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The Mechanistic Pathways of Periodontal Pathogens Entering the Brain: The Potential Role of in Tracing Alzheimer's Disease Pathology. | LitMetric

The Mechanistic Pathways of Periodontal Pathogens Entering the Brain: The Potential Role of in Tracing Alzheimer's Disease Pathology.

Int J Environ Res Public Health

Dementia and Neurodegenerative Disease Research Group, Faculty of Clinical and Biomedical Sciences, School of Dentistry, University of Central Lancashire, Preston PR1 2HE, UK.

Published: July 2022

AI Article Synopsis

Article Abstract

Alzheimer's Disease (AD) is a complex neurodegenerative disease and remains the most common form of dementia. The pathological features include amyloid (Aβ) accumulation, neurofibrillary tangles (NFTs), neural and synaptic loss, microglial cell activation, and an increased blood-brain barrier permeability. One longstanding hypothesis suggests that a microbial etiology is key to AD initiation. Among the various periodontal microorganisms, has been considered the keystone agent to potentially correlate with AD, due to its influence on systemic inflammation. together with and belong to the red complex consortium of bacteria advocated to sustain periodontitis within a local dysbiosis and a host response alteration. Since the implication of in the pathogenesis of AD, evidence has emerged of clusters in some AD brain tissue sections. This narrative review explored the potential mode of spirochetes entry into the AD brain for tracing pathology. Spirochetes are slow-growing bacteria, which can hide within ganglia for many years. It is this feature in combination with the ability of these bacteria to evade the hosts' immune responses that may account for a long lag phase between infection and plausible AD disease symptoms. As the locus coeruleus has direct connection between the trigeminal nuclei to periodontal free nerve endings and proprioceptors with the central nervous system, it is plausible that they could initiate AD pathology from this anatomical region.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9368682PMC
http://dx.doi.org/10.3390/ijerph19159386DOI Listing

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