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Short Communications |









From the Laboratory of Molecular and Cellular
Neuroscience*
and Fisher Center for Research on
Alzheimers Disease,
The Rockefeller
University; the Departments of Neurology and
Neuroscience
and
Pathology,||
Weill Medical College of Cornell
University; Mount Sinai School of Medicine,||
New York,
New York; and Institute de Pharmacologie Moleculaire et
Cellulaire,¶
Valbonne, France
Alzheimers disease (AD) is characterized by the deposition of
senile plaques (SPs) and neurofibrillary tangles (NFTs) in vulnerable
brain regions. SPs are composed of aggregated ß-amyloid (Aß)
40/42(43) peptides. Evidence implicates a central role for Aß in the
pathophysiology of AD. Mutations in ßAPP and presenilin 1 (PS1) lead
to elevated secretion of Aß, especially the more
amyloidogenic Aß42. Immunohistochemical studies have also emphasized
the importance of Aß42 in initiating plaque pathology. Cell
biological studies have demonstrated that Aß is generated
intracellularly. Recently, endogenous Aß42 staining was
demonstrated within cultured neurons by confocal immunofluorescence
microscopy and within neurons of PS1 mutant transgenic mice. A central
question about the role of Aß in disease concerns whether
extracellular Aß deposition or intracellular Aß accumulation
initiates the disease process. Here we report that human neurons in
AD-vulnerable brain regions specifically accumulate
-cleaved Aß42
and suggest that this intraneuronal Aß42 immunoreactivity appears to
precede both NFT and Aß plaque deposition. This study suggests that
intracellular Aß42 accumulation is an early event in neuronal
dysfunction and that preventing intraneuronal Aß42 aggregation
may be an important therapeutic direction for the treatment of
AD.
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J.-H. Kim, R. Anwyl, Y.-H. Suh, M. B. A. Djamgoz, and M. J. Rowan Use-Dependen |