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Science 5 March 1982: Vol. 215. no. 4537, pp. 1237 - 1239 DOI: 10.1126/science.7058341
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Articles
Science, Vol 215, Issue 4537, 1237-1239
Copyright © 1982 by American Association for the Advancement of Science
Alzheimer's disease and senile dementia: loss of neurons in the basal forebrain
PJ Whitehouse,
DL Price,
RG Struble,
AW Clark,
JT Coyle,
and
MR Delon
Recent evidence indicates that the nucleus basalis of Meynert, a distinct population of basal forebrain neurons, is a major source of cholinergic innervation of the cerebral cortex. Postmortem studies have previously demonstrated profound reduction in the presynaptic markers for cholinergic neurons in the cortex of patients with Alzheimer's disease and senile dementia of the Alzheimer's type. The results of this study show that neurons of the nucleus basalis of Meynert undergo a profound (greater than 75 percent) and selective degeneration in these patients and provide a pathological substrate of the cholinergic deficiency in their brains. Demonstration of selective degeneration of such neurons represents the first documentation of a loss of a transmitter-specific neuronal population in a major disorder of higher cortical function and, as such, points to a critical subcortical lesion in Alzheimer's patients.
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