NSAID use and dementia risk in the Cardiovascular Health Study: role of APOE and NSAID type.

Abstract:

BACKGROUND:Epidemiologic and laboratory studies suggest that nonsteroidal antiinflammatory drugs (NSAIDs) reduce risk of Alzheimer disease (AD). We therefore investigated the association between use of NSAIDs, aspirin, and the non-NSAID analgesic acetaminophen with incidence of dementia and AD. METHODS:Participants in the Cardiovascular Health Cognition Study included 3,229 individuals aged 65 or older, free of dementia at baseline, with information on medication use. We used Cox proportional hazards regression to estimate the association of medication use with incident all-cause dementia, AD, and vascular dementia (VaD). Additional analyses considered the NSAID-AD relationship as a function of age, presence of at least one epsilon 4 allele at APOE, race, and individual NSAIDs' reported ability to reduce production of the amyloid-beta peptide variant A beta(42). RESULTS:Use of NSAIDs was associated with a lower risk of dementia (adjusted hazard ratio or aHR 0.76, 95% CI or CI 0.60-0.96) and, in particular, AD (aHR 0.63, CI 0.45-0.88), but not VaD (aHR 0.92, CI 0.65-1.28). No similar trends were observed with acetaminophen (aHR 0.99, CI 0.79-1.24). Closer examination suggested AD risk reduction with NSAIDs only in participants having an APOE epsilon 4 allele (aHR 0.34, CI 0.18-0.65; aHR for others 0.88, CI 0.59-1.32). There was no advantage in AD risk reduction with NSAIDs reported to selectively reduce A beta(42). CONCLUSIONS:Results were consistent with previous cohort studies showing reduced risk of AD in NSAID users, but this association was found only in those with an APOE epsilon 4 allele, and there was no advantage for A beta(42)-lowering NSAIDs.

journal_name

Neurology

journal_title

Neurology

authors

Szekely CA,Breitner JC,Fitzpatrick AL,Rea TD,Psaty BM,Kuller LH,Zandi PP

doi

10.1212/01.wnl.0000284596.95156.48

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

17-24

issue

1

eissn

0028-3878

issn

1526-632X

pii

01.wnl.0000284596.95156.48

journal_volume

70

pub_type

杂志文章
  • Tapping linked to function and structure in premanifest and symptomatic Huntington disease.

    abstract:OBJECTIVE:Motor signs are functionally disabling features of Huntington disease. Characteristic motor signs define disease manifestation. Their severity and onset are assessed by the Total Motor Score of the Unified Huntington's Disease Rating Scale, a categorical scale limited by interrater variability and insensitivi...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e3182020123

    authors: Bechtel N,Scahill RI,Rosas HD,Acharya T,van den Bogaard SJ,Jauffret C,Say MJ,Sturrock A,Johnson H,Onorato CE,Salat DH,Durr A,Leavitt BR,Roos RA,Landwehrmeyer GB,Langbehn DR,Stout JC,Tabrizi SJ,Reilmann R

    更新日期:2010-12-14 00:00:00

  • Effect of hematin in porphyric neuropathy.

    abstract::Early, intravenous administration of hematin in a patient with acute intermittent porphyria and severe quadriparesis may have produced partial but remarkable improvement of neuropathy, and resulted in simultaneous decline of porphyrin precursors in the blood. Intermittent, biweekly hematin infusions given 1 month afte...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.11.1053

    authors: Bosch EP,Pierach CA,Bossenmaier I,Cardinal R,Thorson M

    更新日期:1977-11-01 00:00:00

  • Restless legs syndrome: a predictor of lower physical function.

    abstract::Restless legs syndrome (RLS) is characterized by an urge to move the legs. The symptoms are more intense in the evening and during periods of inactivity. RLS symptoms are relieved by movement. It is classified as a sleep disorder, but in many ways it is actually a disorder of wakefulness that seems to intrude upon the...

