The “Loss” of Perineuronal Nets in Alzheimer's Disease: Missing or Hiding in Plain Sight?
Open accessAbstract
Perineuronal nets (PNNs) are chondroitin-sulfate glycosaminoglycan (CS-GAG) containing extracellular matrix structures that assemble around neurons involved in learning, memory, and cognition. Owing to the unique patterning of negative charges stemming from sulfate modifications to the attached CS-GAGs, these matrices play key roles in mediating glycan-protein binding, signaling interactions, and charged ion buffering of the underlying circuitry. Histochemical loss of PNN matrices has been reported for a range of neurocognitive and neurodegenerative diseases, implying that PNNs might be a key player in the pathogenesis of neurological disorders. In this hypothesis and theory article, we begin by highlighting PNN changes observed in human postmortem brain tissue associated with Alzheimer's disease (AD) and corresponding changes reported in rodent models of AD neuropathology. We then discuss the technical limitations surrounding traditional methods for PNN analyses and propose alternative explanations to these historical findings. Lastly, we embark on a global re-evaluation of the interpretations for PNN changes across brain regions, across species, and in relation to other neurocognitive disorders.
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AD-associated PNN loss is characterized by selective deglycosylation of PNN CSPGs instead of core protein degradation and total loss of PNN matrices.
“These reports imply that AD-associated ‘PNN loss’ is characterized by selective deglycosylation of the PNN CSPGs instead of core protein degradation and total loss of the PNN matrices themselves (Scarlett et al. 2022).”
From Perineuronal net deglycosylation associates with tauopathy‐induced gliosis and neurodegeneration (2024) · cites this paper as Scarlett et al. 2022
The Figure 9 caption and Conclusions (page unavailable) propose that apparent PNN loss in AD may reflect remodeling rather than degradation of the entire matrix. They attribute reduced WFA labeling chiefly to altered CS-GAG sulfation and lectin recognition, not established selective deglycosylation. The claim therefore supports the matrix-remodeling distinction but overstates and misidentifies the proposed glycan mechanism. (LLM, conf=0.88)
Experimental — accuracy not yet measuredWFA binding affinity is highly influenced by the abundance of 0S-CS isomer units incorporated into the PNN CS-GAGs, and WFA should not be thought of as a universal, non-specific histological label for PNN CS-GAGs.
“WFA binding affinity is highly influenced by the abundance of 0S-CS isomer units incorporated into the PNN CS-GAGs, and as such, should not be thought of as universal, non-specific histological label for PNN CS-GAGs (Scarlett et al. 2022; Härtig et al. 2022).”
From Perineuronal net deglycosylation associates with tauopathy‐induced gliosis and neurodegeneration (2024) · cites this paper as Scarlett et al. 2022
The authors recently reported striking regional differences in brain CS-GAG composition throughout wt mouse brain tissue.
“Indeed, we recently reported striking regional differences in brain CS-GAG composition throughout wt mouse brain tissue (Scarlett et al. 2022)”
From Perineuronal net deglycosylation associates with tauopathy‐induced gliosis and neurodegeneration (2024) · cites this paper as Scarlett et al. 2022
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Perineuronal net deglycosylation associates with tauopathy‐induced gliosis and neurodegeneration
Logsdon, A. F., Foresi, B., Hu, S. J., Quah, E., Meuret, C. J., Le, J. P., Hendrickson, A. S., Redford, I. K., Kumar, A., Phan, B. A., et al. (2024) · Journal of Neurochemistry · doi:10.1111/jnc.16067 · Cited by 16 · see citing works
Self-citation
- Authors
- Scarlett, J. M., Hu, S. J., & Alonge, K. M.
- Affiliations
- Seattle Children's Hospital (US)
- University of Washington (US)
- Corresponding author
- Alonge, Kimberly M.
- Venue
- Frontiers in Integrative Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2022-05-25
- Volume
- 16
- Pages
- 896400-896400
- ISSN
- 1662-5145 (ISSN-L)
- PMC
- PMC9174696
- OpenAlex
- W4281482828
- Cited by
- 61
- References
- 12
- Citations by year
- 2026: 14 · 2025: 20 · 2024: 15 · 2023: 9 · 2022: 3
- FWCI
- 6.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Integrative Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (DK017047, DK114474, DK128383)
- National Institute on Aging (AG066509, AG074152)
- U.S. Department of Defense (W81XWH2110635)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Proteoglycans and glycosaminoglycans research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- perineuronal nets, Alzheimer's disease, extracellular matrix, postmortem brain, neurodegeneration, neurocognitive disorders, regional brain differences, species differences
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