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Table 2 Relevant studies on the current oral drug formulations affecting the gut microbiota and lipids in AD

From: Gut microbiota-host lipid crosstalk in Alzheimer’s disease: implications for disease progression and therapeutics

Category

Compound

Model

Alterations of GM

Alterations of lipids

Main effects

Reference

Polyphenols

Hawthorn flavonoid

D-galactose and aluminum chloride induced AD mice

Dubosiella↑, Alloprevotella↑, Bifidobacterium↑, Acinetobacter↓,

Docosapentaenoic acid↑, sphingolipid↑, PC↑

Ameliorated Aβ accumulation and abnormal activation of hippocampal microglia, improved cognitive deficits

[251]

Curcumin

APP/PS1 mice, BV2 Microglial Cells

Prevotellaceae,↓

Bacteroides↓,

Escherichia/Shigella

TREM2 expression↑

Inhibits neuroinflammation, reduce the amyloid plaque burden, improve the spatial learning and memory abilities

[252, 253]

Bilberry anthocyanins

APP/PS1 mice

Serum and brain LPS levels↓,

SCFAs↑

Decreases hippocampal neuroinflammatory responses, Aβ plaques, reverse cognitive disfunction

[254]

Luteolin

/

Butyrate↑,

Neurotoxin cytokines↓, LPS↓,TMAO↓

SCFAs↑

Reduce neuroinflammation, intracellular tau-related

neurofibrillary tangles and extracellular Aβ deposition

[264]

Herbal medicines

Schisandra chinensis

Aβ injection SD rats

Lactobacillus↑,

Firmicutes↑,

Bacteroidetes↑,

Pseudomonadaceae_Pseudomonas↓,butyrate↑,

propionate↑,

SCFAs↑

Improved learning and memory capacity, reduced neuroinflammation, and restoration of the integrity of the intestinal barrier

[257]

Epimedii Folium and Curculiginis Rhizoma

LPS-induced neuroinflammatory mouse model

LPS↓

TREM2 expression↑,APOE expression↓

Inhibited neuroinflammation, ameliorated cognitive impairment

[260]

Pyrolae herba

LPS injection C57BL6/J mice

LPS↓

TREM2 expression↓

Reduce pro-inflammatory factors, improve cognitive function

[261]

Statin

Atorvastatin

SD rats

Lactobacillus↑, Blautia↓, Ruminococcaceae

RA metabolism↑

Inhibit neuroinflammation, improve cognitive decline

[265]

Simvastatin

Ovariectomized/D-galactose AD rat

Propionic acid↑,

acetic acid↑, butyric acid↑,

tight junctions of intestinal cells↑

SCFAs↑

Decreased cell death and Aβ plaques, reducted neuronal inflammation, protected learning and memory function

[263]

  1. Abbreviations: AD = Alzheimer’s disease; APOE = Apolipoprotein E; APP = Amyloid precursor protein; Aβ = amyloid β; GM = Gut microbiota; LPS = Lipopolysaccharides; RA = Retinoic acid; SCFAs = Short-chain fatty acids; TMAO = Trimethylamine N-oxide; TREM2 = Triggering Receptor Expressed on Myeloid Cells 2