[New therapeutic options in Alzheimer's disease].

Abstract:

INTRODUCTION:At present, cholinesterase inhibitors constitute the basis for therapy of Alzheimer's disease (AD); these drugs were rationally introduced given the loss of central cholinergic neurotransmission, even though there are many other systems affected in AD, including glutamatergic pathway. DEVELOPMENT:In addition to the loss of central cholinergic neurotransmission, biochemical evidence suggests glutamatergic dysfunction in AD and thus, therapeutic strategies directed at the glutamatergic system may be useful. These drugs include milacemide, cicloserine and ampakines (positive modulation) and memantine (negative modulation). Lithium seems to be a promising agent in AD, although the mechanism of action is poorly understood. Finally anti-inflammatory agents may be another therapeutic approach to AD. CONCLUSION:In addition to drugs acting on the cholinergic system, a large number of drugs with different mechanism could be used for the treatment and prevention of AD.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

García-Ruiz Espiga PJ,Echeverría A,García-Torres A,Contreras A

subject

Has Abstract

pub_date

2006-04-16 00:00:00

pages

478-81

issue

8

eissn

0210-0010

issn

1576-6578

pii

rn2005218

journal_volume

42

pub_type

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