The search for true numbers of neurons and glial cells in the human brain: A review of 150 years of cell counting
Open accessAbstract
For half a century, the human brain was believed to contain about 100 billion neurons and one trillion glial cells, with a glia:neuron ratio of 10:1. A new counting method, the isotropic fractionator, has challenged the notion that glia outnumber neurons and revived a question that was widely thought to have been resolved. The recently validated isotropic fractionator demonstrates a glia:neuron ratio of less than 1:1 and a total number of less than 100 billion glial cells in the human brain. A survey of original evidence shows that histological data always supported a 1:1 ratio of glia to neurons in the entire human brain, and a range of 40–130 billion glial cells. We review how the claim of one trillion glial cells originated, was perpetuated, and eventually refuted. We compile how numbers of neurons and glial cells in the adult human brain were reported and we examine the reasons for an erroneous consensus about the relative abundance of glial cells in human brains that persisted for half a century. Our review includes a brief history of cell counting in human brains, types of counting methods that were and are employed, ranges of previous estimates, and the current status of knowledge about the number of cells. We also discuss implications and consequences of the new insights into true numbers of glial cells in the human brain, and the promise and potential impact of the newly validated isotropic fractionator for reliable quantification of glia and neurons in neurological and psychiatric diseases. J. Comp. Neurol. 524:3865–3895, 2016. © 2016 Wiley Periodicals, Inc.
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Written from the paper’s full text.
TL;DR
This review argues that the human brain does not contain one trillion glial cells or a 10:1 glia:neuron ratio; instead, histological evidence supports about a 1:1 ratio and 40–130 billion glial cells, with the isotropic fractionator finding fewer than 100 billion glial cells and a ratio below 1:1. It traces how the 10:1 claim originated, persisted in textbooks without primary references, and was eventually refuted.
Key findings
- Historical histological data supported a 1:1 glia:neuron ratio in the entire human brain and a range of 40–130 billion glial cells; the isotropic fractionator reported a glia:neuron ratio of less than 1:1 and fewer than 100 billion glial cells.
- Neuron estimates converge on 67–86 billion neurons for the entire human brain by isotropic fractionator, with most cerebral cortex studies reporting 10–20 billion neurons and a plausible cerebellar range of 50–70 billion neurons.
- The glia:neuron ratio is about 1.5 in cerebral cortical grey matter, rises to about 3–4 when white matter is included, and is about 0.05 for the entire cerebellum; only five publications report a whole-brain ratio of 0.7:1–1:1.
- The 10:1 ratio and one-trillion-glia claim originated in the 1950s, were perpetuated in textbooks and reviews without valid primary references, and were contradicted by primary data that had existed for decades.
Methods
- Review and historical analysis of published cell counts from 1868/1872 through 2015, compiling reports of neuron numbers, glial numbers, and glia:neuron ratios in the human brain and its major parts.
- Compares three counting approaches: histology/stereology, DNA extraction, and direct enumeration/isotropic fractionator, including validation studies that compared the isotropic fractionator with stereology and DNA extraction.
- No new primary cell counts are reported; the paper surveys original evidence and textbook/review claims to examine the origin, perpetuation, and refutation of the one-trillion-glia claim.
Limitations
- Stated: the review is restricted primarily to literature on cell counts in adult human brains; the isotropic fractionator cannot distinguish glial subtypes or separate glia from endothelial cells, so its non-neuronal:neuron ratio is an upper limit for the glia:neuron ratio; NeuN is not expressed by a small number of neuronal populations; and only macroscopically dissectable regions can be analyzed.
- Stated: histology/stereology faces challenges with representative sampling, double counting, differential shrinkage, distinguishing small neurons from glia, and the “reference trap”; DNA extraction requires complete recovery, assumes euploidy, and can be affected by fixation and lipid-rich tissue.
- Evident: as a review, it generates no new experimental data, and its historical tables depend on published studies with inconsistent methods and incomplete primary details; the authors also note that discrepancies between studies are difficult to resolve without full access to primary data and independent re-examination.
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Claims the paper makes
0 of 138 cited sources checked · 0 supported · 0 flagged
- Findingown data
A survey of original evidence shows a range of 40-130 billion glial cells in the human brain.
“and a range of 40–130 billion glial cells”
Quote in the paperSubstantial claim - Findingcitation
Recent studies have shown that the cellular composition of the human brain is very different than was believed and taught for almost half a century.
“Recent studies have shown that the cellular composition of the human brain is very different than was believed and taught for almost half a century”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Azevedo et al., 2009
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- cites Hilgetag and Barbas, 2009
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- cites Lent et al., 2012
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- Findingcitation
The second phase witnessed the first publications of serious estimates of total numbers of neurons, in the range of 70-85 billion.
“and neurons (70–85 billion: compiled by Haug, 1986, also reviewed in Williams and Herrup, 1988)”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Haug, 1986
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- cites Williams and Herrup, 1988
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- Findingreasoning
The cell density-based estimates of the second phase supported a total glia:neuron ratio of about 1:1.
“Even though these cell density-based estimates supported a total GNR of about 1:1”
Quote in the paperSubstantial claim - Findingcitation
The second phase witnessed the first publications of serious estimates of total numbers of glial cells, in the range of 40-130 billion.
“A second phase witnessed the first publications of serious estimates of total numbers, for both glial cells (40–130 billion: compiled by Blinkov and Glezer, 1968, and Haug, 1986)”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Blinkov and Glezer, 1968
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- cites Haug, 1986
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- Findingnone given
A survey of original evidence shows that histological data always supported a 1:1 ratio of glia to neurons in the entire human brain.
“A survey of original evidence shows that histological data always supported a 1:1 ratio of glia to neurons in the entire human brain”
Quote in the paperNot a substantial claim - Findingcitation
The third and most recent phase of brain cell counting began with the study by Azevedo et al. (2009).
“The third and most recent phase began with the study by Azevedo et al. (2009)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Azevedo et al., 2009
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- Findingnone given
Major textbooks consistently presented the notion of one trillion glial cells as a well-established fact.
“Major textbooks consistently presented the notion as a well-established fact”
Quote in the paperNot a substantial claim - Findingcitation
Inconsistencies in reports of neuron content in the human brain were first documented for psychology textbooks and reviews in the 1980s.
“Inconsistencies in reports of neuron content in the human brain were first documented for psychology textbooks and reviews in the 1980s (Soper and Rosenthal, 1988).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Soper and Rosenthal, 1988
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- Findingreasoning
Most textbooks neglected the few published primary data that conflicted with the 10:1 glia:neuron ratio.
“while neglecting the few, but existing published primary data that conflicted with this notion”
Quote in the paperSubstantial claim - Findingcitation
There was a disconnect between published reports on actual counts of cells in the human brain and how such numbers were reported in review articles and textbooks.
“There was a disconnect between published reports on actual counts of cells in the human brain, and how such numbers were reported in review articles and text books.”
Quote in the paperSubstantial claim - Findingreasoning
Statements of a 10:1 or 50:1 glia:neuron ratio in major textbooks and reviews remained essentially unchallenged from the 1960s until 2009.
“thus allowing statements of a 10:1 or 50:1 GNR in major textbooks and reviews to remain essentially unchallenged from the 1960s until 2009”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Kandel et al., 1991, 2000
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- cites Nicholls et al., 1992
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- cites Bear et al., 2001, 2007
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- Findingcitation
Azevedo et al. (2009) revealed the discrepancy with textbook knowledge.
“that revealed the discrepancy with “textbook knowledge””
Quote in the paperSubstantial claim0 of 1 sources checked- cites Azevedo et al., 2009
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- Findingreasoning
In the second phase, most textbooks reiterated the view of a 10:1 abundance of glia.
“In this phase, most textbooks reiterated the view of a 10:1 abundance of glia”
Quote in the paperSubstantial claim - Findingcitation
Azevedo et al. (2009) essentially confirmed the numbers published by Blinkov and Glezer (1968) and Haug (1986).
“and essentially confirmed the numbers published by Blinkov and Glezer (1968) and Haug (1986).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Azevedo et al., 2009
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- cites Blinkov and Glezer, 1968
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- cites Haug, 1986
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- Findingcitation
Comparison with histological counts suggested that numbers obtained with the direct enumeration method were too low by at least one third.
“Comparison with histological counts suggested that numbers obtained with the “direct enumeration” method were too low, by at least one third”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Clarke and Oppenheim, 1995
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- Findingcitation
Comparisons with histological cell counts on rat, monkey and human brains revealed discrepancies with the original direct enumeration method.
“Comparisons with histological cell counts on rat, monkey and human brains revealed discrepancies”
Quote in the paperNot a substantial claim - Findingnone given
The histology/stereology approach is the most often used approach for estimating cell numbers in the human brain.
“This is the most often used approach”
Quote in the paperNot a substantial claim - Findingcitation
DNA extraction was used primarily to determine changes or trends and to make relative comparisons rather than to obtain absolute numbers.
“primarily to determine changes or trends, by applying the known amount of DNA per cell nucleus in a given species and to make relative comparisons rather than to obtain absolute numbers”
Quote in the paperNot a substantial claim - Findingreasoning
A limitation of the isotropic fractionator is that the use of antibodies against nuclear proteins does not identify cell types among the non-neuronal cells.
“the use of antibodies against nuclear proteins (to distinguish neurons from non-neuronal cells) does not identify cell types among the non-neuronal cells”
Quote in the paperNot a substantial claim - Findingcitation
The number of neurons in white matter is estimated to be 250-1,000 per mm3.
“The number of neurons in white matter is relatively small – estimated to be 250–1,000 per mm3”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Garcia-Marin et al., 2010
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- Findingreasoning
The isotropic fractionator modifications solved some of the major limitations of previous versions of the direct enumeration approach.
“This solved some of the major limitations of previous versions of this approach.”
Quote in the paperNot a substantial claim - Findingreasoning
Overall, most of the data on cell counts in the human brain are relatively consistent.
“Overall, and considering that results were obtained by different investigators using different methods, most of the data are relatively consistent.”
Quote in the paperNot a substantial claim - Findingcitation
Some investigators were ambiguous in whether their estimates were applicable to one or both hemispheres.
“some investigators (e.g., Meynert, 1868/1872; Shariff, 1953) were ambiguous in whether their estimates were applicable to one or both hemispheres”
Quote in the paperNot a substantial claim - Findingcitation
The number of neurons in white matter is less than 1% of the number of glial cells.
“which is less than 1% of the number of glial cells”
Quote in the paperNot a substantial claim - Findingnone given
White matter contains 20,000-200,000 glial cells per mm3.
“with 20,000–200,000 glial cells per mm3 white matter”
Quote in the paperNot a substantial claim - Findingnone given
The majority of studies estimated total neuron numbers for the entire human cerebral cortex at 10-20 billion.
“the majority of studies estimated total neuron numbers for the entire human cerebral cortex at 10–20 billion”
Quote in the paperNot a substantial claim - Findingcitation
The cerebellum contains about 80% of all neurons in the human brain.
