Abstract
In a double blind randomized crossover trial lasting 6 months selegiline, a selective MAO-B inhibitor, was tested against placebo for activity on verbal memory performances in Alzheimer-type dementia (DAT). Verbal memory was assessed with the Rey-Auditory-Verbal Learning Test at the start of treatment, at the time scheduled for crossover (90 days) and at the end of the trial (180 days). The results suggest that selegiline possesses significant activity on some memory parameters, which seems to depend on an improvement both in information processing abilities and in learning strategies at the moment of acquisition
Sommario
In uno studio doppio cieco cross-over, randomizzato verso placebo della durata di sei mesi, è stata analizzata l'influenza della selegilina, inibitore selettivo delle MAO-B, sulle prestazioni di memoria verbale di 22 pazienti con diagnosi clinica di demenza tipo Alzheimer (DAT). L'esame della memoria verbale è stato effettuato con il Rey-Auditory Verbal Learning test all'inizio del trattamento, dopo 90 giorni, momento previsto per il cross-over, e dopo 180 giorni, al termine della sperimentazione. I risultati suggeriscono una significativa efficacia della selegilina su alcuni parametri di memoria, che sembrano riconducibili ad un miglioramento sia delle capacità di elaborazione delle informazioni, sia delle strategie di apprendimento al momento dell'acquisizione.
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References
Alexopoulos G.S., Lieberman K.W., Young R.C.:Platelet MAO activity in primary degenerative dementia. Am. J. Psychiatry 141:97–99, 1984.
American Psychiatric Association.:Diagnostic and statistical manual of mental disorders. 3rd Edition Revised, Washington, A.P.A., 1987.
Beatty, W.W., Butters N., Janowsky D.S.:Patterns of memory failure after scopolamine treatment: implications for cholinergic hypothesis of dementia. Behav. Neurol. Biol. 45:196–211, 1986.
Beninger R.J.:The role of dopamine in locomotor activity and learning. Brain Res. Rev. 6:173–196, 1983.
Bonuccelli U., Piccini P., Del Dotto P., Pacifici G.M., Corsini G.U., Muratorio A.:Platelet monoamine oxidase B activity in Parkinsonian patients. J. Neurol. Neurosurg. Psychiatry 53:854–855, 1990.
Broks P., Preston G.C., Traub M., Poppleton P., Ward C., Sthal S.M.:Modelling dementia: effects of scopolamine on memory and attention. Neuropsychologia 26:685–700, 1988.
Chan-Palay V., Asan E.:Alterations in catecholamine neurons of the locus coeruleus in senile dementia of the Alzheimer type and Parkinson's disease with and without dementia and depression. J. Comp. Neurol. 287:373–392, 1989.
Danielczyk W., Streifler M., Konradi C., Riederer P., Moll G.:Platelet MAO B activity and the psychopathology of Parkinson's disease, senile dementia and multi-infarct dementia. Acta Psychiatr. Scand. 78:730–736, 1988.
Davis P.E., Mumford S.J.:Cued recall and the nature of the memory disorder in dementia. Br. J. Psychiatry 144:383–386, 1984.
De Renzi E., Faglioni P.:Normative data and the screening power of a shortened version of the Token test. Cortex 14:41–49, 1978.
Dick M.B., Kean M.L.:Memory for internally generated words in Alzheimer-type dementia: breakdown in encoding and semantic memory. Brain. Cogn. 9:88–108, 1989.
Finali G., Piccirilli M., Oliani C., Piccinin G.L.:L-Deprenyl treatment improve verbal memory in amnesic Alzheimer patients. Clin. Neuropharmacol. (in press).
Fowler J.S., Mac Gregor R.R., Wolf A.P., et al.:Mapping human brain monoamine oxidase A and B with 11C-labelled suicide inactivators and PET. Science 235:481–485, 1987.
Freed D.M., Corkin S., Growdon J.H., Nissen M.J.:Selective attention in Alzheimer's disease: characterizing cognitive subgroups of patients. Neuropsychologia 27:325–339, 1989.
Galasko D., Klauber M.R., Hofstetter C.R., Solmon D.P., Lasker B., Thal L.J.:The Mini-Mental State Examination in the early diagnosis of Alzheimer's disease. Arch. Neurol. 47:49–52, 1990.
Gottfries C.G.:Neurochemical aspects of dementia disorders. Dementia 1:56–64, 1990.
Hamilton M.:Development of a rating scale for primary depressive illness. Br. J. Soc. Clin. Pschol. 6:278–296, 1967.
Heindel W.C., Salmon D.P., Butters N.:Neuropsychological differentiation of memory impairments in dementia. In Gilmore G., Whitehouse P., Wyke M. eds.Memory, Aging and Dementia. New York: Springer Publishing Co., 112–139, 1989.
Jetter W., Poser U.s.,Freeman R.B. jr,Markowitsch H.J..A verbal long term memory deficit in frontal lobe damaged patients. Cortex 22:229–242, 1986.
Kish S.J., El-Awar M., Schut L., Leach L., Oscar-Berman M., Freedman M.:Cognitive deficits in olivopontocerebellar atrophy: Implications for the cholinergic hypothesis of Alzheimer's dementia. Ann Neurol. 24:20–206, 1988.
Knoll J.:The pharmacology of selegiline ((−) deprenyl). New Aspects. Acta Neurol. Scand. 80 (suppl. 126):83–91, 1989.
Knopman D.S., Ryberg S.:A verbal memory test with high predictive accuracy for dementia of the Alzheimer type. Arch. Neurol. 46:141–145, 1990.
