TY - JOUR T1 - STatins differentially affect amyloid precursor protein metabolism in presymptomatic ps1 and non-ps1 subjects AU - Hinerfeld DA, Moonis M, Swearer JM, et al Y1 - 2007/11/01 N1 - 10.1001/archneur.64.11.1672 JO - Archives of Neurology SP - 1672 EP - 1673 VL - 64 IS - 11 N2 - The putative potential of statins to retard the onset and progression of Alzheimer disease (AD) remains controversial.1- 2 Statin therapy may have the potential to increase nonamyloidogenic soluble amyloid precursor protein α (sAPPα), thereby reducing β-amyloid 42 (Aβ42) and the downstream markers of neurodegeneration phospho-tau (p-tau) and total tau in the cerebrospinal fluid, and thus potentially slow the onset and progression of AD.3- 5 Thus, in a small but unique cohort of cognitively normal subjects with presenilin 1 (PS1) mutations, we have taken the opportunity to conduct an hypothesis-generating pilot study to assess the effects of intensive statin therapy, using both a lipophilic (simvastatin) and a hydrophilic (atorvastatin) statin. We also studied a second group of subjects without such mutations but with hyperlipidemia (low-density lipoproteins [LDL]>100 mg/dL) and/or who are heterozygous for apolipoprotein ε4 (APOEε4). SN - 0003-9942 M3 - doi: 10.1001/archneur.64.11.1672 UR - http://dx.doi.org/10.1001/archneur.64.11.1672 ER -