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

The DOI matches its Crossref record; 90 of the 91 references it cites were found in a registry or an index; 25 of the 62 sources its claims cite were checked for support.

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.

Overview

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.

Verification

Claims the paper makes

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

Show all 47 claims

  • Probably not a substantial claim. 22
  • It may state two separate claims as one. 30
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?

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

Citations

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

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Metadata

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
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › 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

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