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Oxymatrine ameliorates experimental autoimmune encephalomyelitis by rebalancing the homeostasis of gut microbiota and reducing blood-brain barrier disruption

Mingliang Zhang, Weixia Li, Xiaoyan Wang, Yali Wu, Xiaofei Chen, Hui Zhang, Liuqing Yang, Cheng-Zhao Wu, Shuqi Zhang, Yulong Chen, Ke-Ran Feng, Bin Wang, Lu Niu, Dexin Kong, Jinfa Tang

2023Frontiers in Cellular and Infection Microbiology19 citationsDOIOpen Access PDF

Abstract

Background: Increasing evidence suggests that gut dysbiosis can directly or indirectly affect the immune system through the brain-gut axis and play a role in the occurrence and development of Multiple sclerosis (MS). Oxymatrine (OMAT) has been shown to ameliorate the symptoms of MS in the classical experimental autoimmune encephalomyelitis (EAE) model of MS, but whether its therapeutic role is through the correction of gut dysbiosis, is unclear. Methods: The effects of OMAT on intestinal flora and short-chain fatty acids in EAE model mice were evaluated by 16S rRNA sequencing and GC-MS/MS, respectively, and the function change of the blood-brain barrier and intestinal epithelial barrier was further tested by immunohistochemical staining, Evans Blue leakage detection, and RT-qPCR. Results: The alpha and beta diversity in the feces of EAE mice were significantly different from that of the control group but recovered substantially after OMAT treatment. Besides, the OMAT treatment significantly affected the gut functional profiling and the abundance of genes associated with energy metabolism, amino acid metabolism, the immune system, infectious diseases, and the nervous system. OMAT also decreased the levels of isobutyric acid and isovaleric acid in EAE mice, which are significantly related to the abundance of certain gut microbes and were consistent with the reduced expression of TNF-a, IL-6, and IL-1b. Furthermore, OMAT treatment significantly increased the expression of ZO-1 and occludin in the brains and colons of EAE mice and decreased blood-brain barrier permeability. Conclusion: OMAT may alleviate the clinical and pathological symptoms of MS by correcting dysbiosis, restoring gut ecological and functional microenvironment, and inhibiting immune cell-mediated inflammation to remodel the brain-gut axis.

Topics & Concepts

Experimental autoimmune encephalomyelitisMultiple sclerosisImmune systemDysbiosisGut floraBlood–brain barrierOccludinEncephalomyelitisMedicineImmunologyTight junctionCentral nervous systemBiologyInternal medicineBiochemistryGut microbiota and healthVagus Nerve Stimulation ResearchBarrier Structure and Function Studies