Soluble Precursor Research Articles

Scalable production and performance optimization of Na3V2(PO4)3 cathode materials for sodium-ion batteries

The Na3V2(PO4)3 (NVP) cathode materials have garnered significant attention for grid energy storage due to their high theoretical capacity, rate performance, and cyclic stability. However, challenges persist, including inadequate electronic and ionic conductivity. This study addresses these issues through a novel solution-spray drying process using soluble precursors to achieve homogeneous mixing at the atomic level. This method not only promotes the formation of pure-phase NVP but also reduces carbon content effectively. Optimized heat treatment further enhances specific capacity, achieving 114 mAh/g at 0.1C with a coulombic efficiency of 99 %. These results highlight a scalable approach to improve the commercial viability of sodium-ion batteries by enabling efficient production of high-performance NVP cathode composites.

Investigation of amyloid‑β peptide production and clearance pathways in different stages of Alzheimer's disease.

Alzheimer's disease (AD) is an age‑related, progressive decline in cognitive ability. Accumulation and deposition of amyloid‑β (Aβ) is still the best‑known cause of AD that worsens over time. It is unclear whether the increase in Aβ production or the inefficiency of the degradation system causes the accumulation of β‑fibrils during AD development. This research investigated Aβ‑producing and clearance pathways in different stages of AD. For this purpose, patients were categorized into four experimental groups: patients with mild cognitive impairment, patients with moderate cognitive decline, patients with very severe cognitive decline, and healthy patients as control. Levels of Aβ‑40, soluble amyloid precursor protein beta (sAPPβ), matrix metalloproteinase‑9 (MMP‑9), matrix metalloproteinase‑3 (MMP‑3), neprilysin (NEP), angiotensin‑converting enzyme (ACE), and insulin‑degrading enzyme (IDE) were determined by ELISA kits and immunoblotting in serum samples. According to the results, the levels of Aβ‑40 and sAPPβ increased in AD patients from an early stage, and levels were maintained in progressive AD stages. MMP‑9 also increased in the early stage, but its content decreased with disease development. MMP‑3 was significantly higher in the three stages of AD compared to the control patients. However, IDE, NEP, and ACE enzymes as clearing systems decreased in all studied AD samples, with their reductions more remarkable in the middle and late stages. The results showed that multiple Aβ‑degrading enzymes such as NEP and IDE in AD patients decline as AD progresses, while Aβ‑40 and sAPPβ increased from the early stage of the disease. Therefore, it could be concluded that detection of the dementia phase is a critical step for therapeutic strategies.

Spider Silk: Rapid, Bottom‐Up Self‐Assembly of MaSp1 into Hierarchically Structured Fibers Through Biomimetic Processing

AbstractSpider dragline silk's exceptional mechanical performance, coupled with its benign production pathway, have inspired the design of diverse smart materials. Remarkably, relatively little is known about the self‐assembly process of major ampullate spidroin 1 (MaSp1) – the main protein constituent of dragline fiber – during its rapid conversion from soluble precursor protein into hierarchically structured mature silk fibers. Herein, the biomimetic potential of MaSp1 is explored using a new recombinant platform with full domain representation. MaSp1 is found to undergo efficient liquid‐liquid phase separation (LLPS) in response to kosmotropic ions, with notably higher propensity compared to MaSp2, and with MaSp1 exhibiting a more complex solubility profile relative to levels of sodium chloride. To further the understanding of silk spinning, the rapid assembly of mesoscale structures is monitored in real‐time in response to ion and pH gradients, revealing a progression from LLPS droplets toward aligned hierarchical fibers. Furthermore, using this biomimetic system, insoluble macroscopic MaSp1 fibers can be readily generated, wherein the application of mechanical deformation triggers the emergence of β‐sheet secondary structures. The insights gained from this study can have broader application in efforts to mimic the formation of biomaterials with spatially organized features across multiple length scales.

Neuroprotective Effects of Phenolic Constituents from Drynariae Rhizoma.

