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Published on: December 26, 2016
Associations of Infectious Agents with Alzheimer's Disease: A Systematic Review and Meta-Analysis
Ya-Nan Ou1, Jun-Xia Zhu2, Xiao-He Hou1
1Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, China.
Background:
The role of infectious agents in the development of Alzheimer's disease (AD) has long been debated, however, uncertainties still persist.
Objective:
We aimed to illuminate the associations between infectious agents and risk of AD comprehensively.
Methods:
Studies examining the associations between AD and infectious agents were identified through a systematic search of PubMed, Embase, and Cochrane library. A random-effects meta-analysis was conducted. Publication bias was explored using funnel plot.
Results:
Fifty-one studies were included in the systematic review, of which forty-seven studies with 108,723 participants and 4,039 AD cases were eligible for meta-analysis. Evidence based on case control studies demonstrated that Chlamydia pneumoniae [odds ratio (OR): 4.39, 95% CI = 1.81-10.67; I2 = 68%)], Human herpes virus-6 (OR: 3.97, 95% CI = 2.04-7.75; I2 = 0%, Epstein-Barr virus (OR:1.45, 95% CI = 1.00-2.08; I2 = 0%), Herpes simplex virus-1 (OR:1.34, 95% CI = 1.02-1.75; I2 = 0%), and the Herpesviridae family (OR:1.41, 95% CI = 1.15-1.74; I2 = 12%) infection were associated with a higher risk of AD. No significant evidence of publication bias was found.
Conclusion:
These findings strengthened the evidence that infection may play an important role in AD. Additional research is required to determine whether treatment strategies targeting infectious diseases to prevent AD are viable in the future.
Insights
Infectious agents like Chlamydia pneumoniae and various herpesviruses are linked to an increased risk of Alzheimer's disease (AD). This meta-analysis provides evidence supporting the role of infections in AD development, warranting further research into preventative treatments.
Area of Science:
- Neuroscience
- Infectious Diseases
- Epidemiology
Background:
- The potential role of infectious agents in Alzheimer's disease (AD) pathogenesis remains a subject of ongoing scientific debate.
- Despite extensive research, definitive conclusions regarding the association between specific infections and AD risk have been elusive.
Purpose of the Study:
- To comprehensively investigate and quantify the association between various infectious agents and the risk of developing Alzheimer's disease.
- To synthesize existing evidence through a systematic review and meta-analysis to clarify the link between infections and AD.
Main Methods:
- A systematic literature search was conducted across PubMed, Embase, and Cochrane Library to identify relevant studies.
- A random-effects meta-analysis was performed on data from 47 case-control studies involving 108,723 participants and 4,039 AD cases.
- Publication bias was assessed using funnel plots to ensure the robustness of the findings.
Main Results:
- Meta-analysis revealed significant associations between specific infections and an elevated risk of AD.
- Infections linked to higher AD risk include Chlamydia pneumoniae (OR: 4.39), Human herpesvirus-6 (OR: 3.97), Epstein-Barr virus (OR: 1.45), Herpes simplex virus-1 (OR: 1.34), and the Herpesviridae family (OR: 1.41).
- No significant evidence of publication bias was detected, strengthening the reliability of the results.
Conclusions:
- The findings provide robust evidence supporting the hypothesis that infections may play a significant role in the development of Alzheimer's disease.
- Further research is essential to explore the potential of anti-infective strategies for the prevention of AD.
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