1,721,386 research outputs found
Editorial for the Special Issue "Molecular Bases of Senescence"
Full text linkThe increasing life expectancy of populations worldwide represents the most evident success of the last century thanks to varying interacting social and medical achievements [...]
Depression in the elderly: new concepts and therapeutic approaches
No full textDepression is one of the leading causes of suffering in the elderly, but it is often under-diagnosed and under-treated, partly due to the false belief that depression is a common aspect of aging. Depression in the elderly is frequently comorbid with medical illnesses, may often be expressed by somatic complaints, and may be a risk factor for other diseases such as dementia and coronary artery disease. Depression decreases the quality of life and increases disability and the risk of mortality, also due to suicide. Although several effective antidepressant drugs are available, with a favorable therapeutic index, non-pharmacological treatments, such as psychotherapy and exercise, should receive greater attention, since combination therapy is probably more effective
Antioxidants for the treatment of mild cognitive impairment. (Review)
No full textThe isolated deficit in recent memory frequently associated with decline to Alzheimer's disease (AD) is defined as mild cognitive impairment (MCI). The observed progression of MCI to AD suggests a common pathogenesis between these two clinical syndromes, and several neuroimaging, neuropsychological and biological methods are applied with the purpose of identifying subjects at risk of AD. Among these methods, the evaluation of a condition of oxidative stress is gaining increasing attention. Since oxidative stress seems to be involved in the earliest phases of AD, and MCI may be considered as a prodromal phase of dementia, it is an attractive issue to focus therapeutic interventions on the early phase of the disease
Geroscience and the Fight Against Alzheimer's Disease: Between Myth and Reality
No full textAging is associated with a gradual decline in cellular stability, leading to a decrease in overall health. In the brain, this process is closely linked with an increased risk of neurodegenerative diseases, including Alzheimer's disease. Understanding the mechanisms of brain aging is crucial for developing strategies aimed at enhancing both lifespan and health span. Recent advancements in geroscience, the study of the relationship between aging and age-related diseases, have begun to redefine our understanding of Alzheimer's disease, guiding the development of preventive medical strategies that target the aging process itself rather than merely addressing the symptomatic manifestations of the disease
Hallmarks of protein oxidative damage in neurodegenerative diseases: focus on Alzheimer's disease.
No full textThe pathogenesis of several neurodegenerative diseases, including Alzheimer's disease, has been linked to a condition of oxidative and nitrosative stress, arising from the imbalance between increased reactive oxygen species (ROS) and reactive nitrogen species (RNS) production and antioxidant defences or efficiency of repair or removal systems. The effects of free radicals are expressed by the accumulation of oxidative damage to biomolecules: nucleic acids, lipids and proteins. In this review we focused our attention on the large body of evidence of oxidative damage to protein in Alzheimer's disease brain and peripheral cells as well as in their role in signalling pathways. The progress in the understanding of the molecular alterations underlying Alzheimer's disease will be useful in developing successful preventive and therapeutic strategies, since available drugs can only temporarily stabilize the disease, but are not able to block the neurodegenerative process
Clinical physiology-pharmacology: Age-disease-drug-related hypernatremia and hyperphosphatemia
No full textIn this case, by discontinuing the amitryptyline and hydrochlorithiazide the intestinal problem was corrected. The patient's confusion waned and the sodium and phosphate values returned to normal. Were this patient to need another antidepressant, fluoxetine or another type of serotonin uptake antagonist lacking anticholinergic action should be given [9]. If pedal edema occurs in the elderly in the absence of hypertension, hepatic, cardiac or renal disease, it may be positional or due to venous insufficiency and may need to be treated non pharmacologically with elastic support hose and elevation of the feet to prevent the dependent position. © 1996 Kluwer Academic Publishers
Potential markers of oxidative stress in stroke
No full textFree radical production is increased in ischemic and hemorrhagic stroke, leading to oxidative stress that contributes to brain damage. The measurement of oxidative stress in stroke would be extremely important for a better understanding of its pathophysiology and for identifying subgroups of patients that might receive targeted therapeutic intervention. Since direct measurement of free radicals and oxidized molecules in the brain is difficult in humans, several biological substances have been investigated as potential peripheral markers. Among lipid peroxidation products, malondialdehyde, despite its relevant methodological limitations, is correlated with the size of ischemic stroke and clinical outcome, while F2-isoprostanes appear to be promising, but they have not been adequately evaluated. 8-Hydroxy-2-deoxyguanosine has been extensively investigated as markers of oxidative DNA damage but no study has been done in stroke patients. Also enzymatic and nonenzymatic antioxidants have been proposed as indirect markers. Among them ascorbic acid, alpha-tocopherol, uric acid, and superoxide dismutase are related to brain damage and clinical outcome. After a critical evaluation of the literature, we conclude that, while an ideal biomarker is not yet available, the balance between antioxidants and by-products of oxidative stress in the organism might be the best approach for the evaluation of oxidative stress in stroke patients
Oxidative stress in brain aging, neurodegenerative and vascular diseases: An overview
No full textAccording to the free radical theory, aging can be considered as a progressive, inevitable process partially related to the accumulation of oxidative damage into biomolecules -- nucleic acids, lipids, proteins or carbohydrates -- due to an imbalance between prooxidants and antioxidants in favor of the former. More recently also the pathogenesis of several diseases has been linked to a condition of oxidative stress. In this review we focus our attention on the evidence of oxidative stress in aging brain, some of the most important neurodegenerative diseases -- Alzheimer's disease (AD), mild cognitive impairment (MCI), Parkinson's disease (PD), amyotrophic lateral sclerosis (ALS) and Huntington's disease (HD) -- and in two common and highly disabling vascular pathologies--stroke and cardiac failure. Particular attention will be given to the current knowledge about the biomarkers of oxidative stress that can be possibly used to monitor their severity and outcome
- …
