2001
DOI: 10.1097/00001756-200102120-00021
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Olfactory centres in Alzheimer's disease: olfactory bulb is involved in early Braak's stages

Abstract: In Alzheimer's disease (AD), neurofibrillary tangles spread from the entorhinal cortex to the limbic system, then to neocortical areas, according to the Braak's stages. Olfaction is impaired in early stages of AD. The aim of this study was to describe the pathology of the cortical olfactory centres in relation to Braak's stages determining the earliest site of pathology. We examined 15 control and 15 AD cases. The primary olfactory cortices were involved in more advanced Braak's stages, while olfactory bulbs w… Show more

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Cited by 197 publications
(151 citation statements)
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“…We thus suggest that spatial information conveyed by the SCs to the hippocampus is likely to remain relatively intact at this early stage of the pathology, while other sensory inputs, including olfactory information processing [30], conveyed by FCs to the hippocampus, might be altered. This conclusion is supported by observing that early olfactory dysfunction has been significantly associated with the risk of future AD and AD neuropathology burden in the brain of mice and patients [12,24,38,52,54]. Our data support the development of investigative methods aiming at detecting the early symptoms of AD on brain function by focusing on the memory processes that involve the LEC region and the subsequent processing of non-spatial stimuli.…”
Section: Functional Implications Of Altered Scs and Fcs Firing Duringsupporting
confidence: 79%
“…We thus suggest that spatial information conveyed by the SCs to the hippocampus is likely to remain relatively intact at this early stage of the pathology, while other sensory inputs, including olfactory information processing [30], conveyed by FCs to the hippocampus, might be altered. This conclusion is supported by observing that early olfactory dysfunction has been significantly associated with the risk of future AD and AD neuropathology burden in the brain of mice and patients [12,24,38,52,54]. Our data support the development of investigative methods aiming at detecting the early symptoms of AD on brain function by focusing on the memory processes that involve the LEC region and the subsequent processing of non-spatial stimuli.…”
Section: Functional Implications Of Altered Scs and Fcs Firing Duringsupporting
confidence: 79%
“…37,38 In AD, tau-related pathology within these structures correlates with disease severity, cortical Lewy body counts, and apolipoprotein 4 carrier status. 39,40 Superoxide dismutases, enzymes that defend against reactive oxygen species, are abundant in the olfactory bulb, anterior olfactory nucleus, and neuroepithelium of patients with AD, where they are overexpressed relative to control subjects. 41 Increases in other indices of oxidative damage within the olfactory neuroepithelium of patients with AD have also been reported, including heme oxygenase-1, a stress response protein.…”
Section: Centrifugal Afferent Innervation Comes From the Horizontal Lmentioning
confidence: 99%
“…Others suggest the initial pathology may first appear in peripheral olfactory structures. 40,55 The lower density of plaques and tangles in the olfactory bulb and tract than in the amygdala and hippocampus has been interpreted as central to peripheral movement of pathology. 56 For a number of reasons, such observations do not disprove the olfactory vector hypothesis.…”
Section: Centrifugal Afferent Innervation Comes From the Horizontal Lmentioning
confidence: 99%
“…Thus, altered cholesterol homeotasis could contribute to the development of olfactory dysfunction in sporadic AD. Pathologically, oxidative damage, the presence of Aβ plaque, and accumulation of phosphorylated tau as neurofilrillary tangles all have been documented in olfactory epithelium and olfactory bulbs of AD patients [44][45][46][47][48][49][50][51]. Previously we showed in olfactory bulb from cholesterol-fed rabbits that elevated levels of circulating cholesterol disrupted the blood-brain barrier [16], increased accumulations of cholesterol in endolysosomes of neurons in olfactory bulb originated from peripheral sources, and contributed to the development of AD-like pathology including synaptic loss, elevated Aβ production, and increased tau phosphorylation [7].…”
Section: Discussionmentioning
confidence: 99%