Neural Regeneration Research,
Journal Year:
2021,
Volume and Issue:
16(11), P. 2149 - 2149
Published: Jan. 1, 2021
Frailty
is
a
critical
intermediate
status
of
the
aging
process
with
multidimensional
and
multisystem
nature
at
higher
risk
for
adverse
health-related
outcomes,
including
falls,
disability,
hospitalizations,
institutionalization,
mortality,
dementia,
Alzheimer’s
disease.
Among
different
frailty
phenotypes,
oral
has
been
recently
suggested
as
novel
construct
defined
decrease
in
function
coexisting
decline
cognitive
physical
functions.
We
briefly
reviewed
existing
evidence
on
operational
definitions
frailty,
assessment
screening
tools,
possible
relationships
among
microbiota,
disease
neurodegeneration.
Several
underlying
mechanism
may
explain
health-frailty
links
undernutrition,
sarcopenia
linked
to
both
poor
nutrition
psychosocial
factors,
chronic
inflammation
typical
Oral
microbiota
influence
through
circulatory
or
neural
access
brain
interplay
periodontal
disease,
often
causing
tooth
loss
also
an
increased
risk.
On
this
bases,
COR388,
bacterial
protease
inhibitor
targeting
Porphyromonas
gingivalis
implicated
now
being
tested
double-blind,
placebo-controlled
Phase
II/III
study
mild-to-moderate
Therefore,
be
important
contributor
general
health,
late-life
disorders,
suggesting
central
role
preventive
strategies
phenotype
maintenance
improvement
nutritional
reduce
burden
dysfunction
frailty.
Frontiers in Aging Neuroscience,
Journal Year:
2018,
Volume and Issue:
10
Published: Feb. 22, 2018
This
review
proposes
that
LPS
(Lipopolysaccharide,
found
in
the
wall
of
all
Gram-negative
bacteria)
could
play
a
role
causing
sporadic
Alzheimer's
Disease
(AD).
is
based
part
upon
recent
studies
showing
that:
E
coli
bacteria
can
form
extracellular
amyloid;
bacterial-encoded
16S
rRNA
present
human
brains
with
over
70%
being
bacteria;
ultrastructural
analyses
have
shown
microbes
erythrocytes
AD
patients;
blood
levels
patients
are
3-fold
control;
combined
focal
cerebral
ischemia
and
hypoxia
produced
amyloid-like
plaques
myelin
injury
adult
rat
cortex.
Moreover,
bacterial
was
aging
control
brains,
though
were
much
higher
brains.
In
addition,
co-localized
amyloid
plaques,
peri-vascular
amyloid,
neurons,
oligodendrocytes
Based
postulate
caused
oligodendrocyte
injury,
degraded
Myelin
Basic
Protein
(dMBP)
to
be
compared
Immunofluorescence
showed
dMBP
β
(Aβ)
brain,
other
molecules
walls
vesicles
periventricular
white
matter.
These
data
led
hypothesis
acts
on
leukocyte
microglial
TLR4-CD14/TLR2
receptors
produce
NFĸB
mediated
increases
cytokines
which
increase
Aβ
levels,
damage
brain.
Since
Aβ1-42
also
an
agonist
for
TLR4
receptors,
this
vicious
cycle
accounts
relentless
progression
AD.
Thus,
LPS,
receptor
complex,
might
treatment
or
prevention
targets
Keywords:
disease,
Lipopolysaccharide,
Cytokines,
TLR4,
CD14,
Myelin,
MBP,
oligodendrocytes,
Amyloid
plaque,
perivascular
PLoS ONE,
Journal Year:
2018,
Volume and Issue:
13(10), P. e0204941 - e0204941
Published: Oct. 3, 2018
Background
The
results
from
cross
sectional
and
longitudinal
studies
show
that
periodontitis
is
closely
associated
with
cognitive
impairment
(CI)
Alzhemer's
Disease
(AD).
Further,
using
animal
model
of
human
post-mortem
brain
tissues
subjects
AD
strongly
suggest
a
gram-negative
periodontal
pathogen,
Porphyromonas
gingivalis
(Pg)
and/or
its
product
gingipain
is/are
translocated
to
the
brain.
However,
neuropathology
resulting
Pg
oral
application
not
known.
