4.7 Review

Role of the gut-microbiota-metabolite-brain axis in the pathogenesis of preterm brain injury

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Summary: NEC, a serious gastrointestinal disease in neonates, leads to SBS and requires early prevention. Nutritional practices are crucial for preventing NEC and supporting growth and intestinal function in preterm infants.

NUTRIENTS (2021)

Article Multidisciplinary Sciences

Antibiotics and the developing intestinal microbiome, metabolome and inflammatory environment in a randomized trial of preterm infants

Jordan T. Russell et al.

Summary: The use of antibiotics in neonates can affect the gut microbiome diversity, while different types of nutrition shape the early infant gut microbiome. The study discovered an association between Veillonella and the neurotransmitter gamma-aminobutyric acid (GABA).

SCIENTIFIC REPORTS (2021)

Article Immunology

Antibiotic-induced microbiome depletion in adult mice disrupts blood-brain barrier and facilitates brain infiltration of monocytes after bone-marrow transplantation

Nannan Sun et al.

Summary: The interaction between intestinal bacteria and the central nervous system, known as the gut-brain axis, plays a critical role in maintaining brain homeostasis. Depletion of gut microbiota led to increased blood-brain barrier permeability and migration of bone marrow-derived cells to specific brain regions involved in emotional behavior regulation.

BRAIN BEHAVIOR AND IMMUNITY (2021)

Article Cell Biology

High-fiber diet mitigates maternal obesity-induced cognitive and social dysfunction in the offspring via gut-brain axis

Xiaoning Liu et al.

Summary: Maternal obesity has been found to be associated with lower cognition and sociality in children. The study demonstrated a causal relationship between microbiota and behavioral changes, and showed that microbiota-derived short-chain fatty acids can alleviate behavioral deficits in offspring of obese dams. High dietary fiber intake may be a promising intervention for maternal obesity-induced cognitive and social dysfunctions.

CELL METABOLISM (2021)

Article Immunology

Profound Pathogen-Specific Alterations in Intestinal Microbiota Composition Precede Late-Onset Sepsis in Preterm Infants: A Longitudinal, Multicenter, Case-Control Study

Sofia El Manouni El Hassani et al.

Summary: The study revealed that changes in intestinal microbiota composition occur before the onset of late-onset sepsis (LOS) in preterm infants, allowing for the identification of causative bacteria isolated later in blood culture. Predicting the onset of LOS has the potential to serve as an early noninvasive biomarker.

CLINICAL INFECTIOUS DISEASES (2021)

Article Gastroenterology & Hepatology

Rapid gut dysbiosis induced by stroke exacerbates brain infarction in turn

Kaiyu Xu et al.

Summary: Stroke is a leading cause of death and disability worldwide, and neuroprotective approaches have been unsuccessful in clinical trials. This study reveals a reciprocal relationship between stroke and gut dysbiosis, with acute ischemic stroke triggering dysbiosis of the gut microbiome, exacerbating brain infarction. Administering certain treatments was able to alleviate post-stroke brain infarction, illustrating the translational value of the brain-gut axis in stroke treatment.
Review Biochemistry & Molecular Biology

Preventing Brain Injury in the Preterm Infant-Current Controversies and Potential Therapies

Nathanael Yates et al.

Summary: Preterm birth is associated with a high risk of morbidity and mortality, especially brain damage and cerebral palsy. Current treatment options are limited, with magnesium sulfate showing some reduction in risk but no significant long-term improvement. Promising neuroprotective treatments from preclinical studies include therapeutic hypothermia, melatonin, and vitamin D supplementation.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2021)

Article Medicine, Research & Experimental

CC17 group B Streptococcus exploits integrins for neonatal meningitis development

Romain Deshayes de Cambronne et al.

Summary: CC17-GBS utilizes integrins to cross brain vessels, leading to meningitis, with hosts being more susceptible during infancy. Blocking these integrins reduces the ability of CC17-GBS to invade the central nervous system.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Article Immunology

Inflammatory, synaptic, motor, and behavioral alterations induced by gestational sepsis on the offspring at different stages of life

Marcelo Gomes Granja et al.

