Evidence map›Paper›PMID 30090660›Full record

ReviewAging and disease2018

Mitochondrial Pharmacology of Dimebon (Latrepirdine) Calls for a New Look at its Possible Therapeutic Potential in Alzheimer's Disease.

Schamim H Eckert, Janett Gaca, Nathalie Kolesova, Kristina Friedland, Gunter P Eckert, Walter E Muller

Open access · goldAbstract readReview
In one paragraph

Review in Aging and disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
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  6. Multitargeting the Action of 5-HTInternational journal of molecular sciences · 2022
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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 2 institutions in 1 country.

Schamim H Eckert1Department of Pharmacology, University of Frankfurt/M, Biocenter, D-60438 Frankfurt, Germany.
Janett Gaca1Department of Pharmacology, University of Frankfurt/M, Biocenter, D-60438 Frankfurt, Germany.
Nathalie Kolesova1Department of Pharmacology, University of Frankfurt/M, Biocenter, D-60438 Frankfurt, Germany.
Kristina Friedland1Department of Pharmacology, University of Frankfurt/M, Biocenter, D-60438 Frankfurt, Germany.
Gunter P Eckert1Department of Pharmacology, University of Frankfurt/M, Biocenter, D-60438 Frankfurt, Germany.
Walter E Muller1Department of Pharmacology, University of Frankfurt/M, Biocenter, D-60438 Frankfurt, Germany.
Goethe University Frankfurt · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dimebon (latrepirdine), an old antihistaminic drug, showed divergent results in two large clinical trials in Alzheimer disease (AD), which according to our review might be related to the specific pharmacological properties of the drug and the different patient populations included in both studies. Out of the many pharmacological effects of Dimebon, improvement of impaired mitochondrial function seeems to be most relevant for the substantial effects on cognition and behaviour reported in one of the studies, as these effects are already present at the low concentrations of dimebon measured in plasma and tissues of patients and experimental animals. Since impaired mitochondrial function seems to be the major driving force for the progression of the clinical symptoms and since most of the clinical benefits of dimebon originate from an effect on the symptomatic deterioration, mitochondrial improvement can also explain the lack of efficacy of this drug in another clinical trial where symptoms of the patiets remained stable for the time of the study. Accordingly, it seems worthwhile to reevaluate the clinical data to proof that clinical response is correlated with high levels of Neuropsychiatric Symptoms as these show a good relationship to the individual speed of symptomatic decline in AD patients related to mitochondrial dysfunction.

Indexed as

Alzheimer diseasecognitive declinedimebonlatrepirdinemitochondrial dysfunction

Identifiers

PMID30090660
PMCPMC6065284
OpenAlexW2885787561

What OpenQuestion holds

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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.