{"title":"Recognition of dementia as a noncommunicable disease is just the start","authors":"Paola Barbarino","doi":"10.1038/s41582-026-01217-8","DOIUrl":"10.1038/s41582-026-01217-8","url":null,"abstract":"Dementia has been recognized as a noncommunicable disease in a recent United Nations political declaration, but it remains under-reported and will still be left behind if changes are not made to address mortality forecasts and if governments do not take dementia more seriously. The time to act is now.","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 6","pages":"327-328"},"PeriodicalIF":33.1,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Didu S. Kariyawasam, Giovanni Baranello, Michelle A. Farrar
{"title":"Newborn screening for spinal muscular atrophy: time is motor neuron","authors":"Didu S. Kariyawasam, Giovanni Baranello, Michelle A. Farrar","doi":"10.1038/s41582-026-01216-9","DOIUrl":"10.1038/s41582-026-01216-9","url":null,"abstract":"Newborn screening for spinal muscular atrophy (SMA) has changed the diagnostic paradigm for children with the condition, yet delays in implementation are causing inequities within the SMA community. A unified global approach is needed to implement screening and mitigate the barriers in access to high-cost treatments.","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 9","pages":"533-534"},"PeriodicalIF":31.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CAR T cell therapy shows promise for treatment of stiff person syndrome","authors":"Heather Wood","doi":"10.1038/s41582-026-01220-z","DOIUrl":"10.1038/s41582-026-01220-z","url":null,"abstract":"A new phase II trial indicates that a CAR T cell therapy is beneficial in individuals with stiff person syndrome, an autoimmune disease that causes muscle stiffness and painful spasms.","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 6","pages":"334-334"},"PeriodicalIF":33.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Satralizumab could reduce relapse risk in people with MOGAD","authors":"Heather Wood","doi":"10.1038/s41582-026-01219-6","DOIUrl":"10.1038/s41582-026-01219-6","url":null,"abstract":"Treatment with the IL-6 receptor-blocking monoclonal antibody satralizumab is associated with a reduced risk of relapse in people with myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD), according to new phase III trial data.","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 6","pages":"334-334"},"PeriodicalIF":33.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Plasma biomarkers for Alzheimer disease: the road from laboratory results to clinical practice","authors":"Charlotte E. Teunissen, Argonde C. van Harten","doi":"10.1038/s41582-026-01215-w","DOIUrl":"10.1038/s41582-026-01215-w","url":null,"abstract":"Blood-based biomarkers for Alzheimer disease have advanced rapidly, demonstrating strong diagnostic performance and associations with clinical progression. With recommended sensitivity and specificity thresholds now established, this Clinical Outlook considers the readiness of the tests for clinical implementation.","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 6","pages":"329-331"},"PeriodicalIF":33.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul M. Matthews, Naomi E. Allen, Stephanie Debette, Aiden Doherty, Gwenaëlle Douaud, Eugene P. Duff, Paul Elliott, Evelynne S. Fulda, Anastasia Ilina, Quentin Le Grand, Adam J. Lewandowski, Rebecca Mahoney, Karla Miller, Cecilia Rodriguez, Martin K. Rutter, Cynthia Sandor, Rebecca Sims, Stephen M. Smith, Chaoyue Wang
{"title":"Author Correction: UK Biobank at 20 — a growing, global resource for dementia research","authors":"Paul M. Matthews, Naomi E. Allen, Stephanie Debette, Aiden Doherty, Gwenaëlle Douaud, Eugene P. Duff, Paul Elliott, Evelynne S. Fulda, Anastasia Ilina, Quentin Le Grand, Adam J. Lewandowski, Rebecca Mahoney, Karla Miller, Cecilia Rodriguez, Martin K. Rutter, Cynthia Sandor, Rebecca Sims, Stephen M. Smith, Chaoyue Wang","doi":"10.1038/s41582-026-01213-y","DOIUrl":"10.1038/s41582-026-01213-y","url":null,"abstract":"","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 6","pages":"400-400"},"PeriodicalIF":33.1,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41582-026-01213-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147776928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nociceptive action of calcitonin gene-related peptide in the trigeminovascular system","authors":"Lars Edvinsson, Jacob C. A. Edvinsson","doi":"10.1038/s41582-026-01214-x","DOIUrl":"10.1038/s41582-026-01214-x","url":null,"abstract":"Migraine treatments that target calcitonin gene-related peptide (CGRP) are widely used, but questions remain regarding their mechanisms and sites of action. Re-examination of the effects of CGRP in the trigeminovascular system has now refined our understanding of nociceptive CGRP signalling and underscores the importance of early therapeutic intervention.","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 7","pages":"409-410"},"PeriodicalIF":31.2,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147753247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extracellular matrix remodelling in neurological diseases","authors":"Jessica Chi Fung Kwok, Alexander Dityatev","doi":"10.1038/s41582-026-01209-8","DOIUrl":"10.1038/s41582-026-01209-8","url":null,"abstract":"The neural