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cognitive diseases such as mental retardation and prionoses. Mechanisms which may affect
dendritic spine formation and plasticity in neurodegenerative disorders will now be discussed.
A β -induced synaptotoxicity
In spite of their central importance to AD, the molecules responsible for spine pathology
remain unknown. Involvement of insoluble Aβ fibrils has been considered a prime suspect for
many years; however, abnormal neuropil in AD can occur in the absence of contiguous
amyloid plaques [Einstein et al., 1994; Lue et al., 1999; Coleman et al., 2004]. In transgenic
mouse models, synapse abnormalities as well as memory impairments correlate poorly with
plaque burden and can occur before plaque formation [Holcomb et al., 1999; Hsia et al.,
1999; Larson et al., 1999; Mucke et al., 2000; Jacobsen et al., 2006]. Although Aβ antibodies
prevent synaptic degeneration in transgenic mice [Buttini et al., 2005], memory impairment is
reversed without plaque loss [Dodart et al., 2002; Kotilinek et al., 2002]. These findings
suggest that a toxin from Aβ, not present in plaques, may be the culprit behind synapse
degeneration. Indeed, AD brain [Gong et al., 2003; Kayed et al., 2003; Lacor et al., 2004] and
cerebrospinal fluid [Georganopoulou et al., 2005; Haes et al., 2005] contain small
neurotoxins that comprise soluble Aβ oligomers, termed Aβ-derived diffusible ligands
(ADDLs) [Lambert et al., 1998]. Neuronal injury triggered by ADDLs is now viewed by
many as a central feature of AD pathology [Standridge, 2006]. ADDLs are gain-of-function
ligands that target dendritic spines [Lacor et al., 2004] and disrupt synaptic plasticity
[Lambert et al., 1998; Wang et al., 2002].
The cellular actions of ADDLs may be of particular relevance to neutropil damage
[Klein, 2006] A recent study by Lacor et al. (2007) provides direct biological evidence for the
hypothesis that synaptic damage is caused by ADDLs, establishing that the latter alter spine
composition, morphology and density in highly differentiated cultures of hippocampal
neurons (a widely accepted model for studies of synapse cell biology) (Fig. 1).
ADDLs bound to neurons with specificity, attaching to presumed excitatory pyramidal
neurons but not GABAergic neurons [Lacor et al., 2007]. Because ADDLs block LTP
[Lambert et al., 1998; Wang et al., 2002] by binding directly to dendritic spines [Lacor et al.,
2004] and disrupt N-methyl-D-aspartate (NMDA) receptor-mediated CREB phosphorylation
[Tong et al., 2001], it is not unexpected that surface glutamate receptor levels would be
altered by ADDLs [Gong et al., 2003]. Additionally, ADDLs induce abnormal expression of
Arc [Lacor et al., 2004], a spine cytoskeletal protein that influences glutamate receptor
trafficking [Mokin et al., 2006], and cause a major loss of surface NMDA receptors [Lacor et
al., 2007]. Loss of NMDA receptors has been seen in AD brain [Sze et al., 2001; Mishizen-
Eberz et al., 2004] and in a transgenic AD mouse model [Snyder et al., 2005], and correlates
with synaptic alterations and cognitive deficits [Terry et al., 1991; Sze et al., 1997; Counts et
al., 2006]. The large decrease in receptor expression reported by Lacor et al. (2007) occurred
prior to changes in spine density, consistent with synaptic plasticity being compromised
before onset of degeneration.
In addition to affecting NMDA receptors, ADDLs promoted a rapid decrease in
membrane expression of EphB2. These two synaptic receptors physically interact via their
extracellular domains [Dalva et al., 2000] and are functionally related to plasticity. NMDA
receptors play a central role in the induction of LTP [Morris and Davis, 1994], and EphB2
exerts control over NMDA-dependent LTP [Matynia et al., 2002]. Moreover, both receptors
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