Modelling cerebrovascular pathology and the spread of amyloid beta in Alzheimer’s disease

Alzheimer’s disease is characterised by the accumulation and spread of the amyloid beta protein in the brain. Experiments have revealed that amyloid beta oligomers induce microvascular mural cells to contract, thereby constricting capillaries and increasing resistance to blood flow. Conversely, hypo...

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Main Authors: Ahern, A, Thompson, TB, Oliveri, H, Lorthois, S, Goriely, A
Format: Journal article
Language:English
Published: Royal Society 2025
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author Ahern, A
Thompson, TB
Oliveri, H
Lorthois, S
Goriely, A
author_facet Ahern, A
Thompson, TB
Oliveri, H
Lorthois, S
Goriely, A
author_sort Ahern, A
collection OXFORD
description Alzheimer’s disease is characterised by the accumulation and spread of the amyloid beta protein in the brain. Experiments have revealed that amyloid beta oligomers induce microvascular mural cells to contract, thereby constricting capillaries and increasing resistance to blood flow. Conversely, hypoperfusion promotes amyloid beta production and hinders its clearance, hence creating a pathogenic positive feedback loop. Here, we develop a brain-wide model that combines protein-capillary interactions with the prion-like dynamics of amyloid beta in the structural connectome. We find that a bistable dynamics emerges from the amyloid betahypoperfusion feedback loop giving rise to nontrivial spatio-temporal dynamics. Through mathematical and computational analyses, we uncover several new biologically-relevant threshold phenomena with implications for disease initiation and spreading. In particular, we describe how a deficit in arterial blood supply can trigger disease outbreak, consistent with the two-hit vascular hypothesis of Alzheimer’s disease.
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spelling oxford-uuid:62e3aab8-eaed-4676-ac55-743c8f22ae252025-02-04T17:12:09ZModelling cerebrovascular pathology and the spread of amyloid beta in Alzheimer’s diseaseJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:62e3aab8-eaed-4676-ac55-743c8f22ae25EnglishSymplectic ElementsRoyal Society2025Ahern, AThompson, TBOliveri, HLorthois, SGoriely, AAlzheimer’s disease is characterised by the accumulation and spread of the amyloid beta protein in the brain. Experiments have revealed that amyloid beta oligomers induce microvascular mural cells to contract, thereby constricting capillaries and increasing resistance to blood flow. Conversely, hypoperfusion promotes amyloid beta production and hinders its clearance, hence creating a pathogenic positive feedback loop. Here, we develop a brain-wide model that combines protein-capillary interactions with the prion-like dynamics of amyloid beta in the structural connectome. We find that a bistable dynamics emerges from the amyloid betahypoperfusion feedback loop giving rise to nontrivial spatio-temporal dynamics. Through mathematical and computational analyses, we uncover several new biologically-relevant threshold phenomena with implications for disease initiation and spreading. In particular, we describe how a deficit in arterial blood supply can trigger disease outbreak, consistent with the two-hit vascular hypothesis of Alzheimer’s disease.
spellingShingle Ahern, A
Thompson, TB
Oliveri, H
Lorthois, S
Goriely, A
Modelling cerebrovascular pathology and the spread of amyloid beta in Alzheimer’s disease
title Modelling cerebrovascular pathology and the spread of amyloid beta in Alzheimer’s disease
title_full Modelling cerebrovascular pathology and the spread of amyloid beta in Alzheimer’s disease
title_fullStr Modelling cerebrovascular pathology and the spread of amyloid beta in Alzheimer’s disease
title_full_unstemmed Modelling cerebrovascular pathology and the spread of amyloid beta in Alzheimer’s disease
title_short Modelling cerebrovascular pathology and the spread of amyloid beta in Alzheimer’s disease
title_sort modelling cerebrovascular pathology and the spread of amyloid beta in alzheimer s disease
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