Crosstalk between Gut and Brain in Alzheimer’s Disease: The Role of Gut Microbiota Modulation Strategies
Open accessAbstract
The gut microbiota (GM) represents a diverse and dynamic population of microorganisms and about 100 trillion symbiotic microbial cells that dwell in the gastrointestinal tract. Studies suggest that the GM can influence the health of the host, and several factors can modify the GM composition, such as diet, drug intake, lifestyle, and geographical locations. Gut dysbiosis can affect brain immune homeostasis through the microbiota–gut–brain axis and can play a key role in the pathogenesis of neurodegenerative diseases, including dementia and Alzheimer’s disease (AD). The relationship between gut dysbiosis and AD is still elusive, but emerging evidence suggests that it can enhance the secretion of lipopolysaccharides and amyloids that may disturb intestinal permeability and the blood–brain barrier. In addition, it can promote the hallmarks of AD, such as oxidative stress, neuroinflammation, amyloid-beta formation, insulin resistance, and ultimately the causation of neural death. Poor dietary habits and aging, along with inflammatory responses due to dysbiosis, may contribute to the pathogenesis of AD. Thus, GM modulation through diet, probiotics, or fecal microbiota transplantation could represent potential therapeutics in AD. In this review, we discuss the role of GM dysbiosis in AD and potential therapeutic strategies to modulate GM in AD.
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Reductions in Firmicutes and increases in Bacteroidetes have been observed in both AD patients and animal models, suggesting a shift toward a proinflammatory gut environment.
“In addition, reductions in Firmicutes and increases in Bacteroidetes have been observed in both AD patients and animal models, suggesting a shift toward a proinflammatory gut environment [123].”
From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [123]
Section 5 (GM Dysbiosis and AD; page not provided) reports reduced Firmicutes in AD patients and changes in Firmicutes and Bacteroidetes in a transgenic mouse model. It also links dysbiosis to inflammation, but does not establish increased Bacteroidetes or reduced Firmicutes in both patients and animal models. (LLM, conf=0.88)
Experimental — accuracy not yet measuredDysbiosis has been increasingly associated with AD.
“Dysbiosis, or microbial imbalance, has been increasingly associated with AD.”
From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [123]
Clinical studies reveal altered microbial composition in AD patients, often characterized by reduced diversity and depletion of anti-inflammatory commensals.
“Clinical studies reveal altered microbial composition in AD patients, often characterized by reduced diversity and depletion of anti-inflammatory commensals [123].”
From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [123]
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- Authors
- Shabbir, U., Arshad, M. S., Sameen, A., & Oh, D.-H.
- Affiliations
- Kangwon National University (KR)
- Government College University, Faisalabad (PK)
- University of Agriculture Faisalabad (PK)
- Corresponding author
- Oh, Deog-Hwan
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2021-02-21
- Volume
- 13
- Issue
- 2
- Pages
- 690
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC7924846
- OpenAlex
- W3129754660
- Cited by
- 191
- References
- 14
- Citations by year
- 2026: 29 · 2025: 31 · 2024: 50 · 2023: 37 · 2022: 29 · 2021: 15
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Ulster University Research Portal (Ulster University) (acceptedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Brain Korea (BK) 21 Plus Project (Grant No. 22A20153713433)
- 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 › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- Alzheimer's disease, gut microbiota, microbiota-gut-brain axis, gut dysbiosis, neuroinflammation, oxidative stress, amyloid-beta, lipopolysaccharide, intestinal permeability, blood-brain barrier, insulin resistance, probiotics, fecal microbiota transplantation, diet, neurodegeneration
- MeSH terms
- Gastrointestinal Microbiome, Fecal Microbiota Transplantation, Alzheimer Disease, Animals, Blood-Brain Barrier, Brain, Diet Therapy, Humans, Intestinal Mucosa, Permeability, Probiotics, Dysbiosis
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