In
this
work,
we
tested
hypothesis
repeated
exposure
wild
type
C57BL/6
mice
orally
administered
in
neuroinflammation,
neurodegeneration,
microgliosis,
astrogliosis
formation
intra-
extracellular
amyloid
plaque
neurofibrillary
tangles
(NFTs)
which
are
pathognomonic
signs
AD.
Methods
Experimental
chronic
was
induced
ten
8-week
old
WT
by
(MWF/week)
Pg/gingipain
for
22
weeks
(experimental
group).
Another
10
received
vehicle
alone
(control
group)
MWF
per
week
weeks.
Brain
were
collected
presence
determined
immunofluorescence
(IF)
microscopy,
confocal
quantitative
PCR
(qPCR).
hippocampi
examined
related
AD:
TNFα,
IL1β,
IL6
expression
(neuroinflammation),
NeuN
Fluoro
Jade
C
staining
(neurodegeneration)
beta1-42
(Aβ42)
production
phosphorylation
tau
protein
at
Ser396
assessed
IF
microscopy.
gene
precursor
(APP),
beta-site
APP
cleaving
enzyme
1
(BACE1),
disintegrin
metalloproteinase
domain-containing
protein10
(ADAM10)
α-secretase
presenilin1
(PSEN1)
ɣ-secretase,
(rbFox3)
RT-qPCR.
Microgliosis
also
Results
detected
experimental
group
immunohistochemistry,
qPCR
confirming
translocation
applied
localized
intra-nuclearly
peri-nuclearly
microglia
(Iba1+),
astrocytes
(GFAP+),
neurons
(NeuN+)
evident
extracellularly.
Significantly
greater
levels
IL6,
TNFα
IL1β
as
compared
control
(p<0.01,
p<0.00001,
p<0.00001
respectively).
addition,
microgliosis
but
(p
<0.01,
p<0.0001
Neurodegeneration
based
on
fewer
number
intact
neuronal
cells
positivity
rbFOX3
expression,
there
degenerating
positivity.
BACE1
increased
(p<0.05,
p<0.001
PSEN1
higher
than
difference
statistically
significant
=
0.07).
ADAM10
significantly
decreased
(p<0.01).
Extracellular
Aβ42
parenchyma
(p<
0.00001).
Finally,
phospho-Tau
(Ser396)
NFTs
(p<0.00001).
Conclusions
This
study
first
neurodegeneration
young
adult
after
Pg.
neuropathological
features
observed
low
grade
pathogen
infection
can
result
development
consistent
Frontiers in Immunology,
Journal Year:
2020,
Volume and Issue:
11
Published: April 23, 2020
Amyloid
plaques,
mainly
composed
of
abnormally
aggregated
amyloid
β-protein
(Aβ)
in
the
brain
parenchyma,
and
neurofibrillary
tangles
(NFTs),
abnormal
aggregates
hyperphosphorylated
tau
protein
neurons,
are
two
pathological
hallmarks
Alzheimer’s
disease
(AD).
Fibrillar
Aβ
deposits
accompanied
with
neuroinflammation
synapse
loss,
characterized
by
activated
microglia
dystrophic
neurites.
Genome-wide
association
studies
on
patients
late-onset
AD
have
identified
a
dozen
genetic
risk
variants
that
involved
innate
immune
responses,
highlighting
importance
cells
pathogenesis
AD.
Additional
lines
evidence
support
notion
microglia,
central
nervous
system
(CNS),
play
pivotal,
dual
roles
progression:
either
clearing
phagocytosis
promoting
neuron
survival
plasticity
or
releasing
cytotoxic
chemicals,
inflammatory
cytokines,
exacerbating
load
synaptotoxicity.
Aggregated
binds
to
toll-like
receptor
4
(TLR4)
activates
resulting
increased
cytokine
production.
Complement
components
associated
plaques
NFTs.
can
activate
complement,
leading
pruning
loss
microglial
phagocytosis.
Systemic
inflammation
TLR4,
NLRP3
inflammasome,
complement
brain,
neuroinflammation,
accumulation,
neurodegeneration.
The
host
response
has
been
shown
function
through
complex
crosstalk
between
TLR,
inflammasome
signaling
pathways.
