“…In the case of ASPD, we have already shown that ASPD are selectively formed in excitatory neurons and secreted (Komura et al, 2019). Therefore, it is natural to consider that ASPD are delivered to the cerebral blood vessels through apolipoprotein E (ApoE), clusterin, or brain meningeal lymphatics, as reported previously (Beeg et al, 2016, da Mesquita et al, 2018Garai et al, 2014;Nelson et al, 2017). However, other possibilities, e.g., formation of ASPD in the cerebral blood microvessels, cannot be excluded, because Ab precursor protein (APP) is also expressed on the surface of cerebral endothelial cells, even though the APP isoform profiles in endothelial cells are different from those in neurons (Grinberg et al, 2012;Kakuda et al, 2017;Kitazume et al, 2010).…”