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Editorial
. 2023 Jun 1;146(6):2208-2210.
doi: 10.1093/brain/awad154.

The pathotome and precision health

Affiliations
Editorial

The pathotome and precision health

Kyan Younes et al. Brain. .

Abstract

This scientific commentary refers to ‘Pathological combinations in neurodegenerative disease are heterogeneous and disease-associated’ by Robinson et al. (https://doi.org/10.1093/brain/awad059).

PubMed Disclaimer

Conflict of interest statement

E.C.M. has received consulting fees from Eli Lilly and Neurotrack. K.Y. reports no competing interests.

Figures

Figure 1
Figure 1
The person-specific pathotome is a representation of the individual-level heterogeneity of neuropathological findings in neurodegenerative disease. Top right: Robinson and colleagues considered 10 pathological categories and eight clinical diagnoses. Left: Examples of the potential upstream pathways that may drive the pathological changes observed. Bottom right: Three examples of a pathotome. Similar to a fingerprint, each individual has a particular pattern of pathologies affecting different anatomical brain regions to varying degrees. Ab = amyloid-β; AD = Alzheimer’s disease; a-Syn =α-synuclein; CAA = cerebral amyloid angiopathy; CVD = cerebrovascular disease; TDP = transactive response DNA-binding protein; ND = neurodegenerative disease.

Comment on

References

    1. Boyle PA, Yu L, Wilson RS, Leurgans SE, Schneider JA, Bennett DA. Person-specific contribution of neuropathologies to cognitive loss in old age. Ann Neurol. 2018;83:74–83. - PMC - PubMed
    1. Beach TG, Malek-Ahmadi M. Alzheimer’s disease neuropathological comorbidities are common in the younger-old. J Alzheimers Dis. 2021;79:389–400. - PMC - PubMed
    1. Robinson JL, Lee EB, Xie SX, et al. . Neurodegenerative disease concomitant proteinopathies are prevalent, age-related and APOE4-associated. Brain. 2018;141:2181–2193. - PMC - PubMed
    1. Robinson JL, Xie SX, Baer DR, et al. . Pathological combinations in neurodegenerative disease are heterogeneous and disease-associated. Brain. 2023;146:2557–2569. - PMC - PubMed
    1. White LR, Edland SD, Hemmy LS, et al. . Neuropathologic comorbidity and cognitive impairment in the Nun and Honolulu-Asia aging studies. Neurology. 2016;86:1000–1008. - PMC - PubMed