Evidence map›Paper›PMID 38561809›Full record

ReviewMolecular neurodegeneration2024

The endotoxin hypothesis of Alzheimer's disease.

Guy C Brown, Michael T Heneka

Open access · goldAbstract readReview
In one paragraph

Review in Molecular neurodegeneration, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed
15.1field-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

79 citing papers in PubMed, 96 citations in OpenAlex.

  1. Review
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  8. From Tradition to Translation: A Critical Appraisal ofInternational journal of molecular sciences · 2026
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19 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

2 authors at 2 institutions in 2 countries.

Guy C BrownDepartment of Biochemistry, University of Cambridge, Cambridge, United Kingdom. gcb3@cam.ac.uk.ORCID 0000-0002-3610-1730
Michael T HenekaLuxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg.
University of Cambridge · GBUniversity of Luxembourg · LU

Funding

Medical Research Council MR/L010593
6 · The paper itself

Abstract

Lipopolysaccharide (LPS) constitutes much of the surface of Gram-negative bacteria, and if LPS enters the human body or brain can induce inflammation and act as an endotoxin. We outline the hypothesis here that LPS may contribute to the pathophysiology of Alzheimer's disease (AD) via peripheral infections or gut dysfunction elevating LPS levels in blood and brain, which promotes: amyloid pathology, tau pathology and microglial activation, contributing to the neurodegeneration of AD. The evidence supporting this hypothesis includes: i) blood and brain levels of LPS are elevated in AD patients, ii) AD risk factors increase LPS levels or response, iii) LPS induces Aβ expression, aggregation, inflammation and neurotoxicity, iv) LPS induces TAU phosphorylation, aggregation and spreading, v) LPS induces microglial priming, activation and neurotoxicity, and vi) blood LPS induces loss of synapses, neurons and memory in AD mouse models, and cognitive dysfunction in humans. However, to test the hypothesis, it is necessary to test whether reducing blood LPS reduces AD risk or progression. If the LPS endotoxin hypothesis is correct, then treatments might include: reducing infections, changing gut microbiome, reducing leaky gut, decreasing blood LPS, or blocking LPS response.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAnimalsEndotoxinsHumansInflammationLipopolysaccharidesMiceMicrogliaAmyloid beta-PeptidesEndotoxinsLipopolysaccharidesAlzheimer’s diseaseEndotoxinGutInflammationLipopolysaccharideMicrogliaNeurodegenerationNeuroinflammation

Identifiers

PMID38561809
PMCPMC10983749
OpenAlexW4393392928

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.