This study aimed to provide scientific data on the anti-Alzheimer's disease (AD) effects of phenolic compounds from Drynariae Rhizoma (DR) extract using a multi-component approach. Screening of DR extracts, fractions, and the ten phenolic compounds isolated from DR against the key AD-related enzymes acetylcholinesterase (AChE), butyrylcholinesterase (BChE), β-site amyloid precursor protein cleaving enzyme 1 (BACE1), and monoamine oxidase-B (MAO-B) confirmed their significant inhibitory activities. The DR extract was confirmed to have BACE1-inhibitory activity, and the ethyl acetate and butanol fractions were found to inhibit all AD-related enzymes, including BACE1, AChE, BChE, and MAO-B. Among the isolated phenolic compounds, compounds (2) caffeic acid 4-O-β-D-glucopyranoside, (6) kaempferol 3-O-rhamnoside 7-O-glucoside, (7) kaempferol 3-o-b-d-glucopyranoside-7-o-a-L-arabinofuranoside, (8) neoeriocitrin, (9) naringin, and (10) hesperidin significantly suppressed AD-related enzymes. Notably, compounds 2 and 8 reduced soluble Amyloid Precursor Protein β (sAPPβ) and β-secretase expression by over 45% at a concentration of 1.0 μM. In the thioflavin T assay, compounds 6 and 7 decreased Aβ aggregation by approximately 40% and 80%, respectively, and degraded preformed Aβ aggregates. This study provides robust evidence regarding the potential of DR as a natural therapeutic agent for AD, highlighting specific compounds that may contribute to its efficacy.

The Matrix Protein Tropoelastin Prolongs Mesenchymal Stromal Cell Vitality and Delays Senescence During Replicative Aging.

Cellular senescence leads to the functional decline of regenerative cells such as mesenchymal stromal/stem cells (MSCs), which gives rise to chronic conditions and contributes to poor cell therapy outcomes. Aging tissues are associated with extracellular matrix (ECM) dysregulation, including loss of elastin. However, the role of the ECM in modulating senescence is underexplored. In this work, it is shown that tropoelastin, the soluble elastin precursor, is not only a marker of young MSCs but also actively preserves cell fitness and delays senescence during replicative aging. MSCs briefly exposed to tropoelastin exhibit upregulation of proliferative genes and concurrent downregulation of senescence genes. The seno-protective benefits of tropoelastin persist during continuous, long-term MSC culture, and significantly extend the MSC replicative lifespan. Tropoelastin-expanded MSCs further maintain youth-associated phenotype and function compared to age-matched controls, including preserved clonogenic potential, minimal senescence-associated beta-galactosidase activity, maintained cell sizes, reduced expression of senescence markers, suppressed secretion of senescence-associated factors, and increased production of youth-associated proteins. This work points to the utility of exogenously-supplemented tropoelastin for manufacturing MSCs that robustly maintain regenerative potential with age. It further reveals the active role of classical structural ECM proteins in driving cellular age-associated fitness, potentially leading to future interventions for aging-related pathologies.

Preparation of Highly-Ordered Tetrabenzorporphyrin Films Controlled by Supramolecular Assemblies and Precursor Approach

The control of the orientation and packing structures of small organic semiconductor molecules is the important issue for the improvement of charge carrier mobilities of organic field effect transistors. Tetrabenzoporphyrin (BP) is one of the promising p-type organic semiconductors but solubility in organic solvents is very low. We have developed a precursor approach, where a spun-cast film of soluble precursor, tetra-bicyclo[2.2.2]octadiene-fused porphyrin (CP), was heated to obtain BP crystalline film by in-situ retro-Diels–Alder reaction. However, the obtained BP film is a polycrystalline film and the field-effect transistors (FETs) hole mobilities were 10-1~10-2 cm2V-1s-1[1]. Recently, we reported the effect of alkyl substituents at 5,15-positions of BP for the control of the molecular arrangement. The best performance of OFET hole mobility of 5,15-disubstituted BP was 4.1 cm2V-1s-1 [2, 3].A supramolecular strategy has attracted attentions as the effective method for the control of molecular arrangement in films. We applied the combination of supramolecular assembling method and the precursor approach to prepare well-ordered BP films. 5,15-Bis(p-dodecylamidephenyl)-CP was deposited on the substrate by drop-casting, spin-coating or dip-coating method, followed by the heating to 200 ºC for 10 min to give the corresponding 5,15-bis(p-dodecylamidephenyl)-BP films. The film morphologies of the BP were compared with 5,15-bis(p-dodecyloxyphenyl)-BP, which doesn’t include amide moieties for hydrogen-bonding, using UV-vis absorption spectroscopy, atomic force microscopy (AFM), X-ray diffraction (XRD) analysis, and p-polarized multiple-angle incidence resolution spectrometry (p-MAIRS) to clarify the effect of amide groups. OFET performance of the BPs will be also discussed to clarify the effect of intermolecular hydrogen bonding interaction.

