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Page 4 of 13                        Li et al. Ageing Neur Dis 2022;2:12  https://dx.doi.org/10.20517/and.2022.14

               Table 1. Comparison of CNS features across species
                Species                                          Human       Macaque        Mouse
                Life span (years)                                70-90       30-40          ~2
                New striatum                                     Yes         Yes            No
                Gestation (days)                                 280         155            18
                Behavior reservoir                               large       Moderate       Small
                BBB permeability                                 Strict      Moderate       low
                Gyrification                                     Yes         Yes            No
                Circadian                                        Diurnal     Diurnal        Nocturnal
                Cortex thickness (mm)                            4-5         2-3            1
                Inter cortex communication                       High        Moderate       low
                Naturally developed AD, PD pathology             Yes         Yes            No

               CNS: Central never system; BBB: blood-brain barrier; AD: Alzheimer’s disease; PD: Parkinson’s disease.

               deterioration of AD correlates with Tau aggregation more tightly than Aβ deposition , several mouse
                                                                                           [64]
               models expressing human Tau were established [65-67] . Some Tau transgenic mice show no obvious neuron
               loss, even after being crossed with Aβ mouse lines . Many attempts have also been made to recapitulate
                                                          [68]
               AD pathogenesis in the minipig [69,70] , but no typical pathology was detected in a three-year longitudinal
               study . Thus, these findings underscore the urgent need to establish a better AD model [72,73] .
                    [71]

               Recent investigations have found that primates can naturally develop amyloid plaques and NFTs in old
               age [74-76] . Importantly, the Tau pathology initiates and is spread in the same manner as that in AD patients,
               strongly suggesting that monkeys possess unparalleled physical context for the occurrence of late-onset
               sporadic AD [75,77] . Since toxic chemicals in the environment may contribute to AD pathogenesis, Yang et al.
               performed methanol administration to induce an AD monkey model [78,79] . Several investigations attempted
               to make AD models by intracerebral or lateral ventricle administration of synthetic or patients’ Aβ
               oligomers (AβO), which results in early pathological events, including reduced spines, increased
               inflammation, and synaptic dysfunction, but with no amyloid plaques or NFTs [80,81] . Since young animals
               were used in these studies, aging may be an important contributor to the appearance of typical AD
               pathology. A recent study achieved a remarkable and widespread distribution of massive Aβ aggregate
               across the entire brain via single focal delivery of synthetic AβOs into cerebral parenchyma, which triggered
               neuroinflammation and slight Tau phosphorylation, although no brain atrophy or cognition decline was
               detected . Since Tau hyperphosphorylation and aggregation are considered more cardinal factors for
                      [82]
               dementia severity [54,83,84] , injection of AAV expressing mutant human Tau into the monkey entorhinal
               cortex, a region in which early AD pathology initiates, was tried to create an AD model. Interestingly,
               exogenous Tau is spread into various brain regions, highly reminiscent of the AD patient brain, causing
                                                                  [85]
               disease markers related to AD to rise in blood and CSF . However, no functional examination was
               presented in studies of this AD monkey model. Because aging is the major risk for AD, more longitudinal
               studies of the above AD monkey models may reveal the relationship between behavioral phenotypes and
               pathological changes.

               NHP models of PD
               As the second most common neurodegenerative disease, Parkinson’s disease (PD) affects more than 6.1
               million people worldwide . PD is clinically recognizable for dyskinesia, such as resting tremor, rigidity,
                                     [86]
               poor balance, and bradykinesia, and it also frequently presents with constipation, hyposmia, and cognitive,
               psychiatric, and sleep problems . Pathologically, PD is caused by progressive loss of substantia nigra (SN)
                                          [87]
               dopaminergic neurons, which results from the intracellular accumulation of α-Synuclein, namely Lewy
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