Strohle A

References (3)

Title : Drug and Exercise Treatment of Alzheimer Disease and Mild Cognitive Impairment: A Systematic Review and Meta-Analysis of Effects on Cognition in Randomized Controlled Trials - Strohle_2015_Am.J.Geriatr.Psychiatry_23_1234
Author(s) : Strohle A , Schmidt DK , Schultz F , Fricke N , Staden T , Hellweg R , Priller J , Rapp MA , Rieckmann N
Ref : American Journal of Geriatry & Psychiatry , 23 :1234 , 2015
Abstract : OBJECTIVE: Demographic changes are increasing the pressure to improve therapeutic strategies against cognitive decline in Alzheimer disease (AD) and mild cognitive impairment (MCI). Besides drug treatment, physical activity seems to be a promising intervention target as epidemiological and clinical studies suggest beneficial effects of exercise training on cognition. Using comparable inclusion and exclusion criteria, we analyzed the efficacy of drug therapy (cholinesterase inhibitors, memantine, and Ginkgo biloba) and exercise interventions for improving cognition in AD and MCI populations.
METHODS: We searched The Cochrane Library, EBSCO, OVID, Web of Science, and U.S Food and Drug Administration data from inception through October 30, 2013. Randomized controlled trials in which at least one treatment arm consisted of an exercise or a pharmacological intervention for AD or MCI patients, and which had either a non-exposed control condition or a control condition that received another intervention. Treatment discontinuation rates and Standardized Mean Change score using Raw score standardization (SMCR) of cognitive performance were calculated.
RESULTS: Discontinuation rates varied substantially and ranged between 0% and 49% with a median of 18%. Significantly increased discontinuation rates were found for galantamine and rivastigmine as compared to placebo in AD studies. Drug treatments resulted in a small pooled effect on cognition (SMCR: 0.23, 95% CI: 0.20 to 0.25) in AD studies (N = 45, 18,434 patients) and no effect in any of the MCI studies (N = 5, 3,693 patients; SMCR: 0.03, 95% CI: 0.00 to 0.005). Exercise interventions had a moderate to strong pooled effect size (SMCR: 0.83, 95% CI: 0.59 to 1.07) in AD studies (N = 4, 119 patients), and a small effect size (SMCR: 0.20, 95% CI: 0.11 to 0.28) in MCI (N = 6, 443 patients).
CONCLUSIONS: Drug treatments have a small but significant impact on cognitive functioning in AD and exercise has the potential to improve cognition in AD and MCI. Head-to-head trials with sufficient statistical power are necessary to directly compare efficacy, safety, and acceptability. Combining these two approaches might further increase the efficacy of each individual intervention. IDENTIFIER: PROSPERO (2013:CRD42013003910).
ESTHER : Strohle_2015_Am.J.Geriatr.Psychiatry_23_1234
PubMedSearch : Strohle_2015_Am.J.Geriatr.Psychiatry_23_1234
PubMedID: 26601726

Title : Brain networks. Correlated gene expression supports synchronous activity in brain networks - Richiardi_2015_Science_348_1241
Author(s) : Richiardi J , Altmann A , Milazzo AC , Chang C , Chakravarty MM , Banaschewski T , Barker GJ , Bokde AL , Bromberg U , Buchel C , Conrod P , Fauth-Buhler M , Flor H , Frouin V , Gallinat J , Garavan H , Gowland P , Heinz A , Lemaitre H , Mann KF , Martinot JL , Nees F , Paus T , Pausova Z , Rietschel M , Robbins TW , Smolka MN , Spanagel R , Strohle A , Schumann G , Hawrylycz M , Poline JB , Greicius MD
Ref : Science , 348 :1241 , 2015
Abstract : During rest, brain activity is synchronized between different regions widely distributed throughout the brain, forming functional networks. However, the molecular mechanisms supporting functional connectivity remain undefined. We show that functional brain networks defined with resting-state functional magnetic resonance imaging can be recapitulated by using measures of correlated gene expression in a post mortem brain tissue data set. The set of 136 genes we identify is significantly enriched for ion channels. Polymorphisms in this set of genes significantly affect resting-state functional connectivity in a large sample of healthy adolescents. Expression levels of these genes are also significantly associated with axonal connectivity in the mouse. The results provide convergent, multimodal evidence that resting-state functional networks correlate with the orchestrated activity of dozens of genes linked to ion channel activity and synaptic function.
ESTHER : Richiardi_2015_Science_348_1241
PubMedSearch : Richiardi_2015_Science_348_1241
PubMedID: 26068849

Title : Genomic architecture of human neuroanatomical diversity - Toro_2015_Mol.Psychiatry_20_1011
Author(s) : Toro R , Poline JB , Huguet G , Loth E , Frouin V , Banaschewski T , Barker GJ , Bokde A , Buchel C , Carvalho FM , Conrod P , Fauth-Buhler M , Flor H , Gallinat J , Garavan H , Gowland P , Heinz A , Ittermann B , Lawrence C , Lemaitre H , Mann K , Nees F , Paus T , Pausova Z , Rietschel M , Robbins T , Smolka MN , Strohle A , Schumann G , Bourgeron T
Ref : Mol Psychiatry , 20 :1011 , 2015
Abstract : Human brain anatomy is strikingly diverse and highly inheritable: genetic factors may explain up to 80% of its variability. Prior studies have tried to detect genetic variants with a large effect on neuroanatomical diversity, but those currently identified account for <5% of the variance. Here, based on our analyses of neuroimaging and whole-genome genotyping data from 1765 subjects, we show that up to 54% of this heritability is captured by large numbers of single-nucleotide polymorphisms of small-effect spread throughout the genome, especially within genes and close regulatory regions. The genetic bases of neuroanatomical diversity appear to be relatively independent of those of body size (height), but shared with those of verbal intelligence scores. The study of this genomic architecture should help us better understand brain evolution and disease.
ESTHER : Toro_2015_Mol.Psychiatry_20_1011
PubMedSearch : Toro_2015_Mol.Psychiatry_20_1011
PubMedID: 25224261