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Published in: Journal of Neural Transmission 8/2008

Open Access 01-08-2008 | Alzheimer's Disease and Related Disorders - Original Article

Intake of copper has no effect on cognition in patients with mild Alzheimer’s disease: a pilot phase 2 clinical trial

Authors: Holger Kessler, Thomas A. Bayer, Daniela Bach, Thomas Schneider-Axmann, Tillmann Supprian, Wolfgang Herrmann, Manfred Haber, Gerd Multhaup, Peter Falkai, Frank-Gerald Pajonk

Published in: Journal of Neural Transmission | Issue 8/2008

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Abstract

Disturbed copper (Cu) homeostasis may be associated with the pathological processes in Alzheimer’s disease (AD). In the present report, we evaluated the efficacy of oral Cu supplementation in the treatment of AD in a prospective, randomized, double-blind, placebo-controlled phase 2 clinical trial in patients with mild AD for 12 months. Sixty-eight subjects were randomized. The treatment was well-tolerated. There were however no significant differences in primary outcome measures (Alzheimer’s Disease Assessment Scale, Cognitive subscale, Mini Mental Status Examination) between the verum [Cu-(II)-orotate-dihydrate; 8 mg Cu daily] and the placebo group. Despite a number of findings supporting the hypothesis of environmental Cu modulating AD, our results demonstrate that oral Cu intake has neither a detrimental nor a promoting effect on the progression of AD.
Literature
go back to reference Atwood CS, Scarpa RC, Huang X, Moir RD et al (2000) Characterization of copper interactions with alzheimer amyloid beta peptides: identification of an attomolar-affinity copper binding site on amyloid beta1–42. J Neurochem 75(3):1219–1233PubMedCrossRef Atwood CS, Scarpa RC, Huang X, Moir RD et al (2000) Characterization of copper interactions with alzheimer amyloid beta peptides: identification of an attomolar-affinity copper binding site on amyloid beta1–42. J Neurochem 75(3):1219–1233PubMedCrossRef
go back to reference Barnham KJ, McKinstry WJ, Multhaup G, Galatis D et al (2003) Structure of the Alzheimer’s disease amyloid precursor protein copper binding domain. A regulator of neuronal copper homeostasis. J Biol Chem 278(19):17401–17407PubMedCrossRef Barnham KJ, McKinstry WJ, Multhaup G, Galatis D et al (2003) Structure of the Alzheimer’s disease amyloid precursor protein copper binding domain. A regulator of neuronal copper homeostasis. J Biol Chem 278(19):17401–17407PubMedCrossRef
go back to reference Bayer TA, Wirths O, Majtenyi K, Hartmann T et al (2001) Key factors in Alzheimer’s disease: beta-amyloid precursor protein processing, metabolism and intraneuronal transport. Brain Pathol 11(1):1–11PubMed Bayer TA, Wirths O, Majtenyi K, Hartmann T et al (2001) Key factors in Alzheimer’s disease: beta-amyloid precursor protein processing, metabolism and intraneuronal transport. Brain Pathol 11(1):1–11PubMed
go back to reference Bayer TA, Schäfer S, Simons A, Kemmling A et al (2003) Dietary Cu stabilizes brain SOD-1 activity and reduces amyoid Aß production in APP23 transgenic mice. Proc Natl Acad Sci USA 100(24):14187–14192PubMedCrossRef Bayer TA, Schäfer S, Simons A, Kemmling A et al (2003) Dietary Cu stabilizes brain SOD-1 activity and reduces amyoid Aß production in APP23 transgenic mice. Proc Natl Acad Sci USA 100(24):14187–14192PubMedCrossRef
