1. Aβ Amyloid Pathology Affects the Hearts of Patients With Alzheimer's Disease: Mind the Heart
- Author
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Troncone L., Luciani M., Coggins M., Wilker E. H., Ho C. -Y., Codispoti K. E., Frosch M. P., Kayed R., del Monte F., Troncone L., Luciani M., Coggins M., Wilker E.H., Ho C.-Y., Codispoti K.E., Frosch M.P., Kayed R., and del Monte F.
- Subjects
Aged, 80 and over ,Cross-Sectional Studie ,Male ,amyloidosi ,Aging ,Amyloid beta-Peptide ,Myocardium ,Immunoblotting ,heart failure ,Brain ,Enzyme-Linked Immunosorbent Assay ,Immunohistochemistry ,protein aggregate ,Microscopy, Electron, Transmission ,Alzheimer Disease ,Female ,cardiomyopathy ,dementia ,Aged ,Cardiomyopathie ,Human ,Retrospective Studies - Abstract
Background Individually, heart failure (HF) and Alzheimer's disease (AD) are severe threats to population health, and their potential coexistence is an alarming prospect. In addition to sharing analogous epidemiological and genetic profiles, biochemical characteristics, and common triggers, the authors recently recognized common molecular and pathological features between the 2 conditions. Whereas cognitive impairment has been linked to HF through perfusion defects, angiopathy, and inflammation, whether patients with AD present with myocardial dysfunction, and if the 2conditions bear a common pathogenesis as neglected siblings are unknown. Objectives Here, the authors investigated whether amyloid beta (Aβ) protein aggregates are present in the hearts of patients with a primary diagnosis of AD, affecting myocardial function. Methods The authors examined myocardial function in a retrospective cross-sectional study from a cohort of AD patients and age-matched controls. Imaging and proteomics approaches were used to identify and quantify Aβ deposits in AD heart and brain specimens compared with controls. Cell shortening and calcium transients were measured on isolated adult cardiomyocytes. Results Echocardiographic measurements of myocardial function suggest that patients with AD present with an anticipated diastolic dysfunction. As in the brain, Aβ40 and Aβ42 are present in the heart, and their expression is increased in AD. Conclusions Here, the authors provide the first report of the presence of compromised myocardial function and intramyocardial deposits of Aβ in AD patients. The findings depict a novel biological framework in which AD may beviewed either as a systemic disease or as a metastatic disorder leading to heart, and possibly multiorgan failure. ADandHF are both debilitating and life-threatening conditions, affecting enormous patient populations. Our findingsunderline a previously dismissed problem of a magnitude that will require new diagnostic approaches andtreatmentsforbrain and heart disease, and their combination.
- Published
- 2016