“the cerebellum (which contains about 80% of all neurons in the human brain; Azevedo et al. (2009))”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Azevedo et al., 2009
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- Findingreasoning
Quantitative data for the cortex was often equated with or taken to be equivalent to the whole brain.
“quantitative data for the cortex was often equated with or taken to be equivalent to the whole brain”
Quote in the paperSubstantial claim - Findingcitation
The isotropic fractionator can analyze only regions and volumes of tissues that can be dissected macroscopically.
“only regions and volumes of tissues that can be dissected macroscopically can be analyzed”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Lent et al., 2012
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- Findingnone given
von Economo's studies were the first to correctly estimate the total number of neurons at about 14 billion.
“von Economo’s studies (von Economo and Koskinas, 1925; von Economo, 1926) were the first to correctly estimate the total number of neurons at about 14 billion.”
Quote in the paperNot a substantial claim - Findingcitation
There has been similar confusion whether numerical reports apply to one or both sides in the 1990s.
“There has been similar confusion whether numerical reports apply to one or both sides in the 1990s”
Quote in the paperNot a substantial claim - Findingcitation
Lack of cortical neuron loss in Alzheimer's disease is an example of discrepancies in cell counting results.
“Examples of discrepancies of results include lack of cortical neuron loss in Alzheimer’s disease”
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- cites Mufson and Benzing, 1994
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- cites Peters et al., 1998
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- Findingcitation
Numbers of neurons in the cerebellum were apparently over-estimated by about 50%.
“numbers of neurons in the cerebellum – apparently over-estimated by about 50%”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Andersen et al., 1992
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- Findingcitation
von Economo and Koskinas were vindicated in history.
“Ultimately, this was one of several controversies where von Economo and Koskinas were vindicated in history”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Triarhou, 2005, 2006
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- Findingown data
Three apparent outliers on the low end by Meynert, Donaldson, and H. Pakkenberg had estimates between 1.2 and 2.6 billion neurons.
“Table 1 also shows three apparent outliers on the low end by Meynert (the very first report in 1868/1872), Donaldson (1895), and H. Pakkenberg (1966), with estimates between 1.2 and 2.6 billion neurons.”
Quote in the paperNot a substantial claim - Findingcitation
This variance represents a variance of more than eight times the variance of human body height.
“this represents a variance of more than eight times the variance of human body height”
Quote in the paperNot a substantial claim - Findingnone given
There was an initial underestimation of the number of neurons in the dorsomedial thalamic nucleus (1.8-7.29 x10^6 neurons).
“the initial underestimation of the number of neurons in the dorsomedial thalamic nucleus (1.8–7.29 x106 neurons”
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Several studies have documented a surprisingly wide range of neurons in human cerebral cortex between individuals.
“Several studies have documented the surprisingly wide range of neurons in human cerebral cortex between individuals”
Quote in the paperNot a substantial claim - Findingcitation
Estimates obtained by the isotropic fractionator support the convergence at 10-20 billion neurons.
“which is furthermore supported by estimates obtained by the IF”
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- cites Andrade-Moraes et al., 2013
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- Findingcitation
There appears to be a normal biological variation in the number of neocortical neurons by a factor of more than 2.
“There appears to be a normal biological variation in the number of neocortical neurons by a factor of more than 2”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Haug, 1987
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- cites Pakkenberg and Gundersen, 1997
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- Findingcitation
The large majority of histology-derived estimates converge at 10-20 billion neurons.
“it is remarkable that the large majority of the histology-derived estimates converge at 10–20 billion neurons”
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Recent work indicates that very old women have no reduction in cortical neuron numbers.
“recent work indicates that very old women have no reduction in cortical neuron numbers”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Fabricius et al., 2013
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- cites Walloe et al., 2014
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- Findingreasoning
This reduces the non-neuronal to neuron ratio from 1.48 to a true glia:neuron ratio of 1.04 in Azevedo et al. (2009).
“reducing the non-neuronal to neuron ratio (nNNR) from 1.48 to a true GNR of 1.04 in Azevedo et al. (2009)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Azevedo et al., 2009
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- Findingcitation
The glia:neuron ratio in the human cerebral cortex was first established in the 1930s.
“The GNR in the human cerebral cortex (grey matter, unless indicated otherwise) was first established in the 1930s”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Mühlmann, 1936
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- cites Arutyunova, 1938
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- Findingreasoning
The median of the 15-30 billion glial cell range is close to the average of 17.4-19.4 billion non-neuronal cells in the human cortical grey matter estimated with the isotropic fractionator.
“The median of this range is close to the average of 17.4–19.4 billion non-neuronal cells in the human cortical grey matter estimated with the isotropic fractionator (IF”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Azevedo et al., 2009
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- cites Andrade-Moraes et al., 2013
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- Findingcitation
The glia:neuron ratio of 1.5 in the grey matter of adult human cortex was confirmed by numerous subsequent investigations.
“The GNR of 1.5 in the grey matter of adult human cortex was confirmed by numerous subsequent investigations as listed in Table 2.”
Quote in the paperNot a substantial claim - Findingcitation
Mühlmann measured densities of glia and neurons in Giemsa-stained samples from the frontal lobe.
“Mühlmann measured densities of glia and neurons in Giemsa-stained samples from the frontal lobe”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mühlmann, 1936
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- Findingcitation
Mühlmann estimated the glia:neuron ratio to be ~1.5 in the adult human cortex.
“he estimated the GNR to be ~ 1.5 in the adult human cortex”
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- cites Arutyunova, 1938
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- Findingown data
Nearly all authors surveyed endorse a 5:1-50:1 abundance of glia over neurons, with very few exceptions.
“As can be seen in Table 6, nearly all authors surveyed endorse a 5:1 – 50:1 abundance of glia over neurons, with very few exceptions.”
Quote in the paperSubstantial claim - Findingcitation
Errors in neuron number, glia number and GNR were contained in the most prestigious textbook of its generation.
“Remarkably, such errors, in neuron number, glia number and GNR, were contained in the most prestigious textbook of its generation (Darlington, 2009).”
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Only five publications report a much lower GNR of 0.7:1-1:1 for the whole brain.
“Only five publications report a much lower GNR of 0.7:1 – 1:1 for the whole brain (Haug, 1986; Azevedo et al. (2009); Andrade-Moraes et al., 2013; Streit, 2013; Verkhratsky and Butt, 2013).”
Quote in the paperNot a substantial claim - Findingreasoning
Several authors implicitly postulate 1-50 trillion glial cells in human brains by providing GNR and total neuron estimates.
“Several authors implicitly postulate a number of 1–50 trillion glial cells in human brains, because they provide the GNR as well as estimates of the total number of neurons (Kandel and Schwarz, 1981, 1985; Kandel et al., 1991, 2000; Bear et al., 2001; Hatton and Parpura, 2004).”
Quote in the paperNot a substantial claim - Findingreasoning
None of the textbooks or reviews listed in Table 6 provides a primary reference - or any valid reference - for the claim of a 10:1 GNR.
“None of the textbooks or reviews listed in Table 6 provides a primary reference – or any valid reference – for the claim of a 10:1 GNR.”
Quote in the paperSubstantial claim - Findingcitation
The notion of a 10:1 GNR dates back to the 1950s.
“The notion of a 10:1 GNR dates back to the 1950s, as can be seen in Table 6.”
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There seemed to be a general consensus in the late 1950s and early 1960s that glia far outnumbered neurons.
“It is obvious that there seemed to be a general consensus in the late 1950s and early 1960s that glia far outnumbered neurons, as also stated in a memorandum of the RAND corporation (Maron, 1963), as well as in the popular book first published in 1963 by Isaac Asimov, a science fiction writer and professor at Columbia University (Asimov, 1963) (Table 6).”
Quote in the paperNot a substantial claim - Findingown data
The earliest published accounts by brain and glia scientists - Glees (1958), Pope (1958) and Galambos (1961) - included qualifiers in their estimates of a 10-fold abundance of glia over neurons, or used vague terms.
“We found that the earliest published accounts by brain and glia scientists – Glees (1958), Pope (1958) and Galambos (1961) included qualifiers (such as “perhaps”) in their estimates of a 10-fold abundance of glia over neurons, or they used vague terms such as “glia cells … in higher animals are extremely numerous” (Bullock, 1967).”
Quote in the paperSubstantial claim - Findingcitation
Neuroscientists, with very few exceptions, copied the 10:1 GNR claim from review to review and from textbook to textbook for over half a century before it was exposed as one of the most persistent scientific myths of recent history.
“Neuroscientists then, with very few exceptions, copied it from review to review and from textbook to textbook for over half a century (Table 6), before it was exposed as one of the most persistent scientific myths of recent history (Firestein, 2012).”
Quote in the paperSubstantial claim - Findingcitation
Several BrainFacts articles, some as recent as 2012 and 2013, repeat the old, incorrect information as "brain facts."
“Several BrainFacts articles, some as recent as 2012 (http://www.brainfacts.org/Brain-Basics/Neuroanatomy/Articles/2012/The-Neuron) and 2013 (http://www.brainfacts.org/Brain-Basics/Cell-Communication/Articles/2013/Neuroglia-and-the-Brain) repeat the old, incorrect information as “brain facts.””
Quote in the paperNot a substantial claim - Findingreasoning
The possibility that a significant fraction of cell nuclei were not recovered or were damaged in the isotropic fractionator method was not addressed in the initial publication.
“Indeed, the possibility that a significant fraction of cell nuclei were not recovered or were damaged in the isotropic fractionator method was not addressed in the initial publication, despite concerns that the dissociation, isolation and purification methods might damage glial or neuronal cell nuclei preferentially.”
Quote in the paperNot a substantial claim - Findingcitation
As shown in Table 6, there now is gradual acceptance of the IF and its conclusions by many neuroscientists and also glia biologists.
“Nevertheless, as shown in Table 6, there now is gradual acceptance of the IF and its conclusions by many neuroscientists and also glia biologists (Brautigam et al., 2012; Devinsky et al., 2013; Streit, 2013; Verkhratsky and Butt, 2013).”
Quote in the paperNot a substantial claim - Interpretationreasoning
The main reason for the origin and persistence of the notion of one trillion glial cells was not the technical disadvantage of histological and other counting methods for global cell counts in heterogeneous tissue.
“the main reason for the origin and persistence of the notion of one trillion glial cells was not the technical disadvantage of the histological (and other) counting methods for global cell counts in heterogeneous tissue”
Quote in the paperSubstantial claim - Interpretationreasoning
Major textbooks consistently presenting the notion of one trillion glial cells as a well-established fact allowed circumvention of the normal mechanism of peer validation of new claims.
“thereby allowing circumvention of the normal mechanism of peer validation of new claims”
Quote in the paperSubstantial claim - Interpretationreasoning
The 10:1 glia:neuron ratio had prematurely and mistakenly attained the status of common knowledge.
“The 10:1 GNR had – prematurely and mistakenly – attained the status of “common knowledge.””
