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Test may provide early indications of Alzheimer's

Philadelphia (June 14, 2002 11:58 p.m. EDT) - A urine test may be useful in
predicting who will go on to develop Alzheimer's disease, which may enable
physicians to begin treating people at risk before they develop
irreversible brain damage from the illness, new research reveals.

"It's very exciting because it could be used in the future to detect
Alzheimer's and you can do something to prevent the evolution of the
disease," Domenico Pratic̣, assistant professor in University of
Pennsylvania's department of pharmacology and co-author of the study, told
United Press International.

Preventing the disease, which damages memory and language areas of the
brain, is important because the brain damage it causes is irreversible,
Pratic̣ said.

At present there are no treatments that can prevent Alzheimer's, so the
findings are also important because they will enable the testing of
preventative drugs, he added.

There are no tests that can reliably predict who will develop Alzheimer's,
Pratic̣ noted.

Brain scans or magnetic resonance imaging and drawing fluids fromthe spinal
column can offer some clues, but these procedures are invasive, expensive
and not totally reliable, he said.

The urine test detects isoprostane, a chemical called a free-radical that
is produced by oxidation-related damage to the brain characteristic of
Alzheimer's.

The test is non-invasive and could be done in a doctor's office rather than
requiring the patient to go the hospital, as is necessary with magnetic
resonance imaging, or MRIs.

In the study, Pratic̣ and colleagues tested for isoprostane by taking urine
samples from patients with mild cognitive impairment, a condition in which
half of those afflicted will go on to develop Alzheimer's.

The patients had levels of isoprostane similar to Alzheimer's patients and
much higher than healthy people.

Five of the patients with high isoprostane levels went on to develop
Alzheimer's within two years, Pratic̣ said.

One potential treatment for preventing the disease is taking large doses of
vitamin E, he said, noting some studies have suggested vitamin E can slow
the progression of the disease.

... snip ...

The study appears in the June issue of the Archives of Neurology.

Copyright 2002 by United Press International.
Copyright 2001 Nando Media
http://www.nando.net/healthscience/v-text/story/434909p-3478973c.html

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