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Basic Science and Pathogenesis
Sam E Gandy1,2, Emilie L Castranio1, Merina Varghese1
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 23, 2025
Summary
Alzheimer's disease research shows non-fibrillar amyloid-beta oligomers (oAβ) accumulation in Dutch mice impairs learning and synaptic function. This suggests oAβ, not fibrils, drives cognitive decline, offering new diagnostic targets.
Area of Science:
- Neuroscience
- Molecular Biology
- Genetics
Background:
- Alzheimer's disease (AD) studies indicate cognitive decline does not correlate with fibrillar amyloid-beta (Aβ) burden.
- This highlights the need to investigate other Aβ species in AD pathogenesis.
Purpose of the Study:
- To investigate the role of non-fibrillar amyloid-beta oligomers (oAβ) in cognitive decline and synaptic dysfunction in a transgenic mouse model.
- To explore potential PET imaging tracers for oAβ detection.
Main Methods:
- Created a transgenic mouse model overexpressing Dutch mutant human amyloid precursor protein (hAPP).
- Utilized learning behavior tests, immunohistochemistry (ICC), transmission electron microscopy (TEM), electrophysiology, and single-cell RNA sequencing.
- Employed A11 and FITC-cyclic peptide (FITC-CP) microscopy for oAβ detection and a novel PET tracer, Lys(64Cu/NOTA)]-CP.
Main Results:
- Dutch mice exhibited oAβ accumulation and impaired learning behavior proportional to oAβ levels.
- Presynaptic function, including post-tetanic potentiation and synaptic fatigue, was abnormal in Dutch mice.
- oAβ deposits were concentrated around mitochondria and the endoplasmic reticulum (ER), with reduced mitochondrial complex I activity and fewer mitochondria observed.
Conclusions:
- Accumulation of Dutch oAβ is linked to aging-related deficits in learning, presynaptic function, and mitochondrial integrity.
- Brain PET imaging with Lys(64Cu/NOTA)]-CP shows potential for monitoring oAβ levels in vivo, aiding in diagnosis.
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