Cited by 134Alzheimer's disease research and treatmentsNeuroscience and Neuropharmacology ResearchDementia and Cognitive Impairment Research

The influence of phospho-tau on dendritic spines of cortical pyramidal neurons in patients with Alzheimer’s disease

Open access
Merino-Serrais, Paula, Benavides-Piccione, Ruth, Blazquez-Llorca, Lidia, Kastanauskaite, Asta, Rábano, Alberto, Avila, Jesús, DeFelipe, Javier·2013·Brain

Abstract

The dendritic spines on pyramidal cells represent the main postsynaptic elements of cortical excitatory synapses and they are fundamental structures in memory, learning and cognition. In the present study, we used intracellular injections of Lucifer yellow in fixed tissue to analyse over 19 500 dendritic spines that were completely reconstructed in three dimensions along the length of the basal dendrites of pyramidal neurons in the parahippocampal cortex and CA1 of patients with Alzheimer's disease. Following intracellular injection, sections were immunostained for anti-Lucifer yellow and with tau monoclonal antibodies AT8 and PHF-1, which recognize tau phosphorylated at Ser202/Thr205 and at Ser396/404, respectively. We observed that the diffuse accumulation of phospho-tau in a putative pre-tangle state did not induce changes in the dendrites of pyramidal neurons, whereas the presence of tau aggregates forming intraneuronal neurofibrillary tangles was associated with progressive alteration of dendritic spines (loss of dendritic spines and changes in their morphology) and dendrite atrophy, depending on the degree of tangle development. Thus, the presence of phospho-tau in neurons does not necessarily mean that they suffer severe and irreversible effects as thought previously but rather, the characteristic cognitive impairment in Alzheimer's disease is likely to depend on the relative number of neurons that have well developed tangles.

AI snapshot

Written from the paper’s full text.

TL;DR

In human Alzheimer’s disease tissue, diffuse phospho-tau in a putative pre-tangle state did not alter dendritic spine or dendrite morphology, whereas tau aggregates forming neurofibrillary tangles were associated with progressive spine loss, smaller/shorter spines, and dendrite atrophy. The authors conclude that phospho-tau presence alone does not necessarily cause severe irreversible damage; cognitive impairment may depend on the relative number of neurons with well-developed tangles.

Key findings

  • Across 42 Lucifer yellow-injected neurons and 19,569 dendritic spines, neurons with Pattern I diffuse phospho-tau showed no significant differences from PHF-tau− neurons in dendrite diameter, spine density, spine length, or spine volume in parahippocampal cortex Patient P9.
  • In CA1 Pattern IIa neurons, changes varied by patient: Patient P9 had 22% smaller average dendrite diameter and 14% shorter average spine length; Patients P13 and P14 showed lower dendritic spine density in medial/distal dendrites; all three patients showed a higher frequency of small spines in PHF-tau+ neurons.
  • Pattern IIb neurons with well-developed tangles had reduced dendritic arbors, remarkably thin dendrites, and few or virtually no dendritic spines.
  • Distal dendritic segments with fibrillar PHF-tauAT8 had significantly lower spine density than adjacent pre-terminal segments lacking PHF-tauAT8, suggesting a local toxic effect.

Methods

  • Human autopsy brain tissue from n = 5 patients; quantitative morphometry focused on Patients P9, P13, and P14, with neurons in layer III of parahippocampal cortex and CA1 pyramidal layer.
  • Individual pyramidal cells were injected intracellularly with Lucifer yellow in fixed tissue, then sections were immunostained for anti-Lucifer yellow and tau antibodies AT8 (Ser202/Thr205) and PHF-1 (Ser396/404); spines were scanned by confocal microscopy and reconstructed in three dimensions.
  • Measured dendrite diameter, dendritic spine density, spine length, and spine volume; statistics used Mann-Whitney tests, Kolmogorov-Smirnov tests for frequency distributions, and two-way ANOVA with Bonferroni post hoc comparisons for distance-from-soma analyses.

Limitations

  • The paper states that relatively few cells can be injected, pyramidal cell structure differs by cortical region, human pathological tissue has high interindividual variability, the proportion of cells with neurofibrillar pathology is unpredictable before injection, and both AT8 and PHF-1 antibodies were mouse-produced so double labeling could reflect cross-reactivity.
  • The paper notes uncertainty about whether Pattern I represents a pre-tangle stage preceding Pattern II or an independent subpopulation, and it cannot determine whether findings generalize to neurons with other phosphorylated tau epitopes.
  • Evident from the text: the quantitative sample is small and drawn from only three patients, the design is cross-sectional autopsy tissue, and the study cannot establish causality or track progression within individual neurons over time.