Summary: The study showed that gestational sepsis can induce inflammation in the brains of neonatal mice, affecting neurodevelopment and leading to behavioral and cognitive impairments. Maternal sepsis may be causatively related to depression, learning, and memory impairments in the offspring.

JOURNAL OF NEUROINFLAMMATION (2021)

Article Immunology

Blockage of NLRP3 inflammasome activation ameliorates acute inflammatory injury and long-term cognitive impairment induced by necrotizing enterocolitis in mice

Fangxinxing Zhu et al.

Summary: The study showed that NLRP3 inflammasome activation plays a role in the intestinal and brain injury in NEC, and the use of NLRP3 inhibitor MCC950 can effectively protect NEC mice from inflammation in the intestine and brain, reducing the risk of long-term cognitive impairment.

JOURNAL OF NEUROINFLAMMATION (2021)

Review Multidisciplinary Sciences

Early-life imprinting of unconventional T cells and tissue homeostasis

Michael G. Constantinides et al.

Summary: Unconventional T cells, such as iNKT, MAIT, and γδ T cells, are restricted by MHC-Ib molecules and seeded in tissues during development. Early instructive signals from the microbiota determine the lifelong regulation of tissue immunity by these cells, which compete for niches within tissues and act as a network with overlapping functions.

SCIENCE (2021)

Article Neurosciences

Early Influences of Microbiota on White Matter Development in Germ-Free Piglets

Sadia Ahmed et al.

Summary: Abnormalities in the prefrontal cortex and white matter are key in many neurodevelopmental disorders, with recent focus on the influence of microorganisms on brain development. Research shows that microbiota plays a critical role in promoting white matter myelination during early life, affecting vulnerability to environmental insults leading to disabilities later in life.

FRONTIERS IN CELLULAR NEUROSCIENCE (2021)

Article Microbiology

Gut Dysbiosis, Bacterial Colonization and Translocation, and Neonatal Sepsis in Very-Low-Birth-Weight Preterm Infants

Chien-Chung Lee et al.

Summary: The gut microbiota composition of preterm infants is similar to healthy full-term infants at birth but evolves into dysbiosis with an increase in Proteobacteria and decrease in Firmicutes weeks later. 40% of preterm infants with sepsis have pathogenic bacteria in the gut before or at the onset of sepsis, leading to potential horizontal spread and persistence.

FRONTIERS IN MICROBIOLOGY (2021)

Article Microbiology

Deviations in the gut microbiota of neonates affected by maternal group B Streptococcus colonization

Yue-feng Li et al.

Summary: The study found that although the composition and diversity of meconium microbiota in neonates were similar between the GBS group and healthy controls, there were specific taxa that were differentially abundant between the two groups. In particular, the relative abundance of Lactobacillus paracasei was significantly reduced in the GBS group, indicating a potential role in GBS colonization. This suggests initial intestinal microbiota dysbiosis in neonates with mother's GBS colonization.

BMC MICROBIOLOGY (2021)

Article Immunology

Mannan oligosaccharide attenuates cognitive and behavioral disorders in the 5xFAD Alzheimer's disease mouse model via regulating the gut microbiota-brain axis

Qing Liu et al.

Summary: The study demonstrated that prebiotic mannan oligosaccharide (MOS) significantly improved cognitive function and mental symptoms, reduced anxiety and obsessive behaviors, and enhanced neuroprotection in the 5xFAD transgenic AD mice model. MOS treatment also balanced brain oxidative status, suppressed neuroinflammatory responses, alleviated HPA-axis disorders, and prevented gut barrier damage.

BRAIN BEHAVIOR AND IMMUNITY (2021)

Review Neurosciences

Glucocorticosteroids Effects on Brain Development in the Preterm Infant: A Role for Microglia?

Zinni Manuela et al.

