Post-ischemic protein restriction induces sustained neuroprotection, neurological recovery, brain remodeling, and gut microbiota rebalancing

Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved..

BACKGROUND: Moderate dietary protein restriction confers neuroprotection when applied before ischemic stroke. How a moderately protein-reduced diet influences stroke recovery when administered after stroke, is a clinically relevant question. This question has not yet been investigated.

METHODS: Male C57BL6/J mice were exposed to transient intraluminal middle cerebral artery occlusion. Immediately after the stroke, mice were randomized to two normocaloric diets: a moderately protein-reduced diet containing 8% protein (PRD) or normal diet containing 20% protein (ND). Post-stroke neurological deficits were evaluated by a comprehensive test battery. Antioxidant and neuroinflammatory responses in the brain and liver were evaluated by Western blot and RTqPCR. Stroke-induced brain injury, microvascular integrity, glial responses, and neuroplasticity were assessed by immunohistochemistry. Fecal microbiota analysis was performed using 16S ribosomal RNA amplicon sequencing.

RESULTS: We show that PRD reduces brain infarct volume after three days and enhances neurological and, specifically, motor-coordination recovery over six weeks in stroke mice. The recovery-promoting effects of PRD were associated with increased antioxidant responses and reduced neuroinflammation. Histochemical studies revealed that PRD increased long-term neuronal survival, increased peri-infarct microvascular density, reduced microglia/macrophage accumulation, increased contralesional pyramidal tract plasticity, and reduced brain atrophy. Fecal microbiota analysis showed reduced bacterial richness and diversity in ischemic mice on ND starting at 7 dpi. PRD restored bacterial richness and diversity at these time points.

CONCLUSION: Moderate dietary protein restriction initiated post-ischemic stroke induces neurological recovery, brain remodeling, and neuroplasticity in mice by mechanisms involving antiinflammation and, in the post-acute phase, commensal gut microbiota rebalancing.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:100

Enthalten in:

Brain, behavior, and immunity - 100(2022) vom: 15. Feb., Seite 134-144

Sprache:

Englisch

Beteiligte Personen:

Silva de Carvalho, Tayana [VerfasserIn]
Singh, Vikramjeet [VerfasserIn]
Mohamud Yusuf, Ayan [VerfasserIn]
Wang, Jing [VerfasserIn]
Schultz Moreira, Adriana R [VerfasserIn]
Sanchez-Mendoza, Eduardo H [VerfasserIn]
Sardari, Maryam [VerfasserIn]
Nascentes Melo, Luiza M [VerfasserIn]
Doeppner, Thorsten R [VerfasserIn]
Kehrmann, Jan [VerfasserIn]
Scholtysik, Rene [VerfasserIn]
Hitpass, Ludger [VerfasserIn]
Gunzer, Matthias [VerfasserIn]
Hermann, Dirk M [VerfasserIn]

Links:

Volltext

Themen:

Dietary protein
Gut microbiome
Ischemic stroke
Journal Article
Middle cerebral artery occlusion
Neuroinflammation
Neuroplasticity
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 14.03.2022

Date Revised 31.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.bbi.2021.11.016

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333853237