Abstract
Cerebrovascular disease (CVD) in humans has been shown to produce a variety of cognitive impairments ranging from selective deficits to wide-range dementia. Among the risk factors for CVD (e.g., age, diabetes mellitus, serum lipids, obesity, cardiac disease), arterial hypertension has been identified as key(1) affecting more than 25% of the adult population of the United States (2). Gross effects of extreme hypertension are well known and include a four times greater risk for CVD than normotensive individuals(3). For the most part, hypertension is an asymptomatic disorder, but recently it has been the focus of attention on its possible detrimental effects on cognitive function. Indeed, over the past two decades, evidence has accumulated to suggest that hypertension in humans produces, in many cases, a significant impairment in several domains of cognitive function. But because of the inherent limitations of human research, even with recent advances in magnetic resonance and positron emission imaging technology, our understanding of the neurobiological basis for hypertensive related cognitive impairment is unknown. It is also unknown to what extent the changes in cognition that are associated with hypertension represent the first stage in the development of CVD and vascular dementia.
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References
Forette, F. and Boller, F. (1991) Hypertension and the risk of dementia in the elderly.Am. J. Med. 90, 14S–19S.
Kaplan, N. M. (1983) Hypertension: prevalence, risks, and effect of therapy.Ann. Intern. Med. 98, 705–708.
Sandok, B. A. and Whisnant, J. P. (1983) Hypertension and the brain: clinical aspects, inHypertension (Genest, J., Kuchel, O., Hamet, P., and Cantin, M. eds.), McGraw-Hill, New York, pp. 777–791.
Findlay, J. M., Weir, B. K., Kanamaru, K., Grance, M., and Baughman, R., (1990) The effect of timing of intrathecal fibrionlytic therapy on cerebral vasospasm in a primate model of subarachnoid hemorrhage.Neurosurgery 26, 201–206.
Macdonald, R. L., Weir, B. K., Young, J. D., and Grace, M. G. (1992) Cytoskeletal and extracellular matrix proteins in cerebral arteries following subarachnoid hemorrhage in monkeys.J. Neurosurg. 76, 81–90.
Jokinen, M. P., Clarkson, T. B., and Prichard, R. W. (1985) Recent advances in molecular pathology: Animal models in atherosclerosis research.Exp. Molec. Path. 42, 1–28.
Simonson, E. and Enzer, N. (1941) State of motor centers in circulatory insufficiency.Arch. Intern. Med. 68, 498–512.
Enzer, N., Simonson, E., and Blanksein, S. S. (1942) Fatigue of patients with circulatory insufficiency, investigated by means of fusion frequency of flicker.Ann. Intern. Med. 16, 702–707.
Apter, N. S., Halstead, W. C., and Heimburger, R. F. (1951) Impaired cerebral functions in essential hypertension.Am. J. Psychiatry. 107, 808–813.
Wilkie, F. and Eisdorfer, C. (1971) Intelligence and blood pressure in the aged.Science 172, 959–962.
Boller, F., Vrtunski, P. B., Mack, J. L., and Kim, Y. (1977) Neuropsychological correlates of hypertension.Arch. Neurol. 34, 701–705.
Franceschi, M., Tancredi, O., Smirne, S., Mercinelli, A., and Canal, N. (1982) Cognitive processes in hypertension.Hypertension 4, 226–229.
Schmidt, R., Fazekas, F., Offenbacher, H., Lytwyn, H., Blematl, B., Niederkorn, K., Horner, S., Payer, F., and Friedl, W. (1991) Magnetic resonance imaging white matter lesions and cognitive impairment in hypertensive individuals.Arch. Neurol. 48, 417–420.
Vanderploeg, R. D., Goldman, H., and Kleinman, K. M. (1987) Relationship between systolic and diastolic blood pressure and cognitive functioning in hypertensive subjects: An extension of previous findings.Arch. Clin. Neuropsychiatry 2, 101–109.
Mazzucchi, A., Mutti, A., Poletti, A., Ravanetti, C., Novarini, A., and Parma, M. (1986) Neuropsychological deficits in arterial hypertension.Acta Neurol. Scand. 73, 619–627.
Schultz, N. R., Elias, M. R., Robbins, M. A., Streeten, D.H., et al. (1989) A longitudinal study of the performance of hypertensive and normotensive subjects on the Wechsler Adult Intelligence Scale.Psychol. Aging 4, 496–499.
Sands, L. P. and Meredith, W. (1992) Blood pressure and intellectual functioning in late midlife.J. Gerontol. 47, P81–84.
Guo, Z., Fratiglioni, L., Winblad, B., and Viitanen, M. (1997) Blood pressure and performance on the Mini-Mental State Examination in the very old. Cross-sectional and longitudinal data from the Kungsholmen Project.Am. J. Epidemiol. 145, 106–1113.
