Role of vascular endothelial growth factor (VEGF) in Alzheimer's disease
Peter Carmeliet, MD, PhD Flanders Interuniversity Institute
Characteristic of Alzheimer's disease are the accumulation of “tangles” and “plaques” made from protein fragments in areas of brain damage. Although the brain blood flow is often lower in patients with AD than in healthy individuals, and cerebrovascular abnormalities are often found in AD, the possible role of vascular lesions and brain perfusion in the pathogenesis of AD has received only limited attention. If one considers that the brain is particularly vulnerable to suboptimal oxygen and glucose delivery, it is conceivable that vascular abnormalities and reduced cerebral blood flow could lead to the suboptimal delivery of oxygen and nutritients to neuronal tissue, resulting in tissue ischemia and neurodegenerative processes. Vascular endothelial growth factor (VEGF) is a key player in the formation of new blood vessels. Because the expression of VEGF is strongly increased under low oxygen conditions, one could anticipate that VEGF will then stimulate new blood vessel formation, resulting in the restoration of tissue perfusion and oxygenation. To evaluate the importance of cerebral blood flow in AD, Dr. Carmeliet and his colleagues are working to develop new mouse lines. In addition to VEGF´s essential role in the vascular system, it also appears to have direct “neurotrophic” and “neuroprotective” effects. The relative importance of impaired perfusion and the of loss of neuroprotection by impaired VEGF expression, however, still needs to be analyzed. It is hoped that the results of this study will help define targets or effector molecules that may be used in therapies to delay or halt the progression of AD.