[Association between Cerebral Small Vessel and Alzheimer's Disease].

Taehan Yongsang Uihakhoe chi Pub Date : 2022-05-01 Epub Date: 2022-05-25 DOI:10.3348/jksr.2022.0041
Kyung Hoon Lee, Koung Mi Kang
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Abstract

Cerebral small vessel disease (CSVD) includes vascular lesions detected on brain MRI, such as white matter hyperintensities, lacunar infarctions, microbleeds, or enlarged perivascular spaces. There is accumulating evidence that vascular changes may play an important role in development of Alzheimer's disease (AD), and CSVD lesions detected on brain MRI were reported to be associated with β-amyloid and tau proteins accumulation. As the vascular contribution has therapeutic potential, it is important to understand the association of CSVD with AD and AD biomarkers. This review begins with a brief introduction of AD and AD biomarkers, explains the association between AD and vascular changes, and then details the pathogenesis and MR imaging findings of CSVD. Afterwards, we discuss the association of CSVD with AD and AD biomarkers.

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[脑血管与阿尔茨海默病的关系]。
脑小血管疾病(CSVD)包括脑MRI检测到的血管病变,如白质高信号、腔隙性梗死、微出血或血管周围间隙扩大。越来越多的证据表明,血管变化可能在阿尔茨海默病(AD)的发展中发挥重要作用,脑MRI检测到的CSVD病变与β-淀粉样蛋白和tau蛋白积累有关。由于血管的作用具有治疗潜力,因此了解CSVD与AD及其生物标志物的关系非常重要。本文首先简要介绍了AD及其生物标志物,解释了AD与血管变化的关系,然后详细介绍了CSVD的发病机制和MR影像学表现。随后,我们讨论了心血管疾病与AD和AD生物标志物的关系。
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