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

Integrity signals

Registry

Crossref · 10.1093/brain/awt088

Cites

90 of 90 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

25 of 62 cited sources checked · 8 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Expression of mutant tau in mouse models of Alzheimer's disease-like tau neuropathologies can result in a significant loss of dendritic spines and synapses.

    “Significantly, the expression of mutant tau in mouse models of Alzheimer’s disease-like tau neuropathologies can result in a significant loss of dendritic spines and synapses (Mocanu et al., 2008; Bittner et al., 2010; Rocher et al., 2010).”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Mocanu et al., 2008 source
    • cites Bittner et al., 2010 source

      The Results identify a mutant tau transgene (tauP301L) in the 3xTg-AD mice and report significantly reduced dendritic spine density; the Introduction treats spines as indicators of excitatory synapses. But the Discussion associates spine loss with Aβ alone or with Aβ and hyperphosphorylated tau together. The paper does not establish that expression of mutant tau itself caused the loss. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites Rocher et al., 2010 source

      The Results section ('Significant reduction in dendritic spine density in TG cells'; page unavailable) reports 29% and 38% reductions in spine density in mutant-tau mice. The Discussion ('Dramatic and uniform decrease in spine density in TG cells'; page unavailable) also mentions reduced synaptophysin labeling in another mutant-tau mouse model, but this paper does not establish a significant loss of synapses in its own mice. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • Premisecitation

    There is only a weak correlation between the degree of cognitive impairment and the presence of plaques or neurofibrillary tangles.

    “However, there is only a weak correlation between the degree of cognitive impairment and the presence of plaques or neurofibrillary tangles (Price et al., 2009)”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Price et al., 2009 source

      The Results (Quantitative Neuropathological Assessment; page unavailable) report correlations between plaque or tangle measures and cognitive test scores, some modest in size. But the participants had no individually measurable cognitive impairment, so the study does not establish a weak correlation between lesion presence and the degree of clinical impairment. Its explicitly described “weak” correlation is between plaque burden and tangle density, not between lesions and cognition. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Premisecitation

    The area of the postsynaptic density is proportional to the number of postsynaptic receptors.

    “The area of the postsynaptic density is proportional to the number of postsynaptic receptors (Nusser et al., 1998), while the number of vesicles adjacent to the presynaptic cleft is proportional to those primed for synaptic transmitter release (Dobrunz and Stevens, 1997).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Nusser et al., 1998 source

      The indexed Introduction passages (page unavailable) report a positive correlation between synapse size and AMPA-receptor immunogold labeling in the hippocampal synapses studied. The citing sentence states an unqualified proportional relationship for postsynaptic receptors generally, whereas the paper concerns AMPA receptors and notes that receptor density varies more at some spine synapses. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Premisecitation

    The volume of the dendritic spine head is directly proportional to the strength of synaptic currents.

    “Furthermore, the volume of the head is directly proportional to the strength of synaptic currents (Harris and Stevens, 1989; Schikorski and Stevens, 1997; Arellano et al., 2007a).”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Harris and Stevens, 1989 source

      The Discussion reports that spine-head dimensions are proportional to postsynaptic density area and presynaptic vesicle number. In “Relationships between hippocampal spine geometry and anatomical indicators of synaptic efficacy” (page not specified), the authors propose that head size might reflect synaptic efficacy. They do not establish that head volume is directly proportional to synaptic current strength; the paper says measurement of conductance at individual spine synapses was impossible. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites Schikorski and Stevens, 1997 source

      The Analysis section (page unavailable) says spine-head volumes were measured, but the passages found do not relate them to synaptic-current strength. Brain active zones (page unavailable) reports a linear relationship between presynaptic bouton volume and active-zone area instead. Searches for spine-head volume, synaptic currents, and quantal amplitude did not locate the claimed proportionality. (LLM, conf=0.73)

      Experimental — accuracy not yet measured
    • cites Arellano et al., 2007a

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Premisecitation

    The number of vesicles adjacent to the presynaptic cleft is proportional to those primed for synaptic transmitter release.

