Cited by 287Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchMemory and Neural Mechanisms

On areas of transition between entorhinal allocortex and temporal isocortex in the human brain. Normal morphology and lamina-specific pathology in Alzheimer's disease

Braak, H., Braak, E.·1985·Acta Neuropathologica

Abstract

The allocortical entorhinal region does not gradually transform into the temporal isocortex. Instead, there is an extended stretch of "transentorhinal" cortex with interdigitation of allocortical and isocortical laminae. The main feature of this transition zone is that the superficial layer of large multipolar nerve cells (Pre-alpha) of the entorhinal region gradually sweeps downward and follows an oblique course through the outer layers. During this course the star-shaped nerve cells of Pre-alpha are transformed into pyramidal cells. The layer Pre-alpha projection cells are particularly prone to the development of neurofibrillary changes of the Alzheimer type. In cases of presenile and senile dementia almost all of the layer Pre-alpha projection neurons are changed pathologically. The isocortical pyramidal cells of layers II to IV are far less inclined to develop neurofibrillary changes. In the transentorhinal cortex, the tangle-bearing neurons follow an oblique course through the superficial laminae and are finally located between the isocortical layers III and IV, findings that confirm the assumption that these neurons are constituents of the allocortical layer Pre-alpha. Layer-specific pathology of the profound stratum as well confirms the transentorhinal region as being formed by interdigitating allocortical and isocortical layers.

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Crossref · 10.1007/bf00690836

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  • Pre-α projection neurons of the transentorhinal cortex accumulate the first neurofibrillary tangles in Alzheimer's disease along with occasional tangles in the CA1 sector of the hippocampus and select nuclei in the basal forebrain and thalamus.

    “It is these Pre-α projection neurons of the transentorhinal cortex that accumulate the first NFTs in Alzheimer’s disease along with the occasional tangles observed in the CA1 sector of the hippocampus and select nuclei in the basal forebrain and thalamus [68, 71].”

    From The neuropathological diagnosis of Alzheimer's disease (2019) · cites this paper as [71]

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Authors
Braak, H., & Braak, E.
Affiliations
Goethe University Frankfurt (DE)
Venue
Acta Neuropathologica
Published
1985
Volume
68
Issue
4
Pages
325-332
ISSN
  • 0001-6322 (ISSN-L)
  • 1432-0533
OpenAlex
W2004347786
Cited by
287
References
2
Citations by year
2026: 7 · 2025: 7 · 2024: 12 · 2023: 15 · 2022: 7 · 2021: 15 · 2020: 6 · 2019: 6 · 2018: 3 · 2017: 9 · 2016: 6 · 2015: 7 · 2014: 9 · 2013: 8 · 2012: 5
FWCI
5.90
Type
journal article
Language
en
Open access
closed
Locations
  • Acta Neuropathologica (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
Keywords
entorhinal cortex, transentorhinal cortex, allocortex, cortical layers, neurofibrillary tangles, Alzheimer's disease, pyramidal neurons, dementia
MeSH terms
Adult, Aged, Alzheimer Disease, Humans, Limbic System, Middle Aged, Neural Pathways, Temporal Lobe

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