Accordingly,
targeting
molecular
mechanisms
underlying
TLR-complement-NLRP3
pathways
be
preventive
therapeutic
approach
for
Frontiers in Aging Neuroscience,
Journal Year:
2018,
Volume and Issue:
10
Published: July 24, 2018
Alzheimer's
disease
(AD)
is
the
most
frequent
type
of
dementia.
The
pathological
hallmarks
are
extracellular
senile
plaques
composed
beta-amyloid
peptide
(Aβ)
and
intracellular
neurofibrillary
tangles
pTau.
These
findings
led
to
"beta-amyloid
hypothesis"
that
proposes
Aβ
major
cause
AD.
Clinical
trials
targeting
in
brain
have
mostly
failed,
whether
they
attempted
decrease
production
by
BACE
inhibitors
or
antibodies.
failures
suggest
a
need
find
new
hypotheses
explain
AD
pathogenesis
generate
targets
for
intervention
prevent
treat
disease.
Many
years
ago,
"infection
was
proposed,
but
received
little
attention.
However,
recent
discovery
an
antimicrobial
(AMP)
acting
against
bacteria,
fungi,
viruses
gives
increased
credence
infection
hypothesis
etiology
We
others
shown
microbial
increases
synthesis
this
AMP.
Here,
we
propose
as
AMP
will
be
beneficial
on
first
challenge
become
progressively
detrimental
becomes
chronic
reactivates
from
time
time.
Furthermore,
host
measures
remove
excess
over
due
microglial
senescence
biofilm
formation.
aggregates
with
form
patients.
In
review,
develop
connection
between
Infection
-
discuss
future
possible
treatments
based
paradigm.
Journal of Clinical Medicine,
Journal Year:
2020,
Volume and Issue:
9(2), P. 495 - 495
Published: Feb. 11, 2020
The
evidence
of
a
connection
between
the
peripheral
inflammatory
processes
and
neurodegenerative
diseases
central
nervous
system
is
becoming
more
apparent.
This
review
related
literature
highlights
most
recent
clinical,
epidemiological,
in
vitro
studies
trying
to
investigate
possible
connections
periodontal
bacteria
onset
progression
Alzheimer's
disease.
was
conducted
by
searching
databases
such
as
PubMed
Scopus
using
keywords
or
combinations
Disease
AND
dementia
periodontitis
OR
periodontal.
After
eliminating
overlaps
screening
articles
not
these
issues,
we
identified
1088
records
proceeded
selection
for
an
evaluation
associative
assumptions.
hypothesis
suggested
authors
confirmed
that
bacterial
load
process
linked
disease
can
intensify
inflammation
at
level
system,
favoring
occurrence
analysis
how
directly
contribute
environment
introduction
indirect
pathogenic
proinflammatory
cytokines
locally
produced
following
colonization
defects.
Periodontology 2000,
Journal Year:
2022,
Volume and Issue:
89(1), P. 59 - 82
Published: March 4, 2022
Abstract
In
the
initiation
or
exacerbation
of
Alzheimer
disease,
dissemination
oral
microorganisms
into
brain
tissue
low‐level
systemic
inflammation
have
been
speculated
to
play
a
role.
However,
impact
microorganisms,
such
as
Porphyromonas
gingivalis
,
on
pathogenesis
disease
and
potential
causative
relationship
is
still
unclear.
The
present
review
has
critically
reviewed
literature
by
examining
following
aspects:
(a)
microbiome
immune
response
in
elderly
population,
(b)
human
studies
association
between
periodontal
gut
(c)
animal
vitro
(d)
preventive
therapeutic
approaches.
Factors
contributing
microbial
dysbiosis
seem
be
aging,
local
inflammation,
diseases,
wearing
dentures,
living
nursing
homes
no
access
adequate
hygiene
measures.
was
detectable
post‐mortem
samples.
Microbiome
analyses
saliva
samples
biofilms
showed
decreased
diversity
different
composition
compared
cognitively
healthy
subjects.
Many
in‐vitro
underline
P
induce
disease‐related
alterations.
models,
recurring
applications
its
components
increased
pro‐inflammatory
mediators
β‐amyloid
deteriorated
animals'
cognitive
performance.
Since
periodontitis
result
disturbed
homoeostasis,
an
effect
therapy
host
related
parameters
may
suggested
should
elucidated
further
clinical
trials.
