Literature DB >> 19221692

Efficacy and safety of natural acetylcholinesterase inhibitor huperzine A in the treatment of Alzheimer's disease: an updated meta-analysis.

Bai-Song Wang1, Hao Wang, Zhao-Hui Wei, Yan-Yan Song, Lu Zhang, Hong-Zhuan Chen.   

Abstract

The objective of this study was to provide an updated meta-analysis of the efficacy and safety of huperzine A (HupA) in Alzheimer's disease (AD). We searched for randomized trials comparing HupA with placebo in the treatment of AD. The primary outcome measures were mini-mental state examination (MMSE) and activities of daily living scale (ADL). Data were extracted from four randomized clinical trials and analyzed using standard meta-analysis and meta-regression methods. Oral administration of HupA for 8-24 weeks (300-500 microg daily) led to significant improvements in MMSE and ADL. The results of meta-regression showed that the estimated effect size of MMSE and ADL was increased over the treatment time. Most adverse events were cholinergic in nature and no serious adverse events occurred. Huperzine A is a well-tolerated drug that could significantly improve cognitive performance and ADL in patients with AD.

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Year:  2009        PMID: 19221692     DOI: 10.1007/s00702-009-0189-x

Source DB:  PubMed          Journal:  J Neural Transm (Vienna)        ISSN: 0300-9564            Impact factor:   3.575


  25 in total

Review 1.  Huperzine A, a potential therapeutic agent for treatment of Alzheimer's disease.

Authors:  D L Bai; X C Tang; X C He
Journal:  Curr Med Chem       Date:  2000-03       Impact factor: 4.530

Review 2.  Progress in studies of huperzine A, a natural cholinesterase inhibitor from Chinese herbal medicine.

Authors:  Rui Wang; Han Yan; Xi-can Tang
Journal:  Acta Pharmacol Sin       Date:  2006-01       Impact factor: 6.150

3.  Neuroprotective effects of huperzine A: new therapeutic targets for neurodegenerative disease.

Authors:  Hai Yan Zhang; Xi Can Tang
Journal:  Trends Pharmacol Sci       Date:  2006-10-23       Impact factor: 14.819

4.  Huperzine A, a potential therapeutic agent for dementia, reduces neuronal cell death caused by glutamate.

Authors:  H S Ved; M L Koenig; J R Dave; B P Doctor
Journal:  Neuroreport       Date:  1997-03-03       Impact factor: 1.837

5.  Huperzine-A in capsules and tablets for treating patients with Alzheimer disease.

Authors:  S S Xu; Z Y Cai; Z W Qu; R M Yang; Y L Cai; G Q Wang; X Q Su; X S Zhong; R Y Cheng; W A Xu; J X Li; B Feng
Journal:  Zhongguo Yao Li Xue Bao       Date:  1999-06

6.  A 24-week, double-blind, placebo-controlled trial of donepezil in patients with Alzheimer's disease. Donepezil Study Group.

Authors:  S L Rogers; M R Farlow; R S Doody; R Mohs; L T Friedhoff
Journal:  Neurology       Date:  1998-01       Impact factor: 9.910

Review 7.  Potential therapeutic targets of huperzine A for Alzheimer's disease and vascular dementia.

Authors:  Hai Yan Zhang; Chun Yan Zheng; Han Yan; Zhi Fei Wang; Li Li Tang; Xin Gao; Xi Can Tang
Journal:  Chem Biol Interact       Date:  2008-05-13       Impact factor: 5.192

Review 8.  Alternative medicine and Alzheimer disease.

Authors:  Brendan J Kelley; David S Knopman
Journal:  Neurologist       Date:  2008-09       Impact factor: 1.398

Review 9.  Cholinesterase inhibitors: new roles and therapeutic alternatives.

Authors:  Ezio Giacobini
Journal:  Pharmacol Res       Date:  2004-10       Impact factor: 7.658

Review 10.  Huperzine A from Huperzia species--an ethnopharmacolgical review.

