Cardiovascular System and Physical Activity Flashcards
What does the cardiovascula system include?
All blood vessels
What useful processes and exchanges take place in microvascular networks and capillary beds?
Exchange of oxygen and glucose
Signalling molecules
Immune interactions
Clearance of waste products
Maintaining cardiovascular health is about maintaining what?
Not just about maintaining blood vessels or heart health etc but importantly for brain health, its about maintaining the integrity of the microvascular network
What does diseased or damaged vasculature impact
Transport of substances
Includes hormones and also nutrients and clearance of waste/toxic substances
What are endothelial cells important for?
The lining of blood vessels, they are the primary barrier through which the exchange of various substances and molecules takes place
Also important in the signalling cascade for the change in blood flow in the brain
What does it mean that the brain is highly metabolically activate but has limited storage?
Requires a constant clearance of waste products and constant blood flow for oxygen and glucose supply
What is cardiovascular health intimately linked to?
The health of the brain and maintenance of normal function in brain circuits
What diseases is neurovascular disruption implicated in?
AD
PD
Stroke
Neuroinflammation
Aging
Diabetes
Epilepsy
What has been questioned?
What comes first:
Cell/synaptic loss
or
Disruption of neurovascular function
May not be the first thing to happen but when there is some disease related disruption it can trigger some neurovascular effects that make the disease worse
What has epidemiological evidence found?
That people who have cardiovascular disease are more at risk of a number of nuerological conditions, including AD
What did Kulshreshthra et al. (2019) find?
Cardiovascular risk factors and cardiovascular disease positively associated with cognitive decline
risk factors =
Hypertension
Smoking
Diabetes
Obesity
What did Barnes (2015) find?
Exercise (which reduces cardiovascular disease risk) is protective of cognitive function
What did Kandola et al. (2016) find?
Exercise may also enhance cogntive function
- against this study is that its not enhancing but protective
What has been associated with cardiovascular risk factors according to Boots et al. (2019)?
Cognitive and connectivity changes
Cardiovascular disease risk is associated with various cognitive functions and this relationship is mediated by connectivity strength in specific brain structures
White matter pathways seem to mediate cv risk factors and neurological decline
What is an issue for many CNS diseases that invovle cogntitive decline?
Lack of effective treatments
What did Wang et al. (2017) find?
Neuroimaging study
changes in functional connectivity following exercise interventions
30 minutes of moderate-intensity aerobic cycling selectively increased synchrony among brain regions associated with affect and reward processing, learning and memory, and in regions important for attention and executive control
What is a limitation of Wang et al. (2017)
Just because you change connectivity doesn’t mean you change cognitive function
paper doesn’t discuss performance, e.g. whether learning or memory or cogntive function increased
What is important to consider about neuroimaging studies?
Functional neuroimaging signals are themselves a product of the brain vasculature
It is not easy to tease this apart from the extent to which they provide an index of brain activation and connectivity
e.g. altered vascular reactivity could lead to an apparent reduction in activation when neuronal function remains normal
What does this cumulative research so far suggest?
That the integrity of brain circuits is affected by the health of the cardiovascular system, not just in relation to disease, but also in preclinical stages and possibly in healthy individuals (e.g. effects of exercise)
What is underlying these relationships between brain health and body health? Shabir et al. (2018)
Complex set of potential pathways: vascular, exnvironmental, genetic risk and lifestyle factors
Focused on the neurovascular unit and endothelial cells (as a key interface betweeen blood and brain)
e.g. endothelial cell dysfunction is a known feature of diabetes, atherosclerosis, hypertension etc.
Endothelial cells a core element of macro- and micro- vasculature as well as the blood brain barrier
What else relates to endothelial cells? Dounavi et al. (unpublished)
Diabetes
Multimodal neuroimaging investigation of brain vascular responses
Comparison of healthy controls, diabetic patients (T2DM) and impaired glucose tolerance patients (IGTpre-diabetes)
Detailed assessment of many vascular parameters with machine learning applied to determine group differences
Altered cerebral hemodynamics in impaired glucose tolerance and type-2 diabetes revealed using multi-time-point arterial spin labeling.
What did Dounavi et al. find?
Wide range of changes in how blood is delivered to tissue in those with IGT and T2DM
Potential for neuroimaging biomarkers of neurological risks in diabetes
What did Chhabria et al. (2018) examine?
The effect of hyperglycemia on neurovascular coupling and cerebrovascular patterning in zebrafish
Development of a zebrafish model to study the impact of altered neurovascular function on brain function and cognition
Huge potential to explore gene interactions and molecular signalling pathways using zebrafish- Transparent when young so can image them easily and they have a neurovascular system
Added glucose into the tank to induce hyperglycemia
What did Chhabria et al. (2018) find?
Showed impacts on brain blood vessel development as well as vascular responses to sensory stimuli
High blood glucose impairs neurovascular function in zebrafish