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Plaques and tangles in the Alzheimer brain. A section of cerebral cortex from the brain of an individual with severe Alzheimer disease shows typical plaques and neuro-fibrillary tangles. (Images from James Goldman, reproduced with permission.) Left: The diagram shows a neuron containing neurofibrillary tangles, composed of bundles of paired-helical filaments in the cell body and more paired helical filaments in the axon. Amyloid plaques are shown in the neuropil, one of them surrounding a dendrite, which displays an altered, swollen shape. Tangles are composed of abnormal polymers of hyperphosphorylated tau protein, and amyloid plaques are extracellular deposits of polymers of the amyloid betaSource: (A4) peptide. The Aging Brain, Principles of Neural Science, Fifth Editon Middle: A section of neocortex from a patient with Alzheimer disease has been treated withS.aPrinciples silver stain. The tissue shows cell Available bodies Citation: Kandel ER, Schwartz JH, Jessell TM, Siegelbaum SA, Hudspeth AJ, Mack of Neural Science, Fifthneuronal Editon; 2012 containing neurofibrillary tangles and neuropil containing amyloid plaques. at: http://mhmedical.com/ Accessed: August 03, 2017 Right: A higher magnification the cortex Education. shows neurofibrillary tangles in neuronal cell bodies and, in contrast, a healthy neuron without a tangle. Note Copyright © 2017 of McGraw-Hill All rights reserved the many thin silver-positive cell processes in the neuropil; these are neuronal processes that contain paired helical filaments.