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1.
Neuropathol Appl Neurobiol ; 39(6): 654-66, 2013 Oct.
Article in English | MEDLINE | ID: mdl-23231074

ABSTRACT

AIMS: Traumatic brain injury is a significant cause of morbidity and mortality worldwide. An epidemiological association between head injury and long-term cognitive decline has been described for many years and recent clinical studies have highlighted functional impairment within 12 months of a mild head injury. In addition chronic traumatic encephalopathy is a recently described condition in cases of repetitive head injury. There are shared mechanisms between traumatic brain injury and Alzheimer's disease, and it has been hypothesized that neuroinflammation, in the form of microglial activation, may be a mechanism underlying chronic neurodegenerative processes after traumatic brain injury. METHODS: This study assessed the microglial reaction after head injury in a range of ages and survival periods, from <24-h survival through to 47-year survival. Immunohistochemistry for reactive microglia (CD68 and CR3/43) was performed on human autopsy brain tissue and assessed 'blind' by quantitative image analysis. Head injury cases were compared with age matched controls, and within the traumatic brain injury group cases with diffuse traumatic axonal injury were compared with cases without diffuse traumatic axonal injury. RESULTS: A major finding was a neuroinflammatory response that develops within the first week and persists for several months after traumatic brain injury, but has returned to control levels after several years. In cases with diffuse traumatic axonal injury the microglial reaction is particularly pronounced in the white matter. CONCLUSIONS: These results demonstrate that prolonged microglial activation is a feature of traumatic brain injury, but that the neuroinflammatory response returns to control levels after several years.


Subject(s)
Brain Injuries/immunology , Brain/immunology , Microglia/immunology , Adolescent , Adult , Age Factors , Aged , Brain Injuries/pathology , Humans , Inflammation/immunology , Inflammation/pathology , Microglia/pathology , Middle Aged , Young Adult
2.
Neuroscience ; 151(1): 104-10, 2008 Jan 02.
Article in English | MEDLINE | ID: mdl-18068305

ABSTRACT

Recent data suggest that the endocannabinoid system (ECS) may be involved in the glial response in different types of brain injury. Both acute and chronic insults seem to trigger a shift in the pattern of expression of some elements of this system from neuronal to glial. Specifically, data obtained in human brain tissue sections from Alzheimer's disease patients showed that the expression of cannabinoid receptors of the CB(2) type is induced in activated microglial cells while fatty acid amide hydrolase (FAAH) expression is increased in reactive astrocytes. The present study was designed to determine the time-course of the shift from neuronal to glial induction in the expression of these proteins in Down's syndrome, sometimes referred to as a human model of Alzheimer-like beta-amyloid (Abeta) deposition. Here we present immunohistochemical evidence that both CB(2) receptors and FAAH enzyme are induced in Abeta plaque-associated microglia and astroglia, respectively, in Down's syndrome. These results suggest that the induction of these elements of the ECS contributes to, or is a result of, amyloid deposition and subsequent plaque formation. In addition, they confirm a striking differential pattern of distribution of FAAH and CB(2) receptors.


Subject(s)
Amidohydrolases/metabolism , Amyloid beta-Peptides/physiology , Down Syndrome/metabolism , Neuroglia/metabolism , Receptor, Cannabinoid, CB2/metabolism , Adult , Brain/pathology , Brain Chemistry/physiology , Child , Down Syndrome/pathology , Female , Fluorescent Antibody Technique , Humans , Immunohistochemistry , Infant, Newborn , Male , Middle Aged , Plaque, Amyloid/pathology
3.
J Neurosci ; 20(1): 149-55, 2000 Jan 01.
Article in English | MEDLINE | ID: mdl-10627591

ABSTRACT

Cholinergic dysfunction in Alzheimer's disease has been attributed to stress-induced increases in acetylcholinesterase (AChE) activity. Interleukin-1 (IL-1) is overexpressed in Alzheimer's disease, and stress-related changes in long-term potentiation, an ACh-related cerebral function, are triggered by interleukin-1. Microglial cultures (N9) synthesized and released IL-1 in response to conditioned media obtained from glutamate-treated primary neuron cultures or PC12 cells. This conditioned media contained elevated levels of secreted beta-amyloid precursor protein (sAPP). Naive PC12 cells cocultured with stimulated N9 cultures showed increased AChE activity and mRNA expression. These effects on AChE expression and activity could be blocked by either preincubating the glutamate-treated PC12 supernatants with anti-sAPP antibodies or preincubating naive PC12 cells with IL-1 receptor antagonist. These findings were confirmed in vivo; IL-1-containing pellets implanted into rat cortex also increased AChE mRNA levels. Neuronal stress in Alzheimer's disease may induce increases in AChE expression and activity through a molecular cascade that is mediated by sAPP-induced microglial activation and consequent overexpression of IL-1.


