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Ventura-Antunes, L.

Publications and source records attributed to Ventura-Antunes, L..

6 recordsLinked to original sources

Serpin A3 is Increased in Cerebral Amyloid Angiopathy and ARIA

Vascular pathology is an important contributor to dementia, and astrocyte dysfunction is increasingly recognized as a key mediator of cerebrovascular injury. Serpin A3 is a well-known marker of reactive astrocytes, yet its role in vascular degeneration in cerebral amyloid angiopathy and Alzheimers disease remains poorly defined. We combined analyses of single-nucleus transcriptomic datasets with western blotting and quantitative two- and three-dimensional microscopy of human brain tissue to characterize Serpin A3 expression, distribution, cellular sources, and neuropathological correlates in the human brain. Serpin A3 protein abundance was increased in cases with cerebral amyloid angiopathy and Alzheimers disease compared to neurological controls, both by western blot and quantitative microscopy. The tissue distribution of Serpin A3 was heterogeneous and was predominantly within astrocytes associated with degenerating arterioles. Serpin A3 was also detected around parenchymal beta-amyloid plaques. In a postmortem case of active and severe lecanemab-associated amyloid-related imaging abnormalities, light sheet microscopy revealed prominent Serpin A3 immunoreactivity around inflamed, dilated vessels and microhemorrhages, with Serpin A3 levels higher than those found in the Cerebral Amyloid Angiopathy cases. These findings identify Serpin A3 as a marker of cerebrovascular injury and astrocyte-driven inflammatory responses in cerebral amyloid angiopathy.

neuroscience↗

Multimodal Molecular Mapping of the Vasculature in Human Cortex Reveals Lipid Markers of Cerebral Amyloid Angiopathy

Cerebral amyloid angiopathy (CAA) commonly co-occurs with Alzheimers disease (AD), yet the molecular changes that accompany vascular {beta}-amyloid deposition in human tissue remain incompletely defined. Herein, we use a novel imaging approach that combines matrix-assisted laser desorption/ionization imaging mass spectrometry (IMS) with immunofluorescence microscopy on the same sections of postmortem human frontal cortex to map the lipid microenvironment of leptomeningeal vasculature in cases with and without CAA. Autofluorescence-guided regions-of-interest were imaged by IMS in both negative and positive ion modes and registered to post-IMS-acquired microscopy images. Immunofluorescence microscopy using collagen IV, -smooth muscle actin (SMA), and thiazine red enabled automated segmentation of total, amyloidpositive, and amyloid-negative vasculature regions. A CAA index, the ratio of amyloid-positive area to total vasculature area in a region imaged by IMS, was used to define vasculature and classify each case into having CAA, or CAA-present and not having CAA, or CAA-absent. An interpretable machine learning approach (XGBoost models with Shapley additive explanations for interpretation) was trained on pixel-level spectra and identified lipid signatures of vascular identity shared across groups as well as class-specific marker candidates that distinguished CAA-present from CAA-absent vasculature. CAA-present vessels were enriched for gangliosides (e.g., GM1), whereas CAA-absent vessels were characterized by higher contributions from phosphatidylserines (e.g., long-chain polyunsaturated PS species). Univariate differences were inconsistent between the two groups, but multivariate models in negative mode yielded stable discriminatory features. These results define spatial lipid correlates of vascular amyloid pathology in the human brain and establish a multimodal framework for mechanistically linking lipid metabolism, vascular integrity, and CAA in AD.

neuroscience↗

Integrative Spatial Omics for Systems-Level Mapping of Pathological Niches

Spatial omics technologies are a powerful tool for mapping the relationship between cellular organization and molecular distributions in healthy and diseased tissue microenvironments. Here, we describe a novel multimodal pipeline that represents experimental and computational advances for spatiomolecular analysis of tissue samples across molecular classes. This adaptable method integrates matrix-assisted laser desorption/ionization imaging mass spectrometry spatial lipidomics, spatial transcriptomics, protein imaging via multiplexed immunofluorescence microscopy, and histopathological staining to uncover spatiomolecular profiles associated with unique cellular niches and pathological features. We demonstrate the power of this approach using two different complex human disease systems: Alzheimers disease in human brain tissue and type 2 diabetes mellitus in the human pancreas. This work establishes and demonstrates a generalizable framework for multimodal spatial integration, enabling precise mapping of molecular mechanisms that underlie complex tissue pathologies.

systems biology↗

Lipid-siRNA conjugate accesses a perivascular transport mechanism and achieves widespread and durable knockdown in the central nervous system

Short-interfering RNA (siRNA) has gained significant interest for treatment of neurological diseases by providing the capacity to achieve sustained inhibition of nearly any gene target. Yet, efficacious drug delivery throughout deep brain structures of the CNS remains a considerable hurdle for intrathecally administered therapeutics. We herein describe an albumin-binding lipid-siRNA conjugate that transports along meningeal and perivascular CSF pathways, leading to broad dispersion throughout the CNS parenchyma. We provide a detailed examination of the temporal kinetics of gene silencing, highlighting potent knockdown for up to five months from a single injection without detectable toxicity. Single-cell RNA sequencing further demonstrates gene silencing activity across diverse cell populations in the parenchyma and at brain borders, which may provide new avenues for neurological disease-modifying therapies.

bioengineering↗

Arteriolar degeneration and stiffness in cerebral amyloid angiopathy are linked to β-amyloid deposition and lysyl oxidase.

