Altered gut microbiota in older adults with mild cognitive impairment: a case-control study

Published on May 25, 2023

Imagine your brain is a bustling city, and your gut bacteria are the architects shaping its streets. In a fascinating study, scientists have investigated the connection between gut microbiota and mild cognitive impairment (MCI), a precursor to Alzheimer’s disease. By examining fecal samples and cognitive functions of older adults, they discovered alterations in the composition of gut bacteria in individuals with MCI compared to cognitively normal controls. Certain bacteria, like Ruminococcus and Butyricimonas, were found to decrease in abundance in MCI patients, while others like Flavonifractor increased. These differences in bacterial populations could distinguish MCI patients from healthy individuals and were associated with attention and executive function. This research sheds light on the potential role of gut bacteria in the neurodegenerative process, suggesting that manipulating the microbiota-gut-brain axis could be a promising avenue for future therapies. Curious to learn more about this fascinating connection? Check out the full research article!

IntroductionThe microbiota-gut-brain axis is implicated in Alzheimer’s disease. Gut microbiota alterations in mild cognitive impairment (MCI) are inconsistent and remain to be understood. This study aims to investigate the gut microbial composition associated with MCI, cognitive functions, and structural brain differences.MethodsA nested case-control study was conducted in a community-based prospective cohort where detailed cognitive functions and structural brain images were collected. Thirty-one individuals with MCI were matched to sixty-five cognitively normal controls by age strata, gender, and urban/rural area. Fecal samples were examined using 16S ribosomal RNA (rRNA) V3–V4 sequencing. Compositional differences between the two groups were identified and correlated with the cognitive functions and volumes/thickness of brain structures.ResultsThere was no significant difference in alpha and beta diversity between MCIs and cognitively normal older adults. However, the abundance of the genus Ruminococcus, Butyricimonas, and Oxalobacter decreased in MCI patients, while an increased abundance of nine other genera, such as Flavonifractor, were found in MCIs. Altered genera discriminated MCI patients well from controls (AUC = 84.0%) and were associated with attention and executive function.ConclusionThis study provides insights into the role of gut microbiota in the neurodegenerative process.

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