Subject(s)
Acetylcholinesterase/metabolism , Cell Communication/physiology , Interleukin-1/genetics , Microglia/cytology , Neurons/cytology , Acetylcholinesterase/genetics , Alzheimer Disease/enzymology , Alzheimer Disease/genetics , Amyloid beta-Protein Precursor/metabolism , Animals , Brain/cytology , Cell Communication/drug effects , Choline O-Acetyltransferase/genetics , Choline O-Acetyltransferase/metabolism , Gene Expression Regulation, Enzymologic/drug effects , Glutamic Acid/pharmacology , Male , Neurons/enzymology , PC12 Cells , RNA, Messenger/metabolism , Rats , Rats, Sprague-Dawley
4.
Biochim Biophys Acta ; 1223(3): 398-403, 1994 Sep 29.
Article in English | MEDLINE | ID: mdl-7918676

ABSTRACT

S100 beta levels in tissue homogenates and distribution of S100 beta-containing activated astrocytes were examined by S100 beta-specific ELISA and immunohistochemistry, respectively, in brain regions exhibiting many, some, few, or no neuritic plaques in Alzheimer's disease (AD). Compared to samples collected at similar postmortem intervals from control patients of similar ages, S100 beta levels were elevated in specific brain regions from AD patients, and the overexpression of S100 beta correlated relatively well with the pattern of regional involvement by neuritic plaques. The largest increases in S100 beta levels were in hippocampus and temporal lobe, followed by frontal lobe and pons, with no elevation in occipital lobe or cerebellum. Immunohistochemical analysis showed S100 beta localization primarily in activated astrocytes surrounding neuritic plaques. These results demonstrate that S100 beta overexpression is brain region-specific and related to astrocyte activation and suggest that elevation of S100 beta above some threshold is related to the degree of neuropathological involvement of different brain regions in AD.


Subject(s)
Alzheimer Disease/metabolism , Brain/metabolism , Calcium-Binding Proteins/analysis , Nerve Growth Factors/analysis , S100 Proteins , Alzheimer Disease/mortality , Astrocytes/metabolism , Brain/pathology , Enzyme-Linked Immunosorbent Assay , Hippocampus/metabolism , Humans , Immunohistochemistry , S100 Calcium Binding Protein beta Subunit , Temporal Lobe/metabolism
5.
J Neuropathol Exp Neurol ; 59(6): 471-6, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10850859

ABSTRACT

Established genetic causes of familial Alzheimer disease (AD) involve genes for beta-amyloid precursor protein (betaAPP), presenilin-1, and presenilin-2. For the more common sporadic forms of AD, increased risk has been associated with a number of genes; the most important of which is the epsilon4 allele of apolipoprotein E. Two recent studies, one clinical and one using postmortem material, now show increased risk for AD associated with certain polymorphisms in the genes encoding the alpha and beta isoforms of interleukin-1 (IL-1). IL-1 levels are elevated in Alzheimer brain, and overexpression of IL-1 is associated with beta-amyloid plaque progression. IL-1 interacts with the gene products of several other known or suspected genetic risk factors for AD, including betaAPP, apolipoprotein E, alpha1-antichymotrypsin, and alpha2-macroglobulin. IL-1 overexpression is also associated with environmental risk factors for AD, including normal aging and head trauma. These observations suggest an important pathogenic role for IL-1, and for IL-1-driven cascades, in the pathogenesis of AD.


Subject(s)
Alzheimer Disease/genetics , Alzheimer Disease/immunology , Genetic Predisposition to Disease , Interleukin-1/genetics , Alzheimer Disease/etiology , Alzheimer Disease/physiopathology , Humans , Immunogenetics , Interleukin-1/physiology , Polymorphism, Genetic/physiology , Risk Factors
6.
J Neuropathol Exp Neurol ; 56(3): 285-90, 1997 Mar.
Article in English | MEDLINE | ID: mdl-9056542

