Cerebral Amyloid Angiopathy Increases Susceptibility to Infarction After Focal Cerebral Ischemia in Tg2576 Mice

作者：Milner Eric; Zhou Meng Liang; Johnson Andrew W; Vellimana Ananth K; Greenberg Jacob K; Holtzman David M; Han Byung Hee; Zipfel Gregory J^*

来源：Stroke, 2014, 45(10): 3064-3069.

DOI：10.1161/STROKEAHA.114.006078

• Alzheimer disease
• amyloid beta-peptide
• amyloid angiopathy
• brain ischemia
• mice, transgenic

Background and Purpose-We and others have shown that soluble amyloid beta-peptide (A beta) and cerebral amyloid angiopathy (CAA) cause significant cerebrovascular dysfunction in mutant amyloid precursor protein (APP) mice, and that these deficits are greater in aged APP mice having CAA compared with young APP mice lacking CAA. Amyloid beta-peptide in young APP mice also increases infarction after focal cerebral ischemia, but the impact of CAA on ischemic brain injury is unknown.
Methods-To determine this, we assessed cerebrovascular reactivity, cerebral blood flow (CBF), and extent of infarction and neurological deficits after transient middle cerebral artery occlusion in aged APP mice having extensive CAA versus young APP mice lacking CAA (and aged-matched littermate controls).
Results-We found that aged APP mice have more severe cerebrovascular dysfunction that is CAA dependent, have greater CBF compromise during and immediately after middle cerebral artery occlusion, and develop larger infarctions after middle cerebral artery occlusion.
Conclusions-These data indicate CAA induces a more severe form of cerebrovascular dysfunction than amyloid beta-peptide alone, leading to intra-and postischemic CBF deficits that ultimately exacerbate cerebral infarction. Our results shed mechanistic light on human studies identifying CAA as an independent risk factor for ischemic brain injury.

• 出版日期2014-10