Evidence map›Paper›PMID 38801464›Full record

ReviewCellular and molecular life sciences : CMLS2024

Is CAA a perivascular brain clearance disease? A discussion of the evidence to date and outlook for future studies.

Susanne J van Veluw, Helene Benveniste, Erik N T P Bakker, Roxana O Carare, Steven M Greenberg, Jeffrey J Iliff, Sylvie Lorthois, William E Van Nostrand, Gabor C Petzold, Andy Y Shih and 1 more

Abstract readReview
In one paragraph

Review in Cellular and molecular life sciences : CMLS, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

  1. Article
  2. Following the curvature: Sulcal versus gyral cortical localization of cerebral microbleeds in cerebral amyloid angiopathy.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Hemorrhage Pattern and Amyloid Burden in Cerebral Amyloid Angiopathy.Journal of the American Heart Association · 2026
    Article
  8. The glymphatic system and glioblastoma.Brain : a journal of neurology · 2026
    Review
  9. Toxic mechanisms of amyloid oligomers and therapeutic strategies.Protein science : a publication of the Protein Society · 2026
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Lower slow wave sleep and rapid eye movement sleep are associated with brain atrophy of Alzheimer's disease-vulnerable regions.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
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

11 authors.

Susanne J van Veluw *Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. svanveluw@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-7957-8643
Helene Benveniste *Department of Anesthesiology, Yale School of Medicine, New Haven, CT, USA.
Erik N T P BakkerDepartment of Biomedical Engineering, Amsterdam University Medical Center, Location AMC, Amsterdam Neuroscience Research Institute, Amsterdam, The Netherlands.
Roxana O CarareClinical Neurosciences, University of Southampton, Southampton, UK.
Steven M GreenbergDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jeffrey J IliffVA Puget Sound Health Care System, University of Washington, Seattle, WA, USA.
Sylvie LorthoisInstitut de Mécanique Des Fluides de Toulouse, IMFT, Université de Toulouse, CNRS, Toulouse, France.
William E Van NostrandDepartment of Biomedical and Pharmaceutical Science, George & Anne Ryan Institute for Neuroscience, University of Rhode Island, Kingston, RI, USA.
Gabor C PetzoldGerman Center for Neurodegenerative Disease, Bonn, Germany.
Andy Y ShihCenter for Developmental Biology and Regenerative Medicine, Seattle Children's Research Institute, University of Washington, Seattle, WA, USA.
Matthias J P van OschDepartment of Radiology, Leiden University Medical Center, Leiden, the Netherlands.

Funding

University of Washington Alzheimer's Disease Research CenterP30AG066509 · NIA · UNIVERSITY OF WASHINGTON · PI Amanda D. Boyd · 2020 to 2026
$29.0M
Mechanisms of Vasomotion-mediated Perivascular Clearance in Cerebral Amyloid AngiopathyR01NS128790 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Steven M Greenberg · 2022 to 2026
$2.9M
Fondation Leducq 23CVD03NIA NIH HHS P30 AG066509NINDS NIH HHS R01 NS128790
6 · The paper itself

Abstract

The brain's network of perivascular channels for clearance of excess fluids and waste plays a critical role in the pathogenesis of several neurodegenerative diseases including cerebral amyloid angiopathy (CAA). CAA is the main cause of hemorrhagic stroke in the elderly, the most common vascular comorbidity in Alzheimer's disease and also implicated in adverse events related to anti-amyloid immunotherapy. Remarkably, the mechanisms governing perivascular clearance of soluble amyloid β-a key culprit in CAA-from the brain to draining lymphatics and systemic circulation remains poorly understood. This knowledge gap is critically important to bridge for understanding the pathophysiology of CAA and accelerate development of targeted therapeutics. The authors of this review recently converged their diverse expertise in the field of perivascular physiology to specifically address this problem within the framework of a Leducq Foundation Transatlantic Network of Excellence on Brain Clearance. This review discusses the overarching goal of the consortium and explores the evidence supporting or refuting the role of impaired perivascular clearance in the pathophysiology of CAA with a focus on translating observations from rodents to humans. We also discuss the anatomical features of perivascular channels as well as the biophysical characteristics of fluid and solute transport.

Indexed as

Amyloid beta-PeptidesBrainCerebral Amyloid AngiopathyAlzheimer DiseaseAnimalsGlymphatic SystemHumansAmyloid beta-PeptidesBrain clearanceCerebral amyloid angiopathyCerebrospinal fluidGlymphaticsIPADPerivascular spaces

Identifiers

PMID38801464
PMCPMC11130115

What OpenQuestion holds

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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.