Potensi Citicoline dalam Menghambat Penurunan Fungsi Kognitif pada Gangguan Kognitif Ringan

Laporan Kasus Berbasis Bukti

Penulis

  • Elvan Wiyarta Universitas Indonesia
  • Febrilian Kristiawan Fakultas Kedokteran Universitas Indonesia-RSUPN Cipto Mangunkusumo Jakarta, Indonesia
  • Gideon Hot Partogi Sinaga Fakultas Kedokteran Universitas Indonesia-RSUPN Cipto Mangunkusumo Jakarta, Indonesia

DOI:

https://doi.org/10.55175/cdk.v51i8.1210

Kata Kunci:

Alzheimer, citicoline, kognitif, mild cognitive impairment, neurologis

Abstrak

Latar Belakang: Penggunaan citicoline dikaitkan dengan perbaikan berbagai kondisi neurologis. Artikel ini bertujuan mengeksplorasi potensi citicoline untuk mencegah penurunan fungsi kognitif pasien mild cognitive impairment (MCI). Metode: Penelusuran literatur komprehensif melalui 10 database. Studi yang dipilih harus mencakup pasien dewasa dengan penurunan fungsi kognitif menggunakan citicoline. Seleksi artikel dengan kriteria inklusi dan eksklusi yang ditentukan. Selanjutnya dilakukan telaah kritis dan penilaian level of evidence. Hasil: Dari total 265 studi yang diperoleh, 15 studi dipilih dan dianalisis. Hasil menunjukkan bahwa citicoline memiliki potensi mencegah penurunan fungsi kognitif, baik pada pasien MCI, penyakit Alzheimer, penyakit Parkinson, stroke iskemik, maupun pada orang sehat. Walaupun hasilnya beragam, citicoline secara konsisten signifikan dikaitkan dengan peningkatan skor mini-mental state examination (MMSE) dan uji kognitif lainnya. Simpulan: Citicoline memiliki potensi mencegah penurunan fungsi kognitif pasien MCI. Dibutuhkan lebih banyak penelitian untuk memahami efek jangka panjang dan mekanisme kerja citicoline.

Unduhan

Data unduhan belum tersedia.

Referensi

The influence of the ApoE genotype. Zhurnal nevrologii i psikhiatrii imeni SS Korsakova. 2021;121(10 Vyp 2):30-6. DOI: 10.17116/jnevro202112110230.

Castagna A, Fabbo A, Manzo C, Lacava R, Ruberto C, Ruotolo G. A retrospective study on the benefits of combined citicoline, memantine, and acetylcholinesterase inhibitor treatments in older patients affected with Alzheimer's disease. J Alzheimers Dis. 2021;79(4):1509-15. DOI: 10.3233/JAD-201211.

Bermejo PE, Dorado R, Zea-Sevilla MA. Role of citicoline in patients with mild cognitive impairment. Neurosci Insights 2023;18:26331055231152496. DOI: 10.1177/26331055231152496.

Castagna A, Manzo C, Fabbo A, Lacava R, Ruberto C, Ruotolo G. The CITIMERIVA study: CITIcoline plus MEmantina plus RIVAstigmine in older patients affected with Alzheimer's disease. Clin Drug Investig. 2021;41(2):177-82. DOI: 10.1007/s40261-020-00996-2.

Gavrilova SI, Fedorova YB, Gantman MV, Kalyn YB, Kolykhalov IV. Ceraxon (citicoline) in the treatment of the mild cognitive impairment syndrome. Zhurnal Nevrologii i Psihiatrii imeni SS Korsakova. 2011;111(12):16-20.

Mushba AV, Ivanova DS, Vinogradov OI. Assessing the impact of citicoline on the efficiency of rehabilitation measures in patie nts with ischemic stroke. Zhurnal Nevrologii i Psihiatrii imeni SS Korsakova 2016;2016(2):71-5. DOI: 10.17116/jnevro20161162171-75.

Nemkova SA, Semenov DV, Petrova EA, Zavadenko NN, Vozvyshaeva MY. The effect of the use of the drug recognan (citicoline) on the state of higher mental functions in patients with mild cognitive impairment. Zhurnal nevrologii i psikhiatrii imeni SS Korsakova 2021;121(9):51-7. DOI: 10.17116/jnevro202112109151.

