Higher Circulating Trimethylamine N-Oxide Aggravates Cognitive Impairment Probably via Downregulating Hippocampal SIRT1 in Vascular Dementia Rats
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Oxidative stress and inflammation damage play pivotal roles in vascular dementia (VaD). Trimethylamine N-oxide (TMAO), an intestinal microbiota-stemming metabolite, was reported to promote inflammation and oxidative stress, involved in the etiology of several diseases. Still, these effects have not been investigated in VaD. Here, we tested whether pre-existing, circulating, high levels of TMAO could affect VaD-induced cognitive decline. TMAO (120 mg/kg) was given to rats for a total of 8 weeks, and these rats underwent a sham operation or bilateral common carotid artery (2VO) surgery after 4 weeks of treatment. Four weeks after surgery, the 2VO rats exhibited hippocampal-dependent cognitive function declines and synaptic plasticity dysfunction, accompanied by an increase in oxidative stress, neuroinflammation, and apoptosis. TMAO administration, which increased plasma and hippocampal TMAO at 4 weeks postoperatively, further aggravated these effects, resulting in exaggerated cognitive and synaptic plasticity impairment, though not within the Sham group. Moreover, TMAO treatment activated the NLRP3 inflammasome and decreased SIRT1 protein expression within the hippocampus. However, these effects of TMAO were significantly attenuated by the overexpression of SIRT1. Our findings suggest that TMAO increases oxidative stress-induced neuroinflammation and apoptosis by inhibiting the SIRT1 pathway, thereby exacerbating cognitive dysfunction and neuropathological changes in VaD rats.
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In the brain, TMAO is detrimental to neuronal physiology as it induces neuronal senescence, oxidative stress, and alters synaptic plasticity.
“In the brain, TMAO is detrimental to neuronal physiology as it induces neuronal senescence, oxidative stress, and alters synaptic plasticity.”
From Microbiota–gut–brain axis and its therapeutic applications in neurodegenerative diseases (2024) · cites this paper as [669]
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Microbiota-derived TMAO links PM 2.5 exposure to cognitive impairment: A gut–liver–brain axisPreprint
Akhlaq, H., Zhong, Y., Du, S., Ma, Z., Cheng, T., Yu, J., Hin, L. C., Formolo, D. A., Lee, P. K. H., Wang, B., et al. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.05.24.727565
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Do microbiota rhythms influence cognitive performance? - A narrative review
Kapela, M., Barszcz, E., Michno, K., Zielińska, D., Strzelecki, D., & Gawlik-Kotelnicka, O. (2026) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2026.1903770
Neuromodulation Techniques in Chronic Cerebral Hypoperfusion: Mechanisms and Therapeutic Advances
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Gut microbiota as a modulator of HDAC: insights into Alzheimer’s disease treatment
Verma, E., Mishra, S., Chellammal, H. S. J., Khandige, P. S., & Gasmi, A. (2026) · Pharmacological Reports · doi:10.1007/s43440-026-00897-9
- Authors
- Deng, Y., Zou, J., Hong, Y., Peng, Q., Fu, X., Duan, R., Chen, J., & Chen, X.
- Affiliations
- China Pharmaceutical University (CN)
- Nanjing First Hospital (CN)
- Corresponding author
- Duan, Rui
- Chen, Jie
- Chen, Xiangliang
- Venue
- Cells
- Publisher
- MDPI AG
- Published
- 2022-11-17
- Volume
- 11
- Issue
- 22
- Pages
- 3650
- ISSN
- 2073-4409 (ISSN-L)
- PMC
- PMC9688447
- OpenAlex
- W4309455544
- Cited by
- 48
- References
- 56
- Citations by year
- 2026: 11 · 2025: 20 · 2024: 14 · 2023: 3
- FWCI
- 3.25
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cells (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (81701064, JQX20007, BK20220196, 2022M711666)
- Medical Science and Technology Program of Nanjing (81701064, JQX20007, BK20220196, 2022M711666)
- Natural Science Foundation of Jiangsu Province (81701064, JQX20007, BK20220196, 2022M711666)
- China Postdoctoral Science Foundation (81701064, JQX20007, BK20220196, 2022M711666)
- Xinghuo Talent Program of Nanjing First Hospital (81701064, JQX20007, BK20220196, 2022M711666)
- Topics
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- trimethylamine N-oxide, vascular dementia, cognitive impairment, SIRT1, hippocampus, oxidative stress, neuroinflammation, apoptosis, NLRP3 inflammasome, synaptic plasticity, bilateral common carotid artery occlusion, gut microbiota metabolites
- MeSH terms
- Animals, Hippocampus, Inflammation, Methylamines, Vascular Diseases, Dementia, Vascular, Rats, Sirtuin 1, Cognitive Dysfunction
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