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Fate of Cerebrospinal Fluid‐Borne Amyloid β‐Peptide: Rapid Clearance into Blood and Appreciable Accumulation by Cerebral Arteries
Abstract
In Alzheimer's disease, the neuritic or senile amyloid plaques in hippocampus and association cortex, the diffuse plaques in brain areas such as the cerebellum and sensorimotor cortex, and the amyloid deposits in the walls of pial and parenchymal blood vessels are mainly composed of amyloid beta-peptides. In the present study, either soluble 40-residue amyloid beta-peptide radiolabeled with 125I (I-sAbeta) or [14C]polyethylene glycol ([14C]PEG, a reference material) was briefly infused into one lateral ventricle of normal rats. By 3.5 min, 30% of the I-sAbeta was cleared from ventricular CSF into blood; another 30% was removed over the next 6.5 min. No [14C]PEG was lost from the CSF-brain system during the first 5 min, and only 20% was cleared by 10 min. Much of the I-sAbeta that reached the subarachnoid space was retained by pial arteries and arterioles. Virtually no I-sAbeta was found in brain. The clearance of amyloid beta-peptides from the CSF-brain system, reported herein for normal rats, may be reduced in Alzheimer's disease, thus contributing to amyloid deposition in cerebral tissue and blood vessels.
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In the citing paper
“because CSF A, which has a high concentration relative to plasma A, is normally cleared into blood (Ghersi-Egea et al., 1996).”
From Age-Dependent Changes in Brain, CSF, and Plasma Amyloid β Protein in the Tg2576 Transgenic Mouse Model of Alzheimer's Disease (2001) · cites this paper as Ghersi-Egea et al., 1996
In the citing paper
“The absolute amounts of both tracers in the CSF and plasma were low, however, due to relatively rapid clearance from the CSF in comparison to slow ISF bulk flow (29), and significant systemic body clearance (48), respectively.”
From Clearance of Alzheimer’s amyloid-β1-40 peptide from brain by LDL receptor–related protein-1 at the blood-brain barrier (2000) · cites this paper as [29]
In the citing paper
“Transport of A b out of the CSF was not associated with significant degradation of peptide in the CSF (29).”
From Clearance of Alzheimer’s amyloid-β1-40 peptide from brain by LDL receptor–related protein-1 at the blood-brain barrier (2000) · cites this paper as [29]
In the citing paper
“Lower levels of A b 1-40 than inulin in the CSF may suggest active transport of A b from the CSF to the blood, possibly across the choroid plexus or leptomeningeal vessels, as shown previously (29).”
From Clearance of Alzheimer’s amyloid-β1-40 peptide from brain by LDL receptor–related protein-1 at the blood-brain barrier (2000) · cites this paper as [29]
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BackgroundReviewing reasons for the decreased CSF Abeta42 concentration in Alzheimer
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“Accordingly, the CSF circulation significantly modulates the removal of toxic metabolites and metabolic byproducts, in order to maintain physiological homeostasis of the brain (Rennels et al., 1985; Ghersi-Egea et al., 1996; Bakker et al., 2016; Benveniste et al., 2017)”
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Serum Amyloid-Beta Levels are Increased in Patients with Chronic Obstructive Pulmonary Disease
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“Studies of other enzymes administered directly to the CNS demonstrate rapid clearance from the CSF [9,10].”
BackgroundEffects of a behaviorally active antibody on the brain uptake and clearance of amyloid beta proteins
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InfluentialSelf-citationThe Choroid Plexus and Cerebrospinal Fluid System: Roles in Neurodegenerative Diseases
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“One of the important functions of the BBB is the clearance of amyloid-β (Aβ) from the brain [9].”
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Role of Human Serum Albumin in the Prevention and Treatment of Alzheimer’s Disease
Shevelyova, M. P., Deryusheva, E. I., Леонидовна, Н. Е., Валериевич, М. А., & Андреевна, Л. Е. (2024) · Biology Bulletin Reviews · doi:10.1134/s2079086424010109 · Cited by 8
Modulating Role of TTR in Aβ Toxicity, from Health to Disease
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“5 min post-infusion of radiolabelled Aβ into the lateral ventricle, 40% of the injected radioactivity was already in the blood and urine, and internalized by the liver and the kidneys, indicating not only a quick clearance mechanism but also the involvement of systemic organs in the elimination and catabolism of Aβ [2…”
Carotid dissection causing occipital lobe infarction
Cucchiara, B. L., & Kasner, S. E. (2005) · Neurology · doi:10.1212/01.wnl.0000182292.29000.74 · Cited by 6
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“For example, although plasma Aβ levels are significantly different between AD and controls when a large sample size is used [26, 27], the sensitivity and specificity of these differences are too low to be useful as AD diagnostics [28] [29, 30].”
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Metadata
- Authors
- Ghersi‐Egea, J. ‐., Gorevic, P. D., Ghiso, J., Frangione, B., Patlak, C. S., & Fenstermacher, J. D.
- Affiliations
- Stony Brook University (US)
- NYU Langone Health (US)
- Henry Ford Hospital (US)
- Corresponding author
- Fenstermacher, J. D.
- Venue
- Journal of Neurochemistry
- Publisher
- Wiley
- Published
- 1996-08
- Volume
- 67
- Issue
- 2
- Pages
- 880-883
- ISSN
- 0022-3042 (ISSN-L)
- 1471-4159
- OpenAlex
- W2065410730
- Cited by
- 222
- References
- 0
- Citations by year
- 2025: 3 · 2024: 7 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 6 · 2017: 8 · 2016: 7 · 2015: 9 · 2014: 8 · 2013: 8 · 2012: 7
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Neurochemistry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- National Institutes of Health (5r01ns026004-05, 5r29ag010593-05)
- National Institute on Aging (AG10593, AG05891)
- National Institute of Neurological Disorders and Stroke (NS-26004)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Clinical Neurology › Cerebrospinal fluid and hydrocephalus
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Keywords
- amyloid-beta, cerebrospinal fluid, blood-CSF barrier, cerebral arteries, pial arteries, amyloid deposition, Alzheimer's disease, subarachnoid space
- MeSH terms
- Animals, Cerebral Arteries, Humans, Male, Metabolic Clearance Rate, Peptide Fragments, Amyloid beta-Peptides, Rats, Sprague-Dawley, Rats
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