A whole-brain model of amyloid beta accumulation and cerebral hypoperfusion in Alzheimer's disease

Fuente: arXiv
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Auteurs principaux: Corti, Mattia, Ahern, Andrew, Goriely, Alain, Kuhl, Ellen, Antonietti, Paola F.
Format: Preprint
Publié: 2026
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author Corti, Mattia
Ahern, Andrew
Goriely, Alain
Kuhl, Ellen
Antonietti, Paola F.
author_facet Corti, Mattia
Ahern, Andrew
Goriely, Alain
Kuhl, Ellen
Antonietti, Paola F.
contents Accumulation of amyloid beta proteins is a defining feature of Alzheimer's disease, and is usually accompanied by cerebrovascular pathology. Evidence suggests that amyloid beta and cerebrovascular pathology are mutually reinforcing; in particular, amyloid beta suppresses perfusion by constricting capillaries, and hypoperfusion promotes the production of amyloid beta. Here, we propose a whole-brain model coupling amyloid beta and blood vessel through a hybrid model consisting of a reaction-diffusion system for the protein dynamics and porous-medium model of blood flow within and between vascular networks: arterial, capillary and venous. We discretize the resulting parabolic--elliptic system of PDEs by means of a high-order discontinuous Galerkin method in space and an implicit Euler scheme in time. Simulations in realistic brain geometries demonstrate the emergence of multistability, implying that a sufficiently large pathogenic protein seeds is necessary to trigger disease outbreak. Motivated by the "two-hit vascular hypothesis" of Alzheimer's disease that hypoperfusive vascular damage triggers amyloid beta pathology, we also demonstrate that localized hypoperfusion, in response to injury, can destabilize the healthy steady state and trigger brain-wide disease outbreak.
format Preprint
id arxiv_https___arxiv_org_abs_2601_08478
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle A whole-brain model of amyloid beta accumulation and cerebral hypoperfusion in Alzheimer's disease
Corti, Mattia
Ahern, Andrew
Goriely, Alain
Kuhl, Ellen
Antonietti, Paola F.
Numerical Analysis
Neurons and Cognition
Accumulation of amyloid beta proteins is a defining feature of Alzheimer's disease, and is usually accompanied by cerebrovascular pathology. Evidence suggests that amyloid beta and cerebrovascular pathology are mutually reinforcing; in particular, amyloid beta suppresses perfusion by constricting capillaries, and hypoperfusion promotes the production of amyloid beta. Here, we propose a whole-brain model coupling amyloid beta and blood vessel through a hybrid model consisting of a reaction-diffusion system for the protein dynamics and porous-medium model of blood flow within and between vascular networks: arterial, capillary and venous. We discretize the resulting parabolic--elliptic system of PDEs by means of a high-order discontinuous Galerkin method in space and an implicit Euler scheme in time. Simulations in realistic brain geometries demonstrate the emergence of multistability, implying that a sufficiently large pathogenic protein seeds is necessary to trigger disease outbreak. Motivated by the "two-hit vascular hypothesis" of Alzheimer's disease that hypoperfusive vascular damage triggers amyloid beta pathology, we also demonstrate that localized hypoperfusion, in response to injury, can destabilize the healthy steady state and trigger brain-wide disease outbreak.
title A whole-brain model of amyloid beta accumulation and cerebral hypoperfusion in Alzheimer's disease
topic Numerical Analysis
Neurons and Cognition
url https://arxiv.org/abs/2601.08478