PMID- 31093829 OWN - NLM STAT- MEDLINE DCOM- 20200521 LR - 20200521 IS - 2509-2723 (Electronic) IS - 2509-2715 (Print) IS - 2509-2723 (Linking) VI - 41 IP - 5 DP - 2019 Oct TI - Systolic hypertension-induced neurovascular unit disruption magnifies vascular cognitive impairment in middle-age atherosclerotic LDLr(-/-):hApoB(+/+) mice. PG - 511-532 LID - 10.1007/s11357-019-00070-6 [doi] AB - Cognitive functions are dependent upon intercommunications between the cellular components of the neurovascular unit (NVU). Vascular risk factors are associated with a more rapid rate of cognitive decline with aging and cerebrovascular diseases magnify both the incidence and the rate of cognitive decline. The causal relationship between vascular risk factors and injury to the NVU is, however, lacking. We hypothesized that vascular risk factors, such as hypertension and dyslipidemia, promote disruption of the NVU leading to early cognitive impairment. We compared brain structure and cerebrovascular functions of 1-year old (middle-aged) male wild-type (WT) and atherosclerotic hypertensive (LDLr(-/-):hApoB(+/+), ATX) mice. In addition, mice were subjected, or not, to a transverse aortic constriction (TAC) for 6 weeks to assess the acute impact of an increase in systolic blood pressure on the NVU and cognitive functions. Compared with WT mice, ATX mice prematurely developed cognitive decline associated with cerebral micro-hemorrhages, loss of microvessel density and brain atrophy, cerebral endothelial cell senescence and dysfunction, brain inflammation, and oxidative stress associated with blood-brain barrier leakage and brain hypoperfusion. These data suggest functional disturbances in both vascular and parenchymal components of the NVU. Exposure to TAC-induced systolic hypertension promoted cerebrovascular damage and cognitive decline in WT mice, similar to those observed in sham-operated ATX mice; TAC exacerbated the existing cerebrovascular dysfunctions and cognitive failure in ATX mice. Thus, a hemodynamic stress such as systolic hypertension could initiate the cascade involving cerebrovascular injury and NVU deregulation and lead to cognitive decline, a process accelerated in atherosclerotic mice. FAU - de Montgolfier, Olivia AU - de Montgolfier O AD - Faculty of Medicine, Department of pharmacology and physiology, Universite de Montreal, Montreal, QC, Canada. AD - Research Center, Montreal Heart Institute, 5000 rue Belanger Est, Montreal, QC, H1T 1C8, Canada. FAU - Pouliot, Philippe AU - Pouliot P AD - Research Center, Montreal Heart Institute, 5000 rue Belanger Est, Montreal, QC, H1T 1C8, Canada. AD - Ecole Polytechnique de Montreal, Montreal, QC, Canada. FAU - Gillis, Marc-Antoine AU - Gillis MA AD - Research Center, Montreal Heart Institute, 5000 rue Belanger Est, Montreal, QC, H1T 1C8, Canada. FAU - Ferland, Guylaine AU - Ferland G AD - Research Center, Montreal Heart Institute, 5000 rue Belanger Est, Montreal, QC, H1T 1C8, Canada. AD - Faculty of Medicine, Department of nutrition, Universite de Montreal, Montreal, QC, Canada. FAU - Lesage, Frederic AU - Lesage F AD - Research Center, Montreal Heart Institute, 5000 rue Belanger Est, Montreal, QC, H1T 1C8, Canada. AD - Ecole Polytechnique de Montreal, Montreal, QC, Canada. FAU - Thorin-Trescases, Nathalie AU - Thorin-Trescases N AD - Research Center, Montreal Heart Institute, 5000 rue Belanger Est, Montreal, QC, H1T 1C8, Canada. FAU - Thorin, Eric AU - Thorin E AUID- ORCID: 0000-0001-5827-8935 AD - Faculty of Medicine, Department of pharmacology and physiology, Universite de Montreal, Montreal, QC, Canada. eric.thorin@umontreal.ca. AD - Research Center, Montreal Heart Institute, 5000 rue Belanger Est, Montreal, QC, H1T 1C8, Canada. eric.thorin@umontreal.ca. AD - Faculty of Medicine, Department of surgery, Universite de Montreal, Montreal, QC, Canada. eric.thorin@umontreal.ca. LA - eng GR - MOP 133649/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190515 PL - Switzerland TA - Geroscience JT - GeroScience JID - 101686284 SB - IM MH - Animals MH - Atherosclerosis/*physiopathology MH - Atrophy MH - Blood-Brain Barrier/physiopathology MH - Brain/*blood supply/pathology MH - Cellular Senescence/physiology MH - Cerebral Hemorrhage/physiopathology MH - Cognitive Dysfunction/*physiopathology MH - Dementia, Vascular/*physiopathology MH - Disease Models, Animal MH - Endothelial Cells/pathology MH - Hypertension/*physiopathology MH - Mice, Transgenic MH - Microvessels/pathology MH - Oxidative Stress/physiology MH - Systole/*physiology PMC - PMC6885084 OTO - NOTNLM OT - 7T-MRI OT - Apoptosis OT - Blood-brain barrier OT - Carotid stiffness OT - Endothelial function OT - Hypertension OT - Senescence OT - Transverse aortic constriction OT - VCID COIS- The authors declare that they have no conflict of interest. EDAT- 2019/05/17 06:00 MHDA- 2020/05/22 06:00 PMCR- 2019/05/15 CRDT- 2019/05/17 06:00 PHST- 2019/03/25 00:00 [received] PHST- 2019/04/16 00:00 [accepted] PHST- 2019/05/17 06:00 [pubmed] PHST- 2020/05/22 06:00 [medline] PHST- 2019/05/17 06:00 [entrez] PHST- 2019/05/15 00:00 [pmc-release] AID - 10.1007/s11357-019-00070-6 [pii] AID - 70 [pii] AID - 10.1007/s11357-019-00070-6 [doi] PST - ppublish SO - Geroscience. 2019 Oct;41(5):511-532. doi: 10.1007/s11357-019-00070-6. Epub 2019 May 15.