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Gut Microbiota and Immunotherapy for Alzheimer's Disease

Journal

Publisher

MDPI
DOI: 10.3390/ijms232315230

Keywords

Alzheimer's disease; gut microbiota; tau; amyloid beta; immunotherapy

Funding

  1. New York State Office for People with Developmental Disabilities

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The article discusses the interaction between gut microbiota, the immune system, and AD immunotherapy, emphasizing the crucial role of gut microbiota in the pathogenesis and treatment of AD.
Alzheimer's disease (AD) is a progressive neurodegenerative disorder that eventually leads to dementia and death of the patient. Currently, no effective treatment is available that can slow or halt the progression of the disease. The gut microbiota can modulate the host immune system in the peripheral and central nervous system through the microbiota-gut-brain axis. Growing evidence indicates that gut microbiota dysbiosis plays an important role in the pathogenesis of AD, and modulation of the gut microbiota may represent a new avenue for treating AD. Immunotherapy targeting A beta and tau has emerged as the most promising disease-modifying therapy for the treatment of AD. However, the underlying mechanism of AD immunotherapy is not known. Importantly, preclinical and clinical studies have highlighted that the gut microbiota exerts a major influence on the efficacy of cancer immunotherapy. However, the role of the gut microbiota in AD immunotherapy has not been explored. We found that immunotherapy targeting tau can modulate the gut microbiota in an AD mouse model. In this article, we focused on the crosstalk between the gut microbiota, immunity, and AD immunotherapy. We speculate that modulation of the gut microbiota induced by AD immunotherapy may partially underlie the efficacy of the treatment.

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