    journal_title:Neurology

    pub_type: 评论,社论

    doi:10.1212/WNL.0000000000000298

    authors: Auerbach S,Walters AS

    更新日期:2014-04-08 00:00:00

  • Perfusion MRI (Tmax and MTT) correlation with xenon CT cerebral blood flow in stroke patients.

    abstract:BACKGROUND:While stable xenon CT (Xe-CT) cerebral blood flow (CBF) is an accepted standard for quantitative assessment of cerebral hemodynamics, the accuracy of magnetic resonance perfusion-weighted imaging (PWI-MRI) is unclear. The Improved PWI Methodology in Acute Clinical Stroke Study compares PWI findings with Xe-C...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000345372.49233.e3

    authors: Olivot JM,Mlynash M,Zaharchuk G,Straka M,Bammer R,Schwartz N,Lansberg MG,Moseley ME,Albers GW

    更新日期:2009-03-31 00:00:00

  • Hemispatial and directional performance biases in motor neglect.

    abstract::Motivationally responsive motor deficits may occur in isolation or as part of more general neglect syndromes. We describe three patients with two discrete syndromes of isolated motor neglect, differentiated primarily by their performance in motor tasks enacted within or toward the contralesional hemispace. The lesions...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.3.525

    authors: Simon ES,Hegarty AM,Mehler MF

    更新日期:1995-03-01 00:00:00

  • Neurofilament light and tau as blood biomarkers for sports-related concussion.

    abstract:OBJECTIVE:To compare neurofilament light (NfL) and tau as blood-based biomarkers for acute sports-related concussion (SRC) and determine whether their concentrations at different time points after the injury are associated with prolonged time to return to play (RTP). METHODS:A total of 288 professional hockey players ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000005518

    authors: Shahim P,Tegner Y,Marklund N,Blennow K,Zetterberg H

    更新日期:2018-05-15 00:00:00

  • Brain reserve and cognitive reserve protect against cognitive decline over 4.5 years in MS.

    abstract:OBJECTIVE:Based on the theories of brain reserve and cognitive reserve, we investigated whether larger maximal lifetime brain growth (MLBG) and/or greater lifetime intellectual enrichment protect against cognitive decline over time. METHODS:Forty patients with multiple sclerosis (MS) underwent baseline and 4.5-year fo...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000433

    authors: Sumowski JF,Rocca MA,Leavitt VM,Dackovic J,Mesaros S,Drulovic J,DeLuca J,Filippi M

    更新日期:2014-05-20 00:00:00

  • Magnetic cortical stimulation in acute spinal cord injury.

    abstract::We studied 25 patients within 6 hours of acute spinal cord injury using magnetically evoked cortical motor evoked potentials (MEPs). The subjects included 16 quadriplegics with cervical spine injuries and eight paraplegics. MEPs were recorded from abductor digiti minimi (ADM), biceps, flexor hallucis brevis, and tibia...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.45.2.303

    authors: Macdonell RA,Donnan GA

    更新日期:1995-02-01 00:00:00

  • Epilepsy after brain infection in adults: A register-based population-wide study.

    abstract:OBJECTIVE:To describe risk and risk factors of epilepsy after hospitalization for brain infection in adults in Sweden. METHODS:This was a matched retrospective cohort study based on the comprehensive National Patient and Cause of Death Registers. All individuals age >18 without prior epilepsy who received inpatient ca...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010954

    authors: Zelano J,Westman G

    更新日期:2020-12-15 00:00:00

  • Whole-exome sequencing identifies a missense mutation in hnRNPA1 in a family with flail arm ALS.

    abstract:OBJECTIVE:To identify the disease-causing gene of a family with upper limb predominant, slowly progressive amyotrophic lateral sclerosis (ALS), which was diagnosed as flail arm syndrome (FAS). METHODS:After causation of 24 known ALS genes was excluded by targeted next-generation sequencing, whole-exome sequencing was ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003256

    authors: Liu Q,Shu S,Wang RR,Liu F,Cui B,Guo XN,Lu CX,Li XG,Liu MS,Peng B,Cui LY,Zhang X

