Gut microbiota regulates blood‐cerebrospinal fluid barrier function and Aβ pathology
Open accessAbstract
Accumulating evidence indicates that gut microbiota dysbiosis is associated with increased blood–brain barrier (BBB) permeability and contributes to Alzheimer's disease (AD) pathogenesis. In contrast, the influence of gut microbiota on the blood‐cerebrospinal fluid (CSF) barrier has not yet been studied. Here, we report that mice lacking gut microbiota display increased blood‐CSF barrier permeability associated with disorganized tight junctions (TJs), which can be rescued by recolonization with gut microbiota or supplementation with short‐chain fatty acids (SCFAs). Our data reveal that gut microbiota is important not only for the establishment but also for the maintenance of a tight barrier. Also, we report that the vagus nerve plays an important role in this process and that SCFAs can independently tighten the barrier. Administration of SCFAs in App NL‐G‐F mice improved the subcellular localization of TJs at the blood‐CSF barrier, reduced the β‐amyloid (Aβ) burden, and affected microglial phenotype. Altogether, our results suggest that modulating the microbiota and administering SCFAs might have therapeutic potential in AD via blood‐CSF barrier tightening and maintaining microglial activity and Aβ clearance.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Microbial metabolites such as SCFAs (butyrate, propionate), typically produced by Faecalibacterium prausnitzii and Roseburia, are reduced in AD, diminishing their neuroprotective effects on microglia and neuronal plasticity.
“In parallel, microbial metabolites such as short-chain fatty acids (SCFAs, e.g., butyrate, propionate), typically produced by Faecalibacterium prausnitzii and Roseburia, are reduced in AD, thereby diminishing their neuroprotective effects on microglia and neuronal plasticity [127].”
From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [127]
The Results section (page not provided) reports lower fecal propionate and butyrate in App NL-G-F mice than in wild-type mice, and increased microglial Aβ internalization after SCFA treatment. It does not identify Faecalibacterium prausnitzii or Roseburia as their producers or establish reduced neuronal plasticity in AD; the Results instead report similar synaptic puncta in treated and untreated AD-model mice. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Host-Bacterial Mutualism in the Human Intestine
Bäckhed, F., Ley, R. E., Sonnenburg, J. L., Peterson, D. A., & Gordon, J. I. (2005) · Science · doi:10.1126/science.1104816 · Cited by 5,277 · see citing works
Normal gut microbiota modulates brain development and behavior
Heijtz, R. D., Wang, S., Anuar, F., Qian, Y., Björkholm, B., Samuelsson, A., Hibberd, M. L., Forssberg, H., & Pettersson, S. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1010529108 · Cited by 3,228 · see citing works
The Role of Short-Chain Fatty Acids From Gut Microbiota in Gut-Brain Communication
Silva, Y. P., Bernardi, A., & Frozza, R. L. (2020) · Frontiers in Endocrinology · doi:10.3389/fendo.2020.00025 · Cited by 3,043 · see citing works
The central nervous system and the gut microbiome
