Axel Montagne
UK Dementia Research Institute at the University of Edinburgh Centre for Clinical Brain Sciences
Axel Montagne, PhD, is a Chancellor's Fellow and group leader at the UK Dementia Research Institute at the University of Edinburgh Centre for Clinical Brain Sciences. His research focuses on the role of brain vasculature and blood-brain barrier dysfunction in the early stages of dementia and age-related cognitive decline. His published studies cover topics including glial-vascular interactions, pericytes, transcriptomics of brain vascular cells, cerebral small vessel disease, and neurodegenerative mechanisms in Alzheimer's disease.
62 claims checked on air: 5 context 5 contradicted 3 overstated 43 supported 6 unverified
What they said on air - overstated
14 citing their own research
Lack of exercise accelerates age-related vision loss.
"It's true for the eyes, obviously, or if you don't exercise you're gonna tend to lose eye vision quicker than the normal person as you age" (said at 0:00:56)
Observational cohort studies show that higher physical activity is associated with a modest reduction in the risk of certain age-related eye conditions, primarily cataract (relative risk ~0.90) and diabetic retinopathy, but evidence for age-related macular degeneration is weak and statistically inconsistent (relative risk ~0.92, 95% CI: 0.84–1.01), and studies find no clear association with glaucoma. Furthermore, these epidemiological associations do not demonstrate that physical inactivity directly accelerates the rate of normal age-related visual decline (such as presbyopia) or vision loss in general.
- partial: Physical activity and the risk of cataract and age-related macular degeneration: a systema… (BMC ophthalmology 2026) · cited 1x in the literature
"The summary RR for high vs. low physical activity and cataract was 0.90 (95% CI: 0.86–0.94, I2 = 74%, n = 10) and for age-related macular degeneration was 0.92 (95% CI: 0.84–1.01, I2 = 60%, n = 14)." (abstract, results, passage verified)
pubmedfull study (doi) - partial: Accelerometer-Derived Moderate-to-Vigorous Physical Activity and the Risk of Four Common V… (Translational vision science & technology 2026)
"We identified an L-shaped association for cataract and a nonlinear association for DR (both P < 0.001; P < 0.05 for nonlinearity), a modest negative association for AMD (P = 0.028; P = 0.026 for nonlinearity), and no significant association for glaucoma." (abstract, results, passage verified)
pubmedfull study (doi)
Administering omega-3 fatty acids to aged mice reduces brain endothelial VCAM-1 levels.
"A couple of studies have given some omega-3 to the mice, and I remember seeing the reduction of one particular protein that I really like to study and we are currently studying is VCAM-1, vascular cell adhesion molecule 1. And omega-3 was able to reduce these levels" (said at 0:45:55)
While omega-3 fatty acids have been shown to attenuate vascular cell adhesion molecule 1 (VCAM-1) expression under neuroinflammatory conditions, this reduction was demonstrated in an in vitro human microfluidic blood-brain barrier model stimulated with interleukin-1β rather than directly measured in the brain endothelium of aged mice in vivo. In mice subjected to orthopedic surgical trauma, intravenous omega-3 fatty acid administration inhibited surgery-induced blood-brain barrier impairment and microglial activation, but the claim overstates the evidence by extrapolating the specific endothelial VCAM-1 attenuation from the cell model to in vivo mouse studies.
Chronic alcohol consumption leads to blood-brain barrier leakage in males, whereas age-matched female chronic drinkers show relatively preserved vascular function.
"there is a gender effect, a sex effect. So the males tend to have—if you're a chronic drinker of alcohol, you will have some vascular issues. It has been linked, so if you chronically drink alcohol, you have a leakier blood-brain barrier, it has been shown. But if a woman drank the same, as age-matched and everything, they will have almost preserved vascular functions." (said at 1:24:42)
The speaker extrapolates findings from preclinical rodent experiments directly to human men and women. In animal models of chronic and intermittent ethanol exposure, male rats demonstrate increased blood-brain barrier (BBB) permeability and vascular dysfunction across several brain regions, whereas age-matched female rats show resistance to ethanol-induced BBB hyperpermeability. However, direct evidence establishing that human females are protected from alcohol-induced neurovascular or BBB disruption compared to males is lacking, and broader human epidemiological literature indicates that women often experience equal or heightened susceptibility to alcohol-related systemic and organ toxicity at equivalent exposure levels.
