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Sökning: WFRF:(Comans Emile F I) > Blood-brain barrier...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003949naa a2200493 4500
001oai:DiVA.org:uu-169981
003SwePub
008120307s2012 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1699812 URI
024a https://doi.org/10.1093/brain/awr2982 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a van Assema, Danielle M. E.4 aut
2451 0a Blood-brain barrier P-glycoprotein function in Alzheimer's disease
264 c 2011-11-25
264 1b Oxford University Press (OUP),c 2012
338 a print2 rdacarrier
520 a A major pathological hallmark of Alzheimer's disease is accumulation of amyloid-beta in senile plaques in the brain. Evidence is accumulating that decreased clearance of amyloid-beta from the brain may lead to these elevated amyloid-beta levels. One of the clearance pathways of amyloid-beta is transport across the blood-brain barrier via efflux transporters. P-glycoprotein, an efflux pump highly expressed at the endothelial cells of the blood-brain barrier, has been shown to transport amyloid-beta. P-glycoprotein function can be assessed in vivo using (R)-[C-11]verapamil and positron emission tomography. The aim of this study was to assess blood-brain barrier P-glycoprotein function in patients with Alzheimer's disease compared with age-matched healthy controls using (R)-[C-11]verapamil and positron emission tomography. In 13 patients with Alzheimer's disease (age 65 +/- 7 years, Mini-Mental State Examination 23 +/- 3), global (R)-[C-11]verapamil binding potential values were increased significantly (P = 0.001) compared with 14 healthy controls (aged 62 +/- 4 years, Mini-Mental State Examination 30 +/- 1). Global (R)-[C-11]verapamil binding potential values were 2.18 +/- 0.25 for patients with Alzheimer's disease and 1.77 +/- 0.41 for healthy controls. In patients with Alzheimer's disease, higher (R)-[C-11]verapamil binding potential values were found for frontal, parietal, temporal and occipital cortices, and posterior and anterior cingulate. No significant differences between groups were found for medial temporal lobe and cerebellum. These data show altered kinetics of (R)-[C-11]verapamil in Alzheimer's disease, similar to alterations seen in studies where P-glycoprotein is blocked by a pharmacological agent. As such, these data indicate that P-glycoprotein function is decreased in patients with Alzheimer's disease. This is the first direct evidence that the P-glycoprotein transporter at the blood-brain barrier is compromised in sporadic Alzheimer's disease and suggests that decreased P-glycoprotein function may be involved in the pathogenesis of Alzheimer's disease.
653 a P-glycoprotein
653 a blood-brain barrier
653 a PET
653 a Alzheimer's disease
653 a (R)-[C-11]verapamil
700a Lubberink, Marku Uppsala universitet,Enheten för nuklearmedicin och PET4 aut0 (Swepub:uu)marklubb
700a Bauer, Martin4 aut
700a van der Flier, Wiesje M.4 aut
700a Schuit, Robert C.4 aut
700a Windhorst, Albert D.4 aut
700a Comans, Emile F. I.4 aut
700a Hoetjes, Nikie J.4 aut
700a Tolboom, Nelleke4 aut
700a Langer, Oliver4 aut
700a Mueller, Markus4 aut
700a Scheltens, Philip4 aut
700a Lammertsma, Adriaan A.4 aut
700a van Berckel, Bart N. M.4 aut
710a Uppsala universitetb Enheten för nuklearmedicin och PET4 org
773t Braind : Oxford University Press (OUP)g 135, s. 181-189q 135<181-189x 0006-8950x 1460-2156
856u https://academic.oup.com/brain/article-pdf/135/1/181/17863150/awr298.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-169981
8564 8u https://doi.org/10.1093/brain/awr298

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