Alterations in the gut microbiota contribute to cognitive impairment induced by the ketogenic diet and hypoxia.

Alterations in the gut microbiota contribute to cognitive impairment induced by the ketogenic diet and hypoxia.
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DOI:
10.1016/j.chom.2021.07.004
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发表时间:
2021-09-08
影响因子:
30.3
通讯作者:
Hsiao EY
Hsiao EY
中科院分区:
医学1区
文献类型:
--
作者:
Olson CA;Iñiguez AJ;Yang GE;Fang P;Pronovost GN;Jameson KG;Rendon TK;Paramo J;Barlow JT;Ismagilov RF;Hsiao EY

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Many genetic and environmental factors increase susceptibility to cognitive impairment (CI), and the gut microbiome is increasingly implicated. However, the identity of gut microbes associated with CI risk, their effects on CI, and their mechanisms remain unclear. Here we show that a carbohydrate-restricted (Ketogenic) diet and intermittent hypoxia in mice potentiates CI and alters the gut microbiota. Depleting the microbiome prevents CI, whereas transplantation of the risk-associated microbiome or monocolonization with Bilophila wadsworthia confers CI in mice fed a standard diet. B. wadsworthia and the risk-associated microbiome disrupt hippocampal synaptic plasticity, neurogenesis, and gene expression. The CI is associated with microbiome-dependent increases in intestinal interferon-gamma (IFNg)-producing Th1 cells. Inhibiting Th1 cell development abrogates the adverse effects of both B. wadsworthia and environmental risk factors on CI. Together, these findings identify select gut bacteria that contribute to environmental risk for CI in mice by promoting inflammation and hippocampal dysfunction. Alterations in the gut microbiome are increasingly implicated in cognitive dysfunction. Olson et al. reveal that ketogenic diet and hypoxia synergistically impair cognitive behavior and modify the gut microbiota in mice. Select risk-associated bacteria are sufficient to disrupt hippocampal function and cognitive behavior via immune-mediated pathways.
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