Table 1.
Elevated soluble Aβ |
Early CAA | Moderate CAA | Advanced CAA | Dyshoric vessels |
|
---|---|---|---|---|---|
Vascular Pathology |
None | None | Altered VSMC architecture |
Amyloid replacement of VSMCs |
Fibrinoid necrosis, microaneurysms |
Cell death | None | None | VSMCs (early loss) |
VSMCs (severe loss) |
VSMCs, CECs, pericytes |
Vascular Function |
Impaired reactivity (moderate) |
Impaired reactivity (severe) |
Absent reactivity |
Absent reactivity |
Absent reactivity |
Brain Pathology |
None | White matter disease and cortical infarcts | Frank hemorrhage |
||
Clinical | ? | Cognitive dysfunction? | Major M&M |
VSMCs, vascular smooth muscle cells
CECs, cerebral endothelial cells