Mechanistic insights into the role of herpes simplex virus 1 in Alzheimer’s disease
Open accessAbstract
Alzheimer’s Disease (AD) is an aging-associated neurodegenerative disorder, threatening millions of people worldwide. The onset and progression of AD can be accelerated by environmental risk factors, such as bacterial and viral infections. Human herpesviruses are ubiquitous infectious agents that underpin numerous inflammatory disorders including neurodegenerative diseases. Published studies concerning human herpesviruses in AD imply an active role HSV-1 in the pathogenesis of AD. This review will summarize the current understanding of HSV-1 infection in AD and highlight some barriers to advance this emerging field.
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Neurotropic pathogens such as human herpes virus, herpes simplex virus, hepatitis C virus, cytomegalovirus, varicella-zoster virus, and Epstein-Barr virus are associated with Alzheimer's disease neuropathology.
“For example, neurotropic pathogens, such as human herpes virus (HHV), herpes simplex virus (HSV), hepatitis C virus (HCV), cytomegalovirus, varicella-zoster virus, and Epstein–Barr virus are associated with Alzheimer’s disease (AD) neuropathology [10,11,12,13].”
From VEEV TC-83 Triggers Dysregulation of the Tryptophan–Kynurenine Pathway in the Central Nervous System That Correlates with Cognitive Impairment in Tg2576 Mice (2024) · cites this paper as [12]
The Introduction (page unavailable) links HSV-1 and HSV-2 infection to AD and AD-like neurodegeneration, and identifies HSV-1 as human herpesvirus 1. It does not establish an AD-neuropathology association for hepatitis C virus, cytomegalovirus, varicella-zoster virus, or Epstein–Barr virus; it discusses Epstein–Barr virus in relation to multiple sclerosis instead. (LLM, conf=0.87)
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Viral Infections, Are They a Trigger and Risk Factor of Alzheimer’s Disease?
Rippee‐Brooks, M. D., Wu, W., Dong, J., Pappolla, M. A., Fang, X., & Bao, X. (2024) · Pathogens · doi:10.3390/pathogens13030240 · Cited by 31 · see citing works
“…causing clinical There exists a detailed and eloquent review by Shu Feng and colleagues that really delves into the details surrounding HSV-1 in AD [30]. signs of lesions known as cold sores or oral blisters, but can also reach the brain by traveling from the bipolar trigeminal ganglion to We…”
BackgroundOlfactory and trigeminal routes of HSV-1 CNS infection with regional microglial heterogeneity
Niemeyer, C. S., Merle, L., Bubak, A. N., Baxter, B. D., Polese, A. G., Colon-Reyes, K., Vang, S., Hassell, J. E., Bruce, K. D., Nagel, M. A., et al. (2024) · Journal of Virology · doi:10.1128/jvi.00968-24 · Cited by 24 · see citing works
Oh, S.-J., Kim, Y. Y., Ma, R.-Y., Choi, S., Choi, S., Cho, J. H., Hur, J. Y., Yoo, Y., Han, K., Park, H., et al. (2025) · Theranostics · doi:10.7150/thno.105953 · Cited by 18
“Recurrent HSV1 infections have been proposed to be the main cause of prolonged glial cell activation and neuroinflammation in mice [59].”
Hosseininasab, S.-S.-M., Ebrahimi, R., Yaghoobpoor, S., Kazemi, K., Khakpour, Y., Hajibeygi, R., Mohamadkhani, A., Fathi, M., Vakili, K., Tavasol, A., et al. (2025) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1513095 · Cited by 18 · see citing works
Lim, L. (2024) · Frontiers in Neurology · doi:10.3389/fneur.2024.1407785 · Cited by 14 · see citing works
Chauhan, P., Begum, M., Narapureddy, B., Gupta, S., Wadhwa, K., Singh, G., Kumawat, R., Sharma, N., Ballal, S., Jha, S., et al. (2024) · Molecular Neurobiology · doi:10.1007/s12035-024-04535-4 · Cited by 8 · see citing works
Stefano, G. B., Weissenberger, S., Ptáček, R., Anders, M., Raboch, J., & Büttiker, P. (2024) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-024-01503-3 · Cited by 10 · see citing works
“Similarly, herpes simplex virus 1 (HSV-1) has been implicated in the pathogenesis of Alzheimer’s disease and can exacerbate oxidative stress, disrupt mitochondrial dynamics, and damage neurons (Feng et al. 2023).”
