Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Progressive Age-Associated Blood Brain Barrier Leak/Dysfunction- Nexus of Neurodegenerative Disease Using MRI Markers to Identify Preclinical Disease and Potential New targets for Future Treatments

Version 1 : Received: 20 January 2024 / Approved: 24 January 2024 / Online: 25 January 2024 (15:51:04 CET)

How to cite: Joseph, C. Progressive Age-Associated Blood Brain Barrier Leak/Dysfunction- Nexus of Neurodegenerative Disease Using MRI Markers to Identify Preclinical Disease and Potential New targets for Future Treatments. Preprints 2024, 2024011793. https://doi.org/10.20944/preprints202401.1793.v1 Joseph, C. Progressive Age-Associated Blood Brain Barrier Leak/Dysfunction- Nexus of Neurodegenerative Disease Using MRI Markers to Identify Preclinical Disease and Potential New targets for Future Treatments. Preprints 2024, 2024011793. https://doi.org/10.20944/preprints202401.1793.v1

Abstract

This review article focuses on the upstream pertinent pathophysiology leading to neurodegenerative disease. Specifically, the nexus appears to be blood brain barrier (BBB) leakiness resulting in a two-prong inflammatory disease spectrum damaging the microvasculature and corrupted protein synthesis and degradation with accumulating misfolded toxic proteins. The suboptimal results of removing misfolded proteins means a new approach to disease in the preclinical state is required aimed at other targets.Validated noninvasive imaging and serologic biomarkers of early preclinical disease implemented in the high-risk patient cohort along with periodic surveillance once effective treatments are developed will be required.This review discusses the physiology and pathophysiology of the BBB, new MRI imaging techniques identifying the leak and altered fluid dynamic effects in the preclinical state. The risk factors for disease development, preventative measures, and potential treatment targets are also discussed.

Keywords

Blood brain barrier; Microvascular pathology; Neurodegenerative Inflammatory changes; ASL MRI; DCE MRI; Serologic markers

Subject

Medicine and Pharmacology, Neuroscience and Neurology

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.