Cited by 372Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchNeuroinflammation and Neurodegeneration Mechanisms

The DOI matches its Crossref record; 216 of the 220 references it cites were found in a registry or an index; none of the 182 sources its claims cite is checked for support yet.

Intraneuronal β-amyloid accumulation and synapse pathology in Alzheimer’s disease

Open access
Gouras, Gunnar K., Tampellini, Davide, Takahashi, Reisuke H., Capetillo-Zarate, Estibaliz·2010·Acta Neuropathologica

Abstract

The aberrant accumulation of aggregated β-amyloid peptides (Aβ) as plaques is a hallmark of Alzheimer’s disease (AD) neuropathology and reduction of Aβ has become a leading direction of emerging experimental therapies for the disease. The mechanism(s) whereby Aβ is involved in the pathophysiology of the disease remain(s) poorly understood. Initially fibrils, and subsequently oligomers of extracellular Aβ have been viewed as the most important pathogenic form of Aβ in AD. More recently, the intraneuronal accumulation of Aβ has been described in the brain, although technical considerations and its relevance in AD have made this a controversial topic. Here, we review the emerging evidence linking intraneuronal Aβ accumulation to the development of synaptic pathology and plaques in AD, and discuss the implications of intraneuronal β-amyloid for AD pathology, biology, diagnosis and therapy.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that intraneuronal Aβ42 accumulation, particularly in endosomes/multivesicular bodies of distal neurites and synapses, precedes plaques and is linked to synaptic pathology in Alzheimer’s disease. It proposes that this intracellular pool, rather than solely extracellular plaques, may be the critical Aβ species for pathogenesis, diagnosis, and therapy.

Key findings

  • Intraneuronal Aβ42 accumulates in AD-vulnerable neurons and Down syndrome brains before plaques; immuno-EM localizes Aβ42 primarily to endosomal multivesicular bodies in distal neurites and pre-/post-synaptic compartments, and higher-molecular-weight Aβ42 oligomers are associated with neuritic degeneration even prior to plaques.
  • FAD mutations in APP/presenilin increase the Aβ42 to Aβ40 ratio and can relatively increase intracellular versus secreted Aβ; soluble brain Aβ42 correlates best with cognitive decline, while CSF Aβ42 declines early.
  • Intraneuronal Aβ42 may link Aβ and tau pathology: neuron cell bodies with early intraneuronal Aβ42 are those that develop NFTs, and phospho-tau co-localizes with Aβ42 in dystrophic neurites around plaques in transgenic mouse and human AD.
  • Therapeutic implications: reducing intraneuronal rather than extracellular Aβ correlated with synaptic improvement; Aβ antibodies can reduce intraneuronal Aβ in vivo/in vitro, suggesting plaque Aβ may sequester antibodies and limit efficacy.

Methods

  • Narrative review; no primary experimental design. Synthesizes published human postmortem AD/Down syndrome brain studies, AD transgenic mouse/rat models, cultured primary neurons, and biochemical/imaging/CSF studies.
  • Main analysis is qualitative integration of immuno-histochemistry, immuno-electron microscopy, biochemical Aβ assays, and transgenic model evidence to build a hypothesis of intraneuronal Aβ pathogenesis.

Limitations

  • Paper states detection is controversial and technically challenging: Aβ/APP antibodies cross-react with APP/βCTFs; C-terminal Aβ42 antibodies detect monomers poorly after oligomerization; N-terminal Aβ1-x antibodies also detect βCTFs and miss N-truncated Aβ42; ELISA/immunoprecipitation can underestimate aggregated Aβ.
  • Paper states intraneuronal Aβ42 labeling appears to decline with advancing plaque pathology, and it remains unclear whether this reflects epitope loss, synaptic redistribution, degradation, or irrelevance; human brain variability, postmortem interval, fixation, and agonal state affect interpretation.
  • Evident: as a narrative review, it lacks systematic search/quantitative synthesis and does not provide new primary data; many proposed mechanisms remain hypotheses.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1007/s00401-010-0679-9

Cites

216 of 216 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 182 cited sources checked · 0 supported · 0 flagged

  • It may state two separate claims as one. 40
  • Probably not a substantial claim. 9
45 of 45
  • The paper relies on this without support.

    Aging is the most important risk factor for Aβ accumulation and AD.

    “since aging is the most important risk factor for Aβ accumulation and AD.”
  • The paper relies on this without support.

    Pathological diagnosis of AD requires Aβ plaques.

    “since pathological diagnosis of AD requires Aβ plaques.”
  • The paper relies on this without support.

    APP is normally present at relatively high levels in cells.

    “APP, in contrast to Aβ, is normally present at relatively high levels in cells.”
  • The paper relies on this without support.

    Findings in AD transgenic mouse models and cultured neurons reflect mechanisms operating in human AD.

    “Comparing AD transgenic to wild-type neurons allowed for biological studies to begin elucidating early intraneuronal Aβ-related abnormalities in neurons.”
  • The paper relies on this without support.

    Immuno-EM detection of Aβ42 in neurites identifies the pathological intraneuronal pool relevant to AD.

    “Immuno-EM images of completely abnormal Aβ42 accumulating dystrophic neurites [187, 188], lacking the normal microtubule tracks required for organelle trafficking, secretion and exocytosis, argue against the active secretion of aggregating Aβ42 from neuritis prior to the dissolution of the plasma membrane [95].”
5 of 5

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Citations

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Research works printed but not linked: 2

  1. Gouras GK, Takahashi RH (2005) Immunohistocytochemical analysis of amyloid precursor protein and its derivates. In: Xia W, Xu H (eds) Amyloid precursor protein: a practical approach. CRC Press, Florida, pp 155–160
  2. Tabira T, Chui DH, Kuroda S (2002) Significance of intracellular Abeta42 accumulation in Alzheimer’s disease. Front Biosci 7:a44–a49

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Metadata

Authors
Gouras, G. K., Tampellini, D., Takahashi, R. H., & Capetillo-Zarate, E.
Affiliations
  • Weill Cornell Medicine (US)
  • Tokyo Medical University Hospital (JP)
Corresponding author
Gouras, Gunnar K.
Venue
Acta Neuropathologica
Published
2010-03-31
Volume
119
Issue
5
Pages
523-541
ISSN
  • 0001-6322 (ISSN-L)
  • 1432-0533
OpenAlex
W2063699848
Cited by
372
References
220
Citations by year
2026: 11 · 2025: 21 · 2024: 16 · 2023: 17 · 2022: 23 · 2021: 23 · 2020: 21 · 2019: 20 · 2018: 28 · 2017: 29 · 2016: 25 · 2015: 18 · 2014: 24 · 2013: 27 · 2012: 34
FWCI
3.08
Type
journal article
Language
en
Open access
Locations
  • Acta Neuropathologica (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
Funders
  • National Institutes of Health
  • National Institute on Aging (R01AG027140, K02AG028174, AG028174, AG027140)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
Alzheimer's disease, amyloid plaques, amyloid-beta oligomers, amyloid-beta fibrils, amyloid fibril formation, synaptic dysfunction, Alzheimer's disease treatment
MeSH terms
Alzheimer Disease, Brain, Humans, Neurons, Synapses, Amyloid beta-Peptides, tau Proteins

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