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However, the mechanisms of microbiome—brain interaction in AD were so far unknown. This was accompanied by the pronounced alterations in microglial transcriptomic profile, including upregulation of ApoE. Besides the already well-acknowledged contribution of amyloidogenic protein processing and neuroinflammation to AD pathology, the gut microbiome is emerging as a novel and highly relevant modifier of brain pathology. For example, we have previously described an intricate bidirectional link between the gut and brain after acute stroke, where stroke changes the gut microbiota composition Singh et al. In turn, post-stroke dysbiosis induced changes in the immune response to stroke. Most importantly, the gut microbiota composition can be modulated to improve the disease outcome in stroke and other neurological disorders Benakis et al. Only recently, a role of gut microbiota was also established in AD.
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