Cardiovascular brain impulses in Alzheimer's disease

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Documents

  • Zalán Rajna
  • Heli Mattila
  • Niko Huotari
  • Timo Tuovinen
  • Johanna Krüger
  • Sebastian C. Holst
  • Vesa Korhonen
  • Anne M. Remes
  • Tapio Seppänen
  • Jürgen Hennig
  • Nedergaard, Maiken
  • Vesa Kiviniemi

Accumulation of amyloid-β is a key neuropathological feature in brain of Alzheimer's disease patients. Alterations in cerebral haemodynamics, such as arterial impulse propagation driving the (peri)vascular CSF flux, predict future Alzheimer's disease progression. We now present a non-invasive method to quantify the three-dimensional propagation of cardiovascular impulses in human brain using ultrafast 10 Hz magnetic resonance encephalography. This technique revealed spatio-temporal abnormalities in impulse propagation in Alzheimer's disease. The arrival latency and propagation speed both differed in patients with Alzheimer's disease. Our mapping of arterial territories revealed Alzheimer's disease-specific modifications, including reversed impulse propagation around the hippocampi and in parietal cortical areas. The findings imply that pervasive abnormality in (peri)vascular CSF impulse propagation compromises vascular impulse propagation and subsequently glymphatic brain clearance of amyloid-β in Alzheimer's disease.

Original languageEnglish
JournalBrain
Volume144
Issue number7
Pages (from-to)2214-2226
Number of pages13
ISSN0006-8950
DOIs
Publication statusPublished - 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021 The Author(s) (2021). Published by Oxford University Press on behalf of the Guarantors of Brain.

    Research areas

  • Alzheimer's disease, amyloid beta, cardiovascular pulses, glymphatic system

ID: 286927639