BackgroundMin, J.-H., Sarlus, H., & Harris, R. A. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1467333 · Cited by 11 · see citing works
“…overall antimicrobial protection, but also mechanistically as ApoE4 prevents HSV-1 cellular attachment but crucially not viral entry or replication, and can also be incorporated into the HSV-1 virion that can enhance release from the cell (Feng et al., 2023), which would be an issue for viral AD.”
BackgroundInfluentialCarnosic Acid Inhibits Herpes Simplex Virus Replication by Suppressing Cellular ATP Synthesis
Horváth, G., Molnár, E., Szabó, Z., Kecskeméti, G., Juhász, L., Tallósy, S., Nyári, J., Bogdanov, A., Somogyvári, F., Endrész, V., et al. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25094983 · Cited by 8
“There are differing results regarding the impact of HSV infection on the TCA cycle and oxidative phosphorylation including the potential shift from the TCA cycle and oxidative phosphorylation to the pentose phosphate pathway [32].”
BackgroundHSV-1 as a Potential Driver of Alzheimer’s Disease
Li, D.-Y., Choi, E. S., & Bao, X. (2025) · Pathogens · doi:10.3390/pathogens14101022 · Cited by 9 · see citing works
“HSV-1 infection shifts host glucose metabolism in the mitochondria from oxidative phosphorylation towards aerobic glycolysis by increasing glucose-6-phosphate and fructose-1,6-bisphophate for the pentose phosphate pathway favoring HSV-1 replication, which disrupts neuron metabolic functions [89].”
Fongsaran, C., Dineley, K. T., Paessler, S., & Cisneros, I. E. (2024) · Pathogens · doi:10.3390/pathogens13050397 · Cited by 3 · see citing works
Role of PQBP1 in Pathogen Recognition—Impact on Innate Immunity
Wiench, L., Rizzo, D., Sinay, Z., Nacsa, Z., Fuchs, N. V., & König, R. (2024) · Viruses · doi:10.3390/v16081340 · Cited by 3 · see citing works
“PQBP1 might also affect LLPS formation and could be an important player for these macromolecular condensates, boosting the innate response against retroviruses (HIV-1) or protein-based pathogens such as tau or mutated Htt.”
BackgroundAyala-Peña, V. (2025) · Viruses · doi:10.3390/v17081056 · Cited by 2 · see citing works
“In addition, HSV-1 infection [63,64] and oxidative stress [63,65,66] could damage to the autophagic machinery, a cellular process responsible for the A β elimination, causing its accumulation.”
Golda, A., Kosikowska-Adamus, P., Wadowska, M., Dobosz, E., Potempa, J., & Kozieł, J. (2024) · Frontiers in Oral Health · doi:10.3389/froh.2024.1430077 · Cited by 2 · see citing works
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From viral epigenetic reprogramming to neuroinflammation: Mechanisms driving neurodegeneration
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“Given the overlap between HSV-1-driven molecular changes and those observed in AD and schizophrenia, a deeper under - standing of its impact on the brain is essential for develop - ing targeted therapeutic strategies (Feng et al. 2023).”
Reprogramming lipid metabolism in virus-infected neuronal cellsPreprint
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Peptides and Lysine as Emerging Therapies for Alzheimer’s Disease: A Systematic Review
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- Authors
- Feng, S., Liu, Y., Zhou, Y., Shu, Z., Cheng, Z., Brenner, C., & Feng, P.
- Affiliations
- City Of Hope National Medical Center (US)
- University of Southern California (US)
- Corresponding author
- Feng, Shu
- Feng, Pinghui
- Venue
- Frontiers in Aging Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2023-09-07
- Volume
- 15
- Pages
- 1245904-1245904
- ISSN
- 1663-4365 (ISSN-L)
- PMC
- PMC10512732
- OpenAlex
- W4386497898
- Cited by
- 36
- References
- 165
- Citations by year
- 2026: 14 · 2025: 9 · 2024: 13
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Aging Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Infectious Diseases Society of America
- National Institutes of Health
- National Institute on Aging (R01AG070904)
- National Cancer Institute (R01CA285192)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Epidemiology › Herpesvirus Infections and Treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- herpes simplex virus type 1, Alzheimer's disease, viral infection, neurodegeneration, neuroinflammation, human herpesviruses, pathogenesis, infection risk factors
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