    更新日期:2016-10-25 00:00:00

  • Reactive microglia are positive for HLA-DR in the substantia nigra of Parkinson's and Alzheimer's disease brains.

    abstract::We detected large numbers of HLA-DR-positive reactive microglia (macrophages), along with Lewy bodies and free melanin, in the substantia nigra of all cases studied with Parkinson's disease (5) and parkinsonism with dementia (PD) (5). We found similar, but less extensive, pathology in the substantia nigra of six of ni...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.8.1285

    authors: McGeer PL,Itagaki S,Boyes BE,McGeer EG

    更新日期:1988-08-01 00:00:00

  • Exacerbation of Gilles de la Tourette's syndrome associated with thermal stress: a family study.

    abstract::Gilles de la Tourette's syndrome (TS) is a familial disorder that is often exacerbated by stress or fatigue. Here we present a family of a TS proband that has several members with obsessive-compulsive symptoms, a bleeding disorder, and an unusual sensitivity to heat. The proband, who is affected by all of these traits...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.12.1984

    authors: Lombroso PJ,Mack G,Scahill L,King RA,Leckman JF

    更新日期:1991-12-01 00:00:00

  • Prevention of stroke with ticlopidine: who benefits most? TASS Baseline and Angiographic Data Subgroup.

    abstract::We examined the baseline characteristics of patients in the Ticlopidine Aspirin Stroke Study (TASS) to determine if the effects of the two treatments in preventing stroke differed in various subgroups. Patients with the following characteristics did less well on aspirin: elevated creatinine, hypertension or diabetes r...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.1.111

    authors: Grotta JC,Norris JW,Kamm B

    更新日期:1992-01-01 00:00:00

  • Diffusion tensor imaging and cognitive function in older adults with no dementia.

    abstract:OBJECTIVE:To determine the patterns of diffusivity associated with cognitive domain functions in older adults without dementia. METHODS:We studied older adults without dementia (n = 220) who underwent neuropsychometric testing and a diffusion tensor imaging (DTI) examination at 3 T in a cross-sectional study. Memory, ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31822313dc

    authors: Kantarci K,Senjem ML,Avula R,Zhang B,Samikoglu AR,Weigand SD,Przybelski SA,Edmonson HA,Vemuri P,Knopman DS,Boeve BF,Ivnik RJ,Smith GE,Petersen RC,Jack CR Jr

    更新日期:2011-07-05 00:00:00

  • Primary writing tremor and myoclonic writer's cramp.

    abstract::Four patients with primary writing tremor had a focal, task-specific tremor that responded to anticholinergic drugs. Physiologic features included EMG activity alternating in antagonist muscles, 5- to 20-microV cerebral potentials evoked by stretch of pronator teres, and no C-reflexes. Another patient had myoclonic je...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.9.1387

    authors: Ravits J,Hallett M,Baker M,Wilkins D

    更新日期:1985-09-01 00:00:00

  • Does a birthday predispose to vascular events?

    abstract:OBJECTIVE:To examine the influence of birthdays on the onset and course of vascular events such as stroke, TIA, and acute myocardial infarction (AMI). METHODS:This population-based study included all emergency department (ED) admissions due to ischemic stroke, TIA, or AMI from April 2002 to March 2004 in Ontario, Cana...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000217915.06544.aa

    authors: Saposnik G,Baibergenova A,Dang J,Hachinski V

    更新日期:2006-07-25 00:00:00

  • Association between mild parkinsonian signs and mild cognitive impairment in a community.

