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Updated: Aug 25, 2025

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
[Association between Cerebral Small Vessel and Alzheimer's Disease]
Abstract:
Cerebral small vessel disease (CSVD) includes vascular lesions detected on brain MRI, such as white matter hyperintensities, lacunar infarctions, microbleeds, or enlarged perivascular spaces. There is accumulating evidence that vascular changes may play an important role in development of Alzheimer's disease (AD), and CSVD lesions detected on brain MRI were reported to be associated with β-amyloid and tau proteins accumulation. As the vascular contribution has therapeutic potential, it is important to understand the association of CSVD with AD and AD biomarkers. This review begins with a brief introduction of AD and AD biomarkers, explains the association between AD and vascular changes, and then details the pathogenesis and MR imaging findings of CSVD. Afterwards, we discuss the association of CSVD with AD and AD biomarkers.
Insights
Cerebral small vessel disease (CSVD) is linked to Alzheimer's disease (AD) biomarkers. Understanding this association is key for developing new therapies targeting vascular contributions to AD.
Area of Science:
- Neurology
- Radiology
- Biochemistry
Context:
- Alzheimer's disease (AD) is a progressive neurodegenerative disorder.
- Cerebral small vessel disease (CSVD) encompasses various cerebrovascular lesions detectable via MRI.
- Emerging evidence suggests a significant link between vascular health and AD pathogenesis.
Purpose:
- To review the current understanding of the association between CSVD and AD.
- To explore the relationship between CSVD, AD, and key AD biomarkers (amyloid-beta and tau).
- To highlight the potential therapeutic implications of targeting vascular factors in AD.
Summary:
- CSVD lesions on MRI, including white matter hyperintensities and microbleeds, are associated with amyloid and tau pathology in AD.
- The review details CSVD pathogenesis and characteristic MR imaging findings.
- The interplay between vascular changes and neurodegeneration in AD is examined.
Impact:
- Provides a comprehensive overview for researchers and clinicians.
- Emphasizes the importance of vascular contributions to AD.
- Informs potential therapeutic strategies for AD by focusing on vascular interventions.
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