Lewy bodies are abnormal clumps of the protein alpha-synuclein that form within nerve cells in the brain. These clumps are associated with a range of neurological diseases, including Parkinson’s disease and dementia with Lewy bodies (DLB). Researchers have not yet fully understood how Lewy bodies cause dementia, though they have identified several mechanisms.
One mechanism is impairment of neurotransmission. Lewy bodies can interfere with the release of neurotransmitters, which are chemicals that carry messages across synapses between nerve cells in the brain. When neurotransmitters are not released effectively, it can lead to impaired communication between nerve cells, leading to cognitive and behavioral deficits.
Another mechanism is oxidative stress. Lewy bodies have been found to be associated with an increase in oxidative stress, which can damage cells and lead to inflammation. Oxidative stress can lead to cell death, which can further impair neurotransmission and lead to cognitive and behavioral deficits.
A third mechanism is the accumulation of toxic proteins. Lewy bodies are associated with the accumulation of toxic proteins, such as amyloid-beta and tau. These proteins can interfere with the function of nerve cells, leading to cognitive and behavioral deficits.
Finally, Lewy bodies can also lead to disruption of the blood-brain barrier, which is a barrier that protects the brain from toxins and pathogens. When this barrier is disrupted, it can lead to the entry of toxins and pathogens into the brain, which can further impair neurotransmission and lead to cognitive and behavioral deficits.
In summary, while the exact mechanisms by which Lewy bodies cause dementia are not yet fully understood, researchers have identified several potential mechanisms, including impairment of neurotransmission, oxidative stress, accumulation of toxic proteins, and disruption of the blood-brain barrier.