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. 2015;47(2):329-33.
doi: 10.3233/JAD-150065.

Reduced Incidence of Dementia in Solid Organ Transplant Patients Treated with Calcineurin Inhibitors

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Free PMC article

Reduced Incidence of Dementia in Solid Organ Transplant Patients Treated with Calcineurin Inhibitors

Giulio Taglialatela et al. J Alzheimers Dis. 2015.
Free PMC article

Abstract

Experimental evidence suggests that the protein phosphatase calcineurin mediates the action of amyloid-β (Aβ) oligomers, the most toxic amyloid species thought to drive initial cognitive decline in Alzheimer's disease (AD). However, there is currently no evidence that inhibition of calcineurin could prevent the onset of AD in humans. Here, we report for the first time that individuals chronically treated with calcineurin inhibitors to prevent solid organ transplant rejection have a significantly lower incidence of AD/dementia as compared to the general population. This result prompts further clinical development of calcineurin inhibition as a viable treatment for AD.

Keywords: Alzheimer’s disease; FK506; calcineurin; dementia; solid organ transplant.

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Figures

Fig.1
Fig.1
Prevalence of clinically diagnosed dementia (including Alzheimer’s disease) in the general population as compared to transplanted patients treated with immunosuppressive calcineurin inhibitors (CNI). Patients were grouped according to age at time of last follow up medical examination or death. Table underneath figure shows actual numbers in the transplanted patient cohort studied for the present report.  ***p <  0.0001 as compared to age-matched group in the general population (χ 2 test).

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