Alzheimer's Disease (AD) is the major cause of dementia, responsible for 60-70% of cases, leading to irrevocable memory loss and behavior changes. Prior studies have shown a link between germ exposure, immune response, and the probability of developing AD, known as ‘The Pathogen Hypothesis’. Despite a body of evidence, this angle has been under-explored due to the current focus on protein aggregation in the AD research world. There are two germs that are of special interest; herpes (the common cold sore), and *P.gigivalis* (gum disease), both of which are shown to increase your AD-risk. We would like to understand how specific individuals remain dementia-free well into their 90s and 100s, *despite being exposed to those same pathogens*. We are looking to raise $192,570 USD to test saliva and blood samples from elderly individuals without dementia for antibodies against these germs. By comparing these results with samples from AD patients and younger people, we hope to discover protective antibodies. These results will be used to create an AD diagnostic tool that will enable cheap, non-invasive, early diagnosis of asymptomatic individuals; a stark advantage when compared to current diagnostic tools. It will also serve as a valuable data collection tool, which will be used to support the long-term goal of developing a vaccine to protect against AD, offering new hope for millions of people and their families.
Alzheimer's Disease (AD) is the major cause of dementia, responsible for 60-70% of cases, leading to irrevocable memory loss and behavior changes. Prior studies have shown a link between germ exposure, immune response, and the probability of developing AD, known as ‘The Pathogen Hypothesis’. Despite a body of evidence, this angle has been under-explored due to the current focus on protein aggregation in the AD research world.
There are two germs that are of special interest; herpes (the common cold sore), and P.gigivalis (gum disease), both of which are shown to increase your AD-risk. We would like to understand how specific individuals remain dementia-free well into their 90s and 100s, despite being exposed to those same pathogens. We are looking to raise $192,570 USD to test saliva and blood samples from elderly individuals without dementia for antibodies against these germs. By comparing these results with samples from AD patients and younger people, we hope to discover protective antibodies.
These results will be used to create an AD diagnostic tool that will enable cheap, non-invasive, early diagnosis of asymptomatic individuals; a stark advantage when compared to current diagnostic tools. It will also serve as a valuable data collection tool, which will be used to support the long-term goal of developing a vaccine to protect against AD, offering new hope for millions of people and their families.
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Therapeutic Relevance
Strong early experimental results support the pathogen hypothesis for AD. Two independent research paths show statistically significant findings: (1) elevated P. gingivalis DPP7 antibodies in AD saliva vs. non-AD controls, and (2) protective antibodies (Peptide 1007) enriched in elderly non-demented individuals. The gingipain antigen finding was validated in an independent cohort, demonstrating reproducibility. The biological rationale is well-supported by extensive published literature (HSV-1 increasing dementia risk 2.56-fold, anti-herpetic treatment reducing hazard ratio to 0.092, pathogens found in AD brain plaques). VirScan, IP-MS, and peptide microarray results converge on gingipain as a consistent immune target in AD. However, the project remains at biomarker/association level without direct demonstration of causality or therapeutic intervention in their own models, and sample sizes are acknowledged as small, preventing a score of 5.
Therapeutic Optionality
The project has identified multiple emerging pathways and alternative applications. Beyond the primary vaccine goal, the team has identified: (1) a short-term diagnostic tool (saliva-based AD detection), (2) a biomarker-driven patient stratification strategy that could rescue failed anti-gingipain drugs (precision medicine approach), (3) potential antiviral drug repurposing for AD risk reduction, and (4) the VirScan data revealing that multiple pathogens (HSV-1, P. gingivalis, potentially others) may drive AD in different patient subsets, opening multiple therapeutic avenues. The finding that ~50% of AD patients have lower overall antibody readouts suggests an immune dysfunction subtype. These represent genuine emerging findings suggesting alternative applications beyond the original hypothesis.
Intellectual Property
The project has outlined a clear three-pronged IP strategy covering diagnostic tools, antibody design, and vaccine development. However, no patents have been filed yet — all IP filings are listed as 'planned' with unknown timelines. The early results (gingipain biomarker signatures, Peptide 1007 protective antibody data) could strengthen IP filings, and the unpublished Path 2 data represents potentially patentable discoveries. However, the competitive landscape includes established players (Cambridge/Oxford, UCL, Biogen, Alchemab, Araclon Biotech) working in overlapping spaces. The pathogen hypothesis for AD is well-known in the literature, which may limit novelty claims. The lack of any formalized patent applications at this stage, despite having preliminary data that could support filings, is a notable gap.
Utility Of Candidates
The project is primarily at the biomarker discovery stage rather than therapeutic candidate development. No specific drug candidates or therapeutic molecules have been characterized. Peptide 1007 shows promise as a protective antibody target in elderly non-demented individuals, but its therapeutic viability has not been tested — in vivo validation in AD mouse models is acknowledged as a needed but unfunded next step. The gingipain biomarker finding is more diagnostic than therapeutic, though it could enable patient stratification for existing drugs. The proposed vaccine and antibody therapeutics remain conceptual without defined candidates, formulations, or preliminary efficacy data. The diagnostic tool concept (saliva-based testing) is more tangible but still lacks a defined product. For TRL 2, some candidate emergence is expected, and the project shows early signals but lacks concrete therapeutic candidates.
Prospects For Safety
At this early TRL 2 stage, no direct safety data exists for any therapeutic candidate since none have been developed yet. However, several factors are relevant: (1) The saliva/blood-based diagnostic approach is inherently low-risk and less invasive than current AD diagnostics (PET scans). (2) The competitive landscape notes that Araclon Biotech's ABvac40 active vaccine was terminated at Phase II due to safety concerns, highlighting real safety risks in the AD vaccine space. (3) The biomarker-driven patient stratification approach could actually improve safety by targeting therapies to biologically appropriate patient subsets. (4) No early toxicity signals have been identified, but this is largely because no therapeutic intervention has been tested. (5) The vaccine approach carries inherent immunological risks that remain uncharacterized. The score reflects a neutral position — no red flags but also no safety de-risking data, with the caveat that the diagnostic pathway has an inherently favorable safety profile.