WP2

Norwegian Health Association Centre for Dementia Research

Norwegian Health Association Centre for Dementia Research

Work package 2: The initial entorhinal pathology and its underlying mechanisms in AD

About

About

Since the brain contains certain populations of neurons that appear particularly vulnerable in the development of Alzheimer’s disease, we can probe these for clues that may help unlock fundamental mechanisms that trigger the disease. One such population consists of a group of big neurons located in a part of layer II of the lateral entorhinal cortex. These neurons develop pathology and start to die even before the appearance of clinical symptoms and may therefore constitute an origin point of the disease (Igarashi, 2023Kobro-Flatmoen et al., 2021). An interesting feature of these lateral entorhinal layer II neurons is their unique combined expression of proteins, including two proteins called Bnip3 and Reelin (Omholt et al., 2024), that may help provide these neurons with the ability to quickly change their connectivity with other neurons. This feature could be related to the fact that these neurons are intimately involved in our memory capacities, including our ability to comprehend time. However, it may be that these very capabilities and the signaling pathways they require leave these neurons especially vulnerable to degenerative changes as we age.

This work package will therefore focus on whether age-related alterations in the neuronal environment give rise to pathological triggers that selectively impact the Bnip3- and Reelin expressing entorhinal layer II neurons due to their unique physiological signature.

WP2 illustration

Intriguing expression of proteins in lateral entorhinal layer II neurons. (a, b) Bnip3 and Reelin are co-expressed in a major population of lateral entorhinal layer II neurons. (c) In model rats these neurons tend to accumulate amyloid-β (Aβ) very early on, and (d) this is the case even in wild-type rats as they age. (e) When rats undergo anesthesia, hyperphosphorylated tau (p-tau) forms more readily in these neurons than in most other neurons. (f) This pattern is of particular interest because it appears very similar to the initial formation of Alzheimer’s-related p-tau pathology, here exemplified with a micrograph from the seminal 1991 paper by Braak and Braak.

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