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Gut finding paves way for new Alzheimer’s treatments

A team of researchers has discovered a surprising link between a chronic gut infection caused by a common virus and the development of Alzheimer’s disease in a subset of people.
The finding could lead to new ways to treat or prevent the condition.
It is believed most humans are exposed to cytomegalovirus or HCMV — during the first few decades of life.
Cytomegalovirus is one of nine herpes viruses, but it is not considered a sexually transmitted disease.
The virus is usually passed through exposure to bodily fluids and spread only when the virus is active.
According to the new research, in some people, the virus may linger in an active state in the gut, where it may travel to the brain via the vagus nerve — a critical information highway that connects the gut and brain.
Once there, the virus can change the immune system and contribute to other changes associated with Alzheimer’s disease.
If the researchers’ hypotheses are confirmed, they may be able to evaluate whether existing antiviral drugs could treat or prevent this form of Alzheimer’s disease.
They are currently developing a blood test to identify people who have an active HCMV infection and who might benefit from antiviral medication.
Dr Ben Readhead is co-first author of the study and research associate professor with ASU-Banner Neurodegenerative Disease Research Center in the Biodesign Institute at Arizona State University (ASU).
He said: “We think we found a biologically unique subtype of Alzheimer’s that may affect 25 per cent to 45 per cent of people with this disease.
“This subtype of Alzheimer’s includes the hallmark amyloid plaques and tau tangles—microscopic brain abnormalities used for diagnosis—and features a distinct biological profile of virus, antibodies and immune cells in the brain.”
The research team suggests that some people exposed to HCMV develop a chronic intestinal infection.
The virus then enters the bloodstream or travels through the vagus nerve to the brain.
There, it is recognised by the brain’s immune cells, called microglia, which turn on the expression of a specific gene called CD83.
The virus may contribute to the biological changes involved in the development of Alzheimer’s.
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AI can predict Alzheimer’s with almost 93% accuracy, researchers say

Alzheimer’s AI can predict the disease with nearly 93 per cent accuracy using more than 800 brain scans, researchers say.
The system identified anatomical changes in the brain linked to the onset of the most common form of dementia, a condition that gradually damages memory and thinking.
The findings build on years of research suggesting AI could help spot early Alzheimer’s risk, predict disease and identify patients whose condition has not yet been diagnosed.
Benjamin Nephew, an assistant research professor at the Worcester Polytechnic Institute in Massachusetts, said: “Early diagnosis of Alzheimer’s disease can be difficult because symptoms can be mistaken for normal ageing.
“We found that machine-learning technologies, however, can analyse large amounts of data from scans to identify subtle changes and accurately predict Alzheimer’s disease and related cognitive states.”
The study used MRI scans, a type of detailed brain imaging, from 344 people aged 69 to 84.
The dataset included 281 scans showing normal mental function, 332 with mild cognitive impairment, an early stage of memory and thinking decline, and 202 with Alzheimer’s.
The scans covered 95 of the brain’s nearly 200 distinct regions and used an AI algorithm to predict patients’ health.
Being able to use AI to help diagnose Alzheimer’s earlier could give patients and doctors crucial time to prepare and potentially slow the progression of the disease.
The analysis showed that one of the top predictive factors was brain volume loss, or shrinkage, in the hippocampus, which helps form memories, the amygdala, which processes fear, and the entorhinal cortex, which helps provide a sense of time.
This pattern held across age and sex, with both men and women aged 69 to 76 showing volume loss in the right part of the hippocampus, suggesting it may be an important area for early diagnosis, the researchers noted.
However, the research also found that the way brain regions shrink differs by sex.
In females, volume loss occurred in the brain’s left middle temporal cortex, which is involved in language and visual perception. In males, it was mainly seen in the right entorhinal cortex
The researchers believe this could be linked to changes in sex hormones, including the loss of oestrogen in women and testosterone in men.
These conclusions could help improve methods of diagnosis and treatment going forward, Nephew said.
More than 7.2m Americans are living with Alzheimer’s, according to the Alzheimer’s Association.
More research is being done to reveal other impacting factors.
Nephew said: “The critical challenge in this research is to build a generalisable machine-learning model that captures the difference between healthy brains and brains from people with mild cognitive impairment or Alzheimer’s disease.”
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