Repeated inflammatory dural stimulation-induced cephalic allodynia causes alteration of gut microbial composition in

Shuai Miao1,2, Wenjing Tang1, Heng Li3

  • 1Department of Neurology, the First Medical Center, Chinese PLA General Hospital, Fuxing Road 28, Haidian District, 100853, Beijing, People's Republic of China.

Abstract

Insights

Migraine pain (cephalic allodynia) alters gut microbes, decreasing Lactobacillus. This study shows dural inflammation impacts gut bacteria and their metabolic pathways, potentially offering new migraine treatment targets.

Area of Science:

  • Neuroscience
  • Microbiology
  • Gastroenterology

Background:

  • Gut microbial dysbiosis and gut-brain axis dysfunction are linked to migraine pathophysiology.
  • The impact of migraine-related cephalic allodynia on gut microbial composition remains unclear.

Purpose of the Study:

  • To investigate whether migraine-related cephalic allodynia induces alterations in gut microbial composition and metabolic pathways.
  • To evaluate the preventive effect of topiramate on these changes.

Main Methods:

  • Established a migraine rat model using repeated dural inflammatory soup (IS) infusions.
  • Assessed cephalic allodynia and migraine-like behaviors.
  • Analyzed gut microbial composition via 16S rRNA gene sequencing and quantified metabolites using mass spectrometry.

Main Results:

  • Dural IS infusions induced cephalic allodynia, migraine-like behaviors, and altered gut microbiota, with decreased Lactobacillus being a key biomarker.
  • Topiramate treatment ameliorated these IS-induced changes.
  • IS infusions enhanced gut microbial metabolic pathways, including butanoate, propanoate, and tryptophan metabolism, with increased indole-3-acetamide and tryptophol observed.

Conclusions:

  • Inflammatory dural stimulation-induced cephalic allodynia leads to significant alterations in the gut microbiota profile.
  • These changes involve modifications in microbial metabolic pathways, highlighting a potential gut-brain axis connection in migraine.