Abstract
Cerebral amyloid angiopathy (CAA) is the term used to describe deposition of amyloid in the walls of arteries, arterioles and, less often, capillaries and veins of the central nervous system. CAAs are an important cause of cerebral hemorrhage and may also result in ischemic lesions and dementia. A number of amyloid proteins are known to cause CAA. The most common sporadic CAA, caused by Aβ deposition, is associated with aging and is a common feature of Alzheimer disease (AD). CAA occurs in several familial conditions, including hereditary cerebral hemorrhage with amyloidosis of Icelandic type caused by deposition of mutant cystatin C, hereditary cerebral hemorrhage with amyloidosis Dutch type and familial AD with deposition of either Aβ variants or wild‐type Aβ, the transthyretin‐related meningo‐vascular amyloidoses, gelsolin as well as familial prion disease‐related CAAs and the recently described BRI2 gene‐related CAAs in familial British dementia and familial Danish dementia. This review focuses on the morphological, biochemical, and genetic aspects as well as the clinical significance of CAAs with special emphasis on the BRI2 gene‐related cerebrovascular amyloidoses. We also discuss data relevant to the pathomechanism of the different forms of CAA with an emphasis on the most common Aβ‐related types.
Full Text
The Full Text of this article is available as a PDF (722.5 KB).
References
- 1. Abrahamson M, Barrett AJ, Salvesen G, Grubb A (1986) Isolation of six cysteine proteinase inhibitors from human urine. Their physicochemical and enzyme kinetic properties and concentrations in biological fluids. J Biol Chem 261:11282–11289. [PubMed] [Google Scholar]
- 2. Akiyama H, Barger S, Barnum S, Bradt B, Bauer J, Cole GM, Cooper NR, Eikelenboom P, Emmerling M, Fiebich BL, Finch CE et al (2000) Inflammation and Alzheimer's disease. Neurobiol Aging 21:383–421. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. Alonzo NC, Hyman BT, Rebeck GW, Greenberg SM (1998) Progression of cerebral amyloid angiopathy: accumulation of amyloid‐beta40 in affected vessels. J Neuropathol Exp Neurol 57:353–359. [DOI] [PubMed] [Google Scholar]
- 4. Anders KH, Wang ZZ, Kornfeld M, Gray F, Soontornniy‐omkij V, Reed LA, Hart MN, Menchine M, Secor DL, Vinters HV (1997) Giant cell arteritis in association with cerebral amyloid angiopathy: immunohistochemical and molecular studies. Hum Pathol 28:1237–1246. [DOI] [PubMed] [Google Scholar]
- 5. Bales KR, Verina T, Dodel RC, Du Y, Altstiel L, Bender M, Hyslop P, Johnstone EM, Little SP, Cummins DJ, Piccardo P, Ghetti B, Paul SM (1997) Lack of apolipoprotein E dramatically reduces amyloid beta‐peptide deposition. Nat Genet1 7:263–264. [DOI] [PubMed] [Google Scholar]
- 6. Benedikz E, Blondal H, Gudmundsson G (1990) Skin deposits in hereditary cystatin C amyloidosis. Virchows Arch A Pathol Anat Histopathol 417:325–331. [DOI] [PubMed] [Google Scholar]
- 7. Benson MD (1996) Leptomeningeal amyloid and variant transthyretins. Am J Pathol 148:351–354. [PMC free article] [PubMed] [Google Scholar]
- 8. Bergeron C, Ranalli PJ, Miceli PN (1987) Amyloid angiopathy in Alzheimer's disease. Can J Neurol Sci 14:564–569. [PubMed] [Google Scholar]
- 9. Bornebroek M, Haan J, Maat‐Schieman ML, Van Duinen SG, Roos RA (1996) Hereditary cerebral hemorrhage with amyloidosis‐Dutch type (HCHWA‐D): I‐A review of clinical, radiologic and genetic aspects. Brain Pathol 6:111–114. [DOI] [PubMed] [Google Scholar]
- 10. Calhoun ME, Burgermeister P, Phinney AL, Stalder M, Tolnay M, Wiederhold KH, Abramowski D, Sturchler‐Pierrat C, Sommer B, Staufenbiel M, Jucker M (1999) Neuronal overexpression of mutant amyloid precursor protein results in prominent deposition of cerebrovascular amyloid. Proc Natl Acad Sci U S A 96:14088–14093. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11. Castano EM, Prelli F, Soto C, Beavis R, Matsubara E, Shoji M, Frangione B (1996) The length of amyloid‐beta in hereditary cerebral hemorrhage with amyloidosis, Dutch type. Implications for the role of amyloid‐beta 1–42 in Alzheimer's disease. J Biol Chem 271:32185–32191. [DOI] [PubMed] [Google Scholar]
- 12. Cohen DH, Feiner H, Jensson O, Frangione B (1983) Amyloid fibril in hereditary cerebral hemorrhage with amyloidosis (HCHWA) is related to the gastroentero‐pancreatic neuroendocrine protein, gamma trace. J Exp Med 158:623–628. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13. Cole GM, Yang F (2000) CAA in transgenic mouse models of Alzheimer's disease In: Cerebral Amyloid Angiopathy in Alzheimer's Disease and Related Disorders, Verbeek MM, de Waal RMW, Vinters HV (eds), Chapter 18, pp. 295–311, Kluwer Academic Publishers, Dordrecht . [Google Scholar]
