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Helicobacter Pylori and Alzheimer's

Posted: 12/12/11 04:23 PM ET

The common bacteria, Helicobacter pylori (H. pylori), has recently come into focus as a contributing factor in a variety of human health problems. For example, the physician and scientist Dr. Barry Marshall shared the Nobel Prize for medicine with his colleague Dr. Robin Warren in 2005 for establishing the fact that most cases of stomach ulcers were not caused by stress and worry, as had long been supposed, but rather were due to infection of the stomach lining by H. pylori. In the initial stages of his research, the intrepid Dr. Marshall had actually proved his theory by drinking a flask of the bacteria and later developing ulcers, as he had predicted.

Over the last few years, research has suggested H. pylori infection might also be a risk factor in the development of Alzheimer's Dementia. There are at least two studies showing patients diagnosed with Alzheimer's dementia were more likely to be positive for signs of H pylori infection than people their age without dementia. One study published in the well-regarded Journal of Neurology in 2009 even suggested that in patients diagnosed with Alzheimer's Dementia, eradication of H. pylori can actually improve cognitive function to a significant degree.

How is that a bacteria commonly known to infect the stomach lining could possibly contribute to the development of Alzheimer's and other dementias? Perhaps the most easily explained connection between H. pylori infection and dementia is the fact that this type of infection of the stomach lining is associated with the development of vitamin B12 deficiency. Deficiency of vitamin B12 is known to be a risk factor for the development of Alzheimer's Dementia. Unlike other vitamins, the absorption of vitamin B12 from food requires the presence of a special chaperone protein called intrinsic factor that is produced by special cells in the lining of the stomach. If these cells are damaged by infection or inflammation, then the vitamin is not properly absorbed and the result is deficiency.

Another likely connection between H. pylori infection and Alzheimer's dementia is that atherosclerosis, or "hardening of the arteries," is a risk factor for developing both Alzheimer's and vascular forms of dementias.

It has been suspected that the inflammatory responses generated by infection with H. pylori can increase the risk of atherosclerosis and other vascular abnormalities.

Yet another possible link between H. pylori infection and Alzheimer's is the relationship between H. pylori infection and the development of Diabetes Type II. It has long been known that the likelihood of immunological signs of H pylori infection are higher in patients with diabetes than in those who are not diabetic.

Reports recently made at the Annual Meeting of the Infectious Diseases Society of America, as described in the most recent edition of Clinical Endocrinology News, have helped to further clarify the relationship between H. pylori infection and diabetes. In a study of Latino men over the age of 60, those with H. pylori infection were more than twice as likely to be diagnosed with diabetes. In yet another study, the presence of H. pylori increased hemoglobin A1c levels, which is a marker of high blood sugar, even in individuals who had not yet been diagnosed with diabetes. Diabetes type II, so-called adult onset diabetes, has long been known to be an important risk factor for the development of Alzheimer's and other forms of dementia. Indeed, some studies suggest that diabetes type II can more than double the risk of developing Alzheimer's Dementia.

Is there anything that can be done to prevent or treat H. pylori infection, and thus to reduce the risk of Alzheimer's Dementia, heart disease and diabetes? Thankfully, it is relatively easy to diagnose and treat H. pylori infections. Standard laboratory tests can be performed to detect H. pylori infection, and standard antibiotic treatments can be used to kill the bacteria. Efforts are also being made to produce a vaccine against H. pylori.

Perhaps most encouraging, particularly to those who blanch at the notion of evermore vaccines and antibiotics, are reports suggesting that pro-biotics and dietary components such as yoghurt, buttermilk and other fermented foods may be used to prevent and/or treat H. pylori infection. This latter approach would certainly be the most natural, parsimonious, and inexpensive approach to controlling H. pylori and all of the health problems it helps create.

The prevalence of H. pylori infection in our country is extremely high. Evidence suggests that the likelihood of infection increases with age, and this approaches 85 percent sero-positivity in our elderly. Thus, there is reason to believe that H. pylori infection represents a significant health risk in our country, particularly to our elderly, and that to reduce our burden of H. pylori infection would almost certainly have a dramatic effect on our nation's health. One of the benefits of preventing and treating H. pylori infections would likely be a reduction in the prevalence of Alzheimer's Dementia in our country.

 
 
