Alzheimer's-linked axonal changes accompany elevated antidromic action potential failure rate in aged mice

Matthew L Russo1, Gelique Ayala1, Demetria Neal1

  • 1Department of Neurological Sciences, Rush University Medical Center, Chicago, IL 60612, USA.

Brain Research
|June 12, 2024
PubMed

Insights

Alzheimer's disease causes white matter (WM) damage in the hippocampus, affecting nerve signal transmission. This study reveals myelin breakdown and altered sodium channels in WM, contributing to cognitive decline in Alzheimer's disease (AD).

Area of Science:

  • Neuroscience
  • Neuropathology
  • Biomedical Imaging

Background:

  • Alzheimer's disease (AD) impacts both grey and white matter (WM), with significant grey matter (GM) changes well-documented.
  • White matter (WM) disruption, particularly hippocampal disconnections, is observed in AD, correlating with neurodegeneration and synapse loss.
  • High-resolution studies on WM alterations during AD pathogenesis are limited, despite the critical role of myelinated axons in brain communication.

Purpose of the Study:

  • To investigate hippocampal WM disruption during AD pathogenesis using a multi-scale approach.
  • To determine if hippocampal WM changes correlate with documented grey matter losses in Alzheimer's disease.
  • To elucidate the cellular drivers and functional consequences of WM disruption contributing to cognitive decline in AD.

Main Methods:

  • Multi-scale analysis of hippocampal white matter (WM) in human Alzheimer's disease (AD) cases and 5xFAD mouse models.
  • Ultrastructural examination of myelin integrity within the alveus.
  • Assessment of action potential propagation and sodium channel expression at the node of Ranvier.

Main Results:

  • Elevated ultrastructural myelin disruption was observed in the alveus of human AD cases.
  • Myelin deterioration in the hippocampus increased with age in 5xFAD mice.
  • Impaired action potential propagation and altered sodium channel expression at the node of Ranvier were associated with myelin damage.

Conclusions:

  • Ultrastructural myelin damage in the hippocampus is a significant feature of Alzheimer's disease (AD) pathogenesis.
  • These WM changes, including impaired nerve impulse conduction, contribute to the neurobiological basis of cognitive decline in AD.
  • Hippocampal WM integrity is crucial, and its disruption, alongside GM loss, likely drives cognitive impairment in Alzheimer's disease.