go back to reference Borchardt T, Camakaris J, Cappai R, Masters CL et al (1999) Copper inhibits beta-amyloid production and stimulates the non-amyloidogenic pathway of amyloid-precursor-protein secretion. Biochem J 344(Pt 2):461–467PubMedCrossRef Borchardt T, Camakaris J, Cappai R, Masters CL et al (1999) Copper inhibits beta-amyloid production and stimulates the non-amyloidogenic pathway of amyloid-precursor-protein secretion. Biochem J 344(Pt 2):461–467PubMedCrossRef
go back to reference Cherny RA, Atwood CS, Xilinas ME, Gray DN et al (2001) Treatment with a copper-zinc chelator markedly and rapidly inhibits beta-amyloid accumulation in Alzheimer’s disease transgenic mice. Neuron 30(3):665–676PubMedCrossRef Cherny RA, Atwood CS, Xilinas ME, Gray DN et al (2001) Treatment with a copper-zinc chelator markedly and rapidly inhibits beta-amyloid accumulation in Alzheimer’s disease transgenic mice. Neuron 30(3):665–676PubMedCrossRef
go back to reference Deibel MA, Ehmann WD, Markesbery WR (1996) Copper, iron, and zinc imbalances in severely degenerated brain regions in Alzheimer’s disease: possible relation to oxidative stress. J Neurol Sci 143(1–2):137–142PubMedCrossRef Deibel MA, Ehmann WD, Markesbery WR (1996) Copper, iron, and zinc imbalances in severely degenerated brain regions in Alzheimer’s disease: possible relation to oxidative stress. J Neurol Sci 143(1–2):137–142PubMedCrossRef
go back to reference Glenner GG, Wong CW (1984) Alzheimer’s disease: Initial report of the purification and characterization of a novel cerebrovascular amyloid protein. Biochem Biophys Res Commun 120:885–890PubMedCrossRef Glenner GG, Wong CW (1984) Alzheimer’s disease: Initial report of the purification and characterization of a novel cerebrovascular amyloid protein. Biochem Biophys Res Commun 120:885–890PubMedCrossRef
go back to reference Hesse L, Beher D, Masters CL, Multhaup G (1994) The beta A4 amyloid precursor protein binding to copper. FEBS Lett 349(1):109–116PubMedCrossRef Hesse L, Beher D, Masters CL, Multhaup G (1994) The beta A4 amyloid precursor protein binding to copper. FEBS Lett 349(1):109–116PubMedCrossRef
go back to reference Jeandel C, Nicolas MB, Dubois F, Nabet-Belleville F et al (1989) Lipid peroxidation and free radical scavengers in Alzheimer’s disease. Gerontology 35(5–6):275–282PubMedCrossRef Jeandel C, Nicolas MB, Dubois F, Nabet-Belleville F et al (1989) Lipid peroxidation and free radical scavengers in Alzheimer’s disease. Gerontology 35(5–6):275–282PubMedCrossRef
go back to reference Kang J, Lemaire HG, Unterbeck A, Salbaum JM et al (1987) The precursor of Alzheimer’s disease amyloid A4 protein resembles a cell-surface receptor. Nature 325:733–736PubMedCrossRef Kang J, Lemaire HG, Unterbeck A, Salbaum JM et al (1987) The precursor of Alzheimer’s disease amyloid A4 protein resembles a cell-surface receptor. Nature 325:733–736PubMedCrossRef
go back to reference Kessler H, Pajonk FG, Supprian T, Falkai P et al (2005) The role of copper in the pathophysiology of Alzheimer’s disease. Nervenarzt 76(5):581–585PubMedCrossRef Kessler H, Pajonk FG, Supprian T, Falkai P et al (2005) The role of copper in the pathophysiology of Alzheimer’s disease. Nervenarzt 76(5):581–585PubMedCrossRef
go back to reference Kessler H, Pajonk FG, Meisser P, Schneider-Axmann T et al (2006) Cerebrospinal fluid diagnostic markers correlate with lower plasma copper and ceruloplasmin in patients with Alzheimer’s disease. J Neural Transm 113(11):1763–1769PubMedCrossRef Kessler H, Pajonk FG, Meisser P, Schneider-Axmann T et al (2006) Cerebrospinal fluid diagnostic markers correlate with lower plasma copper and ceruloplasmin in patients with Alzheimer’s disease. J Neural Transm 113(11):1763–1769PubMedCrossRef
