
Andrew Pieper
Andrew Pieper, MD, PhD, is a board-certified psychiatrist and neuroscientist at Case Western Reserve University and University Hospitals, Director of Neurotherapeutics at the Harrington Discovery Institute.
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Aug 20, 2026
Protecting Memory After TBI and in Alzheimer’s – New Hope from 15-PGDH
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Dan SimonHOST
Tell us about new ideas of the pathogenesis of Alzheimer's that this thing could actually work.

Andrew PieperGUEST
Well, in terms of new ideas about the pathogenesis of Alzheimer's, it's becoming pretty well recognized that there are a number of different secondary processes that really drive the disease forward, particularly at the stages where people start to have symptoms.

Andrew PieperGUEST
Another one is decreased neurogenesis in a region of the brain called the hippocampus.

Andrew PieperGUEST
Hippocampus is really important for learning and memory and emotional, assigning an emotional value to the things that we learn and for navigating our day-to-day experiences over the course of our lifetime.

Andrew PieperGUEST
And Sandy's work had shown that inhibiting this enzyme helped support the health of stem cells in the colon.

Andrew PieperGUEST
And that was what made us wonder, well, what if this could also help support stem cells in the brain? And the hippocampus is one of the few regions of the brain that makes new cells from stem cells that reside.
8 MINS LATER

Dan SimonHOST
Tell us about this exciting finding of really the first pathway that shows that you can actually reverse the disease.