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Longitudinal PET-MRI reveals β-amyloid deposition and rCBF dynamics and connects vascular amyloidosis to quantitative loss of perfusion
Author(s) -
Florian Maier,
Hans F. Wehrl,
Andreas M. Schmid,
Julia G. Mannheim,
Stefan Wiehr,
Chommanad Lerdkrai,
Carsten Calaminus,
Anke Stahlschmidt,
Lan Ye,
Michael Burnet,
Detlef Stiller,
Osama Sabri,
Gerald Reischl,
M Staufenbiel,
Olga Garaschuk,
Mathias Jucker,
Bernd J. Pichler
Publication year - 2014
Publication title -
nature medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.536
H-Index - 547
eISSN - 1546-170X
pISSN - 1078-8956
DOI - 10.1038/nm.3734
Subject(s) - cerebral amyloid angiopathy , amyloidosis , pittsburgh compound b , amyloid (mycology) , cerebral blood flow , pathology , positron emission tomography , magnetic resonance imaging , perfusion , alzheimer's disease , genetically modified mouse , in vivo , medicine , neuroscience , disease , biology , transgene , dementia , radiology , biochemistry , microbiology and biotechnology , gene
The dynamics of β-amyloid deposition and related second-order physiological effects, such as regional cerebral blood flow (rCBF), are key factors for a deeper understanding of Alzheimer's disease (AD). We present longitudinal in vivo data on the dynamics of β-amyloid deposition and the decline of rCBF in two different amyloid precursor protein (APP) transgenic mouse models of AD. Using a multiparametric positron emission tomography and magnetic resonance imaging approach, we demonstrate that in the presence of cerebral β-amyloid angiopathy (CAA), β-amyloid deposition is accompanied by a decline of rCBF. Loss of perfusion correlates with the growth of β-amyloid plaque burden but is not related to the number of CAA-induced microhemorrhages. However, in a mouse model of parenchymal β-amyloidosis and negligible CAA, rCBF is unchanged. Because synaptically driven spontaneous network activity is similar in both transgenic mouse strains, we conclude that the disease-related decline of rCBF is caused by CAA.

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