Cited by 40Alzheimer's disease research and treatmentsCholesterol and Lipid MetabolismBarrier Structure and Function Studies

Possible Link between Lipid Metabolism and Cerebral Amyloid Angiopathy in Alzheimer’s Disease: A Role for High-Density Lipoproteins?

Mulder, M., Terwel, D.·1998·Pathophysiology of Haemostasis and Thrombosis

Abstract

Although apolipoprotein E4 (ApoE4) is a well-established risk factor for the development of Alzheimer's disease (AD), it is unclear how ApoE affects the progression of the disease. beta-amyloid (Abeta) is a major constituent of cerebrovascular amyloid deposits in brains of subjects with Alzheimer's disease. In cerebrospinal fluid and in plasma, Abeta is normally present in association with high density lipoproteins (HDL). These lipoproteins may play a role in the removal of excess cholesterol from the brain through interaction with ApoE and heparan sulphate proteoglycans (HSPG) in the subendothelial space of cerebral microvessels. At the same time, HDL may have a role in maintaining Abeta soluble and in mediating its clearance. Therefore, similar factors, e.g. HDL, ApoE and HSPG, may be involved in the regulation of reverse cholesterol transport in the brain and in the processing of Abeta. Alterations in the process of cholesterol secretion from the brain may contribute to the deposition of Abeta in the vascular wall.

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Crossref · 10.1159/000022429

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Authors
Mulder, M., & Terwel, D.
Affiliations
Maastricht University (NL)
Corresponding author
Terwel, D.
Venue
Pathophysiology of Haemostasis and Thrombosis
Publisher
S. Karger AG
Published
1998
Volume
28
Issue
3-4
Pages
174-194
ISSN
  • 1424-8832 (ISSN-L)
  • 1424-8840
OpenAlex
W2093997793
Cited by
40
References
11
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2021: 4 · 2020: 2 · 2019: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2012: 1
FWCI
0.18
Type
journal article
Language
en
Open access
closed
Locations
  • Pathophysiology of Haemostasis and Thrombosis (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
  • Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
Keywords
Alzheimer's disease, cerebral amyloid angiopathy, high-density lipoprotein, APOE ε4, amyloid-beta, heparan sulfate proteoglycans, reverse cholesterol transport, cholesterol secretion, amyloid-beta clearance, lipid metabolism, cerebral microvasculature
MeSH terms
Alzheimer Disease, Apolipoproteins E, Biological Transport, Cholesterol, Humans, Lipoproteins, HDL, Amyloid beta-Peptides, Cerebral Amyloid Angiopathy, Heparan Sulfate Proteoglycans, Apolipoprotein E4

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