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Neuronal Cyclooxygenase 2 Expression in the Hippocampal Formation as a Function of the Clinical Progression of Alzheimer Disease
Lap Ho, PhD;
Dushyant Purohit, MD;
Vahram Haroutunian, PhD;
James D. Luterman, PhD;
Fitzroy Willis, MS;
Jan Naslund, PhD;
Joseph D. Buxbaum, PhD;
Richard C. Mohs, PhD;
Paul S. Aisen, MD;
Giulio Maria Pasinetti, MD, PhD
Arch Neurol. 2001;58:487-492.
Background Prior studies have shown that cyclooxygenase 2 (COX-2), an enzyme involved
in inflammatory mechanisms and neuronal activities, is up-regulated in the
brain with Alzheimer disease (AD) and may represent a therapeutic target for
anti-inflammatory treatments.
Objective To explore COX-2 expression in the brain as a function of clinical progression
of early AD.
Design and Main Outcome Measures Using semiquantitative immunocytochemistry, we analyzed COX-2 protein
content in the hippocampal formation in 54 postmortem brain specimens from
patients with normal or impaired cognitive status.
Setting and Patients Postmortem study of nursing home residents.
Results The immunointensity of COX-2 signal in the CA3 and CA2 but not CA1 subdivisions
of the pyramidal layers of the hippocampal formation of the AD brain increased
as the disease progressed from questionable to mild clinical dementia as assessed
by Clinical Dementia Rating. COX-2 signal was increased in all 3 regions examined
among cases characterized by severe dementia.
Conclusion Neuronal COX-2 content in subsets of hippocampal pyramidal neurons may
be an indicator of progression of dementia in early AD.
From the Neuroinflammation Research Laboratories (Drs Ho, Luterman,
and Pasinetti and Mr Willis) and Departments of Pathology (Dr Purohit) and
Psychiatry (Drs Haroutunian, Buxbaum, and Mohs), The Mount Sinai School of
Medicine, New York, NY; Department of Clinical Neuroscience, Karolinska Institutet,
Huddinge, Sweden (Dr Naslund); and Department of Neurology, Georgetown University
Medical Center, Washington, DC (Dr Aisen).
Corresponding author and reprints: Giulio Maria Pasinetti, MD, PhD,
Neuroinflammation Research Laboratories, Department of Psychiatry, Box 1229,
Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029
(e-mail: gp2{at}doc.mssm.edu).
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