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  Vol. 58 No. 3, March 2001 TABLE OF CONTENTS
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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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