    “The area of the postsynaptic density is proportional to the number of postsynaptic receptors (Nusser et al., 1998), while the number of vesicles adjacent to the presynaptic cleft is proportional to those primed for synaptic transmitter release (Dobrunz and Stevens, 1997).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Dobrunz and Stevens, 1997 source

      The passage on the physical interpretation of the readily releasable pool (indexed as Abstract; no page given) says that this pool may correspond roughly to morphologically docked vesicles. It explicitly says that identifying the two pools is “far from established” and calls for a demonstration that their sizes vary correspondingly. Thus, it supports a possible relationship, not the claimed proportionality as a settled fact. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. 22
  • May combine two claims. 30
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The size of the postsynaptic density is correlated with the number of presynaptic vesicles, the number of postsynaptic receptors and the ready-releasable pool of transmitter.

    “In turn, the size of the postsynaptic density is correlated with the number of presynaptic vesicles, the number of postsynaptic receptors and the ready-releasable pool of transmitter (Harris and Stevens, 1989; Nusser et al., 1998; Schikorski and Stevens, 1999, 2001; Arellano et al., 2007a).”
    Quote in the paperNot a substantial claim2 of 3 sources checked
    • cites Harris and Stevens, 1989 source

      The Serial electron microscopy section reports that PSD area is proportional to the number of vesicles in the presynaptic axonal varicosity. The Relationships between hippocampal spine geometry and synaptic efficacy section infers that larger PSDs likely contain more receptors, but does not count them. Neither section establishes a correlation with the readily releasable transmitter pool. Page numbers are not available in the indexed passages. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites Nusser et al., 1998 source

      The Figure 4 description reports a positive correlation between synapse size and AMPA-receptor immunolabeling in hippocampal synapses. The paper does not establish that postsynaptic density size correlates with presynaptic vesicle number or the readily releasable transmitter pool; its introductory mention of pool size concerns variability, not that correlation. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites Schikorski and Stevens, 1999, 2001

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Previous studies in animal models of Alzheimer's disease have shown that amyloid-β plaques induce local morphological alterations to the dendrites in contact with amyloid-β.

    “Previous studies in animal models of Alzheimer’s disease have shown that amyloid-β plaques induce local morphological alterations to the dendrites in contact with amyloid-β (Tsai et al., 2004; Spires et al., 2005; Knafo et al., 2009a, b; Merino-Serrais et al., 2011).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Tsai et al., 2004 source
    • cites Spires et al., 2005 source
    • cites Knafo et al., 2009a, b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Abnormal phosphorylation of tau leads to the formation of paired helical filaments (PHFs), the main components of intraneuronal neurofibrillary tangles.

    “In the brain, abnormal phosphorylation of the microtubule-associated protein tau leads to the formation of paired helical filaments (PHFs), the main components of intraneuronal neurofibrillary tangles (Grundke-Iqbal et al., 1986).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Grundke-Iqbal et al., 1986 source

      The Abstract says the findings suggest that abnormally phosphorylated tau is a component of paired helical filaments (PHFs), and identifies neurofibrillary tangles as a major location of PHFs. It does not establish the stronger causal claim that abnormal phosphorylation leads to PHF formation. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The length of the spine neck is proportional to the extent of biochemical and electrical isolation of the spine from its parent dendrite.

    “Moreover, the length of the spine neck is proportional to the extent of biochemical and electrical isolation of the spine from its parent dendrite (Majewska et al., 2000a, b; Araya et al., 2006).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Majewska et al., 2000a, b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Araya et al., 2006 source

      The opening section (page unavailable) says biochemical compartmentalization occurs at spine heads because the neck creates a diffusional bottleneck. It also reports that electrical attenuation increases with neck length. It does not establish that the extent of biochemical isolation is proportional to neck length. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Spine head volume is correlated with the area of the postsynaptic density.

    “whereas the spine head volume is correlated with the area of the postsynaptic density.”
    Quote in the paperNot a substantial claim2 of 3 sources checked
    • cites Harris and Stevens, 1989 source
    • cites Nusser et al., 1998 source

      The Figure 2 caption describes a large synapse on a spine and other synapses on smaller spines, but does not establish a correlation between spine-head volume and postsynaptic-density area. Searches for that correlation and for spine volume versus synaptic area found no passage in our copy that states it; page numbers were unavailable. (LLM, conf=0.70)

      Experimental — accuracy not yet measured
    • cites Schikorski and Stevens, 1999, 2001

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Pyramidal cells in different cortical regions have considerably distinct structures and the data obtained in one region cannot necessarily be applied to another.

    “Second, pyramidal cells in different cortical regions have considerably distinct structures (Elston et al., 2001; Jacobs et al., 2001) and the data obtained in one region cannot necessarily be applied to another.”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Elston et al., 2001 source
    • cites Jacobs et al., 2001 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The course such diseases take is highly variable as the neuropathological changes are not homogenous, neither among patients nor in different regions of the brain of the same patient, giving rise to variation in the alterations to cortical circuits.

