The relationship of cerebrospinal fluid monoamine metabolites with clinical response to tetrahydroaminoacridine in patients with Alzheimer's disease.

K Alhainen, E L Helkala, K Reinikainen, P Riekkinen
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引用次数: 24

Abstract

The effect of tetrahydroaminoacridine (THA) on the cerebrospinal fluid (CSF) monoamine metabolites was studied in 22 patients with Alzheimer's disease in an open treatment trial. The CSF monoamine metabolites were assayed at baseline and after 4 weeks' active THA treatment with 100 mg/d. A statistically significant increase in the CSF homovanillic acid (HVA) and in 5-hydroxyindoleacetic acid (5-HIAA) content was found. The increase of the CSF 5-HIAA level correlated significantly with improvement in cognitive tests and in the Instrumental Activities of Daily Living Scale. We conclude that besides its anticholinesterase activity THA enhances also the monoaminergic neurotransmission in the brain and that the clinical improvement during THA treatment may be partly mediated through the monoaminergic system.

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阿尔茨海默病患者脑脊液单胺代谢物与四氢胺吖啶临床反应的关系
在一项开放治疗试验中,研究了四氢胺吖啶(THA)对22例阿尔茨海默病患者脑脊液(CSF)单胺代谢物的影响。在基线和100 mg/d活性THA治疗4周后检测脑脊液单胺代谢物。脑脊液同源香草酸(HVA)和5-羟基吲哚乙酸(5-HIAA)含量显著升高。脑脊液5-HIAA水平的升高与认知测试和日常生活工具活动量表的改善显著相关。我们得出结论,THA除了具有抗胆碱酯酶活性外,还能增强脑内单胺能神经传递,THA治疗期间的临床改善可能部分通过单胺能系统介导。
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