Blood-Brain Barrier Breakdown in the Aging Human Hippocampus

被引:1466
作者
Montagne, Axel [1 ,2 ]
Barnes, Samuel R. [3 ]
Sweeney, Melanie D. [1 ,2 ]
Halliday, Matthew R. [1 ,2 ]
Sagare, Abhay P. [1 ,2 ]
Zhao, Zhen [1 ,2 ]
Toga, Arthur W. [4 ]
Jacobs, Russell E. [3 ]
Liu, Collin Y. [5 ,6 ]
Amezcua, Lilyana [5 ]
Harrington, Michael G. [7 ]
Chui, Helena C. [5 ]
Law, Meng [6 ]
Zlokovic, Berislav V. [1 ,2 ]
机构
[1] Univ So Calif, Keck Sch Med, Zilkha Neurogenet Inst, Los Angeles, CA 90089 USA
[2] Univ So Calif, Keck Sch Med, Dept Physiol & Biophys, Los Angeles, CA 90089 USA
[3] CALTECH, Beckman Inst, Biol Imaging Ctr, Pasadena, CA 91101 USA
[4] Univ So Calif, Dept Neurol, Inst Neuroimaging & Informat, Los Angeles, CA 90089 USA
[5] Univ So Calif, Keck Sch Med, Dept Neurobiol, Los Angeles, CA 90089 USA
[6] Univ So Calif, Keck Sch Med, Neuroradiol Div, Dept Radiol, Los Angeles, CA 90089 USA
[7] Huntington Med Res Inst, Pasadena, CA 91101 USA
基金
美国国家卫生研究院;
关键词
ALZHEIMERS-DISEASE BRAIN; VASCULAR CELLS; PERICYTES; PERMEABILITY; DISRUPTION; INTEGRITY; NEURODEGENERATION; CYCLOPHILIN; DISORDERS; GENOTYPE;
D O I
10.1016/j.neuron.2014.12.032
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The blood-brain barrier (BBB) limits entry of blood-derived products, pathogens, and cells into the brain that is essential for normal neuronal functioning and information processing. Post-mortem tissue analysis indicates BBB damage in Alzheimer's disease (AD). The timing of BBB breakdown remains, however, elusive. Using an advanced dynamic contrast-enhanced MRI protocol with high spatial and temporal resolutions to quantify regional BBB permeability in the living human brain, we showan age-dependent BBB breakdown in the hippocampus, a region critical for learning and memory that is affected early in AD. The BBB breakdown in the hippocampus and its CA1 and dentate gyrus subdivisions worsened with mild cognitive impairment that correlated with injury to BBB-associated pericytes, as shown by the cerebrospinal fluid analysis. Our data suggest that BBB breakdown is an early event in the aging human brain that begins in the hippocampus and may contribute to cognitive impairment.
引用
收藏
页码:296 / 302
页数:7
相关论文
共 44 条
  • [11] Pericytes are required for blood-brain barrier integrity during embryogenesis
    Daneman, Richard
    Zhou, Lu
    Kebede, Amanuel A.
    Barres, Ben A.
    [J]. NATURE, 2010, 468 (7323) : 562 - U238
  • [12] RAGE mediates amyloid-β peptide transport across the blood-brain barrier and accumulation in brain
    Deane, R
    Yan, SD
    Submamaryan, RK
    LaRue, B
    Jovanovic, S
    Hogg, E
    Welch, D
    Manness, L
    Lin, C
    Yu, J
    Zhu, H
    Ghiso, J
    Frangione, B
    Stern, A
    Schmidt, AM
    Armstrong, DL
    Arnold, B
    Liliensiek, B
    Nawroth, P
    Hofman, F
    Kindy, M
    Stern, D
    Zlokovic, B
    [J]. NATURE MEDICINE, 2003, 9 (07) : 907 - 913
  • [13] Cerebral microvascular pathology in aging and Alzheimer's disease
    Farkas, E
    Luiten, PGM
    [J]. PROGRESS IN NEUROBIOLOGY, 2001, 64 (06) : 575 - 611
  • [14] Cyclooxygenase-2-positive macrophages infiltrate the Alzheimer's disease brain and damage the blood-brain barrier
    Fiala, M
    Liu, QN
    Sayre, J
    Pop, V
    Brahmandam, V
    Graves, MC
    Vinters, HV
    [J]. EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, 2002, 32 (05) : 360 - 371
  • [15] Patients With Alzheimer Disease With Multiple Microbleeds Relation With Cerebrospinal Fluid Biomarkers and Cognition
    Goos, Jeroen D. C.
    Kester, M. I.
    Barkhof, Frederik
    Klein, Martin
    Blankenstein, Marinus A.
    Scheltens, Philip
    van der Flier, Wiesje M.
    [J]. STROKE, 2009, 40 (11) : 3455 - 3460
  • [16] Relationship Between Cyclophilin A Levels and Matrix Metalloproteinase 9 Activity in Cerebrospinal Fluid of Cognitively Normal Apolipoprotein E4 Carriers and Blood-Brain Barrier Breakdown
    Halliday, Matthew R.
    Pomara, Nunzio
    Sagare, Abhay P.
    Mack, Wendy J.
    Frangione, Blas
    Zlokovic, Berislav V.
    [J]. JAMA NEUROLOGY, 2013, 70 (09) : 1198 - 1200
  • [17] The APOE ε4/ε4 genotype potentiates vascular fibrin(ogen) deposition in amyloid-laden vessels in the brains of Alzheimer's disease patients
    Hultman, Karin
    Strickland, Sidney
    Norris, Erin H.
    [J]. JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 2013, 33 (08) : 1251 - 1258
  • [18] Neurovascular regulation in the normal brain and in Alzheimer's disease
    Iadecola, C
    [J]. NATURE REVIEWS NEUROSCIENCE, 2004, 5 (05) : 347 - 360
  • [19] The Pathobiology of Vascular Dementia
    Iadecola, Costantino
    [J]. NEURON, 2013, 80 (04) : 844 - 866
  • [20] Preclinical Success against Alzheimer's Disease with an Old Drug
    LaFerla, Frank M.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2012, 367 (06) : 570 - 572