The causes and the mechanisms of neuronal death in Alzheimer's disease are
not elucidated, although some new insights have been proposed over the past
years, including free-radical toxicity, beta-amyloid toxicity, excitotoxic
ity, and disturbed cellular calcium metabolism. Some authors have also poin
ted out that apoptosis could play a role in neuronal degeneration, but it i
s still largely debated. Here, we review some recent data linking the induc
tion of experimental neuronal apoptosis in vitro and the molecular patholog
y of the tau protein and amyloid precursor protein (APP). In cultures expos
ed to mild glutamate toxicity, tau mRNA expression, not beta-actin, is enha
nced in stressed neurons. The Guam cycad toxin metabolite methylazoxymethan
ol also produces an increase of <it>tau</it> gene transcription that exacer
bates changes induced by glutamate. In serumdeprived cultures or glutamate-
exposed cultures, neurons committed to apoptosis have a reduced <it>tau</it
> gene expression, whereas resistant neurons display a stable or even augme
nted tau mRNA expression accompanied by a persistent tau phosphorylation ne
ar serine 202. In the same conditions, stressed neurons produce membrane bl
ebbings strongly immunopositive for APP and putative amyloidogenic fragment
s that are subsequently released in the extracellular space. Experimental a
poptosis in neurons can recapitulate tau and APP modifications that could b
e associated with a selective vulnerability and a progression of cellular d
egeneration along the neuronal network.