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Neuronal binucleation in Alzheimer disease hippocampus.
1Department of Pathology, Case Western Reserve University, Cleveland 44106, USA.
In Alzheimer disease, some neurons surprisingly divide their nuclei, forming binucleated cells. This rare event, observed in the hippocampus, suggests neuronal cell cycle re-entry in the adult brain.
Area of Science:
- Neuroscience
- Cell Biology
- Pathology
Background:
- Adult brain neurons are typically considered fully differentiated and non-dividing.
- Alzheimer disease (AD) neurons exhibit an activated cell cycle phenotype, challenging this dogma.
- The extent of neuronal cell cycle progression, including nuclear division, in AD remains unclear.
Purpose of the Study:
- To investigate whether nuclear division occurs in neurons affected by Alzheimer disease.
- To determine if neurons in AD brains can complete cell cycle progression leading to nuclear division.
Main Methods:
- Examination of 101 post-mortem hippocampal tissue sections from Alzheimer disease and control cases.
- Histopathological evaluation for the presence of neuronal binucleation using routine staining.
Main Results:
- Binucleated neurons were identified in the hippocampus of Alzheimer disease cases.
- No binucleated neurons were observed in control cases (P < 0.05).
Conclusions:
- The presence of binucleated neurons in AD brains provides morphological evidence of nuclear division.
- This finding supports the hypothesis that neurons in the adult human brain can re-enter a coordinated cell cycle in Alzheimer disease.
- Neuronal binucleation is a rare event in AD, occurring approximately once per 20,000 neurons.
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