Amyloid β in hereditary cerebral hemorrhage with amyloidosis-Dutch type
Open accessAbstract
Hereditary cerebral hemorrhage with amyloidosis – Dutch type is an autosomal dominant hereditary disease caused by a point mutation in the amyloid precursor protein gene on chromosome 21. The mutation causes an amino acid substitution at codon 693 (E22Q), the ‘Dutch mutation’. Amyloid β, the product after cleavage of the amyloid precursor protein, is secreted into the extracellular space. The Dutch mutation leads to altered amyloid β cleavage and secretion, enhanced aggregation properties, higher proteolysis resistance, lowered brain efflux transporter affinity, and enhanced cell surfaces binding. All these result in amyloid β accumulation in cerebral vessel walls, causing cell death and vessel wall integrity loss, making cerebral vessel walls in hereditary cerebral hemorrhage with amyloidosis-Dutch type more prone to rupture and obstruction, leading to hemorrhages and infarcts. Studying the effects of altered amyloid β metabolism due to mutations like the ‘Dutch’ provides us with a better understanding of amyloid β toxicity, also in other amyloid β diseases like sporadic cerebral amyloid angiopathy and Alzheimer’s disease.
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The Dutch APP mutation leads to recurrent hemorrhages due to damage of the arterial vessel wall by CAA, known as hereditary cerebral hemorrhage with amyloidosis, which is often fatal by midlife.
“For example, the Dutch mutation leads to recurrent hemorrhages due to damage of the arterial vessel wall by the CAA, known as hereditary cerebral hemorrhage with amyloidosis (HCHWA-D), which is often fatal by midlife (302, 356).”
From Blood-Brain Barrier: From Physiology to Disease and Back (2019) · cites this paper as [302]
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Blood-Brain Barrier: From Physiology to Disease and Back
Sweeney, M. D., Zhao, Z., Montagne, A., Nelson, A. R., & Zlokovic, B. V. (2019) · Physiological Reviews · doi:10.1152/physrev.00050.2017 · Cited by 2,294 · see citing works
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- Authors
- Kamp, J. A., Moursel, L. G., Haan, J., Terwindt, G. M., Lesnik Oberstein, S. A. M. J., van Duinen, S. G., & van Roon-Mom, W. M. C.
- Affiliations
- Leiden University Medical Center (NL)
- Department of Clinical Genetics, Leiden University Medical Center, NL-2300 RC Leiden, The Netherlands
- Department of Pathology, Leiden University Medical Center, NL-2300 RC Leiden, The Netherlands
- Department of Human Genetics, Leiden University Medical Center, NL-2300 RC Leiden, The Netherlands
- Venue
- Reviews in the Neurosciences
- Publisher
- Walter de Gruyter GmbH
- Published
- 2014-05-28
- Volume
- 25
- Issue
- 5
- Pages
- 641-651
- ISSN
- 0334-1763 (ISSN-L)
- 2191-0200
- OpenAlex
- W2064179036
- Cited by
- 36
- References
- 5
- Citations by year
- 2024: 7 · 2023: 5 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 2
- FWCI
- 0.16
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Reviews in the Neurosciences (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Neurology › Intracerebral and Subarachnoid Hemorrhage Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Amyloidosis: Diagnosis, Treatment, Outcomes
- Keywords
- hereditary cerebral hemorrhage with amyloidosis-Dutch type, amyloid-beta, amyloid precursor protein, amyloid-beta aggregation, amyloid-beta secretion, protease resistance, hemorrhage, infarction, amyloid-beta toxicity, sporadic cerebral amyloid angiopathy, Alzheimer's disease
- MeSH terms
- Humans, Mutation, Amyloid beta-Peptides, Cerebral Amyloid Angiopathy, Familial, Plaque, Amyloid, Proteolysis
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