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Published on: June 2, 2022
Inulin alleviates vascular cognitive impairment by restoring prefrontal GABAergic function via
Zhiying Zou1,2, Junxiu Xi3, Juan Li4
1Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Background:
Vascular cognitive impairment (VCI) impairs medial prefrontal cortex (mPFC) function, a cognitive hub reliant on intact GABAergic transmission. Although prebiotics may counteract VCI by remodeling the gut microbiota, the underlying mechanisms remain unclear. This study investigated whether the prebiotic inulin could improve VCI by restoring mPFC GABAergic function via the gut-brain axis.
Results:
In a mouse model of VCI induced by bilateral carotid artery stenosis (BCAS), inulin supplementation ameliorated cognitive deficits and anxiety-like behaviors and reshaped the gut microbiota, particularly enriching SCFA-producing genera such as Ruminococcaceae. Antibiotic depletion abolished inulin's cognitive and intestinal barrier benefits, confirming microbiota dependence. In the mPFC, inulin reversed VCI-induced reductions in GABAergic synaptic transmission and GABA levels, which positively correlated with elevated colon short-chain fatty acid (SCFA) levels. Mechanistically, these effects were linked to the upregulation of SCFA receptors GPR41/43 and presynaptic restoration. Critically, shRNA-mediated knockdown of GPR41/43 abolished the behavioral and GABAergic benefits of SCFA supplementation, confirming the necessity of this signaling axis. Furthermore, to show the role of GABAergic function as inulin's final common pathway, pharmacological blockade of GABAergic signaling with bicuculline eliminated inulin's cognitive and anti-inflammatory benefits.
Conclusion:
Inulin alleviates VCI by elevating gut-derived SCFAs, which activate neuronal GPR41/43 in the mPFC to restore GABAergic function. These findings delineate a clear gut-mPFC pathway and support the therapeutic potential of inulin as an intervention targeting the microbiota-SCFA-GABA axis in cognitive disorders. Video Abstract.
Insights
The prebiotic inulin improves vascular cognitive impairment (VCI) by boosting gut bacteria that produce short-chain fatty acids (SCFAs). These SCFAs restore GABAergic function in the brain, alleviating cognitive deficits.
Area of Science:
- Neuroscience
- Microbiology
- Pharmacology
Background:
- Vascular cognitive impairment (VCI) affects medial prefrontal cortex (mPFC) function, which depends on GABAergic transmission.
- Prebiotics may help VCI by altering gut microbiota, but mechanisms are unclear.
- This study explores if inulin can improve VCI by restoring mPFC GABAergic function via the gut-brain axis.
Purpose of the Study:
- To investigate the effect of the prebiotic inulin on VCI.
- To determine if inulin restores GABAergic function in the mPFC.
- To elucidate the role of the gut-brain axis and short-chain fatty acids (SCFAs) in inulin's effects on VCI.
Main Methods:
- Used a mouse model of VCI induced by bilateral carotid artery stenosis (BCAS).
- Administered inulin and assessed cognitive and anxiety-like behaviors.
- Analyzed gut microbiota composition, mPFC GABAergic transmission, GABA levels, and SCFA receptor expression (GPR41/43).
- Utilized antibiotic depletion, shRNA knockdown, and pharmacological blockade (bicuculline) to confirm mechanisms.
Main Results:
- Inulin ameliorated cognitive deficits and anxiety in VCI mice, reshaping gut microbiota towards SCFA producers.
- Inulin reversed VCI-induced reductions in mPFC GABAergic transmission and GABA levels, correlating with increased SCFA levels.
- SCFA receptor GPR41/43 upregulation and presynaptic restoration were key mechanisms; blocking these receptors abolished inulin's benefits.
- GABAergic function was identified as the final pathway for inulin's cognitive and anti-inflammatory effects.
Conclusions:
- Inulin alleviates VCI by increasing gut-derived SCFAs that activate GPR41/43 in the mPFC, restoring GABAergic function.
- This study establishes a gut-mPFC pathway mediated by the microbiota-SCFA-GABA axis.
- Inulin shows therapeutic potential for cognitive disorders by targeting this axis.
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