extracellular matrix (ECM) in the CNS is a dynamic network of proteins and glycans that exists in multiple forms, including perineuronal nets, perisynaptic ECM and periaxonal coats. Together with the diffuse interstitial ECM, these components regulate synaptic stability, plasticity and network excitability. Behavioural studies highlight the crucial roles of ECM in shaping memory engrams and cognitive flexibility, positioning ECM as a promising therapeutic target for cognitive interventions across neurological diseases. ECM remodelling is a shared hallmark across multiple CNS diseases, yet it manifests in condition-specific patterns, from robust scar formation in trauma and stroke to more subtle and broadly distributed, but functionally substantial, ECM changes in chronic neurological disorders. Mechanistically, ECM remodelling is driven by multiple factors, including neuronal activity, neuromodulation and neuroinflammation. Diverse ECM-targeting treatments have shown efficacy in preclinical models of CNS diseases and provide attractive options for further optimization, repositioning and clinical translation. Furthermore, innovative biochemical and imaging technologies are emerging to provide further insight into ECM composition and dynamics, paving the way for novel ECM-targeting therapeutic strategies and biomarkers for diagnosis and monitoring. This Review outlines how the neural extracellular matrix (ECM) regulates synaptic function, memory and cognitive flexibility, and how its remodelling can contribute to both acute and chronic CNS disorders. The authors highlight emerging ECM-targeted therapies and technologies that could enable new treatments and biomarkers for neurological disorders.","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 6","pages":"366-384"},"PeriodicalIF":33.1,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147733756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alzheimer disease protection from the periphery","authors":"Kai Wang, Guojun Bu","doi":"10.1038/s41582-026-01211-0","DOIUrl":"10.1038/s41582-026-01211-0","url":null,"abstract":"The apolipoprotein E ε3 Christchurch variant provides remarkable resilience against Alzheimer disease by limiting tau propagation and suppressing neuroinflammation. New research reveals that this protection extends to the periphery, where ‘lipid-loaded’ extracellular vesicles stabilize the blood–brain barrier, which offers a novel systemic mechanism for developing potent disease-modifying therapies.","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 6","pages":"335-336"},"PeriodicalIF":33.1,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147680402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul M. Matthews, Naomi E. Allen, Stephanie Debette, Aiden Doherty, Gwenaëlle Douaud, Eugene P. Duff, Paul Elliott, Evelynne S. Fulda, Anastasia Ilina, Quentin Le Grand, Adam J. Lewandowski, Rebecca Mahoney, Karla Miller, Cecilia Rodriguez, Martin K. Rutter, Cynthia Sandor, Rebecca Sims, Stephen M. Smith, Chaoyue Wang
{"title":"UK Biobank at 20 — a growing, global resource for dementia research","authors":"Paul M. Matthews, Naomi E. Allen, Stephanie Debette, Aiden Doherty, Gwenaëlle Douaud, Eugene P. Duff, Paul Elliott, Evelynne S. Fulda, Anastasia Ilina, Quentin Le Grand, Adam J. Lewandowski, Rebecca Mahoney, Karla Miller, Cecilia Rodriguez, Martin K. Rutter, Cynthia Sandor, Rebecca Sims, Stephen M. Smith, Chaoyue Wang","doi":"10.1038/s41582-026-01200-3","DOIUrl":"10.1038/s41582-026-01200-3","url":null,"abstract":"UK Biobank is the world’s most comprehensive longitudinal population-based data and biosample resource. Twenty years after UK Biobank was first established, the incidence of dementia among participants is rising and is set to increase rapidly over the next 5–10 years, creating a distinct opportunity for studies of dementia risk and onset. In addition to extensive clinical phenotyping of >500,000 volunteers from across the UK at recruitment and at follow-up time points, UK Biobank includes data from serial lifestyle questionnaires, cognitive testing, multimodal imaging, accelerometry, genomics and other omics that are linked to individual health, cancer and death records. In this Perspective, we discuss how the use of UK Biobank data has enabled the discovery of new interactions between systemic and brain health and illustrate how these data can be used to characterize and identify risk factors, support mechanistic hypotheses and identify new biomarkers that predict the onset and course of dementia and related disorders. We also consider future developments of UK Biobank, including the UK Biobank Brain Health Study, which will build on and leverage the increasing incidence of dementias to advance understanding of these conditions. Twenty years after UK Biobank was established, the incidence of dementia among participants is set to rise rapidly. In this Perspective, Matthews et al. highlight how UK Biobank has advanced dementia research in its first 20 years and consider how future developments will leverage increasing incidence to further advance understanding of dementias.","PeriodicalId":19085,"journal":{"name":"Nature Reviews Neurology","volume":"22 6","pages":"385-399"},"PeriodicalIF":33.1,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147680712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}