Alzheimer disease macrophages shuttle amyloid-beta from neurons to vessels, contributing to amyloid angiopathy.

Alzheimer disease macrophages shuttle amyloid-beta from neurons to vessels, contributing to amyloid angiopathy.
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DOI:
10.1007/s00401-008-0481-0
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发表时间:
2009-03
影响因子:
12.7
通讯作者:
Fiala M
Fiala M
中科院分区:
医学1区
文献类型:
--
作者:
Zaghi J;Goldenson B;Inayathullah M;Lossinsky AS;Masoumi A;Avagyan H;Mahanian M;Bernas M;Weinand M;Rosenthal MJ;Espinosa-Jeffrey A;de Vellis J;Teplow DB;Fiala M

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Neuronal accumulation of oligomeric amyloid-β (Aβ) is considered the proximal cause of neuronal demise in Alzheimer disease (AD) patients. Blood-borne macrophages might reduce Aβ stress to neurons by immigration into the brain and phagocytosis of Aβ. We tested migration and export across a blood-brain barrier model, and phagocytosis and clearance of Aβ by AD and normal subjects’ macrophages. Both AD and normal macrophages were inhibited in Aβ export across the blood-brain barrier due to adherence of Aβ-engorged macrophages to the endothelial layer. In comparison to normal subjects’ macrophages, AD macrophages ingested and cleared less Aβ, and underwent apoptosis upon exposure to soluble, protofibrillar, or fibrillar Aβ. Confocal microscopy of stained AD brain sections revealed oligomeric Aβ in neurons and apoptotic macrophages, which surrounded and infiltrated congophilic microvessels, and fibrillar Aβ in plaques and microvessel walls. After incubation with AD brain sections, normal subjects’ monocytes intruded into neurons and uploaded oligomeric Aβ. In conclusion, in patients with AD, macrophages appear to shuttle Aβ from neurons to vessels where their apoptosis may release fibrillar Aβ, contributing to cerebral amyloid angiopathy.
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