Quote in the paperSubstantial claim - Interpretationreasoning
The main reason for the origin and persistence of the notion of one trillion glial cells was the failure to notice that published numbers for neuron counts, glia counts, and the assumed glia:neuron ratio of 10:1 contradicted each other.
“but rather the failure to notice that published numbers for all three components: neuron counts, glia counts and the assumed GNR of 10:1 contradicted each other”
Quote in the paperSubstantial claim - Premisecitation
The histology/stereology approach has limitations when large tissues with heterogeneous composition or components and/or fuzzy borders need quantification.
“but has limitations when large tissues with heterogeneous composition or components and/or fuzzy borders need quantification”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Peters et al., 1998
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- cites Benes and Lange, 2001
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- cites Lent et al., 2012
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- Interpretationcitation
The importance of counting absolute numbers of cells rather than cell densities was underscored by the finding that tissues shrink differentially with age.
“The importance of counting absolute numbers of cells rather than cell densities was underscored by the finding that tissues shrink differentially with age”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Haug et al., 1984
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- Interpretationcitation
Neglect of the fact of differential shrinkage of brain tissue with age led to the false belief that neuron number declines steadily and significantly in human brains during normal aging.
“Neglect of the fact of differential shrinkage of brain tissue with age led to the false belief that neuron number declines steadily and significantly in human brains during normal aging”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Brody, 1955
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- cites Haug et al., 1984
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- cites Morrison and Hof, 1997
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- Premisenone given
The histology/stereology approach is considered a valuable method for analysis of well-defined regions with precise borders.
“The histology/stereology approach is considered a valuable method for analysis of well-defined regions with precise borders”
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The cerebral cortex comprises by volume about 80-85% of the adult human brain.
“the cerebral cortex comprises by volume about 80–85% of the adult human brain”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Stephan et al., 1981
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- cites Rilling and Insel, 1999
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- Interpretationreasoning
Equating quantitative data for the cortex with the whole brain turned out to be a consequential over-simplification.
“This turned out to be a consequential over-simplification”
Quote in the paperSubstantial claim - Interpretationreasoning
Neglect of the cerebellum helped to support the myth of one trillion glial cells in human brains.
“this helped to support the myth of one trillion glial cells in human brains”
Quote in the paperNot a substantial claim - Premisecitation
NeuN antigens are not expressed by a small number of neuronal populations.
“NeuN antigens are not expressed by a small number of neuronal populations”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mullen et al., 1992
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- Interpretationcitation
The range of 20-32 billion neurons reported by the group of B. Pakkenberg appears too high, based on previous histological studies and results from the isotropic fractionator.
“This range appears too high, based on the previous histological studies and also the results from the isotropic fractionator (IF)”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Azevedo et al., 2009
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- cites Andrade-Moraes et al., 2013
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- Interpretationcitation
An apparent decrease of less than 10% may be due, at least in part, to secular changes in body height, brain size and neuron number.
“an apparent decrease of less than 10% may be due, at least in part, to secular (generational) changes in body height, brain size and neuron number”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Haug, 1984
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- cites Haug, 1987
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- cites Pakkenberg, 1989
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- Interpretationreasoning
This leaves 70% glial cells.
“leaving 70% glial cells”
Quote in the paperSubstantial claim - Premisecitation
Endothelial cells in the human forebrain and other CNS parts are estimated to make up about 30% of the non-neuronal cells.
“Endothelial cells in the human forebrain and other CNS parts are estimated to make up about 30% of the non-neuronal cells”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Nurnberger, 1958
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- cites Blinkov and Glezer, 1968
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- cites Brasileiro-Filho et al., 1989
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- Interpretationreasoning
The number of non-neuronal cells provides a maximum estimate for the number of glial cells, since non-neuronal cells comprise both glial cells and endothelial cells.
“The number of non-neuronal cells provides a maximum estimate for the number of glial cells, since non-neuronal cells comprise both glial cells and endothelial cells.”
Quote in the paperSubstantial claim - Interpretationreasoning
Excluding the extreme outliers, the numbers compiled in Table 1 provide a plausible range of estimates for neuronal numbers in cerebral cortex.
“Overall, excluding the extreme outliers, the numbers compiled in Table 1 provide a plausible range of estimates for neuronal numbers in cerebral cortex.”
Quote in the paperNot a substantial claim - Interpretationcitation
Based on all available primary data, the GNR of human and other primate grey matter of prefrontal cerebral cortex is about 1.5.
“Taken together, we conclude that based on all available primary data, the GNR of human (and other primate’s) grey matter of prefrontal cerebral cortex is about 1.5”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Sherwood et al., 2006
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- cites Hilgetag and Barbas, 2009
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- cites Ribeiro et al., 2013
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- Rests on an assumption: The primary data from different counting methods and studies are sufficiently comparable to derive a consensus GNR.
- Interpretationreasoning
Considering well-established neuronal numbers of 10-20 billion in the human cerebral cortex, this would place the number of glial cells in the human cortex at about 15-30 billion.
“Considering well-established neuronal numbers of 10–20 billion in the human cerebral cortex, this would place the number of glial cells in the human cortex at about 15–30 billion.”
Quote in the paperSubstantial claim - Interpretationcitation
In Andrade-Moraes et al. (2013), excluding endothelial cells reduces the non-neuronal to neuron ratio from 1.64 to a true GNR of 1.15.
“from 1.64 to 1.15 in Andrade-Moraes et al. (2013) (Table 2)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Andrade-Moraes et al. (2013)
Not checked in the free run.
- Interpretationnone given
Inclusion of the white matter underlying the grey matter of cerebral cortex increases the GNR to about 3.0.
“Inclusion of the white matter (that underlies the grey matter of cerebral cortex) increases the GNR to about 3.0.”
Quote in the paperNot a substantial claim - Interpretationcitation
The problem of distinguishing glia from small neurons still awaits resolution because NeuN immunostaining in tissue sections appears incomplete and variable.
“still awaits resolution, since immunostaining with the NeuN antibody in tissue sections appears to be incomplete and variable (Lyck et al., 2009)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Lyck et al., 2009
Not checked in the free run.
- Premisecitation
The GNR varies locally in human cortical grey matter between 1.2 in occipital and 3.6 in frontal areas.
“varies locally in the grey matter between 1.2 in occipital and 3.6 in frontal areas of the human cortical grey matter (Ribeiro et al., 2013)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Ribeiro et al., 2013
Not checked in the free run.
- Premisecitation
Stereological studies estimated between 18.2 and 38.9 billion glial cells in the grey matter of the human cerebral cortex.
“these studies estimated between 18.2 and 38.9 billion glial cells (Table 2)”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Pakkenberg et al., 2003
Not checked in the free run.
- cites Pelvig et al., 2003, 2008
Not checked in the free run.
- cites Karlsen and Pakkenberg, 2011
Not checked in the free run.
- Premisecitation
Studies using the isotropic fractionator determined the number of non-neuronal cells at an average 17.4-19.1 billion in the grey matter of the cerebral cortex.
“studies using the IF determined the number of non-neuronal (NN) cells at an average 17.4–19.1 billion in the grey matter of the cerebral cortex”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Azevedo et al. (2009)
Not checked in the free run.
- cites Andrade-Moraes et al., 2013
Not checked in the free run.
- Interpretationnone given
Hyden and Pigon's claim of a 10:1 ratio in human cortex was not backed by any original data.
“Hyden and Pigon’s claim of a 10:1 ratio in human cortex (unclear whether this referred to grey matter only) was not backed by any data of their own or other’s original data.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hyden and Pigon (1960)
Not checked in the free run.
- Premisenone given
Oligodendrocytes are more frequent than other glial cell types in white matter.
“Not surprisingly, oligodendrocytes are more frequent than other glial cell types in white matter (Table 3).”
Quote in the paperNot a substantial claim - Interpretationnone given
When white matter is included along with grey matter, the GNR in cerebral cortex increases from 1-2 to about 3-4.
“When white matter is included along with grey matter, then the GNR in cerebral cortex increases from 1–2 to about 3–4 (Table 2).”
Quote in the paperNot a substantial claim - Interpretationnone given
A major problem in histology-based counting methods is the technical difficulty of recognizing glia and distinguishing them from small neurons.
“One of the major – if not most serious – problems in the histology-based counting methods is the technical difficulty of recognizing glia and distinguishing them from small neurons (Fig. 1).”
Quote in the paperSubstantial claim - Interpretationreasoning
Statements that microglia alone are about as numerous as neurons are incorrect because they were based on the mistaken belief of a 10:1 GNR.
“Statements that microglia alone are about as numerous as neurons (Streit, 1999; Fields, 2009) are incorrect, because they were based on the mistaken belief of a 10:1 GNR.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Streit, 1999
Not checked in the free run.
- cites Fields, 2009
Not checked in the free run.
- Interpretationreasoning
The GNR for the entire human cerebellum appears to be about 0.05.
“Compared with the number of neurons (about 65 billion), the GNR for the entire human cerebellum appears to be about 0.05.”
Quote in the paperNot a substantial claim - Premisecitation
The Pakkenberg group revised their stereological estimates of human cerebellum granule cells from 101 billion to about 70 billion.
“the group of B. Pakkenberg revised their stereological estimates of the human cerebellum from 101 billion granule cells (Andersen et al., 1992) to about 70 billion granule cells (Andersen et al., 2012)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Andersen et al., 2012
Not checked in the free run.
- Interpretationreasoning
When the cerebellum and the cerebral cortex are considered together, the GNR for these two major parts of the brain amounts to 0.8-0.9, much less than the GNR of the cerebral cortex alone.
“When the cerebellum and the cerebral cortex are considered together, the GNR for these two major parts of the brain amounts to a value of 0.8–0.9, much less than the GNR of the cerebral cortex alone, without the cerebellum.”
Quote in the paperSubstantial claim - Interpretationcitation
Without the numbers in the cerebellum, the human brain would have a GNR of at most 4.
“Without the numbers in the cerebellum, the human brain would have a GNR of at most 4 (using values from Azevedo et al. (2009)).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Azevedo et al. (2009)
Not checked in the free run.
- Interpretationreasoning
50-70 billion is a most plausible range for granule cells in the human cerebellum.
“implying that 50–70 billion is a most plausible range (Table 4)”
Quote in the paperSubstantial claim - Premisecitation
Histological density counts estimated the number of neurons in the entire human brain at 30 billion, 70-80 billion, and 85 billion.
“the number of neurons in the entire human brain was estimated by experts in quantitative neuroscience at 30 billion (Szentagothai, 1983), 70–80 billion (Haug, 1986), and 85 billion (Williams and Herrup, 1988)”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Szentagothai, 1983
Not checked in the free run.
- cites Haug, 1986
Not checked in the free run.
- cites Williams and Herrup, 1988
Not checked in the free run.
- Premisecitation
Serial section reconstruction is still considered the ultimate standard for calibrating counting methods.
“to calibrate counting methods against a small sample of serial section reconstructions, still considered the ultimate standard”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Coggeshall et al., 1990
Not checked in the free run.
- cites von Bartheld, 2002
Not checked in the free run.