Developing PEEK composites with exceptional thermal conductivity and electromagnetic shielding properties by constructing a dense dual-continuous filler network

Polyether ether ketone (PEEK) has regular and rigid molecular chain and is insoluble in most organic solvents. Therefore, it is challenging to use PEEK matrix composites for thermal conductivity (TC) and electromagnetic interference (EMI) shielding applications. Herein, PEEK composites with hybrid fillers were fabricated by solution blending and non-solvent-induced phase separation (NIPS) methods based on a chemical conversion reaction between soluble precursor PEEK-dithiolane and PEEK. Synergistic interaction between hybrid fillers (graphene nanosheets and multiwalled carbon nanotubes) improves the thermal and electrical conductivity of the composites. The effect of the hot-pressing pressure on the conductive/thermal network densification was investigated. The composites performed optimally at a hot pressure of 200 MPa and a filler content of 20.08 vol%. The maximum in-plane and out-of-plane TC reached 10.46 W·m–1·K–1 and 4.8 W·m–1·K–1, respectively, which were 4619 % and 2414 % higher than the corresponding TC of PEEK. Simultaneously, the optimised composite demonstrated significantly improved electrical conductivity (3517 S/m) and EMI shielding effectiveness (66.1 dB). These excellent characteristics are attributed to the solution blending–NIPS method, which improves the dispersion of hybrid fillers in the matrix and forms an internal and external dual-continuous thermal conductive network. The dual-continuous network creates effective channels for phonon and electron transport and enhances EM wave loss. This work provides inspiration for the preparation of PEEK composites as advanced EMI protection and thermal management materials.

Effects of UV light on physicochemical changes in thermoplastic polyurethanes: Mechanism and disinfection byproduct formation

The presence of microplastics (MPs) products and particles in the environment can significantly impact the human body. Most MPs that enter the environment also enter the water cycle. During sunlight light irradiation (especially ultraviolet (UV) part) or UV disinfection, many of these MPs, particularly those rich in surface functional groups like thermoplastic polyurethanes (TPU), undergo physicochemical changes that can affect the formation of disinfection byproducts (DBPs). This study investigates the physicochemical changes of TPU in water after exposure to UV irradiation and incubation in the dark, as well as the formation of DBPs after chlorination. The results show that TPU undergo chain breakage, oxidation, and cross-linking when exposed to UV irradiation in an aqueous system. This leads to fragmentation into smaller particles, which facilitates the synthesis of DBPs. Subsequent research has demonstrated that the TPU leaching solution produces a significantly higher DBP content than the chlorination of TPU MPs, particularly at high concentrations of CHCl3. Therefore, it is important to give greater consideration to the soluble DBP precursors released by TPU.

Amyloid-β oligomer-induced neurotoxicity by exosomal interactions between neuron and microglia

A hallmark of Alzheimer's disease (AD) is amyloid-β (Aβ) plaque deposition in the brain, causing deficits in cognitive function. Amyloid-beta oligomers (AβOs), the soluble precursor peptides producing Aβ plaques, also produce neurotoxicity and microgliosis together with glycolytic reprogramming. Recently, monocarboxylate transporter 1 (MCT1), a key glycolysis regulator, and its ancillary protein, CD147, are found to play an important role in the secretion of exosomes, 30–200 nm vesicles in size, which are considered as toxic molecule carriers in AD. However, the effect of low-concentration AβOs (1 nM) on microglia MCT1 and CD147 expression as well as 1 nM AβOs-treated microglia-derived exosomes on neuronal toxicity remain largely elusive. In this study, 1 nM AβOs induce significant axonopathy and microgliosis. Furthermore, 1 nM AβOs-treated neurons- or microglia-derived exosomes produce axonopathy through their autologous or heterologous uptake by neurons, supporting the role of exosomes as neurotoxicity mediators in AD. Interestingly, MCT1 and CD147 are enhanced in microglia by treatment with 1 nM AβOs or exosomes from 1 nM AβOs-treated- microglia or neurons, suggesting the implication of AβOs-induced enhanced MCT1 and CD147 in microglia with AD neuropathogenesis, which is consistent with the in-silico analysis of the single cell RNA sequencing data from microglia in mouse models of AD and AD patients.

