Potentially Pathogenic Calcium Oxalate Dihydrate and Titanium Dioxide Crystals in the Alzheimer's Disease Entorhinal Cortex

J Alzheimers Dis. 2020;77(2):547-550. doi: 10.3233/JAD-200535.

Abstract

Knowing that Alzheimer's disease (AD) nucleates in the entorhinal cortex (EC), samples of 12 EC specimens were probed for crystals by a protocol detecting fewer than 1/5000th of those present. Of the 61 crystals found, 31 were expected and 30 were novel. Twenty-one crystals of iron oxides and 10 atherosclerosis-associated calcium pyrophosphate dihydrate crystals were expected and found. The 30 unexpected crystals were NLRP3-inflammasome activating calcium oxalate dihydrate (12) and titanium dioxide (18). Their unusual distribution raises the possibility that some were of AD origination sites.

Keywords: Alzheimer’s disease pathogenesis; calcium oxalate dihydrate; inflammasome activating crystals; titanium dioxide.

Publication types

  • Letter
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / pathology*
  • Calcium Oxalate / analysis*
  • Calcium Oxalate / toxicity
  • Crystallization
  • Entorhinal Cortex / chemistry*
  • Entorhinal Cortex / pathology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Titanium / analysis*
  • Titanium / toxicity

Substances

  • titanium dioxide
  • Calcium Oxalate
  • Titanium