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.

Abstract

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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