It is clear that levels of fibrillar AB deposition alone can not fully account for the variability in cognitive status across the normal aging-MCI-AD spectrum. While efforts at reducing AB accumulation are essential, understanding the modulators of the effect of Ap may be equally important and lead to a further appreciation of the importance of cerebrovascular and cardiovascular health with aging. Identifying individuals particulariy prone to damaging the effects of AB should help select the best candidates for future anti-amyloid therapies.
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