Mucin degradation by Akkermansia muciniphila promotes Alistipes-dependent tryptophan metabolism and Th17-driven

Xun Lin1, Ankita Singh1, Xindi Shan2

  • 1Department of Microbiology and Immunology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY, United States.

Mucosal Immunology
|July 4, 2026
PubMed

Insights

Akkermansia muciniphila exacerbates multiple sclerosis (MS) by promoting gut bacteria that increase neuroinflammation via tryptophan metabolism. Restricting dietary tryptophan may reduce MS severity.

Area of Science:

  • Neuroimmunology
  • Microbiome Research
  • Gastroenterology

Background:

  • Multiple sclerosis (MS) involves gut microbiota alterations.
  • The specific role of Akkermansia muciniphila (A. muciniphila) in MS pathogenesis is not fully understood.
  • Gut barrier dysfunction is implicated in MS.

Purpose of the Study:

  • To investigate the role of A. muciniphila in MS.
  • To elucidate the mechanisms linking gut microbiota to neuroinflammation in MS.
  • To explore therapeutic potential of dietary interventions.

Main Methods:

  • Analysis of serum markers (LPS, anti-LPS IgG, anti-A. muciniphila IgA) in relapsing-remitting MS (RRMS) patients.
  • Assessment of A. muciniphila-induced T cell responses (Th17) in peripheral blood mononuclear cells (PBMCs).
  • Utilized experimental autoimmune encephalomyelitis (EAE) mouse model to study A. muciniphila colonization effects on disease severity and immune cell infiltration in the spinal cord.
  • Investigated microbial metabolism pathways (tryptophan, mucin degradation) and aryl hydrocarbon receptor (AhR) agonist production.
  • Evaluated the impact of dietary tryptophan restriction on EAE severity.

Main Results:

  • RRMS patients showed elevated serum LPS and anti-LPS IgG, indicating gut barrier impairment.
  • Increased serum anti-A. muciniphila IgA and heightened A. muciniphila-stimulated Th17 responses were observed in RRMS patients.
  • A. muciniphila colonization worsened EAE severity, increasing pro-inflammatory CD4+ T cell infiltration (GM-CSF+, IL-17A+) in the spinal cord.
  • A. muciniphila promoted tryptophan metabolism and AhR agonist production during EAE by supporting the growth of Alistipes onderdonkii (A. onderdonkii) via mucin degradation.
  • Dietary tryptophan restriction significantly reduced EAE severity.

Conclusions:

  • A. muciniphila exacerbates MS by fostering a gut environment that enhances neuroinflammation.
  • A cross-feeding interaction between A. muciniphila and A. onderdonkii drives microbial tryptophan metabolism, leading to increased AhR agonist production and Th17-mediated neuroinflammation.
  • Targeting microbial metabolism, specifically tryptophan pathways, presents a potential therapeutic strategy for MS.

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