The gut-brain axis in Alzheimer's disease is shaped by commensal gut microbiota derived extracellular vesicles

Junhua Xie1,2, Lien Van Hoecke1,2, Elien Van Wonterghem1,2

  • 1VIB Center for Inflammation Research, VIB, Ghent, Belgium.

Gut Microbes
|May 12, 2025
PubMed

Insights

Gut bacteria influence Alzheimer's disease (AD) progression. Removing gut microbes reduced amyloid plaques and improved brain cell function in AD mice, suggesting a protective effect.

Area of Science:

  • Neuroscience
  • Microbiology
  • Immunology

Background:

  • Emerging evidence links gut microbiota to neuroinflammation in Alzheimer's disease (AD).
  • The exact mechanisms of gut microbial influence on AD pathogenesis are not fully understood.
  • The gut-brain axis plays a crucial role in mediating these interactions.

Purpose of the Study:

  • To investigate the role of gut microbiota in Alzheimer's disease pathology.
  • To elucidate the mechanisms by which gut microbes impact neuroinflammation and amyloid-β (Aβ) deposition.
  • To determine the therapeutic potential of targeting gut microbiota-derived components.

Main Methods:

  • Utilized germ-free (GF) Alzheimer's disease (AD) mouse models (App^/y mice).
  • Assessed amyloid-β (Aβ) pathology, microglial cell state (inflammation, phagocytosis), and synaptic deficits.
  • Administered bacterial extracellular vesicles (bEVs) derived from AD mouse fecal samples.

Main Results:

  • Germ-free conditions significantly reduced Aβ pathology in AD mice.
  • GF AD mice exhibited less inflammatory microglial cells with enhanced phagocytotic capacity.
  • Depletion of gut microbiota protected against synaptic deficits.
  • Administration of bEVs from AD mice reversed the protective effects of GF conditions, increasing microglial activation and Aβ plaque load.

Conclusions:

  • Commensal gut microbiota critically influence AD pathology progression.
  • Bacterial extracellular vesicles (bEVs) derived from gut microbes are key mediators of AD pathogenesis.
  • Targeting bEVs represents a potential therapeutic strategy for Alzheimer's disease.