- 14. Coria F, Castano E, Prelli F, Larrondo‐Lillo M, Van Duinen S, Shelanski ML, Frangione B (1988) Isolation and characterization of amyloid P component from Alzheimer's disease and other types of cerebral amyloidosis. Lab Invest 58:454–458. [PubMed] [Google Scholar]
- 15. Crawford FC, Freeman MJ, Schinka JA, Abdullah LI, Gold M, Hartman R, Krivian K, Morris MD, Richards D, Duara R, Anand R, Mullan MJ (2000) A polymorphism in the cystatin C gene is a novel risk factor for late‐onset Alzheimer's disease. Neurology 55:763–768. [DOI] [PubMed] [Google Scholar]
- 16. Crook R, Verkkoniemi A, PerezTur J, Mehta N, Baker M, Houlden H, Farrer M, Hutton M, Lincoln S, Hardy J, Gwinn K, Somer M, Paetau A, Kalimo H, Ylikoski R, Poyhonen M, Kucera S, Haltia M (1998) A variant of Alzheimer's disease with spastic paraparesis and unusual plaques due to deletion of exon 9 of presenilin 1. Nat Med 4:452–455. [DOI] [PubMed] [Google Scholar]
- 17. Davis‐Salinas J, Saporito‐Irwin SM, Cotman CW, Van Nostrand WE (1995) Amyloid beta‐protein induces its own production in cultured degenerating cerebrovascular smooth muscle cells. J Neurochem 65:931–934. [DOI] [PubMed] [Google Scholar]
- 18. Dermaut B, Kumar‐Singh S, De Jonghe C, Cruts M, Lofgren A, Lubke U, Cras P, Dom R, De Deyn PP, Martin JJ, Van Broeckhoven C (2001) Cerebral amyloid angiopathy is a pathogenic lesion in Alzheimer's disease due to a novel presenilin 1 mutation. Brain 124:2383–2392. [DOI] [PubMed] [Google Scholar]
- 19. Ellis RJ, Olichney JM, Thal LJ, Mirra SS, Morris JC, Beekly D, Heyman A (1996) Cerebral amyloid angiopathy in the brains of patients with Alzheimer's disease: the CERAD experience, Part XV. Neurology 46:1592–1596. [DOI] [PubMed] [Google Scholar]
- 20. Esiri MM, Wilcock GK (1986) Cerebral amyloid angiopathy in dementia and old age. J Neurol Neurosurg Psychiatry 49:1221–1226. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21. Finckh U, von der KH , Velden J, Michel T, Andresen B, Deng A, Zhang J, Muller‐Thomsen T, Zuchowski K, Men‐zer G, Mann U, Papassotiropoulos A, Heun R, Zurdel J, Holst F, Benussi L, Stoppe G, Reiss J, Miserez AR, Staehelin HB, Rebeck GW, Hyman BT, Binetti G, Hock C, Growdon JH, Nitsch RM (2000) Genetic association of a cystatin C gene polymorphism with late‐onset Alzheimer disease. Arch Neurol 57:1579–1583. [DOI] [PubMed] [Google Scholar]
- 22. Frackowiak J, Zoltowska A, Wisniewski HM (1994) Nonfibrillar beta‐amyloid protein is associated with smooth muscle cells of vessel walls in Alzheimer disease. J Neuropathol Exp Neurol 53:637–645. [DOI] [PubMed] [Google Scholar]
- 23. Frangione B, Castano EM, Wisniewski T, Ghiso J, Prelli F, Vidal R (1996) Apolipoprotein E and amyloidogenesis. Ciba Found Symp 199:132–141. [DOI] [PubMed] [Google Scholar]
- 24. Frangione B, Revesz T, Vidal R, Holton J, Lashley T, Houlden H, Wood N, Rostagno A, Plant G, Ghiso J (2001) Familial cerebral amyloid angiopathy related to stroke and dementia. Amyloid 8 Suppl 5:36–42. [PubMed] [Google Scholar]
- 25. Garzuly F, Vidal R, Wisniewski T, Brittig F, Budka H (1996) Familial meningocerebrovascular amyloidosis, Hungarian type, with mutant transthyretin (TTR Asp18Gly). Neurology 47:1562–1567. [DOI] [PubMed] [Google Scholar]
- 26. Ghetti B, Piccardo P, Spillantini MG, Ichimiya Y, Porro M, Perini F, Kitamoto T, Tateishi J, Seiler C, Frangione B, Bugiani O, Giaccone G, Prelli F, Goedert M, Dlouhy SR, Tagliavini F (1996) Vascular variant of prion protein cerebral amyloidosis with tau‐ positive neurofibrillary tangles: the phenotype of the stop codon 145 mutation in PRNP. Proc Natl Acad Sci U S A 93:744–748. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27. Ghiso J, Calero M, Matsubara E, Governale S, Chuba J, Beavis R, Wisniewski T, Frangione B (1997) Alzheimer's soluble amyloid beta is a normal component of human urine. FEBS Lett 408:105–108. [DOI] [PubMed] [Google Scholar]
- 28. Ghiso J, Haltia M, Prelli F, Novello J, Frangione B (1990) Gelsolin variant (Asn‐187) in familial amyloidosis, Finnish type. Biochem J 272:827–830. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29. Ghiso J, Holton J, Miravalle L, Calero M, Lashley T, Vidal R, Houlden H, Wood N, Neubert T, Rostagno A, Plant G, Revesz T, Frangione B (2001) Systemic amyloid deposits in familial British dementia. J Biol Chem 276:43909–43914. [DOI] [PubMed] [Google Scholar]
- 30. Ghiso J, Jensson O, Frangione B (1986) Amyloid fibrils in hereditary cerebral hemorrhage with amyloidosis of Icelandic type is a variant of gamma‐trace basic protein (cystatin C). Proc Natl Acad Sci U S A 83:2974–2978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31. Ghiso J, Plant GT, Revesz T, Wisniewski T, Frangione B (1995) Familial cerebral amyloid angiopathy (British type) with nonneuritic amyloid plaque‐formation may be due to a novel amyloid protein. J Neurol Sci 129:74–75. [DOI] [PubMed] [Google Scholar]