ABSTRACT

Activated microglia, overexpressing interleukin-1 (IL-1), and activated astrocytes, overexpressing S100beta, have been implicated in the formation and evolution of tau2-immunoreactive (tau2+) neuritic plaques in Alzheimer disease. In this study, we assessed the role of IL-1alpha+ microglia and S100beta+ astrocytes in the pathogenesis of another cardinal histopathological feature of Alzheimer disease: tau2+ neurofibrillary tangles. Four distinct stages of neurofibrillary tangle formation were identified: neurons with granular perikaryal tau2 immunoreactivity (stage 0); fibrillar neuronal inclusions (stage 1); dense, neuronal soma-filling inclusions (stage 2); and acellular, fibrillar deposits (stage 3, "ghost tangles"). The numbers of tangles in randomly selected fields of parahippocampal cortex from 11 Alzheimer patients correlated with both the numbers of IL-1alpha+ microglia and the numbers of S100beta+ astrocytes in these fields (r = 0.72, p < 0.02; r = 0.73, p = 0.01, respectively). There were progressive increases in frequency of association between tangle stages and both IL-1alpha+ microglia and S100beta+ astrocytes: 48, 56, 67, and 92% of stage 0-3 tangles, respectively, had associated IL-1alpha+ microglia; and 21, 37, 55, and 91% of stage 0-3 tangles had associated S100beta+ astrocytes. This progressive association of activated IL-1alpha+ microglia and activated S100beta+ astrocytes with tau2+ tangle stages suggests a role for glial-neuronal interactions in the degeneration of tangle-bearing neurons in Alzheimer disease.


Subject(s)
Alzheimer Disease/pathology , Astrocytes/pathology , Interleukin-1/metabolism , Microglia/pathology , Neurofibrillary Tangles/pathology , S100 Proteins/metabolism , Aged , Female , Humans , Immunohistochemistry , Male , Middle Aged
7.
J Neuropathol Exp Neurol ; 57(4): 323-8, 1998 Apr.
Article in English | MEDLINE | ID: mdl-9600224

ABSTRACT

DNA damage, as demonstrated by in situ Tdt-mediated dUTP-X-nick end labeling (TUNEL), is widespread in the cerebral cortex in end-stage Alzheimer disease, but has not been previously correlated with stages of neurofibrillary tangle formation. To assess possible relationships between neurofibrillary tangle formation and DNA damage, we used tau immunohistochemistry and TUNEL in tangle-rich fields of tissue sections of subiculum and parahippocampal cortex tissue from 12 Alzheimer and 6 control patients. Structures were classified and quantified as tau-/TUNEL-, tau-/TUNEL+, tau+/TUNEL-, or tau+/TUNEL+. Tau+ structures were subclassified into 4 stages (0-3) based on neurofibrillary tangle morphology. The total number of TUNEL+ neurons was significantly less in control than in Alzheimer patients (35 +/- 7.2 vs 90 +/- 9.3/mm2; mean +/- SEM; p < 0.05). The number of tau+/TUNEL+ neurons (40 +/- 1/mm2) was less than that of tau-/TUNEL- neurons (68 +/- 7/mm2) or tau-/TUNEL+ neurons in the same fields (50 +/- 4/mm2, p < 0.0001). Tau+/TUNEL- structures were fewer in number (21 +/- 1/mm2), with a third of these representing acellular "ghost tangles" (stage 3). Tau+ neurons were more likely than tau- neurons to be TUNEL+ (64 +/- 6% vs 44 +/- 2%; mean +/- SEM; p < 0.01), although most TUNEL+ neurons were tau-, even in these selected, tangle-rich fields. TUNEL positivity was not uniformly distributed among tangle stages. TUNEL positivity was less common among early (stage 0) tangles than in tau neurons (21 +/- 6% vs 44 +/- 2%; p < 0.001), but this rose to 53% among intermediate (stage 1) tangles, and to 87% among late (stage 2) tangles. We suggest that early stages of neurofibrillary tangle formation occur in a subpopulation of relatively healthy (TUNEL-) neurons, and that tangle progression is accompanied by increasing neuronal morbidity.


Subject(s)
Alzheimer Disease/pathology , DNA Damage , Geniculate Bodies/pathology , Hippocampus/pathology , Neurofibrillary Tangles/pathology , Neurons/pathology , Aged , Aged, 80 and over , Alzheimer Disease/genetics , Alzheimer Disease/metabolism , Cell Count , Female , Geniculate Bodies/metabolism , Hippocampus/metabolism , Humans , Immunohistochemistry , Male , Neurofibrillary Tangles/genetics , Neurofibrillary Tangles/metabolism , Neuroglia/metabolism , Neuroglia/pathology , Neurons/metabolism , tau Proteins/metabolism
8.
J Neuropathol Exp Neurol ; 55(3): 273-9, 1996 Mar.
Article in English | MEDLINE | ID: mdl-8786385

