Calorie restriction conferred improvement effect on long-term rehabilitation of ischemic stroke via gut microbiota

Jia-Ting Huang1, Yu-Qin Mao2, Bing Han2

  • 1Key Laboratory of Whole-Period Monitoring and Precise Intervention of Digestive Cancer (SMHC), Minhang Hospital, Fudan University, 201199 Shanghai, China; Institute of Fudan-Minhang Academic Health System, Minhang Hospital, Fudan University, 201199 Shanghai, China; Department of General Medicine, Minhang Hospital, Fudan University, 201199 Shanghai, China.

Insights

Calorie restriction improves long-term recovery after ischemic stroke by altering gut microbiota. Supplementing with Bifidobacterium also enhanced rehabilitation, suggesting a novel therapeutic approach for stroke recovery.

Area of Science:

  • Neuroscience
  • Microbiology
  • Metabolomics

Background:

  • Calorie restriction (CR) is known to modulate gut microbiota and offer protection against diseases, including ischemic stroke.
  • The specific impact of CR-induced gut microbiota changes on ischemic stroke rehabilitation remains largely unexplored.

Purpose of the Study:

  • To investigate the role of CR-induced gut microbiota alterations in long-term ischemic stroke rehabilitation.
  • To explore the potential of specific gut bacteria, like Bifidobacterium, in improving stroke recovery.

Main Methods:

  • A 30% caloric reduction was implemented in mice for four weeks to assess its effects on ischemic stroke rehabilitation.
  • Gut microbiota transplantation and targeted Bifidobacterium administration were used to evaluate their therapeutic potential.
  • 16S ribosomal RNA sequencing and metabolomics analysis were employed to characterize microbial and metabolic changes.

Main Results:

  • Calorie restriction significantly enhanced long-term rehabilitation outcomes in mice post-ischemic stroke compared to controls.
  • Transplantation of gut microbiota from CR-treated mice improved stroke rehabilitation in recipient mice.
  • Enrichment of Bifidobacterium was observed in CR mice, and its administration alone improved rehabilitation in stroke models.
  • Metabolomics revealed significant alterations in metabolite profiles, indicating CR's profound impact on gut microbiota metabolism.

Conclusions:

  • Calorie restriction offers a novel strategy for improving long-term ischemic stroke rehabilitation.
  • Gut microbiota, particularly Bifidobacterium, plays a crucial role in mediating the beneficial effects of CR on stroke recovery.
  • These findings suggest potential microbiome-targeted therapies for enhanced clinical post-stroke rehabilitation.