Deprescribing in the older patient: a narrative review of challenges and solutions

H Wu, L Kouladjian O'Donnell, K Fujita… - … journal of general …, 2021 - Taylor & Francis
Polypharmacy is a major challenge in healthcare for older people, and is associated with
increased risks of adverse outcomes, such as delirium, falls, frailty, cognitive impairment and …

Diversity of plant sterols metabolism: The impact on human health, sport, and accumulation of contaminating sterols

AT Kopylov, KA Malsagova, AA Stepanov… - Nutrients, 2021 - mdpi.com
The way of plant sterols transformation and their benefits for humans is still a question under
the massive continuing revision. In fact, there are no receptors for binding with sterols in …

CYP46A1-mediated cholesterol turnover induces sex-specific changes in cognition and counteracts memory loss in ovariectomized mice

M Latorre-Leal, P Rodriguez-Rodriguez, L Franchini… - Science …, 2024 - science.org
The brain-specific enzyme CYP46A1 controls cholesterol turnover by converting cholesterol
into 24 S-hydroxycholesterol (24OH). Dysregulation of brain cholesterol turnover and …

[HTML][HTML] Different effects of CYP27A1 and CYP7B1 on cognitive function: two mouse models in comparison

J Goikolea, M Latorre-Leal, C Tsagkogianni… - The Journal of steroid …, 2023 - Elsevier
Abstract The oxysterol 27-hydroxycholesterol (27OHC) is produced by the enzyme sterol 27-
hydroxylase (Cyp27A1) and is mainly catabolized to 7α-Hydroxy-3-oxo-4-cholestenoic acid …

Diurnal effects of polypharmacy with high drug burden index on physical activities over 23 h differ with age and sex

T Tran, J Mach, G Gemikonakli, H Wu, H Allore… - Scientific Reports, 2022 - nature.com
Aging, polypharmacy (concurrent use of≥ 5 medications), and functional impairment are
global healthcare challenges. However, knowledge of the age/sex-specific effects of …

Polypharmacy and precision medicine

K Fujita, N Masnoon, J Mach, LK O'Donnell… - Cambridge Prisms …, 2023 - cambridge.org
Precision medicine is an approach to maximise the effectiveness of disease treatment and
prevention and minimise harm from medications by considering relevant demographic …

Polypharmacy results in functional impairment in mice: novel insights into age and sex interactions

H Wu, J Mach, G Gemikonakli, T Tran… - The Journals of …, 2021 - academic.oup.com
Males and females may respond differently to medications, yet knowledge about sexual
dimorphisms in the effects of polypharmacy remains limited, particularly in aging. This study …

27‐hydroxycholesterol promotes oligodendrocyte maturation: implications for hypercholesterolemia‐associated brain white matter changes

V Alanko, A Gaminde‐Blasco, T Quintela‐López… - Glia, 2023 - Wiley Online Library
Abstract Oxidized cholesterol metabolite 27‐hydroxycholesterol (27‐OH) is a potential link
between hypercholesterolemia and neurodegenerative diseases since unlike peripheral …

Optimizing preclinical models of ageing for translation to clinical trials

SJ Mitchell, MR MacArthur… - British journal of clinical …, 2023 - Wiley Online Library
Preclinical models have been the backbone of translational research for more than a
century. Rats and mice are critical models in the preliminary stages of drug testing, both for …

Pre-clinical Models for Geriatric Pharmacotherapy

SN Hilmer, K Johnell, J Mach - Drugs & Aging, 2024 - Springer
With ageing of the population worldwide and discovery of new medications for prevention
and management of age-related conditions, there is increasing use of medications by older …