Key result
Alzheimer's disease is linked to higher temporal cortex ACE-1 activity at intermediate Braak stages.
Why the study?
An imbalance in the renin-angiotensin system is associated with cognitive decline and pathology in Alzheimer's disease, prompting investigation into brain ACE-1, Ang-II, and ACE-2 changes during normal aging and early Alzheimer's disease.
Does Alzheimer's disease pathology alter brain ACE-1 and ACE-2 activity and expression compared to normal aging?
Cross-Sectional (n=181)
Yes
Does Alzheimer's disease pathology alter brain ACE-1 and ACE-2 activity and expression compared to normal aging?
Brain renin-angiotensin system dysregulation, characterized by increased ACE-1 activity, occurs early in Alzheimer's disease independently of normal aging.
Answers are grounded in this paper and cite their sources.
Elevated temporal cortex ACE-1 activity in intermediate Alzheimer's is hypothesis-generating; leaves open causal role and therapeutic implications.
An imbalance in the renin-angiotensin system (RAS) is associated with cognitive decline and disease pathology in Alzheimer's disease (AD). In this study, we have investigated changes in the brain angiotensin-converting enzyme-1 (ACE-1) and angiotensin-II (Ang-II), and the counter-regulatory angiotensin-converting enzyme-2 (ACE-2), in the frontal and temporal cortex during normal aging and in the early stages of AD. We studied a cohort of normal aging (n = 121; 19-95 years age-at-death) from the Sudden Death Brain Bank, University of Edinburgh, United Kingdom, and AD and age-matched controls (n = 60) from the South West Dementia Brain Bank, University of Bristol, United Kingdom, stratified according to Braak tangle stage (BS): 0-II, III-IV (intermediate disease), and V-VI (end-stage disease). ACE-1 and ACE-2 enzyme activity were measured using fluorogenic peptide activity assays. ACE-1, ACE-2, and Ang-II protein level were measured by enzyme-linked immunosorbent assay (ELISA). In both regions, ACE-1 protein and Ang-II levels correlated positively with age whereas ACE-1 enzyme activity was inversely related to age. ACE-1 protein correlated positively with Ang-II, whilst ACE-1 activity correlated inversely with Ang-II in normal aging. ACE-1 enzyme activity was elevated at an early/intermediate stage, BS III-IV compared to BS 0-II in the temporal cortex in AD. ACE-2 protein and enzyme activity were unchanged with aging and in AD. In conclusion, ACE-1 activity is induced in the early stages of AD independently from normal physiological age-related changes in ACE-1 protein.
No takes yet. Share an insight, caveat, or question.
MacLachlan et al. (2022) conducted a cross-sectional in Alzheimer's disease and normal aging (n=181). Alzheimer's disease vs. Age-matched non-dementia controls and normal aging was evaluated on ACE-1 enzyme activity in the temporal cortex (p=0.028). Alzheimer's disease was associated with increased ACE-1 enzyme activity in the temporal cortex compared to age-matched controls, specifically at intermediate Braak stages.
Synapse has enriched 10 related papers. Consider them for comparative context: