Fecal microbiota transplantation alleviates neuronal Apoptosis, necroptosis and reactive microglia activation after

Dingzhi Chen1, Jieqiong Xie1, Xueyuan Chen1

  • 1Department of Neurology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.

Neuroscience
|November 4, 2024
PubMed
Abstract

Insights

Fecal microbiota transplantation (FMT) improved neurological function in ischemic stroke rats by reducing brain infarcts. FMT inhibited neuronal apoptosis, necroptosis, and inflammatory microglial activation, offering a promising therapeutic strategy.

Area of Science:

  • Neuroscience
  • Gastroenterology
  • Regenerative Medicine

Background:

  • Ischemic stroke leads to significant neurological deficits.
  • Fecal microbiota transplantation (FMT) is an emerging therapy with potential in neurological disorders.
  • Understanding the mechanisms of FMT in stroke recovery is crucial.

Purpose of the Study:

  • To investigate the mechanisms by which FMT improves neurological function in rats post-ischemic stroke.
  • To evaluate the effects of FMT on neuronal apoptosis, necroptosis, and microglial activation.

Main Methods:

  • Fifty male Sprague-Dawley rats were divided into Sham, MCAO, MCAO+vehicle, and FMT groups.
  • Neurological function and infarct volume were assessed using scoring and TTC staining.
  • Western blot and immunofluorescence detected apoptosis/necroptosis markers and microglial activation.

Main Results:

  • FMT group showed reduced neurological deficit scores and infarct volume compared to control groups (P < 0.05).
  • FMT decreased the expression of necroptosis (Phospho-RIP1/3, Phospho-MLKL) and apoptosis (Bax, Cleaved caspase-3) markers, while increasing Bcl-2.
  • FMT reduced iNOS-positive microglia, indicating decreased inflammatory activation.

Conclusions:

  • Fecal microbiota transplantation demonstrates therapeutic potential for ischemic stroke in rats.
  • FMT ameliorates stroke-induced brain injury by inhibiting neuronal cell death pathways.
  • FMT modulates microglial polarization, reducing neuroinflammation and promoting recovery.