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The presence of the apolipoprotein E (APOE) 4 allele (rs429358), the strongest genetic risk factor for late-onset AD, is associated with distinct alterations in gut microbial composition compared to non-carriers, even before clinical symptoms manifest [105], suggesting genetic predisposition can create a permissive or resistant gut environment for neurodegeneration-linked dysbiosis

This content is also influenced by the microorganisms that is employed as a starter in regular cheese making