Davidson M, Bastiaens L, Davis B M, Shah M B, Davis K L
Bronx Veterans Administration Medical Center, New York.
Neurol Clin. 1988 Feb;6(1):149-57.
In conclusion, at present, no consistent endocrine abnormalities can be detected in patients suffering from Alzheimer's disease. However, assessment of neuroendocrine function might help identify subpopulations of patients with particular neurotransmission abnormalities who are likely to benefit from a specific pharmacologic strategy. For example, patients in whom cholinomimetic drugs produce the greatest elevation in plasma cortisol concentration appear to derive the most symptomatic benefit from these drugs.
总之,目前在阿尔茨海默病患者中未检测到一致的内分泌异常。然而,评估神经内分泌功能可能有助于识别具有特定神经传递异常的患者亚群,这些患者可能从特定的药物治疗策略中获益。例如,拟胆碱药物使血浆皮质醇浓度升高幅度最大的患者似乎从这些药物中获得的症状改善最为明显。