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Identification of early pericyte loss and vascular amyloidosis in Alzheimer’s disease retina

Pericyte loss and deficient vascular platelet-derived growth factor receptor-β (PDGFRβ) signaling are prominent features of the blood–brain barrier breakdown described in Alzheimer’s disease (AD) that can predict cognitive decline yet have never been studied in the retina. Recent reports using nonin...

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Published in:Acta neuropathologica 2020-05, Vol.139 (5), p.813-836
Main Authors: Shi, Haoshen, Koronyo, Yosef, Rentsendorj, Altan, Regis, Giovanna C., Sheyn, Julia, Fuchs, Dieu-Trang, Kramerov, Andrei A., Ljubimov, Alexander V., Dumitrascu, Oana M., Rodriguez, Anthony R., Barron, Ernesto, Hinton, David R., Black, Keith L., Miller, Carol A., Mirzaei, Nazanin, Koronyo-Hamaoui, Maya
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cited_by cdi_FETCH-LOGICAL-c607t-5c4c74ea6e7ef626f7c4cb46a2aaa2657661acea032cb1b10958d59c7dca63fe3
cites cdi_FETCH-LOGICAL-c607t-5c4c74ea6e7ef626f7c4cb46a2aaa2657661acea032cb1b10958d59c7dca63fe3
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container_issue 5
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container_title Acta neuropathologica
container_volume 139
creator Shi, Haoshen
Koronyo, Yosef
Rentsendorj, Altan
Regis, Giovanna C.
Sheyn, Julia
Fuchs, Dieu-Trang
Kramerov, Andrei A.
Ljubimov, Alexander V.
Dumitrascu, Oana M.
Rodriguez, Anthony R.
Barron, Ernesto
Hinton, David R.
Black, Keith L.
Miller, Carol A.
Mirzaei, Nazanin
Koronyo-Hamaoui, Maya
description Pericyte loss and deficient vascular platelet-derived growth factor receptor-β (PDGFRβ) signaling are prominent features of the blood–brain barrier breakdown described in Alzheimer’s disease (AD) that can predict cognitive decline yet have never been studied in the retina. Recent reports using noninvasive retinal amyloid imaging, optical coherence tomography angiography, and histological examinations support the existence of vascular-structural abnormalities and vascular amyloid β-protein (Aβ) deposits in retinas of AD patients. However, the cellular and molecular mechanisms of such retinal vascular pathology were not previously explored. Here, by modifying a method of enzymatically clearing non-vascular retinal tissue and fluorescent immunolabeling of the isolated blood vessel network, we identified substantial pericyte loss together with significant Aβ deposition in retinal microvasculature and pericytes in AD. Evaluation of postmortem retinas from a cohort of 56 human donors revealed an early and progressive decrease in vascular PDGFRβ in mild cognitive impairment (MCI) and AD compared to cognitively normal controls. Retinal PDGFRβ loss significantly associated with increased retinal vascular Aβ 40 and Aβ 42 burden. Decreased vascular LRP-1 and early apoptosis of pericytes in AD retina were also detected. Mapping of PDGFRβ and Aβ 40 levels in pre-defined retinal subregions indicated that certain geometrical and cellular layers are more susceptible to AD pathology. Further, correlations were identified between retinal vascular abnormalities and cerebral Aβ burden, cerebral amyloid angiopathy (CAA), and clinical status. Overall, the identification of pericyte and PDGFRβ loss accompanying increased vascular amyloidosis in Alzheimer’s retina implies compromised blood–retinal barrier integrity and provides new targets for AD diagnosis and therapy.
doi_str_mv 10.1007/s00401-020-02134-w
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Decreased vascular LRP-1 and early apoptosis of pericytes in AD retina were also detected. Mapping of PDGFRβ and Aβ 40 levels in pre-defined retinal subregions indicated that certain geometrical and cellular layers are more susceptible to AD pathology. Further, correlations were identified between retinal vascular abnormalities and cerebral Aβ burden, cerebral amyloid angiopathy (CAA), and clinical status. Overall, the identification of pericyte and PDGFRβ loss accompanying increased vascular amyloidosis in Alzheimer’s retina implies compromised blood–retinal barrier integrity and provides new targets for AD diagnosis and therapy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32043162</pmid><doi>10.1007/s00401-020-02134-w</doi><tpages>24</tpages><orcidid>https://orcid.org/0000-0003-2864-8442</orcidid><oa>free_for_read</oa></addata></record>
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subjects Advertising executives
Aged
Aged, 80 and over
Alzheimer Disease - pathology
Alzheimer's disease
Amyloid beta-Peptides - metabolism
Amyloid beta-protein
Amyloid beta-Protein Precursor - metabolism
Amyloidosis
Amyloidosis - complications
Amyloidosis - pathology
Angiography
Apoptosis
Autopsy
Blood-brain barrier
Blood-Brain Barrier - pathology
Brain - pathology
Cerebral amyloid angiopathy
Cerebral Amyloid Angiopathy - pathology
Cognition - physiology
Cognitive ability
Diagnostic imaging
Female
Humans
Male
Medical colleges
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Microvasculature
Molecular modelling
Neurodegenerative diseases
Neuroimaging
Neurosciences
Original Paper
Pathology
Pericytes
Pericytes - pathology
Platelet-derived growth factor
Retina
Retina - pathology
Risk factors
title Identification of early pericyte loss and vascular amyloidosis in Alzheimer’s disease retina
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