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Ketogenic Diet Modulates Neuroinflammation via Metabolites from Lactobacillus reuteri After Repetitive Mild Traumatic Brain Injury in Adolescent Mice.

Cellular and molecular neurobiology
March 1, 2023
Dilirebati Dilimulati et al. (9 authors)
Journal ArticleAnimal Study
Study Details

Study Goal

The researchers aimed to determine whether a ketogenic diet (KD) could modulate neuroinflammation in repetitive mild traumatic brain injury (rmTBI) by altering Lactobacillus reuteri in the gut and its metabolites.

Results Summary

The study found that KD reduced neuroinflammation and white matter damage in rmTBI mice, potentially by inhibiting the indole/AHR pathway mediated by Lactobacillus reuteri metabolites and downregulating TLR4/MyD88 signaling.

Population

Adolescent male C57BL/6 mice

Effective Dosage

Not specified

Duration

7 days

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Ketogenic diet (KD)
increase
blood beta-hydroxybutyrate (β-HB) levels
adolescent male C57BL/6 mice with rmTBI
-
significantly increased
#1
Ketogenic diet (KD)
increase
neurological function
adolescent male C57BL/6 mice with rmTBI
-
improved
#2
Ketogenic diet (KD)
decrease
white matter damage induced by rmTBI
adolescent male C57BL/6 mice with rmTBI
-
reduced
#3
Ketogenic diet (KD)
decrease
microgliosis induced by rmTBI
adolescent male C57BL/6 mice with rmTBI
-
reduced
#4
Ketogenic diet (KD)
decrease
astrogliosis induced by rmTBI
adolescent male C57BL/6 mice with rmTBI
-
reduced
#5
Ketogenic diet (KD)
decrease
Aryl hydrocarbon receptor (AHR) signaling pathway mediated by indole-3-acetic acid (3-IAA) from Lactobacillus reuteri (L. reuteri) in gut
adolescent male C57BL/6 mice with rmTBI
-
inhibited
#6
Ketogenic diet (KD)
decrease
expression level of the toll-like receptor 4 (TLR4)/myeloid differentiation primary response 88 (MyD88) in inflammatory cells
adolescent male C57BL/6 mice with rmTBI
-
attenuated
#7
Ketogenic diet (KD)
increase
recovery following rmTBI
adolescent mice
-
can promote recovery
#8
Ketogenic diet (KD)
neutral
neuroinflammation
adolescent male C57BL/6 mice with rmTBI
-
may modulate
#9
Abstract

Repetitive mild traumatic brain injury (rmTBI) is associated with a range of neural changes which is characterized by axonal injury and neuroinflammation. Ketogenic diet (KD) is regarded as a potential therapy for facilitating recovery after moderate-severe traumatic brain injury (TBI). However, its effect on rmTBI has not been fully studied. In this study, we evaluated the anti-neuroinflammation effects of KD after rmTBI in adolescent mice and explored the potential mechanisms. Experimentally, specific pathogen-free (SPF) adolescent male C57BL/6 mice received a sham surgery or repetitive mild controlled cortical impacts consecutively for 7 days. The uninjured mice received the standard diet, and the mice with rmTBI were fed either the standard diet or KD for 7 days. One week later, all mice were subjected to behavioral tests and experimental analysis. Results suggest that KD significantly increased blood beta-hydroxybutyrate (β-HB) levels and improved neurological function. KD also reduced white matter damage, microgliosis, and astrogliosis induced by rmTBI. Aryl hydrocarbon receptor (AHR) signaling pathway, which was mediated by indole-3-acetic acid (3-IAA) from Lactobacillus reuteri (L. reuteri) in gut and activated in microglia and astrocytes after rmTBI, was inhibited by KD. The expression level of the toll-like receptor 4 (TLR4)/myeloid differentiation primary response 88 (MyD88) in inflammatory cells, which mediates the NF-κB pathway, was also attenuated by KD. Taken together, our results indicated that KD can promote recovery following rmTBI in adolescent mice. KD may modulate neuroinflammation by altering L. reuteri in gut and its metabolites. The inhibition of indole/AHR pathway and the downregulation of TLR4/MyD88 may play a role in the beneficial effect of KD against neuroinflammation in rmTBI mice.

Medical Subject Headings (MeSH)
MiceMaleAnimalsBrain ConcussionToll-Like Receptor 4Limosilactobacillus reuteriDiet, KetogenicMyeloid Differentiation Factor 88Mice, Inbred C57BLBrain Injuries, TraumaticDisease Models, Animal
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality78/10
Citation Metrics
Total Citations14
Citations/Year7.0
Relative Citation Ratio3.42
NIH Percentile87.6%
Research Impact Scores
APT Score0.25
Weight Score1.42
Normalized Score0.70
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