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Microbiota-Gut-Brain Axis Dysregulation in Alzheimer's Disease: Multi-Pathway Effects and Therapeutic Potential
Linkai Qu1,2, Yanwei Li3, Fan Liu1
1Institute of Life Sciences & Biomedical Collaborative Innovation Center of Zhejiang Province, Wenzhou University, Wenzhou 325000, China.
Abstract:
An essential regulator of neurodegenerative conditions like Alzheimer's disease (AD) is the gut microbiota. Alterations in intestinal permeability brought on by gut microbiota dysregulation encourage neuroinflammation, central immune dysregulation, and peripheral immunological dysregulation in AD, as well as hasten aberrant protein aggregation and neuronal death in the brain. However, it is unclear how the gut microbiota transmits information to the brain and how it influences brain cognition and function. In this review, we summarized the multiple pathways involved in the gut microbiome in AD and provided detailed treatment strategies based on the gut microbiome. Based on these observations, this review also discusses the problems, challenges, and strategies to address current therapeutic strategies.
Insights
The gut microbiome is crucial in Alzheimer's disease (AD), influencing brain inflammation and neuronal death. This review explores gut-brain communication pathways and microbiome-based therapeutic strategies for AD.
Area of Science:
- Neuroscience
- Microbiology
- Immunology
Background:
- The gut microbiota plays a critical role in regulating neurodegenerative diseases, including Alzheimer's disease (AD).
- Gut dysregulation contributes to increased intestinal permeability, leading to neuroinflammation, immune dysregulation, and accelerated neuronal damage in AD.
- The precise mechanisms by which the gut microbiota communicates with the brain and impacts cognitive function remain incompletely understood.
Purpose of the Study:
- To review the multifaceted pathways through which the gut microbiome influences Alzheimer's disease.
- To present and discuss therapeutic strategies targeting the gut microbiome for AD treatment.
- To identify current challenges and propose future strategies for microbiome-based AD therapies.
Main Methods:
- Literature review synthesizing current research on the gut microbiome and Alzheimer's disease.
- Analysis of proposed mechanisms of gut-brain axis communication in the context of AD.
- Evaluation of existing and potential therapeutic interventions targeting the gut microbiome.
Main Results:
- Gut microbiota alterations are linked to key pathological features of AD, including neuroinflammation and protein aggregation.
- Multiple communication pathways between the gut and brain are implicated in AD pathogenesis.
- Microbiome-modulating therapies show promise for managing AD progression.
Conclusions:
- The gut microbiome is a significant factor in AD development and progression.
- Targeting the gut microbiome offers a promising avenue for novel AD therapeutic strategies.
- Further research is needed to overcome challenges and optimize microbiome-based interventions for AD.
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