A Simulation Model of Periarterial Clearance of Amyloid-beta from the Brain

The accumulation of soluble and insoluble amyloid-beta (A-beta) in the brain indicates failure of elimination of A-beta from the brain with age and Alzheimer's disease. There is a variety of mechanisms for elimination of A-beta from the brain. They include the action of microglia and enzymes to...

Full description

Bibliographic Details
Main Authors: Alexandra Katharina Diem, Mingyi eTan, Neil W. Bressloff, Cheryl eHawkes, Alan W. J. Morris, Roy O. Weller, Roxana O. Carare
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-02-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnagi.2016.00018/full
_version_ 1811255597652246528
author Alexandra Katharina Diem
Alexandra Katharina Diem
Mingyi eTan
Neil W. Bressloff
Cheryl eHawkes
Alan W. J. Morris
Alan W. J. Morris
Roy O. Weller
Roxana O. Carare
Roxana O. Carare
author_facet Alexandra Katharina Diem
Alexandra Katharina Diem
Mingyi eTan
Neil W. Bressloff
Cheryl eHawkes
Alan W. J. Morris
Alan W. J. Morris
Roy O. Weller
Roxana O. Carare
Roxana O. Carare
author_sort Alexandra Katharina Diem
collection DOAJ
description The accumulation of soluble and insoluble amyloid-beta (A-beta) in the brain indicates failure of elimination of A-beta from the brain with age and Alzheimer's disease. There is a variety of mechanisms for elimination of A-beta from the brain. They include the action of microglia and enzymes together with receptor-mediated absorption of A-beta into the blood and periarterial lymphatic drainage of A-beta. Although the brain possesses no conventional lymphatics, experimental studies have shown that fluid and solutes, such as A-beta, are eliminated from the brain along 100 nm wide basement membranes in the walls of cerebral capillaries and arteries. This lymphatic drainage pathway is reflected in the deposition of A-beta in the walls of human arteries with age and Alzheimer's disease as cerebral amyloid angiopathy (CAA). Initially, A-beta diffuses through the extracellular spaces of grey matter in the brain and then enters basement membranes in capillaries and arteries to flow out of the brain. Although diffusion through the extracellular spaces of the brain has been well characterised, the exact mechanism whereby perivascular elimination of A-beta occurs has not been resolved. Here we use a computational model to describe the process of periarterial drainage in the context of diffusion in the brain, demonstrating that periarterial drainage along basement membranes is very rapid compared with diffusion. Our results are a validation of experimental data and are significant in the context of failure of periarterial drainage as a mechanism underlying the pathogenesis of AD as well as complications associated with its immunotherapy.
first_indexed 2024-04-12T17:26:15Z
format Article
id doaj.art-63c5a57464cf4220b9f54330765ae548
institution Directory Open Access Journal
issn 1663-4365
language English
last_indexed 2024-04-12T17:26:15Z
publishDate 2016-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Aging Neuroscience
spelling doaj.art-63c5a57464cf4220b9f54330765ae5482022-12-22T03:23:17ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652016-02-01810.3389/fnagi.2016.00018174328A Simulation Model of Periarterial Clearance of Amyloid-beta from the BrainAlexandra Katharina Diem0Alexandra Katharina Diem1Mingyi eTan2Neil W. Bressloff3Cheryl eHawkes4Alan W. J. Morris5Alan W. J. Morris6Roy O. Weller7Roxana O. Carare8Roxana O. Carare9University of SouthamptonUniversity of SouthamptonUniversity of SouthamptonUniversity of SouthamptonUniversity of SouthamptonUniversity of SouthamptonUniversity of SouthamptonUniversity of SouthamptonUniversity of SouthamptonUniversity of SouthamptonThe accumulation of soluble and insoluble amyloid-beta (A-beta) in the brain indicates failure of elimination of A-beta from the brain with age and Alzheimer's disease. There is a variety of mechanisms for elimination of A-beta from the brain. They include the action of microglia and enzymes together with receptor-mediated absorption of A-beta into the blood and periarterial lymphatic drainage of A-beta. Although the brain possesses no conventional lymphatics, experimental studies have shown that fluid and solutes, such as A-beta, are eliminated from the brain along 100 nm wide basement membranes in the walls of cerebral capillaries and arteries. This lymphatic drainage pathway is reflected in the deposition of A-beta in the walls of human arteries with age and Alzheimer's disease as cerebral amyloid angiopathy (CAA). Initially, A-beta diffuses through the extracellular spaces of grey matter in the brain and then enters basement membranes in capillaries and arteries to flow out of the brain. Although diffusion through the extracellular spaces of the brain has been well characterised, the exact mechanism whereby perivascular elimination of A-beta occurs has not been resolved. Here we use a computational model to describe the process of periarterial drainage in the context of diffusion in the brain, demonstrating that periarterial drainage along basement membranes is very rapid compared with diffusion. Our results are a validation of experimental data and are significant in the context of failure of periarterial drainage as a mechanism underlying the pathogenesis of AD as well as complications associated with its immunotherapy.http://journal.frontiersin.org/Journal/10.3389/fnagi.2016.00018/fullBrainCerebral Amyloid AngiopathyDiffusionAlzheimer's diseaseDextransimulation model
spellingShingle Alexandra Katharina Diem
Alexandra Katharina Diem
Mingyi eTan
Neil W. Bressloff
Cheryl eHawkes
Alan W. J. Morris
Alan W. J. Morris
Roy O. Weller
Roxana O. Carare
Roxana O. Carare
A Simulation Model of Periarterial Clearance of Amyloid-beta from the Brain
Frontiers in Aging Neuroscience
Brain
Cerebral Amyloid Angiopathy
Diffusion
Alzheimer's disease
Dextran
simulation model
title A Simulation Model of Periarterial Clearance of Amyloid-beta from the Brain
title_full A Simulation Model of Periarterial Clearance of Amyloid-beta from the Brain
title_fullStr A Simulation Model of Periarterial Clearance of Amyloid-beta from the Brain
title_full_unstemmed A Simulation Model of Periarterial Clearance of Amyloid-beta from the Brain
title_short A Simulation Model of Periarterial Clearance of Amyloid-beta from the Brain
title_sort simulation model of periarterial clearance of amyloid beta from the brain
topic Brain
Cerebral Amyloid Angiopathy
Diffusion
Alzheimer's disease
Dextran
simulation model
url http://journal.frontiersin.org/Journal/10.3389/fnagi.2016.00018/full
work_keys_str_mv AT alexandrakatharinadiem asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT alexandrakatharinadiem asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT mingyietan asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT neilwbressloff asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT cherylehawkes asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT alanwjmorris asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT alanwjmorris asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT royoweller asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT roxanaocarare asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT roxanaocarare asimulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT alexandrakatharinadiem simulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT alexandrakatharinadiem simulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT mingyietan simulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT neilwbressloff simulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT cherylehawkes simulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT alanwjmorris simulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT alanwjmorris simulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT royoweller simulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT roxanaocarare simulationmodelofperiarterialclearanceofamyloidbetafromthebrain
AT roxanaocarare simulationmodelofperiarterialclearanceofamyloidbetafromthebrain