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Published on: October 30, 2018
[Cerebral amyloid angiopathy-related cognitive decline: small vessels, big problems]
Lukas Sveikata1, Patrick Stancu1, Nicolae Sanda1
1Service de neurologie, Département de neurosciences cliniques, Hôpitaux universitaires de Genève et Faculté de médecine, Université de Genève, 1211 Genève 4.
Insights
Cerebral amyloid angiopathy (CAA), a vascular disease linked to Alzheimer's, causes brain bleeds and cognitive decline. Understanding CAA's link to Alzheimer's is key for new treatments.
Area of Science:
- Neurology
- Vascular Biology
- Geriatrics
Background:
- Cerebral amyloid angiopathy (CAA) is a prevalent small vessel disease.
- Amyloid beta deposition in vessel walls characterizes CAA.
- CAA is associated with intracerebral hemorrhage and cognitive decline in the elderly.
Conclusions:
- CAA is a significant factor in age-related cognitive decline and hemorrhage.
- The interplay between CAA and Alzheimer's disease is critical for understanding neurological outcomes.
- Future research directions include improved diagnostics and targeted immunotherapies for CAA.
Abstract:
Cerebral amyloid angiopathy (CAA) is a common and well-defined small vessel disease characterized by the deposition of amyloid β in the vascular wall. CAA causes devastating outcomes related to intracerebral hemorrhage and cognitive decline in older adults. The shared pathogenic pathway between CAA and Alzheimer's disease, co-occuring frequently in the same subject, has important implications for cognitive outcomes and novel anti-amyloid-β immunotherapies. In this review, we present the epidemiology, pathophysiology, current diagnostic criteria of CAA, and future developments in the field.
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