Potential for intermittent stimulation of nucleus basalis of Meynert to impact treatment of alzheimer's disease

The brain's cholinergic arousal pathways decline in parallel with the brain's executive functions in aging and Alzheimer's Disease. The frontline and currently most effective approach to treating Alzheimer's disease is the administration of cholinesterase inhibitors, which, in a...

Full description

Bibliographic Details
Main Authors: David T. Blake, Alvin V. Terry, Marc Plagenhoef, Christos Constantinidis, Ruifeng Liu
Format: Article
Language:English
Published: Taylor & Francis Group 2017-11-01
Series:Communicative & Integrative Biology
Subjects:
Online Access:http://dx.doi.org/10.1080/19420889.2017.1389359
_version_ 1819182333389963264
author David T. Blake
Alvin V. Terry
Marc Plagenhoef
Christos Constantinidis
Ruifeng Liu
author_facet David T. Blake
Alvin V. Terry
Marc Plagenhoef
Christos Constantinidis
Ruifeng Liu
author_sort David T. Blake
collection DOAJ
description The brain's cholinergic arousal pathways decline in parallel with the brain's executive functions in aging and Alzheimer's Disease. The frontline and currently most effective approach to treating Alzheimer's disease is the administration of cholinesterase inhibitors, which, in a dose dependent manner, improve the symptoms of cognitive decline over the first months of treatment before further decline occurs. We recently showed that intermittent deep brain stimulation of the nucleus basalis of Meynert improves working memory function in young adult monkeys, and that this improvement depended on cholinergic function. Within minutes, the monkeys’ ability to remember stimuli over a delay period improved. Over months, the monkeys performed the working memory task better even in the absence of stimulation. Here, we show historical data from our monkey colony in which more than two dozen animals have performed the same behavioral task to asymptotic performance levels. Using a distribution based on our historical data, we estimate that the monkeys receiving intermittent stimulation leapt over the performance level of 32–44 percent of peer animals in the first several months after stimulation was initiated. Implications for a parallel increase in cognitive function for early Alzheimer's patients are discussed.
first_indexed 2024-12-22T22:44:28Z
format Article
id doaj.art-afd77f36e3e44501890eddfce3375176
institution Directory Open Access Journal
issn 1942-0889
language English
last_indexed 2024-12-22T22:44:28Z
publishDate 2017-11-01
publisher Taylor & Francis Group
record_format Article
series Communicative & Integrative Biology
spelling doaj.art-afd77f36e3e44501890eddfce33751762022-12-21T18:10:07ZengTaylor & Francis GroupCommunicative & Integrative Biology1942-08892017-11-01105-610.1080/19420889.2017.13893591389359Potential for intermittent stimulation of nucleus basalis of Meynert to impact treatment of alzheimer's diseaseDavid T. Blake0Alvin V. Terry1Marc Plagenhoef2Christos Constantinidis3Ruifeng Liu4Brain and Behavior Discovery InstituteMedical College of Georgia, Augusta UniversityMedical College of Georgia, Augusta UniversityWake Forest School of MedicineState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen UniversityThe brain's cholinergic arousal pathways decline in parallel with the brain's executive functions in aging and Alzheimer's Disease. The frontline and currently most effective approach to treating Alzheimer's disease is the administration of cholinesterase inhibitors, which, in a dose dependent manner, improve the symptoms of cognitive decline over the first months of treatment before further decline occurs. We recently showed that intermittent deep brain stimulation of the nucleus basalis of Meynert improves working memory function in young adult monkeys, and that this improvement depended on cholinergic function. Within minutes, the monkeys’ ability to remember stimuli over a delay period improved. Over months, the monkeys performed the working memory task better even in the absence of stimulation. Here, we show historical data from our monkey colony in which more than two dozen animals have performed the same behavioral task to asymptotic performance levels. Using a distribution based on our historical data, we estimate that the monkeys receiving intermittent stimulation leapt over the performance level of 32–44 percent of peer animals in the first several months after stimulation was initiated. Implications for a parallel increase in cognitive function for early Alzheimer's patients are discussed.http://dx.doi.org/10.1080/19420889.2017.1389359Alzheimer's Diseaseacetylcholinedeep brain stimulation
spellingShingle David T. Blake
Alvin V. Terry
Marc Plagenhoef
Christos Constantinidis
Ruifeng Liu
Potential for intermittent stimulation of nucleus basalis of Meynert to impact treatment of alzheimer's disease
Communicative & Integrative Biology
Alzheimer's Disease
acetylcholine
deep brain stimulation
title Potential for intermittent stimulation of nucleus basalis of Meynert to impact treatment of alzheimer's disease
title_full Potential for intermittent stimulation of nucleus basalis of Meynert to impact treatment of alzheimer's disease
title_fullStr Potential for intermittent stimulation of nucleus basalis of Meynert to impact treatment of alzheimer's disease
title_full_unstemmed Potential for intermittent stimulation of nucleus basalis of Meynert to impact treatment of alzheimer's disease
title_short Potential for intermittent stimulation of nucleus basalis of Meynert to impact treatment of alzheimer's disease
title_sort potential for intermittent stimulation of nucleus basalis of meynert to impact treatment of alzheimer s disease
topic Alzheimer's Disease
acetylcholine
deep brain stimulation
url http://dx.doi.org/10.1080/19420889.2017.1389359
work_keys_str_mv AT davidtblake potentialforintermittentstimulationofnucleusbasalisofmeynerttoimpacttreatmentofalzheimersdisease
AT alvinvterry potentialforintermittentstimulationofnucleusbasalisofmeynerttoimpacttreatmentofalzheimersdisease
AT marcplagenhoef potentialforintermittentstimulationofnucleusbasalisofmeynerttoimpacttreatmentofalzheimersdisease
AT christosconstantinidis potentialforintermittentstimulationofnucleusbasalisofmeynerttoimpacttreatmentofalzheimersdisease
AT ruifengliu potentialforintermittentstimulationofnucleusbasalisofmeynerttoimpacttreatmentofalzheimersdisease