Dendritic spines provide cognitive resilience against Alzheimer's disease

Objective Neuroimaging and other biomarker assays suggest that the pathological processes of Alzheimer's disease (AD) begin years prior to clinical dementia onset. However, some 30 to 50% of older individuals who harbor AD pathology do not become symptomatic in their lifetime. It is hypothesize...

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Veröffentlicht in:Annals of neurology 2017-10, Vol.82 (4), p.602-614
Hauptverfasser: Boros, Benjamin D., Greathouse, Kelsey M., Gentry, Erik G., Curtis, Kendall A., Birchall, Elizabeth L., Gearing, Marla, Herskowitz, Jeremy H.
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container_end_page 614
container_issue 4
container_start_page 602
container_title Annals of neurology
container_volume 82
creator Boros, Benjamin D.
Greathouse, Kelsey M.
Gentry, Erik G.
Curtis, Kendall A.
Birchall, Elizabeth L.
Gearing, Marla
Herskowitz, Jeremy H.
description Objective Neuroimaging and other biomarker assays suggest that the pathological processes of Alzheimer's disease (AD) begin years prior to clinical dementia onset. However, some 30 to 50% of older individuals who harbor AD pathology do not become symptomatic in their lifetime. It is hypothesized that such individuals exhibit cognitive resilience that protects against AD dementia. We hypothesized that in cases with AD pathology, structural changes in dendritic spines would distinguish individuals who had or did not have clinical dementia. Methods We compared dendritic spines within layer II and III pyramidal neuron dendrites in Brodmann area 46 dorsolateral prefrontal cortex using the Golgi–Cox technique in 12 age‐matched pathology‐free controls, 8 controls with AD pathology (CAD), and 21 AD cases. We used highly optimized methods to trace impregnated dendrites from bright‐field microscopy images that enabled accurate 3‐dimensional digital reconstruction of dendritic structure for morphologic analyses. Results Spine density was similar among control and CAD cases but was reduced significantly in AD. Thin and mushroom spines were reduced significantly in AD compared to CAD brains, whereas stubby spine density was decreased significantly in CAD and AD compared to controls. Increased spine extent distinguished CAD cases from controls and AD. Linear regression analysis of all cases indicated that spine density was not associated with neuritic plaque score but did display negative correlation with Braak staging. Interpretation These observations provide cellular evidence to support the hypothesis that dendritic spine plasticity is a mechanism of cognitive resilience that protects older individuals with AD pathology from developing dementia. Ann Neurol 2017;82:602–614
doi_str_mv 10.1002/ana.25049
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However, some 30 to 50% of older individuals who harbor AD pathology do not become symptomatic in their lifetime. It is hypothesized that such individuals exhibit cognitive resilience that protects against AD dementia. We hypothesized that in cases with AD pathology, structural changes in dendritic spines would distinguish individuals who had or did not have clinical dementia. Methods We compared dendritic spines within layer II and III pyramidal neuron dendrites in Brodmann area 46 dorsolateral prefrontal cortex using the Golgi–Cox technique in 12 age‐matched pathology‐free controls, 8 controls with AD pathology (CAD), and 21 AD cases. We used highly optimized methods to trace impregnated dendrites from bright‐field microscopy images that enabled accurate 3‐dimensional digital reconstruction of dendritic structure for morphologic analyses. Results Spine density was similar among control and CAD cases but was reduced significantly in AD. Thin and mushroom spines were reduced significantly in AD compared to CAD brains, whereas stubby spine density was decreased significantly in CAD and AD compared to controls. Increased spine extent distinguished CAD cases from controls and AD. Linear regression analysis of all cases indicated that spine density was not associated with neuritic plaque score but did display negative correlation with Braak staging. Interpretation These observations provide cellular evidence to support the hypothesis that dendritic spine plasticity is a mechanism of cognitive resilience that protects older individuals with AD pathology from developing dementia. Ann Neurol 2017;82:602–614</description><identifier>ISSN: 0364-5134</identifier><identifier>EISSN: 1531-8249</identifier><identifier>DOI: 10.1002/ana.25049</identifier><identifier>PMID: 28921611</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Aged, 80 and over ; Alzheimer Disease - pathology ; Alzheimer Disease - physiopathology ; Alzheimer's disease ; Analysis of