Frontiers in Cellular and Infection Microbiology,
Journal Year:
2022,
Volume and Issue:
12
Published: Aug. 9, 2022
Background
Porphyromonas
gingivalis
(Pg),
the
keystone
pathogen
in
chronic
periodontitis,
is
reported
to
initiate
Alzheimer’s
disease
pathologies
preclinical
studies.
However,
specific
mechanisms
and
signaling
pathways
acting
on
brain
still
need
be
further
explored.
Outer
membrane
vesicles
are
derived
from
Gram-negative
bacteria
contain
many
virulence
factors
of
bacteria.
We
hypothesized
that
outer
an
important
weapon
pathologies.
Methods
The
(Pg
OMVs,
4
mg/kg)
or
saline
were
delivered
14-month-old
mice
by
oral
gavage
every
other
day
for
eight
weeks.
Behavioral
alterations
assessed
open
field
test,
Morris
water
maze,
Y-maze
test.
Blood–brain
barrier
permeability,
neuroinflammation,
tau
phosphorylation,
NLRP3
inflammasome-related
protein
analyzed.
Results
Pg
OMVs
impaired
memory
learning
ability
decreased
tight
junction–related
gene
expression
ZO-1,
occludin,
claudin-5,
occludin
hippocampus.
could
detected
hippocampus
cortex
three
days
after
gavage.
Furthermore,
activated
both
astrocytes
microglia
elevated
IL-1β,
phosphorylation
Thr231
site,
inflammasome–related
In
vitro
studies,
OMV
(5
µg/ml)
stimulation
increased
mRNA
immunofluorescence
BV2
microglia,
which
significantly
inhibited
inhibitor
MCC950.
contrast,
N2a
neurons
was
enhanced
treatment
with
conditioned
media
OMV-stimulated
attenuated
pretreatment
Conclusions
These
results
indicate
prompt
dysfunction,
trigger
inflammasome
middle-aged
mice.
propose
play
role
activating
neuroinflammation
AD-like
pathology
triggered
,
activation
a
possible
mechanism.
Brain,
Journal Year:
2019,
Volume and Issue:
unknown
Published: July 25, 2019
Alzheimer's
disease
is
associated
with
cerebral
accumulation
of
amyloid-β
peptide
and
hyperphosphorylated
tau.
In
the
past
28
years,
huge
efforts
have
been
made
in
attempting
to
treat
by
reducing
brain
patients
disease,
no
success.
While
anti-amyloid-β
therapies
continue
be
tested
prodromal
subjects
at
risk
developing
there
an
urgent
need
provide
therapeutic
support
established
for
whom
current
symptomatic
treatment
(acetylcholinesterase
inhibitors
N-methyl
d-aspartate
antagonist)
limited
help.
The
possibility
infectious
aetiology
has
repeatedly
postulated
over
three
decades.
Infiltration
pathogens
may
act
as
a
trigger
or
co-factor
Herpes
simplex
virus
type
1,
Chlamydia
pneumoniae,
Porphyromonas
gingivalis
being
most
frequently
implicated.
These
directly
cross
weakened
blood-brain
barrier,
reach
CNS
cause
neurological
damage
eliciting
neuroinflammation.
Alternatively,
intestinal
vascular
circulation
then
barrier
low
grade
chronic
inflammation
subsequent
neuroinflammation
from
periphery.
gut
microbiota
comprises
complex
community
microorganisms.
Increased
permeability
induced
dysbiosis
impact
pathogenesis.
Inflammatory
microorganisms
are
peripheral
deposition
cognitive
impairment.
Oral
also
influence
through
circulatory
neural
access
brain.
At
least
two
possibilities
can
envisaged
explain
association
suspected
disease.
One
that
particularly
prone
microbial
infections.
other
infection
contributing
Therapeutic
trials
antivirals
and/or
antibacterials
could
resolve
this
dilemma.
Indeed,
antiviral
agents
double-blind
placebo-controlled
studies.
Although
combined
antibiotic
therapy
was
found
effective
animal
models
antibacterial
drugs
not
widely
investigated
This
because
it
clear
which
bacterial
populations
overexpressed
if
safe,
selective
available
them.
On
hand,
protease
inhibitor
targeting
P.
toxins
now
Clinical
studies
needed
test
countering
beneficial