Effects of water‐soluble mangosteen extract on cognitive function and neuropsychiatric symptoms in patients with mild to moderate Alzheimer's disease (WECAN‐AD): A randomized controlled trial

Abstract Introduction The water‐soluble mangosteen pericarp extract's (WME) effect was investigated in Alzheimer's disease (AD). Methods The participants received 4 mg/kg/day of WME for 24 weeks (low dose, n = 33), 4 mg/kg/day for 12 weeks and then 8 mg/kg/day for 12 weeks (high dose, n = ...

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Main Authors: Weerasak Muangpaisan, Puvanant Wiputhanuphongs, Nattapon Jaisupa, Sarawut Junnu, Jutima Samer, Primchanien Moongkarndi, Orawan Supapueng, Chalobol Chalermsri, Neelobol Neungton
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
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Online Access:https://doi.org/10.1002/trc2.12292
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author Weerasak Muangpaisan
Puvanant Wiputhanuphongs
Nattapon Jaisupa
Sarawut Junnu
Jutima Samer
Primchanien Moongkarndi
Orawan Supapueng
Chalobol Chalermsri
Neelobol Neungton
author_facet Weerasak Muangpaisan
Puvanant Wiputhanuphongs
Nattapon Jaisupa
Sarawut Junnu
Jutima Samer
Primchanien Moongkarndi
Orawan Supapueng
Chalobol Chalermsri
Neelobol Neungton
author_sort Weerasak Muangpaisan
collection DOAJ
description Abstract Introduction The water‐soluble mangosteen pericarp extract's (WME) effect was investigated in Alzheimer's disease (AD). Methods The participants received 4 mg/kg/day of WME for 24 weeks (low dose, n = 33), 4 mg/kg/day for 12 weeks and then 8 mg/kg/day for 12 weeks (high dose, n = 33); or a placebo (n = 42). The outcomes were neuropsychiatric test scores, safety, tolerability, and the blood 4‐hydroxynonenal level. Results The proportion of participants who achieved the minimum clinically important difference for the Alzheimer's Disease Assessment Scale–Cognitive Subscale (ADAS‐Cog; –2.6 points) at 24 weeks was significantly higher in the low‐dose group (and a trend in the high‐dose group) than in the placebo group. WME appeared safe and well tolerated. At 24 weeks, the 4‐hydroxynonenal level declined in both intervention groups. The participants with a 5% reduction in this level showed greater ADAS‐Cog improvements. Conclusion WME is a safe and well‐tolerated cognitive enhancer in AD with varying benefits across individuals based on antioxidative response.
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spelling doaj-art-773408a9fb7b46bea6152d9bfa1fd4542025-08-20T02:38:27ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372022-01-0181n/an/a10.1002/trc2.12292Effects of water‐soluble mangosteen extract on cognitive function and neuropsychiatric symptoms in patients with mild to moderate Alzheimer's disease (WECAN‐AD): A randomized controlled trialWeerasak Muangpaisan0Puvanant Wiputhanuphongs1Nattapon Jaisupa2Sarawut Junnu3Jutima Samer4Primchanien Moongkarndi5Orawan Supapueng6Chalobol Chalermsri7Neelobol Neungton8Department of Preventive and Social Medicine Faculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandDepartment of Medicine Faculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandDepartment of Pharmacology Phramongkutklao College of Medicine Bangkok ThailandDepartment of Biochemistry Faculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandDepartment of Physiology Faculty of Pharmacy Mahidol University Bangkok ThailandDepartment of Microbiology Faculty of Pharmacy Mahidol University Bangkok ThailandDivision of Clinical Epidemiology Department of Research Faculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandDepartment of Preventive and Social Medicine Faculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandDepartment of Biochemistry Faculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandAbstract Introduction The water‐soluble mangosteen pericarp extract's (WME) effect was investigated in Alzheimer's disease (AD). Methods The participants received 4 mg/kg/day of WME for 24 weeks (low dose, n = 33), 4 mg/kg/day for 12 weeks and then 8 mg/kg/day for 12 weeks (high dose, n = 33); or a placebo (n = 42). The outcomes were neuropsychiatric test scores, safety, tolerability, and the blood 4‐hydroxynonenal level. Results The proportion of participants who achieved the minimum clinically important difference for the Alzheimer's Disease Assessment Scale–Cognitive Subscale (ADAS‐Cog; –2.6 points) at 24 weeks was significantly higher in the low‐dose group (and a trend in the high‐dose group) than in the placebo group. WME appeared safe and well tolerated. At 24 weeks, the 4‐hydroxynonenal level declined in both intervention groups. The participants with a 5% reduction in this level showed greater ADAS‐Cog improvements. Conclusion WME is a safe and well‐tolerated cognitive enhancer in AD with varying benefits across individuals based on antioxidative response.https://doi.org/10.1002/trc2.12292Alzheimer's diseaseclinical trialcognitionGarcinia mangostanamangosteen extractolder adults
spellingShingle Weerasak Muangpaisan
Puvanant Wiputhanuphongs
Nattapon Jaisupa
Sarawut Junnu
Jutima Samer
Primchanien Moongkarndi
Orawan Supapueng
Chalobol Chalermsri
Neelobol Neungton
Effects of water‐soluble mangosteen extract on cognitive function and neuropsychiatric symptoms in patients with mild to moderate Alzheimer's disease (WECAN‐AD): A randomized controlled trial
Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Alzheimer's disease
clinical trial
cognition
Garcinia mangostana
mangosteen extract
older adults
title Effects of water‐soluble mangosteen extract on cognitive function and neuropsychiatric symptoms in patients with mild to moderate Alzheimer's disease (WECAN‐AD): A randomized controlled trial
title_full Effects of water‐soluble mangosteen extract on cognitive function and neuropsychiatric symptoms in patients with mild to moderate Alzheimer's disease (WECAN‐AD): A randomized controlled trial
title_fullStr Effects of water‐soluble mangosteen extract on cognitive function and neuropsychiatric symptoms in patients with mild to moderate Alzheimer's disease (WECAN‐AD): A randomized controlled trial
title_full_unstemmed Effects of water‐soluble mangosteen extract on cognitive function and neuropsychiatric symptoms in patients with mild to moderate Alzheimer's disease (WECAN‐AD): A randomized controlled trial
title_short Effects of water‐soluble mangosteen extract on cognitive function and neuropsychiatric symptoms in patients with mild to moderate Alzheimer's disease (WECAN‐AD): A randomized controlled trial
title_sort effects of water soluble mangosteen extract on cognitive function and neuropsychiatric symptoms in patients with mild to moderate alzheimer s disease wecan ad a randomized controlled trial
topic Alzheimer's disease
clinical trial
cognition
Garcinia mangostana
mangosteen extract
older adults
url https://doi.org/10.1002/trc2.12292
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