2019
DOI: 10.1038/s41582-019-0281-2
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Cerebral amyloid angiopathy and Alzheimer disease — one peptide, two pathways

Abstract: The shared role of amyloid-β (Aβ) deposition in cerebral amyloid angiopathy (CAA) and Alzheimer disease (AD) is arguably the clearest instance of cross-talk between neurodegenerative and cerebrovascular processes. The pathogenic pathways of CAA and AD intersect at the levels of Aβ generation, its circulation within the interstitial fluid and perivascular drainage pathways and its brain clearance, but diverge in their mechanisms of brain injury and disease presentation. Here, we review the evidence for and path… Show more

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Cited by 450 publications
(461 citation statements)
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References 225 publications
(213 reference statements)
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“…CAA and vascular dysfunction was previously identified in WSB. APP/PS1 mice 6 and CAA is thought to be independent of neuroinflammation in human AD patients 42 . Recent work used the CSF1R inhibitor PLX5622 to deplete microglia in 5XFAD resulting in almost completely loss of amyloid in the parenchyma, and significant CAA and vascular leakage 43 .…”
Section: Discussionmentioning
confidence: 99%
“…CAA and vascular dysfunction was previously identified in WSB. APP/PS1 mice 6 and CAA is thought to be independent of neuroinflammation in human AD patients 42 . Recent work used the CSF1R inhibitor PLX5622 to deplete microglia in 5XFAD resulting in almost completely loss of amyloid in the parenchyma, and significant CAA and vascular leakage 43 .…”
Section: Discussionmentioning
confidence: 99%
“…In AD, beta-amyloid deposits accumulate in the brain ISS [111][112][113], which increases the volume and tortuosity of ISS. It is believed that blockage of brain ISF drainage accelerates the abnormal deposition of betaamyloid in AD, which contributes to both cerebral amyloid angiopathy and neurodegeneration [23,114,115]. Changes in the ISS have also been reported in other diseases, such as Parkinson's disease [116], multiple sclerosis [117,118], and epilepsy [17,119].…”
Section: Status Of Iss In Neurological Disordersmentioning
confidence: 99%
“…For several years, AD has been clinically characterized by progressive dementia with aberrant pathological deposits of intracellular NFTs and aggregation of extracellular Aβ peptides. Recent etiological studies of AD have focused on the vascular factors which participate in neuronal degeneration (Greenberg et al, 2020). In particular, oxidized low-density lipoprotein (oxLDL) has been demonstrated to contribute to AD pathology by regulating Aβ generation (Sun et al, 2003).…”
Section: Crosstalk Between Lpa and The Pathogenesis Of Alzheimer's DImentioning
confidence: 99%