To study the pathogenesis of cerebral amyloid angiopathy (CAA), organ
cultures of canine leptomeninges were incubated with fluorescein-conju
gated amyloid beta-protein (FA beta, residues 1-40; 10 nM to 200 mu M)
. Fluorescence microscopy showed focal and dose-dependent FA beta bind
ing to blood vessels affected by CAA at FA beta-concentrations as low
as 10 nM. The new A beta deposits appeared to be extracellular and wer
e localized to the middle and outer layers of leptomeningeal arteriole
s. FA Rho partially co-locaiized with apolipoprotein E (ApoE) as revea
led by confocal microscopy, suggesting that A beta in situ binds to Ap
oE. Young dogs or old dogs without CAA showed no deposition of FA beta
. Our results indicate that after initiation of CAA pathology, physiol
ogical concentrations of soluble A beta are sufficient to sustain its
further deposition and therefore the progression of CAA.