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      KIBRA repairs synaptic plasticity and promotes resilience to tauopathy-related memory loss

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          Abstract

          Synaptic plasticity is obstructed by pathogenic tau in the brain, representing a key mechanism that underlies memory loss in Alzheimer’s disease (AD) and related tauopathies. Here, we found that reduced levels of the memory-associated protein KIdney/BRAin (KIBRA) in the brain and increased KIBRA protein levels in cerebrospinal fluid are associated with cognitive impairment and pathological tau levels in disease. We next defined a mechanism for plasticity repair in vulnerable neurons using the C-terminus of the KIBRA protein (CT-KIBRA). We showed that CT-KIBRA restored plasticity and memory in transgenic mice expressing pathogenic human tau; however, CT-KIBRA did not alter tau levels or prevent tau-induced synapse loss. Instead, we found that CT-KIBRA stabilized the protein kinase Mζ (PKMζ) to maintain synaptic plasticity and memory despite tau-mediated pathogenesis. Thus, our results distinguished KIBRA both as a biomarker of synapse dysfunction and as the foundation for a synapse repair mechanism to reverse cognitive impairment in tauopathy.

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          Abstract

          <p>KIBRA levels in human brain and CSF correlate with tauopathy-related cognitive impairment and the KIBRA C-terminus restores plasticity and memory in a tauopathy mouse model.</p>

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          The diagnosis of dementia due to Alzheimer's disease: Recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease

          The National Institute on Aging and the Alzheimer's Association charged a workgroup with the task of revising the 1984 criteria for Alzheimer's disease (AD) dementia. The workgroup sought to ensure that the revised criteria would be flexible enough to be used by both general healthcare providers without access to neuropsychological testing, advanced imaging, and cerebrospinal fluid measures, and specialized investigators involved in research or in clinical trial studies who would have these tools available. We present criteria for all-cause dementia and for AD dementia. We retained the general framework of probable AD dementia from the 1984 criteria. On the basis of the past 27 years of experience, we made several changes in the clinical criteria for the diagnosis. We also retained the term possible AD dementia, but redefined it in a manner more focused than before. Biomarker evidence was also integrated into the diagnostic formulations for probable and possible AD dementia for use in research settings. The core clinical criteria for AD dementia will continue to be the cornerstone of the diagnosis in clinical practice, but biomarker evidence is expected to enhance the pathophysiological specificity of the diagnosis of AD dementia. Much work lies ahead for validating the biomarker diagnosis of AD dementia. Copyright © 2011. Published by Elsevier Inc.
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            National Institute on Aging-Alzheimer's Association guidelines for the neuropathologic assessment of Alzheimer's disease: a practical approach.

            We present a practical guide for the implementation of recently revised National Institute on Aging-Alzheimer's Association guidelines for the neuropathologic assessment of Alzheimer's disease (AD). Major revisions from previous consensus criteria are: (1) recognition that AD neuropathologic changes may occur in the apparent absence of cognitive impairment, (2) an "ABC" score for AD neuropathologic change that incorporates histopathologic assessments of amyloid β deposits (A), staging of neurofibrillary tangles (B), and scoring of neuritic plaques (C), and (3) more detailed approaches for assessing commonly co-morbid conditions such as Lewy body disease, vascular brain injury, hippocampal sclerosis, and TAR DNA binding protein (TDP)-43 immunoreactive inclusions. Recommendations also are made for the minimum sampling of brain, preferred staining methods with acceptable alternatives, reporting of results, and clinico-pathologic correlations.
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              Correlation of Alzheimer disease neuropathologic changes with cognitive status: a review of the literature.

              Clinicopathologic correlation studies are critically important for the field of Alzheimer disease (AD) research. Studies on human subjects with autopsy confirmation entail numerous potential biases that affect both their general applicability and the validity of the correlations. Many sources of data variability can weaken the apparent correlation between cognitive status and AD neuropathologic changes. Indeed, most persons in advanced old age have significant non-AD brain lesions that may alter cognition independently of AD. Worldwide research efforts have evaluated thousands of human subjects to assess the causes of cognitive impairment in the elderly, and these studies have been interpreted in different ways. We review the literature focusing on the correlation of AD neuropathologic changes (i.e. β-amyloid plaques and neurofibrillary tangles) with cognitive impairment. We discuss the various patterns of brain changes that have been observed in elderly individuals to provide a perspective for understanding AD clinicopathologic correlation and conclude that evidence from many independent research centers strongly supports the existence of a specific disease, as defined by the presence of Aβ plaques and neurofibrillary tangles. Although Aβ plaques may play a key role in AD pathogenesis, the severity of cognitive impairment correlates best with the burden of neocortical neurofibrillary tangles.
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                Author and article information

                Contributors
                Journal
                J Clin Invest
                J Clin Invest
                J Clin Invest
                The Journal of Clinical Investigation
                American Society for Clinical Investigation
                0021-9738
                1558-8238
                1 February 2024
                1 February 2024
                1 February 2024
                : 134
                : 3
                : e169064
                Affiliations
                [1 ]Buck Institute for Research on Aging, Novato, California, USA.
                [2 ]Memory and Aging Center, Department of Neurology, University of California San Francisco, San Francisco, California, USA.
                [3 ]Gladstone Institutes, San Francisco, Califoria, USA.
                [4 ]Weill Institute for Neurosciences, Department of Pathology, University of California San Francisco, San Francisco, California, USA.
                [5 ]The Robert F. Furchgott Center of Neural and Behavioral Science, Departments of Physiology and Pharmacology, Anesthesiology, and Neurology, State University of New York Health Sciences University, Brooklyn, New York, USA.
                [6 ]Helen and Robert Appel Alzheimer Disease Research Institute, Brain and Mind Research Institute, Weill Cornell Medicine, New York, New York, USA.
                Author notes
                Address correspondence to: Tara E. Tracy, Buck Institute for Research on Aging, 8001 Redwood Blvd, Novato California 94947, USA. Phone: 415.209.2062; Email: ttracy@ 123456buckinstitute.org .

                Authorship note: GK and KAPN contributed equally to this work.

                Author information
                http://orcid.org/0000-0003-3570-9143
                http://orcid.org/0000-0002-6809-0618
                Article
                169064
                10.1172/JCI169064
                10836803
                38299587
                e97c9bf3-c1c2-4510-a7b7-0a96ef596520
                © 2024 Kauwe et al.

                This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 16 February 2023
                : 21 November 2023
                Funding
                Funded by: National Institutes of Health, https://doi.org/10.13039/100000002;
                Award ID: R03AG063248,K01AG057862,R01AG054214,T32AG00026624,S10 OD016281,P01AG019724,P50AG023501
                Funded by: BrightFocus Foundation
                Award ID: A2016360F
                Funded by: Alzheimer’s Association
                Award ID: AARFD-19-616386
                Funded by: Forever Healthy Foundation
                Award ID: Forever Healthy Award
                Funded by: National Institutes of Health, https://doi.org/10.13039/100000002;
                Award ID: R37 MH057068,R01 MH115304,R01 NS108190
                Categories
                Research Article

                neuroscience,alzheimer disease,memory,synapses
                neuroscience, alzheimer disease, memory, synapses

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