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Longitudinal PET evaluation of cerebral glucose metabolism in rivastigmine treated patients with mild Alzheimer's disease

Abstract

In this study 11 patients with mild Alzheimer's disease (AD) were treated with the cholinesterase inhibitor rivastigmine (mean dose 8.6 {+-} 1.3 mg) for 12 months and underwent positron emission tomography (PET) studies of cerebral glucose metabolism (CMRglc) and neuropsychological testing at baseline and after 12 months. An untreated group of 10 AD patients served as control group. While the untreated AD patients showed a significant decline of CMRglc in the temporo-parietal and frontal cortical regions after 12 months follow-up the rivastigmine-treated patients showed no decline in CMRglc in corresponding cortical brain regions. Furthermore, a significant dose-related increase in CMRglc was recorded in the right frontal association region after 12 months rivastigmine treatment. A positive correlation was observed between changes in CMRglc and several cognitive tests in patients receiving higher doses (10.5-12 mg) of rivastigmine. These results suggest a stabilization effect of rivastigmine on CMRglc in mild AD patients receiving long-term rivastigmine treatment. (author)
Authors:
Stefanova, E; Forsberg, A; [1]  Wall, A; Nilsson, A; Langstroem, B; [2]  Almkvist, O; [3]  Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)]; Nordberg, A; [1]  Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)]
  1. Division of Molecular Neuropharmacology, Neurotec Department, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm (Sweden)
  2. Uppsala University PET-centre, Uppsala (Sweden)
  3. Department of Psychology, Stockholm University, Stockholm (Sweden)
Publication Date:
Jul 01, 2006
Product Type:
Journal Article
Resource Relation:
Journal Name: Journal of Neural Transmission; Journal Volume: 113
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CENTRAL NERVOUS SYSTEM; CHOLINESTERASE; GLUCOSE; METABOLISM; NERVOUS SYSTEM DISEASES; POSITRON COMPUTED TOMOGRAPHY
OSTI ID:
21314287
Country of Origin:
Austria
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 0300-9564; JNTMAH; TRN: AT1000262057634
Availability:
Available from http://dx.doi.org/10.1007/s00702-005-0312-6;INIS
Submitting Site:
INIS
Size:
page(s) 205-218
Announcement Date:
Aug 02, 2010

Citation Formats

Stefanova, E, Forsberg, A, Wall, A, Nilsson, A, Langstroem, B, Almkvist, O, Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)], Nordberg, A, and Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)]. Longitudinal PET evaluation of cerebral glucose metabolism in rivastigmine treated patients with mild Alzheimer's disease. Austria: N. p., 2006. Web. doi:10.1007/S00702-005-0312-6.
Stefanova, E, Forsberg, A, Wall, A, Nilsson, A, Langstroem, B, Almkvist, O, Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)], Nordberg, A, & Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)]. Longitudinal PET evaluation of cerebral glucose metabolism in rivastigmine treated patients with mild Alzheimer's disease. Austria. https://doi.org/10.1007/S00702-005-0312-6
Stefanova, E, Forsberg, A, Wall, A, Nilsson, A, Langstroem, B, Almkvist, O, Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)], Nordberg, A, and Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)]. 2006. "Longitudinal PET evaluation of cerebral glucose metabolism in rivastigmine treated patients with mild Alzheimer's disease." Austria. https://doi.org/10.1007/S00702-005-0312-6.
@misc{etde_21314287,
title = {Longitudinal PET evaluation of cerebral glucose metabolism in rivastigmine treated patients with mild Alzheimer's disease}
author = {Stefanova, E, Forsberg, A, Wall, A, Nilsson, A, Langstroem, B, Almkvist, O, Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)], Nordberg, A, and Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm (Sweden)]}
abstractNote = {In this study 11 patients with mild Alzheimer's disease (AD) were treated with the cholinesterase inhibitor rivastigmine (mean dose 8.6 {+-} 1.3 mg) for 12 months and underwent positron emission tomography (PET) studies of cerebral glucose metabolism (CMRglc) and neuropsychological testing at baseline and after 12 months. An untreated group of 10 AD patients served as control group. While the untreated AD patients showed a significant decline of CMRglc in the temporo-parietal and frontal cortical regions after 12 months follow-up the rivastigmine-treated patients showed no decline in CMRglc in corresponding cortical brain regions. Furthermore, a significant dose-related increase in CMRglc was recorded in the right frontal association region after 12 months rivastigmine treatment. A positive correlation was observed between changes in CMRglc and several cognitive tests in patients receiving higher doses (10.5-12 mg) of rivastigmine. These results suggest a stabilization effect of rivastigmine on CMRglc in mild AD patients receiving long-term rivastigmine treatment. (author)}
doi = {10.1007/S00702-005-0312-6}
journal = []
volume = {113}
place = {Austria}
year = {2006}
month = {Jul}
}