Sharon, G., Sampson, T. R., Geschwind, D. H., & Mazmanian, S. K. (2016) · Cell · doi:10.1016/j.cell.2016.10.027 · Cited by 1,513 · see citing works
The blood-brain barrier in systemic inflammation
Varatharaj, A., & Galea, I. (2017) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2016.03.010 · Cited by 1,172 · see citing works
Theriot, C. M., Koenigsknecht, M. J., Carlson, P. E., Hatton, G. E., Nelson, A. M., Li, B., Huffnagle, G. B., Z. Li, J., & Young, V. B. (2014) · Nature Communications · doi:10.1038/ncomms4114 · Cited by 974 · see citing works
Dual microglia effects on blood brain barrier permeability induced by systemic inflammation
Haruwaka, K., Ikegami, A., Tachibana, Y., Ohno, N., Konishi, H., Hashimoto, A., Matsumoto, M., Kato, D., Ono, R., Kiyama, H., et al. (2019) · Nature Communications · doi:10.1038/s41467-019-13812-z · Cited by 923 · see citing works
The role of microglia in amyloid clearance from the AD brain
Lee, C. Y. D., & Landreth, G. E. (2010) · Journal of Neural Transmission · doi:10.1007/s00702-010-0433-4 · Cited by 701 · see citing works
Bacterial contributions to mammalian gut development
Hooper, L. (2004) · Trends in Microbiology · doi:10.1016/j.tim.2004.01.001 · Cited by 541 · see citing works
Altered Gut Microbiota in a Mouse Model of Alzheimer’s Disease
Zhang, L., Wang, Y., Xiayu, X., Shi, C., Chen, W., Song, N., Fu, X., Zhou, R., Xu, Y.-F., Huang, L., et al. (2017) · Journal of Alzheimer s Disease · doi:10.3233/jad-170020 · Cited by 449 · see citing works
Microbiota-derived short chain fatty acids modulate microglia and promote Aβ plaque deposition
Colombo, A. V., Sadler, R. K., Llovera, G., Singh, V., Roth, S., Heindl, S., Sebastian Monasor, L., Verhoeven, A., Peters, F., Parhizkar, S., et al. (2021) · eLife · doi:10.7554/elife.59826 · Cited by 354 · see citing works
Sun, N., Hu, H., Wang, F., Li, L., Zhu, W., Shen, Y., Xiu, J., & Xu, Q. (2021) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.11.032 · Cited by 75 · see citing works
Baruch, K., Kertser, A., Porat, Z., & Schwartz, M. (2015) · The EMBO Journal · doi:10.15252/embj.201591468 · Cited by 75 · see citing works
Flagged first, then by citations
Research works printed but not linked: 55
- Agus A, Clement K, Sokol H (2021) Gut microbiota‐derived metabolites as central regulators in metabolic disorders. Gut 70: 1174– 1182 33272977 PMC8108286
- Alexander SP, Davenport AP, Kelly E, Marrion N, Peters JA, Benson HE, Faccenda E, Pawson AJ, Sharman JL, Southan C et al (2015) The concise guide to PHARMACOLOGY 2015/16: G protein‐coupled receptors. Br J Pharmacol 172: 5744– 5869 26650439 PMC4718210
- Anders S, Pyl PT, Huber W (2015) HTSeq–a Python framework to work with high‐throughput sequencing data. Bioinformatics 31: 166– 169 25260700 PMC4287950
- Azevedo EP, Ledo JH, Barbosa G, Sobrinho M, Diniz L, Fonseca AC, Gomes F, Romao L, Lima FR, Palhano FL et al (2013) Activated microglia mediate synapse loss and short‐term memory deficits in a mouse model of transthyretin‐related oculoleptomeningeal amyloidosis. Cell Death Dis 4: e789 24008733 PMC3789183
- Balusu S, Van Wonterghem E, De Rycke R, Raemdonck K, Stremersch S, Gevaert K, Brkic M, Demeestere D, Vanhooren V, Hendrix A et al (2016) Identification of a novel mechanism of blood‐brain communication during peripheral inflammation via choroid plexus‐derived extracellular vesicles. EMBO Mol Med 8: 1162– 1183 27596437 PMC5048366
