Review: revisiting the human cholinergic nucleus of the diagonal band of Broca
File(s)
Author(s)
Type
Journal Article
Abstract
Although the nucleus of the vertical limb of the diagonal band of Broca (nvlDBB) is the second largest cholinergic nucleus in the basal forebrain, after the nucleus basalis of Meynert (nbM), it has not generally been a focus for studies of neurodegenerative disorders. However, the nvlDBB does have an important projection to the hippocampus and discrete lesions of the rostral basal forebrain have been shown to disrupt retrieval memory function, a major deficit seen in patients with Lewy body disorders. One reason for its neglect is that the anatomical boundaries of the nvlDBB are ill defined and this area of the brain is not part of routine diagnostic sampling protocols. We have reviewed the history and anatomy of the nvlDBB and now propose guidelines for distinguishing nvlDBB from other neighbouring cholinergic cell groups for standardising future clinicopathological work. Thorough review of the literature regarding neurodegenerative conditions reveals inconsistent results in terms of cholinergic neuronal loss within the nvlDBB. This is likely to be due to the use of variable neuronal inclusion criteria and omission of cholinergic immunohistochemical markers. Extrapolating from those studies showing significant nvlDBB neuronal loss in Lewy body dementia, we propose an anatomical and functional connection between the cholinergic component of the nvlDBB (Ch2) and the CA2 subfield in the hippocampus which may be especially vulnerable in Lewy body disorders. This article is protected by copyright. All rights reserved.
Date Issued
2018-12-01
Date Acceptance
2018-07-06
Citation
Neuropathology and Applied Neurobiology, 2018, 44 (7), pp.647-662
ISSN
0305-1846
Publisher
Wiley
Start Page
647
End Page
662
Journal / Book Title
Neuropathology and Applied Neurobiology
Volume
44
Issue
7
Copyright Statement
© 2018 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/3.0/), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/30005126
Subjects
Alzheimer's disease
Basal forebrain
Cholinergic system
Diagonal band of Broca
Lewy body dementia
Neuropathology
Parkinson's disease
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2018-07-13