Elias, M. F., Wolf, P. A., D’ Agostino, R. B., Cobb, J., and White, L. R. (1993) Untreated blood pressure level is inversely related to cognitive functioning: the Framingham Study.Am. J. Epidemiol. 138, 353–364.
Elias, M. F., D’Agostino, R. B., Elias, P. K., and Wolf, P. A. (1995a) Neuropsychological test performance, cognitive functioning, blood pressure and age: The Framingham Heart Study.Exp. Aging Res. 21, 369–391.
Elias, M. F., D’Agostino, R. B., Elias, P. K., and Wolf, P. A. (1995b) Blood pressure, hypertension and age as risk factors for poor cognitive performance.Exp. Aging Res. 21, 393–417.
Launer, L. J., Masaki, K., Petrovitch, H., Foley, D., and Havlik, R. J. (1995) The association between midlife blood pressure levels and later life cognitive function.JAMA 274, 1846–1851.
Battersby, C., Hartley, K., Fletcher, A. E., et al. (1993) Cognitive function in hypertension: a community based study.J. Hum. Hypertens. 7, 117–123.
Kalra, L., Jackson, L. H., and Swift, C. G. (1993) Psychomotor performance in elderly hypertensive patients.J. Hum. Hypertens. 7, 279–284.
Madden, D. J. and Blumenthal, J. A. (1998) Interaction of hypertension and age in visual selective attention performance.Health Psychol. 17, 76–83.
Wallace, R. B., Lemke, J. H., Morris, M. C., Goodenberger, M., Kohout, F., and Hinrichs, J. V. (1985) Relationship of free-recall memory to hypertension in the elderly: the Iowa 65+ rural health study.J. Chronic Dis. 38, 475–481.
Farmer, M. E., Kittner, S. J., Abbott, R. D., Wolz, M. M., Wolf, P. A., and White, L. R. (1990) Longitudinally measured blood pressure, antihypertensive medication use, and cognitive performance: The Framingham Heart Study.J. Clin. Epidemiol. 43, 475–480.
Waldstein, S. R., Ryan, C. M., Manuck, S. B., Parkinson, D. K., and Bromet, E. J. (1991) Learning and memory function in man with untreated blood pressure elevation.J. Consult. Clin. Psychol. 59, 513–517.
Elias, M. F., Robbins, M. A., Schultz, N., and Pierce, T. W. (1990) Is blood pressure an important variable in research on aging and neuropsychological test performance?J. Geront. Psychol. Sci. 45, 128–135.
Waldstein, S. R., Jennings, J. R., Ryan, C. M., Muldoon, M. F., Shapiro, A. P., Polefrone, J. M., Fazzari, T. V., Manuck, S. B., (1996) Hypertension and neuropsychological performance in men: Interactive effects of age.Health Psychol. 15, 102–109.
Schultz, N. R., Dineen, J. T., Elias, M. F., Pentz, C. A., and Wood, W. G. (1979) WAIS performance for different age groups of hypertensive and control subjects during the administration of a diuretic.J. Gerontol. 31, 246–253.
Hachinski, V. C. (1987) Leuko-araiosis.Arch. Neurol. 44, 21–23.
van Swieten, J. C., van den Hout, H. W., van Ketek, B. A., Hijdra, A., Wokke, J. H. J., and van Gijn, J. (1991) Periventricular lesions in the white matter on magnetic resonance imaging in the elderly.Brain 114, 761–774.
Akesson, H. D. (1969) A population of senile and arteriosclerotic psychosis.Hum. Hered. 19, 546–566.
Broe, G. A., Akhtar, A. J., Andrews, G. R., Caird, F. I., Gilmore, A. J., and McLennan, W. M., (1976) Neurological disorders in the elderly at home.J. Neurol. Neurosurg. Psychiatry 39, 362–366.
Sulkava, R., Wikstrom, J., Aromaa, A., Raitasola, R., Lehtinen, V., Lehtela, K., and Palo, K. (1985) Prevalence of severe dementia in Finland.Neurology 35, 1025–1029.
Hollander, W., Madoff, I., Paddock, J., and Kirkpatrick, B. (1976) Aggravation of atherosclerosis by hypertension in a subhuman primate model with coarctation of the aorta.Circ. Res. 38 (Suppl. II), 63–72.
Prusty, S., Kemper, T. L., Moss, M. B., and Hollander, W. (1988) Occurrence of stroke in a non-human primate model of cerebrovascular disease.Stroke 19, 84–90.