Mashin VV, Belova LA, Bakhtogarimov IR, Bergelson TM, Sharafutdinova RR. Multicenter observational program for evaluation of the effectiveness of the recognan (citicoline) in the correction of cognitive impairment in patients with chronic cerebrovascular pathology. Zhurnal Nevrologii i Psihiatrii imeni SS Korsakova. 2017;117(8):39-43. DOI: 10.17116/jnevro20171178139-43.

Bonvicini M, Travaglini S, Lelli D, Antonelli Incalzi R, Pedone C. Is citicoline effective in preventing and slowing down dementia? A systematic review and a meta-analysis. Nutrients 2023 Jan; 15(2): 386. DOI: 10.3390/nu15020386.

Eriksen MB, Frandsen TF. The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: A systematic review. J Med Libr Assoc. 2018;106(4):420-31.

Center for Evidence-Based Medicine. Critical appraisal checklist for therapy study [Internet]. [cited 2023 June 30]. Available from: https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools.

Howick J, Chalmers I, Lind J, Glasziou P, Greenhalgh T, Heneghan C, et al. Oxford Centre for evidence-based medicine 2011 levels of evidence [Internet]. [cited 2023 June 30]. Available from: http://www.cebm.net/index.aspx?o=5653.

Cotroneo AM, Castagna A, Putignano S, Lacava R, Fantò F, Monteleone F, et al. Effectiveness and safety of citicoline in mild vascular cognitive impairment: The IDEALE study. Clin Interv Aging. 2013;8:131-7. DOI: 10.2147/CIA.S38420.

Nemkova SA, Semenov DV, Zavadenko NN, Vozvyshaeva MY. The influence of the drug recognan (citicoline) on neurodynamic characteristics of mental activity in patients with mild cognitive impairment. Zhurnal Nevrologii i Psihiatrii imeni SS Korsakova. 2021;121(1):43-6. DOI: 10.17116/jnevro202112101143.

Seleznеva ND, Gavrilova SI, Ponomareva EV. Efficacy and safety of citicoline to prevent cognitive deficiency progression in first-degree relatives of patients with Alzheimer’s disease: Prospective study. Psychiatry (Moscow) [Internet]. 2020;18(4):33-40. Available from: https://doi.org/10.30629/2618-6667-2020-18-4-33-40.

Seleznеva ND, Roshchina IF, Ponomareva EV, Gavrilova SI. Citicoline in the treatment of mild cognitive impairment in blood relatives of patients with Alzheimer’s disease: Immediate and long-term Effects of Course Therapy. Psychiatry (Moscow). 2021;19(4):42-51. DOI: 10.17116/jnevro202112110230.

Castagna A, Cotroneo AM, Ruotolo G, Gareri P. The CITIRIVAD study: CITIcoline plus RIVAstigmine in elderly patients affected with dementia study. Clin Drug Investig. 2016;36(12):1059-65. DOI: 10.1007/s40261-016-0454-3.

Gareri P, Castagna A, Cotroneo AM, Putignano D, Conforti R, Santamaria F, et al. The citicholinage study: Citicoline plus cholinesterase inhibitors in aged patients affected with Alzheimer's disease study. J Alzheimers Dis. 2017;56(2):557-65. DOI: 10.3233/JAD-160808.

Li Z, Wang P, Yu Z, Sun H, Zhang J, Cong Y, et al. Effect of citicoline adjuvant therapy on mild cognitive impairment in Parkinson’s disease.2016;9:4593-8.

Nakazaki E, Mah E, Sanoshy K, Citrolo D, Watanabe F. Citicoline and memory function in healthy older adults: A randomized, double-blind, placebo-controlled clinical trial. J Nutr. 2021;151(8):2153-60. DOI: 10.1093/jn/nxab119.

Unduhan

Diterbitkan

2024-08-08

Cara Mengutip

Wiyarta, E., Kristiawan, F., & Sinaga, G. H. P. (2024). Potensi Citicoline dalam Menghambat Penurunan Fungsi Kognitif pada Gangguan Kognitif Ringan: Laporan Kasus Berbasis Bukti. Cermin Dunia Kedokteran, 51(8), 465–472. https://doi.org/10.55175/cdk.v51i8.1210

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