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Hippocampal Atrophy Experiment

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Although the complete action of pathophysiological features AD is not fully well understood, it is generally characterized by a degeneration of nerve cells that produce acetylcholine (ACh), along with the presence of neurofibrillary tangles (NFTs) and senile plaques. Acetylcholine is an amine, serving as a neurotransmitter at all neuromuscular junctions, as well as in many other circuits of the central and peripheral nervous system. In order to prevent excessive build-up in the normal individual, the enzyme acetylcholinesterase (AChE) breaks down ACh into Acetyl CoA and Choline. In AD, the AChE breaks down what little ACh is left at the synapse. This reduction of ACh at the synapse results in a decreased amount of ACh available for synaptic …show more content…

Using an MRI-based volumetric technique, hippocampal atrophy in individuals with AD was studied and compared to individuals with AD under the donepezil treatment. The findings were supportive of donepezil treatment having a slowing effect on the progression of hippocampal atrophy in patients with AD. In fact, the mean annual rate of hippocampal volume loss among the patients on donepezil was 3.82%, which proved to be significantly smaller than the control patients, who had a mean volume loss of approximately 5.04% (Hashimoto et al, 2005). Although the factors contributing to this loss of atrophy are still under investigation due to a myriad of different possible mechanisms, certain factors have been confirmed. For instance, AChE inhibition may play a certain part, which is only natural, seeing as that is exactly what donepezil sets out to do. In Tsukuba Research Laboratories in 1999, a study demonstrated that the cerebral AChE activity after 14 days of donepezil use decreased by 66%, whereas the acetylcholine level increased by 35% in the rat brain. In a peripheral context, the amount of AChE presence in the blood also decreased by 32% (Cacabelos, 2007). In another study dealing with human blood rather than rat blood, there was also a decrease of AChE activity: After 1 day of exposure to a 5 mg dose of donepezil, AChE activity was 60-97% of the original level, whereas after 3 days of exposure, AChE levels were at 43-89% of their pre-exposed levels (Cacabelos, 2007). It is thought that hippocampal atrophy reduction, along with the amelioration of cognitive issues, is also due to donepezil’s ability to modulate other neurotransmitter systems such as the dopaminergic system. In fact, researchers at the Tokyo Jikei University School of Medicine (Shigeta & Homma, 2001) found that after the administration of donepezil at 2 mg/kg, dopamine (DA)

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