The Impact of Systemic Inflammation on Alzheimer’s Disease Pathology
Open accessAbstract
Alzheimer’s disease (AD) is a devastating age-related neurodegenerative disorder with an alarming increasing prevalence. Except for the recently FDA-approved Aducanumab of which the therapeutic effect is not yet conclusively proven, only symptomatic medication that is effective for some AD patients is available. In order to be able to design more rational and effective treatments, our understanding of the mechanisms behind the pathogenesis and progression of AD urgently needs to be improved. Over the last years, it became increasingly clear that peripheral inflammation is one of the detrimental factors that can contribute to the disease. Here, we discuss the current understanding of how systemic and intestinal (referred to as the gut-brain axis) inflammatory processes may affect brain pathology, with a specific focus on AD. Moreover, we give a comprehensive overview of the different preclinical as well as clinical studies that link peripheral Inflammation to AD initiation and progression. Altogether, this review broadens our understanding of the mechanisms behind AD pathology and may help in the rational design of further research aiming to identify novel therapeutic targets.
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Systemic inflammation from peripheral immune system, such as caused by infection or gut microbiota perturbation, occurring decades before typical dementia onset, may promote progression of neurodegenerative processes.
“Together, these findings suggest that systemic inflammation from the peripheral immune system, such as that caused by infection or gut microbiota perturbation, occurring decades before the typical age of dementia onset, may promote the progression of neurodegenerative processes.94”
From Role of neuroinflammation in neurodegeneration development (2023) · cites this paper as [94]
The Conclusion (page unavailable) says systemic inflammation might drive the initiation and progression of Alzheimer’s disease, while the clinical-studies and gut-inflammation sections discuss infection and altered gut microbiota as contributors. The paper does not establish the claim’s specific timing—that such inflammation occurs decades before the typical age of dementia onset. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPeripheral inflammatory molecules induced by acute systemic viral or bacterial infections can affect brain function through neural and humoral pathways.
“Multiple clinical and experimental studies have demonstrated that peripheral inflammatory molecules induced by acute systemic viral or bacterial infections can affect brain function through neural and humoral pathways.94,98,99”
From Role of neuroinflammation in neurodegeneration development (2023) · cites this paper as [94]
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- Authors
- Xie, J., Van Hoecke, L., & Vandenbroucke, R. E.
- Affiliations
- Ghent University (BE)
- Corresponding author
- Vandenbroucke, Roosmarijn E.
- Venue
- Frontiers in Immunology
- Publisher
- Frontiers Media SA
- Published
- 2022-01-06
- Volume
- 12
- Pages
- 796867-796867
- ISSN
- 1664-3224 (ISSN-L)
- PMC
- PMC8770958
- OpenAlex
- W4205125680
- Cited by
- 324
- References
- 51
- Citations by year
- 2026: 58 · 2025: 90 · 2024: 96 · 2023: 56 · 2022: 24
- FWCI
- 9.15
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Immunology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fonds Wetenschappelijk Onderzoek (G055121N)
- China Scholarship Council (201808360194)
- Vlaamse regering
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Alzheimer's disease, systemic inflammation, peripheral inflammation, gut-brain axis, intestinal inflammation, neuroinflammation, pathogenesis, disease progression, therapeutic target
- MeSH terms
- Brain-Gut Axis, Alzheimer Disease, Animals, Biological Transport, Blood-Brain Barrier, Brain, Disease Models, Animal, Disease Susceptibility, Environment, Humans, Inflammation, Signal Transduction, Biomarkers, Host-Pathogen Interactions
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