IN situ hybridization for TrkA mRNA was combined with quantitative opt
ical densitometry to evaluate whether the expression of this gene is a
ltered within cholinergic basal forebrain neurons (CBF) in Alzheimer's
disease (AD). TrkA mRNA within individual nucleus basalis neurons was
significantly reduced (66%) in AD cases relative to aged controls. Re
verse transcription polymerase chain reaction quantitative analyses co
nfirmed that TrkA mRNA levels decreased markedly in AD. In contrast, e
xpression of the gene coding for for the low affinity p75(NTR) was not
significantly altered in AD relative to aged controls. These data ind
icate that there is a selective defect in trkA gene expression in AD,
supporting the hypothesis that the degeneration of CBF neurons seen in
this disease results from impaired nerve growth factor trophic suppor
t.