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Disease-modifying properties of long-term lithium treatment for amnestic mild cognitive impairment: randomised controlled trial

Open access
Forlenza, Orestes V., Diniz, Breno S., Radanovic, Márcia, Santos, Franklin S., Talib, Leda L., Gattaz, Wagner F.·2011·British Journal of Psychiatry

Abstract

Background: Two recent clinical studies support the feasibility of trials to evaluate the disease-modifying properties of lithium in Alzheimer's disease, although no benefits were obtained from short-term treatment. Aims: To evaluate the effect of long-term lithium treatment on cognitive and biological outcomes in people with amnestic mild cognitive impairment (aMCI). Method: Forty-five participants with aMCI were randomised to receive lithium (0.25–0.5 mmol/l) ( n = 24) or placebo ( n = 21) in a 12-month, double-blind trial. Primary outcome measures were the modification of cognitive and functional test scores, and concentrations of cerebrospinal fluid (CSF) biomarkers (amyloid-beta peptide (Aβ 42 ), total tau (T-tau), phosphorylated-tau) (P-tau). Trial registration: NCT01055392. Results: Lithium treatment was associated with a significant decrease in CSF concentrations of P-tau ( P = 0.03) and better perform-ance on the cognitive subscale of the Alzheimer's Disease Assessment Scale and in attention tasks. Overall tolerability of lithium was good and the adherence rate was 91%. Conclusions: The present data support the notion that lithium has disease-modifying properties with potential clinical implications in the prevention of Alzheimer's disease.

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Metadata

Authors
Forlenza, O. V., Diniz, B. S., Radanovic, M., Santos, F. S., Talib, L. L., & Gattaz, W. F.
Venue
British Journal of Psychiatry
Published
2011-05
Volume
198
Issue
5
Pages
351-356
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
OpenAlex
W2037053607
Cited by
402
References
8
FWCI
21.96
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Disease-modifying properties of long-term lithium treatment for amnestic mild cognitive impairment: randomised controlled trial. https://app.cochat.ai/papers/10.1192/bjp.bp.110.080044
The paper
Forlenza, O. V., Diniz, B. S., Radanovic, M., Santos, F. S., Talib, L. L., & Gattaz, W. F. (2011). Disease-modifying properties of long-term lithium treatment for amnestic mild cognitive impairment: randomised controlled trial. British Journal of Psychiatry. https://doi.org/10.1192/bjp.bp.110.080044

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