Molecular links between endothelial dysfunction and neurodegeneration in Alzheimer's disease
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Updated: May 5, 2026

In Vitro Assays to Assess Blood-brain Barrier Mesh-like Vessel Formation and Disruption
Published on: June 20, 2017
Epameinondas Lyros, Constantinos Bakogiannis, Yang Liu
1Department of Neurology, University of the Saarland, Kirrberger Str. 1, 66421 Homburg/Saar, Germany. lyrosep@upatras.gr.
Insights
Cerebral vascular dysfunction may initiate Alzheimer's disease (AD) by impacting the blood-brain barrier and leading to neurodegeneration. Understanding these vascular links could reveal new biomarkers and therapies for AD.
Area of Science:
- Neuroscience
- Vascular Biology
- Dementia Research
Background:
- Alzheimer's disease (AD) is a leading cause of dementia, characterized by cognitive decline.
- Emerging evidence suggests cerebral vascular dysfunction initiates neurodegenerative processes in AD.
- Endothelial dysfunction of the blood-brain barrier disrupts amyloid-β homeostasis and allows toxic molecule infiltration.
Purpose of the Study:
- To review molecular mechanisms linking vascular pathology and neurodegeneration in Alzheimer's disease.
- To identify potential biomarkers and therapeutic targets for AD based on vascular and neuronal interactions.
Main Methods:
- Literature review of existing evidence on molecular players in AD pathogenesis.
- Analysis of studies investigating endothelial function, neuroinflammation, and apoptosis in relation to AD.
- Synthesis of data on common pathways and molecular links between vascular and neuronal cells.
Main Results:
- Endothelial dysfunction contributes to altered amyloid-β metabolism and neuroinflammation.
- Shared molecular pathways, including mitochondrial integrity and apoptosis, link vascular and neuronal health.
- Growth factors play a role in the development and maintenance of both neuronal and vascular systems.
Conclusions:
- Vascular pathology is a critical factor in Alzheimer's disease progression.
- Molecular players involved in vascular-neuronal interactions represent promising targets for AD biomarkers and therapies.
Abstract:
Alzheimer's disease (AD) is characterized by a progressive decline of cognitive functions and represents the most common form of dementia and a major cause of morbidity and mortality in the modern, westernized societies. There is accumulating evidence to support the hypothesis that a primary cerebral vascular dysfunction initiates a cascade of events that lead to neuronal injury in Alzheimer's dementia. The endothelium, in specific, constitutes a part of the blood brain barrier, the dysfunction of which is thought to play an important role to disturbed amyloid-β homeostasis and infiltration of the brain parenchyma with circulating toxic molecules in the disease. Furthermore, the endothelium itself is under certain conditions capable of producing neurotoxic and inflammatory factors, whereas common growth factors regulate the development and maintenance of both neurons and blood vessels. Reliance of both endothelial and neuronal cells on mitochondrial integrity and common molecular pathways for apoptosis also imply that there is a link between vascular pathology and neurodegeneration. The present article intends to review available evidence on molecular players implicated in the above mechanisms with the potential to develop biomarkers or novel therapeutic targets.
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