Cerebral amyloid angiopathy (CAA) is a vasculopathy characterized by vascular {beta}-amyloid (A{beta}) deposition on cerebral blood vessels. CAA is closely linked to Alzheimers disease (AD) and intracerebral hemorrhage. CAA is associated with the loss of autoregulation in the brain, vascular rupture, and cognitive decline. To assess morphological and molecular changes associated with the degeneration of penetrating arterioles in CAA, we analyzed post-mortem human brain tissue from 26 patients with mild, moderate, and severe CAA end neurological controls. The tissue was optically cleared for three-dimensional light sheet microscopy, and morphological features were quantified using surface volume rendering. We stained A{beta}, vascular smooth muscle (VSM), lysyl oxidase (LOX), and vascular markers to visualize the relationship between degenerative morphological features, including vascular dilation, dolichoectasia (variability in lumenal diameter) and tortuosity, and the volumes of VSM, A{beta}, and LOX in arterioles. Atomic force microscopy (AFM) was used to assess arteriolar wall stiffness, and we identified a pattern of morphological features associated with degenerating arterioles in the cortex. The volume of VSM associated with the arteriole was reduced by around 80% in arterioles with severe CAA and around 60% in cases with mild/moderate CAA. This loss of VSM correlated with increased arteriolar diameter and variability of diameter, suggesting VSM loss contributes to arteriolar laxity. These vascular morphological features correlated strongly with A{beta} deposits. At sites of microhemorrhage, A{beta} was consistently present, although the morphology of the deposits changed from the typical organized ring shape to sharply contoured shards with marked dilation of the vessel. AFM showed that arteriolar walls with CAA were more than 400% stiffer than those without CAA. Finally, we characterized the association of vascular degeneration with LOX, finding strong associations with VSM loss and vascular degeneration. These results show an association between vascular A{beta} deposition, microvascular degeneration, and increased vascular stiffness, likely due to the combined effects of replacement of VSM by {beta}-amyloid, cross-linking of extracellular matrices (ECM) by LOX, and possibly fibrosis. This advanced microscopic imaging study clarifies the association between A{beta} deposition and vascular fragility. Restoration of physiologic ECM properties in penetrating arteries may yield a novel therapeutic strategy for CAA.

neuroscience↗

Energy supply per neuron is constrained by capillary density in the mouse brain

Neuronal densities vary enormously across sites within a brain. Does the density of the capillary bed accompany the presumably larger energy requirement of sites with more neurons, or with larger neurons, or is energy supply constrained by a mostly homogeneous capillary bed? Here we find evidence for the latter across various sites in the mouse brain and show that as a result, the ratio of capillary cells per neuron, and thus presumably blood and energy supply per neuron, decreases uniformly with increasing neuronal density and therefore smaller average neuronal size across sites. Additionally, we find that local capillary density is also not correlated with local synapse densities, although there is a small but significant correlation between lower neuronal density (and therefore larger neuronal size) and more synapses per neuron within the restricted range of 6,500-9,500 across cortical sites. Further, local variations in the glial/neuron ratio are also not correlated with local variations in number of synapses per neuron or local synaptic densities. These findings suggest that it is not that larger neurons, neurons with more synapses, or even sites with more synapses demand more energy, but simply that larger (and thus fewer) neurons have more energy available per cell, and to its synapses as a whole, than smaller (and thus more numerous) neurons due to competition for limited resources supplied by a capillary bed of fairly homogeneous density throughout the brain. Significance StatementThe brain is an expensive organ and at rest already uses nearly as much energy as during sensory activation. To ultimately determine whether the high energy cost of the brain is driven by an unusually high energy demand by neurons or constrained by capillary density in the organ, we examine whether sites in the mouse brain with more neurons, larger neurons, or more synapses have more capillary supply, and find instead that capillary density is mostly homogeneous across brain structures. We propose that neurons are constrained to using what energy is available, with little evidence for adjustments according to local demand, which explains its high risk of ischemia and vulnerability to states of compromised metabolism, including normal aging.

neuroscience↗