Reduction of phosphorylated tau during memantine treatment of Alzheimer's disease.

Abstract:

BACKGROUND:Memantine is a moderate affinity N-methyl-D-aspartate receptor antagonist approved for treatment of Alzheimer's disease (AD). In AD, tau is abnormally hyperphosphorylated. However, no significant changes of phosphorylated tau levels in CSF are found at follow-up in studies with AD patients. It has been shown in vitro that memantine reverse induced abnormal hyperphosphorylation of tau in hippocampal neurons of rats. METHODS:Eleven AD patients were examined with cognitive tests and interviews of relatives. CSF analyses were performed before starting treatment with memantine as well as after 1 year. RESULTS:A statistically significant reduction of CSF phosphorylated tau at the 1-year follow-up was seen, from median 126 (interquartile range 107-153) to 108 (88-133) ng/l (p = 0.018). No statistically significant differences of total tau or Abeta42 were found. CONCLUSION:The results may reflect effects of memantine on a key pathological feature in AD in line with previous in vitro findings.

authors

Degerman Gunnarsson M,Kilander L,Basun H,Lannfelt L

doi

10.1159/000107099

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

247-52

issue

4

eissn

1420-8008

issn

1421-9824

pii

000107099

journal_volume

24

pub_type

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