Why the study?
Neurovascular coupling links blood flow changes to localised neural activity, and its breakdown is associated with conditions including dementia, but the effects of atherosclerosis and comorbid Alzheimer's disease on cortical haemodynamics required investigation.
Systemic atherosclerosis exacerbates neurovascular decline and Alzheimer's-related amyloid-plaques in mouse models, highlighting the detrimental impact of cardiovascular comorbidities on brain health.
May worsen amyloid and neurovascular pathology in comorbid mouse models; leaves open human translation and clinical relevance.
Neurovascular coupling is a critical brain mechanism whereby changes to blood flow accompany localised neural activity. The breakdown of neurovascular coupling is linked to the development and progression of several neurological conditions including dementia. In this study, we examined cortical haemodynamics in mouse preparations that modelled Alzheimer's disease (J20-AD) and atherosclerosis (PCSK9-ATH) between 9 and 12 m of age. We report novel findings with atherosclerosis where neurovascular decline is characterised by significantly reduced blood volume, altered levels of oxyhaemoglobin and deoxyhaemoglobin, in addition to global neuroinflammation. In the comorbid mixed model (J20-PCSK9-MIX), we report a 3 x increase in hippocampal amyloid-beta plaques. A key finding was that cortical spreading depression (CSD) due to electrode insertion into the brain was worse in the diseased animals and led to a prolonged period of hypoxia. These findings suggest that systemic atherosclerosis can be detrimental to neurovascular health and that having cardiovascular comorbidities can exacerbate pre-existing Alzheimer's-related amyloid-plaques.
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Shabir et al. (2021) studied this question.
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