RT journal article T1 Central vascular disease and exacerbated pathology in a mixed model of type 2 diabetes and Alzheimer's disease A1 Ramos-Rodríguez, Juan José A1 Jiménez Palomares, Margarita A1 Murillo-Carretero, María Isabel A1 Infante-Garcia, Carmen A1 Berrocoso Domínguez, Esther María A1 Hernandez-Pacho, Fernando A1 Lechuga Sancho, Alfonso María A1 Cozar-Castellano, Irene A1 García Alloza, Mónica A2 BiomedicinaBiotecnología y Salud Pública K1 Alzheimer's disease K1 amyloid K1 hemorrhage K1 phospho-tau K1 type 2 diabetes K1 vascular dementia AB Aging remains the main risk factor to suffer Alzheimer's disease (AD), though epidemiological studies also support that type 2 diabetes (T2D) is a major contributor. In order to explore the close relationship between both pathologies we have developed an animal model presenting both AD and T2D, by crossing APP/PS1 mice (AD model) with db/db mice (T2D model). We traced metabolic and cognitive evolution before T2D or AD pathology is present (4 weeks of age), when T2D has debuted but no senile plaques are present (14 weeks of age) and when both pathologies are well established (26 weeks of age). APP/PS1xdb/db mice showed an age-dependent synergistic effect between T2D and AD. Significant brain atrophy and tau pathology were detected in the cortex by 14 weeks, that spread to the hippocampus by 26 weeks of age. Severe cognitive impairment was also detected as soon as at 14 weeks of age. Interestingly, in APP/PS1xdb/db mice we observed a shift in Aβ soluble/insoluble levels, and whereas more toxic soluble species were favoured, senile plaques (SP) were reduced. An overall increase of microglia activation was observed in APP/PS1xdb/db mice. We also found exacerbated hemorrhagic burden in APP/PS1xdbd/db mice, suggesting that blood brain barrier alterations may be responsible for the early pathological features observed. Moreover, metabolic parameters can predict many of these alterations, supporting a role for T2D in AD pathology. This new model provides a relevant tool to further explore the relationship between T2D, AD and vascular implications, offering the possibility to assess therapeutic approaches, that by improving T2D metabolic control could delay or prevent AD pathology. PB Elsevier SN 1873-3360 YR 2015 FD 2015-07-26 LK http://hdl.handle.net/10498/34813 UL http://hdl.handle.net/10498/34813 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 10-nov-2026