Sustained cholinesterase inhibition in AD patients receiving rivastigmine for 12 months.

Abstract:

OBJECTIVE:To study the long-term dual inhibitory effects of rivastigmine on acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE) in patients with AD. METHODS:Eleven patients with mild AD received rivastigmine for 12 months. Cholinesterase (ChE) activities in the CSF and plasma were assessed colorimetrically. Immunoblot analysis was used to evaluate AChE isoforms. Neuropsychiatric tests were performed throughout the study. RESULTS:At 12 months, the mean dose of rivastigmine was 8.6 mg/d and specific activities of ChE in the CSF were lower than baseline values (by 36% for AChE and 45% for BuChE), correlating with parallel reductions in the plasma (27% for AChE and 33% for BuChE). The reduction of specific activities in the CSF, but not in the plasma, appeared to be dependent on the dose and duration of treatment. Scores of some of the neuropsychological tests associated with memory and attention were correlated with both plasma and CSF AChE and BuChE inhibition for up to 6 months. Immunoblot analysis revealed up-regulation of the "read-through" AChE isoform (AChE-R), whereas levels of the synaptic isoform were unchanged. CONCLUSIONS:Rivastigmine causes persistent inhibition of AChE and BuChE in CSF as well as plasma. The persistent CSF inhibition contrasts with earlier findings after long-term treatment by the reversible ChE inhibitor tacrine, which demonstrated increased AChE activity in the CSF but not in the blood. Rivastigmine's effects on the preferential up-regulation of the AChE-R isoform may have a favorable effect on disease stabilization.

journal_name

Neurology

journal_title

Neurology

authors

Darreh-Shori T,Almkvist O,Guan ZZ,Garlind A,Strandberg B,Svensson AL,Soreq H,Hellström-Lindahl E,Nordberg A

doi

10.1212/wnl.59.4.563

subject

Has Abstract

pub_date

2002-08-27 00:00:00

pages

563-72

issue

4

eissn

0028-3878

issn

1526-632X

journal_volume

59

pub_type

临床试验,杂志文章
  • Anatomical evidence of an indirect pathway for word repetition.

    abstract:OBJECTIVE:To combine MRI-based cortical morphometry and diffusion white matter tractography to describe the anatomical correlates of repetition deficits in patients with primary progressive aphasia (PPA). METHODS:The traditional anatomical model of language identifies a network for word repetition that includes Wernic...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008746

    authors: Forkel SJ,Rogalski E,Drossinos Sancho N,D'Anna L,Luque Laguna P,Sridhar J,Dell'Acqua F,Weintraub S,Thompson C,Mesulam MM,Catani M

    更新日期:2020-02-11 00:00:00

  • Chronic polyradiculoneuropathy of infancy. A report of three cases with familial incidence.

    abstract::Two siblings and a third child exhibited a syndrome of progressive muscular weakness and wasting, closely resembling Werdnig-Hoffmann's disease. Autopsy of one of the siblings and the third child showed nearly total absence of myelin sheaths in the cranial and spinal nerve roots, relative preservation of axons, and no...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.6.565

    authors: Kasman M,Bernstein L,Schulman S

    更新日期:1976-06-01 00:00:00

  • Most cases of dementia with hippocampal sclerosis may represent frontotemporal dementia.

    abstract::Hippocampal sclerosis dementia (HSD) is a disease of unknown etiology and pathogenesis. To determine whether HSD cases could be reclassified as variants of frontotemporal dementia (FTD), a heterogeneous group of disorders, 18 brain autopsy cases previously diagnosed as HSD were re-evaluated. In 11 cases, ubiquitinated...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000129543.46734.c0

    authors: Hatanpaa KJ,Blass DM,Pletnikova O,Crain BJ,Bigio EH,Hedreen JC,White CL 3rd,Troncoso JC

    更新日期:2004-08-10 00:00:00

  • Varicella-zoster virus DNA in CSF and arteries in delayed contralateral hemiplegia: evidence for viral invasion of cerebral arteries.

    abstract::A 78-year-old woman presented with a right basal ganglia infarct 6 weeks after a left herpes zoster ophthalmicus. MR angiography showed focal segmental stenosis of the proximal segments of the anterior, middle, and posterior cerebral arteries. Varicella DNA was detected in the CSF by polymerase chain reaction (PCR). T...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.2.569

    authors: Melanson M,Chalk C,Georgevich L,Fett K,Lapierre Y,Duong H,Richardson J,Marineau C,Rouleau GA

    更新日期:1996-08-01 00:00:00

  • Differences in cognitive impairment of relapsing remitting, secondary, and primary progressive MS.

