;PMID: 12162759 ;source_file_1865.mrg ;Release 0.9 of PennBioIE ;Funded by NSF ITR EIA-0205448 ;0)section:[e:0..39] = [t:0..39] ;1)sentence:[e:45..121] = [t:45..121] ;2)section:[e:125..155] = [t:125..155] ;3)section:[e:159..307] = [t:159..307] ;4)sentence:[e:311..406] = [t:311..406] ;5)sentence:[e:407..518] = [t:407..518] ;6)sentence:[e:519..662] = [t:519..662] ;7)sentence:[e:663..833] = [t:663..833] ;8)sentence:[e:834..1037] = [t:834..1037] ;9)sentence:[e:1038..1160] = [t:1038..1160] ;10)sentence:[e:1162..1291] = [t:1162..1291] ;11)sentence:[e:1292..1344] = [t:1292..1344] ;12)sentence:[e:1345..1459] = [t:1345..1459] ;13)sentence:[e:1460..1569] = [t:1460..1569] ;14)sentence:[e:1570..1678] = [t:1570..1678] ;15)sentence:[e:1679..1763] = [t:1679..1763] ;16)sentence:[e:1765..1896] = [t:1765..1896] ;17)sentence:[e:1897..2007] = [t:1897..2007] ;18)sentence:[e:2008..2130] = [t:2008..2130] ;19)sentence:[e:2131..2222] = [t:2131..2222] ;20)sentence:[e:2224..2273] = [t:2224..2273] ;21)sentence:[e:2274..2356] = [t:2274..2356] ;22)sentence:[e:2357..2492] = [t:2357..2492] ;23)sentence:[e:2493..2593] = [t:2493..2593] ;24)sentence:[e:2594..2733] = [t:2594..2733] ;25)sentence:[e:2734..2850] = [t:2734..2850] ;26)sentence:[e:2851..2994] = [t:2851..2994] ;27)section:[e:2998..3016] = [t:2998..3016] ;28)section:[e:3022..3028] = [t:3022..3028] ;29)section:[e:3034..3050] = [t:3034..3050] ;30)section:[e:3054..3099] = [t:3054..3099] ;section 0 Span:0..39 ;Clin Pharmacokinet. 2002;41(10):719-39. (SEC (FRAG (NNP:[0..4] Clin) (NNP:[5..18] Pharmacokinet) (.:[18..19] .) ('':[20..24] 2002) (CC:[24..28] ;41-LRB-) (CD:[28..30] 10) (NN:[30..31] -RRB-) (::[31..32] :) (CD:[32..35] 719) (::[35..36] -) (CD:[36..38] 39) (.:[38..39] .))) ;sentence 1 Span:45..121 ;Clinical pharmacokinetics and pharmacodynamics of cholinesterase inhibitors. ;[95..109]:substance:"cholinesterase" ;[110..120]:substance:"inhibitors" (SENT (NP-HLN (NP (NP (ADJP-1 (JJ:[45..53] Clinical)) (NNS:[54..70] pharmacokinetics)) (CC:[71..74] and) (NP (ADJP-1 (-NONE-:[74..74] *P*)) (NNS:[75..91] pharmacodynamics))) (PP (IN:[92..94] of) (NP (NN:[95..109] cholinesterase) (NNS:[110..120] inhibitors))) (.:[120..121] .))) ;section 2 Span:125..155 ;Jann MW, Shirley KL, Small GW. (SEC (FRAG (NNP:[125..129] Jann) (NNP:[130..132] MW) (,:[132..133] ,) (NNP:[134..141] Shirley) (NNP:[142..144] KL) (,:[144..145] ,) (NNP:[146..151] Small) (NNP:[152..154] GW) (.:[154..155] .))) ;section 3 Span:159..307 ;Department of Clinical and Administrative Sciences, Southern School of ;Pharmacy, Mercer University, Atlanta, Georgia 30341, USA. ;jann_mw@mercer.edu (SEC (FRAG (NNP:[159..169] Department) (IN:[170..172] of) (NNP:[173..181] Clinical) (CC:[182..185] and) (NNP:[186..200] Administrative) (NNP:[201..209] Sciences) (,:[209..210] ,) (NNP:[211..219] Southern) (NNP:[220..226] School) (IN:[227..229] of) (NNP:[230..238] Pharmacy) (,:[238..239] ,) (NNP:[241..247] Mercer) (NNP:[248..258] University) (,:[258..259] ,) (NNP:[260..267] Atlanta) (,:[267..268] ,) (NNP:[269..276] Georgia) (CD:[277..282] 30341) (,:[282..283] ,) (NNP:[284..287] USA) (.:[287..288] .) (IN:[289..303] jann_mw@mercer) (NN:[303..307] .edu))) ;sentence 4 Span:311..406 ;Cholinesterase inhibitors are the 'first-line' agents in the treatment of ;Alzheimer's disease. ;[311..325]:substance:"Cholinesterase" ;[326..336]:substance:"inhibitors" ;[358..364]:substance:"agents" (SENT (S (NP-SBJ (NN:[311..325] Cholinesterase) (NNS:[326..336] inhibitors)) (VP (VBP:[337..340] are) (NP-PRD (DT:[341..344] the) (NML (``:[345..346] ') (JJ:[346..351] first) (HYPH:[351..352] -) (NN:[352..356] line) ('':[356..357] ')) (NNS:[358..364] agents)) (PP (IN:[365..367] in) (NP (NP (DT:[368..371] the) (NN:[372..381] treatment)) (PP (IN:[382..384] of) (NP (NP (NNP:[386..395] Alzheimer) (POS:[395..397] 's)) (NN:[398..405] disease)))))) (.:[405..406] .))) ;sentence 5 Span:407..518 ;This article presents the latest information on their pharmacokinetic ;properties and pharmacodynamic activity. (SENT (S (NP-SBJ (DT:[407..411] This) (NN:[412..419] article)) (VP (VBZ:[420..428] presents) (NP (NP (DT:[429..432] the) (JJS:[433..439] latest) (NN:[440..451] information)) (PP (IN:[452..454] on) (NP (PRP$:[455..460] their) (NML (NML (JJ:[462..477] pharmacokinetic) (NNS:[478..488] properties)) (CC:[489..492] and) (NML (JJ:[493..508] pharmacodynamic) (NN:[509..517] activity))))))) (.:[517..518] .))) ;sentence 6 Span:519..662 ;Tacrine was the first cholinesterase inhibitor approved by regulatory ;agencies, followed by donepezil, rivastigmine and recently galantamine. ;[519..526]:substance:"Tacrine" ;[542..556]:substance:"cholinesterase" ;[557..566]:substance:"inhibitor" ;[612..621]:substance:"donepezil" ;[624..636]:substance:"rivastigmine" ;[650..661]:substance:"galantamine" (SENT (S (NP-SBJ (NN:[519..526] Tacrine)) (VP (VBD:[527..530] was) (NP-PRD (NP (DT:[531..534] the) (JJ:[535..540] first) (NN:[542..556] cholinesterase) (NN:[557..566] inhibitor)) (VP (VBN:[567..575] approved) (NP (-NONE-:[575..575] *)) (PP (IN:[576..578] by) (NP-LGS (JJ:[579..589] regulatory) (NNS:[590..598] agencies))))) (,:[598..599] ,) (S-ADV (NP-SBJ (-NONE-:[599..599] *)) (VP (VP (VBN:[600..608] followed) (PP (IN:[609..611] by) (NP=2 (NN:[612..621] donepezil)))) (,:[621..622] ,) (VP (NP=2 (NN:[624..636] rivastigmine))) (CC:[637..640] and) (VP (ADVP-TMP (RB:[641..649] recently)) (NP=2 (NN:[650..661] galantamine)))))) (.:[661..662] .))) ;sentence 7 Span:663..833 ;With the exception of low doses of tacrine, the cholinesterase inhibitors ;exhibit a linear relationship between dose and area under the plasma ;concentration-time curve. ;[699..706]:substance:"tacrine" ;[712..726]:substance:"cholinesterase" ;[727..737]:substance:"inhibitors" (SENT (S (PP (IN:[663..667] With) (NP (NP (DT:[668..671] the) (NN:[672..681] exception)) (PP (IN:[682..684] of) (NP (NP (JJ:[685..688] low) (NNS:[689..694] doses)) (PP (IN:[695..697] of) (NP (NN:[699..706] tacrine))))))) (,:[706..707] ,) (NP-SBJ (DT:[708..711] the) (NN:[712..726] cholinesterase) (NNS:[727..737] inhibitors)) (VP (VBP:[738..745] exhibit) (NP (NP (DT:[746..747] a) (JJ:[748..754] linear) (NN:[755..767] relationship)) (PP (IN:[768..775] between) (NP (NP (NN:[777..781] dose)) (CC:[782..785] and) (NP (NP (NN:[786..790] area)) (PP (IN:[791..796] under) (NP (DT:[797..800] the) (NML (NML (NN:[801..807] plasma) (NN:[808..821] concentration)) (HYPH:[821..822] -) (NN:[822..826] time)) (NN:[827..832] curve)))))))) (.:[832..833] .))) ;sentence 8 Span:834..1037 ;Cholinesterase inhibitors are rapidly absorbed through the gastrointestinal ;tract, with time to peak concentration usually less than 2 hours; donepezil ;has the longest absorption time of 3 to 5 hours. ;[834..848]:substance:"Cholinesterase" ;[850..860]:substance:"inhibitors" ;[969..970]:quantitative-value:"2" ;[971..976]:quantitative-units:"hours" ;[978..987]:substance:"donepezil" ;[1024..1030]:quantitative-value:"3 to 5" ;[1031..1036]:quantitative-units:"hours" (SENT (S (S (NP-SBJ-1 (NN:[834..848] Cholinesterase) (NNS:[850..860] inhibitors)) (VP (VBP:[861..864] are) (ADVP (RB:[865..872] rapidly)) (VP (VBN:[873..881] absorbed) (NP-1 (-NONE-:[881..881] *)) (PP (IN:[882..889] through) (NP (DT:[890..893] the) (JJ:[894..910] gastrointestinal) (NN:[911..916] tract))) (,:[916..917] ,) (PP (IN:[918..922] with) (NP (NP (NP (NN:[923..927] time)) (PP (TO:[928..930] to) (NP (JJ:[932..936] peak) (NN:[937..950] concentration)))) (ADJP (ADVP (RB:[951..958] usually)) (JJR:[959..963] less) (PP (IN:[964..968] than) (NP (CD:[969..970] 2) (NNS:[971..976] hours))))))))) (::[976..977] ;) (S (NP-SBJ (NN:[978..987] donepezil)) (VP (VBZ:[988..991] has) (NP (NP (DT:[992..995] the) (JJS:[996..1003] longest) (NN:[1005..1015] absorption) (NN:[1016..1020] time)) (PP (IN:[1021..1023] of) (NP (QP (CD:[1024..1025] 3) (TO:[1026..1028] to) (CD:[1029..1030] 5)) (NNS:[1031..1036] hours)))))) (.:[1036..1037] .))) ;sentence 9 Span:1038..1160 ;Donepezil and tacrine are highly protein bound, whereas protein binding of ;rivastigmine and galantamine is less than 40%. ;[1038..1047]:substance:"Donepezil" ;[1052..1059]:substance:"tacrine" ;[1071..1078]:substance:"protein" ;[1095..1102]:substance:"protein" ;[1114..1126]:substance:"rivastigmine" ;[1131..1142]:substance:"galantamine" ;[1156..1159]:quantitative-value:"40%" (SENT (S (NP-SBJ (NN:[1038..1047] Donepezil) (CC:[1048..1051] and) (NN:[1052..1059] tacrine)) (VP (VBP:[1060..1063] are) (ADJP-PRD (RB:[1064..1070] highly) (NN:[1071..1078] protein) (VBN:[1079..1084] bound)) (,:[1084..1085] ,) (SBAR-ADV (IN:[1087..1094] whereas) (S (NP-SBJ (NP (NN:[1095..1102] protein) (NN:[1103..1110] binding)) (PP (IN:[1111..1113] of) (NP (NN:[1114..1126] rivastigmine) (CC:[1127..1130] and) (NN:[1131..1142] galantamine)))) (VP (VBZ:[1143..1145] is) (NP-PRD (QP (JJR:[1146..1150] less) (IN:[1151..1155] than) (CD:[1156..1158] 40)) (NN:[1158..1159] %)))))) (.:[1159..1160] .))) ;sentence 10 Span:1162..1291 ;Tacrine is metabolised by hepatic cytochrome P450 (CYP) 1A2, and donepezil ;and galantamine are metabolised by CYP3A4 and CYP2D6. ;[1162..1169]:substance:"Tacrine" ;[1196..1221]:cyp450:"cytochrome P450 (CYP) 1A2" ;[1227..1236]:substance:"donepezil" ;[1242..1253]:substance:"galantamine" ;[1273..1279]:cyp450:"CYP3A4" ;[1284..1290]:cyp450:"CYP2D6" (SENT (S (S (NP-SBJ-2 (NN:[1162..1169] Tacrine)) (VP (VBZ:[1170..1172] is) (VP (VBN:[1173..1184] metabolised) (NP-2 (-NONE-:[1184..1184] *)) (PP (IN:[1185..1187] by) (NP-LGS (JJ:[1188..1195] hepatic) (NML (NML (NN:[1196..1206] cytochrome) (NN:[1207..1211] P450)) (NML (-LRB-:[1212..1213] -LRB-) (NN:[1213..1216] CYP) (-RRB-:[1216..1217] -RRB-))) (NN:[1218..1221] 1A2)))))) (,:[1221..1222] ,) (CC:[1223..1226] and) (S (NP-SBJ-1 (NN:[1227..1236] donepezil) (CC:[1237..1240] and) (NN:[1242..1253] galantamine)) (VP (VBP:[1254..1257] are) (VP (VBN:[1258..1269] metabolised) (NP-1 (-NONE-:[1269..1269] *)) (PP (IN:[1270..1272] by) (NP-LGS (NN:[1273..1279] CYP3A4) (CC:[1280..1283] and) (NN:[1284..1290] CYP2D6)))))) (.:[1290..1291] .))) ;sentence 11 Span:1292..1344 ;Rivastigmine is metabolised by sulfate conjugation. ;[1292..1304]:substance:"Rivastigmine" (SENT (S (NP-SBJ-1 (NN:[1292..1304] Rivastigmine)) (VP (VBZ:[1305..1307] is) (VP (VBN:[1308..1319] metabolised) (NP-1 (-NONE-:[1319..1319] *)) (PP (IN:[1320..1322] by) (NP-LGS (NN:[1324..1331] sulfate) (NN:[1332..1343] conjugation))))) (.:[1343..1344] .))) ;sentence 12 Span:1345..1459 ;Two cholinesterase enzymes are present in the body, acetylcholinesterase ;(AChE) and butyrylcholinesterase (BChE). ;[1349..1371]:substance:"cholinesterase enzymes" ;[1398..1418]:substance:"acetylcholinesterase" ;[1420..1424]:substance:"AChE" ;[1430..1451]:substance:"butyrylcholinesterase" ;[1453..1457]:substance:"BChE" (SENT (S (NP-SBJ (NP (CD:[1345..1348] Two) (NN:[1349..1363] cholinesterase) (NNS:[1364..1371] enzymes)) (NP-1 (-NONE-:[1371..1371] *ICH*))) (VP (VBP:[1372..1375] are) (ADJP-PRD (JJ:[1376..1383] present) (PP (IN:[1384..1386] in) (NP (DT:[1387..1390] the) (NN:[1391..1395] body)))) (,:[1395..1396] ,) (NP-1 (NP (NP (NN:[1398..1418] acetylcholinesterase)) (NP (-LRB-:[1419..1420] -LRB-) (NN:[1420..1424] AChE) (-RRB-:[1424..1425] -RRB-))) (CC:[1426..1429] and) (NP (NP (NN:[1430..1451] butyrylcholinesterase)) (NP (-LRB-:[1452..1453] -LRB-) (NN:[1453..1457] BChE) (-RRB-:[1457..1458] -RRB-))))) (.:[1458..1459] .))) ;sentence 13 Span:1460..1569 ;Tacrine and rivastigmine inhibit both enzymes, whereas donepezil and ;galantamine specifically inhibit AChE. ;[1460..1467]:substance:"Tacrine" ;[1473..1485]:substance:"rivastigmine" ;[1499..1506]:substance:"enzymes" ;[1516..1525]:substance:"donepezil" ;[1530..1541]:substance:"galantamine" ;[1564..1568]:substance:"AChE" (SENT (S (NP-SBJ (NN:[1460..1467] Tacrine) (CC:[1468..1471] and) (NN:[1473..1485] rivastigmine)) (VP (VBP:[1486..1493] inhibit) (NP (DT:[1494..1498] both) (NNS:[1499..1506] enzymes)) (,:[1506..1507] ,) (SBAR-ADV (IN:[1508..1515] whereas) (S (NP-SBJ (NN:[1516..1525] donepezil) (CC:[1526..1529] and) (NN:[1530..1541] galantamine)) (ADVP (RB:[1543..1555] specifically)) (VP (VBP:[1556..1563] inhibit) (NP (NN:[1564..1568] AChE)))))) (.:[1568..1569] .))) ;sentence 14 Span:1570..1678 ;Galantamine also modulates nicotine receptors, thereby enhancing ;acetylcholinergic activity at the synapse. ;[1570..1581]:substance:"Galantamine" ;[1597..1615]:substance:"nicotine receptors" (SENT (S (NP-SBJ (NN:[1570..1581] Galantamine)) (ADVP (RB:[1582..1586] also)) (VP (VBZ:[1587..1596] modulates) (NP (NN:[1597..1605] nicotine) (NNS:[1606..1615] receptors)) (,:[1615..1616] ,) (S-ADV (NP-SBJ (-NONE-:[1616..1616] *)) (ADVP (RB:[1618..1625] thereby)) (VP (VBG:[1626..1635] enhancing) (NP (JJ:[1636..1653] acetylcholinergic) (NN:[1654..1662] activity)) (PP-LOC (IN:[1663..1665] at) (NP (DT:[1666..1669] the) (NN:[1670..1677] synapse)))))) (.:[1677..1678] .))) ;sentence 15 Span:1679..1763 ;These different pharmacological profiles provide distinctions between these ;agents. ;[1756..1762]:substance:"agents" (SENT (S (NP-SBJ (DT:[1679..1684] These) (JJ:[1685..1694] different) (JJ:[1696..1711] pharmacological) (NNS:[1712..1720] profiles)) (VP (VBP:[1721..1728] provide) (NP (NP (NNS:[1729..1741] distinctions)) (PP (IN:[1742..1749] between) (NP (DT:[1750..1755] these) (NNS:[1756..1762] agents))))) (.:[1762..1763] .))) ;sentence 16 Span:1765..1896 ;Cholinesterase inhibitors show a nonlinear relationship between dose and ;cholinesterase inhibition, where a plateau effect occurs. ;[1765..1779]:substance:"Cholinesterase" ;[1780..1790]:substance:"inhibitors" ;[1839..1853]:substance:"cholinesterase" (SENT (S (NP-SBJ (NN:[1765..1779] Cholinesterase) (NNS:[1780..1790] inhibitors)) (VP (VBP:[1791..1795] show) (NP (NP (DT:[1796..1797] a) (JJ:[1798..1807] nonlinear) (NN:[1808..1820] relationship)) (PP (IN:[1821..1828] between) (NP (NP (NN:[1829..1833] dose)) (CC:[1834..1837] and) (NP (NN:[1839..1853] cholinesterase) (NN:[1854..1864] inhibition)))) (,:[1864..1865] ,) (S-ADV (WHADVP-1 (WRB:[1866..1871] where)) (S (NP-SBJ (DT:[1872..1873] a) (NN:[1874..1881] plateau) (NN:[1882..1888] effect)) (VP (VBZ:[1889..1895] occurs) (ADVP-1 (-NONE-:[1895..1895] *T*))))))) (.:[1895..1896] .))) ;sentence 17 Span:1897..2007 ;Cholinesterase inhibitors display a different profile as each agent achieves ;its plateau at different doses. ;[1897..1911]:substance:"Cholinesterase" ;[1913..1923]:substance:"inhibitors" ;[1960..1965]:substance:"agent" (SENT (S (NP-SBJ (NN:[1897..1911] Cholinesterase) (NNS:[1913..1923] inhibitors)) (VP (VBP:[1924..1931] display) (NP (DT:[1932..1933] a) (JJ:[1934..1943] different) (NN:[1944..1951] profile)) (SBAR-ADV (IN:[1952..1954] as) (S (NP-SBJ (DT:[1955..1959] each) (NN:[1960..1965] agent)) (VP (VBZ:[1966..1974] achieves) (NP (PRP$:[1975..1978] its) (NN:[1979..1986] plateau)) (PP-LOC (IN:[1987..1989] at) (NP (JJ:[1991..2000] different) (NNS:[2001..2006] doses))))))) (.:[2006..2007] .))) ;sentence 18 Span:2008..2130 ;In clinical trials, cholinesterase inhibitors demonstrate a dose-dependent ;effect on cognition and functional activities. ;[2028..2042]:substance:"cholinesterase" ;[2043..2053]:substance:"inhibitors" (SENT (S (PP-LOC (IN:[2008..2010] In) (NP (JJ:[2011..2019] clinical) (NNS:[2020..2026] trials))) (,:[2026..2027] ,) (NP-SBJ (NN:[2028..2042] cholinesterase) (NNS:[2043..2053] inhibitors)) (VP (VBP:[2054..2065] demonstrate) (NP (DT:[2066..2067] a) (ADJP (NN:[2069..2073] dose) (HYPH:[2073..2074] -) (JJ:[2074..2083] dependent)) (NN:[2084..2090] effect)) (PP (IN:[2091..2093] on) (NP (NP (NN:[2094..2103] cognition)) (CC:[2104..2107] and) (NP (JJ:[2108..2118] functional) (NNS:[2119..2129] activities))))) (.:[2129..2130] .))) ;sentence 19 Span:2131..2222 ;Improvement in behavioural symptoms also occurs, but without a dose-response ;relationship. (SENT (S (NP-SBJ (NP (NN:[2131..2142] Improvement)) (PP (IN:[2143..2145] in) (NP (JJ:[2147..2158] behavioural) (NNS:[2159..2167] symptoms)))) (VP (VP=1 (ADVP (RB:[2168..2172] also)) (VBZ:[2173..2179] occurs)) (,:[2179..2180] ,) (CC:[2181..2184] but) (VP=1 (PP-MNR (IN:[2185..2192] without) (NP (DT:[2193..2194] a) (NML (NN:[2195..2199] dose) (HYPH:[2199..2200] -) (NN:[2200..2208] response)) (NN:[2209..2221] relationship))))) (.:[2221..2222] .))) ;sentence 20 Span:2224..2273 ;Gastrointestinal adverse events are dose-related. (SENT (S (NP-SBJ (JJ:[2224..2240] Gastrointestinal) (JJ:[2241..2248] adverse) (NNS:[2249..2255] events)) (VP (VBP:[2256..2259] are) (ADJP-PRD (NN:[2260..2264] dose) (HYPH:[2264..2265] -) (VBN:[2265..2272] related))) (.:[2272..2273] .))) ;sentence 21 Span:2274..2356 ;Clinical improvement occurs with between 40 and 70% inhibition of ;cholinesterase. ;[2316..2318]...