WE investigated the reactive cytoskeletal changes following physical d
amage to axons in the rodent neocortex and compared these with the ear
liest neuronal alterations seen in Alzheimer's disease (AD). Insertion
of a 25 gauge needle into the rodent somatosensory cortex resulted in
ring- and club-like axonal changes characterized by an accumulation o
f neurofilaments, Morphologically and neurochemically identical abnorm
al axons were present within neocortical beta-amyloid deposits of indi
viduals in the early stages of AD. Physically damaged rat cortical axo
ns may therefore serve as a model for the early neuronal pathology of
AD. Furthermore, these results suggest that insoluble beta-amyloid dep
osition may physically damage local axons, with further neurofibrillar
y changes due to the reactive neuronal response to this type of injury
.