Postmortale Diagnosestellung bei Morbus Alzheimer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-05

AUTHORS

D. R. Thal, H. Braak

ABSTRACT

Alzheimer’s disease is a slowly but continuously progressive degenerative disorder of the human central nervous system seen in ~15% of elderly people over the age of 65 years. Morphological hallmarks of this process are intra- and extracellular protein aggregates. The intraneuronal protein aggregates are primarily made up of abnormal phosphorylated τ-protein, which builds neurofibrillary tangles, neuropil threads and dystrophic neurites in neuritic plaques. The extracellular deposits consist of amyloid β-protein (Aβ) aggregates showing the characteristics of amyloid fibrils. The evolution of neurofibrillary changes as well as Aβ-deposition in brain regions follows a distinct hierarchical sequence spanning many decades. Aβ deposition begins in the neocortex whereas neurofibrillary pathology starts in the allocortical nerve cells of the transentorhinal region. Both transformations continue to increase in severity and expand into further areas and regions. The hierarchical pattern allows an easily understandable staging of neurofibrillary and Aβ pathology which in turn reflects the clinical gravity of the disease. According to these stages a dementing disorder can be diagnostically attributed to Alzheimer’s disease. More... »

PAGES

201-213

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00292-004-0695-4

DOI

http://dx.doi.org/10.1007/s00292-004-0695-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011723805

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15365765


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