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      Butyrate suppresses experimental necrotizing enterocolitis–induced brain injury in mice

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          Abstract

          Background

          Necrotizing enterocolitis (NEC) is a devastating disease in premature infants, and 50% of infants with surgical NEC develop neurodevelopmental defects. The mechanisms by which NEC-induced cytokine release and activation of inflammatory cells in the brain mediate neuronal injury, and whether enteral immunotherapy attenuates NEC-associated brain injury remain understudied. Based on our prior work, which demonstrated that experimental NEC-like intestinal injury is attenuated by the short-chain fatty acid, butyrate, in this study, we hypothesize that NEC-induced brain injury would be suppressed by enteral butyrate supplementation.

          Methods

          A standardized NEC mouse model [enteral formula feeding, lipopolysaccharide (LPS), and hypoxia] was used. Mice were randomized into the following groups: control, NEC, butyrate pretreated NEC, and butyrate control. NEC scoring (1–4 with 4 representing severe injury) was performed on ileal sections using a validated scoring system. Intestinal and brain lysates were used to assess inflammation, proinflammatory signaling, and apoptosis.

          Results

          NEC-induced intestinal injury was attenuated by butyrate supplementation. NEC-induced microglial activation in the cerebral cortex and hippocampus was suppressed with butyrate. NEC increased the number of activated microglial cells but decreased the number of oligodendrocytes. Butyrate pretreatment attenuated these changes. Increased activation of proinflammatory Toll-like receptor signaling, cytokine expression, and induction of GFAP and IBA1 in the cerebral cortex observed with NEC was suppressed with butyrate.

          Conclusion

          Experimental NEC induced inflammation and activation of microglia in several regions of the brain, most prominently in the cortex. NEC-induced neuroinflammation was suppressed with butyrate pretreatment. The addition of short-chain fatty acids to diet may be used to attenuate NEC-induced intestinal injury and neuroinflammation in preterm infants.

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          Most cited references50

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          A new mathematical model for relative quantification in real-time RT-PCR.

          M. Pfaffl (2001)
          Use of the real-time polymerase chain reaction (PCR) to amplify cDNA products reverse transcribed from mRNA is on the way to becoming a routine tool in molecular biology to study low abundance gene expression. Real-time PCR is easy to perform, provides the necessary accuracy and produces reliable as well as rapid quantification results. But accurate quantification of nucleic acids requires a reproducible methodology and an adequate mathematical model for data analysis. This study enters into the particular topics of the relative quantification in real-time RT-PCR of a target gene transcript in comparison to a reference gene transcript. Therefore, a new mathematical model is presented. The relative expression ratio is calculated only from the real-time PCR efficiencies and the crossing point deviation of an unknown sample versus a control. This model needs no calibration curve. Control levels were included in the model to standardise each reaction run with respect to RNA integrity, sample loading and inter-PCR variations. High accuracy and reproducibility (<2.5% variation) were reached in LightCycler PCR using the established mathematical model.
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            Intestinal Short Chain Fatty Acids and their Link with Diet and Human Health

            The colon is inhabited by a dense population of microorganisms, the so-called “gut microbiota,” able to ferment carbohydrates and proteins that escape absorption in the small intestine during digestion. This microbiota produces a wide range of metabolites, including short chain fatty acids (SCFA). These compounds are absorbed in the large bowel and are defined as 1-6 carbon volatile fatty acids which can present straight or branched-chain conformation. Their production is influenced by the pattern of food intake and diet-mediated changes in the gut microbiota. SCFA have distinct physiological effects: they contribute to shaping the gut environment, influence the physiology of the colon, they can be used as energy sources by host cells and the intestinal microbiota and they also participate in different host-signaling mechanisms. We summarize the current knowledge about the production of SCFA, including bacterial cross-feedings interactions, and the biological properties of these metabolites with impact on the human health.
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              Microglia and macrophages in brain homeostasis and disease

              Microglia and non-parenchymal macrophages in the brain are mononuclear phagocytes that are increasingly recognized to be essential players in the development, homeostasis and diseases of the central nervous system. With the availability of new genetic, molecular and pharmacological tools, considerable advances have been made towards our understanding of the embryonic origins, developmental programmes and functions of these cells. These exciting discoveries, some of which are still controversial, also raise many new questions, which makes brain macrophage biology a fast-growing field at the intersection of neuroscience and immunology. Here, we review the current knowledge of how and where brain macrophages are generated, with a focus on parenchymal microglia. We also discuss their normal functions during development and homeostasis, the disturbance of which may lead to various neurodegenerative and neuropsychiatric diseases.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/2403338/overviewRole: Role: Role: Role: Role: Role:
                URI : https://loop.frontiersin.org/people/1297702/overviewRole: Role: Role:
                URI : https://loop.frontiersin.org/people/1238371/overview
                Role: Role: Role:
                URI : https://loop.frontiersin.org/people/403879/overviewRole: Role: Role: Role: Role: Role: Role: Role:
                URI : https://loop.frontiersin.org/people/290376/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role: Role:
                Journal
                Front Pediatr
                Front Pediatr
                Front. Pediatr.
                Frontiers in Pediatrics
                Frontiers Media S.A.
                2296-2360
                07 December 2023
                2023
                : 11
                : 1284085
                Affiliations
                [ 1 ]Division of Neonatology, Department of Pediatrics, Children’s Mercy Kansas City , Kansas, MO, United States
                [ 2 ]Neonatal Diseases Research Program, Children’s Mercy Research Institute, Children’s Mercy Kansas City , Kansas, MO, United States
                [ 3 ]Department of Biomedical Sciences, University of Missouri Kansas City School of Medicine , Kansas, MO, United States
                Author notes

                Edited by: David Warburton, Children's Hospital Los Angeles, United States

                Reviewed by: LaGamma Edmund, New York Medical College, United States

                Defne Engür, University of Health Sciences, Türkiye

                [* ] Correspondence: Venkatesh Sampath vsampath@ 123456cmh.edu
                [ † ]

                These authors share first authorship

                Article
                10.3389/fped.2023.1284085
                10733464
                38130941
                fcc94c2a-5a20-4df3-a8f5-97661ea87909
                © 2023 Martinez, Yu, Menden, Lei, Monaghan-Nichols and Sampath.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 27 August 2023
                : 15 November 2023
                Page count
                Figures: 4, Tables: 0, Equations: 0, References: 51, Pages: 0, Words: 0
                Funding
                Funded by: This work was partially supported
                Award ID: 1R01 DK117296-05 (VS), RO1 HD087288 (PM), and R01 HD104215 (PM)
                The authors declare financial support was received for the research, authorship, and/or publication of this article.
                This work was partially supported by grants 1R01 DK117296-05 (VS), RO1 HD087288 (PM), and R01 HD104215 (PM).
                Categories
                Pediatrics
                Brief Research Report
                Custom metadata
                Neonatology

                butyrate,nec,brain injury,inflammation,microglia,oligodendrocyte

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