Department of Neurology, Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China; Hebei Key Laboratory of Vascular Homeostasis and Hebei Collaborative Innovation Center for Cardio-cerebrovascular Disease, Shijiazhuang, 050000, Hebei, China.
Department of Neurology, Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China; Hebei Key Laboratory of Vascular Homeostasis and Hebei Collaborative Innovation Center for Cardio-cerebrovascular Disease, Shijiazhuang, 050000, Hebei, China.
Free Radic Biol Med. 2021 Jan;162:104-117. doi: 10.1016/j.freeradbiomed.2020.11.032. Epub 2020 Dec 3.
Our previous work has shown that atorvastatin exerts anti-inflammatory properties in ischemic stroke, and recent studies have revealed that intestinal microbiota plays a vital role in the pathogenesis of stroke. However, it is not clear whether the anti-inflammatory effects of atorvastatin against ischemic stroke is related to gut function and microbiota. We report herein that atorvastatin significantly ameliorated the defects in sensorimotor behaviors and reduced microglia-mediated neuroinflammation by inhibiting proinflammatory polarization of microglia in the peri-infarct cortex of the mice with permanent middle cerebral artery occlusion (pMCAO). Moreover, atorvastatin reversed microbial composition (characterized by increased abundance of Firmicutes and Lactobacillus and decreased Bacteroidetes abundance), increased fecal butyrate level, promoted intestinal barrier function (elevated protein levels of claudin-1, occludin and mucoprotein 2), as well as regulated intestinal immune function (decreased MCP-1, TNF-α and increased IL-10). Atorvastatin also significantly reduced the level of circulating endotoxin (lipopolysaccharide-binding protein), which is a biomarker of leaky gut. Transplantation of fecal microbiota collected from atorvastatin treated mice potently attenuated neuroinflammation in pMCAO mice, and the anti-inflammatory effects of fecal microbiota transplantation were similar to those of oral atorvastatin administration. These results suggested that the atorvastatin-mediated restoration of gut microbiota, improvement of intestinal barrier function and regulation of intestinal immunity were involved in the anti-inflammatory function in stroke mice.
我们之前的工作表明,阿托伐他汀在缺血性脑卒中中有抗炎作用,最近的研究表明肠道微生物群在脑卒中的发病机制中起着至关重要的作用。然而,阿托伐他汀对缺血性脑卒中的抗炎作用是否与肠道功能和微生物群有关尚不清楚。我们在此报告,阿托伐他汀通过抑制永久性大脑中动脉闭塞(pMCAO)小鼠梗死周围皮质中小胶质细胞的促炎极化,显著改善了传感器运动行为的缺陷,并减轻了小胶质细胞介导的神经炎症。此外,阿托伐他汀逆转了微生物组成(表现为厚壁菌门和乳杆菌丰度增加,拟杆菌门丰度降低),增加了粪便丁酸盐水平,促进了肠道屏障功能( Claudin-1、occludin 和粘蛋白 2 蛋白水平升高),并调节了肠道免疫功能(MCP-1、TNF-α减少,IL-10增加)。阿托伐他汀还显著降低了循环内毒素(脂多糖结合蛋白)的水平,内毒素是肠道通透性的生物标志物。来自阿托伐他汀治疗小鼠的粪便微生物群移植可有效减轻 pMCAO 小鼠的神经炎症,粪便微生物群移植的抗炎作用与口服阿托伐他汀给药相似。这些结果表明,阿托伐他汀介导的肠道微生物群恢复、肠道屏障功能改善和肠道免疫调节参与了脑卒中小鼠的抗炎功能。