Variance ; Biomarkers ; Brodmann's area ; Case-Control Studies ; Cognition - physiology ; Cognitive ability ; Dementia ; Dementia disorders ; Dendrites ; Dendritic plasticity ; Dendritic spines ; Dendritic Spines - pathology ; Dendritic Spines - ultrastructure ; Dendritic structure ; Density ; Digital imaging ; Female ; Golgi apparatus ; Hippocampus - pathology ; Hippocampus - ultrastructure ; Humans ; Image reconstruction ; Imaging, Three-Dimensional ; Linear Models ; Male ; Medical imaging ; Mental Status Schedule ; Microscopy ; Middle Aged ; Neurodegenerative diseases ; Neuroimaging ; Neurology ; Neurons - pathology ; Pathology ; Plastic foam ; Prefrontal cortex ; Regression analysis ; Resilience ; Silver Staining ; Spine</subject><ispartof>Annals of neurology, 2017-10, Vol.82 (4), p.602-614</ispartof><rights>2017 American Neurological Association</rights><rights>2017 American Neurological Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-7227-1470</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fana.25049$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fana.25049$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28921611$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boros, Benjamin D.</creatorcontrib><creatorcontrib>Greathouse, Kelsey M.</creatorcontrib><creatorcontrib>Gentry, Erik G.</creatorcontrib><creatorcontrib>Curtis, Kendall A.</creatorcontrib><creatorcontrib>Birchall, Elizabeth L.</creatorcontrib><creatorcontrib>Gearing, Marla</creatorcontrib><creatorcontrib>Herskowitz, Jeremy H.</creatorcontrib><title>Dendritic spines provide cognitive resilience against Alzheimer's disease</title><title>Annals of neurology</title><addtitle>Ann Neurol</addtitle><description>Objective Neuroimaging and other biomarker assays suggest that the pathological processes of Alzheimer's disease (AD) begin years prior to clinical dementia onset. However, some 30 to 50% of older individuals who harbor AD pathology do not become symptomatic in their lifetime. It is hypothesized that such individuals exhibit cognitive resilience that protects against AD dementia. We hypothesized that in cases with AD pathology, structural changes in dendritic spines would distinguish individuals who had or did not have clinical dementia. Methods We compared dendritic spines within layer II and III pyramidal neuron dendrites in Brodmann area 46 dorsolateral prefrontal cortex using the Golgi–Cox technique in 12 age‐matched pathology‐free controls, 8 controls with AD pathology (CAD), and 21 AD cases. We used highly optimized methods to trace impregnated dendrites from bright‐field microscopy images that enabled accurate 3‐dimensional digital reconstruction of dendritic structure for morphologic analyses. Results Spine density was similar among control and CAD cases but was reduced significantly in AD. Thin and mushroom spines were reduced significantly in AD compared to CAD brains, whereas stubby spine density was decreased significantly in CAD and AD compared to controls. Increased spine extent distinguished CAD cases from controls and AD. Linear regression analysis of all cases indicated that spine density was not associated with neuritic plaque score but did display negative correlation with Braak staging. Interpretation These observations provide cellular evidence to support the hypothesis that dendritic spine plasticity is a mechanism of cognitive resilience that protects older individuals with AD pathology from developing dementia. Ann Neurol 2017;82:602–614</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer Disease - pathology</subject><subject>Alzheimer Disease - physiopathology</subject><subject>Alzheimer's disease</subject><subject>Analysis of Variance</subject><subject>Biomarkers</subject><subject>Brodmann's area</subject><subject>Case-Control Studies</subject><subject>Cognition - physiology</subject><subject>Cognitive ability</subject><subject>Dementia</subject><subject>Dementia disorders</subject><subject>Dendrites</subject><subject>Dendritic plasticity</subject><subject>Dendritic spines</subject><subject>Dendritic Spines - pathology</subject><subject>Dendritic Spines - ultrastructure</subject><subject>Dendritic structure</subject><subject>Density</subject><subject>Digital imaging</subject><subject>Female</subject><subject>Golgi apparatus</subject><subject>Hippocampus - pathology</subject><subject>Hippocampus - ultrastructure</subject><subject>Humans</subject><subject>Image reconstruction</subject><subject>Imaging, Three-Dimensional</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Mental Status Schedule</subject><subject>Microscopy</subject><subject>Middle Aged</subject><subject>Neurodegenerative diseases</subject><subject>Neuroimaging</subject><subject>Neurology</subject><subject>Neurons - pathology</subject><subject>Pathology</subject><subject>Plastic