- cites Kaplan et al., 2010
Not checked in the free run.
- Interpretationcitation
There are not nearly enough glial cells in either the cerebral cortex or the cerebellum to arrive at 1 trillion glial cells.
“There are not nearly enough glial cells in either the cerebral cortex or in the cerebellum to arrive at such a number (Azevedo et al. (2009)).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Azevedo et al. (2009)
Not checked in the free run.
- Premisecitation
Investigators using the isotropic fractionator confirmed entire human brain neuron numbers at 67-86 billion.
“Investigators using the isotropic fractionator confirmed these latter neuron numbers at 67–86 billion neurons (Azevedo et al. (2009); Andrade-Moraes et al., 2013).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Azevedo et al. (2009)
Not checked in the free run.
- cites Andrade-Moraes et al., 2013
Not checked in the free run.
- Premisecitation
Mühlmann's developmental study revealed that the GNR in cortex changes from 0.3:1 in the newborn to 2:1 in the aged adult.
“He also conducted a detailed developmental study that revealed how the GNR in cortex changes from the newborn (GNR = 0.3:1) to the aged adult (GNR = 2:1).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mühlmann, 1936
Not checked in the free run.
- Premisecitation
As much as one third of non-neuronal cells are endothelial cells in mammalian, including human, CNS.
“Other’s work showed that as much as one third of non-neuronal cells were endothelial cells in mammalian, including human, CNS”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Blinkov and Glezer, 1968
Not checked in the free run.
- cites Brasileiro-Filho et al., 1989
Not checked in the free run.
- cites Bjugn and Gundersen, 1993
Not checked in the free run.
- Premisecitation
A side-by-side analysis of NeuN and Nissl stains in the cerebral cortex showed that cell counts using Nissl stain underestimated numbers of neurons because small interneurons can be confused with glial cells.
“A side-by-side analysis of NeuN and Nissl stains in the cerebral cortex showed that cell counts using Nissl stain underestimated numbers of neurons, apparently because small interneurons can be confused with glial cells (Gittins and Harrison, 2004a)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gittins and Harrison, 2004a
Not checked in the free run.
- Premisecitation
Neuronal densities in different parts of the human brain vary between 0 and over 400,000 per mm3.
“neuronal densities in different parts of the human brain vary between 0 and over 400,000 per mm3”
Quote in the paperNot a substantial claim - Interpretationcitation
Differences in GNRs are largely determined by changes in neuronal densities rather than changes in glial cell densities.
“It was recognized in the 1960s that differences in GNRs are largely determined by changes in neuronal densities rather than changes in glial cell densities”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Blinkov and Glezer, 1968
Not checked in the free run.
- cites Bass et al., 1971
Not checked in the free run.
- cites Tower and Young, 1973
Not checked in the free run.
- Premisecitation
Glial cell densities remain remarkably constant between species and even brain structures, at 50,000-130,000 cells per mm3.
“glial cell densities remain remarkably constant between species and even brain structures, at 50,000–130,000 cells per mm3”
Quote in the paperSubstantial claim - Premisenone given
Small neurons are difficult to distinguish from glial cells.
“Small neurons are difficult to distinguish from glial cells (Fig. 1).”
Quote in the paperSubstantial claim - Premisecitation
The NeuN antibody is a highly efficient tool to separate neuronal from non-neuronal cell nuclei in the isotropic fractionator method.
“the NeuN antibody was proven a highly efficient tool to separate neuronal from non-neuronal cell nuclei in the isotropic fractionator method (Herculano-Houzel and Lent, 2005)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Herculano-Houzel and Lent, 2005
Not checked in the free run.
- Interpretationnone given
The exceptions to the 5:1-50:1 GNR consensus are authors who actually did the counting or were intimately familiar with the relevant primary literature.
“The exceptions are authors who actually did the counting (shaded in grey in Table 6: Blinkov and Glezer, 1968; Szentagothai, 1983; Haug, 1986; Azevedo et al. (2009); Andrade-Moraes et al., 2013) or authors who were intimately familiar with the relevant primary literature (e.g., Jacobson, 1991).”
Quote in the paperNot a substantial claim - Premisecitation
Only a fraction (18-57%) of neurons were identified as NeuN-positive in histological sections from human cortex.
“another study found that only a fraction (18–57%) of neurons were identified as NeuN-positive in histological sections from human cortex”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Lyck et al., 2009
Not checked in the free run.
- Premisenone given
The isotropic fractionator does not distinguish glia from endothelial cells, but pools both types together as non-neuronal cells.
“Currently, however, the IF does not distinguish glia from endothelial cells, but rather pools both types together as non-neuronal cells.”
Quote in the paperSubstantial claim - Interpretationcitation
The false belief was enabled and facilitated by presenting the 10:1 GNR as a "fact" and as "common knowledge" not requiring citations.
“The false belief was enabled and facilitated by presenting the 10:1 GNR as a “fact” and as “common knowledge” not requiring citations (Committee on the Conduct of Science, 1989; Neville, 2007).”
Quote in the paperSubstantial claim - Interpretationnone given
The overwhelming number of claims of a 10:1 or higher GNR outweighed the few original reports showing a 1:1 GNR (only three publications prior to 2009).
“The overwhelming number of claims of a 10:1 or higher GNR (the origin of which will be examined next) outweighed the few original reports showing a 1:1 GNR (only three publications prior to 2009, Table 6).”
Quote in the paperNot a substantial claim - Premisecitation
Haug and colleagues (1984) demonstrated that studies indicating a constant and significant loss of neurons in the normal aging brain were flawed.
“In this context, the innovative and diligent quantitative work of Haug and colleagues (1984) demonstrated that the studies indicating a constant and significant loss of neurons in the normal aging brain were flawed.”
Quote in the paperSubstantial claim - Interpretationreasoning
The misconception of the extent of neuron loss in normal aging brains complicated and delayed research into the causes of pathological loss of neurons in Alzheimer's and related dementias.
“The misconception of the extent of neuron loss in normal aging brains had profound implications beyond the quality of life for octogenarians: it complicated and delayed research into the causes of the real problem: the pathological loss of neurons in Alzheimer’s and related dementias.”
Quote in the paperSubstantial claim - Interpretationcitation
The high conservation of GNR points to an important and close regulation of glia numbers in response to, or regulated by, neuron density and neuron sizes.
“The GNR is highly conserved between structures and species, pointing to an important and close regulation of glia numbers (scaling) in response to, or regulated by, neuron density and neuron sizes (Herculano-Houzel, 2012; Herculano-Houzel, 2014; Mota and Herculano-Houzel, 2014).”
Quote in the paperSubstantial claim - Interpretationcitation
Hyden was used to seeing neurons surrounded by a large number of glial cells, and it is likely that this contributed to his and others' belief that such an arrangement was representative for the entire mammalian and human brain.
“Accordingly, Hyden was used to seeing neurons surrounded by a large number of glial cells, and it is likely that this contributed to his and others’ belief that such an arrangement was representative for the entire mammalian and human brain (Nicholls, 1991).”
Quote in the paperNot a substantial claim - Interpretationreasoning
In the case of the GNR, the normal scientific process of peer review and gradual validation was essentially "short-circuited."
“In the case of the GNR, the normal scientific process of peer review and gradual validation was essentially “short-circuited.””
Quote in the paperNot a substantial claim - Premisenone given
Neuron and glia numbers and their ratios fluctuate within relatively narrow ranges even in different species and different adult brain structures.
“Neuron and glia numbers and their ratios fluctuate within relatively narrow ranges even in different species and different adult brain structures, emphasizing the importance of optimal quantitative relations between cell types.”
Quote in the paperNot a substantial claim - Premisecitation
The brainstem nuclei (large Deiters neurons in the lateral vestibular nucleus) have a very large GNR, later determined and verified to be about 30-50.
“These brainstem nuclei indeed have a very large GNR – later determined and verified to be about 30–50 (Blinkov, 1963; Ponomarev, 1966; Blinkov and Glezer, 1968).”
Quote in the paperSubstantial claim - Premisecitation
Glia density and sizes vary much less than neuronal density and sizes.
“The results of these studies, comparing cell numbers and GNRs among a wide range of species, has shown that brain size does not scale universally with neuron number, that different mammalian species such as primates and rodents scale differently, that cell numbers in cerebral cortex and cerebellum evolve in a coordinated fashion, and that glia density and sizes vary much less than neuronal density”
Quote in the paperNot a substantial claim - Premisecitation
The GNR is highly conserved between structures and species.
“The GNR is highly conserved between structures and species, pointing to an important and close regulation of glia numbers (scaling) in response to, or regulated by, neuron density and neuron sizes (Herculano-Houzel, 2012; Herculano-Houzel, 2014; Mota and Herculano-Houzel, 2014).”
Quote in the paperSubstantial claim - Interpretationnone given
One researcher or a small group of researchers convinced their contemporaries and successors by making a claim sound as if it was common knowledge and therefore did not need a primary reference or other citations.
“One researcher or a small group of researchers convinced their contemporaries and their successors by making a claim (that should have been worded as a testable hypothesis) sound as if it was common knowledge and therefore did not need a primary reference or other citations.”
Quote in the paperNot a substantial claim - Premisecitation
The GNR increases markedly during early postnatal development.
“How these ratios are accomplished during development has been unclear, although it has been shown that the GNR increases markedly during early postnatal development (Mühlmann, 1936; Brizee et al., 1964; Bandeira et al., 2009).”
Quote in the paperNot a substantial claim - Premisecitation
Cell numbers in cerebral cortex and cerebellum evolve in a coordinated fashion.
“The results of these studies, comparing cell numbers and GNRs among a wide range of species, has shown that brain size does not scale universally with neuron number, that different mammalian species such as primates and rodents scale differently, that cell numbers in cerebral cortex and cerebellum evolve in a coordinated fashion, and that glia density and sizes vary much less than neuronal density”
Quote in the paperNot a substantial claim - Premisecitation
Different mammalian species such as primates and rodents scale differently.
“The results of these studies, comparing cell numbers and GNRs among a wide range of species, has shown that brain size does not scale universally with neuron number, that different mammalian species such as primates and rodents scale differently, that cell numbers in cerebral cortex and cerebellum evolve in a coordinated fashion, and that glia density and sizes vary much less than neuronal density”
Quote in the paperSubstantial claim - Premisecitation
Brain size does not scale universally with neuron number.
“The results of these studies, comparing cell numbers and GNRs among a wide range of species, has shown that brain size does not scale universally with neuron number, that different mammalian species such as primates and rodents scale differently, that cell numbers in cerebral cortex and cerebellum evolve in a coordinated fashion, and that glia density and sizes vary much less than neuronal density”
Quote in the paperSubstantial claim - Premisecitation
The estimates obtained with the IF for the human brain were very close to those in the literature, where they existed.
“Some gliabiologists and neuroscientists, however, disagreed: the IF had not yet been validated against the current standard in the field, stereology (Yuhas and Jabr, 2012; Carlo and Stevens, 2013; Verkhratsky and Butt, 2013; Charvet et al., 2015), although the estimates obtained with the IF for the human brain were very close to those in the literature, where they existed (Azevedo et al. (2009)).”
