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Published on: March 22, 2016
Link between heart disease, cholesterol, and Alzheimer's disease: a review
D L Sparks1, T A Martin, D R Gross
1Haldeman Laboratory for Alzheimer's Disease Research, Sun Health Research Institute, Sun City, Arizona, USA. Lsparks@mail.sunhealth.org
Insights
Heart disease is linked to Alzheimer's disease-like beta-amyloid buildup in the brain. Lowering cholesterol, potentially with HMG-CoA reductase inhibitors, may reduce this harmful protein accumulation.
Area of Science:
- Neuroscience
- Cardiovascular Science
- Biochemistry
Background:
- Heart disease is frequently observed in Alzheimer's disease (AD) patients and may precede cognitive decline.
- Alzheimer's disease is characterized by beta-amyloid (Aβ) deposits in the brain.
- Individuals with heart disease can exhibit increased Aβ deposition, even without dementia.
Purpose of the Study:
- To investigate the relationship between cholesterol, heart disease, and beta-amyloid production.
- To explore the potential of cholesterol reduction therapies for mitigating Aβ accumulation.
Main Methods:
- Utilized a cholesterol-fed rabbit model mimicking human coronary heart disease.
- Examined beta-amyloid production in cultured cells challenged with cholesterol.
- Assessed the impact of HMG-CoA reductase inhibitors on beta-amyloid levels in animal models.
Main Results:
- Dietary cholesterol induced beta-amyloid production and accumulation in rabbit brains.
- Cholesterol reduction reversed brain beta-amyloid accumulation in rabbits.
- Cholesterol challenge increased beta-amyloid production in cell cultures.
- HMG-CoA reductase inhibitors significantly reduced cholesterol-induced beta-amyloid production.
Conclusions:
- Dietary cholesterol and associated heart disease contribute to beta-amyloid accumulation in the brain.
- Reducing cholesterol levels, potentially via HMG-CoA reductase inhibitors, may be a viable strategy to decrease beta-amyloid production.
- Further research and clinical trials are warranted to explore HMG-CoA reductase inhibitors for Alzheimer's disease treatment.
Abstract:
Increased prevalence of Alzheimer's disease-like beta-amyloid deposits in the neuropil and within neurons occurs in the brains of non-demented individuals with heart disease. Heart disease is a prevalent finding in Alzheimer's disease, and may be a forerunner to the dementing disorder. In the cholesterol-fed rabbit model of human coronary heart disease there is production and accumulation of beta-amyloid in the brain. This accumulation of beta-amyloid can be reversed by removing cholesterol from the rabbits' diet. In culture cells, a cholesterol challenge has been shown to increase production of beta-amyloid, and dramatic reductions of cholesterol produced by HMG Co-A reductase inhibitors decrease production of beta-amyloid. Increased beta-amyloid production is also produced by dietary cholesterol in a number of transgenic mouse models of Alzheimer's disease. Administration of HMG Co-A reductase inhibitors may block beta-amyloid production caused by dietary cholesterol in rabbits. Clinical trials testing the benefit of HMG Co-A reductase inhibitors in the treatment of Alzheimer's disease are underway.
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