Vitamin E and Alzheimer's Disease-Is It Time for Personalized Medicine?

Vitamin E and Alzheimer's Disease-Is It Time for Personalized Medicine?
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DOI:
10.3390/antiox6030045
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发表时间:
2017-06-24
期刊:
Antioxidants (Basel, Switzerland)
影响因子:
--
通讯作者:
Ulatowski LM
Ulatowski LM
中科院分区:
其他
文献类型:
--
作者:
Cervantes B;Ulatowski LM

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在过去的二十年里,人们一直在激烈地争论维生素E-主要的脂溶性抗氧化剂,其功能是维持神经系统的完整性-是否是有效的治疗阿尔茨海默氏病。争论的几个关键因素包括:(1)应该使用八种天然维生素E形式中的哪一种;(2)联合治疗如何影响维生素E的功效;以及(3)最近在硒和维生素E癌症预防试验SELECT前列腺癌试验结果后重新出现的安全性问题。然而,随着新的遗传技术的出现和维生素E调节单核苷酸多态性(SNP)的鉴定,我们建议解决“维生素E是否是阿尔茨海默病的有效治疗方法”问题的临床试验应该考虑一种更有针对性和个性化的医学方法来设计实验。一个人的自然发生的SNP变异确实可能影响维生素E对阿尔茨海默病的治疗效果。
For the last two decades, it has been hotly debated whether vitamin E—the major lipid-soluble antioxidant, which functions to maintain neurological integrity—is efficacious as a therapy for Alzheimer’s disease. Several factors key to the debate, include (1) which of the eight naturally-occurring vitamin E forms should be used; (2) how combination treatments affect vitamin E efficacy; and (3) safety concerns that most-recently resurfaced after the results of the Selenium and vitamin E Cancer prevention trial SELECT prostate cancer trial. However, with the advent of new genetic technologies and identifications of vitamin E-modulating single nucleotide polymorphisms (SNPs), we propose that clinical trials addressing the question “Is vitamin E an effective treatment for Alzheimer’s disease” should consider a more focused and personalized medicine approach to designing experiments. An individual’s naturally-occurring SNP variants may indeed influence vitamin E’s therapeutic effect on Alzheimer’s disease.
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