Evidence map›Paper›PMID 41233906›Full record

ArticleAlzheimer's research & therapy2025

Meningeal vascular Aβ deposition associates with cerebral hypoperfusion and compensatory collateral remodeling.

Alexandra M Kaloss, Jack L Browning, Jiangtao Li, Yuhang Pan, Sachi Watsen, Harald Sontheimer, Michelle H Theus, Michelle L Olsen

Abstract read
In one paragraph

Article in Alzheimer's research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Alexandra M Kaloss *Department of Biomedical Sciences and Pathobiology, Virginia Tech, Blacksburg, VA, 24061, USA.
Jack L Browning *School of Neuroscience, Virginia Tech, Blacksburg, VA, 24061, USA.
Jiangtao LiSchool of Neuroscience, Virginia Tech, Blacksburg, VA, 24061, USA.
Yuhang PanSchool of Neuroscience, Virginia Tech, Blacksburg, VA, 24061, USA.
Sachi WatsenSchool of Neuroscience, Virginia Tech, Blacksburg, VA, 24061, USA.
Harald SontheimerDepartment of Neuroscience, University of Virginia, Charlottesville, VA, 22901, USA.
Michelle H TheusDepartment of Biomedical Sciences and Pathobiology, Virginia Tech, Blacksburg, VA, 24061, USA. mtheus@vt.edu.
Michelle L OlsenSchool of Neuroscience, Virginia Tech, Blacksburg, VA, 24061, USA. molsen1@vt.edu.

Funding

Changes in Cerebrovascular Function with Aging in Normal and AD BrainR01AG065836 · NIA · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI SONTHEIMER, HARALD W · 2020 to 2024
$2.5M
NIA NIH HHS R01 AG065836
6 · The paper itself

Abstract

backgroundGlobal reductions in cerebral blood flow (CBF) are among the earliest and most consistent abnormalities observed in Alzheimer's disease (AD), preceding both cortical plaque formation and cognitive decline. While the pial arterial network-a critical supplier of intracortical perfusion-has been overlooked in this context, it may play a pivotal role in early vascular pathology. Here, we report extensive cerebral amyloid angiopathy (CAA) within the pial artery and arteriole network in the J20 (PDGF-APPSw, Ind) mouse model of AD.

methodsUsing premortem delivery of Methoxy-XO4 to label Aβ, and arterial vascular labeling, we assessed Aβ burden on the pial artery/arteriole network and cerebral blood flow in aged male and female WT and J20 AD mice.

resultsWe show that 12-month-old J20 mice exhibit significant Aβ deposition across major leptomeningeal arteries (ACA, MCA) and pial collaterals, with ~ 40% vessel coverage in males and ~ 20% in females-substantially exceeding Aβ levels in cortical or hippocampal vessels. This vascular Aβ burden was accompanied by compensatory enlargement and increased tortuosity of pial collateral vessels. Yet, despite this apparent remodeling, CBF was reduced by ~ 15% in J20 mice, and this decline was significantly associated with leptomeningeal CAA burden.

conclusionsThis is the first study to comprehensively characterize meningeal arterial Aβ accumulation in a preclinical model of vascular AD, mirroring recent observations in early-stage human disease. Our findings implicate meningeal CAA as a potential driver of early CBF disruption and suggest that pial collateral remodeling may reflect a compensatory response to vascular insufficiency. Moreover, we identify robust sex differences in CAA burden, paralleling sex-specific patterns of parenchymal Aβ pathology in humans. These results highlight the leptomeningeal vasculature as a novel and understudied locus for early AD pathology and a potential therapeutic target to preserve cerebrovascular integrity.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesCerebral Amyloid AngiopathyCerebrovascular CirculationCollateral CirculationMeningesAnimalsDisease Models, AnimalFemaleMaleMiceMice, TransgenicAmyloid beta-PeptidesArteriogenesisAβCAACerebral blood flowMeningesPial collaterals

Identifiers

PMID41233906
PMCPMC12616917

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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.