Meta-analysis of synaptic pathology in Alzheimer's disease reveals selective molecular vesicular machinery vulnerability.

Meta-analysis of synaptic pathology in Alzheimer's disease reveals selective molecular vesicular machinery vulnerability.
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DOI:
10.1016/j.jalz.2015.12.005
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发表时间:
2016-06
影响因子:
14
通讯作者:
Masliah, Eliezer
Masliah, Eliezer
中科院分区:
医学1区
文献类型:
--
作者:
de Wilde, Martijn C.;Overk, Cassia R.;Sijben, John W.;Masliah, Eliezer

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Loss of synapses best correlates to cognitive deficits in Alzheimer's disease (AD) in which oligomeric neurotoxic species of amyloid β appears to contribute synaptic pathology. While a number of clinical pathological studies have been performed with limited sample size, there are no systematic studies encompassing large samples. Therefore, we performed a meta-analysis study. We identified 417 publications reporting post-mortem synapse and synaptic marker loss from AD patients. Two meta-analyses were performed using a single database of sub-selected publications and calculating the standard mean differences. Meta-analysis confirmed synaptic loss in selected brain regions is an early event in AD pathogenesis. The second meta-analysis of 57 synaptic markers revealed that pre-synaptic makers were affected more than postsynaptic markers. The present meta-analysis study showed a consistent synaptic loss across brain regions and that molecular machinery including endosomal pathways, vesicular assembly mechanisms, glutamate receptors and axonal transport are often affected.
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