Alzheimer Disease Clinical Trial
Official title:
Exploration of the Enteric Nervous System in Alzheimer Disease : a Monocentric Pilot Study
The close homology between the central and enteric nervous system suggests that a disease
process affecting the central nervous system could also involve its enteric counterpart. This
has already been demonstrated for patients with Parkinson's disease but needs to be proven
for Alzheimer's disease. Studies on enteric nervous system during Alzheimer's disease are
indeed in low number and don't have led to definite conclusion. The investigators thus
propose to realize a complete analysis of the enteric nervous systems in Alzheimer's disease
by studying the presence of "tau' protein, of beta-amyloid peptide,...
not only by immunohistochemical but also by a biochemical approach. This study will be
realized from colonic samples.
The close homology between the central and enteric nervous system suggests that a disease
process affecting the central nervous system could also involve its enteric counterpart. The
investigators have recently shown in that the enteric neurons can be readily analyzed using
routine colonic biopsies. The investigators propose that the enteric nervous system could
represent a unique window to assess the neuropathology in living patients with a
neurodegenerative disorder. The investigators have already used this approach to show that
Parkinson's disease pathology was recapitulated in a single colonic biopsy. By contrast to
Parkinson's disease, the detection of Alzheimer's disease pathology in the enteric neurons
has so far failed. This may be due to the low number of human tissue samples in addition to
the low sensitivity of the immunohistochemical methods that were used. The aim of the current
research project will be therefore to reevaluate Alzheimer's disease pathology in a large
number of human colonic samples using both a morphological and biochemical approach.
The Hypothesis is that the enteric nervous system could represent a unique window to assess
the neuropathology in living patients with Alzheimer's disease. This might open the way to
the development of novel Alzheimer's disease biomarkers that will directly assess the
neuropathological process.
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