Serious Infections Linked to Dementia Risk, Study Shows

"Getting sick feels bad in the moment," reports the Washington Post, "and may affect your brain in the longer term."

A new study published in Nature Aging adds to growing evidence that severe infections, including flu, herpes and respiratory tract infections, are linked to accelerated brain atrophy and increased risk of dementia years later. It also hints at the biological drivers that may contribute to neurodegenerative disease. 

The current research is a "leap beyond previous studies that had already associated infection with susceptibility to Alzheimer's disease" and provides a "useful dataset," said Rudy Tanzi, a professor of neurology at Harvard Medical School and the director of the McCance Center for Brain Health at Massachusetts General Hospital. Other recent studies have found that the flu shot and the shingles vaccine reduce the risk of subsequent dementia in those who get them. Severe infections have also been linked to subsequent strokes and heart attacks. 
 "Big infection, big immune response — not good for the brain," said one of the study's co-authors (Keenan Walker, a tenure-track investigator and the director of the Multimodal Imaging of Neurodegenerative Disease Unit at the National Institute on Aging). 
And the article also includes this quote from Kristen Funk, an assistant professor of biological sciences at the University of North Carolina at Charlotte (who studies neuroinflammation in neuroinfectious and neurodegenerative diseases). "They really found that there's a range of infections that are associated with this brain atrophy, associated with this cognitive decline."
In turn, most of these infections associated with brain atrophy seem to be risk factors for dementia, according to the researchers' analyses of the UK Biobank data of 495,896 subjects and a Finnish dataset of 273,132 subjects. They found that having a history of infections was associated with an increased risk for Alzheimer's disease years later. The increased risk was even higher for vascular dementia, which is the second-most-common dementia diagnosis after Alzheimer's disease and caused by restriction of blood to the brain... 
More-minor infections are not cause for alarm since the data was drawn from patients who had a hospital record of their infections, indicating more-severe cases, experts say.
 
And speaking of infections, the Post also published an interesting guest column by Dr. Mikkael A. Sekeres, division chief for hematology and medicine professor at the University of Miami's cancer center:

A recent report from the American Association for Cancer Research attributed 13 percent of cancer cases worldwide to infections. Some estimates run as high as 20 percent, with particularly high rates of infection-related cancers in developing countries. Infectious agents linked to cancer include bacteria, such as Helicobacter pylori (H. pylori), and viruses, such as human papillomavirus (HPV), Epstein-Barr virus (EBV), and hepatitis B and C. 
But keep in mind that an exceedingly small percentage of infected people develop cancer...
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