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Clinical Science (2010) 119, 407–421 (Printed in Great Britain) doi:10.1042/C407
R E V I E W
The vascular contribution to
Alzheimer’s disease
Robin ALTMAN and John C. RUTLEDGE
Department of Internal Medicine, University of California Davis, 451 East Health Sciences Drive, Davis, CA 95616, U.S.A.
A B S T R A C T
e
AD (Alzheimer’s disease) is a progressive neurodegenerative disease of unknown origin. Despite c
questions as to the underlying cause(s) of this disease, shared risk factors for both AD and
atherosclerotic cardiovascular disease indicate that vascular mechanisms may critically contribute n
to the development and progression of both AD and atherosclerosis. An increased risk of e
developing AD is linked to the presence of the apoE4 (apolipoprotein E4) allele, which is i
also strongly associated with increased risk of developing atherosclerotic cardiovascular disease. c
Recent studies also indicate that cardiovascular risk factors, including elevated blood cholesterol S
and triacylglycerol (triglyceride), increase the likelihood of AD and vascular dementia. Lipids
and lipoproteins in t
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