From:  Respiratory pathogen to brain degeneration: a review of Chlamydia pneumoniae’s role in Alzheimer’s disease

 Therapeutic approaches targeting infection-induced AD.

Class of medicationAgentMechanism
Targeting microorganisms directly
AntibioticsDoxycycline, azithromycinBroad-spectrum antibacterial action targeting C. pneumoniae in CNS and systemic sites
AMPsLL-37 analogsBBB-penetrating, intracellular killing of persistent C. pneumoniae forms
Other therapeutic categories
ImmunomodulatorsNF-κB inhibitors, minocycline, NSAIDsSuppression of microglial overactivation and chronic neuroinflammation
Cell biological treatmentMitochondrial protectants, antioxidantsStabilization of neuronal bioenergetics and reduction of oxidative stress
Supportive treatmentCognitive enhancers, lifestyle interventionsMaintenance of cognitive function and delay of clinical progression

AD: Alzheimer’s disease; CNS: central nervous system; AMPs: antimicrobial peptides; BBB: blood-brain barrier; NSAIDs: non-steroidal anti-inflammatory drugs.