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  4. The gut microbiota and metabolite profiles are altered in patients with spinal cord injury

The gut microbiota and metabolite profiles are altered in patients with spinal cord injury

Molecular Brain, 2023 · DOI: https://doi.org/10.1186/s13041-023-01014-0 · Published: February 5, 2023

Spinal Cord InjuryGastroenterologyBioinformatics

Simple Explanation

This study investigates changes in gut bacteria and their byproducts in spinal cord injury (SCI) patients. Metabolites secreted by the gut microbiota may play an essential role in microbiota–gut–central nervous system crosstalk. The researchers analyzed stool and blood samples from SCI patients and healthy individuals. The study explored the changes occurring in the gut microbiota and their metabolites in patients with spinal cord injury (SCI) and analyzed the correlations among them. The study suggests that certain metabolites like uridine, hypoxanthine, PC(18:2/0:0), and kojic acid could be targets for SCI treatment. Furthermore, our findings suggested that uridine, hypoxanthine, PC(18:2/0:0), and kojic acid may be important therapeutic targets for the treatment of this condition.

Study Duration
Not specified
Participants
11 SCI patients and 10 healthy controls
Evidence Level
Not specified

Key Findings

  • 1
    SCI patients have different gut bacteria compared to healthy people, with increases in some bacteria (UBA1819, Anaerostignum, Eggerthella, Enterococcus) and decreases in others (Faecalibacterium, Blautia, Escherichia–Shigella, Agathobacter, Collinsella, Dorea, Ruminococcus, Fusicatenibacter, and Eubacterium).
  • 2
    SCI patients have altered serum metabolite levels, with 18 metabolites increased and 23 decreased. Forty-one named metabolites displayed significant differential abundance between SCI patients and healthy controls, including 18 that were upregulated and 23 that were downregulated.
  • 3
    Changes in gut bacteria are linked to changes in blood metabolites, and both are related to how long someone has been injured and the severity of their motor problems. Correlation analysis further indicated that the variation in gut microbiota abundance was associated with changes in serum metabolite levels, suggesting that gut dysbiosis is an important cause of metabolic disorders in SCI.

Research Summary

This study examined the gut microbiota and serum metabolites in SCI patients compared to healthy individuals to understand their interaction in SCI pathogenesis. We present a comprehensive landscape of the gut microbiota and metabolite profiles in patients with SCI and provide evidence that their interaction plays a role in the pathogenesis of SCI. The researchers found significant differences in gut microbiota composition and serum metabolite profiles between the two groups, indicating gut dysbiosis and metabolic abnormalities in SCI patients. The composition of the gut microbiota differed between patients with SCI and healthy controls, suggesting that SCI induced gut dysbiosis The study identified potential therapeutic targets, such as uridine, hypoxanthine, and kojic acid, which are closely related to neurological diseases and may play a role in SCI treatment. Furthermore, our findings suggested that uridine, hypoxanthine, PC(18:2/0:0), and kojic acid may be important therapeutic targets for the treatment of this condition.

Practical Implications

Therapeutic targets

Uridine, hypoxanthine, and kojic acid may be potential therapeutic targets for SCI treatment.

Personalized interventions

Understanding gut microbiota and metabolite profiles can inform personalized interventions for SCI patients.

Gut-brain axis

The study highlights the importance of the gut-brain axis in SCI and suggests that modulating the gut microbiota may have therapeutic benefits.

Study Limitations

  • 1
    Influence of confounding factors on gut microbiota composition and metabolite abundance.
  • 2
    Small sample size.
  • 3
    Lack of verification of the differential flora and metabolite abundance.

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