Kopelman M.D.:Multiple memory deficits in Alzheimer-type dementia: implications for pharmacotherapy. Psychol. Med. 15:527–541, 1985.
Kopelman M.D.:The cholinergic neurotransmitter system in human memory and dementia. Q. J. Exp. Pschol. 38:535–573, 1986.
Kopelman M.D., Corn T.H.:Cholinergic “blockade” as a model for cholinergic depletion. Brain 111:1079–1110, 1988.
Lavori P.W., Louis T.A., Bailar J.C., Polansky M.:Designs for experiments-parallel comparisons of treatment. N. Engl. J. Med. 309:1291–1298, 1983.
Lee D.H., Mendoza M., Dvorozniak M.T., Chung E., van Woert M.H., Yahr M.D.:Platelet monoamine oxidase in Parkinson patients: effect of 1-deprenyl therapy. J. Neural Transm. (P-D Sect) 1:189–194, 1989.
Loeb C., Gandolfo C.:Diagnostic evaluation of degenerative and vascular dementia. Stroke 14:399–401, 1983.
Louis T.A., Lavori P.W., Bailar J.C., Polansky M.:Crossover and self-controlled designs in clinical research. N. Engl. J. Med. 310:24–31, 1984.
Mann J.J., Aarons S.F., Wilner P.J., et al.:A controlled study of the antidepressant efficacy and side effects of (−)-deprenyl. Arch. Gen. Psychiatry 46:45–50, 1989.
Mayeux R.:Therapeutic strategies in Alzheimer's disease. Neurology 40:175–180, 1990.
McEntee W.J., Crook T.H. Age-associated memory impairment: A role for catecholamines. Neurology 40:526–530, 1990.
McKhann G., Drachman D., Folstein M., Katzman R., Price D., Stadlan E.M.:Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA work group. Neurology 34:939–944, 1984.
Monteverde A., Gnemmi P., Rossi F., Monteverde A., Finali G.C.:Selegiline in the treatment of mild to moderate Alzheimer-type dementia. Clin. Ther. 12:315–322, 1990.
Mungas D. Differential clinical sensitivity of specific parameters of the Rey Auditory-Verbal Learning Test. J. Consult. Clin. Psychol. 51:848–855, 1983.
Mytilineou C., Cohen G.:Deprenyl protects dopamine neurons from the neurotoxic effect of 1-methyl-4-phenylpyridinium ion. J. Neurochem. 45:1951–1953, 1985.
Newman R.P., Weingartner H., Smallberg S.A., Calne D.B.:Effortful and automatic memory: effects of dopamine. Neurology 34:805–807, 1984.
Nissen M.J., Knopman S., Schacter D.L.:Neurochemical dissociation of memory systems. Neurology 37:789–794, 1987.
Parkin A.J.:Amnesic syndrome: A lesion-specific disorder. Cortex 20:479–508, 1984.
Piccinin G.L., Finali G., Piccirilli M.:Neuropsychological effects of L-deprenyl in Alzheimer's type dementia. Clin Neuropharmacol 13:147–163, 1990.
Piccirilli M., D'Alessandro P., Finali G., Piccinin G.L.,Agostini L.: Frontal lobe dysfunction in Parkinson's disease: prognostic value for dementia. Eur. Neurol. 29:71–76, 1989.
Piccirilli M., Finali G., Sciarma T., et al.:Caratteristiche della memoria verbale nella demenza. In:Salmaso D. eCaffarra P. eds. Normalità e Patologia della Funzioni Cognitive nell'Invecchiamento. Milano: Franco Angeli, 306–312, 1990.
Raven, J.C.:Guide to using the Coloured Progressive Matrices. London: Lewis, 1965.
Reinikainen K.J., Paljaeri L., Halonen T., et al.:Dopaminergic system and monoamine oxidase-B activity in Alzheimer's disease. Neurobiol. Aging 9:245–252, 1988.
Rey A.:L'examen clinique en psychologie. Paris: P.U.F., 1964.
Rosenberg S.J., Ryan J.J., Prifitera A.:Rey Auditory-Verbal Learning test performance of patients with and without memory impairment. J. Clin. Psychol. 40:785–787, 1984.
Sharpe M.H.:Distractibility in early Parkinson's disease. Cortex 26:239–246, 1990.
Spinnler H., Della Sala S.:The role of clinical neuropsychology in the neurological diagnosis of Alzheimer's disease. J: Neurol. 235:258–271, 1988.
Tariot P.N., Cohen R.M., Sunderland T., et al.:L-Deprenyl in Alzheimer's disease—preliminary evidence for behavioural change with monoamine oxidase B inhibition. Arch. Gen. Psychiatry 44:427–433, 1987.
Tariot P.N., Sunderland T., Weingartner H., et al.:Cognitive effects of L-deprenyl in Alzheimer's disease. Psychopharmacology 91:489–495, 1987.
Tariot P.N., Sunderland T., Cohen R.M., Newhouse P.A., Mueller E.A., Murphy D.L.:Tranyanyclypromine compared with L-deprenyl in Alzheimer's disease. J. Clin. Psychopharmacol. 8:23–27, 1988.
Wolfe N., Katż D.I., Albert M.L., et al. Neuropsychological profile linked to low dopamine in Alzheimer's disease, major depression, and Parkinson's disease. J. Neurol. Neurosurg. Psychiatry 53:915–917, 1990.
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Finali, G., Piccirilli, M., Oliani, C. et al. Alzheimer-type dementia and verbal memory performances: influence of selegiline therapy. Ital J Neuro Sci 13, 141–148 (1992). https://doi.org/10.1007/BF02226963
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DOI: https://doi.org/10.1007/BF02226963