Hollander, W., Prusty, S., Kirkpatrick, B., Paddock, J., and Nagrai, S. (1977) Role of hypertension in ischemic heart disease and cerebral vascular disease in the cynomolgus monkey with coarctation of the aorta.Circ. Res. 40 (Suppl. I), I-70–I-83.
Hollander, W., Prusty, S., Killiany, R. J., and Moss, M. B. (1999) Comparison of direct and indirect methods, including telemetry for measurement of blood pressure in the hypertensive monkey, submitted.
Killiany, R. J., Duryea, B., Rosene, D. L., and Moss, M. B. (1999) Impaired attention in a primate model of hypertensive cerebrovascular disease, submitted.
Moss, M. B., Killiany, R. K., and Rosene, D. L. (1999) Impaired memory function as a consequence of hypertension in a primate model of cerebrovascular disease, submitted.
Posner, M. I. and Peterson, S. E. (1990) The attention system of the human brain, in:Annual Review of Neuroscience, Vol. 13, pp 25–42, Annual Reviews Inc., Palo Alto, CA.
Parasuraman, R. and Davies, R., (1984)Varieties ofAttention. Academic Press, New York.
Hasher, L. and Zacks, R. (1979) Automatic and effortful processes in memory.J. Exp. Psychol. 108, 356–388.
Albert, M. S. and Moss, M.B. (1998) Neuropsychological profiles of normal aging, inCerebral Cortex, Neurodegenerative and Age-Related Changes in Structure and Function of Cerebral Cortex. (Peters, A. and Morrison, J., eds), Plenum Press, N.Y., In press.
Gaffan, D. (1974) Recognition impaired and association intact in the memory of monkeys after transection of the fornix.J. Comp. Physiol. Psych. 86, 1100–1109.
Mahut, M., Zola-Morgan, S., and Moss, M. B. (1982) Hippocampal resections impair associative learning and recognition memory in the monkey.J. Neurosci. 2, 1214–1229.
Saunders, R. C., Murray, E. A., and Mishkin, M. (1984) Further evidence that amygdala and hippocampus contribute equally to recognition memory.Neuropsychologia 22, 785–796.
Mishkin, M. (1978) Memory in monkeys severely impaired by combined but not separate removal of amygdala and hippocampus.Nature 273, 297–298.
Murray, E. A. (1992) Medial temporal lobe structures contributing to recognition memory: The amygdaloid complex versus the rhinal cortex, inThe Amygdala: Neurobiological Aspects of Emotion, Memory and Mental Dysfunction. (Aggleton, J.P. ed.), Wiley-Liss, New York, pp. 453–470.
Albert, M. and Moss, M. B., (1984) The assessment of memory disorders in patients with Alzheimer’s Disease, inNeuropsychology of Memory (Squire, L. and Butters, N. eds.), Guilford Press, New York.
Rehbein, L. and Mahut, H. (1983) Long-term deficits in associative and spatial recognition memory after early hippocampal damage in monkeys.Soc. Neurosci. Abstr. 9, 639.
Blumenthal, J. A., Madden, D. J., Pierce, T. W. et al. (1993) Hypertension affects neurobehavioral functioning.Psychosom. Med. 55, 44–50.
Berg, E. A. (1948). A simple objective test for measuring flexibility in thinking.J. Gen. Psychol. 39, 15–22.
Grant, D. A. and Berg, E. A. (1948) A behavioral analysis of degree of reinforcement and ease of shifting to new responses in a Weigl-type card sorting problem.J. Exp. Psychol. 34, 404–411.
Nagahama, Y., Fukuyama, H., Yamauchi, H., Matsuzaki, S., Konishi, B., Shibasaki, H., and Kimurs, J. (1996) Cerebral Actiation During Performance of a Card Sorting Task.Brain 119, 1667–1675.
Damasio, A. R. and Anderson, S. W., (1993) The Frontal Lobes. InClinical Neuropsychology, Kenneth Heilman and Edward Valenstein, Eds. Oxford University Press, Oxford.
Fristoe, N. M., Salthouse, T. A., and Woodward, J. L. (1997) Examination of Age-Related Deficits on the Wisconsin Card Sorting Task.Neuropsychology 11, 428–436.
Fuster, J. M. (1997)The Prefrontal Cortex; Anatomy, Physiology, and Neuropsychology of the Frontal Lobes. Lippincott-Raven, NY.
Milner, B. (1963) Effects of different brain lesions on card sorting.Arch. Neurol. 9, 90–100.
Shapiro, A. P., Miller, R. E., King, H. E., Ginchereau, E. H., and Fitzgibbon, K. (1982) Behavioral consequences of mild hypertension.Hypertension 4, 355–360.
Kemper, T. L., Moss, M. B., Hollander, W., and Prusty, S. (1999) Microinfarction as a result of hypertension in a primate model of cerebrovascular disease.Acta Neuropathol., in press.
