Abstract
Brain perfusion and blood-brain barrier (BBB) integrity are reduced early in Alzheimer's disease (AD). We performed single nucleus RNA sequencing of vascular cells isolated from AD and non-diseased control brains to characterise pathological transcriptional signatures responsible for this. We show that endothelial cells (EC) are enriched for expression of genes associated with susceptibility to AD. Increased β-amyloid is associated with BBB impairment and a dysfunctional angiogenic response related to a failure of increased pro-angiogenic HIF1A to increased VEGFA signalling to EC. This is associated with vascular inflammatory activation, EC senescence and apoptosis. Our genomic dissection of vascular cell risk gene enrichment provides evidence for a role of EC pathology in AD and suggests that reducing vascular inflammatory activation and restoring effective angiogenesis could reduce vascular dysfunction contributing to the genesis or progression of early AD.
Original language | English |
---|---|
Article number | 2243 |
Number of pages | 19 |
Journal | Nature Communications |
Volume | 15 |
Issue number | 1 |
Early online date | 12 Mar 2024 |
DOIs | |
Publication status | E-pub ahead of print - 12 Mar 2024 |
Bibliographical note
Publisher Copyright:© The Author(s) 2024.
Keywords
- Humans
- Alzheimer Disease/metabolism
- Blood-Brain Barrier/metabolism
- Endothelial Cells/metabolism
- Angiogenesis
- Brain/metabolism
- Amyloid beta-Peptides/metabolism
- Gene Expression Profiling