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Publication : An antidepressant decreases CSF Aβ production in healthy individuals and in transgenic AD mice.

First Author  Sheline YI Year  2014
Journal  Sci Transl Med Volume  6
Issue  236 Pages  236re4
PubMed ID  24828079 Mgi Jnum  J:215342
Mgi Id  MGI:5605136 Doi  10.1126/scitranslmed.3008169
Citation  Sheline YI, et al. (2014) An antidepressant decreases CSF Abeta production in healthy individuals and in transgenic AD mice. Sci Transl Med 6(236):236re4
abstractText  Serotonin signaling suppresses generation of amyloid-beta (Abeta) in vitro and in animal models of Alzheimer's disease (AD). We show that in an aged transgenic AD mouse model (APP/PS1 plaque-bearing mice), the antidepressant citalopram, a selective serotonin reuptake inhibitor, decreased Abeta in brain interstitial fluid in a dose-dependent manner. Growth of individual amyloid plaques was assessed in plaque-bearing mice that were chronically administered citalopram. Citalopram arrested the growth of preexisting plaques and reduced the appearance of new plaques by 78%. In healthy human volunteers, citalopram's effects on Abeta production and Abeta concentrations in cerebrospinal fluid (CSF) were measured prospectively using stable isotope labeling kinetics, with CSF sampling during acute dosing of citalopram. Abeta production in CSF was slowed by 37% in the citalopram group compared to placebo. This change was associated with a 38% decrease in total CSF Abeta concentrations in the drug-treated group. The ability to safely decrease Abeta concentrations is potentially important as a preventive strategy for AD. This study demonstrates key target engagement for future AD prevention trials.
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