Precuneus (PreC) cortex is affected with amyloid plaques early in
Alzheimer’s disease (AD), and this pathology may be associated with
alterations in PreC synapses and cognitive impairment. We quantified the
spinophilin-immunoreactive (ir) dendritic spine density and the intensity of
spinophilin immunofluorescence, the latter as a measure of relative protein
levels of spinophilin, in PreC lamina III from 33 subjects with clinical
diagnoses of no cognitive impairment (NCI), mild cognitive impairment (MCI),
mild-moderate AD (mAD), or severe AD (sAD). Both measures of spinophilin were
lower in mAD and sAD compared with NCI. The MCI group had higher protein levels
of spinophilin compared with mAD and sAD, and higher spinophilin-ir dendritic
spine density compared with sAD. Lower spinophilin-ir dendritic spine density
and relative protein levels of spinophilin were associated with greater amyloid
beta (Aβ) plaque burden, detected with a derivative of Pittsburgh
compound-B (6-CN-PiB), and worse cognitive performance. Clinical onset of AD is
marked by the loss of PreC spinophilin-ir dendritic spines that is related to
Aβ pathology and may contribute to cognitive symptoms early in the
disease.