bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: Sept. 28, 2022
Abstract
The
noradrenergic
locus
coeruleus
(LC)
is
among
the
earliest
sites
of
tau
and
alpha-synuclein
pathology
in
Alzheimer’s
disease
(AD)
Parkinson’s
(PD),
respectively.
onset
these
pathologies
coincides
with
loss
fibers
LC
target
regions
emergence
prodromal
symptoms
including
sleep
disturbances
anxiety.
Paradoxically,
are
indicative
a
hyperactivity
phenotype,
rather
than
predicted
norepinephrine
(NE)
transmission
following
damage,
suggesting
engagement
complex
compensatory
mechanisms.
Because
current
therapeutic
efforts
targeting
early
disease,
interest
has
grown,
it
critical
to
identify
links
between
dysfunction.
We
employed
LC-specific
neurotoxin
DSP-4,
which
preferentially
damages
axons,
model
changes
LC-NE
system
pertinent
AD
PD
male
female
mice.
DSP-4
(2
doses
50
mg/kg,
1
week
apart)
induced
axon
degeneration,
triggered
neuroinflammation
oxidative
stress,
reduced
tissue
NE
levels.
There
was
no
cell
death
or
firing,
but
transcriptomics
revealed
expression
genes
that
define
identity
other
relevant
neurodegenerative
disease.
Despite
dramatic
fibers,
turnover
signaling
were
elevated
terminal
associated
anxiogenic
phenotypes
multiple
behavioral
tests.
These
results
represent
comprehensive
analysis
how
responds
axon/terminal
damage
reminiscent
at
molecular,
cellular,
systems,
levels,
provides
potential
mechanisms
underlying
neuropsychiatric
symptoms.
Alzheimer s Research & Therapy,
Journal Year:
2024,
Volume and Issue:
16(1)
Published: May 31, 2024
Autopsy
work
reported
that
neuronal
density
in
the
locus
coeruleus
(LC)
provides
neural
reserve
against
cognitive
decline
dementia.
Recent
neuroimaging
and
pharmacological
studies
left
frontoparietal
network
functional
connectivity
(LFPN-FC)
confers
resilience
beta-amyloid
(Aβ)-related
preclinical
sporadic
autosomal
dominant
Alzheimer's
disease
(AD),
as
well
LC-related
changes.
Given
LFPN
LC
play
important
roles
attention,
attention
deficits
have
been
observed
early
process,
we
examined
whether
LFPN-FC
structural
health
attenuate
attentional
context
of
AD
pathology.
142
participants
from
Harvard
Aging
Brain
Study
who
underwent
resting-state
MRI,
imaging,
PiB(Aβ)-PET,
up
to
5
years
follow-ups
were
included
(mean
age
=
74.5
±
9.9
years,
89
women).
Cross-sectional
robust
linear
regression
associated
integrity
(measured
average
five
continuous
voxels
with
highest
intensities
images)
or
Digit
Symbol
Substitution
Test
(DSST)
performance
at
baseline.
Longitudinal
mixed
effect
analyses
associations
between
DSST
(i)
two-way
interactions
baseline
(or
LFPN-FC)
PiB
(ii)
three-way
interaction
integrity,
LFPN-FC,
PiB.
Baseline
age,
sex,
education
covariates.
At
baseline,
lower
but
not
was
related
worse
performance.
Longitudinally,
a
faster
decline,
especially
>
10.38
CL.
Lower
steeper
on
independent
elevated
levels
(>
46
CL),
higher
an
attenuated
DSST,
despite
presence
integrity.
Our
findings
demonstrate
can
provide
Aβ-related
decline.
However,
when
Aβ
accumulates
LC's
resources
may
be
depleted,
functioning
cortical
target
regions
LC,
such
additional
sustain
AD.
These
results
critical
insights
into
correlates
contributing
individual
variability
risk
versus
Frontiers in Neuroscience,
Journal Year:
2023,
Volume and Issue:
17
Published: July 7, 2023
Propagation
of
tau
fibrils
correlate
closely
with
neurodegeneration
and
memory
deficits
seen
during
the
progression
Alzheimer’s
disease
(AD).
Although
it
is
not
well-established
what
drives
or
attenuates
spreading,
new
studies
on
human
brain
using
positron
emission
tomography
(PET)
have
shed
light
how
phosphorylation,
genetic
factors,
initial
epicenter
accumulation
influence
propagation
throughout
brain.
Here,
we
review
latest
PET
performed
across
entire
AD
continuum
looking
at
impact
amyloid
load
pathology.
We
also
explore
effects
structural,
functional,
proximity
connectivity
spreading
in
a
stereotypical
manner
patients.
Since
can
be
quite
heterogenous
between
individuals,
then
consider
speed
pattern
are
influenced
by
starting
localization
connected
regions.
provide
an
overview
some
variants
that
were
shown
to
accelerate
slow
down
spreading.
