Histology and Embryology Research Unit, Department of Experimental and Clinical Medicine, University of Florence, 50139 Florence, Italy.
Microbiology and Virology Unit, Deparment of Experimental and Clinical Medicine, University of Florence, 50139 Florence, Italy.
Nutrients. 2024 Jul 23;16(15):2381. doi: 10.3390/nu16152381.
Alzheimer's disease (AD) is a neurodegenerative process responsible for almost 70% of all cases of dementia. The clinical signs consist in progressive and irreversible loss of memory, cognitive, and behavioral functions. The main histopathological hallmark is the accumulation of amyloid-ß (Aß) peptide fibrils in the brain. To date, the origin of Aß has not been determined. Recent studies have shown that the gut microbiota produces Aß, and dysbiotic states have been identified in AD patients and animal models of AD. Starting from the hypothesis that maintaining or restoring the microbiota's eubiosis is essential to control Aß's production and deposition in the brain, we used a mixture of probiotics and prebiotics (symbiotic) to treat APPPS1 male and female mice, an animal model of AD, from 2 to 8 months of age and evaluated their cognitive performances, mucus secretion, Aβ serum concentration, and microbiota composition. The results showed that the treatment was able to prevent the memory deficits, the reduced mucus secretion, the increased Aβ blood levels, and the imbalance in the gut microbiota found in APPPS1 mice. The present study demonstrates that the gut-brain axis plays a critical role in the genesis of cognitive impairment, and that modulation of the gut microbiota can ameliorate AD's symptomatology.
阿尔茨海默病(AD)是一种神经退行性疾病,负责近 70%的所有痴呆病例。临床症状包括记忆、认知和行为功能的进行性和不可逆转的丧失。主要的组织病理学特征是脑内淀粉样-β(Aβ)肽纤维的积累。迄今为止,Aβ的起源尚未确定。最近的研究表明,肠道微生物群产生 Aβ,AD 患者和 AD 动物模型中存在菌群失调状态。基于维持或恢复微生物群的正常状态对于控制 Aβ在大脑中的产生和沉积至关重要的假设,我们使用益生菌和益生元混合物(共生体)治疗 APPPS1 雄性和雌性小鼠,一种 AD 动物模型,从 2 到 8 个月大,并评估了它们的认知表现、粘液分泌、Aβ 血清浓度和微生物群落组成。结果表明,该治疗能够预防 APPPS1 小鼠中发现的记忆缺陷、粘液分泌减少、Aβ 血液水平升高以及肠道微生物群落失衡。本研究表明,肠道-大脑轴在认知障碍的发生中起着关键作用,而调节肠道微生物群可以改善 AD 的症状。