Controlled Localized Metal-Organic Framework Synthesis on Anion Exchange Membranes.

Metal-organic framework (MOF) films can be used in various applications. In this work, we propose a method that can be used to synthesize MOF films localized on a single side of an anion exchange membrane, preventing the transport of the metal precursor via Donnan exclusion. This is advantageous compared to the related contra-diffusion method that results in the growth of a MOF film on both sides of the support, differing in quality on both sides. Our proposed method has the advantage that the synthesis conditions can potentially be tuned to create the optimal conditions for crystal growth on a single side. The localized growth of the MOF is governed by Donnan exclusion of the anion exchange membrane, preventing metal ions from passing to the other compartment, and this leads to a local control of the precursor stoichiometry. In this work, we show that our method can localize the growth of both Cu-BTC and ZIF-8 in water and in methanol, respectively, highlighting that this method can used for preparing a variety of MOF films with varying characteristics using soluble precursors at room temperature.

Alpha-secretase inhibition impairs Group I metabotropic glutamate receptor-mediated protein synthesis, long-term potentiation and long-term depression.

Group I metabotropic glutamate receptors (Gp1-mGluRs) exert a host of effects on cellular functions, including enhancement of protein synthesis and the associated facilitation of long-term potentiation (LTP) and induction of long-term depression (LTD). However, the complete cascades of events mediating these events are not fully understood. Gp1-mGluRs trigger α-secretase cleavage of amyloid precursor protein, producing soluble amyloid precursor protein-α (sAPPα), a known regulator of LTP. However, the α-cleavage of APP has not previously been linked to Gp1-mGluR's actions. Using rat hippocampal slices, we found that the α-secretase inhibitor tumour necrosis factor-alpha protease inhibitor-1, which inhibits both disintegrin and metalloprotease 10 (ADAM10) and 17 (ADAM17) activity, blocked or reduced the ability of the Gp1-mGluR agonist (R,S)-3,5-dihydroxyphenylglycine (DHPG) to stimulate protein synthesis, metaplastically prime future LTP and elicit sub-maximal LTD. In contrast, the specific ADAM10 antagonist GI254023X did not affect the regulation of plasticity, suggesting that ADAM17 but not ADAM10 is involved in mediating these effects of DHPG. However, neither drug affected LTD that was strongly induced by either high-concentration DHPG or paired-pulse synaptic stimulation. Our data suggest that moderate Gp1-mGluR activation triggers α-secretase sheddase activity targeting APP or other membrane-bound proteins as part of a more complex signalling cascade than previously envisioned. This article is part of a discussion meeting issue 'Long-term potentiation: 50 years on'.

SAPPα Peptide Promotes Damaged Microglia to Clear Alzheimer's Amyloid-β via Restoring Mitochondrial Function.

Alzheimer's disease (AD) is an age-related neurodegenerative disease with amyloid-β (Aβ) deposition as the main pathological feature. It's an important challenge to find new ways to clear Aβ from the brain. The soluble amyloid precursor protein α (sAPPα) is a neuroprotective protein and can attenuate neuronal damage, including toxic Aβ. However, the regulatory role of sAPPα in non-neuronal cells, such as microglia, is less reported and controversial. Here, we showed that sAPPα promoted the phagocytosis and degradation of Aβ in both normal and damaged microglia. Moreover, the function of damaged microglia was improved by the sAPPα through normalizing mitochondrial function. Furthermore, the results of molecular docking simulation showed that sAPPα had a good affinity with Aβ. We preliminarily reveal that sAPPα is similar to antibodies and can participate in the regulation of microglia phagocytosis and degradation of Aβ after binding to Aβ. sAPPα is expected to be a mild and safe peptide drug or drug carrier for AD.

Benfotiamine improves dystrophic pathology and exercise capacity in mdx mice by reducing inflammation and fibrosis.

