1999
DOI: 10.1212/wnl.52.6.1158
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The biochemical pathway of neurofibrillary degeneration in aging and Alzheimer’s disease

Abstract: The relationship between NFD and Alzheimer-type dementia, and the criteria for a biochemical diagnosis of AD, are documented, and an association between AD and the extent of NFD in defined brain areas is shown.

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Cited by 741 publications
(544 citation statements)
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“…The spreading of NFT pathology in AD follows a relatively stereotyped sequence with limbic and neocortical associative areas being heavily affected at advanced stages, but with sparing of several brain regions (e.g., cerebellum, spinal cord) [5,6]. The detection of PHF-tau proteins in cortical areas in AD patients by biochemical methods follows a sequence comparable to that observed in neuropathological studies [7]. In other neurodegenerative diseases characterized by the presence of abnormal tau-positive fibrillary inclusions (tauopathies), the distribution of these cellular inclusions follows a different neuroanatomical pattern.…”
Section: Introductionsupporting
confidence: 55%
“…The spreading of NFT pathology in AD follows a relatively stereotyped sequence with limbic and neocortical associative areas being heavily affected at advanced stages, but with sparing of several brain regions (e.g., cerebellum, spinal cord) [5,6]. The detection of PHF-tau proteins in cortical areas in AD patients by biochemical methods follows a sequence comparable to that observed in neuropathological studies [7]. In other neurodegenerative diseases characterized by the presence of abnormal tau-positive fibrillary inclusions (tauopathies), the distribution of these cellular inclusions follows a different neuroanatomical pattern.…”
Section: Introductionsupporting
confidence: 55%
“…Although controversy exists over whether it is neurofibrillary tangles, amyloid deposits, or neuronal and synaptic loss that constitute the primary neuropathologic process that underlies the disease, neurofibrillary tangle densities in the medial temporal lobes do correlate with clinical evidence of memory impairment (Giannakopoulos et al, 2003). Delacourte et al (1999) conducted a detailed postmortem analysis of neurofibrillary degeneration in the brains of 130 patients of different ages and differing degrees of dementia (ranging from nondemented to severe AD). On the basis of their findings, they proposed that neurofibrillary degeneration progresses through a 10-stage process, beginning in the entorhinal cortex and then proceeding to affect the hippocampus, the anterior temporal cortex, the inferior temporal cortex, and the middle temporal cortex.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, subjects with stages V and VI meet the neuropathological criteria for the diagnosis of AD and are severely demented. The Braak staging system which is exclusively based on morphological findings has recently been nicely confirmed by a biochemical pathway of tau pathology in aging and AD (8,9).…”
Section: Alzheimer's Diseasementioning
confidence: 95%