重度CTEと認知症リスクの明確な関連を示す研究 (NIH-funded study clearly ties risk of dementia to severe CTE)

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2026-01-27 アメリカ国立衛生研究所(NIH)

米国国立衛生研究所(NIH)の助成を受けた研究により、重度の慢性外傷性脳症(CTE)と認知症発症リスクとの間に明確な関連があることが示された。研究チームは、アメリカンフットボールなど接触スポーツの経験者を含む脳提供者の病理データを解析し、CTEの重症度と生前の認知機能低下との関係を詳細に検証した。その結果、CTEが重度であるほど、記憶障害や判断力低下を含む認知症症状を示す割合が有意に高いことが確認された。一方で、脳内に他の神経変性疾患の病変が存在しても、CTEの重症度が認知症リスクを独立して高める要因であることが明らかとなった。本研究は、頭部への反復的外傷が長期的な脳健康に深刻な影響を及ぼすことを強く示唆しており、スポーツ安全対策や早期診断法の開発、公衆衛生政策の見直しに重要な科学的根拠を提供する成果である。

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CTE神経病理学のみでも認知症や認知症状と関連している CTE neuropathology alone is associated with dementia and cognitive symptoms

Rachael M. Layden, Jenna R. Groh, Annalise E. Miner, Abigail Kidd, Sophia B. Nosek, Stephanie Gonzalez Gil, Bobak Abdolmohammadi, Steven Lenio, Christopher J. Nowinski, Yorghos Tripodis, …
Alzheimer’s & Dementia  Published: 27 January 2026
DOI:https://doi.org/10.1002/alz.71032

重度CTEと認知症リスクの明確な関連を示す研究 (NIH-funded study clearly ties risk of dementia to severe CTE)

Abstract

INTRODUCTION

This studyexamined the independent contribution of chronic traumatic encephalopathy (CTE) neuropathology to symptoms.

METHODS

The sample included 614 brain donors with (n = 366) and without (n = 248) autopsy-confirmed CTE. Brain donors with other major neurodegenerative disease diagnoses were excluded. Informants completed cognitive and neuropsychiatric measures. Dementia was determined during diagnostic consensus conferences.

RESULTS

CTE stage IV (of IV) was associated with 4.48 (95% confidence interval [CI] = 1.97–10.90) increased odds of having dementia. CTE stage III had an odds ratio of 2.12 (95% CI = 1.91–3.77). Higher CTE stage was associated with greater informant-reported cognitive symptoms (p < 0.01). There were no associations with mood/behavioral scales.

DISCUSSION

CTE stage III/IV neuropathology was associated with dementia and cognitive symptoms: those with stage IV were 4.5 times more likely to have dementia than those without CTE. It is uncertain if low-stage CTE clinically manifests, and mood/behavioral symptoms likely have multifactorial causes and/or a fluctuating course.

Highlights
  • Stage III and IV chronic traumatic encephalopathy (CTE) are independently associated with increased odds of having dementia.
  • Higher CTE stage was associated with greater informant-reported cognitive symptoms.
  • Stage I and II CTE were not associated with cognitive symptoms or dementia.
  • CTE of any severity was not associated with informant-reported mood or behavioral symptoms.
医療・健康
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