Filling in the gap: Hippocampal CA1 neuronal counts and volumes in female cognitive controls

Erin-Marie C Smith1, Anne M Alexander1, Kaitlyn H Watt1

  • 1Athinoula A. Martinos Center for Biomedical Imaging, Radiology, Massachusetts General Hospital, 149 13(th) St, Boston, MA 02129, USA.

Neurobiology of Disease
|October 28, 2025
PubMed

Insights

This study provides baseline data on CA1 neuron counts in male and female brains, finding no significant sex differences. This suggests CA1 neuron count does not explain why females are more vulnerable to Alzheimer's disease.

Area of Science:

  • Neuroscience
  • Stereology
  • Human Brain Anatomy

Background:

  • The CA1 subfield of the human hippocampus is vulnerable to hypoxia.
  • Previous studies on CA1 neuron counts and size have predominantly used male samples, underrepresenting females.
  • Baseline data for female CA1 neuron counts and size are lacking.

Purpose of the Study:

  • To provide comprehensive baseline data on CA1 total neuron count and mean neuron volume in both male and female human brains.
  • To investigate potential associations between CA1 neuron characteristics and factors such as age, sex, hemisphere, and p-tau pathology.
  • To address the underrepresentation of female samples in previous stereological studies of the hippocampus.

Main Methods:

  • Utilized optimal stereology methods, including the optical fractionator and nucleator probes, for neuron counting and volume estimation.
  • Analyzed 22 human brain hemispheres (11 female, 11 male) from both hemispheres.
  • Measured hippocampal volume using 1 mm isotropic ex vivo MRI in a subset of 20 samples.

Main Results:

  • The average CA1 total neuron count was 5.01 × 10^6 ± 1.77 × 10^6 neurons.
  • The average CA1 neuron volume was 4461.9 ± 767.1 μm^3.
  • A positive correlation was observed between total neuron count and hippocampal volume, consistent with prior research.
  • No significant associations were found between age, sex, hemisphere, or mild p-tau pathology and CA1 neuron count or volume.

Conclusions:

  • Cognitively intact males and females exhibit similar CA1 total neuron counts and mean neuron volumes.
  • CA1 total neuron count does not appear to be a significant factor in the increased vulnerability of females to Alzheimer's disease.
  • This study establishes crucial baseline data for future research on hippocampal neuroanatomy and neurological disorders.