Serum Anticholinergic Activity: A Possible Peripheral Marker of the Anticholinergic Burden in the Central Nervous System in Alzheimer's Disease

被引:20
作者
Hori, Koji [1 ]
Konishi, Kimiko [1 ,2 ]
Tani, Masayuki [3 ]
Tomioka, Hiroi [3 ]
Akita, Ryo [3 ]
Kitajima, Yuka [4 ]
Aoki, Mari [1 ]
Yokoyama, Sachiko [1 ]
Azuma, Kazunari [1 ]
Ikuse, Daisuke [1 ]
Akashi, Norihisa [3 ]
Hosoi, Misa [1 ]
Jinbo, Koichi [1 ]
Hachisu, Mitsugu [5 ]
机构
[1] Showa Univ, Dept Psychiat, Northern Yokohama Hosp, Kawasaki, Kanagawa 2248503, Japan
[2] Tokyo Metropolitan Tobu Med Ctr Persons Dev Multi, Tokyo 1360075, Japan
[3] Showa Univ, Karasuyama Hosp, Dept Psychiat, Tokyo 1578577, Japan
[4] Juntendo Univ, Sch Med, Dept Anesthesiol, Tokyo 1138421, Japan
[5] Showa Univ, Sch Pharmaceut Sci, Dept Clin Psychopharm, Tokyo 1578577, Japan
关键词
CHOLINE-ACETYLTRANSFERASE; COGNITIVE IMPAIRMENT; ASSOCIATION; DEMENTIA; CORTISOL; DELIRIUM; SYMPTOMS; NEURONS; PLASMA; DRUGS;
D O I
10.1155/2014/459013
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
We review the utility of serum anticholinergic activity (SAA) as a peripheral marker of anticholinergic activity (AA) in the central nervous system (CAA). We hypothesize that the compensatory mechanisms of the cholinergic system do not contribute to SAA if their system is intact and that if central cholinergic system deteriorates alone in conditions such as Alzheimer's disease or Lewy body dementia, CAA and SAA are caused by way of hyperactivity of inflammatory system and SAA is a marker of the anticholinergic burden in CNS. Taking into account the diurnal variations in the plasma levels of corticosteroids, which are thought to affect SAA, it should be measured at noon or just afterward.
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页数:7
相关论文
共 46 条
[1]   Acute stress selectively reduces reward sensitivity [J].
Berghorst, Lisa H. ;
Bogdan, Ryan ;
Frank, Michael J. ;
Pizzagalli, Diego A. .
FRONTIERS IN HUMAN NEUROSCIENCE, 2013, 7
[2]   The anticholinergic drug scale as a measure of drug-related anticholinergic burden: Associations with serum anticholinergic activity [J].
Carnahan, Ryan M. ;
Lund, Brian C. ;
Perry, Paul J. ;
Pollock, Bruce G. ;
Culp, Kennith R. .
JOURNAL OF CLINICAL PHARMACOLOGY, 2006, 46 (12) :1481-1486
[3]   CIRCADIAN-RHYTHM OF PLASMA CORTISOL IN AGED (COSINOR METHOD) [J].
COLUCCI, CF ;
DALESSANDRO, B ;
BELLASTELLA, A ;
MONTALBETTI, N .
GERONTOLOGIA CLINICA, 1975, 17 (02) :89-95
[4]   Cholinesterase inhibitors: A new class of psychotropic compounds [J].
Cummings, JL .
AMERICAN JOURNAL OF PSYCHIATRY, 2000, 157 (01) :4-15
[5]   Upregulation of choline acetyltransferase activity in hippocampus and frontal cortex of elderly subjects with mild cognitive impairment [J].
DeKosky, ST ;
Ikonomovic, MD ;
Styren, SD ;
Beckett, L ;
Wisniewski, S ;
Bennett, DA ;
Cochran, EJ ;
Kordower, JH ;
Mufson, EJ .
ANNALS OF NEUROLOGY, 2002, 51 (02) :145-155
[6]   Serum anticholinergic activity changes with acute illness in elderly medical patients [J].
Flacker, JM ;
Lipsitz, LA .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1999, 54 (01) :M12-M16
[7]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[8]  
Frank G., 1966, J PSYCHIATR RES, V4, P73
[9]  
Gilmor ML, 1999, J COMP NEUROL, V411, P693
[10]  
Hori K., 2013, JPN J NEUROPSYCHOPH, V33, P117