ABSTRACT

The neurite extension factor S100 beta is overexpressed by activated astrocytes associated with amyloid-containing plaques in Alzheimer's disease, and has been implicated in dystrophic neurite formation in these plaques. This predicts (a) that the appearance of S100beta- immunoreactive (S100beta+) astrocytes precedes that of dystrophic neurites in diffuse amyloid deposits and (b) that the number of these astrocytes correlates with the degree of dystrophic neurite proliferation in neuritic plaques. As a test of the first prediction, we determined the number of S100beta+ astrocytes associated with different plaque types: diffuse non-neuritic, diffuse neuritic, dense-core neuritic, and dense-core non-neuritic. Diffuse non-neuritic plaques had small numbers of associated S100beta+ astrocytes (1.3 +/- 0.1 S100beta astrocytes per plaque [mean +/- SEM]; 80% of plaques had one or more). These astrocytes were most abundant in diffuse neuritic plaques (4.2 +/- 0.2; 100%), were somewhat less numerous in dense-core neuritic plaques (1.6 +/- 0.2; 90%), and were only rarely associated with dense-core non-neuritic plaques (0.15 +/- 0.05; 12%). As a test of the second prediction, we correlated the number of S100beta+ astrocytes per plaque with the area of beta-amyloid precursor protein (beta-APP) immunoreactivity per plaque (an index of the size of the plaques' dystrophic neurite shells) and found a significant positive correlation (r = 0.74, p < 0.001). This correlation was also evident at the tissue level: the numbers of S100beta+ astrocytes per plaque-rich field correlated with the total area beta-APP immunoreactivity in these fields (r = 0.66, p < 0.05). These correlations support the idea that astrocytic activation and S100 beta overexpression are involved in the induction and maintenance of dystrophic neurites in amyloid deposits, and support the concept of a glial cytokine-mediated cascade underlying the progression of neuropathological changes in Alzheimer's disease.


Subject(s)
Alzheimer Disease/pathology , Amyloid beta-Protein Precursor/metabolism , Astrocytes/metabolism , Neurites/pathology , Aged , Amyloid beta-Protein Precursor/genetics , Humans , Immunohistochemistry , Middle Aged
9.
J Neuropathol Exp Neurol ; 57(7): 714-7, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9690675

ABSTRACT

Neuronal injury associated with amyloid plaque progression in Alzheimer disease was examined using TUNEL combined with beta-amyloid immunolabeling. There was a progressive increase in the frequency of TUNEL-positive neurons associated with plaque types representing a hypothesized sequence of plaque evolution, from 20% of neurons not associated with plaques to 40%, 70-80%, and 100% of neurons in diffuse, neuritic, and dense-core non-neuritic plaques, respectively. The total number of neurons associated with end-stage, dense-core, non-neuritic plaques declined by 70% (per unit plaque area) compared with neuritic plaque forms. This decline, together with the fact that virtually all of those remaining were TUNEL-positive, suggests that neuronal cell damage increases as plaques evolve from diffuse to more complex forms and that eventually all plaque-associated neurons are lost. This novel demonstration of neurotoxicity associated with amyloid plaque formation and progression suggests that plaque-associated neuronal injury is a major cause of neuronal loss in Alzheimer disease.


Subject(s)
Alzheimer Disease/pathology , Amyloid beta-Peptides/analysis , Brain/pathology , Neurons/pathology , Plaque, Amyloid/pathology , Aged , Aged, 80 and over , Apoptosis , Female , Humans , Male
10.
J Neuropathol Exp Neurol ; 54(2): 276-81, 1995 Mar.
Article in English | MEDLINE | ID: mdl-7876895

ABSTRACT

The histologically apparent polymorphism of plaques containing beta-amyloid in Alzheimer's disease is thought to represent different stages in plaque evolution. beta-amyloid-immunopositive plaques were classified according to the pattern of beta-amyloid distribution (diffuse vs dense-core) and the presence or absence of dystrophic beta-amyloid precursor protein-immunopositive (beta-APP+) neurites (neuritic vs non-neuritic). The potential contribution of microglia-derived interleukin-1 (IL-1), an immune response cytokine that induces synthesis and processing of beta-APP, to the possible sequential development of these plaque types was examined through determination of the number of IL-1 alpha+ microglia associated with each of four identified plaque types. Diffuse non-neuritic plaques had the least dense and most widely dispersed beta-amyloid, did not exhibit beta-APP+ dystrophic neurites, but most (78%) contained activated IL-1 alpha+ microglia (2 +/- 0.2/plaque; mean +/- SEM). Diffuse neuritic plaques had more dense, but still widely dispersed beta-amyloid, displayed a profusion of beta-APP+ dystrophic neurites, and had the greatest numbers of associated activated IL-1 alpha+ microglia (7 +/- 0.8/plaque). Dense-core neuritic plaques had both compact and diffuse beta-amyloid and had fewer IL-1 alpha+ microglia (4 +/- 0.4/plaque). Dense-core, non-neuritic plaques had compact beta-amyloid, lacked associated diffuse beta-amyloid, and were devoid of both IL-1 alpha+ microglia and beta-APP+ dystrophic neurites. These results suggest an important immunological component in the evolution of amyloid-containing plaques in Alzheimer's disease and further suggest that IL-1-expressing cells are necessary to initiate dystrophic neurite formation in diffuse beta-amyloid deposits.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Alzheimer Disease/pathology , Interleukin-1/analysis , Temporal Lobe/pathology , Aged , Aged, 80 and over , Alzheimer Disease/immunology , Autopsy , Humans , Immunohistochemistry , Middle Aged , Temporal Lobe/immunology
11.
J Neuropathol Exp Neurol ; 53(3): 231-8, 1994 May.
Article in English | MEDLINE | ID: mdl-8176406