    “In addition, the course such diseases take is highly variable as the neuropathological changes are not homogenous, neither among patients nor in different regions of the brain of the same patient, giving rise to variation in the alterations to cortical circuits (Garcia-Marin et al., 2009; Blazquez-Llorca et al., 2010).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Garcia-Marin et al., 2009 source

      Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
    • cites Blazquez-Llorca et al., 2010

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Studies on the European ground squirrel demonstrated that PHF-like phosphorylation is induced in the brain during hibernation.

    “Studies on the European ground squirrel demonstrated that PHF-like phosphorylation is induced in the brain during the hibernation of these animals (Arendt et al., 2003), which is similar to the characteristic increase in tau phosphorylation (Avila et al., 2004).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Arendt et al., 2003 source
  • May combine two claims.

    Premisecitation

    The volume of the dendritic spine head is related to the size of the postsynaptic density, the number of presynaptic vesicles, and the number of vesicles adjacent to the presynaptic cleft.

    “Additionally, the volume of the dendritic spine head is related to the size of the postsynaptic density (Harris and Stevens, 1989; Schikorski and Stevens, 1997; Arellano et al., 2007b), the number of presynaptic vesicles, and the number of vesicles adjacent to the presynaptic cleft (Harris and Stevens, 1989).”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Harris and Stevens, 1989 source

      The Serial electron microscopy section reports that spine head volume correlates with postsynaptic density area and with the total number of vesicles in the presynaptic axonal varicosity. It says all vesicles in those varicosities were counted, but does not report a separate relationship for vesicles adjacent to the synaptic cleft. Page numbers are unavailable in our copy. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites Schikorski and Stevens, 1997 source

      The Analysis section says the authors measured spine-head volumes and PSD areas, but does not report a relationship between them. Figure 3 (Appendix; page unavailable) reports a correlation between active-zone size and PSD size instead. The presynaptic-vesicle clauses are cited to Harris and Stevens (1989), not to this paper. (LLM, conf=0.72)

      Experimental — accuracy not yet measured
    • cites Arellano et al., 2007b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The proximal and distal segments of basal dendrites have different characteristics with respect to integration and synaptic plasticity.

    “Moreover, the proximal and distal segments of basal dendrites have different characteristics with respect to integration and synaptic plasticity (Markram et al., 1997; Hausser and Mel, 2003; Gordon et al., 2006; Gelfo et al., 2009; Branco and Häusser, 2011).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Markram et al., 1997 source
    • cites Hausser and Mel, 2003 source
    • cites Gordon et al., 2006 source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    At the cellular level, abnormal tau phosphorylation and the formation of tangles are major events in neuronal degeneration in Alzheimer's disease.

    “At the cellular level, abnormal tau phosphorylation and the formation of tangles are major events in neuronal degeneration in Alzheimer’s disease (Grundke-Iqbal et al., 1986).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Grundke-Iqbal et al., 1986 source

      The Abstract (p. 4913) identifies neurofibrillary tangles in Alzheimer disease brain and suggests that tau in paired-helical filaments is abnormally phosphorylated. It does not establish that tangle formation and tau phosphorylation are major events in neuronal degeneration. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Interpretationcitation

    PHF-tauAT8 mostly labels the initial stages of a neurofibrillar pathology, while PHF-tauPHF-1 recognizes the later stages.

    “Indeed, the vast majority of PHF-tauPHF-1-ir neurons had a large amount of aggregated tau, consistent with the hypothesis that PHF-tauAT8 mostly labels the initial stages of a neurofibrillar pathology, while PHF-tauPHF-1 recognizes the later stages (Blazquez-Llorca et al., 2011).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Blazquez-Llorca et al., 2011 source
  • May combine two claims.

    Premisecitation

    Neurofibrillary tangles appear to be toxic since they are associated with impaired axonal transport, which provokes cell death.

    “However, neurofibrillary tangles appear to be toxic since they are associated with impaired axonal transport, which provokes cell death (Stamer et al., 2002; Terwel et al., 2002; Cente et al., 2006; Smith et al., 2007).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Stamer et al., 2002 source

      The Discussion (page not provided) links elevated tau to impaired intracellular transport and suggests that resulting traffic jams may speed degeneration. It does not show that neurofibrillary tangles cause the transport defect or that the defect provokes cell death; it notes transport defects even when tau aggregates are absent or minor. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites Terwel et al., 2002 source
    • cites Cente et al., 2006 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    This interpretation is supported by a large number of researchers who study dendritic spine alterations both in humans and animal models.

