Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2010-6-28
pubmed:abstractText
The deposition of amyloid beta-protein (Abeta) in the vessel wall, i.e., cerebral amyloid angiopathy (CAA), is associated with Alzheimer's disease (AD). Two types of CAA can be differentiated by the presence or absence of capillary Abeta-deposits. In addition, as in Alzheimer's disease, risk for capillary CAA is associated with the apolipoprotein E (APOE) epsilon4-allele. Because these morphological and genetic differences between the two types of AD-related CAA exist, the question arises as to whether there exist further differences between AD cases with and without capillary CAA and, if so, whether capillary CAA can be employed to distinguish and define specific subtypes of AD. To address this question, we studied AD and control cases both with and without capillary CAA to identify the following: (1) distinguishing neuropathological features; (2) alterations in perivascular protein expression; and (3) genotype-specific associations. More widespread Abeta-plaque pathology was observed in AD cases with capillary CAA than in those without. Expression of perivascular excitatory amino acid transporter 2 (EAAT-2/GLT-1) was reduced in cortical astrocytes of AD cases with capillary CAA in contrast to those lacking capillary Abeta-deposition and controls. Genetically, AD cases with capillary CAA were strongly associated with the APOE epsilon4 allele compared to those lacking capillary CAA and to controls. To further validate the existence of distinct types of AD we analyzed polymorphisms in additional apoE- and cholesterol-related candidate genes. Our results revealed an association between AD cases without capillary CAA (i.e., AD cases with CAA but lacking capillary CAA and AD cases without CAA) and the T-allele of the alpha(2)macroglobulin receptor/low-density lipoprotein receptor-related protein-1 (LRP-1) C766T polymorphism as opposed to AD cases with capillary CAA and non-AD controls. Taken together, these results indicate that AD cases with capillary CAA differ significantly from other AD cases both genetically and morphologically, thereby pointing to a specific capillary CAA-related and APOE epsilon4-associated subtype of AD.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1432-0533
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
120
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
169-83
pubmed:dateRevised
2010-12-27
pubmed:meshHeading
pubmed-meshheading:20535486-Age Factors, pubmed-meshheading:20535486-Aged, pubmed-meshheading:20535486-Aged, 80 and over, pubmed-meshheading:20535486-Alzheimer Disease, pubmed-meshheading:20535486-Amyloid beta-Peptides, pubmed-meshheading:20535486-Apolipoproteins E, pubmed-meshheading:20535486-Capillaries, pubmed-meshheading:20535486-Cerebral Amyloid Angiopathy, pubmed-meshheading:20535486-Excitatory Amino Acid Transporter 2, pubmed-meshheading:20535486-Female, pubmed-meshheading:20535486-Genotype, pubmed-meshheading:20535486-Glial Fibrillary Acidic Protein, pubmed-meshheading:20535486-Humans, pubmed-meshheading:20535486-Lipoproteins, LDL, pubmed-meshheading:20535486-Male, pubmed-meshheading:20535486-Middle Aged, pubmed-meshheading:20535486-Models, Biological, pubmed-meshheading:20535486-Odds Ratio, pubmed-meshheading:20535486-Psychiatric Status Rating Scales
pubmed:year
2010
pubmed:articleTitle
Capillary cerebral amyloid angiopathy identifies a distinct APOE epsilon4-associated subtype of sporadic Alzheimer's disease.
pubmed:affiliation
Institute of Pathology, University of Ulm, Albert Einstein Allee 11, Ulm, Germany. dietmar.thal@uni-ulm.de
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural