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The gut-brain axis in Alzheimer's and Parkinson's diseases: a systematic review of microbiota-derived biomarkers and novel therapeutic approaches - PubMed

3 hours ago
  • #gut-brain axis
  • #neurodegenerative diseases
  • #microbiome biomarkers
  • Gut microbiota changes significantly influence Alzheimer's disease (AD) and Parkinson's disease (PD) onset and progression.
  • Short-chain fatty acids (SCFAs) like butyrate and acetate serve as noninvasive biomarkers for AD, mild cognitive impairment, and PD, with lower levels linked to cognitive decline.
  • Combining SCFAs improves diagnostic accuracy, showing AUCs from 0.75 to 0.87.
  • Trimethylamine N-oxide (TMAO) levels have inconsistent associations with disease risk, with both increases and decreases reported.
  • Therapies targeting gut microbiota, such as probiotics, prebiotics, diet changes, and fecal microbiota transplantation, show cognitive benefits and modulate gut-brain signaling.
  • Gut-derived biomarkers hold promise for early diagnosis and new treatments in AD and PD, though evidence for other neurodegenerative diseases is limited.