- 32. Ghiso J, Revesz T, Holton J, Rostagno A, Lashley T, Houlden H, Gibb G, Anderton B, Bek T, Bojsen‐Moller M, Wood N, Vidal R, Braendgaard H, Plant G, Frangione B (2001) Chromosome 13 dementia syndromes as models of neurodegeneration. Amyloid 8:277–284. [DOI] [PubMed] [Google Scholar]
- 33. Ghiso J, Wisniewski T, Frangione B (1994) Unifying features of systemic and cerebral amyloidosis. Mol Neurobiol 8:49–64. [DOI] [PubMed] [Google Scholar]
- 34. Ginsberg L, Geddes J, Valentine A (1988) Amyloid angiopathy and granulomatous angiitis of the central nervous system: a case responding to corticosteroid treatment. J Neurol 235:438–440. [DOI] [PubMed] [Google Scholar]
- 35. Glenner GG, Henry JH, Fujihara S (1981) Congophilic angiopathy in the pathogenesis of Alzheimer's degeneration. Ann Pathol 1:120–129. [PubMed] [Google Scholar]
- 36. Glenner GG, Wong CW (1984) Alzheimer's disease: initial report of the purification and characterization of a novel cerebrovascular amyloid protein. Biochem Biophys Res Commun 120:885–890. [DOI] [PubMed] [Google Scholar]
- 37. Goldgaber D, Lerman MI, McBride OW, Saffiotti U, Gajdusek DC (1987) Characterization and chromosomal localization of a cDNA encoding brain amyloid of Alzheimer's disease. Science 235:877–880. [DOI] [PubMed] [Google Scholar]
- 38. Grabowski TJ, Cho HS, Vonsattel JP, Rebeck GW, Greenberg SM (2001) Novel amyloid precursor protein mutation in an Iowa family with dementia and severe cerebral amyloid angiopathy. Ann Neurol 49:697–705. [DOI] [PubMed] [Google Scholar]
- 39. Gravina SA, Ho L, Eckman CB, Long KE, Otvos L, Jr. , Younkin LH, Suzuki N, Younkin SG (1995) Amyloid beta protein (A beta) in Alzheimer's disease brain. Biochemical and immunocytochemical analysis with antibodies specific for forms ending at A beta 40 or A beta 42(43). J Biol Chem 270:7013–7016. [DOI] [PubMed] [Google Scholar]
- 40. Gray F, Dubas F, Roullet E, Escourolle R (1985) Leukoencephalopathy in diffuse hemorrhagic cerebral amyloid angiopathy. Ann Neurol 18:54–59. [DOI] [PubMed] [Google Scholar]
- 41. Greenberg SM (2000) Clinical aspects and diagnostic criteria of sporadic CAA‐related hemorrhage In: Cerebral Amyloid Angiopathy in Alzheimer's Disease and Related Disorders, Verbeek MM, de Waal RMW, Vinters HV (eds), Chapter 1, pp. 3–19, Kluwer Academic Publishers, Dordrecht . [Google Scholar]
- 42. Greenberg SM, Rebeck GW, Vonsattel JP, Gomez‐Isla T, Hyman BT (1995) Apolipoprotein E epsilon 4 and cerebral hemorrhage associated with amyloid angiopathy. Ann Neurol 38:254–259. [DOI] [PubMed] [Google Scholar]
- 43. Greenberg SM, Vonsattel JP, Segal AZ, Chiu RI, Clatworthy AE, Liao A, Hyman BT, Rebeck GW (1998) Association of apolipoprotein E epsilon2 and vasculopathy in cerebral amyloid angiopathy. Neurology 50:961–965. [DOI] [PubMed] [Google Scholar]
- 44. Gudmundsson G, Hallgrimsson J, Jonasson TA, Bjarnason O (1972) Hereditary cerebral haemorrhage with amyloidosis. Brain 95:387–404. [DOI] [PubMed] [Google Scholar]
- 45. Haltia M, Ghiso J, Prelli F, Gallo G, Kiuru S, Somer H, Palo J, Frangione B (1990) Amyloid in familial amyloidosis, Finnish type, is antigenically and structurally related to gelsolin. Am J Pathol 136:1223–1228. [PMC free article] [PubMed] [Google Scholar]
- 46. Hendriks L, Van Duijn CM, Cras P, Cruts M, Van Hul W, Van Harskamp F, Warren A, McInnis MG, Antonarakis SE, Martin JJ (1992) Presenile dementia and cerebral haemorrhage linked to a mutation at codon 692 of the beta‐amyloid precursor protein gene. Nat Genet 1:218–221. [DOI] [PubMed] [Google Scholar]
- 47. Holton JL, Ghiso J, Lashley T, Rostagno A, Guerin CJ, Gibb G, Houlden H, Ayling H, Martinian L, Anderton BH, Wood NW, Vidal R, Plant G, Frangione B, Revesz T (2001) Regional distribution of amyloid‐Bri deposition and its association with neurofibrillary degeneration in familial British dementia. Am J Pathol 158:515–526. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48. Holton JL, Lashley T, Ghiso J, Braendgaard H, Vidal R, Guerin CJ, Gibb G, Hanger DP, Rostagno A, Anderton BH, Strand C, Ayling H, Plant G, Frangione B, Bojsen‐Moller M, Revesz T (2002) Familial Danish dementia: a novel form of cerebral amyloidosis associated with deposition of both amyloid‐Dan and amyloid‐beta. J Neuropathol Exp Neurol 61:254–267. [DOI] [PubMed] [Google Scholar]
- 49. Holtzman DM, Bales KR, Wu S, Bhat P, Parsadanian M, Fagan AM, Chang LK, Sun Y, Paul SM (1999) Expression of human apolipoprotein E reduces amyloid‐beta deposition in a mouse model of Alzheimer's disease. J Clin Invest 103:R15–R21. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50. Houlden H, Baker M, McGowan E, Lewis P, Hutton M, Crook R, Wood NW, Kumar‐Singh S, Geddes J, Swash M, Scaravilli F, Holton JL, Lashley T, Tomita T, Hashimoto T, Verkkoniemi A, Kalimo H, Somer M, Paetau A, Martin JJ, Van Broeckhoven C, Golde T, Hardy J, Haltia M, Revesz T (2000) Variant Alzheimer's disease with spastic paraparesis and cotton wool plaques is caused by PS‐1 mutations that lead to exceptionally high amyloid‐beta concentrations. Ann Neurol 48:806–808. [PubMed] [Google Scholar]
