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Should the guidelines for monitoring serum cholesterol levels in the elderly be re-evaluated?

  • Clinical Drug Development
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Abstract

Elevated circulating cholesterol can have profound effects on the health of an individual. Such excess cholesterol can promote coronary artery disease, production and accumulation of β-amyloid in the brain, and possibly Alzheimer’s disease (AD). In a clinical trial evaluating the benefit of a cholesterol-lowering drug in the treatment of AD, mean cholesterol levels at baseline among individuals participating in the trial were found to be relatively high. Based on this observation we suggest that cholesterol levels should be actively monitored in the elderly, as many individuals with AD are over 65 years of age and therefore excluded by currently accepted guidelines.

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References

  • American College of Physicians (1996) Guidelines for using serum cholesterol, high-density lipoprotein cholesterol, and triglyceride levels as screening tests for preventing coronary heart disease in adults. Ann. Int. Med. 124, 515–517.

    Google Scholar 

  • Bales K. R., Fishman C., DeLong C., Du Y., Jordan W., and Paul S. M. (2000) Diet-induced hyperlipidemia accelerates amyloid deposition in the APPv717f transgenic mouse model of Alzheimer’s disease. Neurobiol. Aging 21, S139.

    Google Scholar 

  • Breteler M. M., Claus J. J., Grobbee D. E., and Hofman A. (1994) Cardiovascular disease and distribution of cognitive function in elderly people: the Rotterdam study. BMJ 308, 1604–1608.

    PubMed  CAS  Google Scholar 

  • Castelli W. P. (1984) Epidemiology of coronary heart disease: the Framingham study. Am. J. Med. 76, 4–12.

    Article  PubMed  CAS  Google Scholar 

  • Czech C., Forstl H., Hentschel F., Monning U., Besthorn C., Geiger-Kabisch C., et al. (1994) Apolipoprotein E-4 gene dose in clinically diagnosed Alzheimer’s disease: Prevalence, plasma cholesterol levels and cerebrovascular change. Eur. Arch. Psychiatry Clin. Neurosci. 243, 291–292.

    Article  PubMed  CAS  Google Scholar 

  • Desmond D. W., Tatemichi T. K., Paik M., and Stern Y. (1993) Risk factors for cerebrovascular disease as correlates of cognitive function in a stroke-free cohort. Arch. Neurol. 50, 162–166.

    PubMed  CAS  Google Scholar 

  • Durham R. A., Parker C. A., Emmerling M. R., Bisgaier C. L., and Walker L. C. (1998) Effect of age and diet on the expression of beta-amyloid 1–40 and 1–42 in the brains of apolipoprotein-E-deficient mice. Neurobiol. Aging 19, S281.

    Google Scholar 

  • Evans R. M., Emsley C. L., Gao S., Sohata A., Hall K. S., Farlow M. R., and Hendrie H. (2000) Serum cholesterol, APOE genotype, and the risk of Alzheimer’s disease: a population-based study of African Americans. Neurology 54, 240–242.

    PubMed  CAS  Google Scholar 

  • Fishman C. E., White S. L., DeLong C. A., Cummins D. J., Jordan W. H., Bales K. R., and Paul S. M. (1999) High fat diet potentiates β-amyloid deposition in the APP V717F transgenic mouse model of Alzheimer’s disease. Soc. Neurosci. 25, 1859.

    Google Scholar 

  • Garber A. M., Browner W. S., and Hulley S. B. (1996) Cholesterol screening in asymptomatic adults, revisited. Ann. Int. Med. 124, 518–531.

    PubMed  CAS  Google Scholar 

  • Grant W. B. (1997) Dietary links to Alzheimer’s disease. Alzeimer’s Dis. Rev. 2, 42–55.

    CAS  Google Scholar 

  • Hall K. M. and Luepker R. V. (2000) Is hypercholesterolemia a risk factor and should it be treated in the elderly? Am. J. Health Promot. 14, 347–356.

    PubMed  CAS  Google Scholar 

  • Jarvik G. P., Wijsman E. M., Kukull W. A., Schellenberg G. D., Yu C., and Larson E. B. (1995) Interactions of apolipoprotein E genotype, total cholesterol level, age, sex in prediction of Alzheimer’s disease: a case-control study. Neurology 45, 1092–1096.

    PubMed  CAS  Google Scholar 

  • Jick H., Zornberg G. L., Jick S. S., Seshadri S., and Drachman D. A. (2000) Statins and the risk of dementia. Lancet 356, 1627–1631.

    Article  PubMed  CAS  Google Scholar 

  • Kalmijn S., Launer L. J., Ott A., Witteman J. C. M., Hofman A., and Breteler M. M. B. (1997) Dietary fat intake and the risk of incident dementia in the Rotterdam study. Ann. Neurol. 42, 776–782.

    Article  PubMed  CAS  Google Scholar 

  • Kivipelto M., Helkala E.-L., Hallikainen M., Alhainen K., Tuomilehto J., Nissinen A., and Soininen H. (2000) Elevated systolic blood pressure and high cholesterol levels at midlive are risk factors for late-life dementia. Neurobiol. Aging 21, S174.

    Google Scholar 

  • Kuo Y.-M., Emmerling M. R., Bisgaier C. L., Essenburg A. D., Lampert H. C., and Roher A. E. (1998) Elevated low-density lipoprotein in Alzheimer’s disease correlates with brain A-beta 1–42 levels. BBRC 252, 711–715.

    PubMed  CAS  Google Scholar 

  • Li L., Zeigler S., Lindsey R. J., and Fukuchi K. (1999) Effects of an atherogenic diet on amyloidosis in transgenic mice overexpressing the C-terminal portion of β-amyloid precurson protein. Soc. Neurosci. 25, 1859.

