The DOI matches its Crossref record; 55 of the 55 references it cites were found in a registry or an index.
Neurodegeneration in Normal Brain Aging and Disease
Abstract
Normal "healthy" aging is defined as aging without disease. Many aged people do not exhibit symptoms of disease and lead normal lives, but nonetheless display pathological changes that are characteristic of Alzheimer's disease (AD), Parkinson's disease (PD), dementia with Lewy bodies (DLB), and/or cerebrovascular disease (CVD). These changes are restricted to distinct brain regions and might represent preclinical stages of these disorders. This Perspective discusses arguments in favor of and against the hypothesis that pathological changes related to AD, PD, DLB, and CVD in the brains of nondemented elderly people represent early stages of these diseases rather than healthy aging. We conclude that early pathological disease-related changes do indeed constitute the beginning of AD, PD, DLB, and CVD rather than normal concomitants of aging, even in the absence of any clinical symptoms. Aging is, therefore, a major risk factor for these diseases but does not necessarily lead to age-related diseases.
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“The interval between initial ADD clinical diagnosis and death is approximately 8 years (129), but AβPs and NFTs are present well over a decade before death (130-138).”
From Correlation of Alzheimer Disease Neuropathologic Changes With Cognitive Status: A Review of the Literature (2012) · cites this paper as [133]
In the citing paper
“The aberrant accumulation of aggregated β-amyloid peptides (Aβ) as plaques is a hallmark of Alzheimer’s disease (AD) neuropathology”
From Intraneuronal β-amyloid accumulation and synapse pathology in Alzheimer’s disease (2010) · cites this paper as [193]
Citations
Cites
Neuropathological stageing of Alzheimer-related changes.
Braak, H., & Braak, E. (1991) · Acta Neuropathologica · doi:10.1007/bf00308809 · Cited by 16,123
Self-citationStaging of brain pathology related to sporadic Parkinson’s disease
Braak, H., Tredici, K. D., Rüb, U., de Vos, R. A. I., Jansen Steur, E. N. H., & Braak, E. (2003) · Neurobiology of Aging · doi:10.1016/s0197-4580(02)00065-9 · Cited by 10,777
Self-citationGlenner, G. G., & Wong, C. W. (1984) · Biochemical and Biophysical Research Communications · doi:10.1016/s0006-291x(84)80190-4 · Cited by 5,404
Mirra, S. S., Heyman, A., McKeel, D., Sumi, S. M., Crain, B. J., Brownlee, L. M., Vogel, F. S., Hughes, J. P., Belle, G. V., Berg, L., et al. (1991) · Neurology · doi:10.1212/wnl.41.4.479 · Cited by 4,961
Román, G. C., Tatemichi, T. K., Erkinjuntti, T., Cummings, J. L., Masdeu, J. C., Garcia, J. H., Amaducci, L., Orgogozo, J.-M., Brun, A., Hofman, A., et al. (1993) · Neurology · doi:10.1212/wnl.43.2.250 · Cited by 4,921
The precursor of Alzheimer's disease amyloid A4 protein resembles a cell-surface receptor
Kang, J., Lemaire, H.-G., Unterbeck, A., Salbaum, J. M., Masters, C. L., Grzeschik, K.-H., Multhaup, G., Beyreuther, K., & Müller-Hill, B. (1987) · Nature · doi:10.1038/325733a0 · Cited by 4,619
Amyloid plaque core protein in Alzheimer disease and Down syndrome.
Masters, C. L., Simms, G., Weinman, N. A., Multhaup, G., McDonald, B. L., & Beyreuther, K. (1985) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.82.12.4245 · Cited by 4,431
Moms, J. C., Heyman, A., Mohs, R. C., Hughes, J. P., van Belle, G., Fillenbaum, G., Mellits, E. D., & Clark, C. (1989) · Neurology · doi:10.1212/wnl.39.9.1159 · Cited by 4,130
McKeith, I. G., Galasko, D., Kosaka, K., Perry, E. K., Dickson, D. W., Hansen, L. A., Salmon, D. P., Lowe, J., Mirra, S. S., Byrne, E. J., et al. (1996) · Neurology · doi:10.1212/wnl.47.5.1113 · Cited by 3,960
Phases of Aβ-deposition in the human brain and its relevance for the development of AD
Thal, D. R., Rüb, U., Orantes, M., & Braak, H. (2002) · Neurology · doi:10.1212/wnl.58.12.1791 · Cited by 3,490
Self-citation
Research works printed but not linked: 10
- K. Iqbal, I. Grundke-Iqbal, T. Zaidi, P. A. Merz, G. Y. Wen, S. S. Shaikh, H. M. Wisniewski, I. Alafuzoff, B. Winblad, Defective brain microtubule assembly in Alzheimer's disease. Lancet 2, 421-426 (1986).
