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Microglial cell activation in aging and Alzheimer disease: partial linkage with neurofibrillary tangle burden in the

P L DiPatre1, B B Gelman

  • 1Department of Pathology, University of Texas Medical Branch, Galveston 77550, USA.

Insights

Activated microglial cells (AMGs) in Alzheimer disease (AD) hippocampus showed limited correlation with pathology. While AMG burden correlated with neurofibrillary tangles (NFTs), it did not correlate with senile plaques (SPs).

Area of Science:

  • Neuroscience
  • Immunology
  • Neuropathology

Background:

  • Microglial cells are key immune cells in the brain, activated in Alzheimer disease (AD).
  • Understanding microglial activation patterns is crucial for AD research.

Purpose of the Study:

  • To quantify activated microglial cell (AMG) density in human hippocampus sectors.
  • To determine correlations between AMG density and senile plaque (SP) and neurofibrillary tangle (NFT) formation in AD.

Main Methods:

  • Ferritin-stained microglia, Bielschowsky-stained plaques, and NFT-containing perikarya were counted in 8 hippocampal sectors.
  • Subjects included young adults, non-demented elderly, and demented AD patients.

Main Results:

  • Microglial activation was higher in non-demented elderly and markedly increased in AD patients across all hippocampal sectors.
  • AMG density showed no significant correlation with SP counts in any sector.
  • AMG density was significantly correlated with NFT counts in the subiculum and overall (r = 0.34; p < 0.005).

Conclusions:

  • Correlations between microglial activation and AD pathology are infrequent and sector-dependent.
  • When significant, the association involves NFTs, not SPs, suggesting a specific relationship in certain brain regions.

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