2023
DOI: 10.3390/ijms24087046
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Vascular Dysfunction in Alzheimer’s Disease: Alterations in the Plasma Contact and Fibrinolytic Systems

Abstract: Alzheimer’s disease (AD) is the most common neurodegenerative disease, affecting millions of people worldwide. The classical hallmarks of AD include extracellular beta-amyloid (Aβ) plaques and neurofibrillary tau tangles, although they are often accompanied by various vascular defects. These changes include damage to the vasculature, a decrease in cerebral blood flow, and accumulation of Aβ along vessels, among others. Vascular dysfunction begins early in disease pathogenesis and may contribute to disease prog… Show more

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Cited by 10 publications
(7 citation statements)
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“…Moreover, plasma kallikrein cleaves HMWK to release bradykinin, which is composed of only nine amino acids [35]. Lower HMWK and higher kinin levels are associated with age-related diseases, including Alzheimer's Disease (AD) and impaired cognitive function [36][37][38][39]. Finally, activated F11 is a component of both thrombin generation and the kallikrein-kinin system [40].…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, plasma kallikrein cleaves HMWK to release bradykinin, which is composed of only nine amino acids [35]. Lower HMWK and higher kinin levels are associated with age-related diseases, including Alzheimer's Disease (AD) and impaired cognitive function [36][37][38][39]. Finally, activated F11 is a component of both thrombin generation and the kallikrein-kinin system [40].…”
Section: Discussionmentioning
confidence: 99%
“…For instance, in cardiovascular diseases, vascular dysfunction plays a pivotal role in the development of conditions like atherosclerosis, hypertension, and heart failure [23][24][25]. In neurodegenerative diseases, such as Alzheimer's disease, vascular dysfunction disrupts the delicate balance of nutrient supply and waste removal, including the clearance of amyloid β (Aβ) in the brain [26,27]. This acceleration of neurodegeneration contributes to cognitive decline.…”
Section: Vascular Dysfunction In Degenerative Diseasesmentioning
confidence: 99%
“…vi. Alzheimer's Disease: In AD, cerebral vessel integrity is compromised due to the deposition of Aβ, resulting in cerebral amyloid angiopathy [27,42]. These abnormal protein deposits can affect blood vessels, reducing cerebral blood flow.…”
Section: The Impact Of Degenerative Diseases On Vascular Dysfunctionmentioning
confidence: 99%
“…Chronic cerebral hypoperfusion, resulting from vascular pathology, can exacerbate β-amyloid deposition and tau pathology and increase the risk of cognitive impairment. 24,25 While most cases of AD are sporadic, a small percentage are inherited in an autosomal dominant fashion, known as familial Alzheimer's disease (FAD). 26 Mutations in genes such as amyloid precursor protein (APP), presenilin 1 (PSEN1), and presenilin 2 (PSEN2) are associated with early-onset FAD, leading to increased production or altered processing of β-amyloid.…”
Section: Pathogenesismentioning
confidence: 99%