REVIEW ARTICLE
MICROBES AND THE DEVELOPMENT OF DEMENTIA
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1
Laboratory of Neurobiology, Department of Neurology, Poznan University of Medical Sciences, Poland
2
Student Scientific Society, Poznan University of Medical Sciences, Poland
3
Doctoral School, Poznan University of Medical Sciences, Poland
4
Chair and Department of Neurology, Poznan University of Medical Sciences, Poland
These authors had equal contribution to this work
Submission date: 2025-02-27
Acceptance date: 2025-03-06
Publication date: 2025-11-26
Corresponding author
Joanna Poszwa
Laboratory of Neurobiology, Department of Neurology, Poznan University of Medical Sciences, Poland
Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2024;49(4):35-46
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ABSTRACT
Introduction
Dementia represents one of the greatest challenges of modern medicine related to the ageing of the global population. The growing number of elderly people is contributing to an increase in the number of patients with dementing diseases, creating significant public health implications. The pathogenesis of diseases such as Alzheimer's disease (AD), frontotemporal dementia (FTD), dementia with Lewy bodies (DLB) or vascular dementia (VaD) is not fully understood. Recent theories suggest a possible involvement of microorganisms in the development of dementia.
Aim
The aim of this review is to assess the current knowledge of the likely contribution of microorganisms to the manifestation of dementia and their potential role as diagnostic and prognostic factors in the future.
Material and Methods
Our review involved freely accessible databases: PubMed, Google Scholar, ScienceDirect, using keywords such as: dementia, microbes, virulent factors, neuroinflammation, neurodegenerative disorders.
Results
This review highlights the likely relationship between microorganisms such as Porphyromonas gingivalis and Helicobacter pylori and the development of dementing diseases such as Alzheimer's disease, frontotemporal dementia, dementia with Lewy bodies and vascular dementia.
Conclusions
Microorganisms including Porphyromonas gingivalis and Helicobacter pylori and their virulent factors are most likely to be involved in the pathogenesis of dementia diseases. Among these are lipopolysaccharide (LPS), gingipains and cytotoxin-associated protein A (CagA).