foam</subject><subject>Prefrontal cortex</subject><subject>Regression analysis</subject><subject>Resilience</subject><subject>Silver Staining</subject><subject>Spine</subject><issn>0364-5134</issn><issn>1531-8249</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1LAzEQhoMoWqsH_4AseNDL2nx3cxGK3yB60XPIZmdrym52TdqK_nqj1aKeZph5eHlnXoQOCD4lGNOR8eaUCszVBhoQwUheUK420QAzyXNBGN9BuzHOMMZKEryNdmihKJGEDNDtBfgquLmzWeydh5j1oVu6CjLbTX2aLyELEF3jwFvIzNQ4H-fZpHl_BtdCOI5Z5SKYCHtoqzZNhP3vOkRPV5eP5zf53cP17fnkLp9xJlQupDC4FIQULDkmBaXWSAnW2OTcqhokmFJKWQtGjaS1oAXY0hZE0MrWZc2G6Gyl2y_KFioLfh5Mo_vgWhPedGec_rvx7llPu6UWY84LpZLAybdA6F4WEOe6ddFC0xgP3SJqojgmhRqPRUKP_qGzbhF8Oi9RQnBJGaWJOvztaG3l58sJGK2AV9fA23pPsP6MT6f49Fd8enI_-WrYB4cxjVc</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Boros, Benjamin D.</creator><creator>Greathouse, Kelsey M.</creator><creator>Gentry, Erik G.</creator><creator>Curtis, Kendall A.</creator><creator>Birchall, Elizabeth L.</creator><creator>Gearing, Marla</creator><creator>Herskowitz, Jeremy H.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7227-1470</orcidid></search><sort><creationdate>201710</creationdate><title>Dendritic spines provide cognitive resilience against Alzheimer's disease</title><author>Boros, Benjamin D. ; 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Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boros, Benjamin D.</au><au>Greathouse, Kelsey M.</au><au>Gentry, Erik G.</au><au>Curtis, Kendall A.</au><au>Birchall, Elizabeth L.</au><au>Gearing, Marla</au><au>Herskowitz, Jeremy H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dendritic spines provide cognitive resilience against Alzheimer's disease</atitle><jtitle>Annals of neurology</jtitle><addtitle>Ann Neurol</addtitle><date>2017-10</date><risdate>2017</risdate><volume>82</volume><issue>4</issue><spage>602</spage><epage>614</epage><pages>602-614</pages><issn>0364-5134</issn><eissn>1531-8249</eissn><abstract>Objective Neuroimaging and other biomarker assays suggest that the pathological processes of Alzheimer's disease (AD) begin years prior to clinical dementia onset. However, some 30 to 50% of older individuals who harbor AD pathology do not become symptomatic in their lifetime. It is hypothesized that such individuals exhibit cognitive resilience that protects against AD dementia. We hypothesized that in cases with AD pathology, structural changes in dendritic spines would distinguish individuals who had or did not have clinical dementia. Methods We compared dendritic spines within layer II and III pyramidal neuron dendrites in Brodmann area 46 dorsolateral prefrontal cortex using the Golgi–Cox technique in 12 age‐matched pathology‐free controls, 8 controls with AD pathology (CAD), and 21 AD cases. We used highly optimized methods to trace impregnated dendrites from bright‐field microscopy images that enabled accurate 3‐dimensional digital reconstruction of dendritic structure for morphologic analyses. Results Spine density was similar among control and CAD cases but was reduced significantly in AD. Thin and mushroom spines were reduced significantly in AD compared to CAD brains, whereas stubby spine density was decreased significantly in CAD and AD compared to controls. Increased spine extent distinguished CAD cases from controls and AD. Linear regression analysis of all cases indicated that spine density was not associated with neuritic plaque score but did display negative correlation with Braak staging. Interpretation These observations provide cellular evidence to support the hypothesis that dendritic spine plasticity is a mechanism of cognitive resilience that protects older individuals with AD pathology from developing dementia. Ann Neurol 2017;82:602–614</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28921611</pmid><doi>10.1002/ana.25049</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-7227-1470</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
Alzheimer Disease - pathology
Alzheimer Disease - physiopathology
Alzheimer's disease
Analysis of Variance
Biomarkers
Brodmann's area
Case-Control Studies
Cognition - physiology
Cognitive ability
Dementia
Dementia disorders
Dendrites
Dendritic plasticity
Dendritic spines
Dendritic Spines - pathology
Dendritic Spines - ultrastructure
Dendritic structure
Density
Digital imaging
Female
Golgi apparatus
Hippocampus - pathology
Hippocampus - ultrastructure
Humans
Image reconstruction
Imaging, Three-Dimensional
Linear Models
Male
Medical imaging
Mental Status Schedule
Microscopy
Middle Aged
Neurodegenerative diseases
Neuroimaging
Neurology
Neurons - pathology
Pathology
Plastic foam
Prefrontal cortex
Regression analysis
Resilience
Silver Staining
Spine
title Dendritic spines provide cognitive resilience against Alzheimer's disease
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