PMID- 19276559 OWN - NLM STAT- MEDLINE DCOM- 20090518 LR - 20101022 IS - 1387-2877 (Print) IS - 1387-2877 (Linking) VI - 16 IP - 3 DP - 2009 TI - Increase of BDNF serum concentration in lithium treated patients with early Alzheimer's disease. PG - 649-56 LID - 10.3233/JAD-2009-1004 [doi] AB - Preclinical and clinical studies gave evidence that lithium could be useful in the treatment of Alzheimer's disease (AD). In experimental investigations, lithium induces brain-derived neurotrophic factor (BDNF). Recent studies have found a decrease of BDNF in the serum and brains of AD patients with potentially consecutive lack of neurotrophic support. We assessed the influence of a lithium treatment on BDNF serum concentration in a subset of a greater sample recruited for a randomized, single-blinded, placebo-controlled, parallel-group multicenter 10-week study, investigating the efficacy of lithium treatment in AD patients. In AD patients treated with lithium, a significant increase of BDNF serum levels, and additionally a significant decrease of ADAS-Cog sum scores in comparison to placebo-treated patients, were found. Diminution of cognitive impairment was inversely correlated with lithium serum concentration. Upregulation of BDNF might be part of a neuroprotective effect of lithium in AD patients. The results of the present investigation encourage performing studies with longer treatment phases to observe potential positive long-term effects of lithium in AD patients. FAU - Leyhe, Thomas AU - Leyhe T AD - Department of Psychiatry and Psychotherapy, University of Tubingen, Tubingen, Germany. thomas.leyhe@med.uni-tuebingen.de FAU - Eschweiler, Gerhard W AU - Eschweiler GW FAU - Stransky, Elke AU - Stransky E FAU - Gasser, Thomas AU - Gasser T FAU - Annas, Peter AU - Annas P FAU - Basun, Hans AU - Basun H FAU - Laske, Christoph AU - Laske C LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Alzheimers Dis JT - Journal of Alzheimer's disease : JAD JID - 9814863 RN - 0 (Antipsychotic Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Lithium Compounds) RN - 0 (Neuroprotective Agents) RN - 0 (Placebos) SB - IM MH - Aged MH - Aged, 80 and over MH - Alzheimer Disease/*blood/*drug therapy MH - Antipsychotic Agents/*administration & dosage MH - Brain-Derived Neurotrophic Factor/*blood MH - Cognition Disorders/blood/drug therapy MH - Female MH - Humans MH - Lithium Compounds/*administration & dosage MH - Male MH - Middle Aged MH - Neuroprotective Agents/blood MH - Placebos MH - Severity of Illness Index EDAT- 2009/03/12 09:00 MHDA- 2009/05/19 09:00 CRDT- 2009/03/12 09:00 PHST- 2009/03/12 09:00 [entrez] PHST- 2009/03/12 09:00 [pubmed] PHST- 2009/05/19 09:00 [medline] AID - 54625016X535L411 [pii] AID - 10.3233/JAD-2009-1004 [doi] PST - ppublish SO - J Alzheimers Dis. 2009;16(3):649-56. doi: 10.3233/JAD-2009-1004.