Summary: Prematurity is a major cause of neonatal mortality and morbidity, with preterm infants at high risk of developing respiratory problems and other morbidities. Perinatal glucocorticosteroids, commonly used for prevention and treatment, have shown short-term benefits but may also be associated with abnormal brain development in infants born preterm. Neuroinflammation, particularly the role of microglia, has emerged as a significant factor for brain injury in preterm infants.

CURRENT NEUROPHARMACOLOGY (2021)

Article Microbiology

Regulation of blood brain barrier integrity by microbiome-associated methylamines and cognition by trimethylamine N-oxide

Lesley Hoyles et al.

Summary: The study shows that methylamine substances can directly affect the integrity of the blood-brain barrier in mammals by improving its function through regulation of tight junction proteins. Long-term exposure to trimethylamine N-oxide helps protect cognitive function, reducing astrocyte and microglial reactivity in specific brain regions.

MICROBIOME (2021)

Article Microbiology

A fiber-deprived diet causes cognitive impairment and hippocampal microglia-mediated synaptic loss through the gut microbiota and metabolites

Hongli Shi et al.

Summary: The study indicates that a diet lacking in fiber may lead to cognitive impairment, predominantly through altering the gut microbiota-hippocampal axis. These findings are crucial in highlighting the adverse effects of dietary fiber deficiency on brain function.

MICROBIOME (2021)

Article Multidisciplinary Sciences

Brain inflammation triggers macrophage invasion across the blood-brain barrier in Drosophila during pupal stages

Bente Winkler et al.

Summary: The study reveals that macrophages can enter the brain during infections and autoimmune diseases, participating in pathogen elimination but also potentially causing tissue damage. Through a Drosophila model, it was found that the immune deficiency pathway plays a role in attracting and invading macrophages into the brain.

SCIENCE ADVANCES (2021)

Review Microbiology

Evolutionary Significance of the Neuroendocrine Stress Axis on Vertebrate Immunity and the Influence of the Microbiome on Early-Life Stress Regulation and Health Outcomes

Van A. Ortega et al.

Summary: This article discusses the biological and neuroendocrine networks regulating stress response, as well as the impact of gut microbiota on early-life development that may predispose individuals to various diseases later in life. Animal models have confirmed the influence of gut microbiota on HPA axis activity, stress reactivity, and brain development.

FRONTIERS IN MICROBIOLOGY (2021)

Article Microbiology

Aberrant gut-microbiota-immune-brain axis development in premature neonates with brain damage

David Seki et al.

Summary: The study found that premature infants with severe brain damage had suppressed maturation of electrocortical activity, elevated levels of gamma delta T cells, increased secretion of vascular endothelial growth factor by T cells, and reduced secretion of neuroprotectants. Klebsiella overgrowth in the gut was highly predictive of brain damage and associated with a pro-inflammatory immunological tone. These findings suggest that aberrant development of the gut-microbiota-immune-brain axis may drive or exacerbate brain injury in extremely premature neonates and could be a potential target for novel intervention strategies.

CELL HOST & MICROBE (2021)

Article Biochemistry & Molecular Biology

Gut inflammation triggers C/EBPβ/δ-secretase-dependent gut-to-brain propagation of Aβ and Tau fibrils in Alzheimer's disease

Chun Chen et al.

Summary: Inflammation activates C/EBP beta/delta-secretase and initiates AD-associated pathologies in the gut, which then spread to the brain via the vagus nerve. Inhibition of this signaling pathway may attenuate AD-like pathologies in both the gut and the brain, restoring cognitive function. This study suggests a potential therapeutic strategy for Alzheimer's disease by targeting the gut-brain axis.

EMBO JOURNAL (2021)

Article Immunology

Vγ4 T cell-derived IL-17A is essential for amplification of inflammatory cascades in ischemic brain tissue after stroke

Long Lu et al.

