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A common respiratory bacterium,
Chlamydia pneumoniae, best known for causing pneumonia
and sinus infections, may also contribute to Alzheimer's
disease. Researchers at Cedars-Sinai report that the
bacterium can persist for years in both the eye and the
brain, potentially worsening the neurodegeneration
linked to Alzheimer’s. Their findings, published in
Nature Communications, suggest that targeting chronic
infection and inflammation could open new treatment
avenues, including early antibiotic intervention and
anti-inflammatory therapies. For the first time,
scientists demonstrated that Chlamydia pneumoniae can
travel to the retina, the light-sensitive tissue at the
back of the eye. There, it triggers immune responses
associated with inflammation, nerve cell loss, and
cognitive decline. The team analyzed retinal tissue from
104 individuals with normal cognition, mild cognitive
impairment, or Alzheimer’s disease, using advanced
imaging, genetic testing, and protein studies. Patients
with Alzheimer’s showed significantly higher levels of
the bacterium in both retinal and brain tissues compared
to cognitively normal participants. Higher bacterial
levels correlated with more severe brain damage and
greater cognitive impairment. Elevated infection levels
were particularly common among carriers of the APOE4
variant, a known genetic risk factor for Alzheimer’s.
Laboratory studies of human nerve cells and mouse models
of Alzheimer’s further supported the link: infection
increased inflammation, accelerated nerve cell death,
worsened cognitive problems, and stimulated production
of amyloid-beta, the protein that accumulates in
Alzheimer’s brains. Researchers conclude that retinal
infection and chronic inflammation may mirror brain
pathology, supporting retinal imaging as a noninvasive
method to identify individuals at risk and potentially
guide earlier intervention strategies.
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