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Blockage of VEGF function by bevacizumab alleviates early-stage cerebrovascular dysfunction and improves cognitive function in a mouse model of Alzheimer's disease

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Zhang Min 1,2,3,4   Zhang Zhan 1,4,5,6   Li Honghong 1,5   Xia Yuting 1,7,8   Xing Mengdan 1,4,7,9   Xiao Chuan 1,4,7,9   Cai Wenbao 2,3,4   Bu Lulu 1,5   Li Yi 1,5   Park Tae Eun 10   Tang Yamei 1,4,5,6 *   Ye Xiaojing 2,3,4 *   Lin Wei Jye 1,4,7,9 *  
文摘 Background Alzheimer's disease(AD) is a neurodegenerative disorder and the predominant type of dementia worldwide. It is characterized by the progressive and irreversible decline of cognitive functions. In addition to the pathological beta-amyloid(Aβ) deposition, glial activation, and neuronal injury in the postmortem brains of AD patients, increasing evidence suggests that the often overlooked vascular dysfunction is an important early event in AD pathophysiology. Vascular endothelial growth factor(VEGF) plays a critical role in regulating physiological functions and pathological changes in blood vessels, but whether VEGF is involved in the early stage of vascular pathology in AD remains unclear. Methods We used an antiangiogenic agent for clinical cancer treatment, the humanized monoclonal anti-VEGF antibody bevacizumab, to block VEGF binding to its receptors in the 5xFAD mouse model at an early age. After treatment, memory performance was evaluated by a novel object recognition test, and cerebral vascular permeability and perfusion were examined by an Evans blue assay and blood flow scanning imaging analysis. Immunofluorescence staining was used to measure glial activation and Aβ deposits. VEGF and its receptors were analyzed by enzyme-linked immunosorbent assay and immunoblotting. RNA sequencing was performed to elucidate bevacizumab-associated transcriptional signatures in the hippocampus of 5×FAD mice. Results Bevacizumab treatment administered from 4 months of age dramatically improved cerebrovascular functions, reduced glial activation, and restored long-term memory in both sexes of 5×FAD mice. Notably, a sex-specific change in different VEGF receptors was identified in the cortex and hippocampus of 5×FAD mice. Soluble VEGFR1 was decreased in female mice, while full-length VEGFR2 was increased in male mice. Bevacizumab treatment reversed the altered expression of receptors to be comparable to the level in the wild-type mice. Gene Set Enrichment Analysis of transcriptomic changes revealed that bevacizumab effectively reversed the changes in the gene sets associated with blood-brain barrier integrity and vascular smooth muscle contraction in 5×FAD mice. Conclusions Our study demonstrated the mechanistic roles ofVEGF at the early stage of amyloidopathy and the protective effects of bevacizumab on cerebrovascular function and memory performance in 5×FAD mice. These findings also suggest the therapeutic potential of bevacizumab for the early intervention of AD.
来源 Translational Neurodegeneration ,2024,13(1):1-23 【核心库】
DOI 10.1186/s40035-023-00388-4
关键词 Alzheimer's disease ; Bevacizumab ; Vascular endothelial growth factor ; Cerebrovascular function
地址

1. Brain Research Center,Sun Yat-sen Memorial Hospital,Sun Yat-sen University, Guangzhou, 510120  

2. Faculty of Forensic Medicine,Zhongshan School of Medicine,Sun Yat-sen University, Guangzhou, 510120  

3. Sun Yat-sen University, Guangdong Province Translational Forensic Medicine Engineering Technology Research Center, Guangzhou, 510120  

4. Zhongshan School of Medicine,Sun Yat-sen University, Guangdong Provincial Key Laboratory of Brain Function and Disease, Guangzhou, 510120  

5. Department of Neurology,Sun Yat-sen Memorial Hospital,Sun Yat-sen University, Guangzhou, 510120  

6. Medical Research Center,Sun Yat-sen Memorial Hos, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation;;Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Guangzhou, 510120  

7. Medical Research Center,Sun Yat-sen Memorial Hospital,Sun Yat-sen University, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation;;Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Guangzhou, 510120  

8. Sun Yat-sen Memorial Hospital, Nanhai Translational Innovation Center of Precision Immunology, Foshan, 528200  

9. Sun Yat-sen Memorial Hospital, Nanhai Translational Innovation Center of P, Foshan, 528200  

10. Department of Biomedical Engineering,College of Information and Biotechnology,Ulsan National Institute of Science and Technology (UNIST), Republic of Korea, Ulsan, 44919

语种 英文
文献类型 研究性论文
ISSN 2096-6466
学科 神经病学与精神病学
基金 国家自然科学基金 ;  Guangzhou Science and Technology Program key projects ;  Guangdong Science and Technology Department ;  the Science and Technology Planning Project of Guangdong Province ;  supported by grants from the Guangdong Project
文献收藏号 CSCD:7756224

参考文献 共 128 共7页

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