ABSTRACT

The mechanisms by which human immunodeficiency virus (HIV) infection provokes progressive neurodegeneration and dementia in acquired immunodeficiency syndrome (AIDS) remain obscure. In HIV-infected (HIV+) individuals, we found that the brain cells preferentially infected by HIV, viz. the microglia, were abundant, activated, and intensely immunopositive for interleukin-1 alpha (IL-1 alpha), an immune response-generated cytokine that increases the synthesis and processing of beta-amyloid precursor proteins (beta-APP) and promotes proliferation and activation of astroglia. We also found an increase in the number of activated astroglia expressing elevated levels of S100 beta, a cytokine that increases intraneuronal calcium levels and promotes excessive growth of neuronal processes (neurites). These glial changes were accompanied by increased expression of beta-APP immunoreaction product in neurons and overgrown (dystrophic) neurites. In addition, some neurons contained monoclonal antibody Tau-2 immunopositive, neurofibrillary tangle-like structures. Our findings provide evidence that glial activation with increased expression of IL-1 alpha and S100 beta may be important in the neuropathogenesis of AIDS dementia. We propose that HIV infection promotes excessive microglial IL-1 alpha expression with consequent astrogliosis and increased expression of S100 beta. Overexpression of these two cytokines may then be involved in AIDS neuropathogenesis by inducing gliosis, growth of dystrophic neurites, and calcium-mediated neuronal cell loss in AIDS.


Subject(s)
Alzheimer Disease/metabolism , Brain/metabolism , HIV Infections/metabolism , Interleukin-1/metabolism , Microglia/metabolism , Adult , Alzheimer Disease/pathology , Amyloid beta-Protein Precursor/metabolism , Brain/pathology , Female , HIV Infections/pathology , HIV Seropositivity/metabolism , HIV Seropositivity/pathology , Humans , Male , Microglia/pathology , S100 Proteins/metabolism , tau Proteins/metabolism
12.
J Neuropathol Exp Neurol ; 58(6): 582-7, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10374748

ABSTRACT

Increased expression of interleukin-1 in Alzheimer disease (AD) has been implicated as a driving force in neurodegenerative cascades that underlie the formation of neuritic plaques and neurofibrillary tangles, the spread of these neuropathological lesions across cerebral cortical regions, and the accompanying neuronal cell injury and loss. The beta isoform of interleukin-1 is generated from an inactive, 33-kDa precursor through the action of a specific interleukin-1beta converting enzyme (ICE), also known as caspase-1. We used mesial temporal tissue (hippocampus and parahippocampal cortex) obtained postmortem from Alzheimer and control patients for determinations of endogenous tissue ICE activity and for Western immunoblot analysis of tissue ICE concentrations. ICE activity in Alzheimer tissue was elevated 50-100% (p < 0.002, or better, at incubation times of 30 min to 10 h), and ICE protein level was elevated 180% (p = 0.01). Parahippocampal cortex of Alzheimer patients showed increased numbers of neurons with in situ evidence of DNA damage. Increased DNA degradation was also evident upon electrophoresis of isolated DNA. Overexpression and increased activity of ICE may contribute to neurodegeneration in AD through generation of biologically active interleukin-1, with consequent activation of interleukin-1-driven neurodegenerative cascades.


Subject(s)
Alzheimer Disease/genetics , Caspase 1/genetics , DNA Damage , RNA, Messenger/biosynthesis , Alzheimer Disease/metabolism , Blotting, Western , Brain/metabolism , Case-Control Studies , Caspase 1/metabolism , Female , Humans , In Situ Nick-End Labeling , Male
13.
Endocrinology ; 120(3): 1201-11, 1987 Mar.
Article in English | MEDLINE | ID: mdl-3803315

