The main objective is to investigate whether administration of probiotics to patients with mild Alzheimer's Disease (AD) reduces neuroinflammation, improves cognitive function and modifies neurophysiological measures, compared to a patient group that receives placebo (no active probiotics).
We will measure specific blood inflammatory markers (primary outcome), neurophysiological activity, cognitive test scores, microbiome composition and dietary habits of participants in the probiotics and placebo group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
40
20 million CFU (Lactobacillus paracasei, Lactobacillus plantarum, Lactobacillus rhamnosus, Lactobacillus helveticus, Bifidobacterium breve)
The Cyprus Institute of Neurology and Genetics
Nicosia, Cyprus
RECRUITINGLevel of inflammatory markers
Peripheral inflammation markers implicated in the pathogenesis of mild-AD (pro-inflammatory cytokines: IL-6, IL-1β, CXCL2, NLRP3; anti-inflammatory cytokines: IL-10. Isolated from blood plasma.
Time frame: Baseline (week 0), end of study (week 16)
Cognitive function and neuropsychological scores
Mini-Mental State Examination (MMSE)
Time frame: Baseline (week 0), end of study (week 16)
Cognitive function and neuropsychological scores
Montreal Cognitive Assessment (MoCA)
Time frame: Baseline (week 0), end of study (week 16)
Cognitive function and neuropsychological scores
Rey-Osterrieth complex figure test
Time frame: Baseline (week 0), end of study (week 16)
Cognitive function and neuropsychological scores
Wechsler Abbreviated Scale of Intelligence (WASI)
Time frame: Baseline (week 0), end of study (week 16)
Neurophysiological activity changes
Electroencephalogram (EEG) and electrocardiogram (EKG) measured at rest (eyes open, eyes closed).
Time frame: Baseline (week 0), end of study (week 16)
Microbiome profile
16S rDNA gene sequencing for bacterial identification, taxonomic profiling.
Time frame: Baseline (week 0)
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