RT journal article T1 Accelerated amyloid angiopathy and related vascular alterations in a mixed murine model of Alzheimer´s disease and type two diabetes A1 Vargas Soria, María A1 Ramos-Rodríguez, Juan José A1 Marco Delgado, Ángel José del A1 Hierro Bujalance, Carmen A1 Carranza Naval, María José A1 Calvo-Rodriguez, Maria A1 van Veluw, Susanne J. A1 Stitt, Alan W. A1 Simó, Rafael A1 Bacskai, Brian J. A1 Infante-Garcia, Carmen A1 García Alloza, Mónica A2 BiomedicinaBiotecnología y Salud Pública K1 Alzheimer’s disease K1 Type 2 diabetes K1 Prediabetes K1 Multiphoton microscopy K1 Amyloid K1 Oxidative stress K1 Matrix metalloproteinases AB Background While aging is the main risk factor for Alzheimer ' s disease (AD), emerging evidence suggests that metabolic alterations such as type 2 diabetes (T2D) are also major contributors. Indeed, several studies have described a close relationship between AD and T2D with clinical evidence showing that both diseases coexist. A hallmark pathological event in AD is amyloid-beta (A beta) deposition in the brain as either amyloid plaques or around leptomeningeal and cortical arterioles, thus constituting cerebral amyloid angiopathy (CAA). CAA is observed in 85-95% of autopsy cases with AD and it contributes to AD pathology by limiting perivascular drainage of A beta. Methods To further explore these alterations when AD and T2D coexist, we have used in vivo multiphoton microscopy to analyze over time the A beta deposition in the form of plaques and CAA in a relevant model of AD (APPswe/PS1dE9) combined with T2D (db/db). We have simultaneously assessed the effects of high-fat diet-induced prediabetes in AD mice. Since both plaques and CAA are implicated in oxidative-stress mediated vascular damage in the brain, as well as in the activation of matrix metalloproteinases (MMP), we have also analyzed oxidative stress by Amplex Red oxidation, MMP activity by DQ((TM)) Gelatin, and vascular functionality. Results We found that prediabetes accelerates amyloid plaque and CAA deposition, suggesting that initial metabolic alterations may directly affect AD pathology. T2D significantly affects vascular pathology and CAA deposition, which is increased in AD-T2D mice, suggesting that T2D favors vascular accumulation of A beta. Moreover, T2D synergistically contributes to increase CAA mediated oxidative stress and MMP activation, affecting red blood cell velocity. Conclusions Our data support the cross-talk between metabolic disease and A beta deposition that affects vascular integrity, ultimately contributing to AD pathology and related functional changes in the brain microvasculature. PB BMC SN 2045-8118 YR 2022 FD 2022-11 LK http://hdl.handle.net/10498/29546 UL http://hdl.handle.net/10498/29546 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 10-nov-2026