Fisher, C. M. (1969) The arterial lesion underlying lacunes.Acta Neuropathol. 12, 1–15.
De Reuck, J. and van der Eecken, H. (1976) The arterial angioarchitecture in lacunar state.Acta Neurol. Belg. 76, 142–149.
Chester, E. M., Agamanolis, D. P., Banker, B. Q., and Victor, M. (1978) Hypertensive encephalopathy: A clinicopathological study of 20 cases.Neurology 28, 928–939.
Robertson, D. M., Dinsdale, H. B., Hayashi, T., and Tu, J. (1970) Cerebral lesions in adrenal regeneration hypertension.Am. J. Pathol. 59, 115–131.
Dinsdale, H. B., Robertson, D. M., and Haas, R. A. (1973) Acute hypertension and prolonged focal cerebral ischemia.Trans. Am. Neurol. Assoc. 98, 162–165.
Nag, S. (1984) Cerebral changes in chronic hypertension: combined permeability and immunohistochemical studies.Acta Neuropathol. 62, 178–184.
Ogata, J., Fujishima, M., Tamaki, K., Nakatomi, Y., Ishitsuka, T., and Omae, T.(1980) Strokeprone spontaneously hypertensive rats as an experimental model of malignant hypertension. I. Light- and electron-microscopic study of the brain.Acta Neuropathol. 51, 179–184.
Ogata, J., Fujishima, M., Tamaki, K., Nakatomi, Y., Ishitsuka, T., and Omae, T. (1981) Vascular changes underlying cerebral lesions in stroke-prone spontaneously hypertensive rats.Acta Neuropathol. 54, 183–188.
Alzheimer, A. (1902) Die Seelenstorungen auf arteriosklerotischer Grundlage.Allg. Z. Psychiatr. Psychischerichtl. Med. 59, 695–711.
Olszewski, J. (1962) Subcortical arteriosclerotic encephalopathy.World Neurol. 3, 359–375.
Babikian, V. and Roper, A. H. (1987) Binswanger’s disease: a review.Stroke 18, 2–12.
Roman, G. C. (1987) Senile dementia of the Binswanger’s type: A vascular form of dementia in the elderly.JAMA 258, 1782–1788.
Fisher, C. M. (1989) Binswanger’s encephalopathy: a review.J. Neurol. 236, 65–79.
Loizou, L. A., Jefferson, J. M., and Smith, W. T. (1982) Subcortical arteriosclerotic encephalopathy (Binswanger’s type) and cortical infarcts in a young normotensive patient.J. Neurol. Neurosurg. Psychiatr. 45, 409–417.
Garcia, J. H., Ben-David, E., Conger, K. A., Geer, J. C., and Hollander, W. (1981) Arterial hypertension injuries brain capillaries. Definition of the lesions. Possible pathogenesis.Stroke 12, 410–413.
Moss, M. B., Kemper, T., Rosene, D. L., Prusty, S., and Hollander, W. (1989) Neuropsychological and pathological consequences of hypertension and high cholesterol diet: a primate model of cerebrovascular disease.J. Clin. Exp. Neuropsychiatry 12, 68.
Moss, M. B., Rosene, D. L., Kemper, T. L., Prusty, S., and Hollander, W. (1993) Hypertension-induced memory impairment and microinfarction in monkeys.Soc. Neurosci. Abstr. 19, 196.
Pulsinelli, W. A. and Buchan, A., (1989) The utility of animal ischemia models in predicting pharmocotherapeutic response in the clinical setting. inCerebrovascular Disease (Ginsberg, M. D. and Dietrich, W. D., eds.), New York: Raven Press, pp 87–91.
Wiebers, D. O., Adams, H. P., and Whisnant, M. D., (1990) Animal models of stroke: Are they relevant to human disease?Stroke 21, 1–3.
Molinari, G. F. (1988) Why model strokes?Stroke 19, 1195–1197.
Binswanger, O. (1894) Die Abgrenzung der allgemeinen progressiven Paralyse.Berl. Klin. Wochenschrift 31, 1103–1105;
Binswanger, O. (1894) Die Abgrenzung der allgemeinen progressiven Paralyse.Berl. Klin. Wochenschrift 31, 1137–1139;
Binswanger, O. (1894) Die Abgrenzung der allgemeinen progressiven Paralyse.Berl. Klin. Wochenschrift 31, 1180–1186.
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Moss, M.B. (2000). A Primate Model of Hypertensive Cerebrovascular Disease. In: Emerich, D.F., Dean, R.L., Sanberg, P.R. (eds) Central Nervous System Diseases. Contemporary Neuroscience. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-691-1_21
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