Dementia with Lewy bodies: an update and outlook
Open accessAbstract
Dementia with Lewy bodies (DLB) is an age-associated neurodegenerative disorder producing progressive cognitive decline that interferes with normal life and daily activities. Neuropathologically, DLB is characterised by the accumulation of aggregated α-synuclein protein in Lewy bodies and Lewy neurites, similar to Parkinson's disease (PD). Extrapyramidal motor features characteristic of PD, are common in DLB patients, but are not essential for the clinical diagnosis of DLB. Since many PD patients develop dementia as disease progresses, there has been controversy about the separation of DLB from PD dementia (PDD) and consensus reports have put forward guidelines to assist clinicians in the identification and management of both syndromes. Here, we present basic concepts and definitions, based on our current understanding, that should guide the community to address open questions that will, hopefully, lead us towards improved diagnosis and novel therapeutic strategies for DLB and other synucleinopathies.
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Recent genetic studies demonstrated a robust association between the APOE4 allele and risk of dementia with Lewy bodies.
“Additionally, recent genetic studies have also demonstrated a robust association between the APOE4 allele and risk of DLB (6, 12), the second leading cause of dementia in the elderly.”
From <i>APOE3</i> -Jacksonville (V236E) variant reduces self-aggregation and risk of dementia (2021) · cites this paper as [12]
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- Authors
- Outeiro, T. F., Koss, D. J., Erskine, D., Walker, L., Kurzawa-Akanbi, M., Burn, D., Donaghy, P., Morris, C., Taylor, J.-P., Thomas, A., Attems, J., & McKeith, I.
- Affiliations
- Universitätsmedizin Göttingen (DE)
- Newcastle University (GB)
- Corresponding author
- Outeiro, Tiago Fleming
- McKeith, Ian
- ORCID
- Venue
- Molecular Neurodegeneration
- Published
- 2019-01-21
- Volume
- 14
- Issue
- 1
- Pages
- 5-5
- ISSN
- 1750-1326 (ISSN-L)
- PMC
- PMC6341685
- OpenAlex
- W2913102923
- Cited by
- 381
- References
- 12
- Citations by year
- 2026: 21 · 2025: 61 · 2024: 80 · 2023: 53 · 2022: 57 · 2021: 57 · 2020: 32 · 2019: 19
- FWCI
- 5.52
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Molecular Neurodegeneration (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- GoeScholar The Publication Server of the Georg-August-Universität Göttingen (Georg-August-Universität Göttingen) (submittedVersion, cc-by)
- MPG.PuRe (Max Planck Society) (submittedVersion, other-oa)
- Newcastle University ePrints (Newcastle Univesity) (cc-by)
- Funders
- Alzheimer's Society
- National Institute for Health and Care Research (NF-SI-0611-10048, CL-2016-01-007, ACF-2015-01-010)
- Newcastle University (G0400074)
- Deutsche Forschungsgemeinschaft
- Newcastle upon Tyne Hospitals NHS Foundation Trust
- National Institutes of Health
- Medical Research Council (G0400074)
- NIHR Newcastle Biomedical Research Centre
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- dementia with Lewy bodies, Lewy bodies, Lewy neurites, alpha-synuclein aggregation, synucleinopathies, Parkinson's disease dementia, differential diagnosis, clinical criteria, neurodegeneration, cognitive decline, treatment options
- MeSH terms
- Humans, Lewy Body Disease
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