Early-life exposure to APP/PS1 mice increases neuroinflammation through gut microbes

Xiaocui TANG , Xin YANG , Ran LI , Haiting ZHANG , Longkai QI , Diling CHEN
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Abstract

Objective

The gut-brain axis has been implicated in the complex pathogenesis of Alzheimer's disease (AD), but the mechanism of action is unclear. This study was performed to clarify the link between the gut microbiota and AD.

Methods

Gut microbiota structure, long-term potentiation (LTP), inflammation levels, AD biomarkers, and metabolomics were monitored. Moreover, the regulatory action of bacterial metabolites on tau protein phosphorylation was evaluated.

Results

Early-life exposure to APP/PS1 mice showed that gut bacteria from donated mice altered the gut microbiota structure in newborn mice, LTP in hippocampal slices was significantly shortened, inflammatory marker levels increased, AD biomarkers were upregulated, and tau protein phosphorylation was significantly higher at multiple sites. Special bacteria, such as Akkermansia, Lactobacillus, and Klebsiella, increased in AD patient samples, which might induce and/or accelerate disease processes.

Conclusion

These results implied that the gut bacteria in AD could change the gut microbiota structure, induce metabolism disorders, induce inflammation and autophagy dysfunction (thus leading to accelerated tau protein phosphorylation), reduce LTP in AD cohoused mouse hippocampus, and increase neuroinflammation. Long-term clinical monitoring is needed to design dietary and nutritional interventions for AD based on the gut microbiota and mycobiota.

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早期接触APP/PS1小鼠会通过肠道微生物增加神经炎症
目的肠脑轴参与了阿尔茨海默病(AD)的复杂发病机制,但其作用机制尚不清楚。这项研究是为了阐明肠道微生物群和AD之间的联系。方法监测各组患者肠道菌群结构、长期增强(LTP)、炎症水平、AD生物标志物和代谢组学。此外,我们还评估了细菌代谢物对tau蛋白磷酸化的调节作用。结果APP/PS1小鼠早期暴露表明,来自捐赠小鼠的肠道细菌改变了新生小鼠的肠道微生物群结构,海马切片LTP显著缩短,炎症标志物水平升高,AD生物标志物上调,多个位点的tau蛋白磷酸化水平显著升高。特殊细菌,如阿克曼氏菌、乳酸杆菌和克雷伯氏菌,在AD患者样本中增加,这可能诱发和/或加速疾病进程。结论AD肠道细菌可改变AD小鼠肠道菌群结构,诱导代谢紊乱,诱导炎症和自噬功能障碍(从而导致tau蛋白磷酸化加速),降低AD小鼠海马LTP,增加神经炎症。需要长期的临床监测来设计基于肠道微生物群和真菌群的AD饮食和营养干预措施。
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