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Journal of Neuroscience, Vol 16, 186-199, Copyright © 1996 by Society for Neuroscience
Properties of the endosomal-lysosomal system in the human central nervous system: disturbances mark most neurons in populations at risk to degenerate in Alzheimer's disease
AM Cataldo, DJ Hamilton, JL Barnett, PA Paskevich and RA Nixon
Laboratories for Molecular Neuroscience, McLean Hospital, Belmont, Massachusetts, USA.
Specific antibodies and cytochemical markers combined with several imaging
and morphometric techniques were used to characterize the
endosomal-lysosomal system in mature neurons of the normal human central
nervous system and to quantitate changes in its function in Alzheimer's
disease. Compartments containing cathespin D (Cat D) and other acid
hydrolases included a major subpopulation of mature lysosomes lacking
mannose-6-phosphate receptors (MPR) and smaller populations of late
endosomes (MPR-positive) and lipofuscin granules (MPR-negative). Antibodies
to the pro-isoform of Cat D decorated perinuclear vacuolar compartments
corresponding to late endosomes. Neurons and glia contained lysosomes with
differing complements of acid hydrolases, implying different processing
capabilities. Endosome/lysosome number per unit volume of cytoplasm was
relatively well conserved within populations of normal neurons. By
contrast, in morphometric analyses of Alzheimer's disease brains, 80-93% of
pyramidal cells in the prefrontal cortex (laminae III or V) and hippocampus
(CA2, CA3) displayed two- to eightfold higher numbers of hydrolase-positive
vacuolar compartments than did corresponding cell populations in
age-matched normal brains. Only 5-10% of cerebellar Purkinje cells, a less
vulnerable population, showed the same statistically significant
elevations. Most affected in these brain regions and in subcortical areas
seemed otherwise normal by conventional histological staining and
ultrastructural inspection. That both lysosomal and pro-Cat D- and
MPR-positive endosomal compartments increased in number demonstrates that
the endosomal-lysosomal system is activated markedly in vulnerable neuronal
populations of Alzheimer's disease brains and implies that endocytosis or
autophagy or both are accelerated persistently at an early stage of
cellular compromise, greatly surpassing the degree of activity associated
with normal aging. Early activation of the endosomal-lysosomal system
represents a biological event potentially linking major etiological factors
in Alzheimer's disease, including defective membrane proteins,
apolipoprotein E function, and altered amyloid precursor protein
processing.
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