Evidence map›Paper›PMID 40465757›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Arteriolar degeneration and stiffness in cerebral amyloid angiopathy are linked to Aβ deposition and lysyl oxidase.

Lissa Ventura-Antunes, Alex Nackenoff, Wilber Romero-Fernandez, Yongchao Wang, Allison M Bosworth, Alex Prusky, Emmeline Wang, Cristian Carvajal-Tapia, Alena Shostak, Hannah Harmsen and 8 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Retinal Vascularity Index in Mild Cognitive Impairment.Translational vision science & technology · 2026
    Article
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Article
  8. Review
  9. Systemic Piezo1 activation improves cerebrovascular function in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  10. Review
  11. Review
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  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Lissa Ventura-AntunesDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-5508-0990
Alex NackenoffDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Wilber Romero-FernandezDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Yongchao WangDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Allison M BosworthDepartment of Biomedical Engineering, Vanderbilt University, Nashville, Tennessee, USA.
Alex PruskyDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Emmeline WangDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Cristian Carvajal-TapiaDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Alena ShostakDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Hannah HarmsenDepartment of Pathology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Bret MobleyDepartment of Pathology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jose MaldonadoVanderbilt Neurovisualization Lab, Vanderbilt University, Nashville, Tennessee, USA.
Neely WombleDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Elena SolopovaDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
J Caleb SniderDepartment of Biomedical Engineering, Vanderbilt University, Nashville, Tennessee, USA.
W David MerrymanDepartment of Biomedical Engineering, Vanderbilt University, Nashville, Tennessee, USA.
Ethan S LippmannDepartment of Biomedical Engineering, Vanderbilt University, Nashville, Tennessee, USA.
Matthew SchragDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-7048-0503

Funding

Cerebral Microvascular Network Alterations in Alzheimer's Disease and Cerebral Amyloid AngiopathyR03NS111486 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SCHRAG, MATTHEW · 2019 to 2019
$340k
NIH HHS R03NS111486-01NINDS NIH HHS R03 NS111486
6 · The paper itself

Abstract

introductionThe morphological and molecular changes associated with the degeneration of arterioles in cerebral amyloid angiopathy (CAA) are incompletely understood.

methodsPost mortem brains from 26 patients with CAA or neurological controls were analyzed using light-sheet microscopy, and morphological features of microvascular degeneration were quantified using surface volume rendering. Vascular stiffness was analyzed using atomic force microscopy.

resultVascular smooth muscle cells (VSMCs) volume was reduced by ≈ 55% in CAA. This loss of VSMC volume correlated with increased arteriolar diameter, variability in diameter, and the volume of amyloid beta (Aβ) deposition in the vessel. Vessels with CAA were > 300% stiffer than controls. The volume of extracellular matrix cross-linking enzyme lysyl oxidase (LOX) correlated closely with vascular degenerative features. DISCUSSION: Our findings provide valuable insights into the connections among LOX, Aβ deposition, and vascular stiffness in CAA. Restoration of physiologic extracellular matrix properties in penetrating arteries may yield a novel therapeutic strategy for CAA. HIGHLIGHTS: We conducted 3D microscopy on human brains with cerebral amyloid angiopathy. We quantified features of vascular degeneration, β-amyloid, and lysyl oxidase in CAA Vascular degeneration correlated with Aβ, loss of VSMCs , and increased LOX. Arterioles with CAA were stiffer than controls in data from atomic force microscopy. Vascular extracellular matrix properties may be a therapeutic target for CAA.

Indexed as

Amyloid beta-PeptidesBrainCerebral Amyloid AngiopathyProtein-Lysine 6-OxidaseVascular StiffnessAgedAged, 80 and overArteriolesFemaleHumansMaleMicroscopy, Atomic ForceMiddle AgedMuscle, Smooth, VascularAmyloid beta-PeptidesProtein-Lysine 6-OxidaseAlzheimer's diseaseamyloid betacerebral amyloid angiopathylysyl oxidasethree‐dimensional microscopyvascular smooth muscle

Identifiers

PMID40465757
PMCPMC12136096

What OpenQuestion holds

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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.