Do infections have a role in the pathogenesis of Alzheimer disease?


Journal

Nature reviews. Neurology
ISSN: 1759-4766
Titre abrégé: Nat Rev Neurol
Pays: England
ID NLM: 101500072

Informations de publication

Date de publication:
04 2020
Historique:
accepted: 07 02 2020
pubmed: 11 3 2020
medline: 29 4 2020
entrez: 11 3 2020
Statut: ppublish

Résumé

The idea that infectious agents in the brain have a role in the pathogenesis of Alzheimer disease (AD) was proposed nearly 30 years ago. However, this theory failed to gain substantial traction and was largely disregarded by the AD research community for many years. Several recent discoveries have reignited interest in the infectious theory of AD, culminating in a debate on the topic at the Alzheimer's Association International Conference (AAIC) in July 2019. In this Viewpoint article, experts who participated in the AAIC debate weigh up the evidence for and against the infectious theory of AD and suggest avenues for future research and drug development.

Identifiants

pubmed: 32152461
doi: 10.1038/s41582-020-0323-9
pii: 10.1038/s41582-020-0323-9
doi:

Substances chimiques

Apolipoprotein E4 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

193-197

Commentaires et corrections

Type : CommentIn

Références

Jamieson, G. A., Maitland, N. J., Wilcock, G. K., Craske, J. & Itzhaki, R. F. Latent herpes simplex virus type 1 in normal and Alzheimer’s disease brains. J. Med. Virol. 33, 224–227 (1991).
doi: 10.1002/jmv.1890330403
Itzhaki, R. F. et al. Herpes simplex virus type 1 in brain and risk of Alzheimer’s disease. Lancet 349, 241–244 (1997).
doi: 10.1016/S0140-6736(96)10149-5
Miklossy, J. Bacterial amyloid and DNA are important constituents of senile plaques: further evidence of the spirochetal and biofilm nature of senile plaques. J. Alzheimers Dis. 53, 1459–1473 (2016).
doi: 10.3233/JAD-160451
Balin, B. J. et al. Chlamydia pneumoniae: an etiologic agent for late-onset dementia. Front. Aging Neurosci. 10, 302 (2018).
doi: 10.3389/fnagi.2018.00302
Dominy, S. S. et al. Porphyromonas gingivalis in Alzheimer’s disease brains: evidence for disease causation and treatment with small-molecule inhibitors. Sci. Adv. 5, eaau3333 (2019).
doi: 10.1126/sciadv.aau3333
Itzhaki, R. F. Corroboration of a major role for herpes simplex virus type 1 in Alzheimer’s disease. Front. Aging Neurosci. 10, 324 (2018).
doi: 10.3389/fnagi.2018.00324
Abbott, A. Gut feeling secures medical Nobel for Australian doctors. Nature 437, 801 (2005).
doi: 10.1038/437801a
Itzhaki, R. F., Dobson, C. B., Shipley, S. J. & Wozniak, M. A. The role of viruses and of APOE in dementia. Ann. NY Acad. Sci. 1019, 15–18 (2004).
doi: 10.1196/annals.1297.003
Eimer, W. A. et al. Alzheimer’s disease-associated β-amyloid is rapidly seeded by Herpesviridae to protect against brain infection. Neuron 99, 56–63.e3 (2018).
doi: 10.1016/j.neuron.2018.06.030
Kumar, D. K. et al. Amyloid-β peptide protects against microbial infection in mouse and worm models of Alzheimer’s disease. Sci. Transl. Med. 8, 340ra72 (2016).
doi: 10.1126/scitranslmed.aaf1059
Readhead, B. et al. Multiscale analysis of independent Alzheimer’s cohorts finds disruption of molecular, genetic, and clinical networks by human herpesvirus. Neuron 99, 64–82 (2018).
doi: 10.1016/j.neuron.2018.05.023
Tzeng, N. S. et al. Anti-herpetic medications and reduced risk of dementia in patients with herpes simplex virus infections — a nationwide, population-based cohort study in Taiwan. Neurotherapeutics 15, 417–429 (2018).
doi: 10.1007/s13311-018-0611-x
Golde, T. E. Harnessing immunoproteostasis to treat neurodegenerative disorders. Neuron 101, 1003–1015 (2019).
doi: 10.1016/j.neuron.2019.02.027
Haeberlein, S. B. et al. EMERGE and ENGAGE topline results: two phase 3 studies to evaluate aducanumab in patients with early Alzheimer’s disease. Clinical Trials on Alzheimer's Disease (CTAD) https://investors.biogen.com/static-files/ddd45672-9c7e-4c99-8a06-3b557697c06f (2019).
Belluck, P. A common virus may play role in Alzheimer’s disease, study finds. The New York Times (New York) 17 (21 Jun 2018).
Soscia, S. J. et al. The Alzheimer’s disease-associated amyloid β-protein is an antimicrobial peptide. PLoS One 5, e9505 (2010).
doi: 10.1371/journal.pone.0009505
Bourgade, K. et al. β-Amyloid peptides display protective activity against the human Alzheimer’s disease-associated herpes simplex virus-1. Biogerontology 16, 85–98 (2015).
doi: 10.1007/s10522-014-9538-8
