VALIS, M., D. HERMAN, N. VANOVA, J. MASOPUST, O. VYSATA, J. HORT, Z. PAVELEK, B. KLIMOVA, K. KUCA, J. MISIK a J. Z. KARASOVA. The Concentration of Memantine in the Cerebrospinal Fluid of Alzheimer's Disease Patients and Its Consequence to Oxidative Stress Biomarkers. Frontiers in Pharmacology. Lausanne: Frontiers Media SA, 2019, roč. 10, 8 s. ISSN 1663-9812. Dostupné z: https://dx.doi.org/10.3389/fphar.2019.00943.
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Základní údaje
Originální název The Concentration of Memantine in the Cerebrospinal Fluid of Alzheimer's Disease Patients and Its Consequence to Oxidative Stress Biomarkers
Autoři VALIS, M., D. HERMAN, N. VANOVA, J. MASOPUST, O. VYSATA, J. HORT, Z. PAVELEK, B. KLIMOVA, K. KUCA, J. MISIK a J. Z. KARASOVA.
Vydání Frontiers in Pharmacology, Lausanne, Frontiers Media SA, 2019, 1663-9812.
Další údaje
Originální jazyk angličtina
Typ výsledku Článek v odborném periodiku
Obor 30230 Other clinical medicine subjects
Stát vydavatele Česká republika
Utajení není předmětem státního či obchodního tajemství
WWW URL
Impakt faktor Impact factor: 4.225
Doi http://dx.doi.org/10.3389/fphar.2019.00943
UT WoS 000482910900001
Klíčová slova anglicky memantine; Alzheimer's disease; clinical study; cerebrospinal fluid concentrations; oxidative stress; biomarkers
Štítky Excelence Science, FN HK, RIV, user
Změnil Změnila: Bc. Hana Vladíková, BBA, učo 244692. Změněno: 7. 12. 2021 13:04.
Anotace
Memantine is a noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist utilized as a palliative cure for Alzheimer's disease. This is the second study examining the memantine concentrations in cerebrospinal fluid. The previously published study enrolled six patients, and three of them were theoretically in a steady state. In our study, we enrolled 22 patients who regularly used a standard therapeutic dose of memantine (20 mg/day, oral administration) before the sample collection. Patients were divided into four groups, according to the time of plasma and cerebrospinal fluid collection: 6, 12, 18, and 24 h after memantine administration. The cerebrospinal fluid samples were also assessed for selected oxidative stress parameters (malondialdehyde, 3-nitrotyrosine, glutathione, non-protein thiols, and non-protein disulfides). The plasma/cerebrospinal fluid (CSF) ratio for all time intervals were within the range of 45.89% (6 h) to 55.60% (18 h), which corresponds with previously published findings in most patients. The other aim of our study was to deduce whether the achieved "real" memantine concentration in the central compartment was sufficient to block NMDA receptors. The IC50 value of memantine as an NMDA antagonist is in micromolar range; the lowest limit is 112ng/ml (GluN2C), and this value was achieved only in three cases. The memantine cerebrospinal fluid concentration did not reach one quarter of the IC50 value in five cases (one patient was excluded for noncompliance); therefore, the potency of memantine as a therapeutic effect in patients may be questionable. However, it appears that memantine therapy positively affected the levels of some oxidative stress parameters, especially non-protein thiols and 3-nitrotyrosine.
Návaznosti
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