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American Journal of Pathology, Vol 138, 699-705, Copyright © 1991 by American Society for Investigative Pathology


REGULAR ARTICLES

Secondary deposition of beta amyloid within extracellular neurofibrillary tangles in Alzheimer-type dementia

H Yamaguchi, Y Nakazato, M Shoji, K Okamoto, Y Ihara, M Morimatsu and S Hirai
College of Medical Care and Technology, Gunma University, Tokyo, Japan.

The hippocampal areas of 34 autopsy specimen brains from aged demented and nondemented subjects were examined using double staining of Bodian and beta protein. In 18 cases (75.5 +/- 7.4 years old), none of the extracellular neurofibrillary tangles (E-NFTs) were immunoreactive with beta protein. In 16 cases (82.9 +/- 5.4 years old), the minority of E- NFTs were immunoreactive with beta-protein antiserum. These beta- immunoreactive E-NFTs frequently appeared in the areas having senile plaques, while they were not observed in the area lacking beta- immunoreactive senile plaques. The ultrastructure of beta- immunoreactive E-NFTs revealed that they consisted of extracellular amyloid fibrils, extracellularly located bundles of paired helical filaments, astroglial processes and degenerating neurites. These findings suggest that the beta immunoreactivity of E-NFTs comes from secondary deposition of amyloid fibrils.


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J. L. Holton, J. Ghiso, T. Lashley, A. Rostagno, C. J. Guerin, G. Gibb, H. Houlden, H. Ayling, L. Martinian, B. H. Anderton, et al.
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Am. J. Pathol., February 1, 2001; 158(2): 515 - 526.
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Copyright © 1991 by the American Society for Investigative Pathology.