    “This interpretation is also supported by a large number of researchers who study dendritic spine alterations both in humans and animal models (see Penzes et al., 2011; Spires-Jones and Knafo, 2012 for recent reviews).”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites Penzes et al., 2011 source
    • cites Spires-Jones and Knafo, 2012 source
  • May combine two claims.

    Findingown data

    In the CA1 region, the total neuron density was 15,786 in Patient P9, 11,916 in Patient P13 and 12,193 in Patient P14 (neurons/mm3), and the percentage of phospho-tau neurons varied between these patients.

    “In the CA1 region, the total neuron density was 15 786 in Patient P9, 11 916 in Patient P13 and 12 193 in Patient P14 (neurons/mm3), and the percentage of phospho-tau neurons varied between these patients (Fig. 2 and Supplementary material).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    In the parahippocampal cortex from Patient P9, all the Lucifer yellow-injected neurons analysed that were PHF-tau+ were considered to be Pattern I, whereas in the CA1 from Patients P9, P13 and P14, all the Lucifer yellow-injected neurons analysed that were PHF-tau+ were Pattern IIa.

    “In the parahippocampal cortex from Patient P9, all the Lucifer yellow-injected neurons analysed that were PHF-tau+ were considered to be Pattern I, whereas in the CA1 from Patients P9, P13 and P14, all the Lucifer yellow-injected neurons analysed that were PHF-tau+ were Pattern IIa.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    There were significant differences in the frequency distribution of the volume of dendritic spines for all cases, whereby small dendritic spines were more frequent in PHF-tau+ neurons than in PHF-tau− neurons.

    “However, there were significant differences in the frequency distribution of the volume of dendritic spines for all cases, whereby small dendritic spines were more frequent in PHF-tau+ neurons than in PHF-tau− neurons (Fig. 8L, O and R).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In Patient P9, the total neuron density in the parahippocampal cortex was 19,560 neurons/mm3, whereas the density of PHF-tauAT8-ir and PHF-tauPHF-1-ir neurons was 2917 and 499 neurons/mm3, respectively (15% and 2.5% of the total neuronal density).

    “In Patient P9, the total neuron density in the parahippocampal cortex was 19 560 neurons/mm3, whereas the density of PHF-tauAT8-ir and PHF-tauPHF-1-ir neurons was 2917 and 499 neurons/mm3, respectively (Fig. 2), 15% and 2.5% of the total neuronal density, respectively.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    All Lucifer yellow-injected neurons that were PHF-tauAT8-ir were also PHF-tauPHF-1, whereas some Lucifer yellow-injected neurons that were non-immunostained for PHF-tauAT8 were also labelled for PHF-tauPHF-1.

    “All Lucifer yellow-injected neurons that were PHF-tauAT8-ir were also PHF-tauPHF-1, whereas some Lucifer yellow-injected neurons that were non-immunostained for PHF-tauAT8 were also labelled for PHF-tauPHF-1 (Supplementary Fig. 5).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Pattern II was subdivided into Patterns IIa (intermediate/advanced stages) and IIb (extreme stage) depending on the extent of neurofibrillary tangle development.

    “In the present study, we further subdivided Pattern II into Patterns IIa and IIb, depending on the extent of neurofibrillary tangle development visualized with PHF-tauAT8, PHF-tauPHF-1 and thioflavin S (Pattern IIa, intermediate/advanced stages; Pattern IIb, extreme stage: Fig. 3).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The average dendritic spine length decreased significantly in Patient P9 (14%), whereas no differences were found in Patients P13 and P14.

    “The average dendritic spine length decreased significantly in Patient P9 (14%, Fig. 8B), whereas no differences were found in Patients P13 and P14 (Fig. 8E and H; Supplementary Table 2).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The frequency distribution revealed a higher frequency of shorter dendritic spines in PHF-tau+ neurons from Patients P9 and P13, whereas in Patient P14 short dendritic spines were less frequent on PHF-tau+ neurons than PHF-tau− neurons.

    “The frequency distribution revealed a higher frequency of shorter dendritic spines in PHF-tau+ neurons from Patients P9 and P13 (Fig. 8C and F), whereas in Patient P14 short dendritic spines were less frequent on PHF-tau+ neurons than PHF-tau− neurons (Fig. 8I).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    In Patients P13 and P14, there were statistical differences between PHF-tau− and PHF-tau+ neurons in the medial/distal portions of dendritic spine density, and similar results were found when the data are presented as the average.

