Amyloid‐mediated TRAIL DRs activation leads to progressive degeneration of cerebral vascular smooth muscle cells

Vascular accumulation of amyloid beta (Ab) leads to loss of vascular smooth muscle cells (VSMC) in cerebral arteries via unknown mechanisms, promoting cerebral blood flow alterations and contributing to cognitive impairment. Ab species with different lengths or mutated familial variants may have differential effects on VSMC. Ab1‐42, the main pathogenic form of amyloid in the AD brain with the highest propensity to form aggregates, increased apoptosis in brain vascular cells whereas Ab1‐40 was found to be less toxic. By comparison, the familial Ab variant E22Q, induced the most cell death of all the amyloid variants tested. However, there has been little progress in defining the pathways leading to VSMC degeneration in AD and related disorders. The aim of this study was to identify Ab‐mediated cell death mechanisms in VSMC.