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Abstract Details

Exacerbation of Alzheimer's Disease Neuropathology and Cognitive Deficits by Seizures
Aging, Dementia, and Behavioral Neurology
P2 - Poster Session 2 (8:00 AM-9:00 AM)
10-003

We hypothesized that epileptogenesis and Alzheimer’s Disease are part of a positive feedback loop and that the mTOR pathway may be a treatable modifier of AD progression. 

Patients with AD have an elevated risk of developing seizures, particularly in patients with early onset familial Alzheimer’s Disease (FAD) and severe AD. Seizures may worsen AD pathology and hasten the progression of the disease, making their investigation in this population a worthwhile target for intervention.

Post-mortem temporal cortex samples from 13 control subjects and 34 AD patients (14 with a known clinical seizure history, 20 without known seizure episodes) were obtained from the Institute on Aging – Center for Neurodegenerative Disease and Research. Pathological autopsy reports were used to extract disease duration, ventricular enlargement severity, and brain weight at death. Human temporal cortex samples were homogenized and whole cell and membrane fractions were obtained. Soluble Aβ42 concentration was measured using an anti-human Aβ42 ELISA kit. Western blots were performed with the whole cell and membrane fractions to measure tau hyperphosphorylation and phosphorylated S6 expression.

Data from pathological autopsy reports showed a correlation between known seizure history and greater duration of cognitive impairment and brain atrophy (decreased brain weight, increased severity of ventricular enlargement) in AD patients. Seizures were associated with a significant increase in tau hyperphosphorylation on [Thr212, Ser214] (AT100) and phosphorylated S6 (a readout of mTOR) in AD patients. Additionally, tau hyperphosphorylation on AT100 was found to be positively correlated with disease duration in the AD cohort.
Our study indicates that seizures may aggravate neuropathology of AD through tau hyperphosphorylation and suggests that AD patients should be evaluated for seizures and treated accordingly. Additionally, rapamycin may be a potential therapeutic target in patients with AD and seizures as mTOR is involved in both epileptogensis and AD neuropathology.
Authors/Disclosures

PRESENTER
No disclosure on file
David A. Stewart, MD (Johns Hopkins Department of Neurology) No disclosure on file
Delia M. Talos, MD (U of PA, School of Medicine) No disclosure on file
Frances E. Jensen, MD, FÂé¶¹´«Ã½Ó³»­ (Hospital of the University of Pennsylvania,Neurology Department) Dr. Jensen has nothing to disclose.