The Pathogenesis Of Alzheimer's Disease (AD)

Great Essays
Background Alzheimer’s Disease (AD) is a neurodegenerative disease and is the leading cause of dementia in late adult life. In 2015, 5.3 million Americans were diagnosed with AD, 5.1 million of whom were above the age of 65. AD is characterized by a progressive loss of cognitive function, and is associated with the accumulation of amyloid-B (AB) protein and hyperphosphorylated tau in the brain. Although the exact pathogenesis of AD is still uncertain, several hypotheses have been proposed to explain the mechanisms behind the cognitive deficits that are seen in AD. The amyloid cascade hypothesis, which asserts that amyloid precursor protein (APP) proteolysis results in the accumulation of AB peptides that aggregate to form extracellular plaques, …show more content…
Neural stem cells in the subgranular cell layer of the dentate gyrus, which are usually identified via BrdU staining, give rise to intermediate progenitors. These intermediate progenitors, in turn, create neuroblasts that express neuronal cell markers like DCX, which is a microtubule associated protein. These neuroblasts are hyperexcitable, and are known to activate and engage in long-term potentiation at lower thresholds for a given period of time compared to mature granule cells. Once these newborn neurons exit the cell cycle, they migrate to the inner granule cell layer and form axonal processes that project to the CA3, and dendritic processes that synapse in the molecular layer. These neurons start to exhibit the functional and morphological characteristics of mature neurons at 6 to 8 weeks of age, then undergo synaptic fine-tuning once they become integrated into the hippocampal circuitry and are maintained throughout life. This review aims to evaluate current research on structural and physiological alterations found in hippocampal neurogenesis of the rodent brain associated with Amyloid-beta plaque pathology and prodromal AD, as well as provide some insight on the behavioral manifestations that are observed rodents and …show more content…
Cells originating from the dentate gyrus normally take 2 weeks before neurites reach their target areas in the CA3 region of the hippocampus, and 4-7 weeks before they become integrated into the hippocampal network. Immature neurons are especially sensitive to the local environment during this critical period. To this end, Verret, et al. evaluated the survival rate for newborn hippocampal neurons in the dentate gyrus of 6-month old APP/PS1 mice. This double transgenic line is a widely-used mouse model used to study early-onset forms of AD. It expresses mutations in both the amyloid precursor (APP) and presenilin-1 (PS1) proteins, produces the AB protein at higher levels compared to its single transgenic counterparts (APP or PS1 mutants), and appears to have accelerated amyloid pathology. Verret, et al. observed a significant decrease in the number of proliferating cells examined 1 month after BrdU labeling, compared to nontransgenic or single mutation animals. More specifically, only 11.8% of the originally-labeled cells survived during the 30-day time frame, in contrast to the 20% survival rate in nontransgenic mice. Niidome et al. found similar results when they quantified BrdU-labeled cells in both the subgranular and subventricular

Related Documents

  • Improved Essays

    After the first Aβ deposits it has the ability to physically stimulate further deposition of other Aβ peptides, leading to additional reorganization and formation of neuritic plaques. According to Cummings et al., once the plaques are mature they are able to activate the neighboring tissue, including microglia and astrocytes, culminating in neuronal damage and synaptic dysfunction. This pathological scenario is thought to be a result of oxidative injury and phosphorylation linked to the presence of the plaques as well as the accumulation of the tau tangles (Lamberts et al.,…

    • 1055 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Dementia is diagnosed by the presence of symptoms such as problems with memory, thinking, problem solving, language disturbances and psychological changes. Neurodegenerative changes within the brain, such as neuron death and a build-up of misplaced proteins are causal to the aforementioned symptoms. While an in depth understanding of the neurobiology of dementia has not been established, dementia diseases are characterized by the grade of neuron loss and the irreversible damage within the connections of the brain, combined with the resulting symptoms (Caberlotto and Nguyen, 2014). One of the most common forms of dementia, Alzheimer’s disease, occurs as a result of chemical and degenerative structural changes within the brain. Dementia can also be caused by a number of conditions such as vascular dementia following a stroke, fronto-temporal dementia caused by brain injury or Korsakoff’s syndrome, which is associated with long term excessive drinking.…

    • 1388 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Amyloid Cascad Hypothesis

    • 702 Words
    • 3 Pages

    A mutation in APP (A673T) showed to be protective against AD and exhibited a reduction in APP cleavage and therefore decreased levels of Aβ (Jonsson et al., 2012). This study demonstrates that Aβ is involved in initiating AD pathology. Questions still remain unanswered regarding the amyloid cascade hypothesis and even though drug treatments that are based on this hypothesis have shown a reduction in Aβ load in mouse models exhibiting AD-like symptoms, they have not been successful in human clinical trials (Pimplikar, 2009). Even though senile plaques and NFTs are considered as the major hallmarks of AD, there are additional pathological mechanisms such as inflammation, oxidative stress, iron imbalance, and cholesterol metabolism that coexist which may trigger or go beyond plaque and NFTs formation.…

    • 702 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Mice were given the mutated amyloid precursor protein and the result of that was that there were some small memory differences but there were no symptoms of Alzheimer’s disease like neurofibrillary tangles or synaptic loss (Herrup, 2015). This explanation could show that although the amyloid precursor protein could be associated with memory, but it is not connected to Alzheimer’s disease in a way that it kills the…