    abstract:OBJECTIVE:To investigate the cognitive skills of patients with relapsing remitting multiple sclerosis (RRMS), secondary progressive MS (SPMS), and primary progressive MS (PPMS) relative to healthy control subjects and to assess whether there is heterogeneity in the type of cognitive disabilities demonstrated by patient...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000129828.03714.90

    authors: Huijbregts SC,Kalkers NF,de Sonneville LM,de Groot V,Reuling IE,Polman CH

    更新日期:2004-07-27 00:00:00

  • Pharmacokinetics, pharmacodynamics, and tolerability of tolcapone: a review of early studies in volunteers.

    abstract::Tolcapone is a potent, reversible inhibitor of catechol O-methyltransferase (COMT) intended for use as an adjunct to levodopa therapy for Parkinson's disease (PD). Findings from the first pharmacokinetics/pharmacodynamics and tolerability studies of tolcapone in volunteers are reviewed. Following linear and dose-propo...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.50.5_suppl_5.s31

    authors: Jorga KM

    更新日期:1998-05-01 00:00:00

  • Ahomocysteinemia in molybdenum cofactor deficiency.

    abstract::We report an infant with molybdenum cofactor deficiency (MCD) and a unique clinical presentation of hemiplegia, hypotonia, dystonia, and bilateral basal ganglia changes. Biochemistry revealed absent serum homocysteine, low concentrations of plasma cystine, high levels of urinary S-sulfocysteine and sulfite, and high l...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.51.3.860

    authors: Graf WD,Oleinik OE,Jack RM,Weiss AH,Johnson JL

    更新日期:1998-09-01 00:00:00

  • Mitochondrial DNA nucleotide changes in non-arteritic ischemic optic neuropathy.

    abstract::The authors sequenced the entire mitochondrial DNA coding region in a group of 19 patients with non-arteritic anterior ischemic optic neuropathy (NAION) and in 100 controls. Synonymous and nonsynonymous nucleotide changes were more common in NAION patients (p < 0.001). Twelve of these (11 novel) were potentially patho...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000140696.34117.95

    authors: Bosley TM,Abu-Amero KK,Ozand PT

    更新日期:2004-10-12 00:00:00

  • Functional hemispherectomy: EEG findings, spiking from isolated brain postoperatively, and prediction of outcome.

    abstract::We reviewed the prognostic significance of preoperative EEG findings in 25 patients who underwent functional hemispherectomy. Bilateral independent epileptogenic foci, found in five patients, generally indicate a less satisfactory outcome, with only three of the five patients becoming seizure free following hemisphere...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.11.1790

    authors: Smith SJ,Andermann F,Villemure JG,Rasmussen TB,Quesney LF

    更新日期:1991-11-01 00:00:00

  • Novel missense mutation in the early growth response 2 gene associated with Dejerine-Sottas syndrome phenotype.

    abstract:BACKGROUND:Mutations in the early growth response 2 (EGR2) gene have recently been found in patients with congenital hypomyelinating neuropathy and Charcot-Marie-Tooth type 1 (CMT1) disease. OBJECTIVE:To determine the frequency of EGR2 mutations in patients with a diagnosis of CMT1, Dejerine-Sottas syndrome (DSS), or ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.9.1827

    authors: Timmerman V,De Jonghe P,Ceuterick C,De Vriendt E,Löfgren A,Nelis E,Warner LE,Lupski JR,Martin JJ,Van Broeckhoven C

    更新日期:1999-06-10 00:00:00

  • Seizure-associated brain injury in term newborns with perinatal asphyxia.

    abstract:BACKGROUND:There is controversy over whether seizures, the most common manifestation of neonatal brain injury, may themselves damage the developing brain. OBJECTIVE:To determine if neonatal seizures are independently associated with brain injury in newborns with perinatal asphyxia. METHODS:Ninety term neonates were s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.4.542

    authors: Miller SP,Weiss J,Barnwell A,Ferriero DM,Latal-Hajnal B,Ferrer-Rogers A,Newton N,Partridge JC,Glidden DV,Vigneron DB,Barkovich AJ

    更新日期:2002-02-26 00:00:00

  • HLA-DQ1 associated with reflex sympathetic dystrophy.

    abstract::Reflex sympathetic dystrophy (RSD) is a relatively common disabling disorder of unknown pathophysiology. From a cohort of 52 patients, carefully selected to fulfill the recently formulated diagnostic criteria for RSD, venous blood samples were taken for typing of class I and II major histocompatibility antigens. The f...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.6.1350

    authors: Kemler MA,van de Vusse AC,van den Berg-Loonen EM,Barendse GA,van Kleef M,Weber WE