Duchenne Muscular Dystrophy (DMD) is a progressive and fatal neuromuscular disease. Cycles of myofibre degeneration and regeneration are hallmarks of the disease where immune cells infiltrate to repair damaged skeletal muscle. Benfotiamine is a lipid soluble precursor to thiamine, shown clinically to reduce inflammation in diabetic related complications. We assessed whether benfotiamine administration could reduce inflammation related dystrophic pathology. Benfotiamine (10mg/kg/day) was fed to male mdx mice (n = 7) for 15weeks from 4weeks of age. Treated mice had an increased growth weight (5-7weeks) and myofibre size at treatment completion. Markers of dystrophic pathology (area of damaged necrotic tissue, central nuclei) were reduced in benfotiamine mdx quadriceps. Grip strength was increased and improved exercise capacity was found in mdx treated with benfotiamine for 12weeks, before being placed into individual cages and allowed access to an exercise wheel for 3weeks. Global gene expression profiling (RNAseq) in the gastrocnemius revealed benfotiamine regulated signalling pathways relevant to dystrophic pathology (Inflammatory Response, Myogenesis) and fibrotic gene markers (Col1a1, Col1a2, Col4a5, Col5a2, Col6a2, Col6a2, Col6a3, Lum) towards wildtype levels. In addition, we observed a reduction in gene expression of inflammatory gene markers in the quadriceps (Emr1, Cd163, Cd4, Cd8, Ifng). Overall, these data suggest that benfotiamine reduces dystrophic pathology by acting on inflammatory and fibrotic gene markers and signalling pathways. Given benfotiamine's excellent safety profile and current clinical use, it could be used in combination with glucocorticoids to treat DMD patients.

Structural and physical basis for the elasticity of elastin.

Elastin function is to endow vertebrate tissues with elasticity so that they can adapt to local mechanical constraints. The hydrophobicity and insolubility of the mature elastin polymer have hampered studies of its molecular organisation and structure-elasticity relationships. Nevertheless, a growing number of studies from a broad range of disciplines have provided invaluable insights, and several structural models of elastin have been proposed. However, many questions remain regarding how the primary sequence of elastin (and the soluble precursor tropoelastin) governs the molecular structure, its organisation into a polymeric network, and the mechanical properties of the resulting material. The elasticity of elastin is known to be largely entropic in origin, a property that is understood to arise from both its disordered molecular structure and its hydrophobic character. Despite a high degree of hydrophobicity, elastin does not form compact, water-excluding domains and remains highly disordered. However, elastin contains both stable and labile secondary structure elements. Current models of elastin structure and function are drawn from data collected on tropoelastin and on elastin-like peptides (ELPs) but at the tissue level, elasticity is only achieved after polymerisation of the mature elastin. In tissues, the reticulation of tropoelastin chains in water defines the polymer elastin that bears elasticity. Similarly, ELPs require polymerisation to become elastic. There is considerable interest in elastin especially in the biomaterials and cosmetic fields where ELPs are widely used. This review aims to provide an up-to-date survey of/perspective on current knowledge about the interplay between elastin structure, solvation, and entropic elasticity.

Abstract 1000 Regulation of the Soluble Amyloid Precursor Protein α (sAPPα) Levels in Lung Cancer Cell Media

Abstract 1000 Regulation of the Soluble Amyloid Precursor Protein α (sAPPα) Levels in Lung Cancer Cell Media

The role of leptin in regulation of the soluble amyloid precursor protein α (sAPPα) levels in lung cancer cell media

Previously, we found that the levels of soluble amyloid precursor protein α (sAPPα) are regulated, in part, by acetylcholinesterase (AChE) in human A549 (p53 wild-type) and H1299 (p53-null) NSCLC cell lines. In this study, we found regulation of sAPPα levels in the media by leptin, a widely recognized obesity-associated adipokine that has recently been shown to play a possible role in cancer signaling. Increased levels of sAPPα, that were accompanied by lower Aβ40/42 levels in the media of A549 and H1299 cells, were detected upon cell incubation with leptin. Conversely, knockdown of leptin or its receptor led to reduced levels of sAPPα and increased levels of Aβ40/42 in the media of A549 and H1299 cells, suggesting that leptin likely shifts APP processing toward the non-amyloidogenic pathway. A549 cell treatment with leptin increased acetylcholine levels and blocked the activities of AChE and p53. Treatment with leptin resulted in increased activation of PKC, ERK1/2, PI3K, and the levels of sAPPα, effects that were reversed by treatment with kinase inhibitors and/or upon addition of AChE to A549 and H1299 cell media. Cell viability increased by treatment of A549 and H1299 cells with leptin and decreased upon co-treatment with AChE and/or inhibitors targeting PKC, ERK1/2, and PI3K. This study is significant as it provides evidence for a likely carcinogenic role of leptin in NSCLC cells via upregulation of sAPPα levels in the media, and highlights the importance of targeting leptin as a potential therapeutic strategy for NSCLC treatment.

