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Emerging Concepts in Neurodegeneration Research

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (30 January 2024) | Viewed by 5520

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Guest Editor
Institute of Clinical Neurobiology, Alberichgasse 5/13, A1150 Wien, Austria
Interests: Alzheimer disease; classification of proteinopathies; dementia; dementia with Lewy bodies; immunohistochemistry; Lewy bodies; mild cognitive impairment; movement disorders; multiple system atrophy; neurodegeneration; neuropathology; Parkinson disease; pathogenesis of dementia and movement disorders; pathology and diagnosis of dementia and movement disorders; tau-pathology; vascular dementia; α-synuclein pathology
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Dear Colleagues,

In the last year, neurodegeneration has become an increasing focus of neuroscience research. Neurodegenerative disorders, featuring the progressive dysfunction and death of cells in selected areas of the nervous system, are associated with conformational changes in proteins that result in the extra- and intracellular accumulation of misfolded proteins like alpha-synuclein, tau, TDP-43 and others, representing the hallmarks of many neurodegenerative diseases, summarized as proteinopathies. Strains of pathological proteins propagate in a protein-like manner across the nervous system, thus promoting the neurodegenerative process. Major basic mechanisms caused by genetic, environmental and endogenous factors are oxidative stress, proteasomal deficiency, mitochondrial dysfunction, impaired bioenergetics and neuroinflammation, which, in complex interrelation, lead to neuronal death, synaptic dysfunction and the disruption of axonal transport. The glial contribution to neurodegeneration was largely underestimated until recently. Accumulating experimental evidence has suggested that astroglia and oligodendroglia, affected by aberrant cytoplasmic aggregations, act as important mediators of neurodegeneration, while astrocytes represent an essential link between degeneration, regeneration and neuroprotection. The activation of microglia induced by pro-inflammatory agents and cytokine involvement plays an important role in neuroinflammation and contributes to the progression of neurodegeneration. Further important goals of modern neuroscience are the elucidation of stress signaling in the post-translational processing of neuronal death. Chloroplast and dysregulated mitochondrial bioenergetics are important factors in the pathophysiology of neurodegeneration. Growing evidence reveals the importance of ion channels, which play a crucial role in cell homogenesis, signal transduction and neurotransmitter secretion. The elucidation of these basic cellular mechanisms associated with gene expression will provide better insight into the complex pathomechanisms of neurodegenerative disorders as a possible basis for further development of disease-modifying treatment options for these detrimental disorders.

Prof. Dr. Kurt A. Jellinger
Guest Editor

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Research

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25 pages, 3037 KiB  
Article
Ageing-Related Neurodegeneration and Cognitive Decline
by Irina Alafuzoff and Sylwia Libard
Int. J. Mol. Sci. 2024, 25(7), 4065; https://doi.org/10.3390/ijms25074065 - 05 Apr 2024
Viewed by 947
Abstract
Neuropathological assessment was conducted on 1630 subjects, representing 5% of all the deceased that had been sent to the morgue of Uppsala University Hospital during a 15-year-long period. Among the 1630 subjects, 1610 were ≥41 years of age (range 41 to 102 years). [...] Read more.
Neuropathological assessment was conducted on 1630 subjects, representing 5% of all the deceased that had been sent to the morgue of Uppsala University Hospital during a 15-year-long period. Among the 1630 subjects, 1610 were ≥41 years of age (range 41 to 102 years). Overall, hyperphosphorylated (HP) τ was observed in the brains of 98% of the 1610 subjects, and amyloid β-protein (Aβ) in the brains of 64%. The most common alteration observed was Alzheimer disease neuropathologic change (ADNC) (56%), followed by primary age-related tauopathy (PART) in 26% of the subjects. In 16% of the subjects, HPτ was limited to the locus coeruleus. In 14 subjects (<1%), no altered proteins were observed. In 3 subjects, only Aβ was observed, and in 17, HPτ was observed in a distribution other than that seen in ADNC/PART. The transactive DNA-binding protein 43 (TDP43) associated with limbic-predominant age-related TDP encephalopathy (LATE) was observed in 565 (35%) subjects and α-synuclein (αS) pathology, i.e., Lewy body disease (LBD) or multi system atrophy (MSA) was observed in the brains of 21% of the subjects. A total of 39% of subjects with ADNC, 59% of subjects with PART, and 81% of subjects with HPτ limited to the locus coeruleus lacked concomitant pathologies, i.e., LATE-NC or LBD-NC. Of the 293 (18% of the 1610 subjects) subjects with dementia, 81% exhibited a high or intermediate level of ADNC. In 84% of all individuals with dementia, various degrees of concomitant alterations were observed; i.e., MIXED-NC was a common cause of dementia. A high or intermediate level of PART was observed in 10 subjects with dementia (3%), i.e., tangle-predominant dementia. No subjects exhibited only vascular NC (VNC), but in 17 subjects, severe VNC might have contributed to cognitive decline. Age-related tau astrogliopathy (ARTAG) was observed in 37% of the 1610 subjects and in 53% of those with dementia. Full article
(This article belongs to the Special Issue Emerging Concepts in Neurodegeneration Research)
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Review

