Skip to main content
Log in

Propionibacterium acnes in the cortex of patients with Alzheimer's disease

  • Letter to the Editors
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Abstract

Propionibacterium acnes was found in the cortex of three patients with Alzheimer's disease and in one frontal cortex of an elderly patient with cardiovascular risk factors and hypoxia due to a large glioblastoma of the right frontal lobe with severely increased intracranial pressure.Propionibacterium acnes is an atypical anaerobic bacterium which is sensitive to cephalosporins, but insensitive to metronidazole. It is concluded that a capillary microangiopathy (in consequence of old age and cardiovascular risk factors such as high blood pressure) leads to cortical hypoxia and reduced resistance of the cortical immune system. Prevention by dietary regimes counteracting microangiopathy and treatment with cephalosporins are recommended.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Brun A, Englund E (1986) A white-matter disorder in dementia of the Alzheimer type: a pathoanatomical study. Ann Neurol 19:253–262

    Google Scholar 

  2. Bucht G, Adolfson R, Lithner F, Winblad B (1983) Changes in blood glucose and insulin secretion in patients with senile dementia of Alzheimer type. Acta Med Scand 213:387–392

    Google Scholar 

  3. Corder EH, Saunders AM, Strittmatter WJ, Schmechel DE, Gaskell PC, Small GW, Roses AD, Haines JL, Pericak-Vance MA (1995) Gene dose of apolipoprotein E Type 4 allele and the risk of Alzheimer's disease in late-onset families. Science 261:921–923

    Google Scholar 

  4. Eikelenboom P, Stam FC (1982) Immunoglobulins and complement factors in senile plaques: an immunohistoperoxidase study. Acta Neuropathol 57:239–242

    Google Scholar 

  5. Förstl H, Burns A, Luthert P, Cairns N (1991) Demenz und internistische Erkrankungen: die Häufigkeit innerer Krankheiten bei Alzheimer-Demenz, vaskulärer Demenz und anderen dementiellen Erkrankungen. Z Gerontol 24:91–93

    Google Scholar 

  6. Fujisawa Y, Sasaki K, Akiyama K (1991) Increased insulin levels after OGTT load in peripheral blood and cerebrospinal fluid of patients with dementia of Alzheimer type. Biol Psychiatry 30:219–228

    Google Scholar 

  7. George AE, Leon MJ de, Kalnin A et al (1986) Leukoencephalopathy in normal and pathologic aging. 2. MRI of brain lucencies. Am J Neuroradiol 7:567–570

    Google Scholar 

  8. Hasegawa K (1990) The clinical issues of age-related dementia. Tohoku J Exp Med 161:29–38

    Google Scholar 

  9. Herbert LE, Scherr PA, Beckett LA, Albert MS, Pilgrim DM, Chown MJ, Funkenstein HH, Evans DA (1995) Age-specific incidence of Alzheimer's disease in a community population. JAMA 273:1354–1359

    Google Scholar 

  10. Howard J, Pilkington GJ (1992) Fibronectin staining detects micro-organisms in aged and Alzheimer's disease brain. Neuro Report 3:615–618

    Google Scholar 

  11. Kawano H, Ueda K, Fujishima M (1990) Prevalence of dementia in a Japanese community (Hisayama): morphological reappraisal of the type of dementia. Jpn J Med 39:261–265

    Google Scholar 

  12. Kornhuber HH (1993) Alzheimer's disease: on causes and treatment. Neuro Psychiatry Brain Res 1:150–154

    Google Scholar 

  13. Kornhuber HH, Elsässer G, Görtler M et al (1994) Cerebrale Mikroangiopathie, eine häufige Ursache psychischer Störungen im höheren Lebensalter: ihre Risikofaktoren, ihre Beziehung zur Makroangiopathie und zur Alzheimer-Demenz. In: Huber G, Gross G (eds). Perspektiven psychiatrischer Forschung und Praxis. Schattauer, Stuttgart, pp 109–134

    Google Scholar 

  14. Lierse W (1963) Die Kapillardichte im Wirbeltiergehirn. Acta Anat 54:1–31

    Google Scholar 

  15. Mandybur T (1975) The incidence of cerebral amyloid angiopathy in Alzheimer's disease. Neurology 25:120–126

    Google Scholar 

  16. McGeer PL, Akiyama H, Itagaki S, McGeer EG (1989) Activation of the classical complement pathway in brain tissue of Alzheimer patients. Neurosci Lett 107:341–346

    Google Scholar 

  17. Michel JP, Bruchez N, Constantinides J, Douras C, Grab B, McGee W (1991) Polymorbidité cardiovasculaire en function de état psychoorganique. Encephale 17:61–67

    Google Scholar 

  18. Otsuka A, Mikami H, Katahira K, Nakamoto Y, Minamitani K, Imaoka M, Mishide M, Ogihara T (1990) Absence of nocturnal fall in blood pressure in elderly persons with Alzheimer-type dementia. J Am Geriatr Soc 38:973–978

    Google Scholar 

  19. Rezek DL, Morris JC, Fulling KH, Gado MH (1987) Periventricular white matter lucencies in senile dementia of the Alzheimer type and in normal aging. Neurology 37:1365–1368

    Google Scholar 

  20. Scheibel AB, Duong T, Jacobs R (1989) Alzheimer's disease as a capillary dementia. Ann Med 21:103–107

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kornhuber, H.H. Propionibacterium acnes in the cortex of patients with Alzheimer's disease. Eur Arch Psychiatry Clin Nuerosci 246, 108–109 (1996). https://doi.org/10.1007/BF02274902

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02274902

Key words

Navigation