Integrated multi-omics analysis identifies microbial and metabolic signatures and drivers of CNS autoimmunity

Theresa L Montgomery1, Emily A Nelson1, Lauren A Downs1

  • 1Department of Biomedical and Health Sciences, University of Vermont, Burlington, VT 05401, USA.

Insights

Diet and gut microbes interact to influence multiple sclerosis (MS) severity. Specific metabolites produced by gut bacteria can worsen MS disease, suggesting new therapeutic targets.

Area of Science:

  • Neuroimmunology
  • Microbiome Research
  • Metabolomics

Background:

  • Multiple sclerosis (MS) is an autoimmune central nervous system (CNS) disease influenced by genetic and environmental factors.
  • The gut microbiome composition and its produced metabolites are distinct in people with MS (pwMS) and impact disease.
  • Identifying specific microbial-metabolic drivers of MS exacerbation remains challenging.

Purpose of the Study:

  • To investigate how diet and gut microbiota interactions influence immunomodulatory metabolites in a mouse model of MS.
  • To identify specific microbial metabolites that can exacerbate MS disease.
  • To assess the utility of integrated microbiome-metabolome analysis for predicting MS disease severity.

Main Methods:

  • Longitudinal experimental autoimmune encephalomyelitis (EAE) study in mice with varying tryptophan diets and Limosilactobacillus reuteri colonization.
  • Integrated analysis of gut microbiome and serum metabolomic datasets using joint Robust Aitchison PCA.
  • Predictive modeling to correlate metabolites and microbiota with EAE severity; validation by treating mice with identified metabolites.

Main Results:

  • High dietary tryptophan and L. reuteri colonization synergistically altered microbiota composition, including Lachnospiraceae, Blautia, and Akkermansia.
  • Metabolites, particularly p-cresols and indoles, were better predictors of EAE severity than microbiota composition.
  • Treatment with p-cresol or 3-indoleglyoxylic acid exacerbated EAE, increased pro-inflammatory T cell responses, and worsened cerebellar pathology.

Conclusions:

  • Dietary responses are significantly shaped by gut microbiome composition.
  • Integrated microbiomic-metabolomic analyses effectively identify microbial metabolites that drive MS disease worsening.
  • Targeting microbial metabolites or diet-microbiome interactions presents potential therapeutic strategies for MS and related autoimmune disorders.