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28 pages, 1850 KiB  
Review
The Irony of Iron: The Element with Diverse Influence on Neurodegenerative Diseases
by Seojin Lee and Gabor G. Kovacs
Int. J. Mol. Sci. 2024, 25(8), 4269; https://doi.org/10.3390/ijms25084269 - 12 Apr 2024
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Abstract
Iron accumulation in the brain is a common feature of many neurodegenerative diseases. Its involvement spans across the main proteinopathies involving tau, amyloid-beta, alpha-synuclein, and TDP-43. Accumulating evidence supports the contribution of iron in disease pathologies, but the delineation of its pathogenic role [...] Read more.
Iron accumulation in the brain is a common feature of many neurodegenerative diseases. Its involvement spans across the main proteinopathies involving tau, amyloid-beta, alpha-synuclein, and TDP-43. Accumulating evidence supports the contribution of iron in disease pathologies, but the delineation of its pathogenic role is yet challenged by the complex involvement of iron in multiple neurotoxicity mechanisms and evidence supporting a reciprocal influence between accumulation of iron and protein pathology. Here, we review the major proteinopathy-specific observations supporting four distinct hypotheses: (1) iron deposition is a consequence of protein pathology; (2) iron promotes protein pathology; (3) iron protects from or hinders protein pathology; and (4) deposition of iron and protein pathology contribute parallelly to pathogenesis. Iron is an essential element for physiological brain function, requiring a fine balance of its levels. Understanding of disease-related iron accumulation at a more intricate and systemic level is critical for advancements in iron chelation therapies. Full article
(This article belongs to the Special Issue Emerging Concepts in Neurodegeneration Research)
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41 pages, 997 KiB  
Review
Pathobiology of Cognitive Impairment in Parkinson Disease: Challenges and Outlooks
by Kurt A. Jellinger
Int. J. Mol. Sci. 2024, 25(1), 498; https://doi.org/10.3390/ijms25010498 - 29 Dec 2023
Cited by 3 | Viewed by 1679
Abstract
Cognitive impairment (CI) is a characteristic non-motor feature of Parkinson disease (PD) that poses a severe burden on the patients and caregivers, yet relatively little is known about its pathobiology. Cognitive deficits are evident throughout the course of PD, with around 25% of [...] Read more.
Cognitive impairment (CI) is a characteristic non-motor feature of Parkinson disease (PD) that poses a severe burden on the patients and caregivers, yet relatively little is known about its pathobiology. Cognitive deficits are evident throughout the course of PD, with around 25% of subtle cognitive decline and mild CI (MCI) at the time of diagnosis and up to 83% of patients developing dementia after 20 years. The heterogeneity of cognitive phenotypes suggests that a common neuropathological process, characterized by progressive degeneration of the dopaminergic striatonigral system and of many other neuronal systems, results not only in structural deficits but also extensive changes of functional neuronal network activities and neurotransmitter dysfunctions. Modern neuroimaging studies revealed multilocular cortical and subcortical atrophies and alterations in intrinsic neuronal connectivities. The decreased functional connectivity (FC) of the default mode network (DMN) in the bilateral prefrontal cortex is affected already before the development of clinical CI and in the absence of structural changes. Longitudinal cognitive decline is associated with frontostriatal and limbic affections, white matter microlesions and changes between multiple functional neuronal networks, including thalamo-insular, frontoparietal and attention networks, the cholinergic forebrain and the noradrenergic system. Superimposed Alzheimer-related (and other concomitant) pathologies due to interactions between α-synuclein, tau-protein and β-amyloid contribute to dementia pathogenesis in both PD and dementia with Lewy bodies (DLB). To further elucidate the interaction of the pathomechanisms responsible for CI in PD, well-designed longitudinal clinico-pathological studies are warranted that are supported by fluid and sophisticated imaging biomarkers as a basis for better early diagnosis and future disease-modifying therapies. Full article
(This article belongs to the Special Issue Emerging Concepts in Neurodegeneration Research)
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27 pages, 991 KiB  
Review
The Spectrum of Cognitive Dysfunction in Amyotrophic Lateral Sclerosis: An Update
by Kurt A. Jellinger
Int. J. Mol. Sci. 2023, 24(19), 14647; https://doi.org/10.3390/ijms241914647 - 27 Sep 2023
Cited by 3 | Viewed by 1714
Abstract
Cognitive dysfunction is an important non-motor symptom in amyotrophic lateral sclerosis (ALS) that has a negative impact on survival and caregiver burden. It shows a wide spectrum ranging from subjective cognitive decline to frontotemporal dementia (FTD) and covers various cognitive domains, mainly executive/attention, [...] Read more.
Cognitive dysfunction is an important non-motor symptom in amyotrophic lateral sclerosis (ALS) that has a negative impact on survival and caregiver burden. It shows a wide spectrum ranging from subjective cognitive decline to frontotemporal dementia (FTD) and covers various cognitive domains, mainly executive/attention, language and verbal memory deficits. The frequency of cognitive impairment across the different ALS phenotypes ranges from 30% to 75%, with up to 45% fulfilling the criteria of FTD. Significant genetic, clinical, and pathological heterogeneity reflects deficits in various cognitive domains. Modern neuroimaging studies revealed frontotemporal degeneration and widespread involvement of limbic and white matter systems, with hypometabolism of the relevant areas. Morphological substrates are frontotemporal and hippocampal atrophy with synaptic loss, associated with TDP-43 and other co-pathologies, including tau deposition. Widespread functional disruptions of motor and extramotor networks, as well as of frontoparietal, frontostriatal and other connectivities, are markers for cognitive deficits in ALS. Cognitive reserve may moderate the effect of brain damage but is not protective against cognitive decline. The natural history of cognitive dysfunction in ALS and its relationship to FTD are not fully understood, although there is an overlap between the ALS variants and ALS-related frontotemporal syndromes, suggesting a differential vulnerability of motor and non-motor networks. An assessment of risks or the early detection of brain connectivity signatures before structural changes may be helpful in investigating the pathophysiological mechanisms of cognitive impairment in ALS, which might even serve as novel targets for effective disease-modifying therapies. Full article
(This article belongs to the Special Issue Emerging Concepts in Neurodegeneration Research)
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