Article
作者: Zhang, Kevin ; Wu, Xiao ; Dawson, Ted M. ; Terrillion, Chantelle E. ; Zhang, Xuan ; Mao, Xiaobo ; Rong, Xiaoli ; Zheng, Wenqiang ; Peng, Weiyi ; Kaur, Mahima ; Dawson, Valina L. ; Bai, Bin ; Jin, Lingtao ; Kang, Bong Gu ; Chen, Rong ; Ryten, Mina ; Gadhave, Kundlik ; Feleke, Rahel ; Li, Hanyu ; Nauen, David W. ; Pantelyat, Alex ; Shi, Liuhua ; Park, Minhan ; Liu, Haiqing ; Ying, Mingyao ; Dominici, Francesca ; Rosenthal, Liana S. ; García-Ruiz, Sonia ; Kumbhar, Ramhari ; Wang, Ning ; Yang, Liu ; Irene, Kezia ; Zhang, Shu ; Wang, Lena ; Jia, Longgang ; Denna, Ma. Cristine Faye ; Han, Shizhong ; Ye, Denghui ; Weber, Rodney J. ; Niu, Lili ; Zhang, Xiaodi ; Liu, Pengfei ; Ko, Han Seok
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
2.5
) exposure raises LBD risk. Mechanistically, we found that PM
2.5
exposure led to brain atrophy in wild-type mice, an effect not seen in α-synuclein (αSyn)–deficient mice. PM
2.5
exposure generated a highly pathogenic αSyn strain, PM
2.5
–induced preformed fibril (PM-PFF), with enhanced proteinase K resistance and neurotoxicity, resembling αSyn LBD strains. PM
2.5
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
2.5
-exposed mice and LBD patients, underscoring PM
2.5
’s role in LBD and stressing the need for interventions to reduce air pollution and its associated neurological disease burden.