    “By contrast, in Patients P13 and P14 we found statistical differences between PHF-tau− and PHF-tau+ neurons in the medial/distal portions (Fig. 7C and E), and similar results were found when the data are presented as the average (Fig. 7D and F; Supplementary Table 2).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PHF-tau+ neurons that had well developed neurofibrillary tangles (Pattern IIb) had a reduced dendritic arbor and few or virtually no dendritic spines; the dendritic diameter was also remarkably thin in all these cases.

    “However, when PHF-tau+ neurons that had well developed neurofibrillary tangles (Pattern IIb) were injected, these neurons had a reduced dendritic arbor and few or virtually no dendritic spines. The dendritic diameter was also remarkably thin in all these cases (Fig. 6).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Our results indicate that neurons with advanced neurofibrillary tangles display a remarkable loss of dendritic spines, which is consistent with other studies.

    “Our results indicate that neurons with advanced neurofibrillary tangles display a remarkable loss of dendritic spines, which is consistent with other studies.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The density of CA3 neurons in Patient P9 was 14,350 neurons/mm3, whereas there were only 8916 neurons/mm3 and 8447 neurons/mm3 in Patients P13 and P14, respectively.

    “Importantly, the density of CA3 neurons in Patient P9 was 14 350 neurons/mm3, whereas there were only 8916 neurons/mm3 and 8447 neurons/mm3 in Patients P13 and P14, respectively (Supplementary material), suggesting that the CA3 region in the latter two patients is more pathologically affected than that of Patient P9.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    No changes were found in the number, length or volume of dendritic spines in neurons with Pattern I, nor in dendrite diameter.

    “As summarized in Fig. 9, no changes were found in the number, length or volume of the dendritic spines in neurons with Pattern I, nor in dendrite diameter, whereas several significant alterations were found in neurons showing Pattern II.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Dendritic spines on pyramidal cells are the main postsynaptic target of excitatory synapses in the cerebral cortex.

    “The dendritic spines on pyramidal cells are the main postsynaptic target of excitatory synapses in the cerebral cortex and thus, pyramidal cells are considered the principal building blocks of this structure (DeFelipe and Fariñas, 1992).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites DeFelipe and Fariñas, 1992 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductreasoning

    Both PHF-tauAT8 and PHF-tauPHF-1 antibodies were produced in mouse; thus the labeling of neurons for both PHF-tauAT8 and PHF-tauPHF-1 could be due to antibody cross-reactivity.

    “Nevertheless, it is important to mention that both PHF-tauAT8 and PHF-tauPHF-1 antibodies were produced in mouse. Thus, the labeling of neurons for both PHF-tauAT8 PHF-tauPHF-1 could be due to antibody cross-reactivity.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Intracellular injections of marker substances in fixed brain tissue is currently considered the best approach to visualize the dendritic spines in the human brain and is a well-established technique.

    “Another method involving intracellular injections of marker substances in fixed brain tissue is currently considered the best approach to visualize the dendritic spines in the human brain and is a well-established technique (Einstein, 1988; Buhl et al., 1990).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Einstein, 1988 source
    • cites Buhl et al., 1990

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    This result is suggestive of a local toxic effect, since the density of dendritic spines in the pre-terminal dendritic segment was similar to that found in dendrites lacking PHF-tauAT8.

    “This result is suggestive of a local toxic effect, since the density of dendritic spines in the pre-terminal dendritic segment was similar to that found in dendrites lacking PHF-tauAT8.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductnone given

    It is not possible to know which neurons have developed a neurofibrillar pathology before injection and hence the proportion of cells showing a neurofibrillar pathology is rather unpredictable.

    “In addition, it is not possible to know which neurons have developed a neurofibrillar pathology before injection and hence, the proportion of cells showing a neurofibrillar pathology is rather unpredictable.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Study design and conductnone given

    The morphological alterations observed in human pathological tissue are very difficult to interpret due to the high interindividual variability (sex, age, medical treatment, etc.), factors that could affect brain structure.

    “Third, the morphological alterations observed in human pathological tissue are very difficult to interpret due to the high interindividual variability (sex, age, medical treatment, etc.), factors that could affect brain structure.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Pattern II neurons typically form neurofibrillary tangles (tangle stage).

    “Neurons with Pattern II typically form neurofibrillary tangles (tangle stage).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Blazquez-Llorca et al., 2010

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    The small dendritic tree, thin dendrites, and very few or no spines in Pattern IIb neurons may simply be due to a more advanced stage of atrophy.

