The Role of the Microbiota-Gut-Brain Axis in the Development of Alzheimer’s Disease
Open accessAbstract
Along with the increase in life expectancy in the populations of developed and developing countries resulting from better access and improved health care, the number of patients with dementia, including Alzheimer’s disease (AD), is growing. The disease was first diagnosed and described at the beginning of the 20th century. However, to this day, there is no effective causal therapy, and symptomatic treatment often improves patients’ quality of life only for a short time. The current pharmacological therapies are based mainly on the oldest hypotheses of the disease—cholinergic (drugs affecting the cholinergic system are available), the hypothesis of amyloid-β aggregation (an anti-amyloid drug was conditionally approved by the FDA in 2020), and one drug is an N-methyl-D-aspartate receptor (NMDAR) antagonist (memantine). Hypotheses about AD pathogenesis focus on the nervous system and the brain. As research progresses, it has become known that AD can be caused by diseases that have been experienced over the course of a lifetime, which could also affect other organs. In this review, we focus on the potential association of AD with the digestive system, primarily the gut microbiota. The role of diet quality in preventing and alleviating Alzheimer’s disease is also discussed. The problem of neuroinflammation, which may be the result of microbiota disorders, is also described. An important aspect of the work is the chapter on the treatment strategies for changing the microbiota, potentially protecting against the disease and alleviating its course in the initial stages.
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The microbiota-gut-brain axis hypothesis suggests a bidirectional communication system between the gut and the brain, involving metabolic, endocrine, neural, and immune pathways.
“The microbiota–gut–brain axis hypothesis suggests a bidirectional communication system between the gut and the brain, involving metabolic, endocrine, neural, and immune pathways.”
From Recent Advances in Therapeutics for the Treatment of Alzheimer’s Disease (2024) · cites this paper as [17]
Dysbiosis can lead to a compromised intestinal epithelial barrier, allowing harmful substances and microorganisms to enter the bloodstream and trigger systemic inflammation, which may affect microglia and exacerbate neuroinflammation.
“Dysbiosis, or disruption of the microbiota’s composition and functionality, can occur due to factors such as dietary changes, antibiotic use, psychosocial stress, or immune irregularities, leading to a compromised intestinal epithelial barrier.”
From Recent Advances in Therapeutics for the Treatment of Alzheimer’s Disease (2024) · cites this paper as [17]
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Recent Advances in Therapeutics for the Treatment of Alzheimer’s Disease
Thawabteh, A. M., Ghanem, A. W., AbuMadi, S., Thaher, D., Jaghama, W., Karaman, D., & Karaman, R. (2024) · Molecules · doi:10.3390/molecules29215131 · Cited by 56 · see citing works
“Such inflammation may enable inflammatory mediators to cross the blood–brain barrier (BBB) and affect microglia, exacerbating neuroinflammation, which ultimately contributes to neuronal degeneration and damage [17,18].”
Background
- Authors
- Wiatrak, B., Balon, K., Jawień, P., Bednarz, D., Jęśkowiak, I., & Szeląg, A.
- Affiliations
- Wroclaw Medical University (PL)
- Ludwik Hirszfeld Institute of Immunology and Experimental Therapy (PL)
- Wrocław University of Environmental and Life Sciences (PL)
- Corresponding author
- Wiatrak, Benita
- Jawień, Paulina
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2022-04-27
- Volume
- 23
- Issue
- 9
- Pages
- 4862
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC9104401
- OpenAlex
- W4225006092
- Cited by
- 58
- References
- 122
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 11 · 2023: 23 · 2022: 5
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Alzheimer's disease, gut microbiota, microbiota-gut-brain axis, neuroinflammation, diet quality, Alzheimer's disease pathogenesis, cholinergic hypothesis, amyloid-beta aggregation, NMDA receptor antagonists, dementia
- MeSH terms
- Brain-Gut Axis, Alzheimer Disease, Humans, Memantine, Quality of Life, Receptors, N-Methyl-D-Aspartate, Cholinergic Agents, Microbiota
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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