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Exp Neurol ; 343: 113743, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34000250

RESUMO

Despite the development of multiple pharmacological approaches over the years aimed at treating Alzheimer's Disease (AD) only very few have been approved for clinical use in patients. To date there still exists no disease-modifying treatment that could prevent or rescue the cognitive impairment, particularly of memory aquisition, that is characteristic of AD. One of the possibilities for this state of affairs might be that the majority of drug discovery efforts focuses on outcome measures of decreased neuropathological biomarkers characteristic of AD, without taking into acount neuronal processes essential to the generation and maintenance of memory processes. Particularly, the capacity of the brain to generate theta (θ) and gamma (γ) oscillatory activity has been strongly correlated to memory performance. Using a systematic review approach, we synthesize the existing evidence in the literature on pharmacological interventions that enhance neuronal theta (θ) and/or gamma (γ) oscillations in non-pathological animal models and in AD animal models. Additionally, we synthesize the main outcomes and neurochemical systems targeted. We propose that functional biomarkers such as cognition-relevant neuronal network oscillations should be used as outcome measures during the process of research and development of novel drugs against cognitive impairment in AD.


Assuntos
Doença de Alzheimer/tratamento farmacológico , Encéfalo/efeitos dos fármacos , Ritmo Gama/efeitos dos fármacos , Rede Nervosa/efeitos dos fármacos , Nootrópicos/administração & dosagem , Ritmo Teta/efeitos dos fármacos , Doença de Alzheimer/fisiopatologia , Animais , Encéfalo/fisiologia , Colinérgicos/administração & dosagem , Dopaminérgicos/administração & dosagem , Avaliação Pré-Clínica de Medicamentos/métodos , Eletroencefalografia/efeitos dos fármacos , Eletroencefalografia/métodos , Ritmo Gama/fisiologia , Humanos , Transtornos da Memória/tratamento farmacológico , Transtornos da Memória/fisiopatologia , Rede Nervosa/fisiologia , Ritmo Teta/fisiologia , Resultado do Tratamento
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