Levels of CSF prostaglandin E2, cognitive decline, and survival in Alzheimer's disease.

BACKGROUND: Although epidemiological, clinical, and experimental evidence indicates that the inducible isoform of cyclo-oxygenase (COX-2) may be involved in the pathogenesis of several neurodegenerative disorders, the mechanisms whereby COX-2 contributes to Alzheimer's disease are largely unkno...

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Main Authors: Combrinck, M, Williams, J, Berardinis, D, Warden, D, Puopolo, M, Smith, A, Minghetti, L
Format: Journal article
Language:English
Published: 2006
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author Combrinck, M
Williams, J
Berardinis, D
Warden, D
Puopolo, M
Smith, A
Minghetti, L
author_facet Combrinck, M
Williams, J
Berardinis, D
Warden, D
Puopolo, M
Smith, A
Minghetti, L
author_sort Combrinck, M
collection OXFORD
description BACKGROUND: Although epidemiological, clinical, and experimental evidence indicates that the inducible isoform of cyclo-oxygenase (COX-2) may be involved in the pathogenesis of several neurodegenerative disorders, the mechanisms whereby COX-2 contributes to Alzheimer's disease are largely unknown. OBJECTIVE: To undertake a longitudinal study of CSF levels of a major product of COX activity, prostaglandin E2 (PGE2), in relation to cognitive decline and survival in patients with Alzheimer's disease. METHODS: CSF PGE2 was measured on at least three annual visits in 35 controls and 33 Alzheimer patients (26 necropsy confirmed) who completed the Cambridge cognitive assessment (CAMCOG). RESULTS: Compared with controls, CSF PGE2 was higher in patients with mild memory impairment, but lower in those with more advanced Alzheimer's disease. The median survival time of patients with higher initial PGE2 levels was five years longer than those with lower levels. CONCLUSIONS: COX activity in Alzheimer's disease varies with stage of the disease. PGE2 levels correlate positively with patient survival. These findings suggest that inhibition of COX activity does not represent a major target for the pharmacological treatment of Alzheimer's disease.
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spelling oxford-uuid:7e834fef-dd25-4275-968c-16cd333f393a2022-03-26T21:10:32ZLevels of CSF prostaglandin E2, cognitive decline, and survival in Alzheimer's disease.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7e834fef-dd25-4275-968c-16cd333f393aEnglishSymplectic Elements at Oxford2006Combrinck, MWilliams, JBerardinis, DWarden, DPuopolo, MSmith, AMinghetti, LBACKGROUND: Although epidemiological, clinical, and experimental evidence indicates that the inducible isoform of cyclo-oxygenase (COX-2) may be involved in the pathogenesis of several neurodegenerative disorders, the mechanisms whereby COX-2 contributes to Alzheimer's disease are largely unknown. OBJECTIVE: To undertake a longitudinal study of CSF levels of a major product of COX activity, prostaglandin E2 (PGE2), in relation to cognitive decline and survival in patients with Alzheimer's disease. METHODS: CSF PGE2 was measured on at least three annual visits in 35 controls and 33 Alzheimer patients (26 necropsy confirmed) who completed the Cambridge cognitive assessment (CAMCOG). RESULTS: Compared with controls, CSF PGE2 was higher in patients with mild memory impairment, but lower in those with more advanced Alzheimer's disease. The median survival time of patients with higher initial PGE2 levels was five years longer than those with lower levels. CONCLUSIONS: COX activity in Alzheimer's disease varies with stage of the disease. PGE2 levels correlate positively with patient survival. These findings suggest that inhibition of COX activity does not represent a major target for the pharmacological treatment of Alzheimer's disease.
spellingShingle Combrinck, M
Williams, J
Berardinis, D
Warden, D
Puopolo, M
Smith, A
Minghetti, L
Levels of CSF prostaglandin E2, cognitive decline, and survival in Alzheimer's disease.
title Levels of CSF prostaglandin E2, cognitive decline, and survival in Alzheimer's disease.
title_full Levels of CSF prostaglandin E2, cognitive decline, and survival in Alzheimer's disease.
title_fullStr Levels of CSF prostaglandin E2, cognitive decline, and survival in Alzheimer's disease.
title_full_unstemmed Levels of CSF prostaglandin E2, cognitive decline, and survival in Alzheimer's disease.
title_short Levels of CSF prostaglandin E2, cognitive decline, and survival in Alzheimer's disease.
title_sort levels of csf prostaglandin e2 cognitive decline and survival in alzheimer s disease
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