No proof for retinal amyloid after oral curcumin in amyloid confirmed AD cases
AbstractINTRODUCTIONPrevious work showed in-vivo presence of retinal amyloid in AD patients using curcumin. We aimed to replicate these findings in an amyloid biomarker confirmed cohort.METHODSTwenty-six AD patients (age 66 (±9), MMSE≥18) and 14 controls (age 71(±12)) used three curcumin formulations: Longvida®, Theracurmin® and Novasol®. Plasma levels were determined and pre- and post-curcumin retinal scans acquired using autofluorescence imaging. Images were both visually and quantitatively assessed.RESULTSVisual assessment showed no difference between AD patients and controls for pre- and post-curcumin images. This was confirmed by quantitative analyses. Mean plasma curcumin levels were 198.7 nM (Longvida®), 576.6 nM (Theracurmin®) and 1605.8 nM (Novasol®).DISCUSSIONWe found no difference in retinal focal fluorescence in an amyloid biomarker confirmed cohort of AD patients and controls, using Longvida® (previously used for this purpose) and two additional curcumin formulations yielding higher curcumin plasma levels. We therefore question the presence of retinal amyloid.