Chen Yao, Sun Wenbin, Mei Haifeng, Zhu Shang
Department of Infection Control, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, Jiangsu Province, 225300, China.
Department of Critical Care Medicine, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Zhou shan hui shui Community,199 Hailing South Road, Taizhou, Jiangsu Province, 225300, China.
Neurosurg Rev. 2025 Jan 30;48(1):103. doi: 10.1007/s10143-024-03161-x.
Traumatic brain injury (TBI)-associated neuroinflammation and neurotoxicity can induce gastrointestinal dysfunction through the brain-gut axis. Partially hydrolyzed guar gum (PHGG) was demonstrated to exert beneficial health effects by altering gut microbiota and short-chain fatty acids (SCFAs) production. Our study aimed to explore the effects of PHGG on gastrointestinal dysfunction in TBI mouse models. Controlled cortical impact (CCI)-induced TBI mouse models were administrated with PHGG (600 mg/kg/d) for 21 consecutive days. Behavioral tests (modified neurological severity score and beam walk test) and Y‑maze assay were performed to evaluate neurological functions and cognitive impairment. Enzyme-linked immunosorbent assay, reverse transcription-quantitative polymerase chain reaction, and western blotting examined the levels of inflammatory cytokines, intestinal mucosal damage markers, intestinal tight junction proteins, and NLRP3 inflammasome-related molecules in the serum, cerebral cortex, and colon tissues. The histological changes in the cerebral cortex and colon tissues were observed through hematoxylin and eosin and Nissl staining. Liquid chromatography/mass spectrometry analyzed SCFA amounts in the cecum contents and bile acid levels in the serum. PHGG administration alleviated neurological deficits and cognitive perturbations, reduced neuroinflammation, and attenuated cortical tissue damage and neuron loss in TBI mice. PHGG ameliorated intestinal barrier impairment, upregulated intestinal production of SCFAs, and elevated serum bile acid levels in TBI mice. Besides, PHGG treatment repressed NLRP3 inflammasome activation in TBI mice. Overexpressing NLRP3 reversed the beneficial effects of PHGG against TBI in mice. PHGG ameliorates neuroinflammation and gastrointestinal dysfunction in TBI murine models by inhibiting NLRP3 inflammasome activation.
创伤性脑损伤(TBI)相关的神经炎症和神经毒性可通过脑-肠轴诱导胃肠功能障碍。部分水解瓜尔胶(PHGG)已被证明可通过改变肠道微生物群和短链脂肪酸(SCFAs)的产生发挥有益的健康作用。我们的研究旨在探讨PHGG对TBI小鼠模型胃肠功能障碍的影响。对控制性皮质撞击(CCI)诱导的TBI小鼠模型连续21天给予PHGG(600 mg/kg/d)。进行行为测试(改良神经功能缺损评分和横梁行走测试)和Y迷宫试验以评估神经功能和认知障碍。酶联免疫吸附测定、逆转录-定量聚合酶链反应和蛋白质印迹法检测血清、大脑皮质和结肠组织中炎性细胞因子、肠黏膜损伤标志物、肠紧密连接蛋白和NLRP3炎性小体相关分子的水平。通过苏木精-伊红染色和尼氏染色观察大脑皮质和结肠组织的组织学变化。液相色谱/质谱分析盲肠内容物中的SCFA含量和血清中的胆汁酸水平。给予PHGG可减轻TBI小鼠的神经功能缺损和认知紊乱,减少神经炎症,并减轻皮质组织损伤和神经元丢失。PHGG改善了TBI小鼠的肠屏障损伤,上调了肠道SCFAs的产生,并提高了血清胆汁酸水平。此外,PHGG治疗可抑制TBI小鼠中NLRP3炎性小体的激活。过表达NLRP3可逆转PHGG对小鼠TBI的有益作用。PHGG通过抑制NLRP3炎性小体的激活改善TBI小鼠模型中的神经炎症和胃肠功能障碍。