Blood Pressure Control and Protection of the Aging Brain
| Autor: | Alan J. Lerner, Nasratullah Wahidi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Aging medicine.medical_specialty Neurology Neurocognitive Disorders Review Bioinformatics 03 medical and health sciences 0302 clinical medicine medicine Animals Humans Aging brain Dementia Pharmacology (medical) Cognitive decline Antihypertensive Agents Pharmacology business.industry Cognition medicine.disease 030104 developmental biology Blood pressure Hypertension Neurology (clinical) Neurosurgery Alzheimer's disease business 030217 neurology & neurosurgery |
| Zdroj: | Neurotherapeutics |
| ISSN: | 1878-7479 1933-7213 |
| Popis: | Hypertension and dementia are both common disorders whose prevalence increases with age. There are multiple mechanisms by which hypertension affects the brain and alters cognition. These include blood flow dynamics, development of large and small vessel pathology and diverse molecular mechanisms including formation of reactive oxygen species and transcriptional cascades. Blood pressure interacts with Alzheimer disease pathology in numerous and unpredictable ways, affecting both β-amyloid and tau deposition, while also interacting with AD genetic risk factors and other metabolic processes. Treatment of hypertension may prevent cognitive decline and dementia, but methodological issues have limited the ability of randomized clinical trials to show this conclusively. Recent studies have raised hope that hypertension treatment may protect the function and structure of the aging brain from advancing to mild cognitive impairment and dementia. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s13311-019-00747-y) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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