Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-22T16:11:57.616Z Has data issue: false hasContentIssue false

Effect of Central Cholinergic Stimulation on Regional Cerebral Blood Flow in Alzheimer's Disease

Published online by Cambridge University Press:  03 January 2018

Ken Wilson
Affiliation:
Department of Psychogeriatrics, Mossley Hill Hospital, Park Avenue, Liverpool L18 8BU
David Bowen
Affiliation:
Department of Neurochemistry, Institute of Neurology (Queen Square), 1 Wakefield Street, London WC1N 1PJ
Paul Francis
Affiliation:
Department of Neurochemistry, Institute of Neurology (Queen Square), 1 Wakefield Street, London WC1N 1PJ
Philippa Tyrrell
Affiliation:
MRC Cyclotron Unit, Hammersmith Hospital, DuCane Road, London W12 OHS

Abstract

Patients with Alzheimer disease (AD) had reduced regional cerebral blood flow (rCBF) in the posterior parietotemporal region compared with controls, as determined with technetium-99m hexamethyl propyleneamine oxime and single photon emission tomography. Central cholinergic stimulation with physostigmine produced a focal increase in rCBF in the posterior parietotemporal region in the patients with AD but not in controls.

Type
The Current Literature
Copyright
Copyright © Royal College of Psychiatrists, 1991 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Battistin, L., Pizzolato, G., Dam, M., et al (1989) Single photon emission tomography studies with 99m-Tc-hexamethyl-propyleneamine oxime in dementia: effects of acute administrationof L-acetylcarnitinc. European Neurology, 29, 261265.CrossRefGoogle Scholar
Bowen, D. M. (1981) Alzheimer's disease. In The Molecular Basis of Nueropathology (eds A. N. Davison & R. H. S. Thompson), pp. 649665. London: Edward Arnold.Google Scholar
Bowen, D. M. (1990) Treatment of Alzheimer's disease. Molecular pathology versus neurotransmitter-based therapy. British Journal of Psychiatry, 157, 327330.Google Scholar
Brion, J. (1990) Molecular pathology of Alzheimer's amyloid and neurofibrillary tangles. Seminars in the Neurosciences, 2, 89100.Google Scholar
Burns, A., Philpott, M., Costa, D., et al (1989) The investigation of Alzheimer's disease with single photon emission tomography. Journal of Neurology, Neurosurgery and Psychiatry, 52, 248253.Google Scholar
Caputo, C. B. & Salama, A. I. (1989) Author's response to commentaries. Neurobiology of Aging, 10, 477478.Google Scholar
Corsellis, J. A. N. (1962) Mental Illness and the Ageing Brain. Maudsley Monograph, no. 9. London: Oxford University Press.Google Scholar
Crino, P. B., Vogt, B. A., Volicer, L., et al (1960) Cellular localization of serotonin 1A, 1B receptors and uptake sites in the cingulate cortex of the rat. Journal of Pharmacology and Experimental Therapeutics, 252, 651656.Google Scholar
Drachman, D. A. & Leavitt, J. (1974) Human memory and the cholinergic system: a relationship to aging? Archives of Neurology, 30, 113121.Google Scholar
Ebmeier, K. P., Besson, J. A. O. & Crawford, J. R. (1987) Nuclear magnetic resonance imaging and single photon emission tomography with radio-iodine labelled compounds in the diagnosis of dementia. Acta Psychiatrica Scandinavica, 75, 549556.Google Scholar
Esiri, M. M., Pearson, R. C. A., Steele, J. E., et al (1990) A quantitative study of the neurofibrillary tangles and the choline acetyltransferase activity in the cerebral cortex and amgdala in Alzheimer's disease. Journal of Neurology, Neurosurgery and Psychiatry, 53, 161165.CrossRefGoogle Scholar
Frackowiak, R. S. J., Pozzilli, C., Lego, N. J., et al (1981) Regional cerebral oxygen supply and utilisation in dementia: a clinical and physiological study with oxygen-15 and positron tomography. Brain, 104, 753756.Google Scholar