    更新日期:1999-10-12 00:00:00

  • Risk factors and outcome of patients with carotid artery stenosis presenting with lacunar stroke. North American Symptomatic Carotid Endarterectomy Trial Group.

    abstract:OBJECTIVE:To examine the relationship between carotid artery stenosis, other risk factors, and lacunar stroke. BACKGROUND:Carotid artery stenosis in patients presenting with lacune stroke may be coincidental or causal. The distinction by risk factor profile is uncertain. The risk and cause of subsequent stroke, and be...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.3.660

    authors: Inzitari D,Eliasziw M,Sharpe BL,Fox AJ,Barnett HJ

    更新日期:2000-02-08 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

  • Long-term interferon beta-1b therapy for MS: is routine thyroid assessment always useful?

    abstract:BACKGROUND:The authors previously reported on the development of thyroid dysfunction and autoimmunity during 1-year treatment of patients with MS with interferon-beta 1b (IFN beta-1b). OBJECTIVE:To evaluate the evolution of incident thyroid disease and the possible development of more thyroid disease during longer ter...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.55.4.549

    authors: Monzani F,Caraccio N,Casolaro A,Lombardo F,Moscato G,Murri L,Ferrannini E,Meucci G

    更新日期:2000-08-22 00:00:00

  • Double-blind study of true vs. sham plasma exchange in patients treated with immunosuppression for acute attacks of multiple sclerosis.

    abstract::We enrolled 116 patients in a multicenter, randomized, double-blind controlled trial of an 8-week course of 11 plasma exchange (PE) treatments in exacerbations of MS. The control group received sham PE, and both groups received identical treatment with IM ACTH and oral cyclophosphamide. Serum IgG decreased in the PE a...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.39.9.1143

    authors: Weiner HL,Dau PC,Khatri BO,Petajan JH,Birnbaum G,McQuillen MP,Fosburg MT,Feldstein M,Orav EJ

    更新日期:1989-09-01 00:00:00

  • Early penetration of the blood-brain-barrier by HIV.

    abstract::CNS dysfunction occurs frequently in patients with HIV infection. To better define the role of HIV in the pathogenesis of neurologic dysfunction, HIV isolation and antibody studies were investigated from the CSF in 52 seropositive patients, 29 with and 23 without neurologic signs and symptoms, in various stages of dis...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.1.9

    authors: Resnick L,Berger JR,Shapshak P,Tourtellotte WW

    更新日期:1988-01-01 00:00:00

  • Correlates of disability in multiple sclerosis detected by transcranial magnetic stimulation.

    abstract:OBJECTIVE:To study the usefulness of corticospinally mediated excitatory responses and transcallosal inhibition (TI) elicited by transcranial magnetic stimulation (TMS) as a surrogate marker of disability in patients with different courses of MS. METHODS:Focal TMS of the motor cortex was performed in 118 patients with...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.59.8.1218

    authors: Schmierer K,Irlbacher K,Grosse P,Röricht S,Meyer BU

    更新日期:2002-10-22 00:00:00

  • Does adding MS-specific items to a generic measure (the SF-36) improve measurement?

    abstract:OBJECTIVE:The 36-item Short Form Health Survey Questionnaire (SF-36) is a widely used generic health status measure. Recently it has been adapted to produce a disease-specific measure for MS-the 54-item Multiple Sclerosis Quality of Life Scale (MSQOL-54)-composed of five unchanged SF-36 scales; three altered SF-36 scal...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.1.68

    authors: Freeman JA,Hobart JC,Thompson AJ

    更新日期:2001-07-10 00:00:00

  • Perfusion fMRI detects deficits in regional CBF during memory-encoding tasks in MCI subjects.

    abstract:OBJECTIVE:To determine how memory-encoding tasks elicit functional perfusion change in subjects with amnestic mild cognitive impairment (aMCI). METHODS:Twelve subjects with aMCI and 14 age-matched cognitively normal (CN) subjects were recruited for this study. Arterial spin-labeling perfusion MRI (ASL-MRI) was employe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000296941.06685.22

    authors: Xu G,Antuono PG,Jones J,Xu Y,Wu G,Ward D,Li SJ

    更新日期:2007-10-23 00:00:00

  • Neurology and neurologic practice in China.

    abstract::In the wake of dramatic economic success during the past 2 decades, the specialized field of neurology has undergone a significant transformation in China. With an increase in life expectancy, the problems of aging and cognition have grown. Lifestyle alterations have been associated with an epidemiologic transition bo...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31823a0ed3

    authors: Shi FD,Jia JP

    更新日期:2011-11-29 00:00:00

  • Treatment of restless legs syndrome with gabapentin: a double-blind, cross-over study.

