Brain deposition of the amyloid p-peptide (AP) is a critical step in the pa
thogenesis of Alzheimer's disease (AD) and human cerebral amyloid angiopath
y (CAA). A small fraction of AD and CAA cases are caused by gene mutations
leading to increased production and deposition of AP, but for the majority,
there is no known direct genetic cause. We have hypothesized that AP depos
ition in these sporadic cases occurs as a result of cortical cholinergic de
afferentation. Here we show that cortical cholinergic deafferentation, indu
ced in rabbits by a selective immunotoxin, leads to Ap deposition in cerebr
al blood vessels and perivascular neuropil. Biochemical measurements confir
med that lesioned animals had 2.5- and 8-fold elevations of cortical A beta
40 and A beta 42, respectively. Cholinergic deafferentation may be one fac
tor that can contribute to AP deposition. (C) 2000 Elsevier Science Ireland
Ltd. All rights reserved.