Synthesis of π-conjugated polycyclic compounds by late-stage extrusion of chalcogen fragments.

The "precursor approach" has proved particularly valuable for the preparation of insoluble and unstable π-conjugated polycyclic compounds (π-CPCs), which cannot be synthesized via in-solution organic chemistry, for their improved processing, as well as for their electronic investigation both at the material and single-molecule scales. This method relies on the synthesis and processing of soluble and stable direct precursors of the target π-CPCs, followed by their final conversion in situ, triggered by thermal activation, photoirradiation or redox control. Beside well-established reactions involving the elimination of carbon-based small molecules, i.e., retro-Diels-Alder and decarbonylation processes, the late-stage extrusion of chalcogen fragments has emerged as a highly promising synthetic tool to access a wider variety of π-conjugated polycyclic structures and thus to expand the potentialities of the "precursor approach" for further improvements of molecular materials' performances. This review gives an overview of synthetic strategies towards π-CPCs involving the ultimate elimination of chalcogen fragments upon thermal activation, photoirradiation and electron exchange.

Physicochemical Properties of Tungsten Trioxide Photoanodes Fabricated by Wet Coating of Soluble, Particulate, and Mixed Precursors

Advanced oxidation processes are emerging technologies for the decomposition of organic pollutants in various types of water by harnessing solar energy. The purpose of this study is to examine the physicochemical characteristics of tungsten(VI) oxide (WO3) photoanodes, with the aim of enhancing oxidation processes in the treatment of water. The fabrication of WO3 coatings on conductive fluorine-doped tin oxide (FTO) substrates was achieved through a wet coating process that utilized three different liquid formulations: a dispersion of finely milled WO3 particles, a fully soluble WO3 precursor (acetylated peroxo tungstic acid), and a combination of both (applying a brick-and-mortar strategy). Upon subjecting the WO3 coatings to firing at a temperature of 450 °C, it was observed that their properties exhibited marked variations. The fabricated photoanodes are examined using a range of analytical techniques, including profilometry, thermo-gravimetric analysis (TGA), X-ray diffraction (XRD), and voltammetry. The experimental data suggest that the layers generated through the combination of particulate ink and soluble precursor (referred to as the brick-and-mortar building approach) display advantageous physicochemical properties, rendering them suitable for use as photoanodes in photoelectrochemical cells.

Monolithic metal-based/porous carbon nanocomposites made from dissolved cellulose for use in electrochemical capacitor

Porous metal-based carbon nanocomposites, with a monolithic shape, were prepared by a one-pot synthesis from dissolved cellulose and metallic salts using a simple, cheap, and environmentally friendly route. Their potential performances as electrochemical capacitors were tested with three metal precursors (M = Cu, Mn, and Fe) with two loadings and in an asymmetric cell for the Fe-based carbon material. Interestingly, here soluble metal precursors were not deposited on a hard cellulose template but mixed in a precooled concentrated NaOH solution where cellulose was previously dissolved, allowing for a good dispersion of the metallic species. After a freezing step where concomitant cellulose regeneration and pore ice-templating phenomena took place, followed by a carbonization step, the mixture led to a porous carbon monolith embedding well-dispersed metal-based nanoparticles having a diameter below 20 nm and present as metallic, oxide, or carbide phase(s) according to the element M. These materials were characterized by different physicochemical techniques and electrochemical tests. Their performances as supercapacitors are discussed in light of the specific behaviour of the metal-based phase and its influence on the carbon matrix properties such as mesopore formation and carbon graphitization. An asymmetric energy storage cell assembled with a Fe-based carbon electrode against a carbon xerogel electrode derived from a phenolic resin shows specific energy and power of 18.3 Wh kg−1 at 5 mA cm−2 and 1.6 kW kg−1 at 25 mA cm−2, respectively.

Baseline levels of soluble amyloid precursor proteins predict conversion to subcortical small-vessel disease

Baseline levels of soluble amyloid precursor proteins predict conversion to subcortical small-vessel disease