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The concentration of memantine in the cerebrospinal fluid of Alzheimer´s disease patients and its consequence to oxidative stress biomarkers

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60162694%3AG44__%2F19%3A00537046" target="_blank" >RIV/60162694:G44__/19:00537046 - isvavai.cz</a>

  • Alternative codes found

    RIV/00179906:_____/19:10398436 RIV/00216208:11130/19:10398436 RIV/00216208:11150/19:10398436 RIV/00216208:11160/19:10398436 and 2 more

  • Result on the web

    <a href="https://www.frontiersin.org/articles/10.3389/fphar.2019.00943/full" target="_blank" >https://www.frontiersin.org/articles/10.3389/fphar.2019.00943/full</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.3389/fphar.2019.00943" target="_blank" >10.3389/fphar.2019.00943</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    The concentration of memantine in the cerebrospinal fluid of Alzheimer´s disease patients and its consequence to oxidative stress biomarkers

  • Original language description

    Memantine is a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist utilized as a palliative cure for Alzheimer's disease. This is the second study examining the memantine concentrations in cerebrospinal fluid. The previously published study enrolled six patients and three of them were theoretically in a steady state. In our study, we enrolled 22 patients who regularly used a standard therapeutic dose of memantine (20 mg per day, oral administration) before the sample collection. Patients were divided into four groups, according to the time of plasma and cerebrospinal fluid collection: 6, 12, 18 and 24 hours after memantine administration. The cerebrospinal fluid samples were also assessed for selected oxidative stress parameters (malondialdehyde, 3-nitrotyrosine, glutathione, non-protein thiols and non-protein disulfides). The plasma/CSF ratio for all time intervals were within the range of 45.89 % (6 hours) - 55.60 % (18 hours), which corresponds with previously published findings in most patients. The other aim of our study was to deduce whether the achieved “real” memantine concentration in the central compartment was sufficient to block NMDA receptors. The IC50 value of memantine as an NMDA antagonist is in micromolar range; the lowest limit is 112 ng/mL (GluN2C), and this value was achieved only in three cases. The memantine cerebrospinal fluid concentration did not reach ¼ of the IC50 value in 5 cases (one patient was excluded for noncompliance); therefore, the potency of memantine as a therapeutic effect in patients may be questionable. However, it appears that memantine therapy positively affected the levels of some oxidative stress parameters, especially non-protein thiols and 3-nitrotyrosine. © 2019 Frontiers Media S.A.. All rights reserved.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30104 - Pharmacology and pharmacy

Result continuities

  • Project

    <a href="/en/project/EF18_069%2F0010054" target="_blank" >EF18_069/0010054: IT4Neuro(degeneration)</a><br>

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2019

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Frontiers in Pharmacology

  • ISSN

    1663-9812

  • e-ISSN

    1663-9812

  • Volume of the periodical

    10

  • Issue of the periodical within the volume

    Aug

  • Country of publishing house

    CH - SWITZERLAND

  • Number of pages

    8

  • Pages from-to

    943

  • UT code for WoS article

    000482910900001

  • EID of the result in the Scopus database

    2-s2.0-85070694221