PMID- 36736919 OWN - NLM STAT- MEDLINE DCOM- 20230411 LR - 20230412 IS - 1872-6216 (Electronic) IS - 0047-6374 (Linking) VI - 211 DP - 2023 Apr TI - Gut-brain axis through the lens of gut microbiota and their relationships with Alzheimer's disease pathology: Review and recommendations. PG - 111787 LID - S0047-6374(23)00013-1 [pii] LID - 10.1016/j.mad.2023.111787 [doi] AB - Alzheimer's disease (AD) is a neurodegenerative disorder that affects millions of people worldwide. Growing evidence suggests that the gut microbiome (GM) plays a pivotal role in the pathogenesis of AD through the microbiota-gut-brain axis (MGB). Alterations in GM composition and diversity have been observed in both animal models and in human patients with AD. GM dysbiosis has been implicated in increased intestinal permeability, blood-brain barrier (BBB) impairment, neuroinflammation and the development of hallmarks of AD. Further elucidation of the role of GM in AD could pave way for the development of holistic predictive methods for determining AD risk and progression of disease. Furthermore, accumulating evidence suggests that GM modulation could alleviate adverse symptoms of AD or serve as a preventive measure. In addition, increasing evidence shows that Type 2 Diabetes Mellitus (T2DM) is often comorbid with AD, with common GM alterations and inflammatory response, which could chart the development of GM-related treatment interventions for both diseases. We conclude by exploring the therapeutic potential of GM in alleviating symptoms of AD and in reducing risk. Furthermore, we also propose future directions in AD research, namely fecal microbiota transplantation (FMT) and precision medicine. CI - Copyright (c) 2023 The Authors. Published by Elsevier B.V. All rights reserved. FAU - L, Krishaa AU - L K AD - Department of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore. FAU - Ng, Ted Kheng Siang AU - Ng TKS AD - Arizona State University, Edson College of Nursing and Health Innovation, USA. Electronic address: ted.ng@asu.edu. FAU - Wee, Hai Ning AU - Wee HN AD - Cardiovascular and Metabolic Disorders Programme, Duke-NUS Medical School, Singapore. FAU - Ching, Jianhong AU - Ching J AD - Cardiovascular and Metabolic Disorders Programme, Duke-NUS Medical School, Singapore; KK Research Centre, KK Women's and Children's Hospital, Singapore. Electronic address: jianhong.ching@duke-nus.edu.sg. LA - eng PT - Journal Article DEP - 20230201 PL - Ireland TA - Mech Ageing Dev JT - Mechanisms of ageing and development JID - 0347227 SB - IM MH - Animals MH - Humans MH - *Alzheimer Disease/pathology MH - *Gastrointestinal Microbiome/physiology MH - Brain-Gut Axis MH - *Diabetes Mellitus, Type 2 MH - Brain/pathology OTO - NOTNLM OT - Alzheimer's disease OT - Fecal microbiota transplantation (FMT) OT - Gut dysbiosis OT - Gut microbiota OT - Microbiota-gut-brain axis OT - Neurodegeneration OT - Neuroinflammation OT - Type 2 diabetes mellitus (T2DM) COIS- Conflicts of Interest The authors declare no conflict of interest. EDAT- 2023/02/04 06:00 MHDA- 2023/04/11 06:42 CRDT- 2023/02/03 19:33 PHST- 2022/09/11 00:00 [received] PHST- 2023/01/05 00:00 [revised] PHST- 2023/01/30 00:00 [accepted] PHST- 2023/04/11 06:42 [medline] PHST- 2023/02/04 06:00 [pubmed] PHST- 2023/02/03 19:33 [entrez] AID - S0047-6374(23)00013-1 [pii] AID - 10.1016/j.mad.2023.111787 [doi] PST - ppublish SO - Mech Ageing Dev. 2023 Apr;211:111787. doi: 10.1016/j.mad.2023.111787. Epub 2023 Feb 1.