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.

Aging and Disease
|September 20, 2023
PubMed

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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