Fact-checked episodes
Publications
- Placental prostaglandin signaling disrupts barrier integrity and relays an acute inflammatory signal to the fetus.bioRxiv : the preprint server for biology 2026 · CEBM Level 5
- Impact of Apolipoprotein E4 on blood-brain barrier integrity in target replacement murine models: a systematic review and meta-analysis.Alzheimer's research & therapy 2026 · CEBM Level 5
- Friend or foe? Glial-vascular interactions in health and neurodegenerative disease.Pharmacological reviews 2026 · CEBM Level 5
- Cerebral Intramural Cells: A Missing Cellular Link Between Vascular Aging and Alzheimer's Disease.International journal of molecular sciences 2026 · CEBM Level 5
- Unraveling the transcriptomic landscape of brain vascular cells in dementia: A systematic review.Alzheimer's & dementia : the journal of the Alzheimer's Association 2025 · CEBM Level 4
- Blood biomarkers of vascular dysfunction in small vessel disease progression: Insights from a longitudinal neuroimaging study.Alzheimer's & dementia : the journal of the Alzheimer's Association 2025 · CEBM Level 3
- Walking on the tightrope: the shared roles of the bridging pericytes in the brain.Frontiers in cellular neuroscience 2025 · CEBM Level 5
- The blood-brain barrier.Current biology : CB 2025 · CEBM Level 5
- Performance evaluation of the nanoScan ® P123S total-body PET.EJNMMI physics 2025 · CEBM Level 5
- Erratum: "Air Pollution Particulate Matter Exposure and Chronic Cerebral Hypoperfusion and Measures of White Matter Injury in a Murine Model".Environmental health perspectives 2024 · CEBM Level 5
- A single nuclear transcriptomic characterisation of mechanisms responsible for impaired angiogenesis and blood-brain barrier function in Alzheimer's disease.Nature communications 2024 · CEBM Level 5
- Retraction Note: Pericyte degeneration causes white matter dysfunction in the mouse central nervous system.Nature medicine 2024 · CEBM Level 5
- Heterogeneous blood-brain barrier dysfunction in cerebral small vessel diseases.Alzheimer's & dementia : the journal of the Alzheimer's Association 2024 · CEBM Level 4
- Microglia protect against age-associated brain pathologies.Neuron 2024 · CEBM Level 5
- Central nervous system-associated macrophages modulate the immune response following stroke in aged mice.Nature neuroscience 2024 · CEBM Level 5
- Atp13a5 Marker Reveals Pericyte Specification in the Mouse Central Nervous System.The Journal of neuroscience : the official journal of the Society for Neuroscience 2024 · CEBM Level 5
- SARS-CoV-2 and vascular dysfunction: a growing role for pericytes.Cardiovascular research 2023 · CEBM Level 5
- Editorial: Imaging of the blood-brain barrier in Alzheimer's disease and related disorders.Frontiers in aging neuroscience 2023 · CEBM Level 5
- A Scoping Review on Biomarkers of Endothelial Dysfunction in Small Vessel Disease: Molecular Insights from Human Studies.International journal of molecular sciences 2023 · CEBM Level 5
- Connexins and blood-brain barrier: Beyond the gap.Neuron 2023 · CEBM Level 5
- Protection of ischemic white matter and oligodendrocytes in mice by 3K3A-activated protein C.The Journal of experimental medicine 2022 · CEBM Level 5
- Prenatal disruption of blood-brain barrier formation via cyclooxygenase activation leads to lifelong brain inflammation.Proceedings of the National Academy of Sciences of the United States of America 2022 · CEBM Level 5
- Blood-brain barrier link to human cognitive impairment and Alzheimer's Disease.Nature cardiovascular research 2022 · CEBM Level 5
- Imaging subtle leaks in the blood-brain barrier in the aging human brain: potential pitfalls, challenges, and possible solutions.GeroScience 2022 · CEBM Level 5
