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A mechanistic hypothesis for the impairment of synaptic plasticity by soluble Aβ oligomers from Alzheimer’s brain

Li, Shaomin, Selkoe, Dennis J.·2020·Journal of Neurochemistry

Abstract

It is increasingly accepted that early cognitive impairment in Alzheimer's disease results in considerable part from synaptic dysfunction caused by the accumulation of a range of oligomeric assemblies of amyloid β‐protein (Aβ). Most studies have used synthetic Aβ peptides to explore the mechanisms of memory deficits in rodent models, but recent work suggests that Aβ assemblies isolated from human (AD) brain tissue are far more potent and disease‐relevant. Although reductionist experiments show Aβ oligomers to impair synaptic plasticity and neuronal viability, the responsible mechanisms are only partly understood. Glutamatergic receptors, GABAergic receptors, nicotinic receptors, insulin receptors, the cellular prion protein, inflammatory mediators, and diverse signaling pathways have all been suggested. Studies using AD brain‐derived soluble Aβ oligomers suggest that only certain bioactive forms (principally small, diffusible oligomers) can disrupt synaptic plasticity, including by binding to plasma membranes and changing excitatory–inhibitory balance, perturbing mGluR, PrP, and other neuronal surface proteins, down‐regulating glutamate transporters, causing glutamate spillover, and activating extrasynaptic GluN2B‐containing NMDA receptors. We synthesize these emerging data into a mechanistic hypothesis for synaptic failure in Alzheimer's disease that can be modified as new knowledge is added and specific therapeutics are developed. image

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Metadata

Authors
Li, S., & Selkoe, D. J.
Affiliations
Ann Romney Center for Neurologic Diseases Brigham and Women’s Hospital and Harvard Medical School Boston MA USA
Venue
Journal of Neurochemistry
Publisher
Wiley
Published
2020-04-05
Volume
154
Issue
6
Pages
583-597
ISSN
  • 0022-3042
  • 1471-4159
Cited by
263
References
42
Language
en
Funders
Foundation for the National Institutes of Health (AG 027443 and AG 036694)

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