    “Finally, Lucifer yellow-injected neurons with Pattern IIb (with well-developed neurofibrillary tangles) had a relatively small dendritic tree, with thin dendrites and very few or no spines, which may simply be due to a more advanced stage of atrophy.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Changes in the denervation/reinnervation of CA3 pyramidal neurons by mossy fibres were found during hibernation/arousal and were associated with a reversible PHF-like phosphorylation of tau over a similar time course.

    “Furthermore, changes in the denervation/reinnervation of CA3 pyramidal neurons by mossy fibres were also found during hibernation/arousal (Popov and Bocharova, 1992) and they were associated with a reversible PHF-like phosphorylation of tau over a similar time course.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Popov and Bocharova, 1992 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Synaptic connections of axons that arise within the same cortical column in the neocortex preferentially innervate the proximal basal dendrites of pyramidal cells.

    “For example, the synaptic connections of axons that arise within the same cortical column in the neocortex preferentially innervate the proximal basal dendrites of pyramidal cells (Markram et al., 1997; Feldmeyer et al., 2002).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Markram et al., 1997 source
    • cites Feldmeyer et al., 2002 source
  • May combine two claims.

    Interpretationown data

    Neurons in a putative pre-tangle stage or with neurofibrillary tangles in intermediate stages may not be affected (or they may be only slightly affected) or they may be in a reversible state.

    “These observations suggest that neurons in a putative pre-tangle stage or with neurofibrillary tangles in intermediate stages may not be affected (or they may be only slightly affected) or they may be in a reversible state.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    In animal models, changes in the neck length of dendritic spines affect the temporal compartmentalization of calcium and other second messengers, changes that may affect the induction of long-term potentiation.

    “In animal models, changes in the neck length of dendritic spines affects the temporal compartmentalization of calcium and other second messengers, changes that may affect the induction of long-term potentiation (Yuste, 2010; Bloodgood and Sabatini, 2005).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Yuste, 2010 source
    • cites Bloodgood and Sabatini, 2005 source
  • May combine two claims.

    Interpretationreasoning

    Tau phosphorylation at the site recognized by the antibody AT8 may be a suitable marker for the initial steps of degeneration, as increased tau aggregation can subsequently be found in some neurons and it can be readily visualized with the PHF-1 tau antibody.

    “This may be a suitable marker for the initial steps of degeneration, as increased tau aggregation can subsequently be found in some neurons and it can be readily visualized with the PHF-1 tau antibody (PHF-tauPHF-1).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Cellulipetal disconnection may occur and the functional consequences of such a process are likely to be selective and progressive in the cerebral cortex as a whole, at least at the cellular level.

    “These observations suggest that cellulipetal disconnection may occur and that the functional consequences of such a process are likely to be selective and progressive in the cerebral cortex as a whole, at least at the cellular level.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    The selective and progressive functional consequences of cellulipetal disconnection may also occur in other cortical regions.

    “This is not only evident for the proximal, intermediate and distal dendrites of pyramidal neurons in the hippocampus, where neurons in all cornu ammonis fields establish different types of synaptic contacts in each strata that they traverse (Andersen et al., 2007), but it may also occur in other cortical regions.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Andersen et al., 2007

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    The morphology of a dendritic spine determines its synaptic strength and learning rules.

    “Therefore, the morphology of a dendritic spine determines its synaptic strength and learning rules.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Neurons in all cornu ammonis fields establish different types of synaptic contacts in each strata that they traverse.

    “This is not only evident for the proximal, intermediate and distal dendrites of pyramidal neurons in the hippocampus, where neurons in all cornu ammonis fields establish different types of synaptic contacts in each strata that they traverse (Andersen et al., 2007), but it may also occur in other cortical regions.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Andersen et al., 2007

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationcitation

    The sequential loss of dendritic spines in association with intracellular tau pathology appears distinct from that found in the presence of amyloid-β plaques, where dendritic regions close to extracellular plaques are depleted of dendritic spines irrespective of whether they are proximal or distal to the soma.

    “This sequential loss of dendritic spines appears to be distinct to that found in the presence of amyloid-β plaques, where the dendritic regions close to the extracellular plaques are depleted of dendritic spines irrespective of whether they are proximal or distal to the soma (Knafo et al., 2009a).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Knafo et al., 2009a

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Interpretationreasoning

    Such variation could reflect different steps in the process of neuronal degeneration.

    “Such variation could reflect different steps in the process of neuronal degeneration.”
    Quote in the paperNot a substantial claim
46 of 46
  • The paper relies on this without support.

    Loss of synapses leads to cognitive decline in Alzheimer’s disease.

