The significance of α-Synuclein, Amyloid-β and Tau pathologies in Parkinson's disease progression and related dementia

<p><strong>Background:</strong> Dementia is one of the milestones of advanced Parkinson’s disease (PD), with its neuropathological substrate still being a matter of debate, particularly regarding its potential mechanistic implications.</p> <p><strong>Objective:<...

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Main Authors: Compta, Y, Parkkinen, L, Kempster, P, Selikhova, M, Lashley, T, Holton, J, Lees, A, Revesz, T
Format: Journal article
Published: Karger 2013
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author Compta, Y
Parkkinen, L
Kempster, P
Selikhova, M
Lashley, T
Holton, J
Lees, A
Revesz, T
author_facet Compta, Y
Parkkinen, L
Kempster, P
Selikhova, M
Lashley, T
Holton, J
Lees, A
Revesz, T
author_sort Compta, Y
collection OXFORD
description <p><strong>Background:</strong> Dementia is one of the milestones of advanced Parkinson’s disease (PD), with its neuropathological substrate still being a matter of debate, particularly regarding its potential mechanistic implications.</p> <p><strong>Objective:</strong> The aim of this study was to review the relative importance of Lewyrelated α-synuclein and Alzheimer’s tau and amyloid-β (Aβ) pathologies in disease progression and dementia in PD.</p> <p><strong>Methods:</strong> We reviewed studies conducted at the Queen Square Brain Bank, Institute of Neurology, University College London, using large PD cohorts.</p> <p><strong>Results:</strong> Cortical Lewy- and Alzheimer-type pathologies are associated with milestones of poorer prognosis and with non-tremor predominance, which have been, in turn, linked to dementia. The combination of these pathologies is the most robust neuropathological substrate of PD-related dementia, with cortical Aβ burden determining a faster progression to dementia.</p> <p><strong>Conclusion:</strong> The shared relevance of these pathologies in PD progression and dementia is in line with experimental data suggesting synergism between α-synuclein, tau and Aβ and with studies testing these proteins as disease biomarkers, hence favouring the eventual testing of therapeutic strategies targeting these proteins in PD.</p>
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spelling oxford-uuid:866c9dc8-1646-4da3-b0e8-23e6fa662cf22022-03-26T22:03:49ZThe significance of α-Synuclein, Amyloid-β and Tau pathologies in Parkinson's disease progression and related dementiaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:866c9dc8-1646-4da3-b0e8-23e6fa662cf2Symplectic Elements at OxfordKarger2013Compta, YParkkinen, LKempster, PSelikhova, MLashley, THolton, JLees, ARevesz, T<p><strong>Background:</strong> Dementia is one of the milestones of advanced Parkinson’s disease (PD), with its neuropathological substrate still being a matter of debate, particularly regarding its potential mechanistic implications.</p> <p><strong>Objective:</strong> The aim of this study was to review the relative importance of Lewyrelated α-synuclein and Alzheimer’s tau and amyloid-β (Aβ) pathologies in disease progression and dementia in PD.</p> <p><strong>Methods:</strong> We reviewed studies conducted at the Queen Square Brain Bank, Institute of Neurology, University College London, using large PD cohorts.</p> <p><strong>Results:</strong> Cortical Lewy- and Alzheimer-type pathologies are associated with milestones of poorer prognosis and with non-tremor predominance, which have been, in turn, linked to dementia. The combination of these pathologies is the most robust neuropathological substrate of PD-related dementia, with cortical Aβ burden determining a faster progression to dementia.</p> <p><strong>Conclusion:</strong> The shared relevance of these pathologies in PD progression and dementia is in line with experimental data suggesting synergism between α-synuclein, tau and Aβ and with studies testing these proteins as disease biomarkers, hence favouring the eventual testing of therapeutic strategies targeting these proteins in PD.</p>
spellingShingle Compta, Y
Parkkinen, L
Kempster, P
Selikhova, M
Lashley, T
Holton, J
Lees, A
Revesz, T
The significance of α-Synuclein, Amyloid-β and Tau pathologies in Parkinson's disease progression and related dementia
title The significance of α-Synuclein, Amyloid-β and Tau pathologies in Parkinson's disease progression and related dementia
title_full The significance of α-Synuclein, Amyloid-β and Tau pathologies in Parkinson's disease progression and related dementia
title_fullStr The significance of α-Synuclein, Amyloid-β and Tau pathologies in Parkinson's disease progression and related dementia
title_full_unstemmed The significance of α-Synuclein, Amyloid-β and Tau pathologies in Parkinson's disease progression and related dementia
title_short The significance of α-Synuclein, Amyloid-β and Tau pathologies in Parkinson's disease progression and related dementia
title_sort significance of α synuclein amyloid β and tau pathologies in parkinson s disease progression and related dementia
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