseases, potentially leading to therapeutic strategies across multiple conditions.


Alpha-1 Antitrypsin as a Biomarker

Elevated AAT Levels Correlate with Alzheimer's Disease

Research has shown that Alpha-1 Antitrypsin levels are altered in Alzheimer's patients, with some studies finding elevated serum levels correlating with disease progression and cognitive decline.

🔗 Serum alpha 1-antitrypsin and alpha 2-macroglobulin in Alzheimer's and Binswanger's disease - Clinical Investigations, 1994

🔗 Characterization of alpha1-antitrypsin as a heme oxygenase-1 suppressor in Alzheimer plasma - Neurobiology of Disease, 2006

What This Reveals: Changes in AAT levels may serve as biomarkers for disease activity and could indicate when the body's protective mechanisms are overwhelmed by inflammatory processes.


RNAi Therapeutics for Protein Aggregation Diseases

New Treatment Approaches for Protein-Related Conditions

Research on fazirsiran for AATD-associated liver disease (2023) demonstrates promising RNA interference therapeutic approaches that could be adapted for other protein aggregation diseases.

🔗 RNAi therapeutics for diseases involving protein aggregation: fazirsiran for alpha-1 antitrypsin deficiency - Expert Opinion on Investigational Drugs, July 2023

Relevance: Advances in treating one protein-misfolding disease often translate to others. Therapeutic strategies for AATD may inform treatments for Alzheimer's, ALS, and other neurodegenerative conditions.


Research Areas Supporting Mark Egly Foundation Discoveries

1. Neutrophil Elastase and Autoimmune Diseases

The scientific literature increasingly recognizes neutrophil elastase as a key driver of tissue damage in inflammatory and autoimmune conditions. Mark's identification of neutrophil elastase's role in 152 autoimmune diseases aligns with emerging research on protease-driven inflammation.

Key Research Themes:

  • Neutrophil elastase in rheumatoid arthritis and joint destruction
  • Protease inhibitors as therapeutic agents in autoimmune conditions
  • Inflammatory cascade control through AAT supplementation
2. Cancer, Inflammation, and Metastasis

Growing evidence links chronic inflammation to cancer development and spread. Alpha-1 Antitrypsin's anti-inflammatory properties may help prevent cancer initiation and inhibit metastasis.

Active Research Areas:

  • Inflammation-driven carcinogenesis
  • Neutrophil involvement in tumor microenvironment
  • Protease inhibitors preventing cancer spread
  • The "secondhand smoke paradox" and cancer development
3. Systemic Effects of AATD Beyond Liver and Lungs

Recent research is expanding beyond the traditional "liver and lung" view of AATD, examining:

  • Cardiovascular effects and vascular inflammation
  • Bone health and osteoporosis in AATD patients
  • Wound healing and tissue repair
  • Chronic pain and prolonged inflammatory response
  • Skin conditions and panniculitis
4. Preventive Medicine and Early Intervention

Studies demonstrating better outcomes with early augmentation therapy support the Foundation's advocacy for:

  • Earlier diagnosis and treatment
  • Preventive strategies before irreversible damage
  • Expanded treatment criteria
  • Family screening and cascade testing

Mark Egly Foundation's Research Contributions

U.S. Patent: Method of Preventing and/or Treating a Plurality of Diseases

Mark Egly's 2020 patent filing represents original research connecting Alpha-1 Antitrypsin deficiency and supplementation to numerous disease processes previously thought unrelated.

Patent Highlights:

  • Identification of neutrophil elastase's role in 152 autoimmune diseases
  • Mechanisms explaining unexplained medical phenomena
  • Therapeutic applications beyond traditional AATD treatment
  • Prevention strategies for multiple disease categories

Impact: Medical professionals reviewing the patent are identifying new treatment opportunities for their patients and reconsidering diagnostic approaches for unexplained conditions.


Ongoing Research We are Following

Emerging Areas of Interest

Gene Therapy Advances

  • CRISPR-based approaches to correct SERPINA1 mutations
  • AAV-mediated gene therapy clinical trials
  • Long-term outcomes and safety data

Augmentation Therapy Optimization

  • Dosing strategies for different disease manifestations
  • Combination therapies with other anti-inflammatory agents
  • Novel delivery mechanisms (inhaled, subcutaneous)

Biomarker Development

  • Early detection markers for disease progression
  • AAT level monitoring and optimization
  • Inflammatory markers predicting treatment response

Expanded Clinical Applications

  • AAT in COVID-19 and acute respiratory conditions
  • Sepsis and systemic inflammatory response syndrome
  • Organ transplant rejection prevention
  • Autoimmune disease management

How to Stay Updated

For Healthcare Providers
  • Review relevant research on PubMed
  • Subscribe to Alzheimer's & Dementia journal updates
  • Join the Mark Egly Foundation's "Uniting Doctors" network
  • Attend conferences featuring AATD and inflammation research
For Patients and Families
  • Follow the Mark Egly Foundation for research summaries
  • Subscribe to our newsletter for digestible research updates
  • Join patient advocacy groups for community support
  • Participate in registries and research studies when eligible

Research Partnerships and Collaboration

The Mark Egly Foundation actively seeks partnerships with:

  • Academic Research Institutions - Collaborative studies on AAT applications
  • Clinical Research Networks - Patient outcome tracking and case studies
  • Pharmaceutical Companies - Supporting development of novel AAT therapies
  • Medical Journals - Publishing findings and case reports
  • Patient Registries - Contributing to long-term outcome data

Interested in collaborating? Contact us to discuss research partnerships and knowledge-sharing opportunities.


The Science is Clear: AAT Matters

The growing body of research confirms what Mark Egly discovered through personal experience and intensive investigation:

Alpha-1 Antitrypsin is not just important for people with genetic deficiency—it's a critical protective protein with far-reaching implications for human health across multiple disease categories.

As more researchers investigate AAT's diverse roles, the medical community is beginning to recognize what the Mark Egly Foundation has advocated from the beginning: proper Alpha-1 Antitrypsin levels are essential for preventing and managing a wide range of diseases.


This page is regularly updated with new research findings. Last updated: December 2025

Have research to share? Contact the Mark Egly Foundation to discuss potentially relevant studies and collaborative opportunities.