Summary: The study found that Vγ4 T cells play a crucial role in ischemic brain tissue damage by providing an early source of IL-17A in stroke. Additionally, CCL20 and IL-1β/IL-23 are deeply involved in amplifying inflammatory responses in the brain tissue.

INTERNATIONAL IMMUNOPHARMACOLOGY (2021)

Article Multidisciplinary Sciences

Microbiota regulate social behaviour via stress response neurons in the brain

Wei-Li Wu et al.

Summary: The study demonstrates that microbiome modulates neuronal activity in specific brain regions of male mice to regulate stress responses and social behaviors. Social deviations in germ-free or antibiotic-treated mice are associated with elevated corticosterone levels, primarily produced by activation of the hypothalamus-pituitary-adrenal (HPA) axis.

NATURE (2021)

Article Neurosciences

Highly selective brain-to-gut communication via genetically defined vagus neurons

Jenkang Tao et al.

Summary: The study revealed seven molecularly distinct subtypes of motor neurons within the vagus nerve, with two of them exclusively innervating the glandular domain of the stomach and contacting enteric neurons releasing functionally opposing neurotransmitters. This discovery demonstrates a division of labor within the parasympathetic nervous system to control autonomic function.

NEURON (2021)

Article Neurosciences

Loss of vagal integrity disrupts immune components of the microbiota-gut-brain axis and inhibits the effect of Lactobacillus rhamnosus on behavior and the corticosterone stress response

Yunpeng Liu et al.

Summary: The study investigated the impact of subdiaphragmatic vagotomy on the anxiolytic effects of L.rhamnosus and found that the vagus nerve plays a crucial role in modulating immune changes associated with this effect. Vagotomy prevented the anxiolytic effects, immune cell increase, and altered microglia activation in the hippocampus, highlighting the importance of vagal signaling in the microbiota-gut-brain axis.

NEUROPHARMACOLOGY (2021)

Review Pharmacology & Pharmacy

Gut microbiota and neuropsychiatric disorders: Implications for neuroendocrine-immune regulation

Tongtong Ge et al.

Summary: Increasing evidence suggests that dysbiosis of gut microbiota may be involved in the physiological mechanisms of neuropsychiatric disorders, but the exact pathways are still unclear. The complex crosstalk between neuroendocrine and immunological regulation may underlie the mechanisms by which gut microbiota are associated with neuropsychiatric disorders.

PHARMACOLOGICAL RESEARCH (2021)

Article Cell Biology

Gut microbiota-derived short-chain fatty acids regulate IL-17 production by mouse and human intestinal γδ T cells

Louise Dupraz et al.

Summary: The gut microbiota represses IL-17 production by gamma delta T cells through the production of metabolites, particularly propionate.

CELL REPORTS (2021)

Article Cell Biology

Neonatal susceptibility to meningitis results from the immaturity of epithelial barriers and gut microbiota

Laetitia Travier et al.

Summary: Neonates are more susceptible to Group B streptococcus meningitis due to the immature intestinal microbiota and age-dependent but microbiota-independent Wnt activity, leading to bacterial colonization and neuroinvasion. Interventions aimed at maturing the microbiota may help prevent neonatal meningitis.

CELL REPORTS (2021)

Review Microbiology

Crosstalk between γδ T cells and the microbiota

Pedro H. Papotto et al.

Summary: The interactions between microbiota and gamma delta T cells impact tissue homeostasis and disease pathology, with microbiota-induced IL-17-producing gamma delta T cells playing a role in various immunological processes. However, the reciprocal interactions between gamma delta T cells and microbiota remain to be fully elucidated.

NATURE MICROBIOLOGY (2021)

Article Gastroenterology & Hepatology

Bacteroidota and Lachnospiraceae integration into the gut microbiome at key time points in early life are linked to infant neurodevelopment

Kaitlyn Oliphant et al.

Summary: The study investigated the association between gut microbiome succession and head circumference growth in preterm infants, finding that depletion of Bacteroidota and Lachnospiraceae was associated with suboptimal neurodevelopment. Early integration of these core taxa is crucial for optimal neurodevelopment.

