肠道微生物群代谢物通过 cGAS/STING 轴介导 Bax 减少癫痫中的神经元凋亡。

Gut Microbiota Metabolites Mediate Bax to Reduce Neuronal Apoptosis via cGAS/STING Axis in Epilepsy.

机构信息

Department of Neurology, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, China.

Hengyang Key Laboratory of Neurodegeneration and Cognitive Impairment, Institute of Neuroscience, Hengyang Medical College, University of South China, Hengyang, China.

出版信息

Mol Neurobiol. 2024 Dec;61(12):9794-9809. doi: 10.1007/s12035-023-03545-y. Epub 2023 Aug 22.

Abstract

The beneficial effects of gut flora on reducing nerve cell apoptosis and inflammation and improving epilepsy (EP) symptoms have been reported, but the specific mechanism of action is still unclear. A series of in vitro and in vivo experiments revealed the relationship between gut microbiota metabolites and the cGAS/STING axis and their role in EP. These results suggest that antibiotic-induced dysbiosis of gut microbiota exacerbated epileptic symptoms, probiotic supplements reduced epileptic symptoms in mice. Antibiotics and probiotics altered the diversity and composition of gut microbiota. The changes in gut bacteria composition, such as in the abundance of Firmicutes, Bacteroidetes, Lactobacillus and Ruminococcus, were associated with the production of short-chain fatty acids (SCFA) in the gut. The concentrations of propionate, butyrate and isovalerate were changed after feeding antibiotics and probiotics, and the increase in butyrate levels reduced the expression of cGAS/STING in nerve cell further reduced Bax protein expression. The reduction of Bax protein attenuated the hippocampal neuron cell apoptosis in PTZ-induced EP and EP progression. Our findings provide new insights into the roles and mechanisms of action of the gut microbiota in attenuating EP symptoms and progression.

摘要

肠道菌群对减少神经细胞凋亡和炎症以及改善癫痫(EP)症状的有益影响已有报道,但具体作用机制仍不清楚。一系列的体外和体内实验揭示了肠道微生物群代谢物与 cGAS/STING 轴的关系及其在 EP 中的作用。这些结果表明,抗生素诱导的肠道微生物群失调加剧了癫痫症状,益生菌补充剂可减少小鼠的癫痫症状。抗生素和益生菌改变了肠道微生物群的多样性和组成。肠道细菌组成的变化,如厚壁菌门、拟杆菌门、乳杆菌属和瘤胃球菌属的丰度,与肠道中短链脂肪酸(SCFA)的产生有关。在给予抗生素和益生菌后,丙酸、丁酸和异戊酸的浓度发生了变化,丁酸水平的增加进一步降低了神经细胞中 cGAS/STING 的表达,降低 Bax 蛋白的表达。Bax 蛋白的减少减轻了 PTZ 诱导的 EP 和 EP 进展中海马神经元细胞的凋亡。我们的研究结果为肠道微生物群在减轻 EP 症状和进展中的作用和作用机制提供了新的见解。

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