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Journal of Alzheimer s Disease
Article . 2014 . Peer-reviewed
Data sources: Crossref
Journal of Alzheimer s Disease
Article . 2014
Data sources: mEDRA
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Direct Visualization of Fungal Infection in Brains from Patients with Alzheimer's Disease

Authors: Pisa, Diana; Alonso, Ruth; Juarranz, Ángeles; Rábano, Alberto; Carrasco Llamas, Luis;

Direct Visualization of Fungal Infection in Brains from Patients with Alzheimer's Disease

Abstract

Recently, we have reported the presence of fungal infections in patients with Alzheimer's disease (AD). Accordingly, fungal proteins and DNA were found in brain samples, demonstrating the existence of infection in the central nervous system. In the present work, we raised antibodies to specific fungal species and performed immunohistochemistry to directly visualize fungal components inside neurons from AD patients. Mice infected with Candida glabrata were initially used to assess whether yeast can be internalized in mammalian tissues. Using polyclonal rabbit antibodies against C. glabrata, rounded immunopositive cells could be detected in the cytoplasm of cells from liver, spleen, and brain samples in infected, but not uninfected, mice. Immunohistochemical analyses of tissue from the frontal cortex of AD patients revealed the presence of fungal material in a small percentage (~10%) of cells, suggesting the presence of infection. Importantly, this immunopositive material was absent in control samples. Confocal microscopy indicated that this fungal material had an intracellular localization. The specific morphology of this material varied between patients; in some instances, disseminated material was localized to the cytoplasm, whereas small punctate bodies were detected in other patients. Interestingly, fungal material could be revealed using different anti-fungal antibodies, suggesting multiple infections. In summary, fungal infection can only be observed using specific anti-fungal antibodies and only a small percentage of cells contain fungi. Our findings provide an explanation for the hitherto elusive detection of fungi in AD brains, and are consistent with the idea that fungal cells are internalized inside neurons.

Keywords

Fungal infection, Male, Indoles, Mice, Nude, Candida glabrata, tau Proteins, Neurodegenerative disease, Fungal Proteins, Mice, Alzheimer Disease, Tubulin, Animals, Humans, Antibodies, Fungal, Candida, Neurodegenerative diseases, Brain, Intracellular infection, Disease Models, Animal, Liver, Mycoses, Female, Spleen

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
views
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77
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