Role of statins in
preventing Alzheimer's unclear
Health News >
Washington 19 -July-2004
When Scientists at the Ninth
International Conference on Alzheimer's Disease and Related Disorders (ICAD),
presented by the Alzheimer's Association have revealed conflicting studies
on the use of statins as a preventive strategy for Alzheimer's.
Ling Li of the University of Alabama at Birmingham, reported that
simvastatin helps mice with memory problems. Mice genetically engineered to
mimic key aspects of Alzheimer's disease have trouble remembering their way
through mazes as they age. But Alzheimer mice treated with simvastatin
regain their ability to navigate mazes The drug also improves performance of
non- engineered mice in the control group.
Richard B. Parsons of London's St. Georges Hospital, found that four
different statins reduce, to varying extent, brain cells' production of a
protein fragment thought to play a key role in Alzheimer's, with fluvastatin
being the most effective.
Kina Hoeglund, of Sweden's Gvteborg University, reported that statins have
mixed effects on marker molecules in blood and spinal fluid that may track
the severity of Alzheimer's disease.
P. Murali Doraiswamy, Director of Psychiatry Clinical Trials at Duke,
systematically analyzed all existing randomized controlled trials of statins
in people without dementia (comprising over 30,000 participants) and found
no evidence yet that any statin protects against cognitive decline.
A second, small study of elderly people at risk for dementia, revealed that
that rates of brain tissue shrinkage, measured using a special MRI scan,
were no different between statin users and nonusers.
John C. S. Breitner, of VA Puget Sound Health Care System and the University
of Washington, reported new data that argue against the use of statins for
Alzheimer prevention.
He described new results from three, long-running population studies that
assess the possible impact of statins on preventing Alzheimer's. "If you
look at a 'snapshot' of statin users compared with non- users at a single
moment in time, statin users seem to have a lower risk of Alzheimer's," he
said.
"But if you look at people taking statins at enrollment in these studies and
follow them over several years, the benefit of statins in warding off
dementia largely disappears," he added. (ANI)