GUT MICROBES (2021)

Review Medicine, Research & Experimental

The gut, its microbiome, and the brain: connections and communications Michael D. Gershon, Kara Gross Margolis

Michael D. Gershon et al.

Summary: Modern research has uncovered the complexities of gastrointestinal behavior, where the gut communicates bidirectionally with the brain and senses the environment within itself, while the microbiome within the gut also plays a significant role in this process. The microbiota-gut-brain connectome has emerged as a key aspect of this tripartite interaction, highlighting the roles of serotonin, Toll-like receptors, and macrophages in signaling.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Article Biochemistry & Molecular Biology

Virulence factor-related gut microbiota genes and immunoglobulin A levels as novel markers for machine learning-based classification of autism spectrum disorder

Mingbang Wang et al.

Summary: This study utilized VFGM genes and IgA levels for a machine learning-based classification of ASD, finding that VFGM gene composition was associated with ASD phenotype and gene diversity was higher in children with ASD. The classification method using VFGM genes offers a novel early risk identification method for ASD, independent of sex and gastrointestinal symptoms.

COMPUTATIONAL AND STRUCTURAL BIOTECHNOLOGY JOURNAL (2021)

Review Gastroenterology & Hepatology

A systematic review of the factors influencing microbial colonization of the preterm infant gut

Miriam Aguilar-Lopez et al.

Summary: Factors such as postnatal age, mode of delivery, antibiotic use, and human milk consumption have been found to have an impact on the gut microbiota of preterm infants. Limited evidence exists for associations with race, sex, use of different fortifiers, macronutrients, and other medications. Further studies with rich metadata are needed to explore the impact of the preterm exposome on microbiota development in this high-risk population.

GUT MICROBES (2021)

Review Nutrition & Dietetics

Anorexia nervosa: Gut microbiota-immune-brain interactions

Radka Roubalova et al.

CLINICAL NUTRITION (2020)

Article Biochemistry & Molecular Biology

Enteric short-chain fatty acids promote proliferation of human neural progenitor cells

Liu L. Yang et al.

JOURNAL OF NEUROCHEMISTRY (2020)

Article Neurosciences

Short-Chain Fatty Acids Improve Poststroke Recovery via Immunological Mechanisms

Rebecca Sadler et al.

JOURNAL OF NEUROSCIENCE (2020)

Review Biochemistry & Molecular Biology

Bacterial Peptidoglycan as a Driver of Chronic Brain Inflammation

Jon D. Laman et al.

TRENDS IN MOLECULAR MEDICINE (2020)

Article Agriculture, Multidisciplinary

Lycopene Alleviates DSS-Induced Colitis and Behavioral Disorders via Mediating Microbes-Gut-Brain Axis Balance

Beita Zhao et al.

JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY (2020)

Article Pediatrics

Mechanisms of brain injury in newborn infants associated with the fetal inflammatory response syndrome

Vivien Yap et al.

SEMINARS IN FETAL & NEONATAL MEDICINE (2020)

Review Immunology

Immunobiology of Acute Chorioamnionitis

Monica Cappelletti et al.

FRONTIERS IN IMMUNOLOGY (2020)

Article Multidisciplinary Sciences

Microbiome-derived carnitine mimics as previously unknown mediators of gut-brain axis communication

Heather Hulme et al.

SCIENCE ADVANCES (2020)

Review Neurosciences

Vagal sensory neurons and gut-brain signaling

Chuyue D. Yu et al.

CURRENT OPINION IN NEUROBIOLOGY (2020)

Review Immunology

Preterm birth and sustained inflammation: consequences for the neonate

Alexander Humberg et al.

SEMINARS IN IMMUNOPATHOLOGY (2020)

Review Biochemistry & Molecular Biology

Bacterial Peptidoglycans from Microbiota in Neurodevelopment and Behavior

Ayoze Gonzalez-Santana et al.

