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The Cholinergic Hypothesis of Geriatric Memory Dysfunction
Abstract
Biochemical, electrophysiological, and pharmacological evidence supporting a role for cholinergic dysfunction in age-related memory disturbances is critically reviewed. An attempt has been made to identify pseudoissues, resolve certain controversies, and clarify misconceptions that have occurred in the literature. Significant cholinergic dysfunctions occur in the aged and demented central nervous system, relationships between these changes and loss of memory exist, similar memory deficits can be artificially induced by blocking cholinergic mechanisms in young subjects, and under certain tightly controlled conditions reliable memory improvements in aged subjects can be achieved after cholinergic stimulation. Conventional attempts to reduce memory impairments in clinical trials hav not been therapeutically successful, however. Possible explanations for these disappointments are given and directions for future laboratory and clinical studies are suggested.
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“During the course of AD pathogenesis, cholinergic neurons in the nucleus basalis of Meynert and other septal nuclei that project widely throughout the cortex are lost, causing a general cholinergic deficit (Bartus et al., 1982).”
From Alzheimer Disease: An Update on Pathobiology and Treatment Strategies (2019) · cites this paper as Bartus et al., 1982
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The Misplaced‐Objects Task: A Brief Test for Memory Dysfunction in the Aged
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Locus coeruleus and labile memory
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Visual Short-Term Memory and Aging
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The use of choline chloride in ataxic disorders.
Lawrence, C. M., Millac, P. A. H., Stout, G., et al. (1980) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.43.5.452 · Cited by 37
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ANSELL, G. B., & Spanner, S. (1978) · Advances in behavioral biology · doi:10.1007/978-1-4684-3096-7_30 · Cited by 34
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Choline in Alzheimer's Disease
Renvoize, E. B., & Jerram, T. (1979) · New England Journal of Medicine · doi:10.1056/nejm197908093010614 · Cited by 33
Treatment of Alzheimer's Disease: A Cautionary Note
Bowen, D. M., Sims, N. R., Benton, J. S., et al. (1981) · New England Journal of Medicine · doi:10.1056/nejm198110223051714 · Cited by 32
Loss of Choline Acetyltransferase Activity in Normal Aging and in Senile Dementia
Davies, P. (1978) · Advances in experimental medicine and biology · doi:10.1007/978-1-4684-8893-7_16 · Cited by 31
Piracetam Activity May Differ According to the Age of the Recipient Mouse
Valzelli, L., Bernasconi, S., & Sala, A. (2017) · International Pharmacopsychiatry · doi:10.1159/000468431 · Cited by 31
Age differences in short-term memory of test-sophisticated rhesus monkeys
Marriott, J. G., & Abelson, J. S. (1980) · AGE · doi:10.1007/bf02434999 · Cited by 30
Phosphatidyl choline and avoidance performance in 17 month-old SEC/1ReJ mice
Leathwood, P. D., Heck, E., & Mauron, J. (1982) · Life Sciences · doi:10.1016/0024-3205(82)90526-4 · Cited by 30
The involvement of the locus coeruleus in memory
de Carvalho, L. P., & Zornetzer, S. F. (1981) · Behavioral and Neural Biology · doi:10.1016/s0163-1047(81)91204-8 · Cited by 30
Speth, R. C., & Yamamura, H. I. (1979) · European Journal of Pharmacology · doi:10.1016/0014-2999(79)90012-8 · Cited by 29
Brunello, N., Cheney, D. L., & Costa, E. (1982) · Journal of Neurochemistry · doi:10.1111/j.1471-4159.1982.tb05364.x · Cited by 28
Burnotte, R. E., Gobert, J. G., & Temmerman, J. (1973) · Biochemical Pharmacology · doi:10.1016/0006-2952(73)90360-2 · Cited by 25
Choline uptake in patients with Alzheimer pre-senile dementia
Glen, A. I. M., Yates, C. M., Simpson, J., CHRISTIE, J. E., Shering, A., Whalley, L. J., & Jellinek, E. H. (1981) · Psychological Medicine · doi:10.1017/s0033291700052788 · Cited by 23
Unsworth, B. R., Fleming, L. H., & Caron, P. C. (1980) · Mechanisms of Ageing and Development · doi:10.1016/0047-6374(80)90033-0 · Cited by 19
Mechanisms of interhemispheric transfer of visual information in rats.
