Wuxi Medical School, Jiangnan University, Wuxi 214122, China.
Wuxi Medical School, Jiangnan University, Wuxi 214122, China.
Brain Behav Immun. 2018 May;70:48-60. doi: 10.1016/j.bbi.2018.02.005. Epub 2018 Feb 20.
Parkinson's disease (PD) patients display alterations in gut microbiota composition. However, mechanism between gut microbial dysbiosis and pathogenesis of PD remains unexplored, and no recognized therapies are available to halt or slow progression of PD. Here we identified that gut microbiota from PD mice induced motor impairment and striatal neurotransmitter decrease on normal mice. Sequencing of 16S rRNA revealed that phylum Firmicutes and order Clostridiales decreased, while phylum Proteobacteria, order Turicibacterales and Enterobacteriales increased in fecal samples of PD mice, along with increased fecal short-chain fatty acids (SCFAs). Remarkably, fecal microbiota transplantation (FMT) reduced gut microbial dysbiosis, decreased fecal SCFAs, alleviated physical impairment, and increased striatal DA and 5-HT content of PD mice. Further, FMT reduced the activation of microglia and astrocytes in the substantia nigra, and reduced expression of TLR4/TNF-α signaling pathway components in gut and brain. Our study demonstrates that gut microbial dysbiosis is involved in PD pathogenesis, and FMT can protect PD mice by suppressing neuroinflammation and reducing TLR4/TNF-α signaling.
帕金森病(PD)患者的肠道微生物群落组成发生改变。然而,肠道微生物失调与 PD 发病机制之间的关系尚不清楚,也没有被认可的疗法可以阻止或减缓 PD 的进展。在这里,我们发现 PD 小鼠的肠道微生物群会导致正常小鼠出现运动功能障碍和纹状体神经递质减少。16S rRNA 测序显示,PD 小鼠粪便样本中厚壁菌门和梭状芽胞杆菌目减少,而变形菌门、瘤胃菌目和肠杆菌目增加,粪便短链脂肪酸(SCFAs)增加。值得注意的是,粪便微生物群移植(FMT)可减少肠道微生物失调,降低粪便 SCFAs,减轻运动功能障碍,并增加 PD 小鼠纹状体 DA 和 5-HT 含量。此外,FMT 可减少黑质中小胶质细胞和星形胶质细胞的激活,并降低肠道和大脑中 TLR4/TNF-α 信号通路成分的表达。我们的研究表明,肠道微生物失调参与 PD 的发病机制,FMT 可以通过抑制神经炎症和减少 TLR4/TNF-α 信号来保护 PD 小鼠。
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