ABSTRACT

The melanotroph, a polyhedral secretory cell with an ovoid smooth nucleus, is the primary cell type of the intermediate lobe (IL) of the rat pituitary. The melanotrophs are not uniform, but differ in the tinctorial properties of their cytoplasm; some cells appear distinctly darker, others lighter, and cells staining in intermediate shades are also found. In addition, in situ hybridization using proopiomelanocortin (POMC) probes shows an uneven distribution of POMC mRNA among melanotrophs, indicating that different cells maintain different levels of biosynthetic activity. Dopaminergic drugs known to alter the secretion of POMC-related peptides from the IL produced parallel changes in histological staining properties and the amount of POMC mRNA per cell, as determined by in situ hybridization. Acute bromocriptine treatment (6 h) produced a dramatic reduction in grain counts over melanotroph cytoplasm (to 10% of the control levels). A similar reduction persisted after chronic treatment. Six hours after a single haloperidol injection, the grain counts were 180% of control levels. After chronic haloperidol treatment, they were further elevated to 300% of control levels. Chronic bromocriptine and haloperidol treatment also changed the thickness of the IL. Bromocriptine reduced and haloperidol treatment increased the number of cell layers in the IL by changing the rate of cell proliferation. Thus, haloperidol treatment significantly increased and bromocriptine treatment significantly decreased the number of melanotrophs labeled by [3H]thymidine. The mitotic index followed the same trend. These results suggest that dopamine regulation of the IL acts by two different mechanisms: POMC gene expression and cellular proliferation. The change in POMC gene expression is the cell's first rapid response. The influence on the cell cycle appears after subchronic and chronic treatment.


Subject(s)
Genes , Pituitary Gland/metabolism , Pro-Opiomelanocortin/genetics , Transcription, Genetic , Animals , Autoradiography , Biological Transport , Bromocriptine/pharmacology , Cell Division , Haloperidol/pharmacology , Male , Nucleic Acid Hybridization , Pituitary Gland/cytology , Pituitary Gland/drug effects , Rats , Rats, Inbred Strains , Thymidine/metabolism , Tritium
14.
Brain Pathol ; 8(1): 65-72, 1998 Jan.
Article in English | MEDLINE | ID: mdl-9458167

ABSTRACT

The role of glial inflammatory processes in Alzheimer's disease has been highlighted by recent epidemiological work establishing head trauma as an important risk factor, and the use of anti-inflammatory agents as an important ameliorating factor, in this disease. This review advances the hypothesis that chronic activation of glial inflammatory processes, arising from genetic or environmental insults to neurons and accompanied by chronic elaboration of neuroactive glia-derived cytokines and other proteins, sets in motion a cytokine cycle of cellular and molecular events with neurodegenerative consequences. In this cycle, interleukin-1 is a key initiating and coordinating agent. Interleukin-1 promotes neuronal synthesis and processing of the beta-amyloid precursor protein, thus favoring continuing deposition of beta-amyloid, and activates astrocytes and promotes astrocytic synthesis and release of a number of inflammatory and neuroactive molecules. One of these, S100beta, is a neurite growth-promoting cytokine that stresses neurons through its trophic actions and fosters neuronal cell dysfunction and death by raising intraneuronal free calcium concentrations. Neuronal injury arising from these cytokine-induced neuronal insults can activate microglia with further overexpression of interleukin-1, thus producing feedback amplification and self-propagation of this cytokine cycle. Additional feedback amplification is provided through other elements of the cycle. Chronic propagation of this cytokine cycle represents a possible mechanism for progression of neurodegenerative changes culminating in Alzheimer's disease.


Subject(s)
Alzheimer Disease/pathology , Cytokines/physiology , Inflammation/physiopathology , Neuroglia/cytology , Neurons/cytology , Cell Communication/physiology , Disease Progression , Humans , Risk Factors
15.
J Clin Endocrinol Metab ; 53(6): 1233-7, 1981 Dec.
Article in English | MEDLINE | ID: mdl-6795225

ABSTRACT

Immunoreactive TRH was quantified in eight regions of the cerebellum as well as in the medulla, pons, and hypothalamus of the fetal and adult human brain. High levels of TRH were detected in the fetal cerebellum, ranging from 216 +/- 103 pg/mg protein (mean +/- SD) in the deep cerebellar nuclei to 591 +/- 153 pg/mg protein in the anterior vermis. The concentrations of TRH were significantly greater (P less than 0.001) in each of the eight regions of the cerebellum of the fetal brain than in the corresponding regions of the adult brain. The magnitude of the difference between adult and fetal cerebellar levels ranged from an 18-fold difference in the deep cerebellar nuclei to more than a 100-fold difference in the anterior hemisphere. However, the TRH levels in pons and medulla were similar among fetuses and adults, and the TRH concentration in the adult hypothalamus was significantly higher (P less than 0.01) than that in the fetal hypothalamus. The TRH levels in adult rat hypothalami were extremely stable for several hours post mortem. We, therefore, conclude that the differences in cerebellar TRH concentrations of the fetal compared to those of the adult human are not related to a difference in the extent of postmortem degradation of TRH. Rather, we postulate that the decline in cerebellar TRH during maturation is a normal developmental process, and speculate that TRH, which has been found to have diverse effects on the central nervous system, may also influence the development of the human cerebellum.