- 51. Ida N, Hartmann T, Pantel J, Schroder J, Zerfass R, Forstl H, Sandbrink R, Masters CL, Beyreuther K (1996) Analysis of heterogeneous A4 peptides in human cerebrospinal fluid and blood by a newly developed sensitive Western blot assay. J Biol Chem 271:22908–22914. [DOI] [PubMed] [Google Scholar]
- 52. Itoh Y, Yamada M, Hayakawa M, Otomo E, Miyatake T (1993) Cerebral amyloid angiopathy: a significant cause of cerebellar as well as lobar cerebral hemorrhage in the elderly. J Neurol Sci 116:135–141. [DOI] [PubMed] [Google Scholar]
- 53. Iwatsubo T, Odaka A, Suzuki N, Mizusawa H, Nukina N, Ihara Y (1994) Visualization of A beta 42(43) and A beta 40 in senile plaques with end‐ specific A beta monoclonals: evidence that an initially deposited species is A beta 42(43). Neuron 13:45–53. [DOI] [PubMed] [Google Scholar]
- 54. Iwatsubo T, Saido TC, Mann DM, Lee VM, Trojanowski JQ (1996) Full‐length amyloid‐β (1 ‐42(43)) and amino‐terminally modified and truncated amyloid‐β 42(43) deposit in diffuse plaques. Am J Pathol, 149:1823–1830. [PMC free article] [PubMed] [Google Scholar]
- 55. Jensson O, Palsdottir A, Thorsteinsson L, Arnason A (1989) The saga of cystatin C gene mutation causing amyloid angiopathy and brain hemorrhage—clinical genetics in Iceland. Clin Genet 36:368–377. [DOI] [PubMed] [Google Scholar]
- 56. Kalaria RN, Premkumar DR, Pax AB, Cohen DL, Lieber‐burg I (1996) Production and increased detection of amyloid beta protein and amyloidogenic fragments in brain microvessels, meningeal vessels and choroid plexus in Alzheimer's disease. Brain Res Mol Brain Res 35:58–68. [DOI] [PubMed] [Google Scholar]
- 57. Kang J, Lemaire HG, Unterbeck A, Salbaum JM, Masters CL, Grzeschik KH, Multhaup G, Beyreuther K, Muller‐Hill B (1987) The precursor of Alzheimer's disease amyloid A4 protein resembles a cell‐surface receptor. Nature 325:733–736. [DOI] [PubMed] [Google Scholar]
- 58. Kawai M, Kalaria RN, Cras P, Siedlak SL, Velasco ME, Shelton ER, Chan HW, Greenberg BD, Perry G (1993) Degeneration of vascular muscle cells in cerebral amyloid angiopathy of Alzheimer disease. Brain Res 623:142–146. [DOI] [PubMed] [Google Scholar]
- 59. Kim SH, Wang R, Gordon DJ, Bass J, Steiner DF, Lynn DG, Thinakaran G, Meredith SC, Sisodia SS (1999) Furin mediates enhanced production of fibrillogenic ABri peptides in familial British dementia. Nat Neurosci 2:984–988. [DOI] [PubMed] [Google Scholar]
- 60. Kiuru S (1998) Gelsolin‐related familial amyloidosis, Finnish type (FAF), and its variants found worldwide. Amyloid 5:55–66. [DOI] [PubMed] [Google Scholar]
- 61. Kiuru S, Matikainen E, Kupari M, Haltia M, Palo J (1994) Autonomic nervous system and cardiac involvement in familial amyloidosis, Finnish type (FAF). J Neurol Sci 126:40–48. [DOI] [PubMed] [Google Scholar]
- 62. Kiuru S, Salonen O, Haltia M (1999) Gelsolin‐related spinal and cerebral amyloid angiopathy. Ann Neurol 45:305–311. [DOI] [PubMed] [Google Scholar]
- 63. Lee SS, Stemmermann GN (1978) Congophilic angiopathy and cerebral hemorrhage. Arch Pathol Lab Med 102:317–321. [PubMed] [Google Scholar]
- 64. Levy‐Lahad E, Wasco W, Poorkaj P, Romano DM, Oshi‐ma J, Pettingell WH, Yu CE, Jondro PD, Schmidt SD, Wang K (1995) Candidate gene for the chromosome 1 familial Alzheimer's disease locus. Science 269:973–977. [DOI] [PubMed] [Google Scholar]
- 65. Levy E, Carman MD, Fernandez‐Madrid IJ, Power MD, Lieberburg I, Van Duinen SG, Bots GT, Luyendijk W, Frangione B (1990) Mutation of the Alzheimer's disease amyloid gene in hereditary cerebral hemorrhage, Dutch type. Science 248:1124–1126. [DOI] [PubMed] [Google Scholar]
- 66. Levy E, Haltia M, Fernandez‐Madrid I, Koivunen O, Ghiso J, Prelli F, Frangione B (1990) Mutation in gelsolin gene in Finnish hereditary amyloidosis. J Exp Med 172:1865–1867. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 67. Levy E, Lopez‐Otin C, Ghiso J, Geltner D, Frangione B (1989) Stroke in Icelandic patients with hereditary amyloid angiopathy is related to a mutation in the cystatin C gene, an inhibitor of cysteine proteases. J Exp Med 169:1771–1778. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 68. Levy E, Sastre M, Kumar A, Gallo G, Piccardo P, Ghetti B, Tagliavini F (2001) Codeposition of cystatin C with amyloid‐beta protein in the brain of Alzheimer disease patients. J Neuropathol Exp Neurol 60:94–104. [DOI] [PubMed] [Google Scholar]
- 69. Löfberg H, Grubb AO, Nilsson EK, Jensson O, Gudmundsson G, Blöndal H, Arnason A, Thorsteinsson L (1987) Immunohistochemical characterization of the amyloid deposits and quantitation of pertinent cerebrospinal fluid proteins in hereditary cerebral hemorrhage with amyloidosis. Stroke 18:431–440. [DOI] [PubMed] [Google Scholar]
