Korean J Biol Psychiatry.  2014 Nov;21(4):115-117. 10.0000/kjbp.2014.21.4.115.

Biological Predictors of Alzheimer's Disease Treatment

Affiliations
  • 1Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. jihan@catholic.ac.kr
  • 2Catholic Argo-Medical Center, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Abstract

Variety of biomarkers that are related to the Alzheimer's disease and its diagnosis and progress have been found. However, research lacks in predicting the reaction of the treatment. In addition, there is no definite treatment reaction to the disease but rather it is varied. The purpose of this review article is to study the research of the biomarkers that are able to predict the treatment reaction. There was a research that illustrated a relationship between plasma amyloid beta peptide, cerebrospinal fluid tau, neuroanatomical biomarkers and acetylcholinesterase inhibitors. Polymorphisms in genes of the cholinergic markers AChE, BuChE, ChAT and PON-1 were found to be associated with better clinical response to acetylcholinesterase inhibitors. Many pharmacogenetic studies have been conducted to evaluate the impact of the lipoprotein apolipoprotein E (APOE) genotype on treatment response to acetylcholinesterase inhibitor. However, there is no significant influence of the APOE genotypes on treatment response. Further research is needed to find other predictors of treatment with acetylcholinesterase inhibitors in patients with Alzheimer's disease.

Keyword

Alzheimer's disease; Biomarker ; Amyloid beta; Acetylcholinesterase inhibitor

MeSH Terms

Acetylcholinesterase
Alzheimer Disease*
Amyloid beta-Peptides
Apolipoproteins
Apolipoproteins E
Biomarkers
Cerebrospinal Fluid
Cholinesterase Inhibitors
Diagnosis
Genotype
Humans
Lipoproteins
Plasma
Acetylcholinesterase
Amyloid beta-Peptides
Apolipoproteins
Apolipoproteins E
Cholinesterase Inhibitors
Lipoproteins
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