Microbial production of short-chain fatty acids attenuates long-term neurologic impairment after traumatic brain injury

Authors

Zujian Xiong, Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Brittany P. Dodson, Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, USA.
Matthew B. Rogers, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Chaim T. Sneiderman, Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Keri Janesko-Feldman, Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, USA.
Vincent Vagni, Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, USA.
Mioara Manole, Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, USA.
Xuejun Li, Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Dhivyaa Rajasundaram, Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, USA.
Robert S. Clark, Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, USA.
Itay Raphael, Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Michael J. Morowitz, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Eliana Mariño, Infection and Immunity Program, Biomedicine Discovery Institute, Department of Biochemistry, Monash University, Melbourne, VIC, 3800, Australia.
Patrick M. Kochanek, Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, USA.
Ruchira M. Jha, Departments of Neurology and Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
Gary Kohanbash, Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA. gary.kohanbash@pitt.edu.
Dennis W. Simon, Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, USA. simondw2@upmc.edu.

Document Type

Article

Abstract

BACKGROUND: Traumatic brain injury (TBI) triggers persistent gut microbiome dysbiosis characterized by depletion of short-chain fatty acid (SCFA)-producing bacteria. However, the link between SCFA depletion and long-term neurologic impairment (LTNI) after TBI remains unclear. Previously, we and others noted the involvement of metabolite-sensing receptors and SCFA ligands in mouse models of neurodegenerative diseases, including Alzheimer's. Here, we further investigated SCFA-mediated neuroprotection in LTNI at both microbiome and single-cell resolution using the controlled cortical impact (CCI) model of TBI with a high-yielding SCFA diet to examine their mechanistic role in pathogenesis. METHODS: C57BL6/J mice were randomized to CCI (6 m/s, 2 mm) or sham surgery. Following surgery, mice were randomized to a study diet based on a balanced modification of the AIN93-G diet containing either 15% high amylose maize starch (HAMS) control diet or acetylated and butyrylated HAMS (HAMSAB) for 6 months to model increased SCFA production by bacterial fermentation in the gut. Morris water maze test and nesting assessment were performed at 1, 3, and 6 months after injury. The longitudinal gut microbiome changes were investigated by 16 S rRNA amplicon and metagenomic sequencing of fecal pellets at baseline, 1 month, and 6 months post-injury. At 6 months, pericontusional tissue was collected for single-cell RNA-sequencing following the 10X Genomics protocol or histologic analysis. RESULTS: Compared to the HAMS control diet, HAMSAB diet remodeled the CCI murine gut microbiome at an early phase, increased various SCFA-producing taxa, and attenuated neurologic deficits up to 6 months after CCI. In mice fed HAMSAB diet, single-cell transcriptomics and pathway analysis identified the promotion of neurogenesis, including increased doublecortin-positive immature neurons. In myeloid cells, HAMSAB induced an anti-inflammatory phenotype, inhibiting pro-inflammatory signaling interaction such as midkine signaling, and promoted differentiation to disease-associated microglia (DAM). Simultaneously, SCFAs reduced neurodegenerative pathway activity in neurons and glial cells and reduced phosphorylated tau deposition in pericontusional cortex. CONCLUSIONS: Diet-facilitated microbial production of acetate and butyrate attenuates behavioral deficits of LTNI after TBI and produces enduring benefits at the single-cell level on the neuro-inflammatory and neuro-progenitor responses. This therapeutic approach could have a broader potential to prevent neurodegenerative disease.

Medical Subject Headings

Animals; Brain Injuries, Traumatic (metabolism, complications); Mice; Mice, Inbred C57BL; Fatty Acids, Volatile (metabolism, biosynthesis); Gastrointestinal Microbiome (physiology); Male

Publication Date

12-9-2025

Publication Title

Journal of neuroinflammation

E-ISSN

1742-2094

Volume

22

Issue

1

First Page

285

PubMed ID

41366428

Digital Object Identifier (DOI)

10.1186/s12974-025-03615-z

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