NMDA receptor antagonists: A new therapeutic approach for Alzheimer's disease

Research output: Contribution to journalReview article

74 Scopus citations

Abstract

Research into Alzheimer's disease (AD) pathology has identified several underlying disease processes that are potential targets for drug discovery and development. One strategy targets glutamatergic neurotransmission mediated by the N-methyl-D-aspartate (NMDA) receptor. Therapeutic intervention with high-affinity NMDA receptor antagonists, such as phencyclidine (PCP) and MK-801, is not practical due to adverse side effects; however, a low-moderate affinity, uncompetitive and strongly voltage-dependent NMDA receptor antagonist, memantine (Namenda™), is well tolerated and recently has been approved by the U.S. Food and Drug Administration for the treatment of moderate to severe AD. Clinical results support NMDA receptor antagonism as a viable therapeutic strategy for AD and suggest that this novel pharmacologic approach, either alone or in combination with other drugs, is likely to significantly impact the current AD treatment paradigm.

Original languageEnglish (US)
Pages (from-to)22-27
Number of pages6
JournalGeriatrics
Volume59
Issue number6
StatePublished - Jun 1 2004

Keywords

  • Alzheimer's disease
  • Cholinesterase
  • Inhibitors
  • Memantine
  • NMDA receptor antagonist

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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