학술논문

A multi-disciplinary commentary on preclinical research to investigate vascular contributions to dementia
Document Type
article
Source
Cerebral Circulation - Cognition and Behavior, Vol 5, Iss , Pp 100189- (2023)
Subject
Vascular cognitive impairment
Vascular dementia
Small vessel disease
Cerebral vascular disease
Dementia
Specialties of internal medicine
RC581-951
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Language
English
ISSN
2666-2450
Abstract
Although dementia research has been dominated by Alzheimer's disease (AD), most dementia in older people is now recognised to be due to mixed pathologies, usually combining vascular and AD brain pathology. Vascular cognitive impairment (VCI), which encompasses vascular dementia (VaD) is the second most common type of dementia. Models of VCI have been delayed by limited understanding of the underlying aetiology and pathogenesis. This review by a multidisciplinary, diverse (in terms of sex, geography and career stage), cross-institute team provides a perspective on limitations to current VCI models and recommendations for improving translation and reproducibility. We discuss reproducibility, clinical features of VCI and corresponding assessments in models, human pathology, bioinformatics approaches, and data sharing. We offer recommendations for future research, particularly focusing on small vessel disease as a main underpinning disorder.