- Bauer KC, York EM, Cirstea MS, Radisavljevic N, Petersen C, Huus KE, Brown EM, Bozorgmehr T, Berdun R, Bernier LP et al (2022) Gut microbes shape microglia and cognitive function during malnutrition. Glia 70: 820– 841 35019164 PMC9305450
- Bercik P, Denou E, Collins J, Jackson W, Lu J, Jury J, Deng Y, Blennerhassett P, Macri J, McCoy KD et al (2011) The intestinal microbiota affect central levels of brain‐derived neurotropic factor and behavior in mice. Gastroenterology 141: 599– 609, 609.e1‐3 21683077
- Bolger AM, Lohse M, Usadel B (2014) Trimmomatic: a flexible trimmer for Illumina sequence data. Bioinformatics 30: 2114– 2120 24695404 PMC4103590
- Bonaz B, Bazin T, Pellissier S (2018) The vagus nerve at the interface of the microbiota‐gut‐brain axis. Front Neurosci 12: 49 29467611 PMC5808284
- Braniste V, Al‐Asmakh M, Kowal C, Anuar F, Abbaspour A, Toth M, Korecka A, Bakocevic N, Ng LG, Kundu P et al (2014) The gut microbiota influences blood‐brain barrier permeability in mice. Sci Transl Med 6: 263ra158 PMC4396848 25411471
- Brkic M, Balusu S, Van Wonterghem E, Gorle N, Benilova I, Kremer A, Van Hove I, Moons L, De Strooper B, Kanazir S et al (2015) Amyloid beta oligomers disrupt blood‐CSF barrier integrity by activating matrix metalloproteinases. J Neurosci 35: 12766– 12778 26377465 PMC6795210
- Dalile B, Van Oudenhove L, Vervliet B, Verbeke K (2019) The role of short‐chain fatty acids in microbiota‐gut‐brain communication. Nat Rev Gastroenterol Hepatol 16: 461– 478 31123355
- Dobin A, Davis CA, Schlesinger F, Drenkow J, Zaleski C, Jha S, Batut P, Chaisson M, Gingeras TR (2013) STAR: ultrafast universal RNA‐seq aligner. Bioinformatics 29: 15– 21 23104886 PMC3530905
- Dzyubenko E, Rozenberg A, Hermann DM, Faissner A (2016) Colocalization of synapse marker proteins evaluated by STED‐microscopy reveals patterns of neuronal synapse distribution in vitro. J Neurosci Methods 273: 149– 159 27615741
- Erny D, Hrabe de Angelis AL, Jaitin D, Wieghofer P, Staszewski O, David E, Keren‐Shaul H, Mahlakoiv T, Jakobshagen K, Buch T et al (2015) Host microbiota constantly control maturation and function of microglia in the CNS. Nat Neurosci 18: 965– 977 26030851 PMC5528863
- Erny D, Dokalis N, Mezo C, Castoldi A, Mossad O, Staszewski O, Frosch M, Villa M, Fuchs V, Mayer A et al (2021) Microbiota‐derived acetate enables the metabolic fitness of the brain innate immune system during health and disease. Cell Metab 33: 2260– 2276.e7 34731656
- Fernando W, Martins IJ, Morici M, Bharadwaj P, Rainey‐Smith SR, Lim WLF, Martins RN (2020) Sodium butyrate reduces brain amyloid‐beta levels and improves cognitive memory performance in an Alzheimer's disease transgenic mouse model at an early disease stage. J Alzheimers Dis 74: 91– 99 31958090
- Frohlich EE, Farzi A, Mayerhofer R, Reichmann F, Jacan A, Wagner B, Zinser E, Bordag N, Magnes C, Frohlich E et al (2016) Cognitive impairment by antibiotic‐induced gut dysbiosis: analysis of gut microbiota‐brain communication. Brain Behav Immun 56: 140– 155 26923630 PMC5014122