- 70. Ma J, Yee A, Brewer HB, Jr. , Das S, Potter H (1994) Amyloid‐associated proteins alpha 1‐antichymotrypsin and apolipoprotein E promote assembly of Alzheimer beta‐protein into filaments. Nature 372:92–94. [DOI] [PubMed] [Google Scholar]
- 71. Maat‐Schieman ML, Van Duinen SG, Bornebroek M, Haan J, Roos RA(1996) Hereditary cerebral hemorrhage with amyloidosis‐Dutch type (HCHWA‐D): II‐A review of histopathological aspects. Brain Pathol 6:115–120. [DOI] [PubMed] [Google Scholar]
- 72. Mackic JB, Stins M, McComb JG, Calero M, Ghiso J, Kim KS, Yan SD, Stern D, Schmidt AM, Frangione B, Zlokovic BV (1998) Human blood‐brain barrier receptors for Alzheimer's amyloid‐beta 1‐ 40. Asymmetrical binding, endocytosis, and transcytosis at the apical side of brain microvascular endothelial cell monolayer. J Clin Invest 102:734–743. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 73. Mackic JB, Weiss MH, Miao W, Kirkman E, Ghiso J, Calero M, Bading J, Frangione B, Zlokovic BV (1998) Cerebrovascular accumulation and increased blood‐brain barrier permeability to circulating Alzheimer's amyloid beta peptide in aged squirrel monkey with cerebral amyloid angiopathy. J Neurochem 70:210–215. [DOI] [PubMed] [Google Scholar]
- 74. Mandybur TI (1975) The incidence of cerebral amyloid angiopathy in Alzheimer's disease. Neurology 25:120–126. [DOI] [PubMed] [Google Scholar]
- 75. Mandybur TI (1986) Cerebral amyloid angiopathy: the vascular pathology and complications. J Neuropathol Exp Neurol 45:79–90. [PubMed] [Google Scholar]
- 76. Mann DM, Iwatsubo T, Pickering‐Brown SM, Owen F, Saido TC, Perry RH (1997) Preferential deposition of amyloidβ protein (Aβ) in the form Aβ40 in Alzheimer's disease is associated with a gene dosage effect of the apolipoprotein E E4 allele. Neurosci Lett 221:81–84. [DOI] [PubMed] [Google Scholar]
- 77. Mann DM, Pickering‐Brown SM, Takeuchi A, Iwatsubo T (2001) Amyloid angiopathy and variability in amyloid beta deposition is determined by mutation position in presenilin‐1‐linked Alzheimer's disease. Am J Pathol 158:2165–2175. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 78. Mann DMA, Iwatsubo T, Ihara Y, Cairns NJ, Lantos PL, Bogdanovic N, Lannfelt L, Winblad B, Maat‐Schieman ML, Rossor MN (1996) Predominant deposition of amyloid‐beta(42(43)) in plaques in cases of Alzheimer's disease and hereditary cerebral hemorrhage associated with mutations in the amyloid precursor protein gene. Am J Pathol 148:1257–1266. [PMC free article] [PubMed] [Google Scholar]
- 79. Maury CP (1991) Gelsolin‐related amyloidosis. Identification of the amyloid protein in Finnish hereditary amyloidosis as a fragment of variant gelsolin. J Clin Invest 87:1195–1199. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 80. Maury CP, Nurmiaho‐Lassila EL, Rossi H (1994) Amyloid fibril formation in gelsolin‐derived amyloidosis. Definition of the amyloidogenic region and evidence of accelerated amyloid formation of mutant Asn‐187 and Tyr‐187 gelsolin peptides. Lab Invest 70:558–564. [PubMed] [Google Scholar]
- 81. McCarron MO, Nicoll JA (1998) High frequency of apolipoprotein E epsilon 2 allele is specific for patients with cerebral amyloid angiopathy‐related haemorrhage. Neurosci Lett 247:45–48. [DOI] [PubMed] [Google Scholar]
- 82. McCarron MO, Nicoll JAR (2000) ApoE genotype in relation to sporadic and Alzheimer‐related CAA In: Cerebral amyloid angiopathy in Alzheimer's disease and related disorders, Verbeek MM, de Waal RMW, Vinters HV (eds.), Chapter 5, pp. 81–102, Kluwer Academic Publishers, Dordrecht . [Google Scholar]
- 83. Mead S, James‐Galton M, Revesz T, Doshi RB, Harwood G, Pan EL, Ghiso J, Frangione B, Plant G (2000) Familial British dementia with amyloid angiopathy: early clinical, neuropsychological and imaging findings. Brain 123:975–991. [DOI] [PubMed] [Google Scholar]
- 84. Miravalle L, Tokuda T, Chiarle R, Giaccone G, Bugiani O, Tagliavini F, Frangione B, Ghiso J (2000) Substitutions at codon 22 of Alzheimer's abeta peptide induce diverse conformational changes and apoptotic effects in human cerebral endothelial cells. J Biol Chem 275:27110–27116. [DOI] [PubMed] [Google Scholar]
- 85. Morris JH (1997) Alzheimer's disease In: The neuropathology of dementia, Esiri MM, Morris JH (eds.), Chapter 4A, pp. 70–121, Cambridge University Press, Cambridge . [Google Scholar]
- 86. Natte R, De Boer WI, Maat‐Schieman ML, Baelde HJ, Vinters HV, Roos RA, Van Duinen SG (1999) Amyloid beta precursor protein‐mRNA is expressed throughout cerebral vessel walls. Brain Res 828:179–183. [DOI] [PubMed] [Google Scholar]