[2325..2326]:quantitative-value:"40"..."%" ;[2323..2326]:quantitative-value:"70%" ;[2341..2355]:substance:"cholinesterase" (SENT (S (NP-SBJ (JJ:[2274..2282] Clinical) (NN:[2283..2294] improvement)) (VP (VBZ:[2295..2301] occurs) (PP (IN:[2303..2307] with) (PP (IN:[2308..2315] between) (NP (NP (NP (NML (CD:[2316..2318] 40) (NML-1 (-NONE-:[2318..2318] *P*))) (NML-2 (-NONE-:[2318..2318] *P*))) (CC:[2319..2322] and) (NP (NML (CD:[2323..2325] 70) (NML-1 (NN:[2325..2326] %))) (NML-2 (NN:[2327..2337] inhibition)))) (PP (IN:[2338..2340] of) (NP (NN:[2341..2355] cholinesterase))))))) (.:[2355..2356] .))) ;sentence 22 Span:2357..2492 ;A conceptual model for cholinesterase inhibitors has been proposed, linking ;enzyme inhibition, clinical efficacy and adverse effects. ;[2381..2395]:substance:"cholinesterase" ;[2396..2406]:substance:"inhibitors" ;[2434..2440]:substance:"enzyme" (SENT (S (NP-SBJ-1 (NP (DT:[2357..2358] A) (JJ:[2359..2369] conceptual) (NN:[2370..2375] model)) (PP (IN:[2376..2379] for) (NP (NN:[2381..2395] cholinesterase) (NNS:[2396..2406] inhibitors)))) (VP (VBZ:[2407..2410] has) (VP (VBN:[2411..2415] been) (VP (VBN:[2416..2424] proposed) (NP-1 (-NONE-:[2424..2424] *)) (,:[2424..2425] ,) (S-ADV (NP-SBJ (-NONE-:[2425..2425] *)) (VP (VBG:[2426..2433] linking) (NP (NP (NN:[2434..2440] enzyme) (NN:[2441..2451] inhibition)) (,:[2451..2452] ,) (NP (JJ:[2453..2461] clinical) (NN:[2463..2471] efficacy)) (CC:[2472..2475] and) (NP (JJ:[2476..2483] adverse) (NNS:[2484..2491] effects)))))))) (.:[2491..2492] .))) ;sentence 23 Span:2493..2593 ;Currently, measurement of enzyme inhibition is used as the biomarker for ;cholinesterase inhibitors. ;[2519..2525]:substance:"enzyme" ;[2567..2581]:substance:"cholinesterase" ;[2582..2592]:substance:"inhibitors" (SENT (S (ADVP-TMP (RB:[2493..2502] Currently)) (,:[2502..2503] ,) (NP-SBJ-1 (NP (NN:[2504..2515] measurement)) (PP (IN:[2516..2518] of) (NP (NN:[2519..2525] enzyme) (NN:[2526..2536] inhibition)))) (VP (VBZ:[2537..2539] is) (VP (VBN:[2541..2545] used) (NP-1 (-NONE-:[2545..2545] *)) (PP (IN:[2546..2548] as) (NP (NP (DT:[2549..2552] the) (NN:[2553..2562] biomarker)) (PP (IN:[2563..2566] for) (NP (NN:[2567..2581] cholinesterase) (NNS:[2582..2592] inhibitors))))))) (.:[2592..2593] .))) ;sentence 24 Span:2594..2733 ;New approaches to determining the efficacy of cholinesterase inhibitors in ;the brain could involve the use of various imaging techniques. ;[2641..2655]:substance:"cholinesterase" ;[2656..2666]:substance:"inhibitors" (SENT (S (NP-SBJ (NP (JJ:[2594..2597] New) (NNS:[2598..2608] approaches)) (PP (TO:[2609..2611] to) (S-NOM (NP-SBJ (-NONE-:[2611..2611] *)) (VP (VBG:[2613..2624] determining) (NP (NP (DT:[2625..2628] the) (NN:[2629..2637] efficacy)) (PP (IN:[2638..2640] of) (NP (NN:[2641..2655] cholinesterase) (NNS:[2656..2666] inhibitors)))) (PP-LOC (IN:[2667..2669] in) (NP (DT:[2670..2673] the) (NN:[2674..2679] brain))))))) (VP (MD:[2680..2685] could) (VP (VB:[2686..2693] involve) (NP (NP (DT:[2695..2698] the) (NN:[2699..2702] use)) (PP (IN:[2703..2705] of) (NP (JJ:[2706..2713] various) (VBG:[2714..2721] imaging) (NNS:[2722..2732] techniques)))))) (.:[2732..2733] .))) ;sentence 25 Span:2734..2850 ;The knowledge base for the pharmacokinetics and pharmacodynamics of ;cholinesterase inhibitors continues to expand. ;[2803..2817]:substance:"cholinesterase" ;[2818..2828]:substance:"inhibitors" (SENT (S (NP-SBJ (NP (DT:[2734..2737] The) (NN:[2738..2747] knowledge) (NN:[2748..2752] base)) (PP (IN:[2753..2756] for) (NP (NP (DT:[2757..2760] the) (NNS:[2762..2778] pharmacokinetics) (CC:[2779..2782] and) (NNS:[2783..2799] pharmacodynamics)) (PP (IN:[2800..2802] of) (NP (NN:[2803..2817] cholinesterase) (NNS:[2818..2828] inhibitors)))))) (VP (VBZ:[2829..2838] continues) (S (NP-SBJ (-NONE-:[2838..2838] *)) (VP (TO:[2839..2841] to) (VP (VB:[2843..2849] expand))))) (.:[2849..2850] .))) ;sentence 26 Span:2851..2994 ;The increased information available to clinicians can optimise the use of ;these agents in the management of patients with Alzheimer's disease. ;[2932..2938]:substance:"agents" (SENT (S (NP-SBJ (NP (DT:[2851..2854] The) (VBN:[2855..2864] increased) (NN:[2865..2876] information)) (ADJP (JJ:[2877..2886] available) (PP (TO:[2887..2889] to) (NP (NNS:[2890..2900] clinicians))))) (VP (MD:[2901..2904] can) (VP (VB:[2905..2913] optimise) (NP (NP (DT:[2914..2917] the) (NN:[2918..2921] use)) (PP (IN:[2923..2925] of) (NP (DT:[2926..2931] these) (NNS:[2932..2938] agents)))) (PP (IN:[2939..2941] in) (NP (NP (DT:[2942..2945] the) (NN:[2946..2956] management)) (PP (IN:[2957..2959] of) (NP (NP (NNS:[2960..2968] patients)) (PP (IN:[2969..2973] with) (NP (NP (NNP:[2974..2983] Alzheimer) (POS:[2983..2985] 's)) (NN:[2986..2993] disease))))))))) (.:[2993..2994] .))) ;section 27 Span:2998..3016 ;Publication Types: (SEC (NP (NNP:[2998..3009] Publication) (NNP:[3010..3015] Types) (::[3015..3016] :))) ;section 28 Span:3022..3028 ;Review (SEC (NP (NNP:[3022..3028] Review))) ;section 29 Span:3034..3050 ;Review, Academic (SEC (NP (NNP:[3034..3040] Review) (,:[3040..3041] ,) (NNP:[3042..3050] Academic))) ;section 30 Span:3054..3099 ;PMID: 12162759 [PubMed - indexed for MEDLINE] (SEC (FRAG (NNP:[3054..3058] PMID) (::[3058..3059] :) (CD:[3060..3068] 12162759) (NN:[3069..3070] -LSB-) (NNP:[3070..3076] PubMed) (::[3077..3078] -) (NN:[3079..3086] indexed) (IN:[3087..3090] for) (NNP:[3091..3099] MEDLINE-RSB-)))