- Gorle N, Blaecher C, Bauwens E, Vandendriessche C, Balusu S, Vandewalle J, Van Cauwenberghe C, Van Wonterghem E, Van Imschoot G, Liu C et al (2018) The choroid plexus epithelium as a novel player in the stomach‐brain axis during Helicobacter infection. Brain Behav Immun 69: 35– 47 29258921
- Hooper LV, Littman DR, Macpherson AJ (2012) Interactions between the microbiota and the immune system. Science 336: 1268– 1273 22674334 PMC4420145
- Hoyles L, Snelling T, Umlai UK, Nicholson JK, Carding SR, Glen RC, McArthur S (2018) Microbiome‐host systems interactions: protective effects of propionate upon the blood‐brain barrier. Microbiome 6: 55 29562936 PMC5863458
- Huuskonen J, Suuronen T, Nuutinen T, Kyrylenko S, Salminen A (2004) Regulation of microglial inflammatory response by sodium butyrate and short‐chain fatty acids. Br J Pharmacol 141: 874– 880 14744800 PMC1574260
- Johansson PA, Dziegielewska KM, Ek CJ, Habgood MD, Liddelow SA, Potter AM, Stolp HB, Saunders NR (2006) Blood‐CSF barrier function in the rat embryo. Eur J Neurosci 24: 65– 76 16800861
- Kadry H, Noorani B, Cucullo L (2020) A blood‐brain barrier overview on structure, function, impairment, and biomarkers of integrity. Fluids Barriers CNS 17: 69 33208141 PMC7672931
- Kaur H, Nagamoto‐Combs K, Golovko S, Golovko MY, Klug MG, Combs CK (2020) Probiotics ameliorate intestinal pathophysiology in a mouse model of Alzheimer's disease. Neurobiol Aging 92: 114– 134 32417748 PMC7269849
- Killingsworth J, Sawmiller D, Shytle RD (2020) Propionate and Alzheimer's disease. Front Aging Neurosci 12: 580001 33505301 PMC7831739
- Knox EG, Lynch CMK, Lee YS, O'Driscoll CM, Clarke G, Cryan JF, Aburto MR (2023) The gut microbiota is important for the maintenance of blood‐cerebrospinal fluid barrier integrity. Eur J Neurosci 57: 233– 241 36453579 PMC10107533
- Lai Y, Liu CW, Yang Y, Hsiao YC, Ru H, Lu K (2021) High‐coverage metabolomics uncovers microbiota‐driven biochemical landscape of interorgan transport and gut‐brain communication in mice. Nat Commun 12: 6000 34667167 PMC8526691
- Lee KE, Kim JK, Han SK, Lee DY, Lee HJ, Yim SV, Kim DH (2020) The extracellular vesicle of gut microbial Paenalcaligenes hominis is a risk factor for vagus nerve‐mediated cognitive impairment. Microbiome 8: 107 32669127 PMC7364628
- Leng F, Edison P (2020) Neuroinflammation and microglial activation in Alzheimer disease: where do we go from here? Nat Rev Neurol 17: 157– 172 33318676
- Litvinchuk A, Wan YW, Swartzlander DB, Chen F, Cole A, Propson NE, Wang Q, Zhang B, Liu Z, Zheng H (2018) Complement C3aR inactivation attenuates tau pathology and reverses an immune network deregulated in tauopathy models and Alzheimer's disease. Neuron 100: 1337– 1353.e5 30415998 PMC6309202
- Macfabe DF (2012) Short‐chain fatty acid fermentation products of the gut microbiome: implications in autism spectrum disorders. Microb Ecol Health Dis 23: 19260 PMC3747729 23990817
- O'Connor R, Moloney GM, Fulling C, O'Riordan KJ, Fitzgerald P, Bastiaanssen TFS, Schellekens H, Dinan TG, Cryan JF (2021) Maternal antibiotic administration during a critical developmental window has enduring neurobehavioural effects in offspring mice. Behav Brain Res 404: 113156 33571573
- Parker A, Fonseca S, Carding SR (2020) Gut microbes and metabolites as modulators of blood‐brain barrier integrity and brain health. Gut Microbes 11: 135– 157 31368397 PMC7053956
