Resilience of precuneus neurotrophic signaling pathways despite amyloid pathology in prodromal Alzheimer's disease

Sylvia E. Perez, Bin He, Muhammad Nadeem, Joanne Wuu, Stephen W. Scheff, Eric E. Abrahamson, Milos D. Ikonomovic, Elliott J. Mufson

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


BACKGROUND: Reduction of precuneus choline acetyltransferase activity co-occurs with greater beta-amyloid (Aβ) in Alzheimer's disease (AD). Whether this cholinergic deficit is associated with alteration in nerve growth factor (NGF) signaling and its relation to Aβ plaque and neurofibrillary tangle (NFT) pathology during disease onset is unknown. METHODS: Precuneus NGF upstream and downstream signaling levels relative to Aβ and NFT pathology were evaluated using biochemistry and histochemistry in 62 subjects with a premortem diagnosis of non-cognitively impaired (NCI; n = 23), mild cognitive impairment (MCI; n = 21), and mild to moderate AD (n = 18). RESULTS: Immunoblots revealed increased levels of proNGF in AD subjects but not MCI subjects, whereas cognate receptors were unchanged. There were no significant differences in protein level for the downstream survival kinase-signaling proteins Erk and phospho-Erk among groups. Apoptotic phospho-JNK, phospho-JNK/JNK ratio, and Bcl-2 were significantly elevated in AD subjects. Soluble Aβ1-42 and fibrillar Aβ measured by [3H] Pittsburgh compound-B ([3H]PiB) binding were significantly higher in AD subjects compared with MCI and NCI subjects. The density of plaques showed a trend to increase, but only 6-CN-PiB-positive plaques reached significance in AD subjects. AT8-positive, TOC-1-positive, and Tau C3-positive NFT densities were unchanged, whereas only AT8-positive neuropil thread density was statistically higher in AD subjects. A negative correlation was found between proNGF, phospho-JNK, and Bcl-2 levels and phospho-JNK/JNK ratio and cognition, whereas proNGF correlated positively with 6-CN-PiB-positive plaques during disease progression. CONCLUSIONS: Data indicate that precuneus neurotrophin pathways are resilient to amyloid toxicity during the onset of AD.

Original languageEnglish (US)
Pages (from-to)693-703
Number of pages11
JournalBiological Psychiatry
Issue number8
StatePublished - 2015


  • Alzheimer's disease
  • Amyloid
  • Mild cognitive impairment
  • Neuropathology
  • Neurotrophic factors
  • Tau

ASJC Scopus subject areas

  • Biological Psychiatry


Dive into the research topics of 'Resilience of precuneus neurotrophic signaling pathways despite amyloid pathology in prodromal Alzheimer's disease'. Together they form a unique fingerprint.

Cite this