Evidence map›Paper›PMID 40474850›Full record

ArticleAging cell2025

Type-Specific Single-Neuron Analysis Reveals Mitochondrial DNA Maintenance Failure Affecting Atrophying Pontine Neurons Differentially in Lewy Body Dementia Syndromes.

Eloise J Stephenson, Laura J Bailey, Stephen Gentleman, Helen Tuppen, Istvan Bodi, Claire Troakes, Christopher M Morris, Tony M Carr, Sarah Guthrie, Joanna L Elson and 1 more

Abstract read
In one paragraph

Article in Aging cell, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Eloise J StephensonDepartment of Neuroscience, School of Life Sciences, University of Sussex, Brighton, UK.
Laura J BaileyGenome Damage and Stability Centre, School of Life Sciences, University of Sussex, Brighton, UK.
Stephen GentlemanDepartment of Brain Sciences, Imperial College London, London, UK.ORCID 0000-0002-7131-4643
Helen TuppenCentre for Mitochondrial Research, The Biosciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Istvan BodiLondon Neurodegenerative Diseases Brain Bank, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Claire TroakesLondon Neurodegenerative Diseases Brain Bank, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Christopher M MorrisNewcastle Brain Tissue Resource, Newcastle University, Newcastle upon Tyne, UK.
Tony M CarrGenome Damage and Stability Centre, School of Life Sciences, University of Sussex, Brighton, UK.
Sarah GuthrieDepartment of Neuroscience, School of Life Sciences, University of Sussex, Brighton, UK.
Joanna L ElsonCentre for Mitochondrial Research, The Biosciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Ilse S PienaarCentre for Human Metabolomics, North-West University, Potchefstroom, South Africa.ORCID 0000-0003-3147-7429

Funding

Alzheimer's Society 3242
6 · The paper itself

Abstract

The age-associated neurodegenerative disorder, Lewy body dementia (LBD), encompasses neuropsychiatric symptom-overlapping Dementia with Lewy bodies (DLB) and Parkinson's Disease with Dementia (PDD). We characterised how differential mitochondrial DNA (mtDNA) profiles contribute to neurotype-specific neurodegeneration and thereby clinicopathological heterogeneity, between LBD's syndromes. We further characterised key nuclear-encoding genes' recalibrations in response to such mtDNA changes. In post-mortem 'single-cell' acetylcholine- and noradrenaline-producing neurons, respectively of the pedunculopontine nucleus (PPN) and locus coeruleus (LC) from DLB, PDD and neurological-control brains, we quantified 'major arc'-locating mtDNA deletions (mtDels) and -copy number (mtCN), and measured mRNA levels of nuclear-encoding genes regulating mtDNA maintenance, -biogenesis and mitophagy. DLB cases' OXPHOS defect instigating mtDel burden was higher in both neurotypes than PDD. In DLB, mtCN was reduced for both neurotypes, but PDD cases revealed mtDNA depletion in LC-noradrenergic neurons only. DLB patients' shorter survival correlated with PPN-cholinergic neurons' mtDel levels, inversely with wild-type mtCN, implying that such neurons' inability to maintain sufficient wild-type mtDNA content drive DLBs' rapid psycho-cognitive manifestations. Contrastingly, PDD's longer disease duration allowed compensation against mtDels' clonal expansion in PPN-cholinergic neurons. Moreover, PDD induced mRNA depletion of a mitochondrial genome maintenance gene in PPN-cholinergic neurons, whilst LC-noradrenergic neurons displayed reduced expression of a mitophagy regulating gene. Here we identify mitochondrial genome maintenance and mitophagy pathway enrichment as therapeutic targets to offset defective mtDNA within pontine cholinergic and noradrenergic neurons of PDD patients. The pronounced LBD subtype-related mitochondria-nuclear genetic differences question the consensus that pathology converges at disease end-stage, calling for LBD subtype and neurotype-specific therapeutics.

Indexed as

DNA, MitochondrialLewy Body DiseaseNeuronsSingle-Cell AnalysisAgedAged, 80 and overAtrophyFemaleHumansLocus CoeruleusMaleMitochondriaDNA, Mitochondrialbrainstemcholinergic neuronsLewy body dementiamitochondrial DNAnoradrenergic neuronsnuclear gene transcriptomic responses

Identifiers

PMID40474850
PMCPMC12341794

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.