Large artery stiffness and cerebrovascular dysfunction: Implications for cognitive impairment and neuropathology

NIH Pandemic-Era Grants

Pandemic Era Grants

2024

Document text

Principal Investigator: Ashley Elizabeth Walker
Organization: UNIVERSITY OF OREGON
Fiscal Year: 2024
Award: $398,361
Funding agency: National Institute on Aging

PROJECT SUMMARY
As the prevalence of late-onset Alzheimer’s disease continues to increase, understanding the mechanistic
causes of this disease is becoming increasingly critical. Recent clinical studies have linked increased stiffness
of the large arteries to both impaired memory and Alzheimer’s disease. It is hypothesized that these relations
are a result of large artery stiffness-induced cerebrovascular dysfunction. Increased large artery stiffness leads
to greater pulsatility of pressure and blood flow in the cerebral vasculature, which is known to cause vascular
damage. Dysfunction of the cerebral arteries and microvasculature is associated with cognitive impairment and
greater Alzheimer’s disease-related neuropathology. Furthermore, amyloid-β (Aβ) induces cerebrovascular
damage, and cerebrovascular impairment increases Aβ accumulation, thus creating a vicious cycle of
cerebrovascular dysfunction and neuropathology. The goal of the proposed studies is to provide the first proof-
of-concept evidence that age-related increases in large artery stiffness, synergistically with greater Aβ
production, lead to cognitive impairment, neuropathology, and cerebrovascular dysfunction. To accomplish this
goal, we will employ transgenic mouse models of greater large artery stiffness and greater Aβ production, as
well as use a pharmacological intervention to prevent age-related increases in large artery stiffness. In Aim 1,
we will assess the effects of large artery stiffness, in combination with Aβ, on cognitive dysfunction and
Alzheimer’s disease-related neuropathology. In Aim 2, we will determine the effect of large artery stiffness, in
combination with Aβ, on cerebral blood flow and cerebral vascular reactivity and structural integrity. In Aim 3,
we will identify candidate mechanisms by which large artery stiffness and greater cerebral artery pulsatility lead
to cerebrovascular dysfunction. To do so, we will examine the role and source(s) of vascular oxidative stress,
as well as perform transcriptome analysis of cerebral arteries and microvascular endothelial cells. The
knowledge to be gained by completing the proposed aims will inform future studies to identify novel therapeutic
targets for the prevention or attenuation of late-onset Alzheimer’s disease.

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Arteries><Cerebrovascular Circulation><Cerebrovascular Disease><Cerebrovascular Disorders><Cerebrovascular system><Clinical Research><Clinical Study><Cognitive Disturbance><Cognitive Impairment><Cognitive decline><Cognitive function abnormal><Collecting Cell><Data><Dementia><Development><Disease><Disorder><Disturbance in cognition><Dysfunction><Elastin><Elderly><Encephalon><Functional disorder><Future><Gene Expression><Genetic Alteration><Genetic Change><Genetic defect><Goals><Hemorrhage><Impaired cognition><Impairment><Intervention><Intervention Strategies><Intracranial Vascular Diseases><Intracranial Vascular Disorders><Knowledge><Late Onset Alzheimer Disease><Lead><Leanness><Learning><Link><Measures><Memory><Memory Deficit><Memory impairment><Methods><Mice><Mice Mammals><Modeling><Murine><Mus><Mutation><Nerve Cells><Nerve Degeneration><Nerve Unit><Neural Cell><Neurocyte><Neuron Degeneration><Neurons><Oxidative Stress><PSEN1><Pathology><Pb 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