    abstract:BACKGROUND:Mild parkinsonian signs (MPS) are associated with prevalent and incident dementia but it is not known whether they are associated with mild cognitive impairment (MCI). OBJECTIVE:To determine whether MPS and specific MPS (changes in axial function, rigidity, tremor) are associated with MCI in nondemented com...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000156157.97411.5E

    authors: Louis ED,Schupf N,Manly J,Marder K,Tang MX,Mayeux R

    更新日期:2005-04-12 00:00:00

  • Homonymous hemianopias: clinical-anatomic correlations in 904 cases.

    abstract:OBJECTIVE:To describe the clinical characteristics and clinical-anatomic correlations of homonymous hemianopia (HH). BACKGROUND:Homonymous hemianopia impairs visual function and frequently precludes driving. Most knowledge of HH is based on relatively few cases with clinical-anatomic correlations. METHODS:The authors...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000203913.12088.93

    authors: Zhang X,Kedar S,Lynn MJ,Newman NJ,Biousse V

    更新日期:2006-03-28 00:00:00

  • Plasma beta-amyloid and white matter lesions in AD, MCI, and cerebral amyloid angiopathy.

    abstract:BACKGROUND:Microvascular brain injury, typically measured by extent of white matter hyperintensity (WMH) on MRI, is an important contributor to cognitive impairment in the elderly. Recent studies suggest a role for circulating beta-amyloid peptide in microvascular dysfunction and white matter disease. METHODS:The auth...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000191403.95453.6a

    authors: Gurol ME,Irizarry MC,Smith EE,Raju S,Diaz-Arrastia R,Bottiglieri T,Rosand J,Growdon JH,Greenberg SM

    更新日期:2006-01-10 00:00:00

  • Enhanced brain levels of 8,12-iso-iPF2alpha-VI differentiate AD from frontotemporal dementia.

    abstract:OBJECTIVE:To quantify the isoprostane 8,12-iso-iPF2alpha-VI in brain tissues obtained from patients with AD, patients with frontotemporal dementia (FTD), and controls. BACKGROUND:Enhanced brain oxidative stress with secondary damage to cellular macromolecules may play a role in the pathogenesis of AD and FTD. The isop...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000070185.02546.5d

    authors: Yao Y,Zhukareva V,Sung S,Clark CM,Rokach J,Lee VM,Trojanowski JQ,Praticò D

    更新日期:2003-08-26 00:00:00

  • Genetic association of the low-density lipoprotein receptor-related protein gene (LRP), an apolipoprotein E receptor, with late-onset Alzheimer's disease.

    abstract::The presence of the APOE epsilon 4 allele encoding apolipoprotein E4 (apoE4) is the major genetic risk factor for late-onset Alzheimer's disease (AD). However, the molecular and cellular mechanisms by which APOE epsilon 4 renders AD risk are unclear. In this report, we present genetic evidence that an apoE receptor, L...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.49.1.56

    authors: Kang DE,Saitoh T,Chen X,Xia Y,Masliah E,Hansen LA,Thomas RG,Thal LJ,Katzman R

    更新日期:1997-07-01 00:00:00

  • Thalamic deep brain stimulation for tremor in Parkinson disease, essential tremor, and dystonia.

    abstract:OBJECTIVE:To report on the long-term outcomes of deep brain stimulation (DBS) of the thalamic ventral intermediate nucleus (VIM) in Parkinson disease (PD), essential tremor (ET), and dystonic tremor. METHODS:One hundred fifty-nine patients with PD, ET, and dystonia underwent VIM DBS due to refractory tremor at the Gre...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004295

    authors: Cury RG,Fraix V,Castrioto A,Pérez Fernández MA,Krack P,Chabardes S,Seigneuret E,Alho EJL,Benabid AL,Moro E

    更新日期:2017-09-26 00:00:00

  • The minor symptoms of increased intracranial pressure: 101 patients with benign intracranial hypertension.

