2021
DOI: 10.3389/fnins.2021.691016
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Porphyromonas gingivalis-Induced Neuroinflammation in Alzheimer’s Disease

Abstract: “Chronic” periodontitis and its keystone pathogen Porphyromonas gingivalis have repeatedly been associated with Alzheimer’s disease (AD). Pathological hallmarks in AD are brain accumulations of amyloid-beta and neurofibrillary tangles consisting of aggregated and hyperphosphorylated tau. In addition, neuroinflammation induced by P. gingivalis has increasingly been recognized as a factor in the pathogenesis of AD. The present mini-review discusses possible mechanisms for the induction of neuroinflammation by P.… Show more

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Cited by 18 publications
(14 citation statements)
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“…Instead of the application of antibiotics that have no impact against pathogenic bacterial bio ilms, some natural products emerge as potent factors interfering with QS and thus bio ilm formation [24]. P.gingivalis is one bacterium found in oral bio ilms that are correlated with many burden disorders like AD [25]. Therefore, upon targeting the QS pathway and preventing bio ilm formation, a huge number of in licted populations will bene it especially if the cure is of natural origin.…”
Section: Resultsmentioning
confidence: 99%
“…Instead of the application of antibiotics that have no impact against pathogenic bacterial bio ilms, some natural products emerge as potent factors interfering with QS and thus bio ilm formation [24]. P.gingivalis is one bacterium found in oral bio ilms that are correlated with many burden disorders like AD [25]. Therefore, upon targeting the QS pathway and preventing bio ilm formation, a huge number of in licted populations will bene it especially if the cure is of natural origin.…”
Section: Resultsmentioning
confidence: 99%
“…Inflammasome mutations can lead to inappropriate caspase-1 activation, which is associated with autoinflammatory syndromes [ 80 ]. Moreover, caspase-1 is involved in the pathogenesis of several diseases, including periodontal disease [ 4 ], Alzheimer’s disease [ 81 , 82 ], cardiovascular disease [ 83 ], rheumatoid arthritis [ 84 ], endometriosis [ 70 ], and Crohn’s disease [ 85 ], all of which are characterised by cell death and inflammation. Caspase-1 deficiency or inhibition protects against cell death, inflammation, and tissue dysfunction, associated with these diseases.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, the inflammasomes were also found to be the link among endometriosis, atherosclerosis, periodic fever syndromes, vitiligo, Crohn’s disease, gout, asbestosis, silicosis, and periodontitis [ 70 ]. In addition, neuroinflammation with pyroptosis is recognised as a pathological factor in Alzheimer’s disease [ 81 , 82 ]. Such associations give clues regarding the pathogenic mechanisms involving inflammasomes that are crucial for developing therapies or even for preventing such diseases [ 70 ].…”
Section: Discussionmentioning
confidence: 99%
“…Both periodontopathogenic bacteria and their products can enter the bloodstream, promoting the expression of inflammatory mediators that can damage other organs, including the brain. Interestingly, gingipains are proteases that generate pathogenicity factors such as Arg-gingipain (Rgp) and Lys-gingipain (Kgp), which can damage tau [30,118]. In this regard, atuzaginstat (COR388) is an inhibitor of gingipains, which is being tested in a phase II/III clinical study for AD treatment (NCT03823404) (Fig.…”
Section: Immunity and Inflammation As Therapeutic Targetsmentioning
confidence: 99%
“…Specifically, we describe drugs under clinical study targeting Aβ, tau, neuroinflammation and other risk factors, which may serve in future therapeutic approaches (Table 1, Ref. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]).…”
Section: Introductionmentioning
confidence: 99%