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创伤性脑损伤会导致胃肠功能障碍和肠道微生物群失调,并伴有胆汁酸谱的改变。

Traumatic Brain Injury Induces Gastrointestinal Dysfunction and Dysbiosis of Gut Microbiota Accompanied by Alterations of Bile Acid Profile.

作者信息

You Wendong, Zhu Yuanrun, Wei Anqi, Du Juan, Wang Yadong, Zheng Peidong, Tu Mengdi, Wang Hao, Wen Liang, Yang Xiaofeng

机构信息

Emergency and Trauma Center and The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.

Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.

出版信息

J Neurotrauma. 2022 Jan;39(1-2):227-237. doi: 10.1089/neu.2020.7526. Epub 2021 Apr 14.


DOI:10.1089/neu.2020.7526
PMID:33677989
Abstract

Gastrointestinal dysfunction is a common peripheral organ complication after traumatic brain injury (TBI), yet the underlying mechanism remains unknown. TBI has been demonstrated to cause gut microbiota dysbiosis in animal models, although the impacts of gut microbiota dysbiosis on gastrointestinal dysfunction were not examined. Bile acids are key metabolites between gut microbiota and host interactions. Therefore, the aim of this study was to investigate the mechanistic links between them by detecting the alterations of gut microbiota and bile acid profile after TBI. For that, we established TBI in mice using a lateral fluid percussion injury model. Gut microbiota was examined by 16S rRNA sequencing, and bile acids were profiled by ultra-performance liquid chromatography-tandem mass spectrometry. Our results showed that TBI caused intestinal inflammation and gut barrier impairment. Alterations of gut microbiota and bile acid profile were observed. The diversity of gut microbiota experienced a time dependent change from 1 h to 7 days post-injury. Levels of bile acids in feces and plasma were decreased after TBI, and the decrease was more significant in secondary bile acids, which may contribute to intestinal inflammation. Specific bacterial taxa such as Staphylococcus and Lachnospiraceae that may contribute to the bile acid metabolic changes were identifed. In conclusion, our study suggested that TBI-induced gut microbiota dysbiosis may contribute to gastrointestinal dysfunction via altering bile acid profile. Gut microbiota may be a potential treatment target for TBI-induced gastrointestinal dysfunction.

摘要

胃肠功能障碍是创伤性脑损伤(TBI)后常见的外周器官并发症,但其潜在机制尚不清楚。在动物模型中,TBI已被证明会导致肠道微生物群失调,尽管尚未研究肠道微生物群失调对胃肠功能障碍的影响。胆汁酸是肠道微生物群与宿主相互作用的关键代谢产物。因此,本研究的目的是通过检测TBI后肠道微生物群和胆汁酸谱的变化来研究它们之间的机制联系。为此,我们使用侧方流体冲击损伤模型在小鼠中建立了TBI。通过16S rRNA测序检测肠道微生物群,通过超高效液相色谱-串联质谱分析胆汁酸谱。我们的结果表明,TBI导致肠道炎症和肠屏障损伤。观察到肠道微生物群和胆汁酸谱的变化。肠道微生物群的多样性在损伤后1小时至7天经历了时间依赖性变化。TBI后粪便和血浆中的胆汁酸水平降低,次级胆汁酸的降低更为显著,这可能导致肠道炎症。确定了可能导致胆汁酸代谢变化的特定细菌分类群,如葡萄球菌和毛螺菌科。总之,我们的研究表明,TBI诱导的肠道微生物群失调可能通过改变胆汁酸谱导致胃肠功能障碍。肠道微生物群可能是TBI诱导胃肠功能障碍的潜在治疗靶点。

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[2]
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Int J Med Sci. 2025-7-25

[3]
Gut-brain connection in schizophrenia: A narrative review.

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[4]
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[5]
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Am J Physiol Cell Physiol. 2025-5-1

[6]
Gut Microbial Composition Is Associated with Symptom Self-Report in Trauma-Exposed Iraq and Afghanistan Veterans.

Neurotrauma Rep. 2025-1-8

[7]
Construction and validation of a prediction nomogram model for acute gastrointestinal failure in patients with severe traumatic brain injury.

Medicine (Baltimore). 2025-2-7

[8]
Partially hydrolyzed guar gum alleviates neurological deficits and gastrointestinal dysfunction in mice with traumatic brain injury.

Neurosurg Rev. 2025-1-30

[9]
Early Autonomic Dysfunction in Traumatic Brain Injury: An Article Review on the Impact on Multiple Organ Dysfunction.

J Clin Med. 2025-1-16

[10]
Radiation-Induced Brain Injury: Mechanistic Insights and the Promise of Gut-Brain Axis Therapies.

Brain Sci. 2024-12-23

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