    abstract:OBJECTIVE:To assess the effects of gabapentin on sensory and motor symptoms in patients with restless legs syndrome (RLS). METHODS:Patients with RLS (22 idiopathic, 2 secondary to iron deficiency) were randomized and treated for 6 weeks with either gabapentin or placebo. After a 1-week washout they crossed over to the...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.59.10.1573

    authors: Garcia-Borreguero D,Larrosa O,de la Llave Y,Verger K,Masramon X,Hernandez G

    更新日期:2002-11-26 00:00:00

  • Retinal pathology in idiopathic moyamoya angiopathy detected by optical coherence tomography.

    abstract:OBJECTIVE:To investigate whether patients with moyamoya angiopathy without obvious retinal pathologies such as retinal infarctions or the congenital morning glory anomaly may have subtle subclinical retinal changes. METHODS:In this cross-sectional study, spectral domain optical coherence tomography was used to analyze...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001832

    authors: Albrecht P,Blasberg C,Lukas S,Ringelstein M,Müller AK,Harmel J,Kadas EM,Finis D,Guthoff R,Aktas O,Hartung HP,Paul F,Brandt AU,Berlit P,Methner A,Kraemer M

    更新日期:2015-08-11 00:00:00

  • Age and education correction of Mini-Mental State Examination for English and Spanish-speaking elderly.

    abstract::Previous research has shown that the Mini-Mental State Examination (MMS) is biased as a measure of cognitive impairment in minority and low-education patients. The purpose of this study was to (1) develop a statistical correction for effects of age and education and (2) test the efficacy of the statistically adjusted ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.3.700

    authors: Mungas D,Marshall SC,Weldon M,Haan M,Reed BR

    更新日期:1996-03-01 00:00:00

  • Pharmacodynamics of the long-duration response to levodopa in PD.

    abstract:OBJECTIVE:To determine the latency, magnitude, and duration of the long-duration response (LDR) to levodopa in PD in relationship to the administration of levodopa at different interdose intervals. METHODS:In six patients with PD, two different 15-day treatment regimens were used in which the drug was administered wit...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.3.557

    authors: Zappia M,Bosco D,Plastino M,Nicoletti G,Branca D,Oliveri RL,Aguglia U,Gambardella A,Quattrone A

    更新日期:1999-08-11 00:00:00

  • Collagen VI involvement in Ullrich syndrome: a clinical, genetic, and immunohistochemical study.

    abstract:BACKGROUND:Ullrich congenital muscular dystrophy (UCMD) is a form of merosin-positive congenital muscular dystrophy characterized by proximal contractures, distal laxity, rigidity of the spine, and respiratory complications. Recently, a deficiency of collagen VI on muscle and skin biopsy together with recessive mutatio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.9.1354

    authors: Mercuri E,Yuva Y,Brown SC,Brockington M,Kinali M,Jungbluth H,Feng L,Sewry CA,Muntoni F

    更新日期:2002-05-14 00:00:00

  • Prospective and longitudinal long-term employment outcomes after resective epilepsy surgery.

    abstract:OBJECTIVE:To investigate long-term employment outcomes after resective epilepsy surgery in a national population-based cohort of adults. METHODS:In the Swedish National Epilepsy Surgery Register, all adults who were operated with resective epilepsy surgery from 1995 to 2010 were identified. Two-year follow-up was avai...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002069

    authors: Edelvik A,Flink R,Malmgren K

    更新日期:2015-10-27 00:00:00

  • Prospective memory in patients with juvenile myoclonic epilepsy and their healthy siblings.

    abstract:OBJECTIVE:Prospective memory (PM) describes the ability to fulfill previously planned intentions and is highly dependent on executive functions. Previous studies have shown deficits in executive functions in patients with juvenile myoclonic epilepsy (JME) and in their unaffected siblings. JME has a strong genetic predi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318202010a

    authors: Wandschneider B,Kopp UA,Kliegel M,Stephani U,Kurlemann G,Janz D,Schmitz B

    更新日期:2010-12-14 00:00:00

  • Norming plans for the NIH Toolbox.

    abstract:OBJECTIVE:The NIH Toolbox for Assessment of Neurological and Behavioral Function (NIH Toolbox) is a comprehensive battery of brief assessment tools. The purpose of this article is to describe plans to establish normative reference values for the NIH Toolbox measures. METHODS:A large sample will be obtained from the US...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182872e70

    authors: Beaumont JL,Havlik R,Cook KF,Hays RD,Wallner-Allen K,Korper SP,Lai JS,Nord C,Zill N,Choi S,Yost KJ,Ustsinovich V,Brouwers P,Hoffman HJ,Gershon R

    更新日期:2013-03-12 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