- Qian XH, Xie RY, Liu XL, Chen SD, Tang HD (2022) Mechanisms of short‐chain fatty acids derived from gut microbiota in Alzheimer's disease. Aging Dis 13: 1252– 1266 35855330 PMC9286902
- Redzic Z (2011) Molecular biology of the blood‐brain and the blood‐cerebrospinal fluid barriers: similarities and differences. Fluids Barriers CNS 8: 3 21349151 PMC3045361
- Ritchie ME, Phipson B, Wu D, Hu Y, Law CW, Shi W, Smyth GK (2015) Limma powers differential expression analyses for RNA‐sequencing and microarray studies. Nucleic Acids Res 43: e47 25605792 PMC4402510
- Robinson MD, McCarthy DJ, Smyth GK (2010) edgeR: a Bioconductor package for differential expression analysis of digital gene expression data. Bioinformatics 26: 139– 140 19910308 PMC2796818
- Rodriguez‐Lorenzo S, Konings J, van der Pol S, Kamermans A, Amor S, van Horssen J, Witte ME, Kooij G, de Vries HE (2020) Inflammation of the choroid plexus in progressive multiple sclerosis: accumulation of granulocytes and T cells. Acta Neuropathol Commun 8: 9 32014066 PMC6998074
- Rouillard AD, Gundersen GW, Fernandez NF, Wang ZC, Monteiro CD, McDermott MG, Ma'ayan A (2016) The harmonizome: a collection of processed datasets gathered to serve and mine knowledge about genes and proteins. Database (Oxford) 2016: baw100 27374120 PMC4930834
- Shrestha B, Paul D, Pachter JS (2014) Alterations in tight junction protein and IgG permeability accompany leukocyte extravasation across the choroid plexus during neuroinflammation. J Neuropathol Exp Neurol 73: 1047– 1061 25289890
- Solar P, Zamani A, Kubickova L, Dubovy P, Joukal M (2020) Choroid plexus and the blood‐cerebrospinal fluid barrier in disease. Fluids Barriers CNS 17: 35 32375819 PMC7201396
- Solito E, Sastre M (2012) Microglia function in Alzheimer's disease. Front Pharmacol 3: 14 22363284 PMC3277080
- Steeland S, Gorle N, Vandendriessche C, Balusu S, Brkic M, Van Cauwenberghe C, Van Imschoot G, Van Wonterghem E, De Rycke R, Kremer A et al (2018) Counteracting the effects of TNF receptor‐1 has therapeutic potential in Alzheimer's disease. EMBO Mol Med 10: e8300 29472246 PMC5887909
- Strazielle N, Ghersi‐Egea JF (2013) Physiology of blood‐brain interfaces in relation to brain disposition of small compounds and macromolecules. Mol Pharm 10: 1473– 1491 23298398
- Sweeney MD, Sagare AP, Zlokovic BV (2018) Blood‐brain barrier breakdown in Alzheimer disease and other neurodegenerative disorders. Nat Rev Neurol 14: 133– 150 29377008 PMC5829048
- Takata F, Nakagawa S, Matsumoto J, Dohgu S (2021) Blood‐brain barrier dysfunction amplifies the development of neuroinflammation: understanding of cellular events in brain microvascular endothelial cells for prevention and treatment of BBB dysfunction. Front Cell Neurosci 15: 661838 34588955 PMC8475767
- Tejera D, Mercan D, Sanchez‐Caro JM, Hanan M, Greenberg D, Soreq H, Latz E, Golenbock D, Heneka MT (2019) Systemic inflammation impairs microglial Abeta clearance through NLRP3 inflammasome. EMBO J 38: e101064 31359456 PMC6717897
- Ueno M, Chiba Y, Murakami R, Matsumoto K, Kawauchi M, Fujihara R (2016) Blood‐brain barrier and blood‐cerebrospinal fluid barrier in normal and pathological conditions. Brain Tumor Pathol 33: 89– 96 26920424
