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Microanatomical correlates of cognitive ability and decline: normal ageing, MCI, and Alzheimer's disease
Steven A Chance1, Linda Clover, Helena Cousijn
1Department of Clinical Neurosciences, University of Oxford, Oxford OX3 9DU, UK. steven.chance@clneuro.ox.ac.uk
Abstract:
Few microanatomical measures have been reliably correlated with cognitive measures in aging and Alzheimer's disease (AD), particularly in the early stages of degeneration, such as mild cognitive impairment (MCI). However, cortical minicolumn organization has been shown to correlate with cognitive ability in aging monkeys, and the present study extends this finding to humans. We have previously reported that minicolumn spacing of cells in human association cortex is selectively reduced in normal aging (minicolumn thinning). The present study found that such measures detected early disease changes in MCI as well as further minicolumn thinning and disruption in AD. Plaques, tangles, and minicolumns were quantified, postmortem, for 20 controls, 10 MCI, and 20 AD subjects. Minicolumn changes were correlated with premortem cognitive scores (mini-mental state examination and verbal fluency). Two regions were studied from each brain: association cortex in the planum temporale (BA22) and primary auditory cortex (BA41). The relationship between minicolumns and cognitive function was strongest in association cortex, whereas in primary auditory cortex, it appeared to be an epiphenomenon of overall brain atrophy. Microanatomical changes reflecting selective regional vulnerability to AD pathology and differential involvement in the cognitive deficit of AD are therefore detectable in the early stage of MCI.
Insights
Brain cell minicolumn spacing changes are early indicators of cognitive decline in mild cognitive impairment (MCI) and Alzheimer's disease (AD). These microanatomical alterations correlate with cognitive function, particularly in association cortex.
Area of Science:
- Neuroscience
- Neuropathology
- Cognitive Aging
Background:
- Few microanatomical measures reliably correlate with cognitive function in aging and Alzheimer's disease (AD), especially in early stages like mild cognitive impairment (MCI).
- Cortical minicolumn organization has shown potential links to cognitive ability in non-human primates.
Purpose of the Study:
- To investigate the correlation between cortical minicolumn organization and cognitive function in humans across aging, MCI, and AD.
- To determine if microanatomical changes in minicolumns are detectable in early stages of neurodegeneration.
Main Methods:
- Postmortem quantification of plaques, tangles, and minicolumns in association cortex (BA22) and primary auditory cortex (BA41) from control, MCI, and AD subjects.
- Correlation analysis of minicolumn measures with premortem cognitive scores (mini-mental state examination, verbal fluency).
Main Results:
- Selective reduction in minicolumn spacing (thinning) observed in normal aging, further pronounced in MCI and AD.
- Minicolumn changes, particularly thinning and disruption, correlated significantly with cognitive decline.
- The strongest relationship between minicolumns and cognition was found in association cortex, suggesting regional specificity.
Conclusions:
- Microanatomical changes in cortical minicolumns are detectable in early stages of cognitive impairment (MCI).
- Minicolumn alterations reflect regional vulnerability and differential involvement in AD-related cognitive deficits.
- These findings highlight minicolumn organization as a potential biomarker for early AD detection and progression.
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