Finally,
discuss
phosphorylation
certain
epitopes
affect
fibrils.
pathology
early
event
pathogenesis
one
best
predictors
impairments,
understanding
process
which
spread
from
region
another
could
pave
way
novel
therapeutic
avenues
efficient
stages
disease,
before
induces
permanent
damage
severe
loss.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(6), P. 3159 - 3159
Published: March 9, 2024
The
present
investigation
was
designed
based
on
the
evidence
that,
in
neurodegenerative
disorders,
such
as
Alzheimer’s
dementia
(AD)
and
Parkinson’s
disease
(PD),
damage
to
locus
coeruleus
(LC)
arising
norepinephrine
(NE)
axons
(LC-NE)
is
documented
hypothesized
foster
onset
progression
of
neurodegeneration
within
target
regions.
Specifically,
experiments
were
assess
whether
selective
LC-NE
may
alter
key
proteins
involved
specific
limbic
regions,
hippocampus
piriform
cortex,
compared
with
dorsal
striatum.
To
achieve
this,
a
loss
induced
by
neurotoxin
N-(2-chloroethyl)-N-ethyl-2-bromobenzylamine
(DSP4)
C57
Black
mice,
assessed
NE
dopamine-beta-hydroxylase
In
these
experimental
conditions,
amount
alpha-synuclein
(alpha-syn)
protein
levels
increased
along
alpha-syn
expressing
neurons
cortex.
Similar
findings
obtained
concerning
phospho-Tau
immunoblotting.
contrast,
decrease
inducible
HSP70-expressing
sequestosome
(p62)-expressing
cells,
at
immunoblotting,
reported.
data
provide
further
understand
why
AD
engagement
during
PD.
Acta Neuropathologica,
Journal Year:
2024,
Volume and Issue:
147(1)
Published: June 1, 2024
Abstract
Widespread
cortical
accumulation
of
misfolded
pathological
tau
proteins
(ptau)
in
the
form
paired
helical
filaments
is
a
major
hallmark
Alzheimer’s
disease.
Subcellular
localization
ptau
at
various
stages
disease
progression
likely
to
be
informative
cellular
mechanisms
involving
its
spread.
Here,
we
found
that
density
within
several
distinct
rostral
thalamic
nuclei
post-mortem
human
tissue
(
n
=
25
cases)
increased
with
stage,
anterodorsal
nucleus
(ADn)
consistently
being
most
affected.
In
ADn,
ptau-positive
elements
were
present
already
pre-cortical
(Braak
0)
stage.
Tau
pathology
preferentially
affected
calretinin-expressing
subpopulation
glutamatergic
neurons
ADn.
At
subcellular
level,
detected
immunoreactivity
ADn
cell
bodies,
dendrites,
and
specialized
type
presynaptic
terminal
expresses
vesicular
glutamate
transporter
2
(vGLUT2)
originates
from
mammillary
body.
The
ptau-containing
terminals
displayed
signs
degeneration,
including
endosomal/lysosomal
organelles.
contrast,
corticothalamic
axon
lacked
ptau.
data
demonstrate
involvement
specific
population
onset
presence
subcortical
supports
hypotheses
about
transsynaptic
spread
selectively
affecting
axonal
pathways.
Alzheimer s & Dementia,
Journal Year:
2025,
Volume and Issue:
21(4)
Published: April 1, 2025
Abstract
INTRODUCTION
Whether
Alzheimer's
disease
pathology
involves
white
matter
pathways
connecting
the
locus
coeruleus
(LC)
to
entorhinal
cortex
(EC)
is
unclear.
In
this
cross‐sectional
observational
study,
we
investigated
microstructural
integrity
of
LC–EC
pathway
in
relation
amyloid,
tau,
and
neurodegeneration
(ATN)
biomarkers
along
cognitive
spectrum
from
normal
cognition
dementia.
METHODS
One
hundred
twenty‐four
participants
underwent
clinical
assessment,
diffusion‐weighted
imaging,
structural
magnetic
resonance
imaging
(N),
amyloid
(A),
tau
(T)
positron
emission
tomography.
Diffusivity
indices
were
assessed
tract
using
a
probabilistic
atlas,
linear
models
used
assess
associations
with
ATN
markers
cognition.
RESULTS
Differences
parameters
observed
Braak
stage
>
I
versus
0
(
p
<
0.020),
N+
N−
0.001),
cognitively
impaired
unimpaired
0.019).
mean
diffusivity
was
associated
Mini‐Mental
State
Examination
score
even
after
accounting
for
=
0.015).
DISCUSSION
Our
results
suggest
that
provides
complementary
information
over
explaining
impairment.
Highlights
Locus
coeruleus–entorhinal
(LC–EC)
microstructure
especially
markers.
more
sensitive
than
tracts
commonly
affected
disease.
measures
provide
biomarkers.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: March 10, 2023
Abstract
The
locus
coeruleus
(LC),
the
major
source
of
norepinephrine
(NE)
in
brain,
is
an
early
site
pathology
both
Alzheimer’s
disease
(AD)
and
Parkinson’s
(PD),
it
undergoes
catastrophic
degeneration
later
disorders.
Dysregulation
LC
thought
to
contribute
prodromal
symptoms
AD
PD
such
as
anxiety
sleep
disturbances,
while
frank
LC-NE
loss
promotes
cognitive
decline.
