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Physical Exercise as Disease-Modifying Alternative against Alzheimer's Disease: A Gut-Muscle-Brain Partnership
Debora Cutuli1,2, Davide Decandia1,2, Giacomo Giacovazzo2,3
1Department of Psychology, University of Rome La Sapienza, 00185 Rome, Italy.
Physical exercise positively impacts the gut microbiota and muscle health, influencing the gut-brain axis to potentially prevent cognitive decline and Alzheimer's disease. This interaction supports brain health and longevity.
Area of Science:
- Neuroscience
- Immunology
- Microbiology
Background:
- Alzheimer's disease (AD) is a major cause of dementia, involving neurodegeneration and cognitive impairment.
- Physical exercise (PE) is recognized for reducing inflammation and preventing cognitive decline.
- The gut-brain axis, involving the immune system, gut microbiota (GM), and neuroinflammation, is crucial for brain health.
Purpose of the Study:
- To explore the impact of physical exercise on the gut-brain axis, focusing on its role in Alzheimer's disease.
- To investigate the bidirectional communication between gut microbiota and muscle, and its effect on cognition.
- To highlight the potential of exercise-induced factors like irisin in mitigating AD pathophysiology.
Main Methods:
- Review of existing literature on physical exercise, gut microbiota, and neuroinflammation.
- Analysis of the gut-muscle-brain axis interplay.
- Examination of molecular mechanisms, including SCFA production and myokines like irisin.
Main Results:
- Physical exercise beneficially modulates gut microbiota composition and diversity.
- Exercise influences the gut-muscle axis, impacting muscle metabolism and SCFA production.
- Exercise-induced myokines (e.g., irisin) and BDNF promote neuroplasticity and cognitive function.
Conclusions:
- The gut-muscle-brain axis, modulated by physical exercise, offers a promising therapeutic target for Alzheimer's disease.
- Understanding these interconnections can lead to strategies for enhancing brain health, combating cognitive decline, and promoting longevity.
- Physical activity's effects on gut microbiota and muscle health are key to its neuroprotective benefits.
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