There may be a link between gum disease and Alzheimer's

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Traces of the bacterium Porphyromonas gingivalis, which causes chronic gum disease, have been found in the brains of people who had Alzheimer's disease. An early study found the compound appeared to be safe and seemed to have a positive effect on Alzheimer's patients, the company says. Moreover, the bacteria eventually developed resistance but did not resist the gingipain blockers. And 91 percent of 54 patients tested positive for Kgp, or lysine-gingipain. In fact, the samples show a spectrum of all these proteins, with the Alzheimer's samples invariably on the high side and the controls invariably on the low. Gingipains were also shown to cause damage to Tau, another brain protein thought to be involved in the development of Alzheimer's.

But since recent research had found people with amyloid plaques not suffering from Alzheimer's and efforts to treat the disease by cutting down on these proteins had failed, the hypothesis had come under serious scrutiny.

This funding acknowledges the decades of failure in Alzheimer's and dementia research, which has been largely based on targeting beta amyloid and tau - approaches which have so far not yielded any compelling evidence of efficacy.

Trying to stop Pg buildup, the team designed small molecule inhibitors targeting the toxic enzyme gingipains.

Around half of adults have periodontitis.

Across town at Roseman University, Dr. Eric Farbman is also encouraged by the study, but also warns it only applied to a certain kind of genetic Alzheimer's.

AD affects 5.7 million Americans, with that number expected to almost triple by 2050 without prevention or cure. This time, experimenting on mice, the researchers found: caused by bacteria infection correlated with an increase in brain beta-amyloid protein whose accumulation is associated with damage to neurons in the brain and development of Alzheimer's disease.

In the study, the scientists observed that people with Alzheimer's Disease presented higher rates of toxic enzymes produced by P. gingivalis called gingipains. But a spinal tap is the only way to get the fluid, and many people are reluctant to have one.

Traditional broad-spectrum antibiotics would probably be ineffective against P. gingivalis in the brain, according to the research.

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The interest of scientists to these bacteria is not random.

The researchers who carried out the study mostly worked at Cortexyme, a private biotech company, with others working at Jagiellonian University in Poland, the University of California, University of Louisville School of Dentistry and Harvard University School of Dental Medicine in the U.S., the University of Melbourne in Australia, and University of Auckland in New Zealand.

Before researchers can use such a test for individual patients with Alzheimer's or any other neurodegenerative condition, they will need to determine how much protein in the blood is too much, and how quickly protein levels can rise before it becomes a cause for concern.

Luckily, she's managed the disease well for the past 15 years.

"We will have to see the outcome of this ongoing trial before we know more about its potential as a treatment for Alzheimer's".

"We have not only identified the epigenetic factors that contribute to the memory loss, but we also found ways to temporarily reverse them in an animal model of Alzheimer's", said Zhen Yan, Professor at University at Buffalo in the US.

Studies in the past have also associated the little-understood disease to the virus which cases herpes.

Symptoms of Alzheimer's disease, like memory loss, confusion, personality changes and agitation, can show up as many as 10 years (or more) after the disease actually starts.

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