- Editorial: Multifaceted Interactions Between Immunity and the Diseased Brain.Frontiers in cellular neuroscience 2022 · CEBM Level 5
- A Review of Translational Magnetic Resonance Imaging in Human and Rodent Experimental Models of Small Vessel Disease.Translational stroke research 2021 · CEBM Level 5
- Cranial Suture Regeneration Mitigates Skull and Neurocognitive Defects in Craniosynostosis.Cell 2021 · CEBM Level 5
- Endothelial LRP1 protects against neurodegeneration by blocking cyclophilin A.The Journal of experimental medicine 2021 · CEBM Level 5
- New Mechanistic Insights, Novel Treatment Paradigms, and Clinical Progress in Cerebrovascular Diseases.Frontiers in aging neuroscience 2021 · CEBM Level 5
- Evidence that blood-CSF barrier transport, but not inflammatory biomarkers, change in migraine, while CSF sVCAM1 associates with migraine frequency and CSF fibrinogen.Headache 2021 · CEBM Level 4
- Alzheimer's pathogenic mechanisms and underlying sex difference.Cellular and molecular life sciences : CMLS 2021 · CEBM Level 5
- Interplay between Brain Pericytes and Endothelial Cells in Dementia.The American journal of pathology 2021 · CEBM Level 5
- Magnetic Resonance Imaging of Blood-Brain Barrier permeability in Dementia.Neuroscience 2021 · CEBM Level 5
- Air Pollution Particulate Matter Exposure and Chronic Cerebral Hypoperfusion and Measures of White Matter Injury in a Murine Model.Environmental health perspectives 2021 · CEBM Level 5
- Air Pollution Particulate Matter Amplifies White Matter Vascular Pathology and Demyelination Caused by Hypoperfusion.Frontiers in immunology 2021 · CEBM Level 5
- APOE4 accelerates advanced-stage vascular and neurodegenerative disorder in old Alzheimer's mice via cyclophilin A independently of amyloid-β.Nature aging 2021 · CEBM Level 5
- Author Correction: APOE4 accelerates advanced-stage vascular and neurodegenerative disorder in old Alzheimer's mice via cyclophilin A independently of amyloid-β.Nature aging 2021 · CEBM Level 5
- Proceedings from the Albert Charitable Trust Inaugural Workshop on white matter and cognition in aging.GeroScience 2020 · CEBM Level 5
- APOE4 Accelerates Development of Dementia After Stroke: Is There a Role for Cerebrovascular Dysfunction?Stroke 2020 · CEBM Level 5
- Perivascular spaces in the brain: anatomy, physiology and pathology.Nature reviews. Neurology 2020 · CEBM Level 5
- A novel sensitive assay for detection of a biomarker of pericyte injury in cerebrospinal fluid.Alzheimer's & dementia : the journal of the Alzheimer's Association 2020 · CEBM Level 4
- APOE4 leads to blood-brain barrier dysfunction predicting cognitive decline.Nature 2020 · CEBM Level 3
- Comparison Between Blood-Brain Barrier Water Exchange Rate and Permeability to Gadolinium-Based Contrast Agent in an Elderly Cohort.Frontiers in neuroscience 2020 · CEBM Level 4
- Blood-Brain Barrier: From Physiology to Disease and Back.Physiological reviews 2019 · CEBM Level 5
- Vascular dysfunction-The disregarded partner of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association 2019 · CEBM Level 5
- Blood-brain barrier breakdown is an early biomarker of human cognitive dysfunction.Nature medicine 2019 · CEBM Level 3
- Pericyte loss leads to circulatory failure and pleiotrophin depletion causing neuron loss.Nature neuroscience 2019 · CEBM Level 5
- Undetectable gadolinium brain retention in individuals with an age-dependent blood-brain barrier breakdown in the hippocampus and mild cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association 2019 · CEBM Level 3
- Pericyte degeneration causes white matter dysfunction in the mouse central nervous system.Nature medicine 2018 · CEBM Level 5
- Permeability imaging as a predictor of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism 2018 · CEBM Level 3
