Microbiota–gut–brain axis and probiotics: potential therapeutic strategies for treating Alzheimer’s disease

Oct 11, 2025Nutritional neuroscience

Gut bacteria and probiotics as possible treatments for Alzheimer's disease

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Abstract

Changes in the intestinal microbiota may influence Alzheimer's disease through various biochemical mechanisms.

  • Short-chain fatty acids produced by the gut microbiome regulate gut and blood-brain barrier permeability.
  • These fatty acids may upregulate brain-derived neurotrophic factor and promote the growth of new blood vessels and neurons.
  • They are associated with the regulation of tau and Aβ proteins, microglial activity, and neuroinflammation.
  • Cognitive impairment is linked to low levels of specific gut microbiota in individuals with mild cognitive impairment and Alzheimer's disease.
  • Certain bacterial species may improve cognitive function in affected individuals.
  • Further longitudinal studies are necessary to explore precision medicine for patients with gut microbiota imbalances in early stages of Alzheimer's.

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