However,
mechanisms
responsible
for
its
selective
vulnerability
are
unknown.
among
only
structures
brain
that
produces
appreciable
amounts
neuromelanin
(NM),
a
dark
cytoplasmic
pigment.
It
has
been
proposed
NM
initially
plays
protective
role
by
sequestering
toxic
catecholamine
metabolites
heavy
metals,
but
may
become
harmful
during
aging
overwhelms
cellular
machinery
released
neurodegeneration.
Rodents
do
not
naturally
produce
NM,
limiting
study
causal
relationships
between
pathology.
Adapting
viral-mediated
approach
expression
human
tyrosinase,
enzyme
peripheral
melanin
production,
we
successfully
promoted
pigmentation
mouse
neurons
recapitulates
key
ultrastructural
features
endogenous
found
primates.
Pigment
results
neuron
hyperactivity,
reduced
tissue
NE
levels,
transcriptional
changes,
novelty-induced
phenotypes
1-week
post-injection.
By
6-10
weeks,
accumulation
associated
with
severe
neurodegeneration
microglial
engulfment
pigment
granules,
anxiety-like
behavior
abated.
These
reminiscent
dysfunction
cell
death
PD,
validating
this
model
studying
consequences
relates
neurodegenerative
disease.
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(6), P. 3958 - 3971
Published: April 27, 2024
Animal
research
has
shown
that
tau
pathology
in
the
locus
coeruleus
(LC)
is
associated
with
reduced
norepinephrine
signaling,
lower
projection
density
to
medial
temporal
lobe
(MTL),
atrophy,
and
cognitive
impairment.
We
investigated
contribution
of
LC-MTL
functional
connectivity
(FC
Brain Communications,
Journal Year:
2023,
Volume and Issue:
5(3)
Published: Jan. 1, 2023
Abstract
Studies
of
post-mortem
human
tissue
provide
insight
into
pathological
processes,
but
are
inherently
limited
by
practical
considerations
that
limit
the
scale
at
which
can
be
examined,
and
obvious
issue
reflects
only
one
time
point
in
a
continuous
disease
process.
We
approached
this
problem
adapting
new
clearance
techniques
to
an
entire
cortical
area
brain,
allows
surveillance
hundreds
thousands
neurons
throughout
depth
thickness.
This
approach
detection
‘rare’
events
may
difficult
detect
standard
5
micrometre-thick
paraffin
sections.
For
example,
it
is
well
established
neurofibrillary
tangles
begin
within
neuron,
ultimately,
least
some
instances,
persist
brain
even
after
neuron
has
died.
These
referred
as
‘ghost
tangles’,
term
appropriately
implies
their
‘difficult
see’
ephemeral
qualities.
set
out
find
ghost
example
power
clearance/image
analysis
rare
events,
learn
what
happens
end-point
tangle’s
life
history.
were
able
identify
8103
tau
tangles,
132
465
299
640
nuclei
samples
from
three
subjects
with
severe
Alzheimer’s
(Braak
V–VI)
4
200
447
462
715
no
significant
pathology
0–I).
Among
these
data,
we
located
57
makes
them
0.7%
total
observed.
found
more
likely
layers
3
(49/57),
select
few
scattered
across
other
1,
2,
6.
ability
such
large
enough
quantities
statistically
test
distribution
exemplifies
how
clearing
used
powerful
tool
for
studying
selective
vulnerability
or
resilience
regions.
Spanish Journal of Psychiatry and Mental Health,
Journal Year:
2024,
Volume and Issue:
unknown
Published: March 1, 2024
Introduction:
We
compared
effective
connectivity
from
the
locus
coeruleus
(LC)
during
resting-state
in
patients
with
late-life
Major
Depressive
Disorder
(MDD),
individuals
amnestic
Mild
Cognitive
Impairment
(aMCI),
and
Healthy
Controls
(HCs).
Participants:
23
MDD,
22
aMCI,
28
HCs.
Material
methods:
Participants
were
assessed
two
time-points,
2
years
apart.
They
underwent
a
functional
magnetic
resonance
imaging
high-resolution
anatomical
acquisition,
as
well
clinical
assessments.
Functional
data
analyzed
dynamic
causal
modeling,
parametric
empirical
Bayes
model
was
used
to
map
between
7
distinct
nodes:
4
3
regions
displaying
gray
matter
decreases
two-year
follow-up
period.
Results:
Longitudinal
analysis
of
structural
identified
three
clusters
larger
over-time
volume
reduction
(MDD
+
aMCI
vs.
HCs):
right
precuneus,
visual
association
parahippocampal
cortices.
showed
decreased
left
rostral
caudal
portions
LC,
while
LC
cortex
increased.
In
there
decline
across
seeds,
increased
seed
over
time.
Connectivity
alterations
cortical
involved
cross-hemisphere
increases
same-hemisphere
decreases.
Conclusions:
Our
discoveries
provide
insight
into
changes
MDD
also
shedding
light
on
mechanisms
potentially
contributing
onset
neurodegenerative
disorders.