The Guardian Australia

Viagra could be used to treat Alzheimer’s disease, study finds

- Andrew Gregory Health editor

Viagra could be a useful treatment against Alzheimer’s disease, according to a US study.

Alzheimer’s disease, the most common form of age-related dementia, affects hundreds of millions of people worldwide. Despite mounting numbers of cases, however, there is currently no effective treatment.

Using a large gene-mapping network, researcher­s at the Cleveland Clinic integrated genetic and other data to determine which of more than 1,600 Food and Drug Administra­tionapprov­ed drugs could be an effective treatment for Alzheimer’s disease. They gave higher scores to drugs that target both amyloid and tau – two hallmarks of Alzheimer’s – compared with drugs that targeted just one or the other.

“Sildenafil, which has been shown to significan­tly improve cognition and memory in preclinica­l models, presented as the best drug candidate,” said Dr Feixiong Cheng, the study lead. Viagra is the brand name of sildenafil.

Researcher­s then used a database of claims from more than 7 million people in the US to examine the relationsh­ip between sildenafil and Alzheimer’s disease outcomes by comparing sildenafil users to non-users.

They found sildenafil users were 69% less likely to develop Alzheimer’s disease than non-sildenafil users after six years of follow-up. To further explore the drug’s potential effect on Alzheimer’s disease, researcher­s developed a lab model that showed that sildenafil increased brain cell growth and targeted tau proteins, offering insights into how it might influence disease-related brain changes. The findings were published in Nature Aging.

Cheng cautioned that the study does not demonstrat­e a causal relationsh­ip between sildenafil and Alzhemer’s disease. Randomised clinical trials involving both sexes with a placebo control were needed to determine sildenafil’s efficacy, he said.

Dr Ivan Koychev, a senior clinical researcher at the University of Oxford, who was not involved in the study, said it was “an exciting developmen­t” because “it points to a specific drug which may offer a new approach to treating the condition”.

Prof Tara Spires-Jones, deputy

 ?? Photograph: ?? Researcher­s cautioned that the study did not necessaril­y demonstrat­e a causal relationsh­ip between use of Viagra and lower chance of developing Alzheimer’s.
Photograph: Researcher­s cautioned that the study did not necessaril­y demonstrat­e a causal relationsh­ip between use of Viagra and lower chance of developing Alzheimer’s.

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