Volume 5, Issue 4 p. 348-360
Review Article

Alzheimer's disease and infection: Do infectious agents contribute to progression of Alzheimer's disease?

Kie Honjo

Kie Honjo

L.C. Campbell Cognitive Neurology Research Unit, Heart and Stroke Foundation Centre for Stroke Recovery, Section of Neurology, Department of Medicine, Sunnybrook Health Science Centre and University of Toronto, Toronto, Ontario, Canada

Kunin-Lunenfeld Applied Research Unit Baycrest, Toronto, Ontario, Canada

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Robert van Reekum

Robert van Reekum

Kunin-Lunenfeld Applied Research Unit Baycrest, Toronto, Ontario, Canada

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Nicolaas P.L.G. Verhoeff

Corresponding Author

Nicolaas P.L.G. Verhoeff

Kunin-Lunenfeld Applied Research Unit Baycrest, Toronto, Ontario, Canada

Corresponding author. Tel.: 11-416-785-2500. ext. 2167; Fax: 11-416-785-4230.

E-mail address: [email protected]

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First published: 01 July 2009
Citations: 136

Abstract

Infection with several important pathogens could constitute risk factors for cognitive impairment, dementia, and Alzheimer's disease (AD) in particular. This review summarizes the data related to infectious agents that appear to have a relationship with AD. Infections with herpes simplex virus type 1, picornavirus, Borna disease virus, Chlamydia pneumoniae, Helicobacter pylori, and spirochete were reported to contribute to the pathophysiology of AD or to cognitive changes. Based on these reports, it may be hypothesized that central nervous system or systemic infections may contribute to the pathogenesis or pathophysiology of AD, and chronic infection with several pathogens should be considered a risk factor for sporadic AD. If this hypothesis holds true, early intervention against infection may delay or even prevent the future development of AD.