Quote in the paperNot a substantial claim - Premisecitation
The first challenge to the statements of one trillion cells in the brain and a GNR of 10:1 came with the estimation of a total number of no more than 130 billion glial cells (Blinkov and Glezer, 1968).
“The first challenge to the statements of one trillion cells in the brain and a GNR of 10:1 came with the estimation of a total number of no more than 130 billion glial cells (Blinkov and Glezer, 1968).”
Quote in the paperNot a substantial claim - Interpretationreasoning
Endorsement of the prevailing numbers by the most accomplished neuroscientists thus was a formidable influence.
“Endorsement of the prevailing numbers by the most accomplished neuroscientists thus was a formidable influence.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Blinkov and Glezer (1968) compiled a wealth of data, but failed to realize that the GNR, the neuron numbers, and their own glial cell numbers for the whole brain "did not add up."
“Blinkov and Glezer (1968) compiled a wealth of data, but failed to realize that the GNR, the neuron numbers, and their own glial cell numbers for the whole brain “did not add up.””
Quote in the paperNot a substantial claim - Interpretationreasoning
The lack of reliability, validity and therefore trust in quantitative data has been a major impediment to progress in defining the potential roles of numerical glia abnormalities in neurological and psychiatric diseases.
“However, the lack of reliability, validity and therefore trust in quantitative data has been a major impediment to progress in defining the potential roles of numerical glia abnormalities in neurological and psychiatric diseases.”
Quote in the paperSubstantial claim- Rests on an assumption: Numerical glia abnormalities have potential roles in neurological and psychiatric diseases.
- Premisecitation
Changes in glial cell number, densities or GNRs in discrete brain regions have been confirmed in more recent studies employing stereological or IF methods for diseases including autism spectrum disorders, mood disorder, depression, schizophrenia, and Alzheimer's disease.
“While the degree and localization of abnormalities differed considerably between studies (Ferrero, 1947; Rowland and Mettler, 1949; Hempel and Treff, 1959; Benes, 1993; Ongür et al., 1998; Harrison, 1999; Vawter et al., 2000; Todtenkopf et al., 2005; Bernstein et al., 2015; Elsayed and Magistretti, 2015), changes in glial cell number, densities or GNRs in discrete brain regions have been confirmed”
Quote in the paperNot a substantial claim - Premisecitation
There have been multiple examples where initial reports of numbers or ratios of glial cells and neurons could not be replicated or had to be substantially revised, even within the same group of investigators or when using the same type of counting technique.
“there have been multiple examples where initial reports of numbers or ratios of glial cells and neurons could not be replicated or had to be substantially revised, even within the same group of investigators or when using the same type of counting technique”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Pakkenberg and Gundersen, 1988
Not checked in the free run.
- cites Guillery and Herrup, 1997
Not checked in the free run.
- cites Schmitz et al., 2001
Not checked in the free run.
- Premisecitation
The DNA data are entirely consistent with the finding that the human forebrain (cerebral cortex, including white matter) has a ratio of about 4:1 between non-neuronal:neuronal cells (3.72:1).
“Yet these DNA data are entirely consistent with the finding that the human forebrain (cerebral cortex, including white matter) has a ratio of about 4:1 between non-neuronal:neuronal cells (3.72:1, Azevedo et al. (2009)).”
Quote in the paperNot a substantial claim - Premisecitation
A large number of neurological and psychiatric diseases have been implicated with abnormal glia numbers or GNRs.
“A large number of neurological and psychiatric diseases have been implicated with abnormal glia numbers or GNRs.”
Quote in the paperNot a substantial claim - Premisecitation
Glial cells perform a long list of essential functions.
“On the contrary, glial cells perform a long list of essential functions (Baumann and Pham-Dinh, 2001; Haydon, 2001; Ullian et al., 2001; Doetsch, 2003; Nedergaard et al., 2003; Allen and Barres, 2009; Fields, 2010; Han et al., 2013; Kettenmann and Ransom, 2013; Verkhratsky and Butt, 2013).”
Quote in the paperNot a substantial claim - Premiseown data
Original data based on histological sections are consistent with a 1:1 ratio.
“Furthermore, original data based on histological sections are consistent with a 1:1 ratio.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The problem in the Barres argument is that the data are from the forebrain (containing only 19% of the brain's neurons), but he makes conclusions about the entire brain.
“The problem in the Barres argument is that the data are from the forebrain (containing only 19% of the brain’s neurons), but he makes conclusions about the entire brain.”
Quote in the paperNot a substantial claim - Interpretationcitation
The extraordinarily conserved numerical relationship between glia and neurons over at least 90 million years of evolution alone indicates that glia cells and their relation with neurons and brain function must be extremely important.
“The extraordinarily conserved numerical relationship between glia and neurons over at least 90 million years of evolution alone indicates that glia cells and their relation with neurons and brain function must be extremely important (Herculano-Houzel, 2014).”
Quote in the paperNot a substantial claim - Premisecitation
Isotropic fractionator technology is compatible with a large range of fixatives.
“compatible with a large range of fixatives”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bahney and von Bartheld, 2014
Not checked in the free run.
- Interpretationreasoning
Use of design-based stereology does not guarantee unbiased results.
“Use of design-based stereology does not, unfortunately, guarantee unbiased results”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Herculano-Houzel et al., 2015
Not checked in the free run.
- Premisecitation
There can be significant numerical differences between studies using design-based stereology.
“there can be significant numerical differences between studies, indicating that these techniques are not infallible (Herculano-Houzel et al., 2015).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Herculano-Houzel et al., 2015
Not checked in the free run.
- Interpretationreasoning
Isotropic fractionator technology is more versatile than histological approaches.
“which makes this approach more versatile than histological approaches (Bahney and von Bartheld, 2014).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bahney and von Bartheld, 2014
Not checked in the free run.
- Interpretationreasoning
Meta-analyses have not been able to resolve all controversies about glia numbers and ratios in human neurological and psychiatric diseases, especially when the primary data was based on densities or ratios, rather than absolute numbers, and using profile counting or even stereology.
“Unfortunately, meta-analyses have not been able to resolve all controversies about glia numbers and ratios in human neurological and psychiatric diseases, especially when the primary data was based on densities or ratios, rather than absolute numbers, and using profile counting or even stereology.”
Quote in the paperSubstantial claim
- May combine two claims. 67
- Classified as probably not a substantial claim. 33
- The quote only partly states this claim. 1
May combine two claims.
Findingnone givenThe recently validated isotropic fractionator demonstrates a glia:neuron ratio of less than 1:1 and a total number of less than 100 billion glial cells in the human brain.
“The recently validated isotropic fractionator demonstrates a glia:neuron ratio of less than 1:1 and a total number of less than 100 billion glial cells in the human brain.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe isotropic fractionator has challenged the notion that glia outnumber neurons and revived a question that was widely thought to have been resolved.
“A new counting method, the isotropic fractionator, has challenged the notion that glia outnumber neurons and revived a question that was widely thought to have been resolved.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenThe first phase of brain cell counting lasted until about the 1970s.
“This phase lasted until about the 1970s.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Findingnone givenThe simple mathematical relationship G/N = GNR was neglected on multiple occasions.
“this relationship was neglected on multiple occasions”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenIn the first phase of brain cell counting, data were collected only for parts of the human brain, in particular the cerebral cortex.
“In the first phase, data were collected only for parts of the human brain, in particular the cerebral cortex.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenHistorically, total neuron numbers, total glia numbers, and the glia-to-neuron ratio followed surprisingly distinct trajectories that seemed to co-exist in agreement on superficial inspection.
“Historically, these three ways of numerical accounting have followed surprisingly distinct trajectories that seemed to co-exist, on superficial inspection, in agreement.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenTo determine numbers of glial cells, most studies have combined astrocytes, oligodendrocytes and microglia.
“To determine numbers of glial cells, most studies have similarly combined astrocytes, oligodendrocytes and microglia.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningThe original version of the direct enumeration method suffered from rapid degradation of unfixed cells and lack of distinction between cell types.
“The original version of the “direct enumeration” method suffered from several shortcomings, primarily rapid degradation of unfixed cells and lack of distinction between cell types”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
FindingcitationDNA extraction has been used mostly in the 1950s through the 1970s.
“DNA extraction has been used mostly in the 1950s through the 1970s”
Quote in the paperNot a substantial claimMay combine two claims.
FindingcitationModified direct enumeration allowed easy recognition of larger cerebellar neurons, but the distinction between granule cells and glial cells remained problematic.
“These modifications allowed to easily recognize larger cerebellar neurons, but the distinction between granule cells and glial cells remained problematic.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenThe isotropic fractionator has the advantages of being easy, fast, and accurate, generating estimates of numbers of cells that are independent of tissue volume or cell density, and overcoming problems of heterogeneity of tissues.
“the method has the advantages of being easy, fast, and accurate, generating estimates of numbers of cells that are independent of tissue volume or cell density, and overcoming problems of heterogeneity of tissues”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe estimates ranged from 1.2-32 billion neurons for the entire cortex, with a majority of studies reporting between 10 and 20 billion neurons.
“the estimates ranged from 1.2–32 billion neurons for the entire cortex (right and left hemispheres combined), with a majority of studies reporting between 10 and 20 billion neurons”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenvon Economo and Koskinas's numbers became highly controversial and prompted a harsh rebuttal by Agduhr (1941).
“Ironically, their numbers became highly controversial and prompted a harsh rebuttal by Agduhr (1941).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenThere are additional examples where numbers reported by the group of B. Pakkenberg had to be revised.
“There are additional examples where numbers reported by the group of B. Pakkenberg, one of the pioneers of stereological counting methods, had to be revised”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
FindingcitationMore recent work employing computer simulations indicates that considerably more neurons should be counted.
“while more recent work employing computer simulations indicates that considerably more neurons should be counted”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Schmitz and Hof, 2000
Not checked in the free run.
- cites Geuna and Herrera-Rincon, 2015
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
FindingcitationThe group of B. Pakkenberg reported 20-32 billion neurons.
“On the high end, the group of B. Pakkenberg reported 20–32 billion neurons”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenIt still is controversial whether women have a smaller number of neurons than men.
“It still is controversial whether women have a smaller number of neurons than men”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
FindingcitationIt still is controversial whether neocortex loses a small amount of neurons (less than 10% over 80 years).
“and whether neocortex loses a small amount of neurons (less than 10% over 80 years”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Haug, 1987
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- cites Pakkenberg and Gundersen, 1997
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FindingcitationActual losses of neurons during normal aging appear to be of a much lesser scale and region-specific.
“Actual losses appear to be of a much lesser scale and region-specific”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Curcio et al., 1982
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- cites West, 1993b
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- cites Peters et al., 1998
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Findingown dataThe range of neuronal numbers in the human brain is by and large within one order of magnitude, with 20/23 authors giving numbers or a median between 10 and 100 billion.
