

Effects of idebenone
on monoamine metabolites in cerebrospinal fluid of patients with
cerebrovascular dementia.
Kawakami M, Itoh T.
3rd Department of Internal Medicine,
St. Marianna University School of
Medicine, Kawasaki, Japan.
Arch Gerontol Geriatr 1989 May;8(3):343-53
ABSTRACT
Monoamine metabolites and norepinephrine (NE) in the
cerebrospinal fluid of patients with cerebrovascular dementia were measured
to study the effects of administration of idebenone. Six patients with
cerebral infarction and one with cerebral hemorrhage (mean age 65.4 years)
were enrolled as subjects. All the patients had mental and intelligence
impairment which was evaluated by the Hasegawa's Dementia Rating (DR) Scale.
The patients were medicated with a 90 mg/day dose of idebenone
for 1 to 2
months, and homovanillic acid (HVA), 5-hydroxyindole acetic acid (5-HIAA),
3-methoxy-4-hydroxyphenylethyleneglycol (MHPG) and NE in the cerebrospinal
fluid were determined by high-performance liquid chromatography before and
after the medication of idebenone. Before the medication, the level of HVA
was 21.7 +/- 1.4 ng/ml (mean +/- SE), which was significantly lower (p less
than 0.01) as compared with that in control subjects of similar age. The
level of 5-HIAA was 18.5 +/- 2.7 ng/ml, and that of MHPG 9.5 +/- 0.7 ng/ml,
both of which were lower than those of the controls, though statistically
not significant. NE was similar to the control value. After administration
of idebenone, HVA measured was 27.1 +/- 3.2 ng/ml, showing a tendency to
increase. The levels of 5-HIAA and MHPG were 26.7 +/- 2.3 ng/ml and 10.7 +/-
0.6 ng/ml, respectively, which were significantly (p less than 0.05) higher
than the premedication values. The percentages of the change were 12.8 +/-
8.0 for HVA, 58.2 +/- 18.5 for 5-HIAA and 14.2 +/- 5.0 for MHPG. The score
of the DR scale was improved by 5 or less after the idebenone
medication in
most subjects. HVA and 5-HIAA increased markedly in the patients who showed
a tendency of improvement of mental impairment as evaluated by the DR scale.
The results suggested that idebenone would improve abnormalities in
neurotransmitters of patients with cerebrovascular dementia, especially
promoting serotonin turnover