- 87. Natte R, Yamaguchi H, Maat‐Schieman ML, Prins FA, Neeskens P, Roos RA, Van Duinen SG (1999) Ultrastructural evidence of early non‐fibrillar abeta42 in the capillary basement membrane of patients with hereditary cerebral hemorrhage with amyloidosis, Dutch type. Acta Neuropathol 98:577–582. [DOI] [PubMed] [Google Scholar]
- 88. Nicoll JA, Burnett C, Love S, Graham DI, Dewar D, Ironside JW, Stewart J, Vinters HV (1997) High frequency of apolipoprotein E epsilon 2 allele in hemorrhage due to cerebral amyloid angiopathy. Ann Neurol 41:716–721. [DOI] [PubMed] [Google Scholar]
- 89. Nilsberth C, Westlind‐Danielsson A, Eckman CB, Condron MM, Axelman K, Forsell C, Stenh C, Luthman J, Teplow DB, Younkin SG, Naslund J, Lannfelt L (2001) The ‘Arctic’ APP mutation (E693G) causes Alzheimer's disease by enhanced Ab protofibril formation. Nat Neurosci 4:887–893. [DOI] [PubMed] [Google Scholar]
- 90. Nochlin D, Bird TD, Nemens EJ, Ball MJ, Sumi SM (1998) Amyloid angiopathy in a Volga German family with Alzheimer's disease and a presenilin‐2 mutation (N141I). Ann Neurol 43:131–135. [DOI] [PubMed] [Google Scholar]
- 91. Olafsson I, Thorsteinsson L, Jensson O (1996) The molecular pathology of hereditary cystatin C amyloid angiopathy causing brain hemorrhage. Brain Pathol 6:121–126. [DOI] [PubMed] [Google Scholar]
- 92. Olichney JM, Hansen LA, Galasko D, Saitoh T, Hofstetter CR, Katzman R, Thal LJ (1996) The apolipoprotein E epsilon 4 allele is associated with increased neuritic plaques and cerebral amyloid angiopathy in Alzheimer's disease and Lewy body variant. Neurology 47:190–196. [DOI] [PubMed] [Google Scholar]
- 93. Peers MC, Lenders MB, Defossez A, Delacourte A, Mazzuca M (1988) Cortical angiopathy in Alzheimer's disease: the formation of dystrophic perivascular neurites is related to the exudation of amyloid fibrils from the pathological vessels. Virchows Arch A Pathol Anat Histopathol 414:15–20. [DOI] [PubMed] [Google Scholar]
- 94. Petersen RB, Goren H, Cohen M, Richardson SL, Tresser N, Lynn A, Gali M, Estes M, Gambetti P (1997) Transthyretin amyloidosis: a new mutation associated with dementia. Ann Neurol 41:307–313. [DOI] [PubMed] [Google Scholar]
- 95. Pike CJ, Overman MJ, Cotman CW (1995) Amino‐terminal deletions enhance aggregation of beta‐amyloid peptides in vitro. J Biol Chem 270:23895–23898. [DOI] [PubMed] [Google Scholar]
- 96. Plant GT, Esiri MM (1997) Familial cerebral amyloid angiopathies In: The neuropathology of dementia, Esiri MM, Morris JH (eds.), Chapter 11, pp. 260–276, Cambridge University Press, Cambridge . [Google Scholar]
- 97. Plant GT, Revesz T, Barnard RO, Harding AE, Gautier‐Smith PC (1990) Familial cerebral amyloid angiopathy with nonneuritic amyloid plaque formation. Brain 113:721–747. [DOI] [PubMed] [Google Scholar]
- 98. Prelli F, Levy E, Van Duinen SG, Bots GT, Luyendijk W, Frangione B (1990) Expression of a normal and variant Alzheimer's beta‐protein gene in amyloid of hereditary cerebral hemorrhage, Dutch type: DNA and protein diagnostic assays. Biochem Biophys Res Commun 170:301–307. [DOI] [PubMed] [Google Scholar]
- 99. Premkumar DR, Cohen DL, Hedera P, Friedland RP, Kalaria RN (1996) Apolipoprotein E‐epsilon4 alleles in cerebral amyloid angiopathy and cerebrovascular pathology associated with Alzheimer's disease. Am J Pathol 148:2083–2095. [PMC free article] [PubMed] [Google Scholar]
- 100. Prusiner SB (2001) Shattuck lecture. Neurodegenerative diseases and prions. N Engl J Med 344:1516–1526. [DOI] [PubMed] [Google Scholar]
- 101. Roher AE, Lowenson JD, Clarke S, Woods AS, Cotter RJ, Gowing E, Ball MJ (1993) β‐Amyloid‐(1–42) is a major component of cerebrovascular amyloid deposits: implications for the pathology of Alzheimer disease. Proc Natl Acad Sci U S A 90:10836–10840. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 102. Saraiva MJ (1995) Transthyretin mutations in health and disease. Hum Mutat 5:191–196. [DOI] [PubMed] [Google Scholar]
- 103. Saunders AM, Strittmatter WJ, Schmechel D, George‐Hyslop PH, Pericak‐Vance MA, Joo SH, Rosi BL, Gusella JF, Crapper‐MacLachlan DR, Alberts MJ (1993) Association of apolipoprotein E allele epsilon 4 with late‐onset familial and sporadic Alzheimer's disease. Neurology 43:1467–1472. [DOI] [PubMed] [Google Scholar]
- 104. Schmechel DE, Saunders AM, Strittmatter WJ, Crain BJ, Hulette CM, Joo SH, Pericak‐Vance MA, Goldgaber D, Roses AD (1993) Increased amyloid beta‐peptide deposition in cerebral cortex as a consequence of apolipoprotein E genotype in late‐onset Alzheimer disease. Proc Natl Acad Sci U S A 90:9649–9653. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 105. Scholz W (1938) Studien zur Pathologie der Hirngefässe II. Die drusige Entartung der Hirnarterien und Capillaren. Z Ges Neurol Psychiat 162:694–715. [Google Scholar]