Authors:  Xiaoqiang Ma; Changheng Tan; Dayuan Zhu; David R Gang; Peigen Xiao
Journal:  J Ethnopharmacol       Date:  2007-06-02       Impact factor: 4.360

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  31 in total

Review 1.  The role of phytochemicals in the treatment and prevention of dementia.

Authors:  Melanie-Jayne R Howes; Elaine Perry
Journal:  Drugs Aging       Date:  2011-06-01       Impact factor: 3.923

Review 2.  Retrospect and prospect of active principles from Chinese herbs in the treatment of dementia.

Authors:  Ying Wang; Lu-qi Huang; Xi-can Tang; Hai-yan Zhang
Journal:  Acta Pharmacol Sin       Date:  2010-06       Impact factor: 6.150

Review 3.  Natural products as a source of Alzheimer's drug leads.

Authors:  Philip Williams; Analia Sorribas; Melanie-Jayne R Howes
Journal:  Nat Prod Rep       Date:  2010-11-12       Impact factor: 13.423

4.  The effects of huperzine A and IDRA 21 on visual recognition memory in young macaques.

Authors:  Ludise Malkova; Alan P Kozikowski; Karen Gale
Journal:  Neuropharmacology       Date:  2010-12-23       Impact factor: 5.250

5.  Peripheral cholinoceptor antagonist anisodamine counteracts cholinergic adverse effects and facilitates cognitive amelioration of rivastigmine.

Authors:  Wei-Wei Zhang; Zu-Peng Xu; Yong-Yao Cui; Hao Wang; Ming-Ke Song; Juan Li; Bi-Yun Shao; Zheng Xia; Hong-Zhuan Chen
Journal:  J Neural Transm (Vienna)       Date:  2009-09-12       Impact factor: 3.575

Review 6.  Aging and amyloid beta-induced oxidative DNA damage and mitochondrial dysfunction in Alzheimer's disease: implications for early intervention and therapeutics.

Authors:  Peizhong Mao; P Hemachandra Reddy
Journal:  Biochim Biophys Acta       Date:  2011-08-18

7.  Inhibiting β-amyloid-associated Alzheimer's pathogenesis in vitro and in vivo by a multifunctional dimeric bis(12)-hupyridone derived from its natural analogue.

Authors:  Shengquan Hu; Rui Wang; Wei Cui; Zaijun Zhang; Shinghung Mak; Daping Xu; Chunglit Choi; Karl Wahkeung Tsim; Paul R Carlier; Mingyuen Lee; Yifan Han
Journal:  J Mol Neurosci       Date:  2014-11-19       Impact factor: 3.444

8.  Molecular Evolution and Functional Characterization of a Bifunctional Decarboxylase Involved in Lycopodium Alkaloid Biosynthesis.

Authors:  Somnuk Bunsupa; Kousuke Hanada; Akira Maruyama; Kaori Aoyagi; Kana Komatsu; Hideki Ueno; Madoka Yamashita; Ryosuke Sasaki; Akira Oikawa; Kazuki Saito; Mami Yamazaki
Journal:  Plant Physiol       Date:  2016-06-14       Impact factor: 8.340

9.  Time Course, Behavioral Safety, and Protective Efficacy of Centrally Active Reversible Acetylcholinesterase Inhibitors in Cynomolgus Macaques.

Authors:  Lindsey R Hamilton; Steven C Schachter; Todd M Myers
Journal:  Neurochem Res       Date:  2016-11-30       Impact factor: 3.996

10.  The use of borneol as an enhancer for targeting aprotinin-conjugated PEG-PLGA nanoparticles to the brain.

Authors:  Lin Zhang; Limei Han; Jing Qin; Weiyue Lu; Jianxin Wang
Journal:  Pharm Res       Date:  2013-04-25       Impact factor: 4.200

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