    abstract::Of 101 patients with benign intracranial hypertension not related to vasculitis, neck stiffness occurred in 31, tinnitus in 27, distal extremity paresthesias in 22, joint pains in 13, low back pain in 5, and gait "ataxia" in 4. Symptoms resolved promptly upon lowering the intracranial pressure by lumbar puncture, and ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.9.1461

    authors: Round R,Keane JR

    更新日期:1988-09-01 00:00:00

  • Cytoplasmic inclusion bodies in superior rectus muscle of the eye.

    abstract::Cytoplasmic inclusion bodies are found in fibers of superior rectus muscle of the eye. They occur in middle-aged and old individuals dying with various unrelated diseases not affecting muscle and in patients with myotonic dystrophy. With light microscopy they can be observed in fibers with pathologic changes, and with...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.5.422

    authors: Culebras A,Merk FB

    更新日期:1975-05-01 00:00:00

  • Cerebral ischemia and atrial fibrillation: prospective study.

    abstract::The frequency of recurrent cerebral ischemia and death was determined prospectively in 36 patients who presented with ischemic stroke and had atrial fibrillation. Patients were followed an average of 2.3 months (range, 3 weeks to 9 months). The recurrence rate for cerebral ischemia was 33%, and the mortality rate was ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.10.1285

    authors: Kelley RE,Berger JR,Alter M,Kovacs AG

    更新日期:1984-10-01 00:00:00

  • Impaired intracortical inhibition demonstrated in vivo in people with Dravet syndrome.

    abstract:OBJECTIVE:Dravet syndrome is a rare neurodevelopmental disorder characterized by seizures and other neurologic problems. SCN1A mutations account for ∼80% of cases. Animal studies have implicated mutation-related dysregulated cortical inhibitory networks in its pathophysiology. We investigated such networks in people wi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003868

    authors: Stern WM,Sander JW,Rothwell JC,Sisodiya SM

    更新日期:2017-04-25 00:00:00

  • The impact of new pharmaceutical agents on the cost of neurologic care.

    abstract::Since the emergence of the specialty, neurologists have worked with a rather restricted list of relatively inexpensive pharmacologic agents. This is rapidly changing with the development of new agents for the treatment of migraine, multiple sclerosis, Parkinson's disease, Alzheimer's disease, and epilepsy, accelerated...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.3.569

    authors: Gunderson CH

    更新日期:1995-03-01 00:00:00

  • Posterior semicircular canal nystagmus is conjugate and its axis is parallel to that of the canal.

    abstract::A patient with a postoperative fistula of the left posterior semicircular canal is presented. Negative pressure in the external ear canal produced upbeat-torsional nystagmus, which was recorded in three dimensions using binocular scleral search coils. The nystagmus was conjugate, without skew deviation, and its trajec...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.10.2016

    authors: Cremer PD,Migliaccio AA,Pohl DV,Curthoys IS,Davies L,Yavor RA,Halmagyi GM

    更新日期:2000-05-23 00:00:00

  • Riboflavin-responsive lipid myopathy and carnitine deficiency.

    abstract::We used riboflavin to treat a patient with lipid myopathy, reduced exercise capacity, intolerance to fasting, and reduced concentrations of carnitine in muscle and serum. Although carnitine concentrations did not change, exercise capacity doubled, and response to fasting improved. Muscle enzyme assay showed that palmi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.12.1557

    authors: Carroll JE,Shumate JB,Brooke MH,Hagberg JM

    更新日期:1981-12-01 00:00:00

  • Normal fibroblast mitochondrial malic enzyme activity in Friedreich's ataxia.

    abstract::Mitochondrial and cytoplasmic malic isoenzymes were assayed fluorometrically in digitonin-fractionated fibroblasts from three patients with Friedreich's ataxia (FA). Normal activity was found, failing to verify an earlier report of reduced fibroblast mitochondrial malic enzyme activity in FA. The previously reported d...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.6.869

    authors: Fernandez RJ,Civantos F,Tress E,Maltese WA,De Vivo DC

    更新日期:1986-06-01 00:00:00