Dementia and Geriatric Cognitive Disorders Extra (Jun 2021)

The Neuroinflammasome in Alzheimer’s Disease and Cerebral Stroke

  • Jong-hoon Lee,
  • Chul Joong Lee,
  • Jungwuk Park,
  • So Jeong Lee,
  • Su-hee Choi

DOI
https://doi.org/10.1159/000516074
Journal volume & issue
Vol. 11, no. 2
pp. 159 – 167

Abstract

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Aim/Background: This review investigated a patient with Alzheimer’s disease (AD) treated with 4,4’-diaminodiphenyl sulfone (DDS) as a neuroinflammasome competitor. Methods: We monitored AD’s progression through numeric clinical staging (NCS) with a new biomarker. NCS was determined by the presence of AD symptoms and neuropsychiatric (NP) symptoms caused by anti-AD (AAD) drugs (D) as a biomarker. We also monitored the function of DDS for stroke in a no-intake emergency state. Results: By introducing (D), AD’s progression was monitored through NCS staging. AAD side effects and neuropsychiatric symptoms were identified. DDS was stopped in patients with stroke with NCS 6 caused by AAD, and it rapidly proceeded to cerebral infarct. Conclusions: AAD can occasionally exacerbate AD and stroke. DDS can alleviate mild cognitive impairment (MCI), early AD and stroke. We clinically confirmed the role of DDS as a neuroinflammasome competitor after stroke. DDS preserved neuronal survival within 24–55 h in the Seoul Study cohort.

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