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Water-exchange MRI detects subtle blood-brain barrier breakdown in Alzheimer's disease rats

Dickie, BR; Vandesquille, M; Ulloa, J; Boutin, H; Parkes, LM; Parker, GJM; (2019) Water-exchange MRI detects subtle blood-brain barrier breakdown in Alzheimer's disease rats. NeuroImage , 184 pp. 349-358. 10.1016/j.neuroimage.2018.09.030. Green open access

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Abstract

Blood-brain barrier (BBB) breakdown has been hypothesized to play a key role in the onset and progression of Alzheimer's disease (AD). However, the question of whether AD itself contributes to loss of BBB integrity is still uncertain, as many in-vivo studies have failed to detect signs of AD-related BBB breakdown. We hypothesize AD-related BBB damage is subtle, and that these negative results arise from a lack of measurement sensitivity. With the aim of developing a more sensitive measure of BBB breakdown, we have designed a novel MRI scanning protocol to quantify the trans-BBB exchange of endogenous water. Using this method, we detect increased BBB water permeability in a rat model of AD that is associated with reduced expression of the tight junction protein occludin. BBB permeability to MRI contrast agent, assessed using dynamic contrast-enhanced (DCE)-MRI, did not differ between transgenic and wild-type animals and was uncorrelated with occludin expression. Our data supports the occurrence of AD-related BBB breakdown, and indicates that such BBB pathology is subtle and may be undetectable using existing ‘tracer leakage’ methods. Our validated water-exchange MRI method provides a new powerful tool with which to study BBB damage in-vivo.

Type: Article
Title: Water-exchange MRI detects subtle blood-brain barrier breakdown in Alzheimer's disease rats
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.neuroimage.2018.09.030
Publisher version: https://doi.org/10.1016/j.neuroimage.2018.09.030
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Water-exchange, MRI, Blood-brain barrier, Alzheimer's disease, Permeability surface-area product, Cerebrovascular dysfunction
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/10076212
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