- C. L. Masters K. Beyreuther in Neurodegeneration: The Molecular Pathology of Dementia and Movement Disorders D. Dickson Ed. (ISN Neuropath Press Basel Switzerland 2003) pp. 69-73.
- K. A. Jellinger Y. Mizuno in Neurodegeneration: The Molecular Pathology of Dementia and Movement Disorders D. Dickson Ed. (ISN Neuropath Press Basel Switzerland 2003) pp. 159-187.
- J. S. Lowe N. Leigh in Greenfield's Neuropathology D. I. Graham P. L. Lantos Eds. (Arnold London 2002) vol. 2 pp. 325-430.
- K. A. Jellinger, J. Attems, alpha-synuclein pathology in Parkinson and Alzheimer diseases. Brain Pathol. 13 (suppl.) , S32 (2003).
- Y. Tsuboi, T. Iwatsubo, D. W. Dickson, Striatal alpha-synuclein (ASN) burden correlates with disease duration in Parkinson's disease, but not dementia with Lewy bodies. Brain Pathol. 13 (suppl.) , S32-S33 (2003).
- H. Kalimo M. Kaste M. Haltia in Greefield's Neuropathology 6th Edition D. I. Graham P. L. Lantos Eds. (Arnold London 1997) vol. 1 pp. 315-396.
- R. N. Kalaria, The cerebral amyloid angiopathies, microvascular degeneration and dementia. Brain Pathol. 13 (suppl.) , S83 (2003).
- H. V. Vinters in Stroke. Pathophysiology Diagnosis and Management H. J. M. Barnett J. P. Mohr B. M. Stein F. M. Yatsu Eds. (Churchill Livingstone New York 1992) pp. 821-858.
- D. R. Thal H. Braak Postmortale diagnosestellung bei morbus Alzheimer. Pathologe in press.
Cited by
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Braak, H., Alafuzoff, I., Arzberger, T., Kretzschmar, H., & Del Tredici, K. (2006) · Acta Neuropathologica · doi:10.1007/s00401-006-0127-z · Cited by 3,172
Self-citationStages in the development of Parkinson’s disease-related pathology
Braak, H., Ghebremedhin, E., Rüb, U., Bratzke, H., & Del Tredici, K. (2004) · Cell and Tissue Research · doi:10.1007/s00441-004-0956-9 · Cited by 2,689
Self-citationNelson, P. T., Alafuzoff, I., Bigio, E. H., Bouras, C., Braak, H., Cairns, N. J., Castellani, R. J., Crain, B. J., Davies, P., Tredici, K. D., et al. (2012) · Journal of Neuropathology & Experimental Neurology · doi:10.1097/nen.0b013e31825018f7 · Cited by 2,050
“…of no reported case of truly intact cognition despite extremely severe AD pathologic changes (i.e. widespread neocortical NFTs) measured with quantitative pathologic analysis, although many persons with intact cognition have been assessed in autopsy series (33, 42, 54, 133, 142, 148, 151 Y 166).”
Self-citationParkinson's disease: a dual‐hit hypothesis
Hawkes, C. H., Del Tredici, K., & Braak, H. (2007) · Neuropathology and Applied Neurobiology · doi:10.1111/j.1365-2990.2007.00874.x · Cited by 1,021
Self-citationAutophagy and aging: The importance of maintaining "clean" cells
Cuervo, A. M., Bergamini, E., Brunk, U. T., Dröge, W., Ffrench, M., & Terman, A. (2005) · Autophagy · doi:10.4161/auto.1.3.2017 · Cited by 792
Metadata
- Authors
- Thal, D. R., Del Tredici, K., & Braak, H.
- Affiliations
- Goethe University Frankfurt (DE)
- Dietmar R. Thal is in the Department of Neuropathology at the University of Bonn Medical Center, Sigmund Freud Strasse 25, D-53105 Bonn, Germany. Kelly Del Tredici and Heiko Braak are at the Institute for Clinical Neuroanatomy at Johann Wolfgang Goethe University, D-60590 Frankfurt am Main, Germany.(D.R.T.)
- Venue
- Science of Aging Knowledge Environment
- Published
- 2004-06-09
- Volume
- 2004
- Issue
- 23
- Pages
- pe26-pe26
- ISSN
- 1539-6150 (ISSN-L)
- OpenAlex
- W2116204362
- Cited by
- 149
- References
- 55
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 8 · 2021: 6 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 10 · 2014: 4 · 2013: 7 · 2012: 9
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science of Aging Knowledge Environment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- neurodegeneration, healthy brain aging, preclinical disease, Alzheimer's disease, Parkinson's disease, dementia with Lewy bodies, cerebrovascular disease, aging as risk factor
- MeSH terms
- Aged, Aging, Alzheimer Disease, Brain, Cerebrovascular Disorders, Humans, Parkinson Disease, Neurodegenerative Diseases, Lewy Body Disease
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