Relationship of neurofibrillary pathology to cerebral amyloid angiopathy in Alzheimer's disease.

Over 90% of patients with Alzheimer's disease (AD) develop cerebral amyloid angiopathy (CAA). Severe dyshoric CAA, in which amyloid extends into the surrounding brain parenchyma, may be associated with adjacent clustering of tau-immunopositive neurites but the relationship of CAA to neurofibril...

Full description

Bibliographic Details
Main Authors: Williams, S, Chalmers, K, Wilcock, G, Love, S
Format: Journal article
Language:English
Published: 2005
_version_ 1797071964652699648
author Williams, S
Chalmers, K
Wilcock, G
Love, S
author_facet Williams, S
Chalmers, K
Wilcock, G
Love, S
author_sort Williams, S
collection OXFORD
description Over 90% of patients with Alzheimer's disease (AD) develop cerebral amyloid angiopathy (CAA). Severe dyshoric CAA, in which amyloid extends into the surrounding brain parenchyma, may be associated with adjacent clustering of tau-immunopositive neurites but the relationship of CAA to neurofibrillary pathology has not been systematically investigated. In the present study this relationship was examined in sections of frontal, temporal and parietal cortex from 25 AD patients with moderate to severe CAA and 26 with mild or absent CAA. We measured immunolabelling of abnormally phosphorylated tau adjacent to A beta-laden and non-A beta-laden arteries and arterioles, and in cortex away from arteries and arterioles. We also analysed the possible influence of APOE genotype on these measurements. There were no significant differences between the lobes in measurements of tau labelling, either around blood vessels or elsewhere in the cortex. However, tau labelling around A beta-laden arteries and arterioles significantly exceeded that around non-A beta-laden blood vessels (P<0.001) and this, in turn was greater than the labelling of cortex away from blood vessels (P<0.001). There was no association between APOE epsilon 4 and the immunolabelling density for tau, whether around amyloid- or non-amyloid-laden arteries and arterioles, or in the cerebral cortex away from these. We propose that both CAA and peri-vascular accumulation of hyperphosphorylated tau may be a consequence of elevated levels of soluble A beta around cortical arteries and arterioles.
first_indexed 2024-03-06T23:00:46Z
format Journal article
id oxford-uuid:6205b4d2-968d-4c85-97ae-780452228f41
institution University of Oxford
language English
last_indexed 2024-03-06T23:00:46Z
publishDate 2005
record_format dspace
spelling oxford-uuid:6205b4d2-968d-4c85-97ae-780452228f412022-03-26T18:03:47ZRelationship of neurofibrillary pathology to cerebral amyloid angiopathy in Alzheimer's disease.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6205b4d2-968d-4c85-97ae-780452228f41EnglishSymplectic Elements at Oxford2005Williams, SChalmers, KWilcock, GLove, SOver 90% of patients with Alzheimer's disease (AD) develop cerebral amyloid angiopathy (CAA). Severe dyshoric CAA, in which amyloid extends into the surrounding brain parenchyma, may be associated with adjacent clustering of tau-immunopositive neurites but the relationship of CAA to neurofibrillary pathology has not been systematically investigated. In the present study this relationship was examined in sections of frontal, temporal and parietal cortex from 25 AD patients with moderate to severe CAA and 26 with mild or absent CAA. We measured immunolabelling of abnormally phosphorylated tau adjacent to A beta-laden and non-A beta-laden arteries and arterioles, and in cortex away from arteries and arterioles. We also analysed the possible influence of APOE genotype on these measurements. There were no significant differences between the lobes in measurements of tau labelling, either around blood vessels or elsewhere in the cortex. However, tau labelling around A beta-laden arteries and arterioles significantly exceeded that around non-A beta-laden blood vessels (P<0.001) and this, in turn was greater than the labelling of cortex away from blood vessels (P<0.001). There was no association between APOE epsilon 4 and the immunolabelling density for tau, whether around amyloid- or non-amyloid-laden arteries and arterioles, or in the cerebral cortex away from these. We propose that both CAA and peri-vascular accumulation of hyperphosphorylated tau may be a consequence of elevated levels of soluble A beta around cortical arteries and arterioles.
spellingShingle Williams, S
Chalmers, K
Wilcock, G
Love, S
Relationship of neurofibrillary pathology to cerebral amyloid angiopathy in Alzheimer's disease.
title Relationship of neurofibrillary pathology to cerebral amyloid angiopathy in Alzheimer's disease.
title_full Relationship of neurofibrillary pathology to cerebral amyloid angiopathy in Alzheimer's disease.
title_fullStr Relationship of neurofibrillary pathology to cerebral amyloid angiopathy in Alzheimer's disease.
title_full_unstemmed Relationship of neurofibrillary pathology to cerebral amyloid angiopathy in Alzheimer's disease.
title_short Relationship of neurofibrillary pathology to cerebral amyloid angiopathy in Alzheimer's disease.
title_sort relationship of neurofibrillary pathology to cerebral amyloid angiopathy in alzheimer s disease
work_keys_str_mv AT williamss relationshipofneurofibrillarypathologytocerebralamyloidangiopathyinalzheimersdisease
AT chalmersk relationshipofneurofibrillarypathologytocerebralamyloidangiopathyinalzheimersdisease
AT wilcockg relationshipofneurofibrillarypathologytocerebralamyloidangiopathyinalzheimersdisease
AT loves relationshipofneurofibrillarypathologytocerebralamyloidangiopathyinalzheimersdisease