“…Indeed, young adults carrying the ApoE4 allele, and MCI patients, exhibit reduced brain glucose metabolism (Reiman et al, 1996;Small et al, 2000;Mosconi et al, 2004;Mosconi, 2005), indicating that impaired energy metabolism may be an early contributing event to AD pathology rather than a consequence of the disease process. Importantly, several key down-stream cellular consequences of vascular insults and the resulting CBH, such as hypoxia, energy depletion and cellular stress have been linked with an elevation in BACE1 levels and activity (Tamagno et al, 2002(Tamagno et al, , 2005Tong et al, 2005;Velliquette et al, 2005;Sun et al, 2006;Xiong et al, 2007;Yan et al, 2007). Thus, in addition to potential elevations in Aβ occurring as a consequence of its own vasoactive properties, as detailed above, it appears possible that cardio-and cerebrovascular insults could elevate Aβ levels via a mechanism involving BACE1 elevation.…”