Dementia & Osteoporosis – One Drug for Both

MEDICATION: The most common drug for Alzheimer’s also increases bone mass in mice. Find out what this means for people with dementia in fear of bone fractures, as well as conditions like osteoporosis or periodontitis.

The maximum common drug used to deal with Alzheimer’s sickness increases bone mass in mice, in step with a groundbreaking studies article published within the open get admission to journal Heliyon. The authors of the examine, from Saitama Medical University in Japan, say this means the drug can also be used to deal with bone loss sicknesses like osteoporosis and periodontitis, following further medical research.

Alzheimer’s sickness is the maximum not unusual form of dementia and the prevalence is increasing in our growing older populace. In the early stages of Alzheimer’s disorder, bone density decreases, putting sufferers at a better risk of bone fractures.

Donepezil (Brand call : Aricept®)
The new Heliyon look at indicates that treating Alzheimer’s disorder with a drug known as donepezil (Brand name : Aricept®) now not only improves cognitive feature however also increases bone density, reducing the hazard of fractures.

“We assume that donepezil can enhance cognitive characteristic and growth bone mass, making it a very beneficial drug for patients with dementia and osteoporosis,” stated lead writer Dr. Tsuyoshi Sato, Associate Professor within the Department of Oral and Maxillofacial Surgery, Saitama Medical University. “From the point of view of medical economics, this dual cause should reduce the cost of treating these diseases.”

Bone Mass & Density
Two distinctive types of cell manipulate the bone mass and density in our our bodies: osteoblasts make bone and osteoclasts soak up it. A molecule known as acetylcholine causes osteoclasts to die in vitro. Although an enzyme known as acetylcholinesterase breaks this molecule down,
the impact of this enzyme on osteoclasts remains unclear.

The maximum common drug used to deal with Alzheimer’s sickness, donepezil, stops acetylcholinesterase from operating, leading to an boom in the amount of acetylcholine inside the mind. Recent retrospective clinical research have recommended that sufferers being handled with donepezil for Alzheimer’s disease have a lower risk of hip fracture, and that chance became dependent on the dose they have been taking.

The researchers desired to apprehend how donepezil prevents bone degradation. They looked at the drug’s pastime in vitro the usage of mouse bone marrow cells, and located that greater acetylcholinesterase is produced while osteoclasts are being made, which leads to even extra osteoclasts being made. Donepezil stops acetylcholinesterase from operating, therefore preventing osteoclasts from being made.

Surprising Point
The group additionally looked at the impact of the drug in a mouse version with bone loss. They located that donepezil increases bone mass in mice through stopping the production of osteoclasts.

“We have been amazed to look that donepezil at once inhibits the manufacturing of osteoclasts and eventually increases bone mass in vivo,” said Dr. Sato. “This may be very unexpected factor – donepezil at once controls the molecule this is liable for macrophages turning into osteoclasts.”

Previous research has shown that acetylcholinesterase activity increases continuously with age, and might accelerate the threat of bone loss in elderly people. The researchers referred to that the awareness of acetylcholinesterase in macrophages became better whilst the tissue was infected. This suggests that infection causes bone to be degraded in element because of acetylcholinesterase manufacturing.

“Our findings are very promising and recommend that there may be a function for donepezil in increasing bone mass in elderly patients with irritation and dementia,” said Dr. Sato. “There remains paintings to be finished and we look ahead to staring at the impact of this drug in patients.”

The team now plans to work with the Department of Neurology at Saitama Medical University on scientific studies. They plan to study whether taking donepezil reduces patients’ danger of bone fracture via searching at its impact in a group of sufferers as compared to a control organization.

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