Lewy body dementia promotion by air pollutants

Evidence links air pollution to dementia, yet its role in Lewy body dementia (LBD) remains unclear. In this work, we showed in a cohort of 56.5 million individuals across the United States that fine particulate matter (PM<sub>2.5</sub>) exposure raises LBD risk. Mechanistically, we found that PM<sub>2.5</sub> exposure led to brain atrophy in wild-type mice, an effect not seen in α-synuclein (αSyn)-deficient mice. PM<sub>2.5</sub> exposure generated a highly pathogenic αSyn strain, PM<sub>2.5</sub>-induced preformed fibril (PM-PFF), with enhanced proteinase K resistance and neurotoxicity, resembling αSyn LBD strains. PM<sub>2.5</sub> samples from China, the United States, and Europe consistently induced proteinase-resistant αSyn strains and in vivo pathology. Transcriptomic analyses revealed shared responses between PM<sub>2.5</sub>-exposed mice and LBD patients, underscoring PM<sub>2.5</sub>'s role in LBD and stressing the need for interventions to reduce air pollution and its associated neurological disease burden.

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Publication Details

Journal
Science
Published
2025-09-04
DOI
https://doi.org/10.1126/science.adu4132
Citations
20
Primary Topic
Air Quality and Health Impacts
Type
article
Field-Weighted Citation Impact
23.99
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article

Lewy body dementia promotion by air pollutants

Bong Gu Kang, Shizhong Han, Ramhari Kumbhar, Francesca Dominici et al.
20 citations
Science
Air Quality and Health Impacts
23.99
article

Lewy body dementia promotion by air pollutants

Bong Gu Kang, Shizhong Han, Ramhari Kumbhar, Francesca Dominici, Rodney J. Weber, David W. Nauen, Bin Bai, Ying Wang, Ma. Cristine Faye J. Denna, H. Li, Ted M. Dawson, Valina L. Dawson, S. Zhang, Han Seok Ko, Sonia García-Ruiz, Xiaobo Mao, Wenqiang Zheng, Pengfei Liu, Liuhua Shi, Dingli Ye, Mina Ryten, Alexander Pantelyat, Minhan Park, Liana S. Rosenthal, Xiaodi Zhang, Mahima Kaur, Kundlik Gadhave, Lili Niu, Weiyi Peng, Xiao Wu, Yang Liu, Mingyao Ying, Xiaoli Rong, Chantelle E. Terrillion, Rahel Feleke, Longgang Jia, Kezia Irene, Ning Wang, Rong Chen, Guomin Zhang, Xuan Zhang, Haiqing 海庆 LIU 刘, Lingtao Jin
article en
20 citations

Abstract

Evidence links air pollution to dementia, yet its role in Lewy body dementia (LBD) remains unclear. In this work, we showed in a cohort of 56.5 million individuals across the United States that fine particulate matter (PM<sub>2.5</sub>) exposure raises LBD risk. Mechanistically, we found that PM<sub>2.5</sub> exposure led to brain atrophy in wild-type mice, an effect not seen in α-synuclein (αSyn)-deficient mice. PM<sub>2.5</sub> exposure generated a highly pathogenic αSyn strain, PM<sub>2.5</sub>-induced preformed fibril (PM-PFF), with enhanced proteinase K resistance and neurotoxicity, resembling αSyn LBD strains. PM<sub>2.5</sub> samples from China, the United States, and Europe consistently induced proteinase-resistant αSyn strains and in vivo pathology. Transcriptomic analyses revealed shared responses between PM<sub>2.5</sub>-exposed mice and LBD patients, underscoring PM<sub>2.5</sub>'s role in LBD and stressing the need for interventions to reduce air pollution and its associated neurological disease burden.

ScienceVol. 389(6764)
Kennedy Krieger Institute (US), Georgia Institute of Technology (US), Harvard University (US), Johns Hopkins University (US), University of California, Merced (US), The University of Texas at San Antonio Health Science Center (US), University of Cambridge (GB), Johns Hopkins Medicine (US), UK Dementia Research Institute (GB), Institute of Child Health (IN), Lieber Institute for Brain Development (US), University of Houston (US), University College London (GB), Imperial College London (GB), Vertex Pharmaceuticals (United States) (US), Columbia University (US)
Openalex Percentile: Top 0%
Air Quality and Health Impacts
23.99
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