Evidence map›Paper›PMID 40671789›Full record

ArticleFrontiers in aging neuroscience2025

Examining the independent and moderating effects of arterial stiffness and cerebral blood flow on total hippocampal and hippocampal subfield volumes.

Michelle Horan, Daniel Carey, Silvin Knight, A Fagan, James F M Meaney, Rose Anne Kenny, Céline De Looze

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Article in Frontiers in aging neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Michelle HoranThe Thomas Mitchell Centre for Advanced Medical Imaging (CAMI), St. James' Hospital, Dublin, Ireland.
Daniel CareySchool of Medicine, Trinity College Dublin, Dublin, Ireland.
Silvin KnightSchool of Medicine, Trinity College Dublin, Dublin, Ireland.
A FaganThe Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland.
James F M MeaneyThe Thomas Mitchell Centre for Advanced Medical Imaging (CAMI), St. James' Hospital, Dublin, Ireland.
Rose Anne KennySchool of Medicine, Trinity College Dublin, Dublin, Ireland.
Céline De LoozeSchool of Medicine, Trinity College Dublin, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: There is a critical link between vascular disease and the progression to dementia. The hippocampus has been implicated in memory and cognitive decline. In this study, we investigate the independent and moderating effects of increased arterial stiffness (AS) and reduced cerebral blood flow (CBF) on hippocampal volume (HV) in a large MRI sample of community-dwelling older adults from the Irish Longitudinal Study on Ageing (TILDA). Methods: Longitudinal data from study participants for Wave 1 (2009-2011) and Wave 3 (2014-2015) were included. This included health and social information as well as a nurse-administered health assessment. Patients who had complete AS, CBF and MR-hippocampal measurements were included. Pseudo-continuous arterial spine labelling was performed to quantify whole CBF. Volumetric analysis was performed using FreeSurfer 6.0 recon-all processing pipeline. Results: 395 patients met inclusion criteria. This four-year follow up longitudinal study demonstrated that (i) prolonged elevated AS (at wave 1 and wave 3), (ii) the interaction between higher AS at wave 1 and lower CBF at wave 3 and (iii) the interaction between prolonged elevated AS (at wave 1 and wave 3) and reduced CBF at wave 3 were associated with smaller HV. Conclusion: Increased arterial stiffness and reduced CBF were not independently associated with smaller HV. However, in combination, persistently elevated AS and reduced CBF is associated with smaller HV. These effects were equally exerted across all hippocampal subfields tested. Our findings suggest a lag effect in the arterial stiffness and hippocampal volume relationship. We propose that the subsequent reduction in cerebral blood flow observed with elevated arterial stiffness may be the missing link in the pathway associating arterial stiffness with hippocampal atrophy.

Indexed as

arterial stiffeningcerebral blood flowcognitive impairmenthippocampal subfield atrophyhippocampus

Identifiers

PMID40671789
PMCPMC12264913

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