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[Vascular cognitive impairment].

Zh Nevrol Psikhiatr Im S S Korsakova

October 2022

Pirogov Russian National Research Medical University, Moscow, Russia.

Vascular cognitive impairment is considered the second most common cause of dementia after Alzheimer's disease. One of the most significant factors leading to vascular dementia is stroke, which increases the risk of developing dementia by about 2 times. Delayed-onset post-stroke dementia is mainly due to severe small vessel disease, recurrent stroke, or concomitant Alzheimer's disease.

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Alzheimer's disease (AD) is the most common form of dementia and is ranked as the 6th leading cause of death in the US. The prevalence of AD and dementia is steadily increasing and expected cases in USA is 14.8 million by 2050.

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Nicergoline (NIC) is a semisynthetic ergot alkaloid derivative applied for treatment of dementia and other cerebrovascular disorders. The efficacy of sesame oil to slow and reverse the symptoms of neurodegenerative cognitive disorders has been proven. This work aimed to formulate and optimize sesame oil-based NIC-nanostructured lipid carriers (NIC-NLCs) for intranasal (IN) delivery with expected synergistic and augmented neuroprotective properties.

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Features and outcomes of drugs for combination therapy as multi-targets strategy to combat Alzheimer's disease.

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Phytotherapy Research Lab., Medicinal & Aromatic Plant Division, Regional Plant Resource Centre, Forest & Environment Department, Govt. of Odisha, Nayapalli, Bhubaneswar 751015, India.

Article Synopsis
  • Alzheimer's disease (AD) is a complex neurodegenerative disorder that affects memory and cognitive functions, with existing FDA-approved treatments only providing symptomatic relief rather than a cure.
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  • The article emphasizes the need for a shift from a "one-molecule-one-target" approach to a "combination-drugs-multi-targets" strategy that addresses the multiple underlying factors of AD, along with exploring various biological sources for potential therapeutic agents.
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An analysis of literature data on the acetyl-L-carnitine treatment in gerontological practice is performed. This review describes the range of biochemical activity and mechanism of action of the drug. The profile and specificity of acetyl-L-carnitine action and the possibility of combining nicergoline with other drugs is discussed.

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