Profound degeneration of wake-promoting neurons in Alzheimer's disease

Sleep-wake disturbances are a common and early feature in Alzheimer's disease (AD). The impact of early tau pathology in wake-promoting neurons (WPNs) remains unclear. We performed stereology in postmortem brains from AD individuals and healthy controls to identify quantitative differences in m...

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Veröffentlicht in:Alzheimer's & dementia 2019-10, Vol.15 (10), p.1253-1263
Hauptverfasser: Oh, Jun, Eser, Rana A., Ehrenberg, Alexander J., Morales, Dulce, Petersen, Cathrine, Kudlacek, Jessica, Dunlop, Sara R., Theofilas, Panos, Resende, Elisa D.P.F., Cosme, Celica, Alho, Eduardo J.L., Spina, Salvatore, Walsh, Christine M., Miller, Bruce L., Seeley, William W., Bittencourt, Jackson C., Neylan, Thomas C., Heinsen, Helmut, Grinberg, Lea T.
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container_end_page 1263
container_issue 10
container_start_page 1253
container_title Alzheimer's & dementia
container_volume 15
creator Oh, Jun
Eser, Rana A.
Ehrenberg, Alexander J.
Morales, Dulce
Petersen, Cathrine
Kudlacek, Jessica
Dunlop, Sara R.
Theofilas, Panos
Resende, Elisa D.P.F.
Cosme, Celica
Alho, Eduardo J.L.
Spina, Salvatore
Walsh, Christine M.
Miller, Bruce L.
Seeley, William W.
Bittencourt, Jackson C.
Neylan, Thomas C.
Heinsen, Helmut
Grinberg, Lea T.
description Sleep-wake disturbances are a common and early feature in Alzheimer's disease (AD). The impact of early tau pathology in wake-promoting neurons (WPNs) remains unclear. We performed stereology in postmortem brains from AD individuals and healthy controls to identify quantitative differences in morphological metrics in WPNs. Progressive supranuclear palsy (PSP) and corticobasal degeneration were included as disease-specific controls. The three nuclei studied accumulate considerable amounts of tau inclusions and showed a decrease in neurotransmitter-synthetizing neurons in AD, PSP, and corticobasal degeneration. However, substantial neuronal loss was exclusively found in AD. WPNs are extremely vulnerable to AD but not to 4 repeat tauopathies. Considering that WPNs are involved early in AD, such degeneration should be included in the models explaining sleep-wake disturbances in AD and considered when designing a clinical intervention. Sparing of WPNs in PSP, a condition featuring hyperinsomnia, suggest that interventions to suppress the arousal system may benefit patients with PSP.
doi_str_mv 10.1016/j.jalz.2019.06.3916
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source Wiley Online Library Journals Frontfile Complete
subjects Alzheimer's disease
Autopsy
Corticobasal degeneration
Histamine
Human
Locus coeruleus
Orexin
Progressive supranuclear palsy
Sleep
Tauopathies
Unbiased stereology
Wake-promoting
Wakefulness
title Profound degeneration of wake-promoting neurons in Alzheimer's disease
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