Probiotic modulation of energy metabolism ameliorates experimental autoimmune encephalomyelitis via Nrf2-associated

Ozden Ozgun Acar1

  • 1Health Services Vocational School of Higher Education, Pamukkale University, 20070, Denizli, Turkey.

Insights

Probiotic Lactobacillus acidophilus LA-5 improved multiple sclerosis (MS) symptoms in EAE models by restoring pentose phosphate pathway (PPP) energy metabolism and boosting antioxidant capacity.

Area of Science:

  • Neuroimmunology
  • Metabolic pathways
  • Gut microbiome

Background:

  • Gut microbiome alterations impact immune responses and metabolic pathways in multiple sclerosis (MS) and experimental autoimmune encephalomyelitis (EAE).
  • Probiotics may offer immunomodulatory effects and reprogram energy metabolism in MS and EAE models.

Purpose of the Study:

  • To assess the efficacy of Lactobacillus acidophilus LA-5 (LA-5) in addressing pentose phosphate pathway (PPP) energy metabolism disorders during MS-related disease processes.
  • To investigate the impact of LA-5 on immune and metabolic parameters in an EAE model.

Main Methods:

  • Supplementation with Lactobacillus acidophilus LA-5 (LA-5) in an experimental autoimmune encephalomyelitis (EAE) model.
  • Assessment of clinical scores, expression and activity of key pentose phosphate pathway (PPP) enzymes (G6PDH, 6-PGD, TALDO), NADPH levels, and Nrf2 pathway activation in brain tissue.

Main Results:

  • LA-5 supplementation significantly reduced EAE disease severity and clinical scores.
  • Increased expression and activity of PPP enzymes (G6PDH, 6-PGD) and restored transaldolase (TALDO) expression were observed.
  • LA-5 normalized brain NADPH levels, reactivated the suppressed Nrf2 pathway, and enhanced antioxidant capacity.

Conclusions:

  • A direct link exists between pentose phosphate pathway (PPP) dysfunction and multiple sclerosis (MS) pathology.
  • Metabolic modulation, specifically using probiotics like LA-5, shows therapeutic potential for MS treatment.
  • Findings offer new insights for developing future MS treatment strategies targeting metabolic pathways.