Carbonic anhydrase inhibitors prevent presymptomatic capillary flow disturbances in a model of cerebral amyloidosis

• DOI: 10.1002/alz.70023
• Publication Date: 2025-03-28T05:46:52Z
• Authors: Eugenio Gutiérrez...; Peter Mondrup Ras...; Irene Klærke Mikk...; Sreekanth Kura; Signe K. Fruekilde; Brian Hansen; Luca Bordoni; Jasper Carlsen; Johan Palmfeldt; David A. Boas; Sava Sakadžić; Sergei Vinogradov; Mirna El Khatib; Jaime Ramos‐Cejudo; Boris Wied; Desiree Leduc‐Gal...; Elisa Canepa; Adam C. Mar; Begona Gamallo‐Lana; Silvia Fossati; Leif Østergaard

AbstractINTRODUCTIONDisturbances in microvascular flow dynamics are hypothesized to precede the symptomatic phase of Alzheimer's disease (AD). However, evidence in presymptomatic AD remains elusive, underscoring the need for therapies targeting these early vascular changes.METHODSWe employed a multimodal approach, combining in vivo optical imaging, molecular techniques, and ex vivo magnetic resonance imaging, to investigate early capillary dysfunction in C57BL/6‐Tg(Thy1‐APPSwDutIowa)BWevn/Mmjax (Tg‐SwDI) mice without memory impairment. We also assessed the efficacy of carbonic anhydrase inhibitors (CAIs) in preventing capillary flow disturbances.RESULTSOur study revealed capillary flow disturbances associated with alterations in capillary morphology, adhesion molecule expression, and amyloid beta (Aβ) load in 9‐ to 10‐month‐old Tg‐SwDI mice without memory impairment. CAI treatment ameliorated these capillary flow disturbances, enhanced oxygen availability, and reduced Aβ load.DISCUSSIONThese findings underscore the importance of capillary flow disturbances as early biomarkers in presymptomatic AD and highlight the potential of CAIs for preserving vascular integrity in the early stages of AD.Highlights Uncovered early capillary dysfunction in a presymptomatic Alzheimer's disease (AD) mouse model. Evidence linking capillary stalls and capillary dysfunction with oxygen delivery issues in AD. Novel use of carbonic anhydrase inhibitors to prevent early capillary flow disturbances in AD.