丁酸盐通过抑制小胶质细胞介导的神经炎症和调节微生物-肠道-脑轴来改善慢性酒精性中枢神经损伤。

Butyrate ameliorates chronic alcoholic central nervous damage by suppressing microglia-mediated neuroinflammation and modulating the microbiome-gut-brain axis.

作者信息

Wei Huiling, Yu Chunyang, Zhang Chun, Ren Yi, Guo Li, Wang Ting, Chen Feifei, Li Yiwei, Zhang Xiaoxia, Wang Hao, Liu Juan

机构信息

School of Basic Medical Sciences, Ningxia Medical University, Yinchuan 750004, Ningxia, China.

Ningxia Key Laboratory of Cerebrocranial Diseases, Ningxia Medical University, Yinchuan 750004, Ningxia, China.

出版信息

Biomed Pharmacother. 2023 Apr;160:114308. doi: 10.1016/j.biopha.2023.114308. Epub 2023 Jan 28.

Abstract

BACKGROUND

Alcohol abuse triggers neuroinflammation, leading to neuronal damage and further memory and cognitive impairment. Few satisfactory advances have been made in the management of alcoholic central nervous impairment. Therefore, novel and more practical treatment options are urgently needed. Butyrate, a crucial metabolite of short-chain fatty acids (SCFAs), has been increasingly demonstrated to protect against numerous metabolic diseases. However, the impact of butyrate on chronic alcohol consumption-induced central nervous system (CNS) lesions remains unknown.

METHODS

In this study, we assessed the possible effects and underlying mechanisms of butyrate on the attenuation of alcohol-induced CNS injury in mice. Firstly, sixty female C57BL/6 J mice were randomly divided into 4 groups: pair-fed (PF) group (PF/CON), alcohol-fed (AF) group (AF/CON), PF with sodium butyrate (NaB) group (PF/NaB) and AF with NaB group (AF/NaB). Each group was fed a modified Lieber-DeCarli liquid diet with or without alcohol. After six weeks of feeding, the mice were euthanized and the associated indicators were investigated.

RESULTS

As indicated by the behavioral tests and brain morphology, dietary NaB administration significantly ameliorated aberrant behaviors, including locomotor hypoactivity, anxiety disorder, depressive behavior, impaired learning, spatial recognition memory, and effectively reduced chronic alcoholic central nervous system damage. To further understand the underlying mechanisms, microglia-mediated inflammation and the associated M1/M2 polarization were measured separately. Firstly, pro-inflammatory TNF-α, IL-1β, and IL-6 in brain and peripheral blood circulation were decreased, but IL-10 were increased in the AF/NaB group compared with the AF/CON group. Consistently, the abnormal proportions of activated and resting microglial cells in the hippocampus and cortex regions after excessive alcohol consumption were significantly reduced with NaB treatment. Moreover, the rectification of microglia polarization (M1/M2) imbalance was found after NaB administration via binding GPR109A, up-regulating the expression of PPAR-γ and down-regulating TLR4/NF-κB activation. In addition to the direct suppression of neuroinflammation, intriguingly, dietary NaB intervention remarkably increased the levels of intestinal tight junction protein occludin and gut morphological barrier, attenuated the levels of serum lipopolysaccharide (LPS) and dysbiosis of gut microbiota, suggesting that NaB supplementation effectively improved the integrity and permeability of gut microecology. Finally, the neurotransmitters including differential Tryptophan (Trp) and Kynurenine (Kyn) were found with dietary NaB administration, which showed significantly altered and closely correlated with the gut microbiota composition, demonstrating the complex interactions in the microbiome-gut-brain axis involved in the efficacy of dietary NaB therapy for alcoholic CNS lesions.

CONCLUSION

Dietary microbial metabolite butyrate supplementation ameliorates chronic alcoholic central nervous damage and improves related memory and cognitive functions through suppressing microglia-mediated neuroinflammation by GPR109A/PPAR-γ/TLR4-NF-κB signaling pathway and modulating microbiota-gut-brain axis.

摘要

背景

酒精滥用引发神经炎症,导致神经元损伤以及进一步的记忆和认知障碍。在酒精性中枢神经损伤的治疗方面,进展甚微,令人满意的成果寥寥无几。因此,迫切需要新颖且更具实用性的治疗方案。丁酸盐作为短链脂肪酸(SCFAs)的一种关键代谢产物,已越来越多地被证明对多种代谢性疾病具有保护作用。然而,丁酸盐对慢性酒精摄入所致中枢神经系统(CNS)损伤的影响仍不清楚。

方法

在本研究中,我们评估了丁酸盐对减轻小鼠酒精性CNS损伤的可能作用及其潜在机制。首先,将60只雌性C57BL/6 J小鼠随机分为4组:配对喂养(PF)组(PF/CON)、酒精喂养(AF)组(AF/CON)、PF加丁酸钠(NaB)组(PF/NaB)和AF加NaB组(AF/NaB)。每组给予改良的Lieber-DeCarli液体饮食,其中有的含酒精,有的不含酒精。喂养六周后,对小鼠实施安乐死并检测相关指标。

结果

行为测试和脑形态学结果表明,饮食中给予NaB可显著改善异常行为,包括运动活动减少、焦虑症、抑郁行为、学习障碍、空间识别记忆等,并有效减轻慢性酒精性中枢神经系统损伤。为进一步了解潜在机制,分别检测了小胶质细胞介导的炎症及相关的M1/M2极化情况。首先,与AF/CON组相比,AF/NaB组脑和外周血液循环中的促炎细胞因子TNF-α、IL-1β和IL-6水平降低,而IL-10水平升高。同样,NaB处理可显著降低过量饮酒后海马和皮质区域中活化和静息小胶质细胞的异常比例。此外,通过结合GPR109A、上调PPAR-γ的表达以及下调TLR4/NF-κB的激活,发现给予NaB后可纠正小胶质细胞极化(M1/M2)失衡。除了直接抑制神经炎症外,有趣的是,饮食中NaB干预可显著提高肠道紧密连接蛋白occludin的水平和肠道形态屏障功能,降低血清脂多糖(LPS)水平和肠道微生物群失调,这表明补充NaB可有效改善肠道微生态的完整性和通透性。最后,发现饮食中给予NaB后,包括差异色氨酸(Trp)和犬尿氨酸(Kyn)在内的神经递质发生了显著变化,且与肠道微生物群组成密切相关,这表明微生物-肠道-脑轴中存在复杂的相互作用,参与了饮食中NaB治疗酒精性CNS损伤的疗效。

结论

饮食中补充微生物代谢产物丁酸盐可减轻慢性酒精性中枢神经损伤,并通过GPR109A/PPAR-γ/TLR4-NF-κB信号通路抑制小胶质细胞介导的神经炎症以及调节微生物-肠道-脑轴,改善相关记忆和认知功能。

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