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 - unverified
14 citing their own research
Capillaries represent approximately 90 percent of the brain's vasculature.
"and remember the capillaries, it represents 90 percent of your brain vasculature, all these tiny blood vessels." (said at 0:00:17)
No published record matching the specific claim that capillaries represent approximately 90 percent of the brain's vasculature was located; this does not prove the claim false.
Approximately one-fourth of the world's population carries the APOE4 genotype.
"But again, we are talking about one-fourth of the population of the world having the APOE4 genotype, so one-fourth, there's heterozygous and homozygous people." (said at 0:14:50)
No published record matching the claim that approximately one-fourth (25%) of the world's population carries an APOE4 genotype was located among the retrieved sources; this does not prove the claim false.
Vascular inflammation causes brain pericytes to shorten their cellular processes, thereby reducing cerebral blood flow.
"And these processes will shorten because of the inflammation, and of course if the pericytes are shortening their processes, the flow will reduce." (said at 0:24:05)
No published record matching the claim that vascular inflammation causes brain pericytes to shorten their cellular processes and thereby reduce cerebral blood flow was located; this does not prove the claim false. While brain pericytes participate in neurovascular regulation, capillary constriction, and inflammatory signaling, a specific mechanism where inflammation-induced shortening or retraction of pericyte processes directly mediates reduced cerebral blood flow has not been demonstrated in the published literature.
The omega-3 transporter MFSD2A is specifically localized to the smallest blood vessels (capillaries) in the brain.
"and you mentioned MFSD2A, which is one of the markers we are studying carefully because it's specific to the smallest blood vessels in the brain, so the capillaries, and that's where most of the pericytes are." (said at 0:25:26)
No published record matching the claim that the omega-3 transporter MFSD2A is specifically localized to the smallest blood vessels (capillaries) in the brain was located; this does not prove the claim false.
More than one third of patients in cerebral small vessel disease cohorts do not have hypertension.
"because to give you an example here, maybe a third, even more, of the cohort of these patients that we follow, they don't have any hypertension, first of all. So it tells you that there's a big chunk of people that can move to small vessel disease" (said at 1:19:04)
No published record matching the specific proportion of patients without hypertension in the cited cerebral small vessel disease cohort was located; this does not prove the claim false. While hypertension is established as a major risk factor for cerebral small vessel disease (CSVD) and white matter hyperintensities, the exact proportion of normotensive individuals across specific longitudinal clinical cohorts varies across study cohorts and definitions.
Hypertension in early adulthood (30s and 40s) increases the likelihood of rapid cognitive decline compared to normotensive peers, whereas hypertension onset in the 70s does not increase dementia risk.
"if you have early, like 30s, 40s—30s, 40s, if early hypertension, you will have a likelihood and more chance to develop cognitive decline quickly as compared to a normotensive person of the same age. And interestingly, they were showing also in the paper that if it's during your 70s, if I remember correctly, it doesn't impact your likelihood to develop dementia." (said at 1:20:08)
No published record matching the claim that hypertension onset specifically in the 30s and 40s leads to rapid cognitive decline while onset in the 70s has no impact on dementia risk was located; this does not prove the claim false.
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