    • 1421 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Late onset Alzheimer’s disease (LOAD) is the most common neurodegenerative disorder characterized by progressive loss of cognitive function that interferes with daily activities [38](Holtzman et al., 2011). The neuropathology involves neurofibrillary tangles, composed of hyperphosphorylated tau proteins, and β-amyloid (Aβ) plaques which obstruct proper synapse function and lead to neuronal cell loss and atrophy [5](Ballard et al., 2011). The most crucial risk factor is age; the risk doubles every five years after the age of 65, with higher prevalence in females than males [5;37](Hirtz et al., 2007;Ballard et al., 2011). There is also a strong genetic component that indicates increased risk of dementia in individuals expressing the E4 isoform…

    • 856 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    (The Lancet, 2011). The article also provides valuable data and suggests that “the lack of an effective treatment beyond some alleviation of symptoms make Alzheimer 's disease an urgent research and public health priority” (The Lancet, 2011). While researching the relation of the parts of the brain that are affected by the Alzheimer’s…

    • 1280 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Alzheimer's Inequality

    • 1218 Words
    • 5 Pages

    Alzheimer’s disease has a drastic impact on the human population, being one of the most common causes of death. With research less funded than cancer, there are many gaps to be filled. The cure to the disease has not been found yet, however, it is not feasible for me to accomplish such task. I began to look into the causes of Alzheimer’s, and found that research has died down in this area.…

    • 1218 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Pathophysiology The ultimate cause of Alzheimer’s is currently unknown, but there are two basic problems that scientists think cause Alzheimer’s to develop. The first problem is plaques. Plaques are clumps of protein called beta amyloid. The plaques damage and destroy brain cells, sometimes interfering…

    • 707 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Health Issue Alzheimer’s disease is an irreversible and progressive brain cell degenerative disease that causes a steady decline in memory and mental functioning (“Overview,” 2015). As the most common form of dementia, the causes of Alzheimer’s disease may vary and result from a combination of multiple disorders that alter brain changes such as, clumping of amyloid plaques, tangled neurofibrillary or loss of connections between nerve cells in the brain (“Alzheimer's Disease,” n.d.). Currently, Alzheimer’s disease is the 6th leading cause of death in the United States. The Alzheimer’s Association states that there are more than 5 million people diagnosed with Alzheimer’s disease in the United States and 35 million people worldwide.…

    • 1197 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Alzheimer’s disease (AD), was discovered as senile form of dementia in early 1907 by Alois Alzheimer in 1907. Since then the disease has been researched and studied to generate a knowledge base of symptoms, etiology, pathogenesis, treatment and management of the disease. AD is differentiated from senile dementia due to the neurodegenerative process which involves deposits of protein known as amyloid in neurons and neurofibrillary tangles which form plaques. This formation of plaques leads to neuron death and the hardening of tissue leads to progressive and terminal neurological disease state. There has been no cure to Alzheimer’s disease to the complexity of disease and the lack of understanding of amyloid protein and its process.…

    • 791 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Following her death, Dr. Alzheimer performed an autopsy, during which he found dramatic shrinkage of the cerebral cortex, fatty deposits in blood vessels, and atrophied brain cells. He discovered neurofibrillary tangles and senile plaques, which are indicative of AD. The condition was first discussed in the medical literature in 1907 and named after Alzheimer in 1910 (Graeber et al., 1997; Graeber et al., 1998; Graeber and Mehraein, 1999; Maurer et al.,…

    • 577 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    One way to distinguish between a diseased brain and a normal brain is by the size of it. If it is shrunken, it indicates that the person has Alzheimer’s. Within the brain, there are amyloid plaques seen everywhere. The amyloid plaque becomes embedded in the cell membrane. Once those plaques are on there, the plaque gets attached to the brain and is hard for it to be reversed; however this process can be slowed down.…

    • 1146 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Ultimately, the buildup of alpha amyloid plaque begins (Bachmeier 2013). Also, the article states that the body does not require the complete degradation of this protein, but rather that it gradually clear out of the brain. The researchers looked at participants who were using cannabinoids and saw that the alpha amyloids cleared out two times the rate at which they did in non-cannabinoid users’ brains (Bachmeier 2013). This study is significant because it suggests a method by which a person can prevent getting Alzheimer’s. While they did find that cannabinoids help clear out these plaques, the article does state out right that cannabinoid treatment actually has an effect on the progression of Alzheimer's…

    • 1127 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    With Alzheimer’s there hasn’t been much development in a cure or how it started. There are many theories and ideas behind both of those, but the most popular proposal for the causes of Alzheimer’s has come to be stated in Diseases and Disorders. Izenberg states, “... Several possibilities being considered: Minor undetected strokes... Viral infections, The wounds in the head, fall or accident...…

    • 737 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Alzheimer's Disease Essay

    • 1248 Words
    • 5 Pages

    The leading factor to cell death and tissue loss of a brain affected by Alzheimer’s is plaques and tangles. These dead nerve cells made up of another protein are known as tangles. In the areas where tangles are formed nutrients and other necessities can no longer move through the cells. This causes a build up of a protein, beta-amyloid, between nerve cells known as plaques. . (Alzheimer’s Disease Genetics)…

    • 1248 Words
    • 5 Pages
    Improved Essays