Effect of vascular factors and aging on the ultrastructure of neurons of the human cerebral cortex

: Neuronal ultrastructure of the frontal and temporal cerebral cortex has been studied in persons 36-, 39-, 50-, 70-year-old, died from the ischemic heart disease and 73-, 83-year-old, whose deaths are not connected with vascular pathology. The neurons can be divided into several groups, depending on osmiophilic degree of their nucleus and cytoplasm: I--electron-light, II--electron-opaque, III--with dark nucleus and light cytoplasm and IV--with light nucleus and dark cytoplasm. The protein-synthesizing apparatus (PSA) is subjected to the earliest and most essential disorders. Its changes in the I group of neurons at the age of 36-50 years are mainly of compensatory-adaptive character, while at the age of 73 and 83 years the dystrophic changes of the PSA result in hollowness of the cell, that evidently makes the base of the cell ageing mechanism. Presence of electron opaque neurons is not a sign of ageing, and depends on various pathology, in the given case on the ischemic heart disease, that causes certain vascular disorders in the brain. Variability of the ultrastructures of the electron opaque neurons and essential changes of some part of them, observed in the brain of the 72-year-old man confirm that the vascular factor is an important one in pathology of neurons. Dependence of lipofuscin appearance in neurons on the manifestation degree of the pathological process and ageing in them is discussed.