Loss of capillary pericytes and the blood-brain barrier in white matter in poststroke and vascular dementias and Alzheimer's disease

Autor: Tolulope Akinyemi, Ren Ding, Tuomo Polvikoski, Raj N. Kalaria, Yoshiki Hase, Masafumi Ihara, Kamar E. Ameen-Ali, Ryan Gourlay, Maiko T. Uemura, Rufus Akinyemi, Joseph Barsby, William Stevenson, Michael N. Ndung’u, Elizabeta B. Mukaetova-Ladinska
Rok vydání: 2020
Předmět:
0301 basic medicine
Collagen Type IV
Male
Pathology
medicine.medical_specialty
Blood–brain barrier
pericytes
Pathology and Forensic Medicine
White matter
Receptor
Platelet-Derived Growth Factor beta

03 medical and health sciences
0302 clinical medicine
Alzheimer Disease
medicine
cerebral capillary
Dementia
Humans
Vascular dementia
platelet‐derived growth factor receptor
Research Articles
Aged
Aged
80 and over

Neurons
biology
business.industry
General Neuroscience
Dementia
Vascular

Brain
vascular dementia
Middle Aged
medicine.disease
White Matter
Capillaries
Stroke
030104 developmental biology
medicine.anatomical_structure
Frontal lobe
Blood-Brain Barrier
biology.protein
Immunohistochemistry
Female
Neurology (clinical)
Pericyte
business
030217 neurology & neurosurgery
Platelet-derived growth factor receptor
Research Article
dementia
Zdroj: Brain Pathology
ISSN: 1750-3639
Popis: White matter (WM) disease is associated with disruption of the gliovascular unit, which involves breach of the blood–brain barrier (BBB). We quantified pericytes as components of the gliovascular unit and assessed their status in vascular and other common dementias. Immunohistochemical and immunofluorescent methods were developed to assess the distribution and quantification of pericytes connected to the frontal lobe WM capillaries. Pericytes with a nucleus were identified by collagen 4 (COL4) and platelet‐derived growth factor receptor‐β (PDGFR‐β) antibodies with further verification using PDGFR‐β‐specific ELISA. We evaluated a total of 124 post‐mortem brains from subjects with post‐stroke dementia (PSD), vascular dementia (VaD), Alzheimer’s disease (AD), AD‐VaD (Mixed) and post‐stroke non‐demented (PSND) stroke survivors as well as normal aging controls. COL4 and PDGFR‐β reactive pericytes adopted the characteristic “crescent” or nodule‐like shapes around capillary walls. We estimated densities of pericyte somata to be 225 ±38 and 200 ±13 (SEM) per COL4 mm2 area or 2.0 ± 0.1 and 1.7 ± 0.1 per mm capillary length in young and older aging controls. Remarkably, WM pericytes were reduced by ~35%–45% in the frontal lobe of PSD, VaD, Mixed and AD subjects compared to PSND and controls subjects (P
Databáze: OpenAIRE