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New Studies Tie PM2.5 to Worse Alzheimer’s Pathology and Higher Lewy Body Dementia Risk

Fresh autopsy evidence indicates fine particle pollution can intensify neurodegeneration rather than initiate it.

Overview

  • A University of Pennsylvania study of 602 brain autopsies reports a 19% higher likelihood of severe Alzheimer’s pathology for each 1 μg/m3 increase in one-year average PM2.5 exposure.
  • Clinical records from a subset of 287 cases showed higher PM2.5 levels were linked to greater cognitive and functional impairment on the CDR-SB scale.
  • Exposure estimates were derived from satellite and ground-monitor data based on residential location, and researchers note they could not capture individual-specific exposures such as second-hand smoke.
  • A separate nationwide analysis of more than 56 million U.S. hospital records found long-term PM2.5 was associated with a 12% higher risk of hospitalization for Lewy body–related dementias, including Parkinson’s disease dementia.
  • Mouse experiments showed α-synuclein clumping, medial temporal lobe shrinkage, and cognitive deficits with gene-expression changes resembling human Lewy body or Parkinson’s disease dementias, though authors caution about high-dose animal exposures and call for replication and more realistic models.