Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Sep 15;38(18):2610-2621.
doi: 10.1089/neu.2020.7506. Epub 2021 Jun 7.

Sustained Dysbiosis and Decreased Fecal Short-Chain Fatty Acids after Traumatic Brain Injury and Impact on Neurologic Outcome

Affiliations

Sustained Dysbiosis and Decreased Fecal Short-Chain Fatty Acids after Traumatic Brain Injury and Impact on Neurologic Outcome

Oluwasinmisola M Opeyemi et al. J Neurotrauma. .

Abstract

Traumatic brain injury (TBI) alters microbial populations present in the gut, which may impact healing and tissue recovery. However, the duration and impact of these changes on outcome from TBI are unknown. Short-chain fatty acids (SCFAs), produced by bacterial fermentation of dietary fiber, are important signaling molecules in the microbiota gut-brain axis. We hypothesized that TBI would lead to a sustained reduction in SCFA producing bacteria, fecal SCFAs concentration, and administration of soluble SCFAs would improve functional outcome after TBI. Adult mice (n = 10) had the controlled cortical impact (CCI) model of TBI performed (6 m/sec, 2-mm depth, 50-msec dwell). Stool samples were collected serially until 28 days after CCI and analyzed for SCFA concentration by high-performance liquid chromatography-mass spectrometry/mass spectrometry and microbiome analyzed by 16S gene sequencing. In a separate experiment, mice (n = 10/group) were randomized 2 weeks before CCI to standard drinking water or water supplemented with the SCFAs acetate (67.5 mM), propionate (25.9 mM), and butyrate (40 mM). Morris water maze performance was assessed on post-injury Days 14-19. Alpha diversity remained stable until 72 h, at which point a decline in diversity was observed without recovery out to 28 days. The taxonomic composition of post-TBI fecal samples demonstrated depletion of bacteria from Lachnospiraceae, Ruminococcaceae, and Bacteroidaceae families, and enrichment of bacteria from the Verrucomicrobiaceae family. Analysis from paired fecal samples revealed a reduction in total SCFAs at 24 h and 28 days after TBI. Acetate, the most abundant SCFA detected in the fecal samples, was reduced at 7 days and 28 days after TBI. SCFA administration improved spatial learning after TBI versus standard drinking water. In conclusion, TBI is associated with reduced richness and diversity of commensal microbiota in the gut and a reduction in SCFAs detected in stool. Supplementation of soluble SCFAs improves spatial learning after TBI.

Keywords: gut–brain axis; microbiome; short-chain fatty acids; traumatic brain injury.

PubMed Disclaimer

Conflict of interest statement

No competing financial interests exist

Figures

FIG. 1.
FIG. 1.
Changes in gut microbiome over time after traumatic brain injury (TBI). Adult C57BL6/J male mice (n = 10) underwent controlled cortical impact (CCI) performed and serial fecal pellets were analyzed by 16S rRNA sequencing. (A) Alpha diversity assessed using species richness and Shannon diversity index demonstrated stable microbial communities for 72 h after TBI followed by a decline occurs on average without recovery out to 28 days from injury. (B) Principal component analysis of Jaccard distances demonstrates that overall the Day 28 samples are more distant from other samples. Larger circles indicate centroids, the mean location of each group along the two axes.
FIG. 2.
FIG. 2.
Taxonomic analysis of gut microbiome over time after traumatic brain injury (A) Taxon summary of gut microbiome at family rank. (B) Temporal variation in fecal abundance of bacterial families identified by LEfSe as changing significantly over time (p < 0.05).
FIG. 3.
FIG. 3.
Changes in fecal short-chain fatty acid concentration over time after traumatic brain injury. Adult C57BL6/J male mice (n = 10) underwent CCI and serial fecal pellets were analyzed for short-chain fatty acid (SCFA) concentration. (A) Relative abundance for acetate, propionate, and butyrate over time for individual animals. (B) Absolute SCFA levels over time normalized to fecal weight. *p < 0.05 versus baseline.
FIG. 4.
FIG. 4.
Community composition is distinct in samples with the lowest acetate concentration. (A) Principal component analysis (PCoA) plot of community composition in samples with paired 16S rRNA gene analysis and short-chain fatty acids (SCFAs) quantification. Data points are shaded by acetate concentration. Percent variation explained by each axis is in parentheses. (B) Volcano plot of log-fold change in relative abundance of individual taxa between binned samples. Taxa that are significantly different (p < 0.05) between groups are labeled in the figure.
FIG. 5.
FIG. 5.
Mice receiving short-chain fatty acids (SCFAs) in drinking water after TBI demonstrate improved spatial memory acquisition. Adult male C57BL6/J mice (n = 10/group) were evaluated using Morris water maze. (A) Latency to find hidden platform. (B) Swim speed as assessed during probe trial. (C) Path length to find hidden platform. (D) Latency to escape to visible platform. (E) Latency to enter target quadrant on probe trial. (F) Percentage of probe trial spent in target zone. Data presented as mean ± standard error.
FIG. 6.
FIG. 6.
Histologic assessment of mice after traumatic brain injury with and without short-chain fatty acids (SCFAs) in drinking water. (A, B) On Day 21 after injury, mice were sacrificed and lesion volume was assessed (n = 10/group). Shown are lesion volume and percent hemispheric volume loss. No significant difference was detected between groups. (C) Representative coronal sections through dorsal hippocampus from each group.

References

    1. Rogers, M.B., Firek, B., Shi, M., Yeh, A., Brower-Sinning, R., Aveson, V., Kohl, B.L., Fabio, A., Carcillo, J.A., and Morowitz, M.J. (2016). Disruption of the microbiota across multiple body sites in critically ill children. Microbiome 4, 66. - PMC - PubMed
    1. Yeh, A., Rogers, M.B., Firek, B., Neal, M.D., Zuckerbraun, B.S., and Morowitz, M.J. (2016). Dysbiosis across multiple body sites in critically ill adult surgical paatients. Shock 46, 649–654 - PubMed
    1. Treangen, T.J., Wagner, J., Burns, M.P., and Villapol, S. (2018). Traumatic brain injury in mice induces acute bacterial dysbiosis within the fecal microbiome. Front. Immunol. 9, 2757. - PMC - PubMed
    1. Nicholson, S.E., Watts, L.T., Burmeister, D.M., Merrill, D., Scroggins, S., Zou, Y., Lai, Z., Grandhi, R., Lewis, A.M., Newton, L.M., Eastridge, B.J., and Schwacha, M.G. (2018). Moderate traumatic brain injury alters the gastrointestinal microbiome in a time-dependent manner. Shock 52, 240–248 - PubMed
    1. David, L.A., Materna, A.C., Friedman, J., Campos-Baptista, M.I., Blackburn, M.C., Perrotta, A., Erdman, S.E., and Alm, E.J. (2014). Host lifestyle affects human microbiota on daily timescales. Genome Biol. 15, R89. - PMC - PubMed

Publication types

MeSH terms

LinkOut - more resources