2022
DOI: 10.3390/biology11121822
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The Contribution of the Locus Coeruleus–Noradrenaline System Degeneration during the Progression of Alzheimer’s Disease

Abstract: Alzheimer’s disease (AD), which is characterized by extracellular accumulation of amyloid-beta peptide and intracellular aggregation of hyperphosphorylated tau, is the most common form of dementia. Memory loss, cognitive decline and disorientation are the ultimate consequences of neuronal death, synapse loss and neuroinflammation in AD. In general, there are many brain regions affected but neuronal loss in the locus coeruleus (LC) is one of the earliest indicators of neurodegeneration in AD. Since the LC is th… Show more

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Cited by 13 publications
(11 citation statements)
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“…In fact, recent evidence suggests that an axon terminal damage of the LC-NE system is reminiscent of limbic degeneration, which occurs during early Alzheimer’s disease (AD) and PD and provides potential mechanisms underlying prodromal neuropsychiatric symptoms, which are grounded on the accumulation of deleterious proteins [ 111 ]. Based on such a strong background assessing severe damage to LC in the course of degenerative dementia and limbic involvement in PD, experimental studies in mammals and brain imaging techniques allow us to establish in vivo in humans a tight time course between LC degeneration and the occurrence of degenerative dementia [ 112 , 113 , 114 , 115 , 116 ]. The protective effects of LC-NE innervation are either worsened or improved by damage to LC neurons or a stimulation of NE receptors, respectively [ 110 , 117 , 118 , 119 ].…”
Section: Discussionmentioning
confidence: 99%
“…In fact, recent evidence suggests that an axon terminal damage of the LC-NE system is reminiscent of limbic degeneration, which occurs during early Alzheimer’s disease (AD) and PD and provides potential mechanisms underlying prodromal neuropsychiatric symptoms, which are grounded on the accumulation of deleterious proteins [ 111 ]. Based on such a strong background assessing severe damage to LC in the course of degenerative dementia and limbic involvement in PD, experimental studies in mammals and brain imaging techniques allow us to establish in vivo in humans a tight time course between LC degeneration and the occurrence of degenerative dementia [ 112 , 113 , 114 , 115 , 116 ]. The protective effects of LC-NE innervation are either worsened or improved by damage to LC neurons or a stimulation of NE receptors, respectively [ 110 , 117 , 118 , 119 ].…”
Section: Discussionmentioning
confidence: 99%
“…However, the consequences of such differences for neuromodulation remain unknown and await clarification. Finally, both the noradrenergic system and astrocytes are involved in the etiology of CNS disorders such as epilepsy (Ghasemi and Mehranfard, 2018;Vezzani et al, 2022) and Alzheimer's disease (Leanza et al, 2018;Mercan and Heneka, 2022;Perez, 2023). Our work might, therefore, open up new therapeutic avenues, establishing astrocytes as valid alternative targets for therapeutics targeting the NA system.…”
Section: Discussionmentioning
confidence: 99%
“…The second aspect may concern the field of rehabilitation. There is growing evidence that neurodegenerative diseases may be triggered by neurodegenerative processes occurring in the LC [ 73 , 74 ]. In parallel, it is well known that a masticatory deficit may lead to brain neurodegenerative processes [ 18 , 74 , 75 ].…”
Section: Discussionmentioning
confidence: 99%