PMID- 24991237 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140703 LR - 20211021 IS - 1758-9193 (Print) IS - 1758-9193 (Electronic) VI - 6 IP - 3 DP - 2014 TI - beta-amyloid deposition is shifted to the vasculature and memory impairment is exacerbated when hyperhomocysteinemia is induced in APP/PS1 transgenic mice. PG - 32 LID - 10.1186/alzrt262 [doi] AB - INTRODUCTION: Vascular dementia is the second most common cause of dementia after Alzheimer's disease (AD). In addition, it is estimated that almost half of all AD patients have significant cerebrovascular disease comorbid with their AD pathology. We hypothesized that cerebrovascular disease significantly impacts AD pathological progression. METHODS: We used a dietary model of cerebrovascular disease that relies on the induction of hyperhomocysteinemia (HHcy). HHcy is a significant clinical risk factor for stroke, cardiovascular disease and type 2 diabetes. In the present study, we induced HHcy in APP/PS1 transgenic mice. RESULTS: While total beta-amyloid (Abeta) load is unchanged across groups, Congophilic amyloid deposition was decreased in the parenchyma and significantly increased in the vasculature as cerebral amyloid angiopathy (CAA; vascular amyloid deposition) in HHcy APP/PS1 mice. We also found that HHcy induced more microhemorrhages in the APP/PS1 mice than in the wild-type mice and that it switched the neuroinflammatory phenotype from an M2a biased state to an M1 biased state. Associated with these changes was an induction of the matrix metalloproteinase protein 2 (MMP2) and MMP9 systems. Interestingly, after 6 months of HHcy, the APP/PS1 mice were cognitively worse than wild-type HHcy mice or APP/PS1 mice, indicative of an additive effect of the cerebrovascular pathology and amyloid deposition. CONCLUSIONS: These data show that cerebrovascular disease can significantly impact Abeta distribution in the brain, favoring vascular deposition. We predict that the presence of cerebrovascular disease with AD will have a significant impact on AD progression and the efficacy of therapeutics. FAU - Sudduth, Tiffany L AU - Sudduth TL AD - Department of Physiology, Sanders-Brown Center on Aging, University of Kentucky, 800 S. Limestone St., Lexington, KY 40536, USA. FAU - Weekman, Erica M AU - Weekman EM AD - Department of Physiology, Sanders-Brown Center on Aging, University of Kentucky, 800 S. Limestone St., Lexington, KY 40536, USA. FAU - Brothers, Holly M AU - Brothers HM AD - Department of Physiology, Sanders-Brown Center on Aging, University of Kentucky, 800 S. Limestone St., Lexington, KY 40536, USA. FAU - Braun, Kaitlyn AU - Braun K AD - Department of Physiology, Sanders-Brown Center on Aging, University of Kentucky, 800 S. Limestone St., Lexington, KY 40536, USA. FAU - Wilcock, Donna M AU - Wilcock DM AD - Department of Physiology, Sanders-Brown Center on Aging, University of Kentucky, 800 S. Limestone St., Lexington, KY 40536, USA. LA - eng GR - R01 NS079637/NS/NINDS NIH HHS/United States PT - Journal Article DEP - 20140609 PL - England TA - Alzheimers Res Ther JT - Alzheimer's research & therapy JID - 101511643 PMC - PMC4078260 EDAT- 2014/07/06 06:00 MHDA- 2014/07/06 06:01 PMCR- 2014/06/09 CRDT- 2014/07/04 06:00 PHST- 2014/01/16 00:00 [received] PHST- 2014/05/21 00:00 [accepted] PHST- 2014/07/04 06:00 [entrez] PHST- 2014/07/06 06:00 [pubmed] PHST- 2014/07/06 06:01 [medline] PHST- 2014/06/09 00:00 [pmc-release] AID - alzrt262 [pii] AID - 10.1186/alzrt262 [doi] PST - epublish SO - Alzheimers Res Ther. 2014 Jun 9;6(3):32. doi: 10.1186/alzrt262. eCollection 2014.