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Compound may point to Alzheimer's

WASHINGTON, Jul 26 (Reuters) - A compound found in the brains of Alzheimer's patients and those with mild brain problems could point doctors to people most at risk of the deadly and incurable disease, researchers said on Tuesday. The compound, myoinositol, had been known to exist before. But a team at the Mayo Clinic in Rochester, Minnesota found levels were elevated in Alzheimer's patients and in those with mild cognitive impairment.

They used magnetic resonance imaging (MRI) to measure myoinositol levels in 63 people with normal cognitive function, 21 with mild cognitive impairment and 21 with Alzheimer's.

Writing in the journal Neurology, the researchers--Dr. Kejal Kantarci and Dr. Clifford Jack--said both patients with mild impairment and those with Alzheimer's had higher-than-normal levels of the compound in their brains. "There is no evidence that myoinositol causes Alzheimer's disease, but we believe that the substance might be a marker of inflammatory changes in the brain that are part of Alzheimer's disease," Jack said in a statement. "Chemical abnormalities may precede the death of brain cells, and elevated concentrations of this substance in people who have mild cognitive impairment and Alzheimer's disease may correlate with the fact that there is a higher rate of brain cell death occurring in these people than in elderly people who have normal cognitive function."

Mild cognitive impairment is already known to precede Alzheimer's, although not always. Tests can show which patients have milder problems and which have Alzheimer's.

Jack said it is too soon to start measuring myoinositol levels in all older patients with memory or cognition problems. "This should not be considered a diagnostic test for early Alzheimer's disease at the present time," he said, adding that more studies are being done. More than 4 million Americans and 20 million people worldwide have Alzheimer's.


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