Gastrointestinal Microbiome and Neurologic Injury

Communication between the enteric nervous system (ENS) of the gastrointestinal (GI) tract and the central nervous system (CNS) is vital for maintaining systemic homeostasis. Intrinsic and extrinsic neurological inputs of the gut regulate blood flow, peristalsis, hormone release, and immunological fu...

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Main Authors: Eric J. Panther, William Dodd, Alec Clark, Brandon Lucke-Wold
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/2/500
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author Eric J. Panther
William Dodd
Alec Clark
Brandon Lucke-Wold
author_facet Eric J. Panther
William Dodd
Alec Clark
Brandon Lucke-Wold
author_sort Eric J. Panther
collection DOAJ
description Communication between the enteric nervous system (ENS) of the gastrointestinal (GI) tract and the central nervous system (CNS) is vital for maintaining systemic homeostasis. Intrinsic and extrinsic neurological inputs of the gut regulate blood flow, peristalsis, hormone release, and immunological function. The health of the gut microbiome plays a vital role in regulating the overall function and well-being of the individual. Microbes release short-chain fatty acids (SCFAs) that regulate G-protein-coupled receptors to mediate hormone release, neurotransmitter release (i.e., serotonin, dopamine, noradrenaline, γ-aminobutyric acid (GABA), acetylcholine, and histamine), and regulate inflammation and mood. Further gaseous factors (i.e., nitric oxide) are important in regulating inflammation and have a response in injury. Neurologic injuries such as ischemic stroke, spinal cord injury, traumatic brain injury, and hemorrhagic cerebrovascular lesions can all lead to gut dysbiosis. Additionally, unfavorable alterations in the composition of the microbiota may be associated with increased risk for these neurologic injuries due to increased proinflammatory molecules and clotting factors. Interventions such as probiotics, fecal microbiota transplantation, and oral SCFAs have been shown to stabilize and improve the composition of the microbiome. However, the effect this has on neurologic injury prevention and recovery has not been studied extensively. The purpose of this review is to elaborate on the complex relationship between the nervous system and the microbiome and to report how neurologic injury modulates the status of the microbiome. Finally, we will propose various interventions that may be beneficial in the recovery from neurologic injury.
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spelling doaj.art-550131108cf64717b161ee0e3fbfe2cd2023-11-23T18:56:35ZengMDPI AGBiomedicines2227-90592022-02-0110250010.3390/biomedicines10020500Gastrointestinal Microbiome and Neurologic InjuryEric J. Panther0William Dodd1Alec Clark2Brandon Lucke-Wold3Department of Neurosurgery, University of Florida, Gainesville, FL 32601, USACollege of Medicine, University of Central Florida, Orlando, FL 32816, USACollege of Medicine, University of Central Florida, Orlando, FL 32816, USADepartment of Neurosurgery, University of Florida, Gainesville, FL 32601, USACommunication between the enteric nervous system (ENS) of the gastrointestinal (GI) tract and the central nervous system (CNS) is vital for maintaining systemic homeostasis. Intrinsic and extrinsic neurological inputs of the gut regulate blood flow, peristalsis, hormone release, and immunological function. The health of the gut microbiome plays a vital role in regulating the overall function and well-being of the individual. Microbes release short-chain fatty acids (SCFAs) that regulate G-protein-coupled receptors to mediate hormone release, neurotransmitter release (i.e., serotonin, dopamine, noradrenaline, γ-aminobutyric acid (GABA), acetylcholine, and histamine), and regulate inflammation and mood. Further gaseous factors (i.e., nitric oxide) are important in regulating inflammation and have a response in injury. Neurologic injuries such as ischemic stroke, spinal cord injury, traumatic brain injury, and hemorrhagic cerebrovascular lesions can all lead to gut dysbiosis. Additionally, unfavorable alterations in the composition of the microbiota may be associated with increased risk for these neurologic injuries due to increased proinflammatory molecules and clotting factors. Interventions such as probiotics, fecal microbiota transplantation, and oral SCFAs have been shown to stabilize and improve the composition of the microbiome. However, the effect this has on neurologic injury prevention and recovery has not been studied extensively. The purpose of this review is to elaborate on the complex relationship between the nervous system and the microbiome and to report how neurologic injury modulates the status of the microbiome. Finally, we will propose various interventions that may be beneficial in the recovery from neurologic injury.https://www.mdpi.com/2227-9059/10/2/500gut microbiomeneurologic injuryenteric nervous systememerging approaches
spellingShingle Eric J. Panther
William Dodd
Alec Clark
Brandon Lucke-Wold
Gastrointestinal Microbiome and Neurologic Injury
Biomedicines
gut microbiome
neurologic injury
enteric nervous system
emerging approaches
title Gastrointestinal Microbiome and Neurologic Injury
title_full Gastrointestinal Microbiome and Neurologic Injury
title_fullStr Gastrointestinal Microbiome and Neurologic Injury
title_full_unstemmed Gastrointestinal Microbiome and Neurologic Injury
title_short Gastrointestinal Microbiome and Neurologic Injury
title_sort gastrointestinal microbiome and neurologic injury
topic gut microbiome
neurologic injury
enteric nervous system
emerging approaches
url https://www.mdpi.com/2227-9059/10/2/500
work_keys_str_mv AT ericjpanther gastrointestinalmicrobiomeandneurologicinjury
AT williamdodd gastrointestinalmicrobiomeandneurologicinjury
AT alecclark gastrointestinalmicrobiomeandneurologicinjury
AT brandonluckewold gastrointestinalmicrobiomeandneurologicinjury