Evidence map›Paper›PMID 40448221›Full record

ArticleAlzheimer's research & therapy2025

Compositional and functional gut microbiota alterations in mild cognitive impairment: links to Alzheimer's disease pathology.

Kang-Chen Fan, Chen-Ching Lin, Yen-Ling Chiu, Seong-Ho Koh, Yi-Chien Liu, Yi-Fang Chuang

Abstract read
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Article in Alzheimer's research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

6 authors.

Kang-Chen FanSchool of Medicine, National Yang Ming Chiao Tung University, 155 Sec. 2, Linong St., Beitou Dist, Taipei City, 112304, Taiwan.ORCID 0009-0000-1931-0226
Chen-Ching LinInstitute of Biomedical Informatics, National Yang Ming Chiao Tung University, 155 Sec. 2, Linong St., Beitou Dist, Taipei City, 112304, Taiwan.ORCID 0000-0002-7831-7855
Yen-Ling ChiuDepartment of Medical Research, Far Eastern Memorial Hospital, 21 Sec. 2, Nanya S. Rd., Banqiao Dist, New Taipei City, 220216, Taiwan.ORCID 0000-0003-4504-5571
Seong-Ho KohDepartment of Neurology, College of Medicine, Hanyang University Guri Hospital, 153 Kyougchun-ro, Guri-si, 11923, Gyeonggi-do, Republic of Korea.ORCID 0000-0001-5419-5761
Yi-Chien LiuDepartment of Neurology, Cardinal Tien Hospital, 362 Zhongzheng Rd., Xindian Dist, New Taipei City, 23148, Taiwan.ORCID 0000-0003-2579-740X
Yi-Fang ChuangSchool of Medicine, National Yang Ming Chiao Tung University, 155 Sec. 2, Linong St., Beitou Dist, Taipei City, 112304, Taiwan. chuangy@nycu.edu.tw.ORCID 0000-0002-5421-9855

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmerging evidence highlights the bidirectional communication between the gut microbiota and the brain, suggesting a potential role for gut dysbiosis in Alzheimer's disease (AD) pathology and cognitive decline. Existing literature on gut microbiota lacks species-level insights. This study investigates gut microbiota alterations in mild cognitive impairment (MCI), focusing on their association with comprehensive AD biomarkers, including amyloid burden, tau pathology, neurodegeneration, and cognitive performance.

methodsWe analyzed fecal samples from 119 individuals with MCI and 320 cognitively normal controls enrolled in the Taiwan Precision Medicine Initiative on Cognitive Impairment and Dementia cohort. Shotgun metagenomic sequencing was conducted with taxonomic profiling using MetaPhlAn4. Amyloid burden and plasma pTau181 were quantified via PET imaging and Simoa assays, respectively, while APOE genotyping was performed using TaqMan assays. Microbial diversity, differential abundance analysis, and correlation mapping with neuropsychological and neuroimaging measures were conducted to identify gut microbiota species signatures associated with MCI and AD biomarkers.

resultsWe identified 59 key microbial species linked to MCI and AD biomarkers. Notably, species within the same genera, such as Bacteroides and Ruminococcus, showed opposing effects, while Akkermansia muciniphila correlated with reduced amyloid burden, suggesting a protective role. Functional profiling revealed microbial pathways contributing to energy metabolism and neuroinflammation, mediating the relationship between gut microbes and brain health. Co-occurrence network analyses demonstrated complex microbial interactions, indicating that the collective influence of gut microbiota on neurodegeneration.

conclusionsOur findings challenge genus-level microbiome analyses, revealing species-specific modulators of AD pathology. This study highlights gut microbial activity as a potential therapeutic target to mitigate cognitive decline and neurodegeneration.

Indexed as

Alzheimer DiseaseCognitive DysfunctionGastrointestinal MicrobiomeAgedAged, 80 and overBiomarkersBrainDysbiosisFecesFemaleHumansMaleMiddle Agedtau ProteinsBiomarkerstau ProteinsAlzheimer’s disease pathologyAmyloid PETAPOEGut-brain axisGut microbiomeMild cognitive impairmentPlasma pTau181Shotgun metagenomics

Identifiers

PMID40448221
PMCPMC12123878

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LicenceCC BY-NC-ND
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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.