“…Certain bacteria in the human gut, including Staphylococcus aureus, Escherichia coli, Salmonella, Mycobacterium, Klebsiella pneumoniae, and Streptococcus, promote the production and aggregation of amyloid-β (Aβ) protein in the enteric nervous system (Wu et al, 2021). The bacterial amyloid protein produced by coccus-shaped bacteria can activate the innate immune system, triggering responses by Toll-like receptors and cluster of differentiation 14, resulting in inadequate recognition of misfolded Aβ and decreased Aβ clearance, followed by the production of cytokines leading to intestinal disturbances (Wang et al, 2022). Dysregulation of the gut microbiota leads to oxidative stress, inflammation, disruption of the blood-brain barrier (BBB), activation of the immune system, neurofibrillary tangles, and Aβ plaques followed by neurodegeneration (Wang et al, 2022).…”