Evidence map›Paper›PMID 28901528›Full record

ReviewBritish journal of pharmacology2017

Beyond symptomatic effects: potential of donepezil as a neuroprotective agent and disease modifier in Alzheimer's disease.

Seung Hyun Kim, Nagaendran Kandiah, Jung-Lung Hsu, Chuthamanee Suthisisang, Chesda Udommongkol, Amitabh Dash

Open access · bronzeAbstract readReview
In one paragraph

Review in British journal of pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. The cholinergic basal forebrain and its role in neurodegeneration.Journal of neuropathology and experimental neurology · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Electrochemiluminescence immunoassay using ionic-liquid submicron particles for prostate-specific antigen determination.Analytical sciences : the international journal of the Japan Society for Analytical Chemistry · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 5 countries.

Seung Hyun KimDepartment of Neurology, Hanyang University College of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0001-9644-9598
Nagaendran KandiahDepartment of Neurology, National Neuroscience Institute and Duke-NUS Singapore, Singapore.
Jung-Lung HsuDepartment of Neurology, Chang Gung Memorial Hospital Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan, Taiwan.
Chuthamanee SuthisisangDepartment of Pharmacology, Faculty of Pharmacy, Mahidol University, Bangkok, Thailand.
Chesda UdommongkolDivision of Neurology, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand.
Amitabh DashEisai Singapore Pte. Ltd., Singapore.ORCID http://orcid.org/0000-0002-9351-4021
Chang Gung University · TWConvergence Research Center for Diagnosis Treatment and Care System of Dementia · KRDuke-NUS Medical School · SGKulicke & Soffa (Singapore) · SGMahidol University · THPhramongkutklao Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alzheimer's disease (AD) is associated with neurodegenerative changes resulting clinically in progressive cognitive and functional deficits. The only therapies are the cholinesterase inhibitors donepezil, galantamine and rivastigmine and the N-methyl-D-aspartate-receptor antagonist memantine. Donepezil acts primarily on the cholinergic system as a symptomatic treatment, but it also has potential for disease modification and may reduce the rate of progression of AD. This review explores the potential for disease modifying effects of donepezil. Several neuroprotective mechanisms that are independent of cholinesterase inhibition, are suggested. Donepezil has demonstrated a range of effects, including protecting against amyloid β, ischaemia and glutamate toxicity; slowing of progression of hippocampal atrophy; and up-regulation of nicotinic acetylcholine receptors. Clinically, early and continuous treatment with donepezil is considered to preserve cognitive function more effectively than delayed treatment. The possible neuroprotective effects of donepezil and the potential for disease pathway modification highlight the importance of early diagnosis and treatment initiation in AD.

Indexed as

Alzheimer DiseaseAnimalsCholinesterase InhibitorsDisease ProgressionDonepezilEarly DiagnosisHumansIndansNeuroprotective AgentsNootropic AgentsPiperidinesTime FactorsCholinesterase InhibitorsDonepezilIndansNeuroprotective AgentsNootropic AgentsPiperidines

Identifiers

PMID28901528
PMCPMC5715569
OpenAlexW2785143401

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.