- The role of brain vasculature in neurodegenerative disorders.Nature neuroscience 2018 · CEBM Level 5
- Regional early and progressive loss of brain pericytes but not vascular smooth muscle cells in adult mice with disrupted platelet-derived growth factor receptor-β signaling.PloS one 2017 · CEBM Level 5
- Cerebral blood flow regulation and neurovascular dysfunction in Alzheimer disease.Nature reviews. Neuroscience 2017 · CEBM Level 5
- Alzheimer's disease: A matter of blood-brain barrier dysfunction?The Journal of experimental medicine 2017 · CEBM Level 5
- Optimal acquisition and modeling parameters for accurate assessment of low Ktrans blood-brain barrier permeability using dynamic contrast-enhanced MRI.Magnetic resonance in medicine 2016 · CEBM Level 5
- Tissue Plasminogen Activator Expression Is Restricted to Subsets of Excitatory Pyramidal Glutamatergic Neurons.Molecular neurobiology 2016 · CEBM Level 5
- Blood-Brain Barrier Permeability and Gadolinium: Benefits and Potential Pitfalls in Research.JAMA neurology 2016 · CEBM Level 5
- Brain imaging of neurovascular dysfunction in Alzheimer's disease.Acta neuropathologica 2016 · CEBM Level 5
- Blood-brain barrier breakdown in the aging human hippocampus.Neuron 2015 · CEBM Level 4
- Vascular plasticity and cognition during normal aging and dementia.JAMA neurology 2015 · CEBM Level 5
- 7T Multi-shell Hybrid Diffusion Imaging (HYDI) for Mapping Brain Connectivity in Mice.Proceedings of SPIE--the International Society for Optical Engineering 2015 · CEBM Level 5
- Impact of alcohol consumption on the outcome of ischemic stroke and thrombolysis: role of the hepatic clearance of tissue-type plasminogen activator.Stroke 2015 · CEBM Level 5
- ROCKETSHIP: a flexible and modular software tool for the planning, processing and analysis of dynamic MRI studies.BMC medical imaging 2015 · CEBM Level 5
- GpIbα-VWF blockade restores vessel patency by dissolving platelet aggregates formed under very high shear rate in mice.Blood 2014 · CEBM Level 5
- Urokinase versus Alteplase for intraventricular hemorrhage fibrinolysis.Neuropharmacology 2014 · CEBM Level 5
- Molecular magnetic resonance imaging of brain-immune interactions.Frontiers in cellular neuroscience 2014 · CEBM Level 5
- Immunotherapy blocking the tissue plasminogen activator-dependent activation of N-methyl-D-aspartate glutamate receptors improves hemorrhagic stroke outcome.Neuropharmacology 2013 · CEBM Level 5
- Ultra-sensitive molecular MRI of vascular cell adhesion molecule-1 reveals a dynamic inflammatory penumbra after strokes.Stroke 2013 · CEBM Level 5
- Intracerebral hematomas disappear on T2*-weighted images during normobaric oxygen therapy.Stroke 2013 · CEBM Level 5
- Glutamate controls tPA recycling by astrocytes, which in turn influences glutamatergic signals.The Journal of neuroscience : the official journal of the Society for Neuroscience 2012 · CEBM Level 5
- Ultra-sensitive molecular MRI of cerebrovascular cell activation enables early detection of chronic central nervous system disorders.NeuroImage 2012 · CEBM Level 5
- Memantine improves safety of thrombolysis for stroke.Stroke 2012 · CEBM Level 5
- Tissue plasminogen activator prevents white matter damage following stroke.The Journal of experimental medicine 2011 · CEBM Level 5
- Impact of tissue plasminogen activator on the neurovascular unit: from clinical data to experimental evidence.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism 2011 · CEBM Level 5
- Selective inhibition of GluN2D-containing N-methyl-D-aspartate receptors prevents tissue plasminogen activator-promoted neurotoxicity both in vitro and in vivo.Molecular neurodegeneration 2011 · CEBM Level 5