- 106. Seubert P, Vigo‐Pelfrey C, Esch F, Lee M, Dovey H, Davis D, Sinha S, Schlossmacher M, Whaley J, Swindlehurst C (1992) Isolation and quantification of soluble Alzheimer's beta‐peptide from biological fluids. Nature 359:325–327. [DOI] [PubMed] [Google Scholar]
- 107. Shibata M, Yamada S, Kumar SR, Calero M, Bading J, Frangione B, Holtzman DM, Miller CA, Strickland DK, Ghiso J, Zlokovic BV (2000) Clearance of Alzheimer's amyloid‐ss(1–40) peptide from brain by LDL receptor‐related protein‐1 at the blood‐brain barrier. J Clin Invest 106:1489–1499. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 108. Steiner H, Revesz T, Neumann M, Romig H, Grim MG, Pesold B, Kretzschmar HA, Hardy J, Holton JL, Baumeister R, Houlden H, Haass C (2001) A pathogenic presenilin‐1 deletion causes abberrant Abeta 42 production in the absence of congophilic amyloid plaques. J Biol Chem 276:7233–7239. [DOI] [PubMed] [Google Scholar]
- 109. Strittmatter WJ, Saunders AM, Schmechel D, Pericak‐Vance M, Enghild J, Salvesen GS, Roses AD (1993) Apolipoprotein E: high‐avidity binding to beta‐amyloid and increased frequency of type 4 allele in late‐onset familial Alzheimer disease. Proc Natl Acad Sci U S A 90:1977–1981. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 110. Strömgren E (1981) Heredopathia ophthalmo‐otoencephalica In: Handbook of Clinical Neurology, Vol. 42, Vinken PJ, Bruyn GW (eds.), pp. 150–152, North‐Holland Publishing Company, Amsterdam . [Google Scholar]
- 111. Strömgren E, Dalby A, Dalby MA, Ranheim B (1970) Cataract, deafness, cerebellar ataxia, psychosis and dementia: A new syndrome. Acta Neurol Scand (Suppl 43) 46, 261–262. [DOI] [PubMed] [Google Scholar]
- 112. Tagliavini, F. , Rossi, G. , Padovani, A. , Magoni, M. , Andora, G. , Sgarzi, M. , Bizzi, A. , Savoiardo, M. , Carella, F. , Morbin, M. , Giaccone, G. , and Bugiani, O (1999) A new βPP mutation related to hereditary cerebral hemorrhage. Alz Reports 2, S28. [Google Scholar]
- 113. Tekirian TL, Saido TC, Markesbery WR, Russell MJ, Wekstein DR, Patel E, Geddes JW (1998) N‐terminal heterogeneity of parenchymal and cerebrovascular A beta deposits. J Neuropathol Exp Neurol 57:76–94. [DOI] [PubMed] [Google Scholar]
- 114. Tomonaga M (1981) Cerebral amyloid angiopathy in the elderly. J Am Geriatr Soc 29:151–157. [DOI] [PubMed] [Google Scholar]
- 115. Van Dorpe J, Smeijers L, Dewachter I, Nuyens D, Spittaels K, Van Den HC, Mercken M, Moechars D, Laenen I, Kuiperi C, Bruynseels K, Tesseur I, Loos R, Vanderstichele H, Checler F, Sciot R, Van Leuven F (2000) Prominent cerebral amyloid angiopathy in transgenic mice overexpressing the London mutant of human APP in neurons. Am J Pathol 157:1283–1298. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 116. Van Duinen SG, Castano EM, Prelli F, Bots GT, Luyendijk W, Frangione B (1987) Hereditary cerebral hemorrhage with amyloidosis in patients of Dutch origin is related to Alzheimer disease. Proc Natl Acad Sci U S A 84:5991–5994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 117. Verbeek MM, Otte‐Holler I, Veerhuis R, Ruiter DJ, De Waal RM (1998) Distribution of Aβ‐associated proteins in cerebrovascular amyloid of Alzheimer's disease. Acta Neuropathol (Berl) 96:628–636. [DOI] [PubMed] [Google Scholar]
- 118. Vidal R, Calero M, Piccardo P, Farlow MR, Unverzagt FW, Mendez E, Jimenez‐Huete A, Beavis R, Gallo G, Gomez‐Tortosa E, Ghiso J, Hyman BT, Frangione B, Ghetti B (2000) Senile dementia associated with amyloid beta protein angiopathy and tau perivascular pathology but not neuritic plaques in patients homozygous for the APOE‐epsilon4 allele. Acta Neuropathol (Berl) 100:1–12. [DOI] [PubMed] [Google Scholar]
- 119. Vidal R, Frangione B, Rostagno A, Mead S, Revesz T, Plant G, Ghiso J (1999) Astop‐codon mutation in the BRI gene associated with familial British dementia. Nature 399:776–781. [DOI] [PubMed] [Google Scholar]
- 120. Vidal R, Garzuly F, Budka H, Lalowski M, Linke RP, Brittig F, Frangione B, Wisniewski T (1996) Meningocerebrovascular amyloidosis associated with a novel transthyretin missense mutation at codon 18 (TTRD 18G). Am J Pathol 148:361–366. [PMC free article] [PubMed] [Google Scholar]
- 121. Vidal R, Revesz T, Rostagno A, Kim E, Holton JL, Bek T, Bojsen‐Moller M, Braendgaard H, Plant G, Ghiso J, Frangione B (2000) A decamer duplication in the 3′ region of the BRI gene originates an amyloid peptide that is associated with dementia in a Danish kindred. Proc Natl Acad Sci U S A 97:4920–4925. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 122. Vinters H V (1987) Cerebral amyloid angiopathy. A critical review. Stroke 18:311–324. [DOI] [PubMed] [Google Scholar]
- 123. Vinters HV, Gilbert JJ (1983) Cerebral amyloid angiopathy: incidence and complications in the aging brain. II. The distribution of amyloid vascular changes. Stroke 14:924–928. [DOI] [PubMed] [Google Scholar]