Subject(s)
Cerebellum/embryology , Thyrotropin-Releasing Hormone/metabolism , Adult , Aged , Animals , Brain/growth & development , Cerebellum/metabolism , Drug Stability , Humans , Hypothalamus/metabolism , Male , Medulla Oblongata/metabolism , Middle Aged , Pons/metabolism , Postmortem Changes , Rats , Tissue Distribution
16.
Biol Psychiatry ; 42(5): 359-66, 1997 Sep 01.
Article in English | MEDLINE | ID: mdl-9276076

ABSTRACT

Some evidence suggests that thalamic dysfunction could explain some of the signs and symptoms of schizophrenia. We measured the absolute concentrations of amino acid metabolites in thalamus, frontal pole, and cerebellar vermis in extracts of postmortem brains from 8 schizophrenics and 10 controls using high-resolution 1H-magnetic resonance spectroscopy. The concentrations of N-acetyl aspartate, glutamate, and valine tended to be reduced in the thalamus of the schizophrenic group. Although it is difficult to ascribe significance to the "tendencies," these data may tend to support other data suggesting decreased thalamic volume or neuronal number in schizophrenia.


Subject(s)
Amino Acids/metabolism , Brain Chemistry/physiology , Schizophrenia/metabolism , Adult , Aged , Aged, 80 and over , Amino Acids/analysis , Aspartic Acid/analogs & derivatives , Aspartic Acid/analysis , Aspartic Acid/metabolism , Cerebellum/chemistry , Cerebral Cortex/chemistry , Female , Humans , Magnetic Resonance Spectroscopy , Male , Middle Aged , Thalamus/chemistry , gamma-Aminobutyric Acid/analysis , gamma-Aminobutyric Acid/metabolism
17.
Biol Psychiatry ; 46(5): 689-96, 1999 Sep 01.
Article in English | MEDLINE | ID: mdl-10472421

ABSTRACT

BACKGROUND: Mitogen-activated protein kinases (MAPKs) are important mediators of signal transduction from the cell surface to the nucleus and have been implicated in the integration of a variety of physiologic processes in most cells, including neurons. To investigate the possible involvement of MAPKs in schizophrenia, we compared the levels of the MAPK intermediates in postmortem brain tissue obtained from schizophrenic and control subjects. Our focus was on the cerebellar vermis because of evidence suggesting that schizophrenia is associated with abnormalities of structure, function, and signal transduction in this brain region. METHODS: Cytosolic proteins were fractionated by gel electrophoresis and subjected to Western blot analysis using polyclonal MAPK antibody, which detects total extracellular signal-regulated kinases (ERKs) 1 and 2 levels, and monoclonal MAP kinase phosphatase (MKP) 2 antibody. RESULTS: Schizophrenic subjects had increased levels of ERK2 [2763 +/- (SD) 203 vs. 2286 +/- 607 arbitrary units, U = 17, p < .05] in cerebellar vermis. The levels of a dual specificity tyrosine phosphatase, MKP2, were significantly decreased in cerebellar vermis (1716 +/- 465 versus 2372 +/- 429 arbitrary units, U = 12, p < .02) from schizophrenic patients. ERK1/MKP2 and ERK2/MKP2 ratios in cerebellar vermis, but not in other brain regions, were significantly different in schizophrenic subjects as compared to control subjects (U = 15, p < or = .027; U = 3, p < .001, respectively). CONCLUSIONS: MAPK levels are elevated in the cerebellar vermis of schizophrenic subjects. This could result from a protein dephosphorylation defect in vivo and might be involved in the pathology of the disease.


Subject(s)
Mitogen-Activated Protein Kinases/metabolism , Schizophrenia/enzymology , Adult , Aged , Aged, 80 and over , Antibodies, Monoclonal/physiology , Blotting, Western , Cell Communication/physiology , Cerebellum/enzymology , Culture Techniques , Electrophoresis, Agar Gel/methods , Female , Humans , Male , Middle Aged , Signal Transduction/physiology
18.
Neurobiol Aging ; 22(6): 903-8, 2001.
Article in English | MEDLINE | ID: mdl-11754997

ABSTRACT

Interleukin-1 (IL-1)-1) is a pluripotent immunomodulatory cytokine that has an initiating role in cellular and humoral immunity in the periphery. Il-1 is overexpressed in Alzheimer brain, and this overexpression is directly related to plaque formation and progression, nonsensical growth of dystrophic neurites, and neuronal overexpression of acetylcholinesterase. IL-1 has a number of actions relevant to Alzheimer's disease, including excessive expression of neuronal Abeta precursor protein and other plaque-associated proteins, and induction of astrocyte activation and astrocytic overexpression of S100B. These latter events may be related to the overgrowth of dystrophic neurites in neuritic plaques, a necessary event for conversion of diffuse Abeta deposits into the neuritic amyloid plaques diagnostic of Alzheimer's disease. Four new genetic studies underscore the relevance of IL-1 to Alzheimer pathogenesis, showing that homozygosity of a specific polymorphism in the IL-1A gene at least triples Alzheimer risk, especially for an earlier age of onset and in combination with homozygosity for another polymorphism in the IL-1B gene.


