Alonso R, Pisa D, Rábano A, Carrasco L
Centro de Biología Molecular Severo Ochoa CSIC-UAM, Universidad Autónoma de Madrid, C / Nicolás Cabrera, 1, Cantoblanco, 28049, Madrid, Spain.
Eur J Clin Microbiol Infect Dis. 2014 Jul;33(7):1125-32. doi: 10.1007/s10096-013-2045-z. Epub 2014 Jan 23.
Alzheimer's disease (AD) is characterized by the presence in the brain of amyloid plaques and neurofibrillary tangles that provoke neuronal cell death, vascular dysfunction and inflammatory processes. In the present work, we have analyzed the existence of fungal infection in AD patients. A number of tests have been carried out in blood serum, including the detection of antibodies against several yeast species and fungal proteins, and also the presence of fungal (1,3)-β-glucan. Results from this analysis indicate that there is disseminated fungal infection in the majority of AD patients tested. Of interest, several AD patients contain high levels of fungal polysaccharides in peripheral blood, reflecting that disseminated fungal infection occurs in these patients. Together, these results suggest the presence of disseminated mycoses in blood serum from AD patients. To our knowledge these findings represent the first evidence that fungal infection is detectable in blood samples in AD patients. The possibility that this may represent a risk factor or may contribute to the etiological cause of AD is discussed.
阿尔茨海默病(AD)的特征是大脑中存在淀粉样斑块和神经原纤维缠结,这些会引发神经元细胞死亡、血管功能障碍和炎症过程。在本研究中,我们分析了AD患者中真菌感染的存在情况。我们对血清进行了多项检测,包括检测针对几种酵母菌种和真菌蛋白的抗体,以及真菌(1,3)-β-葡聚糖的存在情况。该分析结果表明,在大多数接受检测的AD患者中存在播散性真菌感染。有趣的是,几名AD患者外周血中含有高水平的真菌多糖,这反映出这些患者发生了播散性真菌感染。总之,这些结果表明AD患者血清中存在播散性真菌病。据我们所知,这些发现代表了首个可在AD患者血液样本中检测到真菌感染的证据。本文还讨论了这可能代表一种风险因素或可能促成AD病因的可能性。