Family History is Associated with Phenotype in Dementia with Lewy Bodies

被引：2

作者：

Vergouw, Leonie J. M. ^{[1
]}

Bosman, Brechje ^{[1
]}

van de Beek, Marleen ^{[2
]}

Salome, Mariet ^{[3
,4
]}

Hoogers, Susanne E. ^{[1
]}

van Steenoven, Inger ^{[2
]}

Roks, Gerwin ^{[3
]}

Bonifati, Vincenzo ^{[5
]}

van Swieten, John C. ^{[1
]}

Lemstra, Afina W. ^{[2
]}

de Jong, Frank Jan ^{[1
]}

机构：

[1] Erasmus MC, Erasmus Med Ctr, Dept Neurol, Alzheimer Ctr, POB 2040, NL-3000 CA Rotterdam, Netherlands

[2] Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Dept Neurol, Amsterdam, Netherlands

[3] Elisabeth TweeSteden Ziekenhuis, Dept Neurol, Tilburg, Netherlands

[4] St Jansdal Ziekenhuis, Dept Neurol, Harderwijk, Netherlands

[5] Erasmus MC, Dept Clin Genet, Rotterdam, Netherlands

来源：

JOURNAL OF ALZHEIMERS DISEASE | 2020年 / 73卷 / 01期

关键词：

Dementia with Lewy bodies; family history; phenotype; survival; SURVIVAL; RISK; MANAGEMENT; MUTATIONS; DIAGNOSIS; DISEASE; BODY; APOE;

D O I：

10.3233/JAD-190825

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

It is currently unknown whether patients with dementia with Lewy bodies (DLB) with relatives with dementia or Parkinson's disease (familial DLB patients) have a different phenotype than sporadic DLB patients. In this study, we aimed to examine disease onset, rate of cognitive decline, survival and Alzheimer's disease (AD) biomarkers in patients with dementia with Lewy bodies (DLB) with a family history of dementia or Parkinson's disease (familial DLB, n = 154) and sporadic DLB patients (n = 137), using linear mixed model analysis and Cox regression analysis, among others. Familial patients had a shorter survival (8.0 years) and more often elevated cerebrospinal fluid AD biomarkers (47%) than sporadic patients (9.0 years; p < 0.001; 30%, p = 0.037). Our findings suggest that genetic factors are important in DLB and that the identification of new genetic factors will probably improve the prediction of prognosis.

引用

页码：269 / 275

页数：7

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