Hypertension, Neurodegeneration, and Cognitive Decline DOI Creative Commons
Anthony G. Pacholko, Costantino Iadecola

Hypertension, Journal Year: 2024, Volume and Issue: 81(5), P. 991 - 1007

Published: March 1, 2024

Elevated blood pressure is a well-established risk factor for age-related cognitive decline. Long linked to impairment on vascular bases, increasing evidence suggests potential association of hypertension with the neurodegenerative pathology underlying Alzheimer disease. Hypertension well known disrupt structural and functional integrity cerebral vasculature. However, mechanisms by which these alterations lead brain damage, enhance pathology, promote remain be established. Furthermore, critical questions concerning whether lowering antihypertensive medications prevents have not been answered. Recent developments in neurovascular biology, imaging, epidemiology, as new clinical trials, provided insights into issues. In particular, basic findings link between dysfunction pathobiology neurodegeneration shed light overlap pathology. this review, we will examine progress made relationship and, after evaluation evidence, attempt identify remaining knowledge gaps future research directions that may advance our understanding one leading health challenges time.

Language: Английский

High-intensity interval training ameliorates Alzheimer's disease-like pathology by regulating astrocyte phenotype-associated AQP4 polarization DOI Creative Commons
Shu Feng,

Chongyun Wu,

Peibin Zou

et al.

Theranostics, Journal Year: 2023, Volume and Issue: 13(10), P. 3434 - 3450

Published: Jan. 1, 2023

Background: Alzheimer's disease (AD), one of the most common forms dementia, is a widely studied neurodegenerative characterized by Aβ accumulation and tau hyperphosphorylation. Currently, there no effective cure available for AD.The astrocyte AQP4 polarized distribution-mediated glymphatic system essential abnormal clearance potential therapeutic target AD.However, role exercise on distribution association between phenotype polarization are poorly understood.Methods: Using streptozotocin (STZ)-induced sporadic AD rat model, we investigated effects high-intensity interval training pathologies.The Branes maze task was conducted to measure spatial learning memory.Immunofluorescence staining NeuN with TUNEL, Fluoro-Jade C, relative neuronal damage markers applied apoptosis, neurodegeneration, damage.Sholl analysis carried out analyze morphology microglia.Line-scan analysis, 3D rendering, orthogonal view were colocalization.Western blot enzyme-linked immunosorbent assay (ELISA) examine Aβ, respectively.An APP/PS1 transgenic mice model used confirm key findings.Results: High-intensity (HIIT) alleviates cognitive dysfunction in STZ-induced AD-like models provides neuroprotection against damage, loss.Additionally, HIIT improved drainage from cortex hippocampus via kidney.Further mechanistic studies support that beneficial might be due, part, glial cells neurotoxic towards neuroprotective phenotype.Furthermore, an intriguing finding our study strongly correlated phenotype.We found A2 exhibited more evident than A1 phenotype. Conclusion:Our findings indicate ameliorates disease-like pathology regulating phenotype-associated polarization.These changes promote p-tau brain tissue through kidney.

Language: Английский

Citations

49

Regional Glymphatic Abnormality in Behavioral Variant Frontotemporal Dementia DOI Creative Commons
Deming Jiang, Li Liu, Yu Kong

et al.

Annals of Neurology, Journal Year: 2023, Volume and Issue: 94(3), P. 442 - 456

Published: May 27, 2023

Glymphatic function has not yet been explored in behavioral variant frontotemporal dementia (bvFTD). The spatial correlation between regional glymphatic and bvFTD remains unknown.

Language: Английский

Citations

45

Glymphatic system dysfunction predicts amyloid deposition, neurodegeneration, and clinical progression in Alzheimer's disease DOI Creative Commons

Shu‐Yi Huang,

Ya‐Ru Zhang,

Yu Guo

et al.

Alzheimer s & Dementia, Journal Year: 2024, Volume and Issue: 20(5), P. 3251 - 3269

Published: March 19, 2024

Abstract INTRODUCTION Although glymphatic function is involved in Alzheimer's disease (AD), its potential for predicting the pathological and clinical progression of AD sequential association with core biomarkers poorly understood. METHODS Whole‐brain activity was measured by diffusion tensor image analysis along perivascular space (DTI‐ALPS) participants dementia ( n = 47), mild cognitive impairment (MCI; 137), normal controls 235) from Disease Neuroimaging Initiative. RESULTS ALPS index significantly lower than MCI or controls. Lower associated faster changes amyloid positron emission tomography (PET) burden signature region interest volume, higher risk amyloid‐positive transition progression, rates amyloid‐ neurodegeneration‐related decline. Furthermore, associations decline were fully mediated PET brain atrophy. DISCUSSION Glymphatic failure may precede pathology, predicts deposition, neurodegeneration, AD. Highlights The (ALPS) reduced patients (AD) dementia, prodromal AD, preclinical predicted accelerated beta (Aβ) Aβ‐positive transition. decrease occurs before cerebrospinal fluid Aβ42 reaches positive threshold. atrophy, Aβ atrophy link

Language: Английский

Citations

45

Cellular and pathological functions of tau DOI
C Bravo, Sarah Naguib, Li Gan

et al.

Nature Reviews Molecular Cell Biology, Journal Year: 2024, Volume and Issue: 25(11), P. 845 - 864

Published: July 16, 2024

Language: Английский

Citations

39

Hypertension, Neurodegeneration, and Cognitive Decline DOI Creative Commons
Anthony G. Pacholko, Costantino Iadecola

Hypertension, Journal Year: 2024, Volume and Issue: 81(5), P. 991 - 1007

Published: March 1, 2024

Elevated blood pressure is a well-established risk factor for age-related cognitive decline. Long linked to impairment on vascular bases, increasing evidence suggests potential association of hypertension with the neurodegenerative pathology underlying Alzheimer disease. Hypertension well known disrupt structural and functional integrity cerebral vasculature. However, mechanisms by which these alterations lead brain damage, enhance pathology, promote remain be established. Furthermore, critical questions concerning whether lowering antihypertensive medications prevents have not been answered. Recent developments in neurovascular biology, imaging, epidemiology, as new clinical trials, provided insights into issues. In particular, basic findings link between dysfunction pathobiology neurodegeneration shed light overlap pathology. this review, we will examine progress made relationship and, after evaluation evidence, attempt identify remaining knowledge gaps future research directions that may advance our understanding one leading health challenges time.

Language: Английский

Citations

32