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Deposition of aggregated cystatin C-amyloid-β complexes and reduced cathepsin B activity modulate cerebral amyloid angiopathy pathogenesis
Jubo Bhuiya, Abu Zaffar Shibly, Abdullah Md. Sheikh, Shatera Tabassum, Fatema Binte Abdullah, Jerin Fahmida, Hiro Tamegai, Shun Aritake et al.. Journal of Neuropathology & Experimental Neurology, 2025-12-17
Topic: Brain proteins, microglia and lab models
Plain-language summary
Cystatin C (CST3) colocalizes with amyloid-β (Aβ) around vessels in cerebral amyloid angiopathy (CAA). This study aimed to characterize CST3-Aβ interactions in CAA. Brain tissues from 12 Alzheimer disease (AD) and 5 non-AD control subjects, along with AD model mice (J20), were examined. In AD brains, immunohistochemistry revealed Aβ positivity around cortical and leptomeningeal vessels as well as in intra- and extracellular areas. Congo red-positive vessels were also present. Conversely, control brains showed only few Aβ-positive cells. CST3 was primarily intracellular in controls, but in AD, it was found both to be intracellular and perivascular, colocalizing with Aβ and Congo red in affected vessels. Vessel quantification showed a positive correlation between CST3-positive and Aβ- or Congo red-positive vessels. Moreover, most CST3-positive vessels were Cathepsin B (CatB)-negative. CatB was significantly decreased in AD and inversely correlated with CAA severity. Immunoprecipitation followed by Western blotting, dot blot, and TEM revealed oligomeric aggregates and short fibrillar CST3 bound to Aβ in both AD and J20 mice brains. In J20 mice, CST3 was only neuron-positive at 2 months, and vessel-positive, colocalizing with Aβ from 3 months. These findings suggest that aggregated CST3 binds to Aβ and accumulates around vessels, potentially contributing to CAA pathogenesis.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Bhuiya, J., Shibly, A. Z., Sheikh, A. M., Tabassum, S., Abdullah, F. B., Fahmida, J., et al. (2025). Deposition of aggregated cystatin C-amyloid-β complexes and reduced cathepsin B activity modulate cerebral amyloid angiopathy pathogenesis. Journal of Neuropathology & Experimental Neurology. https://doi.org/10.1093/jnen/nlaf138
Vancouver
Bhuiya J, Shibly AZ, Sheikh AM, Tabassum S, Abdullah FB, Fahmida J, et al. Deposition of aggregated cystatin C-amyloid-β complexes and reduced cathepsin B activity modulate cerebral amyloid angiopathy pathogenesis. Journal of Neuropathology & Experimental Neurology. 2025. doi:10.1093/jnen/nlaf138. PMID: 41411185.
BibTeX
@article{bhuiya2025-41411185,
author = {Bhuiya, Jubo and Shibly, Abu Zaffar and Sheikh, Abdullah Md. and Tabassum, Shatera and Abdullah, Fatema Binte and Fahmida, Jerin and Tamegai, Hiro and Aritake, Shun and others},
title = {{Deposition of aggregated cystatin C-amyloid-β complexes and reduced cathepsin B activity modulate cerebral amyloid angiopathy pathogenesis}},
journal = {Journal of Neuropathology \& Experimental Neurology},
year = {2025},
doi = {10.1093/jnen/nlaf138},
pmid = {41411185},
url = {https://doi.org/10.1093/jnen/nlaf138}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- In AD brains, immunohistochemistry revealed Aβ positivity around cortical and leptomeningeal vessels as well as in intra- and extracellular areas.
- CatB was significantly decreased in AD and inversely correlated with CAA severity.
- Immunoprecipitation followed by Western blotting, dot blot, and TEM revealed oligomeric aggregates and short fibrillar CST3 bound to Aβ in both AD and J20 mice brains.
- These findings suggest that aggregated CST3 binds to Aβ and accumulates around vessels, potentially contributing to CAA pathogenesis.
Why it matters
Examining brain tissue from 12 Alzheimer disease and 5 control subjects plus AD model mice, this study found that aggregated cystatin C binds to amyloid-β and accumulates around vessels, and that cathepsin B was significantly decreased in AD and inversely correlated with CAA severity. These findings suggest a possible contribution to CAA pathogenesis but no treatment, cure or prevention is tested.
Study details
- Evidence strengthLow
How this study scored 32/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Neuropathology & Experimental Neurology) |
| Journal's citation record | 2 / 4 | Journal of Neuropathology & Experimental Neurology: journal h-index 239 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 1 / 6 | Cited 0.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Atsushi Nagai: h-index 66 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Shimane University: institution h-index 241 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41411185) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 32 / 100 | — |
What each of these 20 components measures, and what this score is not →
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