A major problem in the field of neurodegeneration is the basis of selective vulnerability of subsets of neurons to disease. In aging, Alzheimer's disease (AD), and other disorders such as temporal lobe epilepsy, the superficial layers of the entorhinal cortex (EC) are an area of selective vulnerability. In AD, it has been suggested that the degeneration of these neurons may play a role in causing the disease because it occurs at an early stage. Therefore, it is important to define the distinctive characteristics of the EC that make this region particularly vulnerable. It has been shown that neurotrophins such as brain-derived neurotrophic factor (BDNF) are critical to the maintenance of the cortical neurons in the adult brain, and specifically the EC. Here we review the circuitry, distinctive functions, and neurotrophin-dependence of the EC that are relevant to its vulnerability. We also suggest that a protein that is critical to the actions of BDNF, the ARMS/ Kidins220 scaffold protein, plays an important role in neurotrophic support of the EC. Keywords perforant path; Alzheimer's disease; aging; temporal lobe epilepsy; frontotemporal dementia; neurodegeneration; brain-derived neurotrophic factor (BDNF); ankyrin-rich membrane spanning protein (ARMS); Kinase D interacting substrate (Kidins220); TrkB
The Organization of the EC in Rodents and PrimatesIn both rodents and primates, the EC is located in the temporal lobe, adjacent to the hippocampus. There are two major divisions, the medial EC (MEC), which is located next to the pre-and parasubiculum, and the lateral EC (LEC), which is adjacent to the neocortex (Figures 1,2). The EC has five cell layers, in contrast to the neocortex which has six layers. There are three superficial layers (layer I, II, III), a relatively cell-free central layer (lamina dissecans), and two deep layers (layer V, layer VI; Figures 1,2). The principal cells of the EC are glutamatergic and include pyramidal neurons (located in layers II, III, V and VI), and stellate cells (located in layer II). GABAergic local circuit neurons (interneurons) are