 
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08:18 PM on 01/07/2012
Another fascinating and informative article Dr. Mendelson!
04:17 PM on 01/06/2012
As I commented on previously, but the reviewer decided he didn't like by not publishing my comments for public discussion, fresh cabbage juice has been shown in studies to be effective in treating H pylori without using antibiotics or vaccines. Is there a reason why my previous comments were rejected?
03:56 PM on 01/06/2012
While I found this article informative and interesting, I am a little blown away that in the first paragraph stress is written off as a non-contributing factor in susceptibility to bacterial infections. To deny the Body-Mind Connection in human health is a reminder that Western medicine is still in its infancy, not just in terms of the medical paradigm itself and but also in terms of what researchers seek to measure. I did appreciate, however, the mention of the possibility of nutritional therapy for H. pylori although it was brief and incomplete. Consuming fresh cabbage juice (within 15 minutes of juicing) over a period of 10 days (if I remember correctly) has been repeatedly shown to cure H. pylori outbreaks as or more effectively than anti-biotics. I struggle with not viewing yet another vaccination as a money-making scam promulgated by big pharma at the expense of their customers, like so much of what big pharma has to offer.
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Scott Mendelson, M.D.
09:55 AM on 01/07/2012
Dear Cygnia, I dismissed stress as the cause of most gastric ulcers. My statement had absolutely nothing to do with stress and infection. You really need to rein in your hypersensitivity.
11:19 AM on 01/07/2012
Thank you for your response. While I have not suffered from gastric ulcers, I have overcome several other digestive disorders in which stress did play a key role. The issue I took with the beginning of the article is discounting stress as playing a major role in illness when that simply isn't reality in the majority of chronic illnesses (this is not denying the role of diet, lifestyle, or exposure). What you label as "hypersensitivity" is my disagreement with the idea that healing the body is equivalent to car mechanics. As for the second comment, I assumed my comments had been rejected when my comment was not showing as "pending", which appears to be a technical glitch. Fresh cabbage juice, by the way, can be quite effective as I have used it personally for gastritis and esophagitis with great success.
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RoughCollie
Destination: A new way of seeing things.
01:24 PM on 01/04/2012
There is a very valid reason that many of us blanch at the though of yet another big pharma vaccine, here's one.

"ScienceDaily (July 1, 2011) — Infection with the gastric bacterium Helicobacter pylori provides reliable protection against allergy-induced asthma, immunologists from the University of Zurich have demonstrated in an animal model together with allergy specialists from the University Medical Center of the Johannes Gutenberg University Mainz. Their results published in the Journal of Clinical Investigation confirm the hypothesis recently put forward that the dramatic increase in allergic diseases in industrial societies is linked to the rapid disappearance of specific micro-organisms that populate the human body."
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Scott Mendelson, M.D.
08:58 AM on 01/06/2012
It is difficult to cover a complicated subject in a few paragraphs. Early exposure to micro-organisms and parasites of many different kinds appears to provide immunologic resiliency to humans. But exposure to H. Pylori and rampant H. Pylori infection are two different things. H. pylori infection, often due to imbalances in gut flora, is associated with a variety of adverse effects, from heart disease to dementia. Quite frankly, I think a good vaccine for H pylori would give that exposure and still provide protection. If you wanted to acquire an actual H pylori infection, I suppose that would be your prerogative.
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RoughCollie
Destination: A new way of seeing things.
09:42 PM on 01/06/2012
You're right about it being complicated!
04:28 PM on 12/15/2011
I have seen estimates by some researchers suggesting that 40% of those classified having "Alzheimer's dementia" actually have b12 deficiency dementia. An interesting factor that shows up in Alzheimer's research is that those with Alzheimer's have a lower cerebral spinal fluid cobalamin level, often for decades leading up to diagnosable disease. This is a characteristic shared with those with ALS, MS, Supranuclear Palsy, CFS, FMS, ME, Sub Acute Combined Degeneration and probably a few others. The interesting thing is that this CSF cobalamin level is semi-independent of blood serum level of cobalamin; those with low CSF cobalamin may even have high blood serum levels of cobalamin. CSF cobalamin is always low if blood serum cobalamin is low. Japanese research has shown doses of about 50mg/day of methylcobalamin are successful at entering the CSF in people with some of these diseases, others not researched yet. In my own case I require 10mg of methylcobalamin injected subcutaneously 3 times daily to cause and maintain about 90% remisssion in my own neurological damage from low CSF and body levels with diseases on that list above. I find that a mix of methylcobalamin and adenosylcobalmin works best. Other nutritional factors are important, especially Metafolin. Cyanocobalamin/hydroxycobalamin and folic acid do not work in this, only the natural active forms is sufficient dosage. Becasue of natural variations of the methylb12 molecule some brands or some injectable batches of methylb12 are NOT effective. Light exposure during preparation or injection can ruin methylb12 effectiveness.
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Scott Mendelson, M.D.
11:29 AM on 12/19/2011
Thanks for the excellent comment, Alchemist. Where do you obtain adenosylcobalamin? I and certainly others would like to know.
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Sister Bluebird
03:33 PM on 12/20/2011
You can buy B12 OTC at many Healthfood stores. I prefer the sublingual type.
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RoughCollie
Destination: A new way of seeing things.
01:29 PM on 01/04/2012
By any chance was your own CNS issue causing peripheral neuropathy? This is very interesting information..thanks for sharing!
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Roseberry
The neutrinos ate my homework.
10:30 PM on 12/12/2011
What about taking acidophilus? Does that help as well as yogurt, etc.? It would be good to know. Thanks.
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Scott Mendelson, M.D.
08:04 AM on 12/13/2011
Absolutely!
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Sister Bluebird
03:40 PM on 12/20/2011
Also, untreated, this can lead to stomach cancer. It damages the cells that line the stomach. Over time that can lead to mutations.

Proton pump inhibitors are not evil. But they are not meant to be used all the time. They are habit forming. Because when you stop, your stomach overcompensates wildly. And that can be very painful. You have to wean yourself off of them over time.

Also, once you get to the liquid, burning stool stage, chances are you have stopped properly digesting your food as well. And that causes severely painful stomach cramps.