The brains of 46 control subjects and 21 Alzheimer's disease (AD) pati
ents were studied to determine whether there are age-related or AD-rel
ated changes in the vasoactive intestinal polypeptide (VIP) neuron pop
ulation of the human suprachiasmatic nucleus (SCN). The number of VIP
expressing neurons in the SCN of females, ranging in age from 10-91 ye
ars, did not change during normal aging. In males, however, the number
of VIP neurons in the SCN was highest in the young subjects (10-40 ye
ars of age), after which, a dramatic decrease occurred in middle-aged
subjects. This resulted in an age-dependent sex difference in the VIP
cell population of the SCN: young males had twice as many VIP expressi
ng SCN neurons as young females, whereas in the middle-aged group, the
females had twice as many VIP SCN neurons as the males. A significant
decrease in the number of VIP expressing neurons in the SCN was found
in female presenile AD patients, i.e., those younger than 65 years.