Friedland, R. P., Prusiner, W. J., et al (1984) Bitemporal hypometabolism in Cruetzfeldt–Jakob disease measured by positron emission tomography with [18F]-2–fluorodeoxyglucose. Journal of Computer Assisted Tomography, 8, 978981.Google Scholar
Geaney, D. P., Soper, N., Shepstone, B. J., et al (1990) Effect of central cholinergic stimulation on regional cerebral blood flow in Alzheimer's disease. Lancet, 335, 14841487.Google Scholar
Gibbs, J. M., Frackowiak, R. S. J. & Lego, N. J. (1986) Regional cerebral blood flow and oxygen metabolism in dementia due to vascular disease. Gerontology, 32 (suppl. 1), 8486.Google Scholar
Glenner, G. G. & Melhaff, P. (1990) Proteolysis in the formation of amyloid fibrils in Alzheimer's disease. Neurobiology of Aging, 11, 300.CrossRefGoogle Scholar
Gustafsen, L., Edvinsson, L., Dahlgren, B., et al (1987) Intravenous physostigmine treatment in Alzheimer's disease evaluated by psychometric testing, regional cerebral blood flow (rCBF) measurement and EEC Psychopharmacology, 93, 3135.Google Scholar
Jagust, W., Reed, B., Seab, J., et al (1990) Alzheimer's disease: age at onset and single photon emission computed tomographic patterns of regional cerebral blood flow. Archives of Neurology, 47, 628633.CrossRefGoogle ScholarPubMed
Monahan, J. B., Handelmann, G. E., Hood, W. F., et al (1989) d-Cycloserine, a positive modulator of the N-methyl-D-aspartate receptor, enhances performance of learning tasks in rats. Pharmacology, Biochemistry & Behaviour, 36, 735738.Google Scholar
Pangalos, M. N., Pearson, R. C. A., Francis, P. T., et al (1990) Selective destruction of a sub-population of cortical neurones by suicide transport of volkensin, a lectin from Adenia Volkensii. British Journal of Pharmacology, 100, 377.Google Scholar
Perry, R. H. (1986) Recent advances in neuropathology. British Medical Bulletin, 42, 3441.Google Scholar
Procter, A. W., Lowe, S. L., Palmer, A. M. (1988) Topographical distribution of neurochemical changes in Alzheimer's disease. Journal of Neurological Sciences, 84, 125140.Google Scholar
Procter, A. W., Stratmann, G. C., Francis, P. T., et al (1990) Characterisation of the glycine modulatory site of the N-methyl-D-aspartate receptor ionophore complex in human brain. Journal of Neurochemistry, 56, 299310.Google Scholar
Selkoe, D. J. (1990) Deciphering Alzheimer's disease: the amyloid precursor protein yields new clues. Science, 248, 10581060.Google Scholar
Smith, C., Coogan, J. S. L., Hart, S. (1986) Effects of physostigmine on memory test performance in normal volunteers. Psychopharmacology, 90, 364366.Google Scholar
Spillantini, M. G., Goedert, M., Jakes, R., et al (1990) Topographical relationship between beta-amyloid and tau protein epitopes in tangle-bearing cells in Alzheimer's disease. Proceedings of the National Academy of Sciences (USA), 87, 39523956.Google Scholar
Stern, Y., Sano, M. & Mayeux, R. (1987) Effects of oral physostigmine in Alzheimer's disease. Annals of Neurology, 22, 306310.Google Scholar
Thal, L. J., Rosen, W., Sharpless, N. S., et al (1981) Choline fails to improve cognition in Alzheimer's disease. Neurobiology of Aging, 2, 205208.Google Scholar
Thal, L. J., Fuld, P. A., Masur, D. M., et al (1983) Oral physostigmine and lecithin improve memory in Alzheimer's disease. Annals of Neurology, 13, 491496.Google Scholar
Watson, G. B., Bolanowki, M. A., Baganoff, M. P., et al (1990) D-cycloserine acts as a partial agonist at the glycine modulatory site of the NMDA receptor expressed in Xenopus oocytes. Brain Research, 510, 158160.CrossRefGoogle ScholarPubMed
Wilcock, G. K., Esiri, M. M., Bowen, D. M., et al (1982) Alzheimer's disease. Correlation of cortical choline acetyltransferase activity with the severity of dementia and histological abnormalities. Journal of Neurological Sciences, 57, 407417.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.