    “the presence of PHF-tau is likely to be involved in the changes to dendritic spines and the loss of synapses that leads to cognitive decline in Alzheimer’s disease.”
  • The paper relies on this without support.

    Lower density of neurons in CA3 indicates more advanced CA3 pathology.

    “the density of neurons in the CA3 was lower in these latter patients than in Patient P9 (38% and 42% fewer neurons, respectively), suggesting that the CA3 pathology was more advanced in these patients than in Patient P9”
  • The authors state this as an assumption.

    One spine corresponds to one excitatory synapse.

    “Assuming the hypothesis that one spine corresponds to one excitatory synapses (Arellano et al., 2007b)”
  • The authors state this as an assumption.

    The majority of dendritic spines establish synapses.

    “Assuming that the majority of the dendritic spines establish synapses (Arellano et al., 2007b)”
  • The authors state this as an assumption.

    Neuronal degeneration and atrophy is progressive.

    “if we assume the widely accepted hypothesis that neuronal degeneration and atrophy is progressive”
5 of 5

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?

  • Toxic species of aggregated tau affect pyramidal-cell dendritic complexity even before axonal aggregation.

    “Toxic species of aggregated tau affect pyramidal‐cell dendritic complexity 10 , 16 even before axonal aggregation. 10”

    From Alzheimer's disease and its progression reduce pyramidal cell gain and connectivity (2025) · cites this paper as [16]

    The Discussion reports that pyramidal neurons with tau aggregates forming neurofibrillary tangles had reduced dendrite diameter and altered spines, while neurons with diffuse phospho-tau in a putative pre-tangle state showed no significant dendritic changes. It does not establish that these changes occur before axonal aggregation, and its findings are associations rather than proof that aggregated tau causes them. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • The effect of aggregated tau on cognition in part results from synaptic toxicity and dendritic de-arborization of pyramidal cells.

    “The effect of aggregated tau on cognition in part results from synaptic toxicity and dendritic de‐arborization of pyramidal cells. 16 , 17”

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.

  • P9 CA1 neuron counts exceed the number injected

    Major

    Of the 40 CA1 neurons injected in Patient P9, 34 are reported as PHF-tau−. The paper then reports analysing dendrites from nine different PHF-tau+ neurons in that group, requiring at least 43 injected neurons.

    Reported 40 · recomputed 43

  • CA1 patient identified as P4 instead of P14

    Minor

    The CA1 injected-neuron counts are assigned to P9, P13 and P4, but the immediately following analysis assigns the corresponding patient groups to P9, P13 and P14.

  • Claim of shorter spines in all patients conflicts with P14 results

    Minor

    The summary says spine length was shorter in all patients with Pattern IIa neurons, but the P14 results report no difference in average length and a lower frequency of short spines on PHF-tau+ neurons.

3 of 3

Cites

Flagged first, then by citations

1 of the 91 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Buhl, 1990, Intracellular injection of neurons in fixed brain tissue combined with other neuroanatomical techniques at the light- and electron- microscopic level, 273

Cited by

Sorted by citations

Authors
Merino-Serrais, P., Benavides-Piccione, R., Blazquez-Llorca, L., Kastanauskaite, A., Rábano, A., Avila, J., & DeFelipe, J.
Affiliations
  • Consejo Superior de Investigaciones Científicas (ES)
  • Fundacion Centro De Investigacion De Enfermedades Neurologicas (ES)
Corresponding author
DeFelipe, Javier
Venue
Brain
Published
2013-05-28
Volume
136
Issue
6
Pages
1913-1928
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W2121418448
Cited by
134
References
91
Citations by year
2026: 3 · 2025: 9 · 2024: 6 · 2023: 15 · 2022: 10 · 2021: 13 · 2020: 17 · 2019: 8 · 2018: 7 · 2017: 16 · 2016: 8 · 2015: 10 · 2014: 10 · 2013: 2
FWCI
6.96
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Brain (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DIGITAL.CSIC (Spanish National Research Council (CSIC)) (submittedVersion, cc-by-nc)
Funders
Ministerio de Economía y Competitividad
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
Alzheimer's disease, tau phosphorylation, phosphorylated tau, dendritic spines, pyramidal neurons, neurofibrillary tangles, parahippocampal cortex, CA1, postsynaptic structures, cognitive impairment
MeSH terms
Alzheimer Disease, Cell Count, Cerebral Cortex, Humans, Phosphorylation, tau Proteins, Pyramidal Cells, Dendritic Spines

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 2026-11-02.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-11-02.

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Statistics and arithmetic are recomputed, not judged.

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