Overlap between neurodegenerative disorders
Abstract
Neurodegenerative disorders are characterized by the formation of distinct pathological changes in the brain, including extracellular protein deposits, cellular inclusions, and changes in cell morphology. Since the earliest published descriptions of these disorders, diagnosis has been based on clinicopathological features, namely, the coexistence of a specific clinical profile together with the presence or absence of particular types of lesion. In addition, the molecular profile of lesions has become an increasingly important feature both in the diagnosis of existing disorders and in the description of new disease entities. Recent studies, however, have reported considerable overlap between the clinicopathological features of many disorders leading to difficulties in the diagnosis of individual cases and to calls for a new classification of neurodegenerative disease. This article discusses: (i) the nature and degree of the overlap between different neurodegenerative disorders and includes a discussion of Alzheimer's disease, dementia with Lewy bodies, the fronto‐temporal dementias, and prion disease; (ii) the factors that contribute to disease overlap, including historical factors, the presence of disease heterogeneity, age‐related changes, the problem of apolipoprotein genotype, and the co‐occurrence of common diseases; and (iii) whether the current nosological status of disorders should be reconsidered.
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Overlapping pathologies among dementia patients indicate a wide range of biological heterogeneity within AD.
“Moreover, the growing recognition of overlapping pathologies (e.g., Lewy body inclusions, TDP-43 pathology, vascular lesions, etc.) among dementia patients indicates a wide range of biological heterogeneity within AD that necessitates a broader approach to scientific investigations of its pathophysiology [37–39].”
From Systems-based proteomics to resolve the biology of Alzheimer’s disease beyond amyloid and tau (2021) · cites this paper as [37]
Most demented elderly individuals harbor more than one hallmark dementia pathology.
“It is becoming increasingly clear that most demented elderly individuals harbor more than one “hallmark” dementia pathology [37].”
From Systems-based proteomics to resolve the biology of Alzheimer’s disease beyond amyloid and tau (2021) · cites this paper as [37]
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- Authors
- Armstrong, R. A., Lantos, P. L., & Cairns, N. J.
- Affiliations
- Aston University (GB)
- King's College London (GB)
- Washington University in St. Louis (US)
- Corresponding author
- Armstrong, Richard A.
- Venue
- Neuropathology
- Publisher
- Wiley
- Published
- 2005-04
- Volume
- 25
- Issue
- 2
- Pages
- 111-124
- ISSN
- 0919-6544 (ISSN-L)
- 1440-1789
- OpenAlex
- W2088237782
- Cited by
- 146
- References
- 151
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 8 · 2023: 11 · 2022: 5 · 2021: 5 · 2020: 8 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 8 · 2015: 5 · 2014: 13 · 2013: 1 · 2012: 8
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropathology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Keywords
- neurodegenerative diseases, disease overlap, Alzheimer's disease, dementia with Lewy bodies, frontotemporal dementia, prion disease, clinicopathological features, disease heterogeneity, disease classification, protein deposits, cellular inclusions
- MeSH terms
- Brain, Humans, Neurodegenerative Diseases
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