Evidence map›Paper›PMID 22615835›Full record

ArticlePloS one2012

Morphological and pathological evolution of the brain microcirculation in aging and Alzheimer's disease.

Jesse M Hunter, Jason Kwan, Michael Malek-Ahmadi, Chera L Maarouf, Tyler A Kokjohn, Christine Belden, Marwan N Sabbagh, Thomas G Beach, Alex E Roher

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 178 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Mitochondrial CaBiomolecules · 2026
    Review
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  6. Review
  7. Review
  8. Article
  9. Article
  10. Brain interleukins and Alzheimer's disease.Metabolic brain disease · 2025
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Super-Resolution Ultrasound Reveals Cerebrovascular Impairment in a Mouse Model of Alzheimer's Disease.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Jesse M HunterThe Longtine Center for Neurodegenerative Biochemistry, Banner Sun Health Research Institute, Sun City, Arizona, United States of America.
Jason Kwan
Michael Malek-Ahmadi
Chera L Maarouf
Tyler A Kokjohn
Christine Belden
Marwan N Sabbagh
Thomas G Beach
Alex E Roher
Banner Sun Health Research Institute · USMidwestern University · US

Funding

Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI GONZALEZ HERNANDEZ, GRACIELA · 2001 to 2020
$32.5M
National Brain and Tissue Resource for Parkinson's Disease and Related DisordersU24NS072026 · NINDS · BANNER SUN HEALTH RESEARCH INSTITUTE · PI BEACH, THOMAS G · 2011 to 2015
$7.8M
APP/AB/Tau biochemistry in transgenic mice, familial and sporadic ADR01AG019795 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI ROHER, ALEX E · 2001 to 2013
$3.8M
Beta-amyloid peptides in the oldest-old: A biochemical profile of successful aginR21AG035078 · NIA · BANNER SUN HEALTH RESEARCH INSTITUTE · PI ROHER, ALEX E · 2010 to 2011
$397k
NIA NIH HHS P30 AG019610NIA NIH HHS (P30 AG19610NIA NIH HHS R01 AG019795NIA NIH HHS R21 AG035078NINDS NIH HHS U24 NS072026
6 · The paper itself

Abstract

Key pathological hallmarks of Alzheimer's disease (AD), including amyloid plaques, cerebral amyloid angiopathy (CAA) and neurofibrillary tangles do not completely account for cognitive impairment, therefore other factors such as cardiovascular and cerebrovascular pathologies, may contribute to AD. In order to elucidate the microvascular changes that contribute to aging and disease, direct neuropathological staining and immunohistochemistry, were used to quantify the structural integrity of the microvasculature and its innervation in three oldest-old cohorts: 1) nonagenarians with AD and a high amyloid plaque load; 2) nonagenarians with no dementia and a high amyloid plaque load; 3) nonagenarians without dementia or amyloid plaques. In addition, a non-demented (ND) group (average age 71 years) with no amyloid plaques was included for comparison. While gray matter thickness and overall brain mass were reduced in AD compared to ND control groups, overall capillary density was not different. However, degenerated string capillaries were elevated in AD, potentially suggesting greater microvascular "dysfunction" compared to ND groups. Intriguingly, apolipoprotein ε4 carriers had significantly higher string vessel counts relative to non-ε4 carriers. Taken together, these data suggest a concomitant loss of functional capillaries and brain volume in AD subjects. We also demonstrated a trend of decreasing vesicular acetylcholine transporter staining, a marker of cortical cholinergic afferents that contribute to arteriolar vasoregulation, in AD compared to ND control groups, suggesting impaired control of vasodilation in AD subjects. In addition, tyrosine hydroxylase, a marker of noradrenergic vascular innervation, was reduced which may also contribute to a loss of control of vasoconstriction. The data highlight the importance of the brain microcirculation in the pathogenesis and evolution of AD.

Indexed as

AgedAged, 80 and overAgingAlzheimer DiseaseApolipoprotein E4BrainCapillariesCerebral CortexCholinergic NeuronsCohort StudiesDementiaFemaleHumansImmunohistochemistryMaleMicrocirculationApolipoprotein E4Tyrosine 3-MonooxygenaseVesicular Acetylcholine Transport Proteins

Identifiers

PMID22615835
PMCPMC3353981
OpenAlexW1977657716

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.