2000
DOI: 10.1111/j.1749-6632.2000.tb06354.x
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Cerebrovascular Smooth Muscle Cell Surface Fibrillar Aβ: Alteration of the Proteolytic Environment in the Cerebral Vessel Wall

Abstract: Cerebrovascular deposition of the amyloid beta-protein (A beta) is a common pathologic event in patients with Alzheimer's disease (AD) and certain related disorders including hereditary cerebral hemorrhage with amyloidosis Dutch-type (HCHWA-D). A beta deposition occurs primarily in the medial layer of the cerebral vessel wall in an assembled fibrillar state. These deposits are associated with several pathological responses including degeneration of the smooth muscle cells in the cerebral vessel wall. Severe ca… Show more

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Cited by 19 publications
(7 citation statements)
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“…Moreover, Aβ fibrillation activates an apoptotic pathway in the cerebrovascular smooth muscle cells, leading to cell death (Van Nostrand et al, 2000b). The combination of the cell death and the anticoagulant environment induced by Aβ fibrils in the vessel wall are probably major contributors to the hemorrhages in HCHWA-D patients.…”
Section: Aβ Fibril Assembly At Cell Surfacesmentioning
confidence: 99%
See 1 more Smart Citation
“…Moreover, Aβ fibrillation activates an apoptotic pathway in the cerebrovascular smooth muscle cells, leading to cell death (Van Nostrand et al, 2000b). The combination of the cell death and the anticoagulant environment induced by Aβ fibrils in the vessel wall are probably major contributors to the hemorrhages in HCHWA-D patients.…”
Section: Aβ Fibril Assembly At Cell Surfacesmentioning
confidence: 99%
“…After Aβ fibrillation, sAPP is able to bind to the Aβ fibrils at the smooth muscle cell surface (Van Nostrand et al, 2000a). The binding of APP leads to the presence of the Kunitz-type protease inhibitor (KPI) domain, which is part of most of the APP isoforms.…”
Section: Aβ Fibril Assembly At Cell Surfacesmentioning
confidence: 99%
“…Vascular amyloid is composed predominantly of Ab1-40, which is produced following proteolytic cleavage of the amyloid precursor protein (APP). In addition to resulting in degeneration of cerebrovascular smooth muscle and endothelial cells (Davis-Salinas et al, 1995;Van Nostrand et al, 2000), CAA inhibits angiogenesis, impairs vascular tone, and decreases total cerebral blood flow (Beckmann et al, 2003;Paris et al, 2004;Shin et al, 2007). Clinically, the degree of CAA severity correlates with cerebral hypoperfusion, increased risk of microhemorrhage, and degree of cognitive impairment (Pfeifer et al, 2002;Schrag et al, 2011).…”
Section: Introductionmentioning
confidence: 99%
“…33,34 In vitro data further suggest that Aβ promotes urokinase-type plasmin activator expression and plasminogen activation in human cerebrovascular smooth muscle cells. 35,36 Although the APP23-tg mouse model of CAA is at greater risk for spontaneous vascular leakage with development of cMBs and lobar ICH, we observed no ICH after r-tPA treatment outside the infarct area. This difference from a previous study using the same mouse model may be related to the different interval between r-tPA treatment and analysis (24 hours in the present study versus 10 days in Winkler et al 37 ).…”
Section: Discussionmentioning
confidence: 55%