TRENDS IN MOLECULAR MEDICINE (2020)

Review Neurosciences

Gut microbial molecules in behavioural and neurodegenerative conditions

Brittany D. Needham et al.

NATURE REVIEWS NEUROSCIENCE (2020)

Article Pediatrics

Cerebral Oxygenation in Preterm Infants With Necrotizing Enterocolitis

Claire Howarth et al.

PEDIATRICS (2020)

Article Agriculture, Multidisciplinary

Probiotics Exert Protective Effect against Sepsis-Induced Cognitive Impairment by Reversing Gut Microbiota Abnormalities

Jiaming Liu et al.

JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY (2020)

Article Multidisciplinary Sciences

An original infection model identifies host lipoprotein import as a route for blood-brain barrier crossing

Billel Benmimoun et al.

NATURE COMMUNICATIONS (2020)

Article Immunology

Gut microbiota-specific IgA+ B cells traffic to the CNS in active multiple sclerosis

Anne-Katrin Probstel et al.

SCIENCE IMMUNOLOGY (2020)

Review Immunology

Innate and adaptive γδ T cells: How, when, and why

Maria Papadopoulou et al.

IMMUNOLOGICAL REVIEWS (2020)

Article Multidisciplinary Sciences

Gut-educated IgA plasma cells defend the meningeal venous sinuses

Zachary Fitzpatrick et al.

NATURE (2020)

Article Neurosciences

Neonatal brain injury and aberrant connectivity

Christopher D. Smyser et al.

NEUROIMAGE (2019)

Review Physiology

Prevention, Reduction and Repair of Brain Injury of the Preterm Infant

Frank van Bel et al.

FRONTIERS IN PHYSIOLOGY (2019)

Article Immunology

Experimental necrotizing enterocolitis induces neuroinflammation in the neonatal brain

George Biouss et al.

JOURNAL OF NEUROINFLAMMATION (2019)

Review Gastroenterology & Hepatology

The role of short-chain fatty acids in microbiota-gut-brain communication

Boushra Dalile et al.

NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY (2019)

Review Immunology

The Preterm Gut Microbiota: An Inconspicuous Challenge in Nutritional Neonatal Care

Jannie G. E. Henderickx et al.

FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY (2019)

Article Obstetrics & Gynecology

The global epidemiology of preterm birth

Joshua P. Vogel et al.

BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY (2018)

Review Clinical Neurology

Neurologic Consequences of Preterm Birth

Margie A. Ream et al.

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS (2018)

Review Endocrinology & Metabolism

The Neuroendocrinology of the Microbiota-Gut-Brain Axis: A Behavioural Perspective

Sofia Cussotto et al.

FRONTIERS IN NEUROENDOCRINOLOGY (2018)

Review Clinical Neurology

Gut Microbiota and the Neuroendocrine System

Aitak Farzi et al.

NEUROTHERAPEUTICS (2018)

Article Endocrinology & Metabolism

Enterochromaffin 5-HT cells - A major target for GLP-1 and gut microbial metabolites

Mari L. Lund et al.

MOLECULAR METABOLISM (2018)

Article Multidisciplinary Sciences

A gut-brain neural circuit for nutrient sensory transduction

Melanie Maya Kaelberer et al.

SCIENCE (2018)

Review Biochemistry & Molecular Biology

Perinatal Group B Streptococcal Infections: Virulence Factors, Immunity, and Prevention Strategies

Jay Vornhagen et al.

TRENDS IN MICROBIOLOGY (2017)

Review Clinical Neurology

White matter injury in the preterm infant: pathology and mechanisms

Stephen A. Back

ACTA NEUROPATHOLOGICA (2017)

Review Obstetrics & Gynecology

Acute chorioamnionitis and funisitis: definition, pathologic features, and clinical significance

Chong Jai Kim et al.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2015)

Review Infectious Diseases

Infection-induced inflammation and cerebral injury in preterm infants

Tobias Strunk et al.

LANCET INFECTIOUS DISEASES (2014)