Duan Wen-Xiang, Xie Wei-Ye, Ying Chen, Fen Wang, Cheng Xiao-Yu, Mao Cheng-Jie, Liu Jun-Yi, Liu Chun-Feng
Department of Neurology and Clinical Research Center of Neurological Disease, The Second Affiliated Hospital of Soochow University, Suzhou, 215004, China.
Jiangsu Key Laboratory of Neuropsychiatric Diseases and Institute of Neuroscience, Soochow University, Suzhou, 215123, China.
NPJ Parkinsons Dis. 2025 Jun 19;11(1):175. doi: 10.1038/s41531-025-01029-5.
Sleep disturbances are among the most prevalent non-motor symptoms of Parkinson's disease (PD), yet their underlying mechanisms remain inadequately understood. Emerging evidence has emphasized a strong association between gut health and sleep stability, with notable early alterations in microbial composition and short-chain fatty acid (SCFA) levels observed during the progression of PD. Consequently, targeting the gut as a therapeutic strategy for sleep disturbances in PD has become a focus of our research. In this study, we demonstrated that a subacute 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced PD mouse model exhibited a marked reduction in daytime sleep alongside an increase in nighttime sleep. Microbial sequencing and SCFA profiling revealed a significant decline in butyrate levels and the abundance of butyrate-producing bacteria. Correlation analysis indicated a significant positive correlation between butyrate levels and the duration of daytime non-rapid eye movement (NREM) sleep. Furthermore, supplementation with butyrate effectively restored normal sleep architecture in MPTP-induced PD mice. Further mechanistic studies revealed that this effect is mediated through the BDNF-TrkB pathway. These findings suggest that direct or indirect supplementation with butyrate may be a potential therapeutic approach for improving sleep disorders in PD patients.
睡眠障碍是帕金森病(PD)最常见的非运动症状之一,但其潜在机制仍未得到充分了解。新出现的证据强调了肠道健康与睡眠稳定性之间的紧密联系,在PD进展过程中观察到微生物组成和短链脂肪酸(SCFA)水平有明显的早期变化。因此,将肠道作为PD睡眠障碍的治疗策略已成为我们研究的重点。在本研究中,我们证明亚急性1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)诱导的PD小鼠模型白天睡眠显著减少,夜间睡眠增加。微生物测序和SCFA分析显示丁酸盐水平和产生丁酸盐的细菌丰度显著下降。相关性分析表明丁酸盐水平与白天非快速眼动(NREM)睡眠持续时间之间存在显著正相关。此外,补充丁酸盐可有效恢复MPTP诱导的PD小鼠的正常睡眠结构。进一步的机制研究表明,这种作用是通过BDNF-TrkB途径介导的。这些发现表明,直接或间接补充丁酸盐可能是改善PD患者睡眠障碍的一种潜在治疗方法。
NPJ Parkinsons Dis. 2025-6-19
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