Atherosclerosis of cerebral arteries in Alzheimer disease

被引:124
作者
Roher, AE
Esh, C
Rahman, A
Kokjohn, TA
Beach, TG
机构
[1] Sun Hlth Res Inst, Longtine Ctr Mol Biol & Genet, Sun City, AZ 85351 USA
[2] Sun Hlth Res Inst, W Harold Civin Lab Neuropathol, Sun City, AZ 85351 USA
[3] Midwestern Univ, Dept Microbiol, Glendale, AZ USA
关键词
Alzheimer disease; atherosclerosis; cerebral ischemia; circle of Willis;
D O I
10.1161/01.STR.0000143317.70478.b3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A growing body of evidence suggests that vascular disease underlies Alzheimer dementia. Atherosclerotic lesions in the circle of Willis and large leptomeningeal vessels were quantified and found to correlate with Alzheimer disease (AD) clinical diagnosis and neuropathology. We hypothesize that AD pathology is the complex end result of slowly evolving vascular disease and parenchymal lesions. Confirmation of a central role for vascular pathology in AD will suggest important treatment options and directions for additional interventions to stave off this dementia.
引用
收藏
页码:2623 / 2627
页数:5
相关论文
共 12 条
[1]   Consensus recommendations for the postmortem diagnosis of Alzheimer's disease [J].
Ball, M ;
Braak, H ;
Coleman, P ;
Dickson, D ;
Duyckaerts, C ;
Gambetti, P ;
Hansen, L ;
Hyman, B ;
Jellinger, K ;
Markesbery, W ;
Perl, D ;
Powers, J ;
Price, J ;
Trojanowski, JQ ;
Wisniewski, H ;
Phelps, C ;
Khachaturian, Z .
NEUROBIOLOGY OF AGING, 1997, 18 (04) :S1-S2
[2]  
Braak H, 1997, Int Psychogeriatr, V9 Suppl 1, P257, DOI 10.1017/S1041610297004973
[3]   Alzheimer disease as a vascular disorder - Nosological evidence [J].
de la Torre, JC .
STROKE, 2002, 33 (04) :1152-1162
[4]   Acute activation and phosphorylation of endothelial nitric oxide synthase by HMG-CoA reductase inhibitors [J].
Harris, MB ;
Blackstone, MA ;
Sood, SG ;
Li, CY ;
Goolsby, JM ;
Venema, VJ ;
Kemp, BE ;
Venema, RC .
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 2004, 287 (02) :H560-H566
[5]  
HIXSON JE, 1990, J LIPID RES, V31, P545
[6]   Converging pathogenic mechanisms in vascular and neurodegenerative dementia [J].
Iadecola, C ;
Gorelick, PB .
STROKE, 2003, 34 (02) :335-337
[7]   Small vessel disease and Alzheimer's dementia: Pathological considerations [J].
Kalaria, RN .
CEREBROVASCULAR DISEASES, 2002, 13 :48-52
[8]   Atherosclerosis, vascular amyloidosis and brain hypoperfusion in the pathogenesis of sporadic Alzheimer's disease [J].
Kalback, W ;
Esh, C ;
Castaño, EM ;
Rahman, A ;
Kokjohn, T ;
Luehrs, DC ;
Sue, L ;
Cisneros, R ;
Gerber, F ;
Richardson, C ;
Bohrmann, B ;
Walker, DG ;
Beach, TG ;
Roher, AE .
NEUROLOGICAL RESEARCH, 2004, 26 (05) :525-539
[9]   The CERAD neuropathology protocol and consensus recommendations for the postmortem diagnosis of Alzheimer's disease: A commentary [J].
Mirra, SS .
NEUROBIOLOGY OF AGING, 1997, 18 (04) :S91-S94
[10]   Circle of Willis atherosclerosis is a risk factor for sporadic Alzheimer's disease [J].
Roher, AE ;
Esh, C ;
Kokjohn, TA ;
Kalback, W ;
Luehrs, DC ;
Seward, JD ;
Sue, LI ;
Beach, TG .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2003, 23 (11) :2055-2062