A hypothesis that a metal-induced immune disorder may be involved in t
he pathogenesis of some forms of Alzheimer's disease (AD) is presented
. The classical complement pathway is activated in AD and T cells and
reactive microglia appear in the brain. Studies of metal induced autoi
mmunity and the use of compounds containing aluminium as vaccine adjuv
ants suggest that metals can activate complement and can be taken up b
y antigen presenting cells. The consequent immune response could contr
ibute to neuronal damage, P-amyloid deposition and cell death. The str
engths and weaknesses of this hypothesis are discussed and tests of so
me aspects are proposed.