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Table 1 Studies examining the association between multiple infection categories and Alzheimer’s disease, vascular dementia, all-cause dementia

From: The role of peripheral inflammatory insults in Alzheimer’s disease: a review and research roadmap

Author, Year

Cohort/Patient Registry or Country (Total sample size)

Infection Type

Infection Diagnostic Method

Outcome (Follow-Up Years*)

Results

Sipila et al., 2021 [49]

Finnish multicohort (n = 260,490)

UK Biobank (n = 485,708)

Bacterial

Viral

CNS

(present/absent; frequency)

HDR

ACD, AD, VaD

(primary cohort, 19; replication cohort, 4)

Any infection, infection frequency, viral, bacterial, CNS: ACD, AD, VaD

Douros et al., 2021 [50]

CPRD

(n = 4,262,092)

HSV1/2

Borrelia burgdorferi

Porphyromonas gingivalis

Escherichia coli

Helicobacter pylori

Chlamydophila pneumonia

Candida albicans

(present/absent; frequency)

EHR

AD (30)

Any infection, H. pylori: AD

HSV1/2: –AD

B. burgdorferi: –AD

P. gingivalis: –AD

E. coli: –AD

C. pneumonia: –AD

C. albicans: –AD

Frequency: –AD

Bohn et al., 2023 [51]

ARIC study (n = 15,688)

Any Infection,

respiratory, urinary tract, skin, blood/circulatory system, intestinal

(present/absent)

HDR

ACD (32)

Any Infection, respiratory, urinary tract, skin, blood/circulatory system: ACD

Intestinal: –ACD

Levine et al., 2023 [52]

FinnGenn (n = 344,189)

UK Biobank (n = 106,066)

73 different viruses

(present/absent)

HER

ACD, AD, VaD (not reported)

Influenza: ACD, VaD

Viral pneumonia, warts, encephalitis, ‘other’: ACD

Influenza + pneumonia: ACD, AD, VaD

Viral intestinal: ACD, AD, VaD

Meningitis, viral encephalitis: AD

VZV: VaD

Mawanda et al., 2016 [47]

Veterans Health Administration (n = 417,172)

Pneumonia

Septicemia

Bacteremia

Urinary tract infections

Cellulitis

Septic arthritis Osteomyelitis

(present/absent)

HER

ACD (12)

Any infection: ACD

Pneumonia: ACD

Septicemia: ACD

Bacteremia: ACD

Urinary tract infection: ACD

Cellulitis: ACD

Septic arthritis: –ACD

Osteomyelitis: ACD

Muzambi et al., 2021 [53]

CPRD (n = 989,800)

Sepsis

Pneumonia

Other lower respiratory tract infections

Urinary tract infections

Skin/soft tissue infections

(present/absent; frequency)

HER

ACD

AD

VaD

Other dem. (15)

Any Infection: ACD, AD, VaD, Other dem

Frequency: ACD

Sepsis: ACD, VaD, Other dem

Pneumonia: ACD, AD, VaD, Other dem

Other lower respiratory tract infections: ACD, VaD, Other dem

Urinary tract infections: ACD, AD, VaD, Other dem

Skin/soft tissue infections: ACD, AD, VaD, Other dem

Sun et al., 2022 [54]

NPR

(n = 1,751,646)

Bacterial

Viral

CNS

Respiratory

Gastrointestinal

Skin

Urinary tract infections

(present/absent)

EHR + HDR

AD (46)

Any infection: AD

Bacterial: AD

Viral: AD

CNS: AD

Respiratory: AD

Gastrointestinal: AD

Skin: AD

Urinary tract infections: AD

Mekli, et al., 2022 [55]

UK Biobank (n = 9,431)

17 viruses

(present/absent)

Serum IgGs

ACD (9)

HSV1: ACD

HSV1 + HHV6 + HHV7 + VZV: ACD

HSV2, EBV, VZV, CMV, HHV6, HHV7, HHV8, HBV, HTLV, BKV, JCV, HPV, MCV: –ACD

Dunn et al., 2005 [43]

GPRD

(n = 19,328)

Chest

Genitourinary

Skin

Other

(frequency)

EHR

ACD (10)

Frequency: ACD

Strandberg et al., 2003 [56]

Finland

(n = 383)

HSV1

HSV2

CMV

Chlamydia pneumoniae

Mycoplasma pneumoniae

(frequency)

Serum IgGs

MMSE (1)

Viral frequency: ↓MMSE

Bacterial frequency: –MMSE

Wright et al., 2015 [57]

NOMAS (n = 419)

HSV1

HSV2

CMV

Chlamydia pneumoniae

Helicobacter pylori

(frequency)

Serum IgGs

Language, Memory, Executive function Processing speed (14)

Frequency: –Language,

Frequency: ↓Memory

Frequency: –Executive function

Frequency: –Processing speed

  1. Abbreviations: ACD all-cause dementia, AD Alzheimer’s disease, ARIC Atherosclerosis Risk in Communities study, BKV human polyomavirus BKV, CMV cytomegalovirus, CNS central nerouvs system, CPRD Clinical Practice Research Datalink, EBV Epstein–Barr virus, EHR electronic health records, HBV hepatitis B virus, HDR hospital discharge records, HHV human herpes virus, HPV human papillomavirus, HSV herpes simplex virus, HTLV human T-cell lymphotropic virus, IgG immunoglobulin G, JCV human polyomavirus JCV, MCV Merkel cell polyomavirus, MMSE Mini-Mental State Examination, NOMAS Northern Manhattan Study, VaD vascular dementia, VZV varicella zoster virus
  2. infection associated with increased dementia risk/cognitive performance
  3. infection associated with decreased dementia risk/cognitive performance; – null association
  4. *Maximum follow-up time/observational window