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Periodontal dysbiosis associates with reduced CSF Aβ42 in cognitively normal elderly

Kamer, AR; Pushalkar, S; Gulivindala, D; Butler, T; Li, Y; Annam, KRC; Glodzik, L; ... De Leon, MJ; + view all (2021) Periodontal dysbiosis associates with reduced CSF Aβ42 in cognitively normal elderly. Alzheimer's & Dementia , 13 (1) , Article e12172. 10.1002/dad2.12172. Green open access

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Abstract

Introduction: Periodontal disease is a chronic, inflammatory bacterial dysbiosis that is associated with both Alzheimer's disease (AD) and Down syndrome. / Methods: A total of 48 elderly cognitively normal subjects were evaluated for differences in subgingival periodontal bacteria (assayed by 16S rRNA sequencing) between cerebrospinal fluid (CSF) biomarker groups of amyloid and neurofibrillary pathology. A dysbiotic index (DI) was defined at the genus level as the abundance ratio of known periodontal bacteria to healthy bacteria. Analysis of variance/analysis of covariance (ANOVA/ANCOVA), linear discriminant effect‐size analyses (LEfSe) were used to determine the bacterial genera and species differences between the CSF biomarker groups. / Results: At genera and species levels, higher subgingival periodontal dysbiosis was associated with reduced CSF amyloid beta (Aβ)42 (P = 0.02 and 0.01) but not with P‐tau. / Discussion: We show a selective relationship between periodontal disease bacterial dysbiosis and CSF biomarkers of amyloidosis, but not for tau. Further modeling is needed to establish the direct link between oral bacteria and Aβ.

Type: Article
Title: Periodontal dysbiosis associates with reduced CSF Aβ42 in cognitively normal elderly
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/dad2.12172
Publisher version: https://doi.org/10.1002/dad2.12172
Language: English
Additional information: Copyright © 2021 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, LLC on behalf of Alzheimer's Association. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
Keywords: 16S rRNA sequencing, Alzheimer's disease, CSF biomarkers, P‐tau, amyloid, infection, normal aging, oral bacterial dysbiosis, periodontitis
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10126686
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