- 124. Vinters HV, Secor DL, Pardridge WM, Gray F (1990) Immunohistochemical study of cerebral amyloid angiopathy. III. Widespread Alzheimer A4 peptide in cerebral microvessel walls colocalizes with gamma trace in patients with leukoencephalopathy. Ann Neurol 28:34–42. [DOI] [PubMed] [Google Scholar]
- 125. Vinters HV, Vonsattel JP (2000) Neuropathologic features and grading of Alzheimer‐related and sporadic CAA In: Cerebral Amyloid Angiopathy in Alzheimer's Disease and Related Disorders. Verbeek MM, de Waal RMW, Vinters HV (eds.), Chapter 8, pp. 137–155, Kluwer Academic Publishers, Dordrecht . [Google Scholar]
- 126. Vinters HV, Wang ZZ, Secor DL (1996) Brain parenchymal and microvascular amyloid in Alzheimer's disease. Brain Patho l 6:179–195. [DOI] [PubMed] [Google Scholar]
- 127. Vonsattel JP, Myers RH, Hedley‐Whyte ET, Ropper AH, Bird ED, Richardson EP, Jr. (1991) Cerebral amyloid angiopathy without and with cerebral hemorrhages: a comparative histological study. Ann Neurol 30:637–649. [DOI] [PubMed] [Google Scholar]
- 128. Wegiel J, Wisniewski HM, Kuchna I, Tarnawski M, Badmajew E, Popovitch E, Kulczycki J, Dowjat WK, Wisniewski T: Cell‐type‐specific enhancement of amyloid‐beta deposition in a novel presenilin‐1 mutation (P117L). J Neuropathol Exp Neurol 1998, 57:831–838. [DOI] [PubMed] [Google Scholar]
- 129. Weller RO, Massey A, Newman TA, Hutchings M, Kuo YM, Roher AE (1998) Cerebral amyloid angiopathy ‐ Amyloid beta accumulates in putative interstitial fluid drainage pathways in Alzheimer's disease. Am J Pathol 153:725–733. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 130. Westermark P, Sletten K, Johansson B, Cornwell GG, 3rd (1990) Fibril in senile systemic amyloidosis is derived from normal transthyretin. Proc Natl Acad Sci U S A 87:2843–2845. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 131. Wisniewski HM, Wegiel J, Kotula L (1996) Review. David Oppenheimer Memorial Lecture 1995: Some neuropathological aspects of Alzheimer's disease and its relevance to other disciplines. Neuropathol Appl Neurobiol 22:3–11. [DOI] [PubMed] [Google Scholar]
- 132. Wisniewski T, Dowjat WK, Buxbaum JD, Khorkova O, Efthimiopoulos S, Kulczycki J, Lojkowska W, Wegiel J, Wisniewski HM, Frangione B (1998) A novel Polish presenilin‐1 mutation (P117L) is associated with familial Alzheimer's disease and leads to death as early as the age of 28 years. Neuroreport 9:217–221. [DOI] [PubMed] [Google Scholar]
- 133. Wisniewski T, Frangione B (1992) Apolipoprotein E: a pathological chaperone protein in patients with cerebral and systemic amyloid. Neurosci Lett 135:235–238. [DOI] [PubMed] [Google Scholar]
- 134. Worster‐Drought C, Greenfield JG, McMenemey WH (1940) A form of familial presenile dementia with spastic paralysis (including the pathological examination of a case). Brain 63:237–254. [Google Scholar]
- 135. Worster‐Drought C, Hill TR, McMenemey WH (1933) Familial presenile dementia with spastic paralysis. J Neurol Psychopathol 14:27–34. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 136. Yamaguchi H, Ishiguro K, Sugihara S, Nakazato Y, Kawarabayashi T, Sun X, Hirai S (1994) Presence of apolipoprotein E on extracellular neurofibrillary tangles and on meningeal blood vessels precedes the Alzheimer beta‐amyloid deposition. Acta Neuropathol (Berl) 88:413–419. [DOI] [PubMed] [Google Scholar]
- 137. Yamaguchi H, Yamazaki T, Lemere CA, Frosch MP, Selkoe DJ (1992) Beta amyloid is focally deposited within the outer basement membrane in the amyloid angiopathy of Alzheimer's disease. An immunoelectron microscopic study. Am J Pathol 141:249–259. [PMC free article] [PubMed] [Google Scholar]
- 138. Yasuda M, Maeda K, Ikejiri Y, Kawamata T, Kuroda S, Tanaka C (1997) A novel missense mutation in the presenilin‐1 gene in a familial Alzheimer's disease pedigree with abundant amyloid angiopathy. Neurosci Lett 232:29–32. [DOI] [PubMed] [Google Scholar]
- 139. Zlokovic BV, Ghiso J, Frangione B (2000) Vascular transport of Alzheimer's amyloid b peptides and apolipoproteins In: Cerebral Amyloid Angiopathy in Alzheimer's Disease and Related Disorders, Verbeek MM, de Waal RMW, Vinters HV (eds.), Chapter 20, pp. 325–346, Kluwer Academic Publishers, Dordrecht . [Google Scholar]
- 140. Zlokovic BV, Ghiso J, Mackic JB, McComb JG, Weiss MH, Frangione B (1993) Blood‐brain barrier transport of circulating Alzheimer's amyloid beta. Biochem Biophys Res Commun 197:1034–1040. [DOI] [PubMed] [Google Scholar]
- 141. Zlokovic BV, Martel CL, Matsubara E, McComb JG, Zheng G, McCluskey RT, Frangione B, Ghiso J (1996) Glycoprotein 330/megalin: probable role in receptor‐mediated transport of apolipoprotein J alone and in a complex with Alzheimer disease amyloid beta at the blood‐brain and blood‐cerebrospinal fluid barriers. Proc Natl Acad Sci U S A 93:4229–4234. [DOI] [PMC free article] [PubMed] [Google Scholar]
