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month download article/chapter privacy choices/manage cookies full article pdf gradual development disease-related cytoskeletal neuronal processes abnormal tau protein amyloid β protein disease basal nucleus sex-related differences european economic area scope submit manuscript procedure permitting differentiation large nerve cells spherical somatic inclusion extraneuronal “ghost tangle” considerable morphological diversity germany e-mail conditions privacy policy parent cell dies cortical cholinergic innervation cell processes gradually ad-related neurofibrillary ad-related ¶neurofibrillary accepting optional cookies subcortical predilection site initial cytoskeletal abnormalities ad-related stages transentorhinal ad stages related subjects journal finder publish check access instant access acta neuropathol 100 main content log article log privacy policy article cite personal data article sassin books a related pathology cytoskeletal alterations optional cookies manage preferences disease neurofibrillary tangle cortical neurofibrillary data protection cellular alterations

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         headline:Evolution of Alzheimer’s disease-related cytoskeletal changes in the basal nucleus of Meynert
         description: This study examines the evolution of Alzheimer’s disease (AD)-related pathology in a subcortical predilection site, the basal nucleus of Meynert (bnM), which is a major source of cortical cholinergic innervation. Brains of 51 autopsy cases were studied using silver techniques and immunostaining for tau-associated neurofibrillary pathology and for amyloid β protein (Aβ) deposits. All cases are classified according to a procedure permitting differentiation of six stages of AD-related neurofibrillary changes in the cerebral cortex. Initial cytoskeletal abnormalities in the bnM are already noted in stage I of cortical neurofibrillary changes. The gradual development of the neurofibrillary pathology in the bnM parallels the progression of the AD-related stages in the cerebral cortex. A variety of morphologically distinguishable cytoskeletal alterations are observed in large nerve cells which predominate in the bnM. Based on these cellular alterations, a sequence of cytoskeletal deterioration is proposed. Initially, the abnormal tau protein is distributed diffusely throughout the cell body and the neuronal processes. Subsequently, it aggregates to form a neurofibrillary tangle, which appears as a spherical somatic inclusion. The cell processes gradually become fragmented. Finally the parent cell dies, leaving behind an extraneuronal “ghost tangle”. With regard to the cortical stages of AD-related ¶neurofibrillary changes, the initial forms of cytoskeletal changes in the bnM predominate in the transentorhinal AD stages (I and II), while “ghost tangles” preferentially occur in the neocortical stages (V and VI). The considerable morphological diversity of cytoskeletal alterations is typical of stages III and IV. These results indicate that individual neurons of the bnM enter the sequence of cytoskeletal deterioration at different times.
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      description: This study examines the evolution of Alzheimer’s disease (AD)-related pathology in a subcortical predilection site, the basal nucleus of Meynert (bnM), which is a major source of cortical cholinergic innervation. Brains of 51 autopsy cases were studied using silver techniques and immunostaining for tau-associated neurofibrillary pathology and for amyloid β protein (Aβ) deposits. All cases are classified according to a procedure permitting differentiation of six stages of AD-related neurofibrillary changes in the cerebral cortex. Initial cytoskeletal abnormalities in the bnM are already noted in stage I of cortical neurofibrillary changes. The gradual development of the neurofibrillary pathology in the bnM parallels the progression of the AD-related stages in the cerebral cortex. A variety of morphologically distinguishable cytoskeletal alterations are observed in large nerve cells which predominate in the bnM. Based on these cellular alterations, a sequence of cytoskeletal deterioration is proposed. Initially, the abnormal tau protein is distributed diffusely throughout the cell body and the neuronal processes. Subsequently, it aggregates to form a neurofibrillary tangle, which appears as a spherical somatic inclusion. The cell processes gradually become fragmented. Finally the parent cell dies, leaving behind an extraneuronal “ghost tangle”. With regard to the cortical stages of AD-related ¶neurofibrillary changes, the initial forms of cytoskeletal changes in the bnM predominate in the transentorhinal AD stages (I and II), while “ghost tangles” preferentially occur in the neocortical stages (V and VI). The considerable morphological diversity of cytoskeletal alterations is typical of stages III and IV. These results indicate that individual neurons of the bnM enter the sequence of cytoskeletal deterioration at different times.
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         Basal nucleus of Meynert
         Neuronal cytoskeleton
         Tau protein
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