Subject(s)
Alzheimer Disease/pathology , Inflammation/pathology , Interleukin-1/physiology , Neurons/pathology , Alzheimer Disease/genetics , Animals , Brain Chemistry/genetics , Brain Chemistry/physiology , Humans , Inflammation/genetics , Interleukin-1/genetics , Polymorphism, Genetic/genetics
19.
Neurobiol Aging ; 19(1): 71-6, 1998.
Article in English | MEDLINE | ID: mdl-9562506

ABSTRACT

S100beta is an astrocyte-derived protein with paracrine and autocrine effects on neurons and glia. Brain S100beta expression increases progressively with age, and this increased expression has been implicated as a factor underlying the increasing risk of Alzheimer's disease that accompanies aging. Senescence acceleration-prone (SAMP) mice are a group of inbred strains that provide animal models of aging and of various age-related disease processes in the brain and peripheral tissues. One of these strains, the osteopenic SAMP6, has not been previously associated with central nervous system alterations. We used Northern and Western immunoblot analysis and immunohistochemical labeling to examine S100beta expression in brains of SAMP6 mice. Cerebral tissue levels of S100beta and of S100beta mRNA were 2.2-fold and 1.6-fold those of senescence-resistant (control) mice at 4 months of age (p < 0.05 in each case), and were 3.7-fold and 1.9-fold those of control mice at 6 months of age (p < 0.01 in each case). In contrast, levels of glial fibrillary acidic protein (GFAP) in cerebral hemispheres were not different from those of controls. Image analysis of immunohistochemical preparations showed increased numbers and immunoreactive intensity of S100beta-immunoreactive astrocytes in both the hippocampus and cerebral cortex of SAMP6 mice at 4 months of age (p < 0.05 or better in each case). These increases were greater in the hippocampus than in the cerebral cortex. In contrast, increases in numbers of GFAP immunoreactive astrocytes were noted only in the hippocampus. Our finding of increased S100beta gene expression in brains of SAMP6 mice mirror age-associated increases in S100beta expression in human brain and suggest that SAMP6 may provide insights into age-associated brain alterations and diseases.


Subject(s)
Aging/genetics , Aging/metabolism , S100 Proteins/biosynthesis , Animals , Blotting, Western , Glial Fibrillary Acidic Protein/biosynthesis , Glial Fibrillary Acidic Protein/metabolism , Image Processing, Computer-Assisted , Immunohistochemistry , In Situ Hybridization , Mice , Mice, Inbred Strains , S100 Proteins/metabolism
20.
Neurobiol Aging ; 13(1): 1-7, 1992.
Article in English | MEDLINE | ID: mdl-1371849

ABSTRACT

The confirming diagnosis of Alzheimer's disease includes an assessment of the concentration of neuritic plaques in the temporal lobe of the brain. The presence of abnormal levels of neurotrophic factors in Alzheimer's disease is one possible explanation for the increased concentration of aggregates of overgrown neurites in the neuritic plaques of Alzheimer's disease. The protein S100 beta, a neurotrophic factor produced by astroglia in the brain, induces neurite outgrowth in cerebral cortical neurons. The generation of specific S100 beta antibodies, the cloning of a full-length cDNA encoding the S100 beta mRNA, and the development of a neurite extension assay system for S100 beta allowed testing of the hypothesis that Alzheimer's disease S100 beta expression is elevated in brain temporal lobe where neuritic plaques are concentrated. The levels of S100 beta protein, mRNA, and specific neurotrophic activity were elevated 10-20-fold in extracts of temporal lobe from autopsy samples of Alzheimer's disease patients compared to those of aged control patients. The cells containing the increased S100 beta were reactive astrocytes; the neuritic plaques were surrounded by S100 beta-containing astrocytes. The elevated levels of S100 beta provides a link between the prominent reactive gliosis and neuritic plaque formation in this common disease of the elderly and raises the possibility that S100 beta contributes to Alzheimer's disease neuropathology.


Subject(s)
Alzheimer Disease/metabolism , S100 Proteins/metabolism , Temporal Lobe/metabolism , Aged , Aged, 80 and over , Alzheimer Disease/pathology , Autoradiography , Cloning, Molecular , Female , Gliosis/pathology , Humans , Immunoblotting , Immunohistochemistry , Male , Middle Aged , Neurites/drug effects , Neurites/metabolism , RNA/metabolism , Radioimmunoassay , Tissue Fixation
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