Cholesterol in the senile plaque: often mentioned, never seen

Acta Neuropathol. 2009 Jan;117(1):31-4. doi: 10.1007/s00401-008-0448-1. Epub 2008 Nov 5.

Abstract

The lipid components of the senile plaque (SP) remain largely unknown. Senile plaques were said to be enriched in cholesterol in a few studies using the cholesterol probe filipin and a histoenzymatic method based upon cholesterol oxidase activity. We provide data that strongly suggest that these results are false-positive: the SPs were still stained in the absence of the enzyme cholesterol oxidase; filipin still labeled the plaques after lipid extraction. On the other hand, resorufin, the highly fluorescent end-product of the histoenzymatic method, bound with high affinity to the SPs and neurofibrillary tangles in a cholesterol-independent manner, and might serve as a new marker of amyloid. In conclusion, the probable cholesterol enrichment of the SPs has never been proven so far, and might necessitate non-histological methods to be ascertained.

MeSH terms

  • Alzheimer Disease / metabolism
  • Alzheimer Disease / pathology
  • Brain / metabolism*
  • Brain / pathology
  • Cerebral Cortex / metabolism
  • Cerebral Cortex / pathology
  • Cholesterol / chemistry
  • Cholesterol / metabolism*
  • Cholesterol Oxidase / metabolism
  • Filipin / chemistry
  • Humans
  • Hydrogen Peroxide / metabolism
  • Microscopy, Fluorescence
  • Plaque, Amyloid / metabolism*
  • Plaque, Amyloid / pathology
  • Temporal Lobe / metabolism
  • Temporal Lobe / pathology

Substances

  • Filipin
  • Cholesterol
  • Hydrogen Peroxide
  • Cholesterol Oxidase