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Anesthesia or hypothermia: Warning for
Alzheimer's patients
Everyone knows that its important to keep a
cool head, but a new study published online
in The FASEB Journal (http://www.fasebj.org)
shows that for Alzheimer's patients, a cool
head may make the disease worse.
In the research report, scientists show that
a protein associated with Alzheimer's
(called "tau") builds up in brain cells at
an increased rate when temperatures fall,
such as when a patient is anesthetized or
experiences hypothermia.
This
finding should be of immediate concern to
surgeons, dentists, and any other health
care professionals who anesthetize patients
with Alzheimer's or patients at an elevated
risk for the disease.
"We hope that this research will initiate an
interest in taking precautions to limit the
impact of anesthesia on the disease," said
Emmanuel Planel of Columbia University
Medical Center and one of the scientists
involved in the work.
To make this discovery, the scientists used
two groups of mice that make the abnormal
tau protein that accumulates in Alzheimer's
patients.
One group was anesthetized, and one group
was not. A week after anesthesia, the two
groups were compared for the amount of tau
protein clumps in their brain cells.
The anesthetized group had more of these
clumps than the group that was not
anesthetized.
Furthermore, in mice showing advanced signs
of the disease, the build up of tau proteins
occurred faster than in those in the early
stages.
"Every patient wants a surgeon with a cool
head," said Gerald Weissmann, M.D.,
Editor-in-Chief of The FASEB Journal, "but
surgeons might not want the same for their
patients.
"People
are anesthetized for all kinds of reasons,
even dental work, but this study really
should make patients and doctors reconsider
whether it's really necessary."
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