由肠道先天性淋巴细胞调节的金氨酸通路介导术后认知功能障碍
Wan-Bing Dai1, Xiao Zhang1, Xu-Liang Jiang1
1Department of Anesthesiology, Renji Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, China; Key Laboratory of Anesthesiology (Shanghai Jiaotong University), Ministry of Education, China.
麻醉和手术会破坏肠道细菌的新陈代谢,增加金氨酸 (KYN) 和损害记忆力. 针对ILC1-KYN途径可能会预防术后认知功能障碍 (POCD).
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
背景情况:
- 手术后认知功能障碍 (POCD) 是麻醉/手术后的一个常见的神经问题.
- 肠道微生物群失调与POCD有关,但代谢变化和肠-大脑通信仍然不清楚.
研究的目的:
- 为了研究肠道托代谢在麻醉/手术诱导的POCD中的作用.
- 确定连接肠道微生物群,新陈代谢和认知障碍的机制.
主要方法:
- 年龄较大的小鼠接受了麻醉/手术.
- 测量了氨酸2,3-二氧化酶 (IDO) 表达,氨酸 (TRP) 代谢 (氨酸/KYN,氨酸/IAA) 和认知功能.
- 服用KYN或IAA,并使用IDO抑制剂 (1-MT) 或针对IFN-γ/ILC1.1.的抗体.
主要成果:
- 麻醉/手术增加了肠道IDO,将TRP代谢转移到KYN,并减少IAA.
- 较高的KYN水平与空间学习和记忆障碍相关.
- 饮食IAA补充剂和抑制IDO,IFN-γ或ILC1减弱了认知缺陷.
结论:
- 麻醉/手术诱导肠道ILC1扩张和IFN-γ的产生,上调IDO,并将新陈代谢转移到KYN.
- 在肠道中的ILC1-KYN通路是POCD的关键调解者.
- 针对这一途径为POCD提供了潜在的治疗策略.
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