The expression levels of three synaptic proteins (synaptophysin, synaptotag
min, and growth-associated protein 43 [GAP43]) in AD cases clinically class
ified by Clinical Dementia Rating (CDR) score were analyzed. Compared with
control subjects (CDR = 0), mild (early) AD (CDR = 0.5 to I) cases had a 25
% loss of synaptophysin immunoreactivity. Levels of synaptotagmin and GAP43
were unchanged in mild AD, but cases with CDR of >1 had a progressive decr
ement in these synaptic proteins. Thus, synaptic injury in frontal cortex i
s an early event in AD.