Department of Psychology.
Department of Microbiology, Immunology, and Cell Biology.
Behav Neurosci. 2023 Feb;137(1):15-28. doi: 10.1037/bne0000532. Epub 2022 Jul 28.
The mechanisms underlying chronic psychiatric-like impairments after traumatic brain injury (TBI) are currently unknown. The goal of the present study was to assess the role of diet and the gut microbiome in psychiatric symptoms after TBI. Rats were randomly assigned to receive a high-fat diet (HFD) or calorie-matched low-fat diet (LFD). After 2 weeks of free access, rats began training on the rodent gambling task (RGT), a measure of risky decision-making and motor impulsivity. After training, rats received a bilateral frontal TBI or a sham procedure and continued postinjury testing for 10 weeks. Fecal samples were collected before injury and 3-, 30-, and 60 days postinjury to evaluate the gut microbiome. HFD altered the microbiome, but ultimately had low-magnitude effects on behavior and did not modify functional outcomes after TBI. Injury-induced functional deficits were far more robust; TBI substantially decreased optimal choice and increased suboptimal choice and motor impulsivity on the RGT. TBI also affected the microbiome, and a model comparison approach revealed that bacterial diversity measured 3 days postinjury was predictive of chronic psychiatric-like deficits on the RGT. A functional metagenomic analysis identified changes to dopamine and serotonin synthesis pathways as a potential candidate mechanism. Thus, the gut may be a potential acute treatment target for psychiatric symptoms after TBI, as well as a biomarker for injury and deficit severity. However, further research will be needed to confirm and extend these findings. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
创伤性脑损伤 (TBI) 后慢性精神障碍样损伤的潜在机制目前尚不清楚。本研究的目的是评估饮食和肠道微生物群在 TBI 后精神症状中的作用。大鼠被随机分配接受高脂肪饮食 (HFD) 或热量匹配的低脂肪饮食 (LFD)。2 周自由进食后,大鼠开始进行啮齿动物赌博任务 (RGT) 训练,这是一种衡量冒险决策和运动冲动的方法。训练后,大鼠接受双侧额部 TBI 或假手术,并在损伤后继续进行 10 周的测试。在损伤前和损伤后 3、30 和 60 天收集粪便样本,以评估肠道微生物组。HFD 改变了微生物组,但最终对行为的影响幅度较小,并且不能改变 TBI 后的功能结果。损伤引起的功能缺陷要强大得多;TBI 大大降低了大鼠在 RGT 上的最佳选择,增加了次优选择和运动冲动。TBI 还影响了微生物组,模型比较方法表明,损伤后 3 天测量的细菌多样性与 RGT 上慢性精神障碍样缺陷相关。功能宏基因组学分析确定多巴胺和 5-羟色胺合成途径的变化是潜在的候选机制。因此,肠道可能是 TBI 后精神症状的潜在急性治疗靶点,也是损伤和缺陷严重程度的生物标志物。然而,需要进一步的研究来证实和扩展这些发现。