Malnutrition in Alzheimer's Disease, Dementia with Lewy Bodies, and Frontotemporal Lobar Degeneration: Comparison Using Serum Albumin, Total Protein, and Hemoglobin Level.

Malnutrition among dementia patients is an important issue. However, the biochemical markers of malnutrition have not been well studied in this population. The purpose of this study was to compare biochemical blood markers among patients with Alzheimer's disease (AD), dementia with Lewy bodies (DLB), and frontotemporal lobar degeneration (FTLD). A total of 339 dementia outpatients and their family caregivers participated in this study. Low serum albumin was 7.2 times more prevalent among patients with DLB and 10.1 times more prevalent among those with FTLD than among those with AD, with adjustment for age. Low hemoglobin was 9.1 times more common in female DLB patients than in female AD patients, with adjustment for age. The levels of biochemical markers were not significantly correlated with cognitive function. Family caregivers of patients with low total protein, low albumin, or low hemoglobin were asked if the patients had loss of weight or appetite; 96.4% reported no loss of weight or appetite. In conclusion, nutritional status was worse in patients with DLB and FTLD than in those with AD. A multidimensional approach, including blood testing, is needed to assess malnutrition in patients with dementia.

Effect of orthodontic treatment on occlusal condition and masticatory function.

Change in occlusion and masticatory function after orthodontic treatment was investigated by a follow-up study in a group of 14 patients with malocclusion (3 men, 11 women, aged 12-46 years). All completed a food questionnaire and underwent occlusal force evaluation using a pressure-sensitive sheet at pre-treatment, post-treatment, and during the retention phase. The number of foods identified as difficult to eat decreased at post-treatment in all patients. The mean occlusal force was 646.6±223.5 N at pretreatment, 401.1±109.1 N at post-treatment, and 530.6±183.6 N during the retention phase. The mean occlusal contact area was 14.1±5.9 mm(2) at pre-treatment, 6.5±1.7 mm(2) at post-treatment, and 9.8±3.8 mm(2) during the retention phase. The mean average occlusal pressure was 47.6±6.6 MPa at pre-treatment, 62.2±5.7 MPa at post-treatment, and 55.4±6.7 MPa during the retention phase. A Dental Prescale film evaluation revealed that occlusal force and occlusal contact area increased over the 1-year retention phase. An improvement in level of satisfaction with mastication ability was reported at post-treatment and during the retention phase. Average occlusal pressure at post-treatment increased significantly (p <0.01), which may account for the observed increase in the ability of the patients to bite through food. These results suggest that an increase in average occlusal pressure improves level of satisfaction with mastication ability.

Anti-HIV and immunomodulation activities of cacao mass lignin-carbohydrate complex.

BACKGROUND: Recently, a prominent antiviral and macrophage stimulatory activity of cacao lignin-carbohydrate complex (LCC) has been reported. However, the solubility and sterility of LCC have not been considered yet. In the present study, complete solubilisation and sterilisation was achieved by autoclaving under mild alkaline conditions and the previously reported biological activities were re-examined. MATERIALS AND METHODS: LCCs were obtained by 1% NaOH extraction and acid precipitation, and a repeated extraction-precipitation cycle. Nitric oxide (NO) and cytokine productions were assayed by the Griess method and ELISA, respectively. Inducible NO synthase (iNOS) expression was determined by Western blot analysis. Superoxide anion, hydroxyl radical and nitric oxide radical-scavenging activity was determined by ESR spectroscopy. RESULTS: Cacao mass LCC showed reproducibly higher anti-HIV activity than cacao husk LCC. Cacao mass LCC, up to 62.5 µg/ml, did not stimulate mouse macrophage-like cells (RAW264.7 and J774.1) to produce NO, nor did it induce iNOS protein, in contrast to lipopolysaccharide (LPS). Cacao mass LCC and LPS synergistically stimulated iNOS protein expression, suggesting a different point of action. Cacao mass LCC induced tumour necrosis factor-α production markedly less than LPS, and did not induce interleukin-1ß, interferon-α or interferon-γ. ESR spectroscopy showed that cacao mass LCC, but not LPS, scavenged NO produced from NOC-7. CONCLUSION: This study demonstrated several new biological activities of LCCs distinct from LPS and further confirmed the promising antiviral and immunomodulating activities of LCCs.

Multiple biological complex of alkaline extract of the leaves of Sasa senanensis Rehder.

Previous studies have shown anti-inflammatory potential of alkaline extract of the leaves of Sasa senanensis Rehder (SE). The aim of the present study was to clarity the molecular entity of SE, using various fractionation methods. SE inhibited the production of nitric oxide (NO), but not tumour necrosis factor-α by lipopolysaccharide (LPS)-stimulated mouse macrophage-like cells. Lignin carbohydrate complex prepared from SE inhibited the NO production to a comparable extent with SE, whereas chlorophyllin was more active. On successive extraction with organic solvents, nearly 90% of SE components, including chlorophyllin, were recovered from the aqueous layer. Anti-HIV activity of SE was comparable with that of lignin-carbohydrate complex, and much higher than that of chlorophyllin and n-butanol extract fractions. The CYP3A inhibitory activity of SE was significantly lower than that of grapefruit juice and chlorophyllin. Oral administration of SE slightly reduced the number of oral bacteria. When SE was applied to HPLC, nearly 70% of SE components were eluted as a single peak. These data suggest that multiple components of SE may be associated with each other in the native state or after extraction with alkaline solution.

DNA microarray analysis of signaling pathway in macrophages stimulated by lignin-carbohydrate complex from lentinus edodes mycelia (LEM) extract.

In order to investigate the action point of lignin-carbohydrate complex (Fr4) from Lentinus edodes mycelia extract, DNA microarray analysis was performed, using mouse macrophage-like J774.1 cells. Among seven lignin-carbohydrate complex fractions, Fr4 showed the highest stimulatory activity of tumor necrosis factor production by mouse macrophage-like J774.1 cells, as well as its previously reported anti-HIV activity. Fr4 is composed of lignin precursors such as vanillic acid, syringic acid, p-coumaric acid and ferulic acid, with trace amounts of flavonoids and tannins, and negligible amount of lipopolysaccharides (LPS), confirming the authenticity of Fr4 as a lignin. DNA microarray analysis suggested that Fr4 may affect immune response-related gene expression; however, it may not affect the expression of as many genes as LPS does.

Lignin-like activity of Lentinus edodes mycelia extract (LEM).

BACKGROUND: In order to investigate the physiological role of lignin carbohydrate complex present in Lentinus edodes mycelia extract (LEM), this material was separated into seven fractions. MATERIALS AND METHODS: Three high molecular weight fractions (Frs. I-III) were prepared from the water extract by successive ethanol fractionation, dialysis and lyophilization. Four higher molecular weight fractions were prepared from the NaOH extract of the residue, followed by acid precipitation (Fr. IV) and stepwise ethanol precipitation (Frs. V-VII). RESULTS: All fractions showed higher anti-HIV activity than the water extract. Fr. IV showed the highest anti-HIV activity and most potently inhibited the NO production by LPS-stimulated mouse macrophage-like cells (RAW264.7, J774.1). ESR spectroscopy demonstrated that all fractions scavenged superoxide anion and hydroxyl radical. These properties are similar to those displayed by lignin carbohydrate complex, but not by glucans. HPLC analysis demonstrated the presence of lignin precursors, but not that of tannins, flavonoids and their related compounds. CONCLUSION: These results suggest a significant role of lignin-like substances in the expression of several important biological properties displayed by LEM.