Tsai, M. C. et al. Increased risk of dementia following herpes zoster ophthalmicus. PLoS One 12, e0188490 (2017).
doi: 10.1371/journal.pone.0188490
Mori, I. et al. Reactivation of HSV-1 in the brain of patients with familial Alzheimer’s disease. J. Med. Virol. 73, 605–611 (2004).
doi: 10.1002/jmv.20133
Gérard, H. C. et al. Chlamydophila (Chlamydia) pneumoniae in the Alzheimer’s brain. FEMS Immunol. Med. Microbiol. 48, 355–366 (2006).
doi: 10.1111/j.1574-695X.2006.00154.x
Alonso, R., Pisa, D., Férnandez-Férnandez, A. M. & Carrasco, L. Infection of fungi and bacteria in brain tissue from elderly persons and patients with Alzheimer’s disease. Front. Aging Neurosci. 10, 159 (2018).
doi: 10.3389/fnagi.2018.00159
Hammond, C. J. et al. Immunohistological detection of Chlamydia pneumoniae in the Alzheimer’s disease brain. BMC Neurosci. 11, 121 (2010).
doi: 10.1186/1471-2202-11-121
Pisa, D., Alonso, R., Rábano, A., Rodal, I. & Carrasco, L. Different brain regions are infected with fungi in Alzheimer’s disease. Sci. Rep. 5, 15015 (2015).
doi: 10.1038/srep15015
Klapper, P. E., Cleator, G. M. & Longson, M. Mild forms of herpes encephalitis. J. Neurol. Neurosurg. Psychiatry 47, 1247–1250 (1984).
doi: 10.1136/jnnp.47.11.1247
Itzhaki, R. F. et al. Microbes and Alzheimer’s disease. J. Alzheimers Dis. 51, 979–984 (2016).
doi: 10.3233/JAD-160152
Lövheim, H. et al. Herpes simplex virus, APOEε4, and cognitive decline in old age: results from the Betula Cohort Study. J. Alzheimers Dis. 67, 211–220 (2019).
doi: 10.3233/JAD-171162
Miklossy, J. Historic evidence to support a causal relationship between spirochetal infections and Alzheimer’s disease. Front. Aging Neurosci. 7, 46 (2015).
doi: 10.3389/fnagi.2015.00046
Balin, B. J. et al. Identification and localization of Chlamydia pneumoniae in the Alzheimer’s brain. Med. Microbiol. Immunol. 187, 23–42 (1998).
doi: 10.1007/s004300050071
Alonso, R. et al. Fungal infection in patients with Alzheimer’s disease. J. Alzheimers Dis. 41, 301–311 (2014).
doi: 10.3233/JAD-132681
Iwashyna, T. J., Ely, E. W., Smith, D. M. & Langa, K. M. Long-term cognitive impairment and functional disability among survivors of severe sepsis. JAMA 301, 489–499 (2009).
doi: 10.1001/jama.2009.56
Widmann, C. N. & Heneka, M. T. Long-term cerebral consequences of sepsis. Lancet Neurol. 13, 630–636 (2014).
doi: 10.1016/S1474-4422(14)70017-1
Warren-Gash, C. et al. Human herpesvirus infections and dementia or mild cognitive impairment: a systematic review and meta-analysis. Sci. Rep. 9, 4743 (2019).
doi: 10.1038/s41598-019-41218-w
Golde, T. E., DeKosky, S. T. & Galasko, D. Alzheimer’s disease: the right drug, the right time. Science 362, 1250–1251 (2018).
doi: 10.1126/science.aau0437
Tejera, D. et al. Systemic inflammation impairs microglial Aβ clearance through NLRP3 inflammasome. EMBO J. 38, e101064 (2019).
doi: 10.15252/embj.2018101064
Venegas, C. et al. Microglia-derived ASC specks cross-seed amyloid-β in Alzheimer’s disease. Nature 552, 355–361 (2017).
doi: 10.1038/nature25158
Ising, C. et al. NLRP3 inflammasome activation drives tau pathology. Nature 575, 669–673 (2019).
doi: 10.1038/s41586-019-1769-z
Itzhaki, R. F. & Lathe, R. Herpes viruses and senile dementia: first population evidence for a causal link. J. Alzheimers Dis. 64, 363–366 (2018).
doi: 10.3233/JAD-180266
Wozniak, M., Bell, T., Dénes, Á. & Itzhaki, R. Anti-HSV1 activity of brown algal polysaccharides and possible relevance to the treatment of Alzheimer’s disease. Int. J. Biol. Macromol. 74, 530–540 (2015).
doi: 10.1016/j.ijbiomac.2015.01.003

Auteurs

Ruth F Itzhaki (RF)

School of Biological Sciences, University of Manchester, Manchester, UK. ruth.itzhaki@manchester.ac.uk.
Institute of Population Ageing, University of Oxford, Oxford, UK. ruth.itzhaki@manchester.ac.uk.

Todd E Golde (TE)

Center for Translational Research in Neurodegenerative Disease, Department of Neuroscience, McKnight Brain Institute, Gainesville, FL, USA. tgolde@ufl.edu.

Michael T Heneka (MT)

Department of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital of Bonn, Bonn, Germany. michael.heneka@ukbonn.de.
German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany. michael.heneka@ukbonn.de.
Division of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA, USA. michael.heneka@ukbonn.de.

Ben Readhead (B)

ASU-Banner Neurodegenerative Disease Research Center, Arizona State University, Tempe, AZ, USA. ben.readhead@asu.edu.

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Classifications MeSH