Ibuprofen treatment modifies cortical sources of EEG rhythms in mild Alzheimer's disease

Clin Neurophysiol. 2009 Apr;120(4):709-18. doi: 10.1016/j.clinph.2009.02.005. Epub 2009 Mar 25.

Abstract

Objective: Non-steroidal anti-inflammatory drugs such as ibuprofen have a protective role on risk of Alzheimer's disease (AD). Here we evaluated the hypothesis that long-term ibuprofen treatment affects cortical sources of resting electroencephalographic (EEG) rhythms in mild AD patients.

Methods: Twenty-three AD patients (13 treated AD IBUPROFEN; 10 untreated AD PLACEBO) were enrolled. Resting EEG data were recorded before and 1 year after the ibuprofen/placebo treatment. EEG rhythms were delta (2-4 Hz), theta (4-8 Hz), alpha 1 (8-10.5 Hz), alpha 2 (10.5-13 Hz), beta 1 (13-20 Hz), and beta 2 (20-30 Hz). LORETA was used for EEG source analysis.

Results: In the AD PLACEBO group, amplitude of delta sources was globally greater at follow-up than baseline. Instead, amplitude of delta sources remained stable or decreased in the majority of the AD IBUPROFEN patients. Clinical (CDR) but not global cognitive status (MMSE) reflected EEG results.

Conclusions: These results suggest that in mild AD patients, a long-term ibuprofen treatment slightly slows down the progressive increment of delta rhythms as a sign of contrast against the neurodegenerative processes.

Significance: They motivate future investigations with larger population and extended neuropsychological testing, to study the relationships among ibuprofen treatment, delta cortical sources, and higher order functions.

Publication types

  • Controlled Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Alzheimer Disease / drug therapy
  • Alzheimer Disease / pathology
  • Alzheimer Disease / physiopathology*
  • Alzheimer Disease / prevention & control
  • Analysis of Variance
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
  • Brain Mapping
  • Case-Control Studies
  • Cerebral Cortex / drug effects*
  • Electroencephalography / drug effects*
  • Female
  • Humans
  • Ibuprofen / pharmacology
  • Ibuprofen / therapeutic use*
  • Imaging, Three-Dimensional
  • Longitudinal Studies
  • Magnetic Resonance Imaging / methods
  • Male
  • Neuropsychological Tests
  • Reference Values
  • Spectrum Analysis

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Ibuprofen