Evidence map›Paper›PMID 33413694›Full record

ArticleActa neuropathologica communications2021

Loss of cholinergic innervation differentially affects eNOS-mediated blood flow, drainage of Aβ and cerebral amyloid angiopathy in the cortex and hippocampus of adult mice.

Shereen Nizari, Jack A Wells, Roxana O Carare, Ignacio A Romero, Cheryl A Hawkes

Open access · goldAbstract read
In one paragraph

Article in Acta neuropathologica communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Reduction in hippocampal cholinergic neurostimulating peptide enhances memory impairment in AppAlzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  10. White matter hyperintensities and cholinergic degeneration as Lewy body disease.Annals of clinical and translational neurology · 2025
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  14. Review
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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

5 authors at 3 institutions in 1 country.

Shereen NizariSchool of Life, Health and Chemical Sciences, Open University, Milton Keynes, UK.
Jack A WellsCentre for Advanced Bioimaging, UCL, London, UK.
Roxana O CarareClinical and Experimental Sciences, University of Southampton, Southampton, UK.
Ignacio A RomeroSchool of Life, Health and Chemical Sciences, Open University, Milton Keynes, UK.
Cheryl A HawkesSchool of Life, Health and Chemical Sciences, Open University, Milton Keynes, UK. c.hawkes@lancaster.ac.uk.ORCID 0000-0001-9007-0130
The Open University · GBUniversity College London · GBUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vascular dysregulation and cholinergic basal forebrain degeneration are both early pathological events in the development of Alzheimer's disease (AD). Acetylcholine contributes to localised arterial dilatation and increased cerebral blood flow (CBF) during neurovascular coupling via activation of endothelial nitric oxide synthase (eNOS). Decreased vascular reactivity is suggested to contribute to impaired clearance of β-amyloid (Aβ) along intramural periarterial drainage (IPAD) pathways of the brain, leading to the development of cerebral amyloid angiopathy (CAA). However, the possible relationship between loss of cholinergic innervation, impaired vasoreactivity and reduced clearance of Aβ from the brain has not been previously investigated. In the present study, intracerebroventricular administration of mu-saporin resulted in significant death of cholinergic neurons and fibres in the medial septum, cortex and hippocampus of C57BL/6 mice. Arterial spin labelling MRI revealed a loss of CBF response to stimulation of eNOS by the Rho-kinase inhibitor fasudil hydrochloride in the cortex of denervated mice. By contrast, the hippocampus remained responsive to drug treatment, in association with altered eNOS expression. Fasudil hydrochloride significantly increased IPAD in the hippocampus of both control and saporin-treated mice, while increased clearance from the cortex was only observed in control animals. Administration of mu-saporin in the TetOAPPSweInd mouse model of AD was associated with a significant and selective increase in Aβ40-positive CAA. These findings support the importance of the interrelationship between cholinergic innervation and vascular function in the aetiology and/or progression of CAA and suggest that combined eNOS/cholinergic therapies may improve the efficiency of Aβ removal from the brain and reduce its deposition as CAA.

Indexed as

1-(5-Isoquinolinesulfonyl)-2-MethylpiperazineAcetylcholineAmyloid beta-PeptidesAnimalsCerebral Amyloid AngiopathyCerebral CortexCerebrovascular CirculationCholinergic FibersCholinergic NeuronsHippocampusMiceNeurovascular CouplingNitric Oxide Synthase Type IIISaporinsSeptal NucleiVasodilator Agents1-(5-Isoquinolinesulfonyl)-2-MethylpiperazineAcetylcholineAmyloid beta-PeptidesfasudilNitric Oxide Synthase Type IIINos3 protein, mouseSaporinsVasodilator AgentsAlzheimer’s diseaseCholinergicClearanceeNOSVascular reactivity

Identifiers

PMID33413694
PMCPMC7791879
OpenAlexW3119202142

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.