“Table 6 shows that the range of neuronal numbers in the human brain is by and large within one order of magnitude, with 20/23 authors giving numbers or a median between 10 and 100 billion.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingcitationTwo texts say one trillion neurons, and the authors did not correct this mistake for neuron numbers until subsequent editions of their textbook.
“Two texts say one trillion (Kandel and Schwartz, 1981, 1985), and the authors did not correct this mistake for neuron numbers until subsequent editions of their textbook (Kandel et al., 1991, 2000, 2013).”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningTwo editions of Principles of Neural Science suggested human brains contain as many as 50 trillion glial cells, despite the largest number ever suggested in primary literature being 130 billion.
“Accordingly, two editions of the Principles of Neural Science (Kandel and Schwarz, 1981 and 1985) suggested that human brains contain as many as 50 trillion glial cells, despite the fact that the largest number ever suggested in the primary literature was 130 billion (Blinkov and Glezer, 1968).”
Quote in the paperNot a substantial claimMay combine two claims.
FindingcitationThe first response of many brain scientists to the Azevedo et al. (2009) report was disbelief, and it has taken several years for the new evidence to become accepted.
“Not surprisingly, the first response of many brain scientists to the “maverick” report by Azevedo et al. (2009) was disbelief (see below and Yuhas and Jabr, 2012), and it has taken several years for the new evidence to become accepted (Table 6).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataOur review of textbooks and other published reports on the GNR and neuron and glia numbers shows that reports can be divided into three types: (1) a few authors remained cautious and stated a wide range, used non-specific terms or said numbers or ratios were unknown; (2) other authors reported numbers based on particular studies and data sets and properly cited the original reference(s); (3) a大型
“Our review of textbooks and other published reports on the GNR and neuron and glia numbers shows that reports can be divided into three types. (1) A few authors remained cautious and stated a wide range, used non-specific terms (“large number”) or said that numbers or ratios were unknown (Hubel, 1979; Nauta and Feirtag, 1979; Jacobson, 1991). (2) Other authors reported numbers based on particular”
Quote in the paperSubstantial claimMay combine two claims.
FindingcitationNINDS narratives mirror the misleading statements about glia-neuron ratios in the textbooks, and are factually wrong, but reflect the "textbook knowledge" of their times.
“These narratives mirror the misleading statements about glia-neuron ratios in the textbooks, and are factually wrong, but reflect the “textbook knowledge” of their times: “glial cells far outnumber nerve cells in the brain” (NINDS, 2001); “non-neuronal cells … far outnumber nerve cells in the brain” (NINDS, 2011); “non-nerve cells, called glial cells, outnumber nerve cells in the brain” (NINDS, 20”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
FindingcitationThe newest (5th) edition of Kandel's textbook has revised the chapter on the cellular composition of the brain from the original "10-50 more glia" statement to "2 to 10 times more glia than neurons"; this is an improvement, but still incorrect, as is the claim of an abundance of glia over neurons in the human brain (4:1 according to Barres et al., 2015).
“The newest (5th) edition of Kandel’s textbook has revised the chapter on the cellular composition of the brain, which is now co-authored by Barres, from the original “10–50 more glia” statement to “2 to 10 times more glia than neurons” (Kandel et al., 2013). This is an improvement, but still incorrect, as is the claim of an abundance of glia over neurons in the human brain (4:1 according to Barres”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
InterpretationreasoningThe support for a total glia:neuron ratio of about 1:1 was either not recognized or not effectively communicated.
“this was either not recognized or not effectively communicated”
Quote in the paperSubstantial claimMay combine two claims.
Premisenone givenFor half a century, the human brain was believed to contain about 100 billion neurons and one trillion glial cells, with a glia:neuron ratio of 10:1.
“For half a century, the human brain was believed to contain about 100 billion neurons and one trillion glial cells, with a glia:neuron ratio of 10:1.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisenone givenBrain cell counting can be roughly divided into three historical phases.
“Brain cell counting can be roughly divided into three historical phases.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningBecause the published numbers for neuron counts, glia counts, and the assumed glia:neuron ratio of 10:1 contradicted each other, one or more of those components had to be false.
“and therefore one or more components had to be false”
Quote in the paperSubstantial claimMay combine two claims.
Premisenone givenThe DNA extraction approach reveals only total cell number, but not cell type.
“only total cell number, but not cell type is revealed”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premisenone givenNot all cells are euploid, which is a drawback of the DNA extraction approach.
“not all cells are euploid”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisenone givenThe DNA extraction approach requires complete recovery of DNA.
“complete recovery of DNA is required”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisenone givenThe DNA extraction approach can have contamination with other nucleic acids.
“there can be contamination with other nucleic acids”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe design-based stereology method is unbiased in theory, although bias can arise due to tissue deformation and loss of particles during tissue processing and other errors.
“Such a method is unbiased in theory, although bias can arise due to tissue deformation and loss of particles during tissue processing and other errors”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites von Bartheld, 1999, 2002
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- cites Guillery, 2002
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InterpretationreasoningInclusion of white matter does not make a significant difference for neuron numbers, although it does make a difference for total cell numbers.
“Therefore, inclusion of white matter does not make a significant difference for neuron numbers, although it does make a difference for total cell numbers”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThis ambiguity explains why Blinkov and Glezer listed Shariff's numbers incorrectly for only one hemisphere, while Haug correctly listed those numbers for total cortex.
“This type of confusion explains why Blinkov and Glezer (1968) listed Shariff’s numbers incorrectly for only one hemisphere, while Haug (1986) correctly listed those numbers for total cortex.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningRevisions of numbers reported by the group of B. Pakkenberg are not surprising, given the large biological variability among human brains and the difficulties of working with human tissues.
“this is not surprising, given the large biological variability among human brains and the difficulties of working with human tissues”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe notion that counting only 100-200 neurons is sufficient is controversial.
“the controversial notion that counting only 100–200 neurons is sufficient”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Gundersen, 1986
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- cites Andersen et al., 1992
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- cites Coggeshall and Lekan, 1996
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The quote only partly states this claim.
InterpretationcitationAn apparent decrease of less than 10% may be functionally insignificant.
“and furthermore may be functionally insignificant”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Peters et al., 1998
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Premisenone givenAcross primary sources, in different brain regions including neocortical grey matter, oligodendrocytes are the most frequent at 45-75% of glial cells, followed by astrocytes (19-40%), while microglia contribute 10% or less.
“There is also considerable, but not unanimous agreement across primary sources that in different brain regions, including neocortical grey matter, oligodendrocytes are the most frequent at 45–75% of glial cells, followed by astrocytes (19–40%), while microglia contribute 10% or less”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningAll three methods (histology, DNA extraction, and the isotropic fractionator) support numbers of about 10-20 billion neurons and at most a 2-fold larger number of glial cells (20-40 billion) in human cerebral cortical grey matter, supporting an average GNR of approximately 1.5.
“In conclusion, all three methods: histology, DNA extraction, and the IF method support numbers of about 10–20 billion neurons and at most a 2-fold larger number of glial cells (20–40 billion) in the human cerebral cortical grey matter, thus supporting an average GNR of approximately 1.5.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationEndothelial cells in white matter comprise 10-20% of non-neuronal cells, lower than about 30% in cerebral cortex grey matter and other parts of the CNS.
“endothelial cells in white matter appear to comprise a somewhat lower percentage (10–20% of non-neuronal cells, Bahney and von Bartheld, 2014) than they do in cerebral cortex grey matter and other parts of the CNS (about 30%, see below)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bahney and von Bartheld, 2014
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InterpretationcitationIn Azevedo et al. (2009), excluding endothelial cells leaves 70% glial cells and reduces the non-neuronal to neuron ratio from 1.48 to a true GNR of 1.04.
“leaving 70% glial cells, and reducing the non-neuronal to neuron ratio (nNNR) from 1.48 to a true GNR of 1.04 in Azevedo et al. (2009)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Azevedo et al. (2009)
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InterpretationcitationThe GNR of the human cerebellum implied by Andersen et al.'s data is about 0.03.
“This implied that the GNR of the human cerebellum had to be extremely low, about 0.03.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Andersen et al., 1992
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PremisecitationStudies using the isotropic fractionator estimated the average number of cells in the cerebellum to be between 55 and 70 billion, with granule cells constituting the overwhelming majority.
“Studies using the IF have estimated the average number of cells in the cerebellum to be between 55 and 70 billion (Azevedo et al. (2009); Andrade-Moraes et al., 2013), with granule cells (granule neurons) constituting the overwhelming majority (Azevedo et al. (2009)).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Azevedo et al. (2009)
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- cites Andrade-Moraes et al., 2013
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InterpretationcitationAndersen and colleagues' counts of 30,000-40,000 glial cells per mm3 appear plausible, resulting in a total of about 3 billion glial cells in the cerebellum.
“Andersen and colleagues’ counts of 30,000–40,000 glial cells per mm3 appear plausible, resulting in a total of about 3 billion glial cells in the cerebellum.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Andersen et al., 1992
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- cites Bahney and von Bartheld, 2014
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Classified as probably not a substantial claim. May combine two claims.
PremisecitationAndersen et al. estimated that among a total of 105 billion cells in the human cerebellum, there were 101 billion granule cells, with most of the remainder, about 3 billion, being glial cells.
“Andersen et al. estimated that among a total of 105 billion cells in the human cerebellum, there were 101 billion granule cells, with most of the remainder, about 3 billion, being glial cells”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Andersen et al., 1992
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PremisecitationThe isotropic fractionator yields an upper estimate of around 16 billion non-neuronal cells in the cerebellum, amounting to a maximal GNR of 0.23.
“The same method yields an upper estimate of around 16 billion glial cells; this counts all non-neuronal cells which comprise the combined total of glial and endothelial cells in the cerebellum, and therefore amounts to a maximal GNR of 0.23”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Azevedo et al. (2009)
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- cites Andrade-Moraes et al., 2013
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InterpretationcitationThe human cerebellum is not an outlier in its GNR or glial cell composition; its low GNR is because of the very large density of neurons in this structure.
“However, the human cerebellum is not an outlier in its GNR or glial cell composition; if the GNR appears abnormally low, it is because of the very large density of neurons in this structure (Herculano-Houzel, 2014).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Herculano-Houzel, 2014
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InterpretationreasoningWith 80-100 billion neurons in the cerebral cortex and cerebellum together, a 10:1 GNR implying 1 trillion or more glial cells is impossible.
“When the number of neurons in these two structures together was determined to be between about 80–100 billion, it should have become apparent that a 10:1 GNR, with the implied 1 trillion or more glial cells, was impossible.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThe unusual cellular composition of the cerebellum was a key factor in failed attempts to calculate the true GNR for the total human brain, and a major reason for the persistence of the notion of one trillion glial cells.
“The unusual cellular composition of the cerebellum was a key factor in failed attempts to calculate the true GNR for the total human brain, and a major reason for the persistence of the notion of one trillion glial cells.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe brainstem, diencephalon and striatum contain only about 700 million neurons and about 6.6-7.7 billion non-neuronal cells, with a GNR of maximal 10:1.
