Is synaptic loss a unique hallmark of Alzheimer’s disease?
Open accessAbstract
Synapses may represent a key nidus for dementia including Alzheimer's disease (AD) pathogenesis. Here we review published studies and present new ideas related to the question of the specificity of synapse loss in AD. Currently, AD is defined by the regional presence of neuritic plaques and neurofibrillary tangles in the brain. The severity of involvement by those pathological hallmarks tends to correlate both with antemortem cognitive status, and also with synapse loss in multiple brain areas. Recent studies from large autopsy series have led to a new standard of excellence with regard to clinical-pathological correlation and to improved comprehension of the numerous brain diseases of the elderly. These studies have provided evidence that it is the rule rather than the exception for brains of aged individuals to demonstrate pathologies (often multiple) other than AD plaques and tangles. For many of these comorbid pathologies, the extent of synapse loss is imperfectly understood but could be substantial. These findings indicate that synapse loss is probably not a hallmark specific to AD but rather a change common to many diseases associated with dementia.
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Synaptic dysfunction and synapse loss are key hallmarks of AD, present in the early stages of the disease before clinical symptoms appear.
“Synaptic dysfunction and synapse loss are key hallmarks of AD, present in the early stages of the disease before clinical symptoms appear [79,86,156].”
From Role of Oxidative Damage in Alzheimer’s Disease and Neurodegeneration: From Pathogenic Mechanisms to Biomarker Discovery (2021) · cites this paper as [156]
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- [27]Terry RD Masliah E Hansen L Terry RD Katzman R Bick KL Structural basis of the cognitive alterations in Alzheimer disease Alzheimer disease 1994 179 96 Raven Press New York, NY
- [54]Terry RD Masliah E Hansen L Terry RD Katzman R Bick KL Structural basis of the congnitive alterations in Alzheimer disease Alzheimer disease 1994 179 96 Raven Press New York, NY
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- Authors
- Scheff, S. W., Neltner, J. H., & Nelson, P. T.
- Affiliations
- University of Kentucky (US)
- Corresponding author
- Scheff, Stephen W.
- Nelson, Peter T.
- Venue
- Biochemical Pharmacology
- Publisher
- Elsevier BV
- Published
- 2014-04
- Volume
- 88
- Issue
- 4
- Pages
- 517-528
- ISSN
- 0006-2952 (ISSN-L)
- PMC
- PMC4230706
- OpenAlex
- W1970874824
- Cited by
- 118
- References
- 172
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 10 · 2023: 7 · 2022: 15 · 2021: 12 · 2020: 16 · 2019: 10 · 2018: 11 · 2017: 4 · 2016: 11 · 2015: 10 · 2014: 5
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biochemical Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- 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 › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- synaptic loss, Alzheimer's disease, dementia, neuritic plaques, neurofibrillary tangles, clinicopathological correlation, autopsy studies, brain aging, cognitive impairment
- MeSH terms
- Aging, Alzheimer Disease, Animals, Brain, Cognition, Disease Models, Animal, Humans, Synapses
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.
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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