“…GI-tract microbiome dysbiosis or infection by multiple species of toxic bacteria or their secretory products into the brain and CNS was proposed to contribute to the initiation or propagation of the pathogenesis of AD by triggering or accelerating neuro-inflammatory and neurodegenerative responses [ 38 , 40 , 41 , 42 , 43 ]. Less than 6 years ago, several independent reports emerged that detected the presence of GI-tract microbiome-derived LPSs within human brain cells of the CNS both during advanced aging and in the AD brain [ 27 , 28 , 29 , 31 , 32 , 33 , 37 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ]. Interestingly, (i) each Gram-negative bacillus, indeed, each GI-tract resident microbe, has the potential to secrete a slightly different LPS and/or neurotoxin assortment with slightly different lipid and oligosaccharide domain structures, abundances, activities, molecular properties and toxicities [ 17 , 18 , 19 , 20 , 27 ]; (ii) LPSs have a remarkably high affinity for human neocortical neuronal plasma membranes, and this attraction is significantly enhanced in the presence of the amyloid-beta 42 (Aβ42) peptides that accumulate in the AD-affected brain [ 15 , 16 , 17 , 18 , 19 , 20 , 31 , 45 ] ( Figure 1 ); (iii) Gram-negative bacterial molecules associate with AD neuropathology, including amyloid plaques, neurons and oligodendrocytes, in the AD brain [ 41 , 42 , 43 , 44 , 45 , 46 ]; (iv) microbiome-derived E. coli LPSs and BF-LPS are associated with the hippocampal CA1 and neocortical regions in AD brain [ 41 ,…”