“this part of the brain contains only about 700 million neurons and about 6.6–7.7 billion non-neuronal cells, with a GNR of maximal 10:1, as determined by the isotropic fractionator”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Azevedo et al. (2009)
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- cites Andrade-Moraes et al., 2013
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InterpretationcitationCurrent estimates of non-neuronal cells in the entire human brain, as revealed by the isotropic fractionator, place total glial numbers well below 85 billion, closer to Haug's 40-50 billion than Blinkov and Glezer's 100-130 billion.
“The current estimates of numbers of non-neuronal cells in the entire human brain, as revealed by the IF, place the total glial numbers well below 85 billion (since these 85 billion include approximately 20–25 billion endothelial cells), and therefore are closer to the estimates of Haug (40–50 billion glial cells) rather than those of Blinkov and Glezer (100–130 billion glial cells) (Fig. 3).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Azevedo et al. (2009)
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PremisecitationBlinkov and Glezer estimated 100-130 billion glial cells in the entire human brain, while Haug estimated 40-50 billion.
“Blinkov and Glezer (1968) estimated the number of glial cells in the entire human brain to be 100–130 billion, while Haug, using his own densities and volume measurements, estimated 40–50 billion glial cells for the entire human brain (Haug, 1986).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Blinkov and Glezer (1968)
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- cites Haug, 1986
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PremisecitationMühlmann established that the approximate GNR of the grey matter of the human cerebral cortex is about 1.5, a value that has since been widely confirmed.
“Mühlmann established that the approximate GNR (“Prozentgehalt der Nerven und der Gliazellen”) of the grey matter of the human cerebral cortex is about 1.5, a value that since has been widely confirmed (Table 2).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mühlmann, 1936
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InterpretationcitationThe GNR is age-specific and glia-neuron relations change as the brain matures.
“This showed that the GNR is age-specific and that glia-neuron relations change as the brain matures.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationThe GNR does not increase universally with brain mass or cortical mass, but rather with decreasing neuronal density.
“The GNR was shown not to increase universally with brain mass or cortical mass, but rather with decreasing neuronal density, which may or may not coincide with increasing brain mass (Herculano-Houzel, 2014).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Herculano-Houzel, 2014
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InterpretationcitationThe GNR largely reflects differences in neuronal density, but not, or only to a very minor extent, differences in glial density.
“Accordingly, the GNR largely reflects differences in neuronal density, but not, or only to a very minor extent, differences in glial density (Blinkov and Glezer, 1968).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Blinkov and Glezer, 1968
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InterpretationcitationThe vasculature represents a constant (and small, 1-5%) fraction of brain tissue, so values of nN-NR likely translate into GNR by the same proportion across species.
“Given that the vasculature represents a constant (and small, 1–5%) fraction of brain tissue (and cerebral cortex in particular; Buchweitz and Weiss, 1986; Lawers et al., 2008; Tsai et al., 2009; Karbowski, 2011), values of nN-NR likely translate into GNR by the same proportion across species.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Buchweitz and Weiss, 1986
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- cites Lawers et al., 2008
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- cites Tsai et al., 2009
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May combine two claims.
InterpretationreasoningThe ratio obtained with the isotropic fractionator is not a GNR, but a non-neuronal cells/neurons ratio (nN-NR), which serves as a useful upper limit to the GNR.
“The ratio obtained with the IF is therefore not a GNR, but a “nN-NR” ratio (non-neuronal cells/neurons ratio) – which, however, serves as a useful upper limit to the GNR.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationBased on studies in the 1950s to 1980s, it was reported and generally believed that the normal aging brain loses large numbers of neurons each day after 30 years of age.
“Based on studies in the 1950s to 1980s, it was reported and generally believed that the normal aging brain loses large numbers of neurons each day after 30 years of age (Brody, 1955; Devaney and Johnson, 1980), so that “a 60-year span of adulthood would mean loss of half the cerebral neurons” (Hanley, 1974; see also Curcio et al., 1982; Kausler et al., 2007).”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThe refutation of the notion of one trillion glial cells is an example where the isotropic fractionator initiated a paradigm shift, but subsequent scrutiny showed the new paradigm had been supported all along by traditional histological techniques.
“The refutation of the notion of one trillion glial cells is also an example where a new (or substantially improved) technique, the IF, initiated a paradigm shift, but subsequent scrutiny showed – surprisingly – that the new paradigm had been supported all along, for decades, by traditional (histological) techniques.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningOnce a myth has found its way into textbooks, curricula and common knowledge, it becomes difficult to rectify.
“As revealed in our review, once a myth has found its way into textbooks, curricula and common knowledge, it becomes difficult to rectify.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThroughout much of the 20th century the notion prevailed that the cellular composition of the human brain was exceptional among species and likely responsible for superior cognitive abilities of humans.
“Throughout much of the 20th century the notion prevailed that the cellular composition of the human brain was exceptional among species and likely responsible for the superior cognitive abilities of humans (Gazzaniga, 2008).”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe shrinkage of brains after fixation depends on the person's age, and reference volumes of brains from older people differ from those of younger brains.
“The shrinkage of brains after fixation depends on the person’s age, and accordingly the reference volumes of brains from older people differ from those of younger brains.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationClassical studies documented loss of neurons in degenerative diseases, correlating extent of neuron loss with disease severity.
“There are numerous examples of how cell counting has informed and impacted progress in the field, with classical studies documenting the loss of neurons in degenerative diseases, for example correlating the extent of neuron loss with disease severity (Damier et al., 1999; Stark and Pakkenberg, 2004; Kordower et al., 2013).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationcitationThe lack of citations for the notion of a 10:1 GNR over a 50 year period is an example of a major failure in the scientific process that is supposed to self-correct invalid claims or reports.
“The lack of citations for the notion of a 10:1 GNR over a 50 year period is an example of a major failure in the scientific process that is supposed to self-correct invalid claims or reports (Committee on the Conduct of Science, 1989; Neville, 2007; Firestein, 2012; Ioannidis, 2012), as explained in more detail below.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe problem appears to have been disregard of conflicting primary data and a failure to recognize the lack of supporting data for the prevailing consensus.
“The problem appears to have been disregard of conflicting primary data and a failure to recognize the lack of supporting data for the prevailing consensus.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationThe human brain and its neocortex have "hardware" and cellular contents that are expected for its body size and are not extraordinary in their cellular composition.
“Thus, the new studies comparing GNRs of different primate brains have shown that the human brain and its neocortex have “hardware” and cellular contents that are expected for its body size and are not extraordinary in their cellular composition.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationThe GNR can vary substantially among different brainstem nuclei, and the assumption that the distribution in one small nucleus was representative for the whole brain likely contributed to the widely overstated GNR in reviews and textbooks.
“As revealed by the work of Blinkov and Glezer (1968) as well as Thörner and colleagues (1975), the GNR can vary substantially among different brainstem nuclei – thus, the assumption that the distribution in one small nucleus of the brain was representative for the whole brain likely contributed to the widely overstated GNR in reviews and textbooks (Table 6).”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe development of the isotropic fractionator made it possible to re-examine GNRs and survey a much larger number of species in more detail.
“The development of a more efficient cell counting method, the IF, made it possible to re-examine GNRs and to survey a much larger number of species, and in more detail (Azevedo et al. (2009); Herculano-Houzel, 2009; Herculano-Houzel, 2011; Herculano-Houzel, 2012; Herculano-Houzel, 2014).”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe human ratio of non-neuronal to neuronal cells of 1 is similar to that of other primates, firmly establishing humans as non-outliers.
“Most importantly, a GNR of 10 would indeed have made the human brain extraordinary – but that is not the case: The human ratio of non-neuronal to neuronal cells of 1 is similar to that of other primates, firmly establishing humans as non-outliers (Herculano-Houzel, 2012).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationcitationThe neurons (retinal ganglion cells) communicated signals either to glial cell precursors to proliferate or to existing glia to allow more of the already produced glial cells to survive, so that a constant ratio between neurons or axons and supporting glial cells was maintained in the mice with increased neuron numbers.
“These results implied that the neurons (retinal ganglion cells) communicated signals either to glial cell precursors to proliferate or to existing glia to allow more of the already produced glial cells to survive, so that a constant (presumably optimal) ratio between neurons or axons and supporting glial cells was maintained in the mice with increased neuron numbers (Burne et al., 1996).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrevious work suggested that the human brain and in particular the human neocortex showed an abnormally high GNR compared with other mammals with lesser cognitive abilities.
“Previous work had suggested that the human brain and in particular the human neocortex showed an abnormally high GNR when compared with other mammals with lesser cognitive abilities (Friede, 1954; Jerison, 1973; Araque et al., 2001; Fields, 2009; Koob, 2009; Verkhratsky and Butt, 2013).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationNotions have been controversial whether destruction of nuclei may affect primarily the larger, neuronal nuclei or the smaller, glial cell nuclei.
“In fact, notions have been controversial whether destruction of nuclei may affect primarily the larger, neuronal nuclei (Lovtrup-Rein and McEwen, 1966; Clarke and Oppenheim, 1995) or the smaller, glial cell nuclei (Hadjiolov et al., 1965; Kato and Kurokawa, 1967).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationcitationThis time, the significance of the findings was realized, and the authors drew attention to the discrepancies and made considerable efforts to locate the source of the prevailing erroneous estimates.
“This time, the significance of the findings was realized, and the authors drew attention to the discrepancies and made considerable efforts to locate the source of the prevailing erroneous estimates (Herculano-Houzel, 2009; Hilgetag and Barbas, 2009; Firestein, 2012; Yuhas and Jabr, 2012) (Fig. 3).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationThe perpetuation of the claim was to a large part due to errors in Kandel's textbook editions, which helped glia biologists to advance their arguments of glial neglect, yet at the same time, Kandel was criticized for promoting the "neural dogma" and ignoring the importance of glial cells.
“There is a certain irony in that the perpetuation of the claim was to a large part due to errors in Kandel’s textbook editions (Table 6), which helped glia biologists to advance their arguments of glial neglect (e.g., Fields, 2009; Koob, 2009), yet at the same time, Kandel was criticized for promoting the “neural dogma” and ignoring the importance of glial cells (Merrill, 2009).”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe third challenge was based on data obtained by the isotropic fractionator which showed that the cellular composition of the human brain comprised an average of 86 billion neurons, 85 billion non-neuronal cells, and thus rendered a GNR of less than 1:1 (Azevedo et al. (2009)).
“The third challenge was based on data obtained by the isotropic fractionator which showed that the cellular composition of the human brain comprised an average of 86 billion neurons, 85 billion non-neuronal cells, and thus rendered a GNR of less than 1:1 (Azevedo et al. (2009)).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenMost influential for the propagation of those numbers appear to have been the textbooks of prominent neuroscientists such as Kuffler and Nicholls and the textbook by Nobel laureate Kandel and his colleagues.
