Celorrio Marta, Shumilov Kirill, Ni Allen, Ayerra Leyre, Self Wade K, de Francisca N L Vitorino, Rodgers Rachel, Schriefer Lawrence A, Garcia Ben, Aymerich Maria S, Layden Brian T, Egervari Gabor, Baldridge Megan T, Friess Stuart H
Department of Pediatrics, and Division of Infectious Diseases, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Department of Neurosurgery, Virginia Commonwealth University, Richmond, Virginia, USA.
Exp Neurol. 2025 Jun 15;392:115349. doi: 10.1016/j.expneurol.2025.115349.
The gut microbiota has emerged as a pivotal regulator of host inflammatory processes after traumatic brain injury (TBI). However, the mechanisms by which the gut microbiota communicates to the brain in TBI are still under investigation. We previously reported that gut microbiota depletion (GMD) using antibiotics after TBI resulted in increased microglial activation, reduced neurogenesis, and reduced T cell infiltration. In the present study, we have demonstrated that intestinal T cells contribute to the pool of cells infiltrating the brain after TBI. Depletion or genetic deletion of T cells before injury reversed GMD induced reductions in post-TBI neurogenesis. Short-chain fatty acid supplementation increased T regulatory and T helper 1 cell infiltration to the brain along with restoring neurogenesis and microglia activation after TBI with GMD. These data suggest that T cell subsets are essential cellular mediators by which the gut microbiota modulates TBI pathogenesis, a finding with important therapeutic implications.
肠道微生物群已成为创伤性脑损伤(TBI)后宿主炎症过程的关键调节因子。然而,TBI中肠道微生物群与大脑沟通的机制仍在研究中。我们之前报道,TBI后使用抗生素进行肠道微生物群清除(GMD)会导致小胶质细胞活化增加、神经发生减少和T细胞浸润减少。在本研究中,我们证明肠道T细胞有助于TBI后浸润大脑的细胞池。损伤前T细胞的清除或基因缺失逆转了GMD诱导的TBI后神经发生减少。补充短链脂肪酸可增加T调节细胞和T辅助1细胞向大脑的浸润,同时恢复GMD的TBI后的神经发生和小胶质细胞活化。这些数据表明,T细胞亚群是肠道微生物群调节TBI发病机制的重要细胞介质,这一发现具有重要的治疗意义。