- Van Hoecke L, Van Cauwenberghe C, Dominko K, Van Imschoot G, Van Wonterghem E, Castelein J, Xie J, Claeys W, Vandendriessche C, Kremer A et al (2021) Involvement of the choroid plexus in the pathogenesis of Niemann‐pick disease type C. Front Cell Neurosci 15: 757482 34720883 PMC8555471
- Vandenbroucke RE, Dejonckheere E, Van Lint P, Demeestere D, Van Wonterghem E, Vanlaere I, Puimege L, Van Hauwermeiren F, De Rycke R, Mc Guire C et al (2012) Matrix metalloprotease 8‐dependent extracellular matrix cleavage at the blood‐CSF barrier contributes to lethality during systemic inflammatory diseases. J Neurosci 32: 9805– 9816 22815495 PMC6621276
- Visconti A, Le Roy CI, Rosa F, Rossi N, Martin TC, Mohney RP, Li WZ, de Rinaldis E, Bell JT, Venter JC et al (2019) Interplay between the human gut microbiome and host metabolism. Nat Commun 10: 4505 31582752 PMC6776654
- Xie J, Gorlé N, Vandendriessche C, Van Imschoot G, Van Wonterghem E, Van Cauwenberghe C, Parthoens E, Van Hamme E, Lippens S, Van Hoecke L et al (2021) Low‐grade peripheral inflammation affects brain pathology in the App NL‐G‐F mouse model of Alzheimer's disease. Acta Neuropathol Commun 9: 163 34620254 PMC8499584
- Yang Y, Yang LY, Orban L, Cuylear D, Thompson J, Simon B, Yang Y (2018) Non‐invasive vagus nerve stimulation reduces blood‐brain barrier disruption in a rat model of ischemic stroke. Brain Stimul 11: 689– 698 29496430 PMC6019567
- Yu G, Wang LG, Han Y, He QY (2012) clusterProfiler: an R package for comparing biological themes among gene clusters. OMICS 16: 284– 287 22455463 PMC3339379
Cited by
Sorted by citations
Hein, Z. M., Karikalan, B., Gopalakrishna, P. K., Dhevi, K., Alkatiri, A., Hussan, F., Mohd Moklas, M. A., Jagadeesan, S., Che Ramli, M. D., Che Mohd Nassir, C. M. N., et al. (2026) · Molecular Neurobiology · doi:10.1007/s12035-025-05602-0 · Cited by 43 · see citing works
- Authors
- Xie, J., Bruggeman, A., De Nolf, C., Vandendriessche, C., Van Imschoot, G., Van Wonterghem, E., Vereecke, L., & Vandenbroucke, R. E.
- Affiliations
- Ghent University (BE)
- Ghent University Hospital (BE)
- Corresponding author
- Vandenbroucke, Roosmarijn E
- ORCID
- Venue
- The EMBO Journal
- Published
- 2023-07-10
- Volume
- 42
- Issue
- 17
- Pages
- e111515-e111515
- ISSN
- 0261-4189 (ISSN-L)
- 1460-2075
- PMC
- PMC10476279
- OpenAlex
- W4383711104
- Cited by
- 125
- References
- 13
- Citations by year
- 2026: 40 · 2025: 47 · 2024: 37 · 2023: 1
- FWCI
- 12.51
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- The EMBO Journal (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, cc-by)
- Funders
- China Scholarship Council (201808360194)
- Fonds Baillet Latour
- Fonds Wetenschappelijk Onderzoek (G055121N, 11M3322N)
- Foundation for Alzheimers Research (SAO) Belgium (20190028, 20200032)
- Topics
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- gut microbiota, blood-CSF barrier, blood-brain barrier permeability, Alzheimer's disease, amyloid-beta pathology, short-chain fatty acids, tight junctions, vagus nerve, microglial phenotype, gut-brain axis
- MeSH terms
- Gastrointestinal Microbiome, Alzheimer Disease, Animals, Blood-Brain Barrier, Fatty Acids, Volatile, Amyloid beta-Peptides, Mice, Microbiota
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review