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Published on: March 22, 2016
Interventions for heart disease and their effects on Alzheimer's disease
Benjamin Wolozin1, Martin M Bednar
1Department of Pharmacology, Boston University School of Medicine, Boston, MA 02118-2526, USA. bwolozin@bu.edu
Insights
Cardiovascular disease risk factors significantly contribute to both Alzheimer's disease and vascular dementia. Managing these factors may offer protective benefits against dementia development and progression.
Area of Science:
- Neurology
- Cardiology
- Gerontology
Background:
- Cardiovascular diseases (CVD) and dementia, including Alzheimer's disease (AD) and vascular dementia (VaD), represent significant global health challenges.
- Emerging evidence suggests a strong link between CVD risk factors and the development of dementia.
Purpose of the Study:
- To review the contributions of cardiovascular disease to Alzheimer's disease and vascular dementia.
- To explore shared risk factors and potential therapeutic implications.
Main Methods:
- A comprehensive review of existing literature was conducted.
- Studies examining the relationship between cardiovascular health and dementia were synthesized.
Main Results:
- Midlife hypertension and hypercholesterolemia are significant risk factors for both AD and VaD.
- Diabetes, obesity, and certain surgical stressors (e.g., coronary artery bypass) are also implicated in dementia risk.
- Apolipoprotein E is a major AD risk factor, potentially acting through neuronal vulnerability rather than solely via cholesterol.
Conclusions:
- Shared biological pathways likely exist between CVD and dementia, given the overlap in risk factors.
- Cardiovascular therapies, such as antihypertensives for VaD and statins for AD, may hold promise for dementia prevention and treatment.
Objectives:
To review the contributions of cardiovascular disease to Alzheimer's disease and vascular dementia.
Methods:
Review of the literature.
Results:
Alzheimer's disease and vascular dementia both share significant risk attributable to cardiovascular risk factors. Hypertension and hypercholesterolemia at midlife are significant risk factors for both subsequent dementia. Diabetes and obesity are also risk factors for dementia. Stressful medical procedures, such as coronary artery bypass and graft operations also appear to contribute to the risk of Alzheimer's disease. Apolipoprotein E is the major risk factor for Alzheimer's disease. Apolipoprotein E does not appear to contribute to Alzheimer's disease by increasing serum cholesterol, but it might contribute to the disease through a mechanism involving both Abeta and an increase in neuronal vulnerability to stress.
Discussion:
The strong association of cardiovascular risk factors with Alzheimer's disease and vascular dementia suggest that these diseases share some biologic pathways in common. The contribution of cardiovascular disease to Alzheimer's disease and vascular dementia suggest that cardiovascular therapies might prove useful in treating or preventing dementia. Antihypertensive medications appear to be beneficial in preventing vascular dementia. Statins might be beneficial in preventing the progression of dementia in subjects with Alzheimer's disease.
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