go back to reference Loeffler DA, LeWitt PA, Juneau PL, Sima AA et al (1996) Increased regional brain concentrations of ceruloplasmin in neurodegenerative disorders. Brain Res 738(2):265–274PubMedCrossRef Loeffler DA, LeWitt PA, Juneau PL, Sima AA et al (1996) Increased regional brain concentrations of ceruloplasmin in neurodegenerative disorders. Brain Res 738(2):265–274PubMedCrossRef
go back to reference Lovell MA, Robertson JD, Teesdale WJ, Campbell JL et al (1998) Copper, iron and zinc in Alzheimer’s disease senile plaques. J Neurol Sci 158(1):47–52PubMedCrossRef Lovell MA, Robertson JD, Teesdale WJ, Campbell JL et al (1998) Copper, iron and zinc in Alzheimer’s disease senile plaques. J Neurol Sci 158(1):47–52PubMedCrossRef
go back to reference Maynard CJ, Cappai R, Volitakis I, Cherny RA et al (2002) Overexpression of Alzheimer’s disease amyloid-beta opposes the age-dependent elevations of brain copper and iron. J Biol Chem 277(47):44670–44676PubMedCrossRef Maynard CJ, Cappai R, Volitakis I, Cherny RA et al (2002) Overexpression of Alzheimer’s disease amyloid-beta opposes the age-dependent elevations of brain copper and iron. J Biol Chem 277(47):44670–44676PubMedCrossRef
go back to reference McKhann G, Drachman D, Folstein M, Katzman R et al (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 34(7):939–944PubMed McKhann G, Drachman D, Folstein M, Katzman R et al (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 34(7):939–944PubMed
go back to reference Multhaup G, Schlicksupp A, Hesse L, Beher D et al (1996) The amyloid precursor protein of Alzheimer’s disease in the reduction of copper(II) to copper(I). Science 271(5254):1406–1409PubMedCrossRef Multhaup G, Schlicksupp A, Hesse L, Beher D et al (1996) The amyloid precursor protein of Alzheimer’s disease in the reduction of copper(II) to copper(I). Science 271(5254):1406–1409PubMedCrossRef
go back to reference Pajonk F, Kessler H, Supprian T, Hamzei P et al (2005) Cognitive decline correlates with low plasma concentrations of copper in patients with mild to moderate Alzheimer’s disease. J Alzheimers Dis 8(1):23–27PubMed Pajonk F, Kessler H, Supprian T, Hamzei P et al (2005) Cognitive decline correlates with low plasma concentrations of copper in patients with mild to moderate Alzheimer’s disease. J Alzheimers Dis 8(1):23–27PubMed
go back to reference Phinney AL, Drisaldi B, Lugowski S, Schmidt S et al (2003) In vivo reduction of amyloid Aß by a mutant copper transporter. Proc Natl Acad Sci USA 100(24):14193–14198PubMedCrossRef Phinney AL, Drisaldi B, Lugowski S, Schmidt S et al (2003) In vivo reduction of amyloid Aß by a mutant copper transporter. Proc Natl Acad Sci USA 100(24):14193–14198PubMedCrossRef
go back to reference Ritchie CW, Bush AI, Mackinnon A, Macfarlane S et al (2003) Metal-protein attenuation with iodochlorhydroxyquin (clioquinol) targeting Abeta amyloid deposition and toxicity in Alzheimer disease: a pilot phase 2 clinical trial. Arch Neurol 60(12):1685–1691PubMedCrossRef Ritchie CW, Bush AI, Mackinnon A, Macfarlane S et al (2003) Metal-protein attenuation with iodochlorhydroxyquin (clioquinol) targeting Abeta amyloid deposition and toxicity in Alzheimer disease: a pilot phase 2 clinical trial. Arch Neurol 60(12):1685–1691PubMedCrossRef
