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Report on Statins and Dementia Disputed
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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From the outset, Wolozin and colleagues1
assert that hypercholesterolemia is associated with increased risk of Alzheimer
disease (AD). That premise, of course, sets up their study hypothesis regarding
the putative protective effects of statin-class lipid-lowering medications
on the development of AD. However, while recent research suggests a role for
lipids in AD, the manner in which the article deals with this topic is, at
best, misleading. Molecular studies are revealing a complex but indirect role
for cholesterol transport and membrane dynamics in the pathophysiology of
AD. Too little rather than too much cholesterol in neural membranes appears
to increase vulnerability to dysfunction.2
Similarly, low, not high, serum cholesterol concentrations have been found
to predict cognitive decline in prospective studies of aging American twins3 and elderly Finns.4
Thus, only a fraction of published evidence supports the article's opening
premise.5
In any case, the research presented by Wolozin and colleagues should
be . . . [Full Text of this Article]
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