Evidence map›Paper›PMID 33504065›Full record

ReviewNutrients2021

The Immunopathogenesis of Alzheimer's Disease Is Related to the Composition of Gut Microbiota.

Friedrich Leblhuber, Daniela Ehrlich, Kostja Steiner, Simon Geisler, Dietmar Fuchs, Lukas Lanser, Katharina Kurz

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 2 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Pooled it
  2. Host insulin resistance caused byFrontiers in cellular and infection microbiology · 2023
    Pooled it
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  16. The Aging Gut-Brain Axis: Effects of Dietary Polyphenols and Metal Exposure.Chronic diseases and translational medicine · 2025
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35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Friedrich LeblhuberDepartment of Gerontology, Neuromed Campus, Kepler University Clinic, Linz A-4020, Austria.
Daniela EhrlichDepartment of Gerontology, Neuromed Campus, Kepler University Clinic, Linz A-4020, Austria.
Kostja SteinerDepartment of Gerontology, Neuromed Campus, Kepler University Clinic, Linz A-4020, Austria.
Simon GeislerInstitute of Biological Chemistry, Biocenter, Medical University of Innsbruck, Innsbruck A-6020, Austria.
Dietmar FuchsInstitute of Biological Chemistry, Biocenter, Medical University of Innsbruck, Innsbruck A-6020, Austria.ORCID 0000-0003-1627-9563
Lukas LanserDepartment of Internal Medicine, Medical University of Innsbruck, Innsbruck A-6020, Austria.ORCID 0000-0001-7849-2971
Katharina KurzDepartment of Internal Medicine, Medical University of Innsbruck, Innsbruck A-6020, Austria.
Innsbruck Medical University · ATKepler Universitätsklinikum · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The microbiota-gut-brain axis plays an important role in the development of neurodegenerative diseases. Commensal and pathogenic enteric bacteria can influence brain and immune system function by the production of lipopolysaccharides and amyloid. Dysbiosis of the intestinal microbiome induces local and consecutively systemic immune-mediated inflammation. Proinflammatory cytokines then trigger neuroinflammation and finally neurodegeneration. Immune-mediated oxidative stress can lead to a deficiency of vitamins and essential micronutrients. Furthermore, the wrong composition of gut microbiota might impair the intake and metabolization of nutrients. In patients with Alzheimer's disease (AD) significant alterations of the gut microbiota have been demonstrated. Standard Western diet, infections, decreased physical activity and chronic stress impact the composition and diversity of gut microbiota. A higher abundancy of "pro-inflammatory" gut microbiota goes along with enhanced systemic inflammation and neuroinflammatory processes. Thus, AD beginning in the gut is closely related to the imbalance of gut microbiota. Modulation of gut microbiota by Mediterranean diet, probiotics and curcumin can slow down cognitive decline and alter the gut microbiome significantly. A multi-domain intervention approach addressing underlying causes of AD (inflammation, infections, metabolic alterations like insulin resistance and nutrient deficiency, stress) appears very promising to reduce or even reverse cognitive decline by exerting positive effects on the gut microbiota.

Indexed as

Gastrointestinal MicrobiomeAgedAlzheimer DiseaseHumansAlzheimer’s diseasegut microbiomemicrobial amyloidneuroinflammationoral pathobiontstherapeutic intervention

Identifiers

PMID33504065
PMCPMC7912578
OpenAlexW3121834096

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.