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Published on: December 18, 2016
Brain pathology in relation to somatic diseases: Exploring the body-brain crosstalk
G Grande1,2, M Valletta1, F Gasparini1
1Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Common somatic diseases increase dementia risk, primarily through brain damage like neuronal loss and vascular lesions, not Alzheimer's-specific pathology. This highlights the importance of understanding mixed dementia in older adults.
Area of Science:
- Neurology
- Gerontology
- Pathology
Background:
- Somatic diseases are linked to dementia risk, but neuropathological links are unclear.
- Alzheimer's disease (AD) and non-AD pathologies are key considerations.
- Age-related conditions like heart disease, diabetes, and anemia are prevalent.
Purpose of the Study:
- To review evidence linking somatic conditions to AD and non-AD neuropathology.
- To synthesize findings on brain atrophy, neuroinflammation, and proteinopathies.
- To clarify the neuropathological basis of dementia in somatic disease patients.
Main Methods:
- Narrative review of human studies.
- Searched PubMed for postmortem, imaging, and biomarker data.
- Qualitative synthesis and strength grading of evidence.
Main Results:
- Somatic diseases strongly associated with neuronal loss and cerebrovascular lesions.
- Limited and inconsistent evidence links somatic diseases to amyloid and tau pathology.
- Neuroinflammation and non-AD proteinopathies were not systematically studied.
Conclusions:
- Somatic diseases likely drive dementia via non-AD mechanisms, especially cerebrovascular injury and neuronal loss.
- These conditions may not primarily cause Alzheimer's disease pathology.
- Further research on mixed dementia and a holistic view of brain health is needed.
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