Burešová, O., & Bureš, J. (1973) · PubMed · Cited by 18
Choline chloride in methylphenidate- and apomorphine-induced stereotypy
Davis, K. L., Hollister, L. E., Vento, A. L., et al. (1978) · Life Sciences · doi:10.1016/0024-3205(78)90568-4 · Cited by 15
Choline bitartrate treatment of Alzheimer-type dementias.
Fovall, P., Dysken, M. W., Lazarus, L. W., et al. (1980) · PubMed · Cited by 14
Ga, V., Rc, S., Brinkman, S. D., et al. (1981) · PubMed · Cited by 13
Biological Correlates of Piracetam Clinical Effects in Psychotic Patients
Kabeš, J., Erban, L., Hanzlícek, L., et al. (1979) · Journal of International Medical Research · doi:10.1177/030006057900700404 · Cited by 8
Depression in the Aged: Theoretical Concepts†
Grauer, H. (1977) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1977.tb00804.x · Cited by 7
Bartlett, R. H. (1975) · New England Journal of Medicine · doi:10.1056/nejm197507172930318 · Cited by 7
Stray light in fluorescence spectrometers
Miller, J. N. (1981) · Springer eBooks · doi:10.1007/978-94-009-5902-6_3 · Cited by 6
Acute choline administration in rat and mouse: No effect on dopamine metabolism in brain
Flentge, F., Postema, F., Medema, H. M., et al. (1981) · Life Sciences · doi:10.1016/0024-3205(81)90325-8 · Cited by 6
[Influence of choline on amnesia in Alzheimer's disease (author's transl)].
Whiteley, A., Jl, S., Agid, Y., et al. (1979) · PubMed · Cited by 5
Bartus, R. T. (1981) · Neurobiology of Aging · doi:10.1016/0197-4580(81)90051-8 · Cited by 2
Self-citationA STUDY OF BEHAVIORAL ASPECTS OF THE STUDENT ORGANIZATION HYPOTHESIS.
Vroman, H. W. (1975) · Academy of Management Proceedings · doi:10.5465/ambpp.1975.4975802 · Cited by 1
Flagged first, then by citations
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Metadata
- Authors
- Bartus, R. T., Dean, R. L., Beer, B., & Lippa, A. S.
- Affiliations
- NYU Langone Health (US)
- Department of CNS Research, Lederle Laboratories of American Cyanamid Co., Pearl River, New York 10965.
- Venue
- Science
- Published
- 1982-07-30
- Volume
- 217
- Issue
- 4558
- Pages
- 408-414
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- OpenAlex
- W1994067502
- Cited by
- 5,545
- References
- 158
- Citations by year
- 2026: 66 · 2025: 98 · 2024: 90 · 2023: 107 · 2022: 130 · 2021: 142 · 2020: 123 · 2019: 119 · 2018: 130 · 2017: 116 · 2016: 122 · 2015: 111 · 2014: 139 · 2013: 145 · 2012: 132
- FWCI
- 11.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Cholinesterase and Neurodegenerative Diseases
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- cholinergic hypothesis, age-related memory impairment, cholinergic dysfunction, dementia, cholinergic stimulation, cholinergic blockade
- MeSH terms
- Acetylcholine, Adult, Aged, Aging, Alzheimer Disease, Animals, Brain Chemistry, Choline, Choline O-Acetyltransferase, Cognition, Forecasting, Humans, Memory, Memory Disorders, Models, Neurological, Parasympathetic Nervous System, Parasympathomimetics, Phosphatidylcholines, Receptors, Muscarinic, Mice, Rats
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