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Correspondence
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Volume 351:1911-1913 October 28, 2004 Number 18
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Drug Therapy in Alzheimer's Disease

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 by Cummings, J. L.
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To the Editor: In his review article on Alzheimer's disease (July 1 issue),1 Cummings states that there is "increasing consensus" that the production of beta-amyloid (A{beta}) peptide is "central to the pathogenesis of Alzheimer's disease." He neglects to mention that there are also data showing that despite massive A{beta} accumulation in the brains of animals and humans, there is little associated cell death. Indeed, our work suggests that there is only a weak correlation between A{beta} and cognitive decline and that deposition of A{beta} is not the earliest neuropathologic event observed in the brains of persons with Alzheimer's disease . . . [Full Text of this Article]


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