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   Probiotics improve cognition in Alzheime   
   08 Dec 16 20:07:35   
   
   From: mha23x@gmail.com   
      
   ScienceDaily   
   Your source for the latest research news   
      
   Probiotics improve cognition in Alzheimer's patients   
   Date:   
   November 10, 2016   
   Source:   
   Frontiers   
   Summary:   
   For the first time, scientists have shown that probiotics -- beneficial live   
   bacteria and yeasts taken as dietary supplements -- can improve cognitive   
   function in humans. In a new clinical trial, scientists show that a daily dose   
   of probiotic    
   Lactobacillus and Bifidobacterium bacteria taken over a period of just 12   
   weeks is enough to yield a moderate but significant improvement in the score   
   of elderly Alzheimer's patients on the Mini-Mental State Examination (MMSE)   
   scale, a standard measure    
   of cognitive impairment.   
   Share:   
   FULL STORY   
   For the first time, scientists have shown that probiotics -- beneficial live   
   bacteria and yeasts taken as dietary supplements -- can improve cognitive   
   function in humans. In a new clinical trial, scientists show that a daily dose   
   of probiotic    
   Lactobacillus and Bifidobacterium bacteria taken over a period of just 12   
   weeks is enough to yield a moderate but significant improvement in the score   
   of elderly Alzheimer's patients on the Mini-Mental State Examination (MMSE)   
   scale, a standard measure    
   of cognitive impairment.   
      
      
   Probiotics are known to give partial protection against certain infectious   
   diarrheas, irritable bowel syndrome, inflammatory bowel disease, eczema,   
   allergies, colds, tooth decay, and periodontal disease. But scientists have   
   long hypothesized that    
   probiotics might also boost cognition, as there is continuous two-way   
   communication between the intestinal microflora, the gastrointestinal tract,   
   and the brain through the nervous system, the immune system, and hormones   
   (along the so-called "microbiota-   
   gut-brain axis"). In mice, probiotics have indeed been shown to improve   
   learning and memory, and reduce anxiety and depression- and OCD-like symptoms.   
   But prior to the present study there was very limited evidence of any   
   cognitive benefits in humans.   
      
   Here, the researchers, from Kashan University of Medical Sciences, Kashan, and   
   Islamic Azad University, Tehran, Iran, present results from a randomized,   
   double-blind, controlled clinical trial on a total of 52 women and men with   
   Alzheimer's between 60    
   and 95 years of age. Half of the patients daily received 200 ml milk enriched   
   with four probiotic bacteria Lactobacillus acidophilus, L. casei, L.   
   fermentum, and Bifidobacterium bifidum (approximately 400 billion bacteria per   
   species), while the other    
   half received untreated milk.   
      
   At the beginning and the end of the 12-week experimental period, the   
   scientists took blood samples for biochemical analyses and tested the   
   cognitive function of the subjects with the MMSE questionnaire, which includes   
   tasks like giving the current date,    
   counting backwards from 100 by sevens, naming objects, repeating a phrase, and   
   copying a picture.   
      
   Over the course of the study, the average score on the MMSE questionnaire   
   significantly increased (from 8.7 to 10.6, out of a maximum of 30) in the   
   group receiving probiotics, but not in the control group (from 8.5 to 8.0).   
   Even though this increase is    
   moderate, and all patients remained severely cognitively impaired, these   
   results are important because they are the first to show that probiotics can   
   improve human cognition. Future research, on more patients and over longer   
   time-scales, is necessary to    
   test if the beneficial effects of probiotics become stronger after longer   
   treatment.   
      
   "In a previous study, we showed that probiotic treatment improves the impaired   
   spatial learning and memory in diabetic rats, but this is the first time that   
   probiotic supplementation has been shown to benefit cognition in cognitively   
   impaired humans,"    
   says Professor Mahmoud Salami from Kashan University, the senior author of the   
   study.   
      
   Treatment with probiotics also resulted in lower levels of triglycerides, Very   
   Low Density Lipoprotein (VLDL), high-sensitivity C-Reactive Protein (hs-CRP)   
   in the blood of the Alzheimer patients, and likewise a reduction in two common   
   measures (called "   
   Homeostatic Model Assessment," HOMA-IR and HOMA-B) of insulin resistance and   
   the activity of the insulin-producing cells in the pancreas.   
      
   "These findings indicate that change in the metabolic adjustments might be a   
   mechanism by which probiotics affect Alzheimer's and possibly other   
   neurological disorders," says Salami. "We plan to look at these mechanisms in   
   greater detail in our next    
   study."   
      
   Walter Lukiw, Professor of Neurology, Neuroscience and Ophthalmology and   
   Bollinger Professor of Alzheimer's disease at Louisiana State University, who   
   reviewed the study but was not involved in the research, said: "This early   
   study is interesting and    
   important because it provides evidence for gastrointestinal (GI) tract   
   microbiome components playing a role in neurological function, and indicates   
   that probiotics can in principle improve human cognition. This is in line with   
   some of our recent studies    
   which indicate that the GI tract microbiome in Alzheimer's is significantly   
   altered in composition when compared to age-matched controls, and that both   
   the GI tract and blood-brain barriersbecome significantly more leaky with   
   aging, thus allowing GI    
   tract microbial exudates (e.g. amyloids, lipopolysaccharides, endotoxins and   
   small non-coding RNAs) to access Central Nervous System compartments."   
      
      
   Story Source:   
      
   Materials provided by Frontiers. Note: Content may be edited for style and   
   length.   
      
   Journal Reference:   
      
   Elmira Akbari, Zatollah Asemi, Reza Daneshvar Kakhaki, Fereshteh Bahmani,   
   Ebrahim Kouchaki, Omid Reza Tamtaji, Gholam Ali Hamidi, Mahmoud Salami. Effect   
   of Probiotic Supplementation on Cognitive Function and Metabolic Status in   
   Alzheimer's Disease: A    
   Randomized, Double-Blind and Controlled Trial. Frontiers in Aging   
   Neuroscience, 2016; 8 DOI: 10.3389/fnagi.2016.00256   
   Cite This Page:   
   MLA   
   APA   
   Chicago   
   Frontiers. "Probiotics improve cognition in Alzheimer's patients."   
   ScienceDaily. ScienceDaily, 10 November 2016. .   
      
      
       
      
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