“Most influential for the propagation of those numbers appear to have been the textbooks of prominent neuroscientists such as Kuffler and Nicholls and the textbook by Nobel laureate Kandel and his colleagues.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe second challenge came with Haug's estimate of less than 50 billion glial cells and a GNR of less than 1 (Haug, 1986).
“The second challenge came with Haug’s estimate of less than 50 billion glial cells and a GNR of less than 1 (Haug, 1986).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationThe notion of a 10:1 GNR appears to have originated as an inadvertent mistake, with no evidence of deliberate manipulation.
“The notion appears to have originated as an inadvertent mistake, with no evidence of deliberate manipulation, as in other instances of mis-information in science (Proctor and Schiebinger, 2008).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSome gliabiologists and neuroscientists disagreed: the IF had not yet been validated against the current standard in the field, stereology.
“Some gliabiologists and neuroscientists, however, disagreed: the IF had not yet been validated against the current standard in the field, stereology (Yuhas and Jabr, 2012; Carlo and Stevens, 2013; Verkhratsky and Butt, 2013; Charvet et al., 2015), although the estimates obtained with the IF for the human brain were very close to those in the literature, where they existed (Azevedo et al. (2009)).”
Quote in the paperNot a substantial claimMay combine two claims.
Premisenone givenHaug (1986) had calculated the numbers of glia and neurons to be equally low, with a low GNR - with a remarkable accuracy, as revealed in hindsight.
“Haug (1986) had calculated the numbers of glia and neurons to be equally low, with a low GNR – with a remarkable accuracy, as revealed in hindsight.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningMaximally 130 billion glia with a 10:1 GNR could not be true, because that would cap the total number of neurons at 13 billion, but there were 10-16 billion neurons in cerebral cortex alone, plus at least 10 billion neurons in cerebellar cortex, and possibly up to a total of 100 billion neurons in cerebellar cortex.
“Maximally 130 billion glia with a 10:1 GNR could not be true, because that would cap the total number of neurons at 13 billion, but there were 10–16 billion neurons in cerebral cortex alone, plus at least 10 billion neurons in cerebellar cortex (granule neurons alone), and possibly up to a total of 100 billion neurons in cerebellar cortex.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationOnce the notion of an overabundance of glia relative to neurons had formed and been incorporated into early influential textbooks, the notion was treated as a fact, and the abundance itself was rarely questioned; rather, it became largely reduced to the question of by exactly how much glia outnumbered neurons.
“Once the notion of an overabundance of glia relative to neurons had formed and had been incorporated into early influential textbooks (Hyden, 1960; Kuffler and Nicholls, 1976; Kandel and Schwartz, 1981), the notion was treated as a fact, and the abundance itself was rarely questioned; rather, it became largely reduced to the question of by exactly how much glia outnumbered neurons, whether it was”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationRecent calibration studies have dispelled these concerns and validated the IF against other counting methods, including stereology.
“Recent calibration studies have dispelled these concerns and validated the IF against other counting methods, including stereology (Bahney and von Bartheld, 2014; Miller et al., 2014).”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThe GNR could not exceed 6.5:1 (130:20 = 6.5), and probably was much lower, possibly as low as a GNR of 100:116 which equals 0.86:1.
“This should have been a warning signal – that the GNR could not exceed 6.5:1 (130:20 = 6.5), and probably was much lower, possibly as low as a GNR of 100:116 which equals 0.86:1.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisereasoningMeta-analyses have become common to explore the status and validity of previously published quantitative studies.
“Therefore, meta-analyses have become common to explore the status and validity of previously published quantitative studies”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Harrison, 1999
Not checked in the free run.
- cites Rajkowska, 2000, 2002
Not checked in the free run.
- cites Hof et al., 2003
Not checked in the free run.
May combine two claims.
PremisecitationApproaches used were to examine adjacent samples of white matter to directly compare the methods of IF, histology/stereology, and DNA retrieval; and the two cerebral hemispheres of the same non-human primate were examined with IF and stereology, again showing equivalency between methods.
“Approaches used were to examine adjacent samples of white matter to directly compare the methods of IF, histology/stereology, and DNA retrieval. In addition, the two cerebral hemispheres of the same non-human primate were examined with IF and stereology, again showing equivalency between methods (Miller et al., 2014).”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationEarly research into glia abnormalities was much forgotten - so much so, that the significance of glial changes in psychiatric diseases had to be re-discovered in 2000.
“Early research into glia abnormalities (as described above) was much forgotten – so much so, that the significance of glial changes in psychiatric diseases had to be re-discovered in 2000 (Coyle and Schwarcz, 2000).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Interpretationnone givenA precise balance of glia to neurons in human brain regions seems essential for normal function and this balance is disturbed in disease and trauma.
“A precise balance of glia to neurons in human brain regions seems essential for normal function and this balance is disturbed in disease and trauma (see below).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationnone givenToo often in the history of cell quantification have discrepancies between investigators, studies, and techniques remained hidden.
“Too often in the history of cell quantification have discrepancies between investigators, studies, and techniques remained hidden.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationIsotropic fractionator technology is a relatively fast and simple procedure.
“Isotropic fractionator technology is a relatively fast and simple procedure”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bahney and von Bartheld, 2014
Not checked in the free run.
The paper relies on this without support.
The primary data from different counting methods and studies are sufficiently comparable to derive a consensus GNR.
“Taken together, we conclude that based on all available primary data”
The paper relies on this without support.
Numerical glia abnormalities have potential roles in neurological and psychiatric diseases.
“defining the potential roles of numerical glia abnormalities in neurological and psychiatric diseases”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In nonhuman primates and humans, glial cells seem to somewhat outnumber neurons in the PFC, with regional variation likely contributing to formation of secondary and tertiary gyri.
“In nonhuman primates and human, glial cells seem to somewhat outnumber neurons in the PFC, albeit with regional variation which is likely to contribute to the formation of secondary and tertiary gyri [77–81].”
From Development of prefrontal cortex (2022) · cites this paper as [81]
The Cerebral cortex section (page unavailable) reports that glial cells modestly outnumber neurons on average in human cortical grey matter, with a glia-to-neuron ratio of approximately 1.5. The review does not establish that ratio specifically for the PFC in humans and nonhuman primates, or link regional variation to the formation of secondary and tertiary gyri. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe ratio of microglial cells to primary neurons inside the neurospheroids was tuned to be similar to the ratio in an in vivo brain (1:10).
“To better mimic the in vivo conditions, we tuned the ratio of microglial cells to primary neurons inside our neurospheroids by tuning the ratio of cell suspension and finally set to be a similar ratio as in an in vivo brain (1:10).44”
From Acoustofluidic assembly of 3D neurospheroids to model Alzheimer's disease (2020) · cites this paper as [44]
The Cerebral cortex section says microglia make up 10% or less of glial cells in studied brain regions, while the Reports of the GNR section gives a whole-human-brain glia-to-neuron ratio of about 0.7:1–1:1. Together these make 1:10 a plausible approximation, but the paper does not establish that microglia-to-neuron ratio for the in vivo brain generally or for the primary neurons used in the neurospheroids. (LLM, conf=0.82)
Experimental — accuracy not yet measuredAt least 40% of cells in the rodent and human brain are non-neuronal.
“At least 40% of cells in the rodent [171] and human [172] brain are non-neuronal, but how non-neuronal cells interact with reward circuitry in MDD is unknown.”
From The molecular and cellular mechanisms of depression: a focus on reward circuitry (2019) · cites this paper as [172]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Two incompatible glial-cell estimates for the globus pallidus
MajorThe text attributes both 63-82 million and 89-114 million glial cells in the globus pallidus to Thörner et al. (1975). The ranges do not overlap.
“The number of glial cells was estimated at 400 x 106 in the striatum (Schröder et al., 1975) and at 63–82 x 106 in the globus pallidus (Thörner et al., 1975).”
“The GNR was reported near 160 for the globus pallidus (89–114 x106 glial cells; 688,000–711,000 neurons, Thörner et al., 1975)”
White-matter neuron density can exceed 1% of glial density
MinorAt the stated upper neuron density of 1,000 per mm3 and lower glial density of 20,000 per mm3, neurons are 5% as numerous as glia, not less than 1%.
Reported 1 · recomputed 5
“The number of neurons in white matter is relatively small – estimated to be 250–1,000 per mm3 (Garcia-Marin et al., 2010) which is less than 1% of the number of glial cells, with 20,000–200,000 glial cells per mm3 white matter”
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BackgroundTHE DETERMINATION OF DEOXYRIBONUCLEIC ACID AND OF CELL NUMBER IN BRAIN*
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Sheng, L., Shields, E. J., Gospočić, J., Glastad, K. M., Ratchasanmuang, P., Berger, S. L., Raj, A., Little, S. C., & Bonasio, R. (2020) · Science Advances · doi:10.1126/sciadv.aba9869 · Cited by 80 · see citing works
Astrocytes in Flavivirus Infections
Potokar, M., Jorgačevski, J., & Zorec, R. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20030691 · Cited by 84 · see citing works
Cerebellum Lecture: the Cerebellar Nuclei—Core of the Cerebellum
Kebschull, J. M., Casoni, F., Consalez, G. G., Goldowitz, D., Hawkes, R. B., Ruigrok, T. J. H., Schilling, K., Wingate, R. J. T., Wu, J. P. H., Yeung, J., et al. (2023) · The Cerebellum · doi:10.1007/s12311-022-01506-0 · Cited by 89 · see citing works
Astrocyte-neuron circuits in epilepsy
Purnell, B. S., Alves, M., & Boison, D. (2023) · Neurobiology of Disease · doi:10.1016/j.nbd.2023.106058 · Cited by 83 · see citing works
- Authors
- von Bartheld, C. S., Bahney, J., & Herculano‐Houzel, S.
- Affiliations
- Department of Physiology and Cell Biology University of Nevada School of Medicine Reno Nevada USA
- University of Nevada, Reno (US)
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (BR)
- Venue
- Journal of Comparative Neurology
- Publisher
- Wiley
- Published
- 2016-06-16
- Volume
- 524
- Issue
- 18
- Pages
- 3865-3895
- ISSN
- 0021-9967 (ISSN-L)
- 1096-9861
- PMC
- PMC5063692
- OpenAlex
- W2404695164
- Semantic Scholar
- c3181407c7ad6b7f6a268b017f22822695b26815
- Cited by
- 1,063
- References
- 339
- Citations by year
- 2026: 73 · 2025: 109 · 2024: 131 · 2023: 152 · 2022: 145 · 2021: 148 · 2020: 147 · 2019: 78 · 2018: 47 · 2017: 26 · 2016: 7
- FWCI
- 4.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Comparative Neurology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (NIH) (NS079884, GM104944, GM103554)
- CNPq, Faperj
- James S. McDonnell Foundation (both to S.H.H.)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Anatomy › Medical and Biological Sciences
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- neuron number, human brain, cell counting methods
- MeSH terms
- Animals, Brain, Cell Count, Humans, Neuroglia, Neurons, History, 19th Century, History, 20th Century, History, 21st Century
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-09.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-09.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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