Abstract

Olfactory dysfunction is a common symptom associated with neurodegenerative diseases including Alzheimer’s disease (AD). Although evidence exists to suggest that peripheral olfactory organs are involved in the olfactory dysfunction that accompanies AD pathology, the underlying mechanisms are not fully understood. As confirmed using behavioral tests, transgenic mice overexpressing a Swedish mutant form of human amyloid precursor proteins exhibited olfactory impairments prior to evidence of cognitive impairment. By measuring the expression of tyrosine hydroxylase, we observed that specific regions of the olfactory bulb (OB) in Tg2576 mice, specifically the ventral portion exhibited significant decreases in the number of dopaminergic neurons in the periglomerular regions from the early stage of AD. To confirm the direct linkage between these olfactory impairments and AD-related pathology, β-site amyloid precursor protein cleaving enzyme 1 (BACE1)—the initiating enzyme in Aβ genesis—and β-amyloid peptide (Aβ), hallmarks of AD were analyzed. We found that an increase in BACE1 expression coincided with an elevation of amyloid-β (Aβ) oligomers in the ventral region of OB. Moreover, olfactory epithelium (OE), in particular the ectoturbinate in which axons of olfactory sensory neurons (OSNs) have direct connections with the dendrites of mitral/tufted cells in the ventral part of OB, exhibited significant decreases in both thickness and cell number even at early stages. This result suggests that Aβ oligomer toxicity in the OE may have induced a decline in the number of OSNs and functional impairment of the olfactory system. We first demonstrated that disproportionate levels of regional damage in the peripheral olfactory system may be a specific symptom of AD with Aβ oligomer accumulation occurring prior to damage within the CNS. This regional damage in the olfactory system early in the progression of AD may be closely related to AD-related pathological abnormality and olfactory dysfunction found in AD patients.

Highlights

  • Alzheimer’s disease (AD) is a neurodegenerative disorder characterized by memory decline and other functional cognitive impairments that result from the progressive degeneration of neurons in the brain.[1]

  • Because olfactory dysfunction has been observed in the early phase of AD pathology, we postulated that olfactory dysfunction may occur before the central nervous system (CNS) defects in the Tg2576 mouse

  • These results demonstrate that olfactory dysfunction occurs even at the earliest stages of AD pathology

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Summary

Introduction

Alzheimer’s disease (AD) is a neurodegenerative disorder characterized by memory decline and other functional cognitive impairments that result from the progressive degeneration of neurons in the brain.[1]. Declining sensory functions are common in neurodegenerative disorders including AD.[9] A number of recent reports have revealed pathological events in the sensory organs of patients with AD.[10,11] Symptoms of olfactory dysfunction in particular were believed to be the result of neurodegeneration occurring in olfaction-related limbic cortices of the central nervous system (CNS) until the late 1980s.12. We first investigated the integrity of postsynaptic function and related structural changes between peripheral OE and OB for olfactory recognition using the Tg2576 mice at both early and late stages in order to understand the causes and mechanisms of the olfactory dysfunction related to AD. We explored the feasibility of early AD diagnosis using the olfactory system

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