Time-dependent histological characterization of amyloid-β induced cholinergic and glial alterations and their modulation by dehydroepiandrosterone sulfate (DHEAS) - Report - MDSpire

Time-dependent histological characterization of amyloid-β induced cholinergic and glial alterations and their modulation by dehydroepiandrosterone sulfate (DHEAS)

  • By

  • Csenge Sólyomvári

  • Géza Makkai

  • Nicolas Capelo-Carrasco

  • Dubravka Svob Strac

  • Dóra Zelena

  • Szidónia Farkas

  • March 23, 2026

  • 0 min

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Temporal Histological Effects of Amyloid-β on Cholinergic and Glial Cells and DHEAS Modulation

Overview

Amyloid-β (Aβ) injection into the nucleus basalis magnocellularis (NBM) induces time-dependent neurotoxic effects on cholinergic neurons and activates microglia and astrocytes. Treatment with dehydroepiandrosterone sulfate (DHEAS) preserves cholinergic fiber density and modulates glial inflammatory responses, suggesting neuroprotective potential.

Background

Alzheimer’s disease (AD) is characterized by amyloid-β accumulation leading to cholinergic neuron degeneration and neuroinflammation. The basal forebrain cholinergic system, particularly the NBM, is vulnerable to Aβ toxicity, which disrupts acetylcholine synthesis and promotes neuronal death. Activated microglia and astrocytes contribute to chronic inflammation in AD, exacerbating neuronal damage. DHEAS, an endogenous steroid, declines with age and AD and may exert neuroprotective and anti-inflammatory effects, making it a candidate for therapeutic intervention.

Data Highlights

Time Post Aβ InjectionCholinergic Fiber DensityCholinergic Cell BodiesMicroglia ActivationAstrocyte ReactivityDHEAS Effects
3 daysDecreasedNo significant changeMicroglia amoeboid morphology increasedBeginning of astrocyte ramification increasePreserved fiber density; reduced microglia area and number
12 daysDecreasedNo significant changeElevated microglia activationIncreased astrocyte ramificationContinued modulation of glial response
33 daysDecreasedNo significant changeMicroglia activation decreasedAstrocyte reactivity normalizedMaintained fiber preservation and reduced microglia

Key Findings

  • Aβ1–42 injection into the NBM causes time-dependent cholinergic fiber loss without significant loss of cholinergic cell bodies.
  • Microglial activation occurs early (by day 3) with amoeboid morphology, while astrocyte reactivity increases later (between days 3 and 12).
  • DHEAS treatment preserves cholinergic fiber density but does not affect cholinergic cell body numbers.
  • DHEAS reduces microglial activation by decreasing both the area occupied and the number of microglia in a time-dependent manner.
  • The neuroprotective effects of DHEAS may be mediated through modulation of glial inflammatory responses.

Clinical Implications

These findings suggest that targeting glial activation and preserving cholinergic fibers with agents like DHEAS could be a promising therapeutic strategy in AD. Early intervention to modulate neuroinflammation may mitigate cholinergic dysfunction and slow disease progression. Further studies are needed to clarify DHEAS’s mechanisms and optimize its clinical application.

Conclusion

Aβ induces progressive cholinergic and glial alterations in the NBM, with DHEAS demonstrating potential to preserve cholinergic fibers and attenuate glial activation. This supports further exploration of DHEAS as a neuroprotective agent in AD models.

References

  1. Original Study 2024 -- Temporal Analysis of Histological Changes Induced by Amyloid-β and Regulation by DHEAS

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