2018
DOI: 10.1155/2018/2530414
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Contribution of Neurons and Glial Cells to Complement-Mediated Synapse Removal during Development, Aging and in Alzheimer’s Disease

Abstract: Synapse loss is an early manifestation of pathology in Alzheimer's disease (AD) and is currently the best correlate to cognitive decline. Microglial cells are involved in synapse pruning during development via the complement pathway. Moreover, recent evidence points towards a key role played by glial cells in synapse loss during AD. However, further contribution of glial cells and the role of neurons to synapse pathology in AD remain not well understood. This review is aimed at comprehensively reporting the so… Show more

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Cited by 62 publications
(60 citation statements)
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References 124 publications
(177 reference statements)
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“…In aggregate, aberrant activation of neuroinflammatory signaling mechanisms during adolescence might be crucial for excessive spine pruning in schizophrenia [21,68], and re-activation with advanced aging might drive neurodegenerative pathology [16,[18][19][20], contributing to synaptic and cognitive dysfunction in diseases. The current data add to this emerging field, suggesting that complement activation within pyramidal cells might contribute to the atrophy of higher cognitive circuits and increases naturally with age [16,69].…”
Section: Implications For Neurological and Psychiatric Diseasementioning
confidence: 61%
“…In aggregate, aberrant activation of neuroinflammatory signaling mechanisms during adolescence might be crucial for excessive spine pruning in schizophrenia [21,68], and re-activation with advanced aging might drive neurodegenerative pathology [16,[18][19][20], contributing to synaptic and cognitive dysfunction in diseases. The current data add to this emerging field, suggesting that complement activation within pyramidal cells might contribute to the atrophy of higher cognitive circuits and increases naturally with age [16,69].…”
Section: Implications For Neurological and Psychiatric Diseasementioning
confidence: 61%
“…Here, we report a correlation between CHI3L1 and C1q protein levels in early AD. C1q is the first component of the complement pathway [90], and microglia and astrocytes are sources of C1q in the AD brain [91,92]. Complement-associated factors are implicated in pathogen presentation, neurodegeneration, and microglia resolution of tissue injury [93].…”
Section: Discussionmentioning
confidence: 99%
“…Neuronal loss could account for the decreased abundance found in the demented brain but fails to explain the loss of synapse-associated proteins in the AsymAD brain, nor the increase in these synaptic proteins in the spinal fluid during both early and later stages of disease. One possible explanation is dysregulated endo-and exocytosis, both of which have been increasingly implicated in AD pathogenesis [71][72][73][74][75]. Indeed, aberrant synaptic glial-mediated phagocytosis of synapses, perhaps in response to aberrant intracellular Aβ production, has been proposed as a major contributor to the synaptic loss found early in disease [74].…”
Section: Discussionmentioning
confidence: 99%