    Google Scholar 

  • Mahieux F., Couderc R., Moulignier A., Bailleul S., Podrabinek N., and Laudet J. (1995) Isoform 4 of apolipoprotein E and Alzheimer disease. Specificity and clinical study. Rev. Neurol. (Paris) 151, 231–239.

    CAS  Google Scholar 

  • Notkola I.-L., Sulkava R., Pekkanen J., Erkinjuntti T., Ehnholm C., Kivnen P., et al. (1998) Serum total cholesterol, apolipoprotein Eepsilon4 allele, and Alzheimer’s disease. Neuroepidemiology 17, 14–20.

    Article  PubMed  CAS  Google Scholar 

  • Petot G. J., Cook T. B., Chen C. H., Riedel T. M., Debanne S. M., Koss E., Lerner A. J., and Friedland R. P. (2000) A high fat diet during adulthood increases risk for Alzheimer’s disease for those with the ApoeE4 allele. Neurobiol. Aging 21, S246.

    Google Scholar 

  • Prince M., Cullen M., and Mann A. (1994) Risk factor for Alzheimer’s disease and dementia: a case-control study based on the MRC elderly hypertension trial. Neurology 44, 97–104.

    PubMed  CAS  Google Scholar 

  • Refolo L. M., Pappolla M. A., Malester B., LaFrancois J., Bryant-Thomas Wang R., Sambamurti K., and Duff K. (2000) Hypercholesterolemia accelerates Alzheimer’s amyloid pathology in a transgenic mouse model. Neurobiol. Dis. 7, 321–331.

    Article  PubMed  CAS  Google Scholar 

  • Selkoe D. (1993) Physiological production of the β-amyloid protein and the mechanism of Alzheimer’s disease. TINS 16, 403–409.

    PubMed  CAS  Google Scholar 

  • Shie F. S., LeBoeuf R. C., Leverenz J. B., and Jin L. W. (1999) Effects of cholesterol feeding on histopathologic hallmarks of Alzheimer’s disease in β-amyloid precursor protein (APP) transgenic mice. Soc. Neurosci. 25, 1859.

    Google Scholar 

  • Skoog I., Lernfelt B., Landahl S., Palmertz B., Andreasson L.-A., Nilsson L., et al. (1996) 15-year longitudinal study of blood pressure and dementia. Lancet 347, 1141–1145.

    Article  PubMed  CAS  Google Scholar 

  • Sparks D. L. (1996) Intraneuronal β-amyloid immunoreactivity in the CNS. Neurobiol. Aging 17, 291–299.

    Article  PubMed  CAS  Google Scholar 

  • Sparks D. L. (1997) Coronary artery disease, hypertension, ApoE, and cholesterol: a link to Alzheimer’s disease? Ann. NY Acad. Sci. 826, 128–146.

    Article  PubMed  CAS  Google Scholar 

  • Sparks D. L., Hunsaker J. C., Scheff S. W., Kryscio R. J., Henson J. L., and Markesbery W. R. (1990) Cortical senile plaques in coronary artery disease, aging and Alzheimer’s disease. Neurobiol. Aging 11, 601–607.

    Article  PubMed  CAS  Google Scholar 

  • Sparks D. L., Kou Y.-M., Roher A., Martin T. A., and Lukas R. J. (2000) Alterations of Alzheimer’s disease in the cholesterol-fed rabbit, including vascular inflammation. Preliminary observations. Ann. NY Acad. Sci. 903, 335–344.

    Article  PubMed  CAS  Google Scholar 

  • Sparks D. L., Scheff S. W., Hunsaker J. C., III Liu H., Landers T., and Gross D. R. (1994) Induction of Alzheimer-like β-amyloid immunoreactivity in the brains of rabbits with dietary cholesterol. Exp. Neurol. 126, 88–94.

    Article  PubMed  CAS  Google Scholar 

  • Stamler J., Wentworth D., and Neaton J. D. (1986) Is relationship between serum cholesterol and risk of premature death from coronary heart diseas continuous and graded? Findings in 356,222 primary screenees of the Multiple Risk Factor Intervention Trial (MRFIT). JAMA 256, 2823–2828.

    Article  PubMed  CAS  Google Scholar 

  • Wilson P. W. F., Myers R. H., Larson M. G., Ordovas J. M., Wolf P. A., and Schaefer E. J. (1994) Apolipoprotein E alleles, dyslipidemia and coronary heart disease. JAMA 272, 1666–1671.

    Article  PubMed  CAS  Google Scholar 

  • Wolozin B., Kellman W., Ruosseau P., Celesia G. G., and Siegel G. (2000) Decreased prevalence of Alzheimer disease associated with 3-Hydroxy-3-methyglutaryl Coenzyme A reductase inhibitors. Arch. Neurol. 57, 1439–1443.

    Article  PubMed  CAS  Google Scholar 

  • Wong N. D., Wilson P. W., and Kannel W. B. (1991) Serum cholesterol as a prognostic factor after myocardial infarction: The Framingham study. Ann. Intern. Med. 115, 687–693.

    PubMed  CAS  Google Scholar 

  • Zahler L. P., Holdt C. S., Gates G. E., and Keiser A. V. (1993) Nutritional care of ambulatory residents in special care units for Alzheimer’s disease. J. Nutr. Elder. 12, 5–19.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to D. Larry Sparks.

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Larry Sparks, D., Connor, D.J., Browne, P. et al. Should the guidelines for monitoring serum cholesterol levels in the elderly be re-evaluated?. J Mol Neurosci 19, 209–212 (2002). https://doi.org/10.1007/s12031-002-0035-1

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  • DOI: https://doi.org/10.1007/s12031-002-0035-1

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