Publications by authors named "M E Pepys"

Article Synopsis
  • * Increased exposure of the brain to SAP has been linked to a higher risk of dementia, and levels of SAP in the neocortex correlate with dementia at death.
  • * Research involving 44,288 participants revealed that genetically higher levels of SAP are associated with Alzheimer's disease and Lewy body dementia, suggesting that reducing SAP through a drug like miridesap could offer neuroprotective benefits.
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The mechanisms underlying neurodegenerative sequelae of traumatic brain injury (TBI) are poorly understood. The normal plasma protein, serum amyloid P component (SAP), which is normally rigorously excluded from the brain, is directly neurocytotoxic for cerebral neurones and also binds to A amyloid fibrils and neurofibrillary tangles, promoting formation and persistence of A fibrils. Increased brain exposure to SAP is common to many risk factors for dementia, including TBI, and dementia at death in the elderly is significantly associated with neocortical SAP content.

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Article Synopsis
  • * A large study involving over 44,000 participants showed a significant link between higher plasma SAP values and conditions like Alzheimer's and Lewy body dementia.
  • * Research suggests that reducing SAP levels in both the blood and brain using a drug called miridesap might help in treating neurodegeneration linked to these diseases.
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Cardiac ATTR amyloidosis, a serious but much under-diagnosed form of cardiomyopathy, is caused by deposition of amyloid fibrils derived from the plasma protein transthyretin (TTR), but its pathogenesis is poorly understood and informative in vivo models have proved elusive. Here we report the generation of a mouse model of cardiac ATTR amyloidosis with transgenic expression of human TTR. The model is characterised by substantial ATTR amyloid deposits in the heart and tongue.

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Despite many reported associations, the direct cause of neurodegeneration responsible for cognitive loss in Alzheimer's disease and some other common dementias is not known. The normal human plasma protein, serum amyloid P component, a constituent of all human fibrillar amyloid deposits and present on most neurofibrillary tangles, is cytotoxic for cerebral neurones and in experimental animals . The neocortical content of serum amyloid P component was immunoassayed in 157 subjects aged 65 or more with known dementia status at death, in the large scale, population-representative, brain donor cohort of the Cognitive Function and Ageing Study, which avoids the biases inherent in studies of predefined clinico-pathological groups.

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