Vascular dementia - cognitive impairment caused by illness successful nan brain's mini humor vessels - is simply a wide problem, but it has not been arsenic thoroughly studied arsenic Alzheimer's disease, successful which abnormal plaques and macromolecule tangles are deposited successful neural tissue.
One interrogator astatine The University of New Mexico hopes to alteration that.
In a recently published insubstantial featured by nan editors of nan American Journal of Pathology, Elaine Bearer, MD, PhD, nan Harvey Family Endowed and Distinguished Professor successful nan UNM School of Medicine's Department of Pathology, sets retired a caller exemplary for characterizing and categorizing different forms of vascular dementia.
She hopes this attack will thief researchers to amended understand nan various forms of nan illness and find effective treatments.
Conditions for illustration hypertension, atherosclerosis and glucosuria person been linked to vascular dementia, but different contributing causes, including nan caller find of important quantities of nano– and microplastics successful quality brains, stay poorly understood, Bearer said.
We person been flying blind. The various vascular pathologies person not been comprehensively defined, truthful we haven't known what we're treating. And we didn't cognize that nano– and microplastics were successful nan picture, because we couldn't spot them."
Elaine Bearer, MD, PhD, nan Harvey Family Endowed and Distinguished Professor, UNM School of Medicine
Bearer identified 10 different illness processes that lend to vascular-based encephalon injury, typically by causing oxygen aliases nutrient deficiency, leakage of humor serum and inflammation aliases decreased discarded elimination. These origin mini strokes that harm neurons. She lists caller and existing experimental techniques, including typical stains and caller microscopy, to observe them.
For nan paper, Bearer utilized a specialized microscope to meticulously study insubstantial from a repository of brains donated by nan families of New Mexicans who had died pinch dementia, employing stains that highlighted nan damaged humor vessels. Surprisingly, galore patients diagnosed pinch Alzheimer's illness besides had illness successful nan mini humor vessels of nan brain.
"We fishy that successful New Mexico possibly a half of our Alzheimer's group besides person vascular disease," she said.
Bearer contends a methodical attack to identifying different forms of vascular dementia will thief neurologists and neuropathologists much accurately people nan severity of nan illness successful some surviving and deceased patients and beforehand nan hunt for imaginable treatments - and moreover cures. To make that happen, nan National Institutes of Health (NIH) has raised nan anticipation of forming a statement group of starring neuropathologists to activity retired a caller classification and scoring system, she said.
Meanwhile, a caller area of interest is nan chartless wellness consequences of nano– and microplastics successful nan brain, Bearer said.
"Nanoplastics successful nan encephalon correspond a caller subordinate connected nan section of encephalon pathology," she said. "All our existent reasoning astir Alzheimer's illness and different dementias needs to beryllium revised successful ray of this discovery."
"What I'm uncovering is that there's a batch much plastics successful demented group than successful normal subjects," she said. "It seems to correlate pinch nan grade and type of dementia."
The amount of plastics besides was associated pinch higher levels of inflammation, she said.
Bearer's activity builds connected years of collaboration pinch Gary Rosenberg, MD, professor of Neurology and head of nan UNM Alzheimer's Disease Research Center (ADRC), which won a five-year $21.7 cardinal NIH assistance successful 2024 that supported Bearer's research. Rosenberg, a longtime chair of nan UNM Department of Neurology and besides head of nan UNM Center for Memory & Aging, has published extensively connected nan relation of vascular illness pinch dementia symptoms.
"When we started reasoning astir putting this ADRC together, I thought 1 of nan things I should look astatine is nan vasculature, because nobody's done it systematically and comprehensively, and we person a world's master present astatine UNM," Bearer said.
"Describing nan pathological changes successful this broad measurement is really new. What I'm hoping will travel retired of this insubstantial is moving pinch different neuropathology ADRC cores crossed nan state to create statement guidelines for classifying vascular changes and nan effect of nano– and microplastics connected nan brain."
Source:
Journal reference:
Bearer, E. L. (2025). Exploring Vascular Contributions to Cognitive Impairment: Small-Vessel Disease of White Matter and Microplastics/Nanoplastics. The American Journal of Pathology. doi.org/10.1016/j.ajpath.2025.07.007
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