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. Author manuscript; available in PMC: 2024 Feb 26.
Published in final edited form as: J Alzheimers Dis. 2023;95(4):1301–1337. doi: 10.3233/JAD-230555

Table 3.

Enablers of malignant aging and neurodegeneration

Intrinsic factors
  1. Aging
  2. APOE ε4
  3. Presenilin mutation
  4. AβPP gene mutation
  5. Down syndrome
Extrinsic Factors
  1. Obesity
  2. Diabetes mellitus
  3. Insulin Resistance diseases (non-alcoholic fatty liver disease; metabolic syndrome)
  4. Cerebrovascular pathologies
  5. Infection
  6. Head Trauma
  7. Severe Inflammatory States
  8. General anesthesia
  9. Hypoxia
  10. Cardiovascular events with hypoperfusion
  11. Environmental
   a. Air pollution (particulate matter)
   b. Herbicides
   c. Pesticides
  12. Lifestyle
   a. Nitrosamine exposures-preserved, processed foods
   b. Tobacco
   c. Head trauma
   d. Heavy alcohol consumption