go back to reference Schafer S, Pajonk FG, Multhaup G, Bayer TA (2007) Copper and clioquinol treatment in young APP transgenic and wild-type mice: effects on life expectancy, body weight, and metal-ion levels. J Mol Med 85(4):405–413PubMedCrossRef Schafer S, Pajonk FG, Multhaup G, Bayer TA (2007) Copper and clioquinol treatment in young APP transgenic and wild-type mice: effects on life expectancy, body weight, and metal-ion levels. J Mol Med 85(4):405–413PubMedCrossRef
go back to reference Squitti R, Lupoi D, Pasqualetti P, Dal Forno G et al (2002) Elevation of serum copper levels in Alzheimer’s disease. Neurology 59(8):1153–1161PubMed Squitti R, Lupoi D, Pasqualetti P, Dal Forno G et al (2002) Elevation of serum copper levels in Alzheimer’s disease. Neurology 59(8):1153–1161PubMed
go back to reference Squitti R, Pasqualetti P, Cassetta E, Dal Forno G et al (2003) Elevation of serum copper levels discriminates Alzheimer’s disease from vascular dementia. Neurology 60(12):2013–2014PubMed Squitti R, Pasqualetti P, Cassetta E, Dal Forno G et al (2003) Elevation of serum copper levels discriminates Alzheimer’s disease from vascular dementia. Neurology 60(12):2013–2014PubMed
go back to reference Squitti R, Cassetta E, Dal Forno G, Lupoi D et al (2004) Copper perturbation in 2 monozygotic twins discordant for degree of cognitive impairment. Arch Neurol 61(5):738–743PubMedCrossRef Squitti R, Cassetta E, Dal Forno G, Lupoi D et al (2004) Copper perturbation in 2 monozygotic twins discordant for degree of cognitive impairment. Arch Neurol 61(5):738–743PubMedCrossRef
go back to reference Treiber C, Simons A, Strauss M, Hafner M et al (2004) Clioquinol mediates copper uptake and counteracts copper efflux activities of the amyloid precursor protein of Alzheimer’s disease. J Biol Chem 279(50):51958–51964PubMedCrossRef Treiber C, Simons A, Strauss M, Hafner M et al (2004) Clioquinol mediates copper uptake and counteracts copper efflux activities of the amyloid precursor protein of Alzheimer’s disease. J Biol Chem 279(50):51958–51964PubMedCrossRef
go back to reference Turnlund JR, Jacob RA, Keen CL, Strain JJ et al (2004) Long-term high copper intake: effects on indexes of copper status, antioxidant status, and immune function in young men. Am J Clin Nutr 79(6):1037–1044PubMed Turnlund JR, Jacob RA, Keen CL, Strain JJ et al (2004) Long-term high copper intake: effects on indexes of copper status, antioxidant status, and immune function in young men. Am J Clin Nutr 79(6):1037–1044PubMed
go back to reference White AR, Reyes R, Mercer JF, Camakaris J et al (1999) Copper levels are increased in the cerebral cortex and liver of APP and APLP2 knockout mice. Brain Res 842(2):439–444PubMedCrossRef White AR, Reyes R, Mercer JF, Camakaris J et al (1999) Copper levels are increased in the cerebral cortex and liver of APP and APLP2 knockout mice. Brain Res 842(2):439–444PubMedCrossRef
Metadata
Title
Intake of copper has no effect on cognition in patients with mild Alzheimer’s disease: a pilot phase 2 clinical trial
Authors
Holger Kessler
Thomas A. Bayer
Daniela Bach
Thomas Schneider-Axmann
Tillmann Supprian
Wolfgang Herrmann
Manfred Haber
Gerd Multhaup
Peter Falkai
Frank-Gerald Pajonk
Publication date
01-08-2008
Publisher
Springer Vienna
Published in
Journal of Neural Transmission / Issue 8/2008
Print ISSN: 0300-9564
Electronic ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-008-0080-1

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