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REVIEWSStereological principles
A set of rules that allows
objective counting of the
number of objects in a threedimensional structure
independent of the size of the
objects. Among these is the
dissector principle, which
ensures that objects are
sampled with a probability that
is proportional to their number
and not their size.Ageing is associated with a decline in cognitive function
that can, in part, be explained by changes in neural
plasticity or cellular alterations that directly affect
mechanisms of plasticity. Although several age-related
neurological changes have been identified during normal ageing, these tend to be subtle compared with the
alterations that are observed in age-associated disorders,
such as Alzheimers disease and Parkinsons disease.
Moreover, understanding age-related changes in cognition sets a background against which it is possible to
assess the effects of pathological disease states.In this review, we discuss functional alterations that
occur during normal ageing in the medial temporal
lobe and the prefrontal cortex (PFC) and how these ageassociated changes might contribute to the selective cognitive impairments that occur in advanced age. We first
discuss data that suggest that profound loss of neurons
does not significantly contribute to age-related cognitive
impairments. We then review the subtle changes in neuronal morphology, cellcell interactions and gene expression that might contribute to alterations in plasticity in
aged animals and how these changes disrupt the network
dynamics of aged neuronal ensembles that ultimately
contribute to selective behavioural impairments.Morphology of the ageing brainAge-related changes in the morphology of neurons are
selective and it seems that there is no universal pattern
across the entire brain. However, one finding that does
seem to be consistent is that in most brain areas neuronal
loss does not have a significant role in age-related cognitive decline. Rather, small, region-specific changes in dendritic branching and spine density are more characteristic
of the effects of ageing on neuronal morphology (FIG. 1). This is contrary to early investigations of aged nervous
tissue in which profound neuron loss was reported to
occur in advanced age.In 1955, Brody was the first to suggest that age-related
reductions in brain weight were due, in part, to a decline
in neuron number in all cortical layers1. Subsequent
investigations corroborated this work, reporting a
1060% decline in cortical neuron density between late
childhood and...