Maxwell J Harrell
348 posts

Maxwell J Harrell
@MaxwellJHarrell
Neuroscience & Philo Of Mind | Otw to a Cognitive Neuroscience Degree ORCID: 0009-0002-3998-0758
Portland, OR Katılım Ağustos 2025
179 Takip Edilen99 Takipçiler

@aakashgupta Hot take, but there are some adaptive benefits to memory loss. It forces us to be fully present and notice subtleties we may otherwise miss.
English

Spouses of Alzheimer's patients are 6 times more likely to develop Alzheimer's themselves. They share daily saliva exchange for decades. Their oral bacteria converges to the same strains.
In 2019 Cortexyme published a paper in Science Advances showing Porphyromonas gingivalis, the bacterium behind gum disease, was present in over 90% of postmortem Alzheimer's brains. They also found its DNA in the cerebrospinal fluid of living Alzheimer's patients.
P. gingivalis is the keystone pathogen of periodontitis. The CDC says 47% of American adults over 30 have periodontitis right now.
The mechanism is specific. P. gingivalis produces enzymes called gingipains. Two types: one cuts proteins at lysine residues, the other at arginine. Tau, the protein that holds your neuronal scaffolding together, is loaded with both amino acids. In cell culture, gingipains shred soluble tau within one hour of infection. The fragments seed the paired helical filaments that become tangles. Tangles are Alzheimer's.
Mice fed P. gingivalis through the mouth grew amyloid plaques in their brains. Hippocampal neurons died. The bacteria crossed the blood-brain barrier and started chewing through the same proteins that fail in human Alzheimer's patients.
Cortexyme built a drug called atuzaginstat to block gingipains. Phase 1 was clean. They ran a 643-patient Phase 2/3 trial called GAIN.
The FDA hit it with a partial clinical hold for liver toxicity. The drug missed both primary endpoints. In August 2022 Cortexyme shut the program down, renamed itself Quince, and pivoted to bone disease.
The subgroup with the highest baseline P. gingivalis loads still showed cognitive improvement on secondary endpoints. The bacteria itself kept showing up in postmortem brains across independent studies after the trial closed.
Periodontal disease shows up 10 to 20 years before cognitive symptoms in people who later develop Alzheimer's. By the time someone forgets a name, the bacteria has been working for two decades.
The intervention point is upstream of your skull.


English

Predictive processing says the brain builds models and minimizes error. SAT agrees, but adds; those models form through environmental stimuli absorption. Rationalizations must be stored beyond traditional Isomorphic #memory. Otherwise, how would individuals learn WHAT to predict?
English

@ThePrimaryMind I'm glad you have a stern opinion, but your version of pompous is my version of specificity. My desired writing style is a result of my collective experience. That is why I have developed a version of assertive and defensive precision. My claims are bold; requiring this.
English

@MaxwellJHarrell You can be precise without sounding foolishly pompous
English
Maxwell J Harrell retweetledi

@ThePrimaryMind If speaking specifically constitutes speaking philosophically, then I guess i'm a philosopher. Without specifc articulation, ideas become indefensible by being portrayed AND received in fragments.
English

@MaxwellJHarrell Wow, you’re a bit out of touch.
I fully comprehended everything you wrote. I just think speaking philosophy’s lingo to answer a simple question or to make a statement is over the top
Philosophers aren’t all that!
English

@txrrxstrxxl 2 conclusions: Evolution is beautiful; Darwin was definitely on some drugs.
English

@MaxwellJHarrell When was the last time you spoke like a human instead of a philosopher?
English

@ThePrimaryMind Im suggesting consciousness theories need accessible reasoning companions beyond mass theory meta-analyses
English

@paulwbarnes Yes! I love this! Thank you for sharing, i love that you also include the density aspect. What do you think of my perspective?

English


#Consciousness is often treated as the system responsible for deliberate control, attention, and decision-making.
However, a large body of evidence shows that behavior, #perception, and even complex decisions can occur without conscious initiation.
English

@BernardJBaars GWT may reside within SAT, if it can be considered the experiental layer under the blanket in SATs definition of meta-awareness.
English

