Original Investigation

Ambient Air Pollution and the Severity of Alzheimer Disease Neuropathology

JAMA Neurology 10.1001/jamaneurol.2025.3316

September 08, 2025 at 11:00 AM EDT

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What are the associations between air pollution, neuropathology, and dementia?In this study of 602 autopsy-confirmed individuals, exposure to higher levels of fine particulate matter air pollution (PM) was associated with more advanced Alzheimer disease neuropathologic change (ADNC) and more advanced clinical measures of dementia. The association between PM exposure and clinical dementia severity appeared to be statistically mediated by ADNC.Higher PM exposure may exacerbate Alzheimer disease neuropathologic change and cognitive dysfunction in the setting of dementia; population-based autopsy studies are further needed to generalize these findings.

Corresponding Author: Edward B. Lee, MD, PhD, Center for Neurodegenerative Disease Research Brain Bank, Institute of Aging, Penn Alzheimer’s Disease Research Center, Perelman School of Medicine, University of Pennsylvania, 613A Stellar Chance Laboratories, 422 Curie Blvd, Philadelphia, PA 19104 (edward.lee@pennmedicine.upenn.edu).

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