Cited by 82Parkinson's Disease Mechanisms and TreatmentsGut microbiota and healthNeuroinflammation and Neurodegeneration Mechanisms

Neuroprotective Effects of Sodium Butyrate by Restoring Gut Microbiota and Inhibiting TLR4 Signaling in Mice with MPTP-Induced Parkinson’s Disease

Open access
Guo, Tong-Tong, Zhang, Zheng, Sun, Yan, Zhu, Rui-Yang, Wang, Fei-Xia, Ma, Lian-Ju, Jiang, Lin, Liu, Han-Deng·2023·Nutrients

Abstract

Parkinson’s disease (PD) is a prevalent type of neurodegenerative disease. There is mounting evidence that the gut microbiota is involved in the pathogenesis of PD. Sodium butyrate (NaB) can regulate gut microbiota and improve brain functioning in neurological disorders. Hence, we examined whether the neuroprotective function of NaB on PD was mediated by the modulation of gut microbial dysbiosis and revealed its possible mechanisms. Mice were administered 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) for 7 consecutive days to construct the PD model. NaB gavage was given 2 h after the daily MPTP injections for 21 days. NaB improved the motor functioning of PD mice, increased striatal neurotransmitter levels, and reduced the death of dopaminergic neurons. The 16S rRNA sequencing analysis revealed that NaB restored the gut microbial dysbiosis. NaB also attenuated the intestinal barrier’s disruption and reduced serum, colon, and striatal pro-inflammatory cytokines, along with inhibiting the overactivation of glial cells, suggesting an inhibitory effect on inflammation from NaB throughout the gut–brain axis of the PD mice. Mechanistic studies revealed that NaB treatment suppressed the TLR4/MyD88/NF-kB pathway in the colon and striatum. In summary, NaB had a neuroprotective impact on the PD mice, likely linked to its regulation of gut microbiota to inhibit gut–brain axis inflammation.

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Written from the paper’s full text.

TL;DR

Sodium butyrate (NaB) improved motor function, restored striatal neurotransmitters and dopaminergic neurons, and reduced gut–brain-axis inflammation in MPTP-induced Parkinson’s disease (PD) mice. Its neuroprotective effects were associated with remodeling gut microbiota, repairing the intestinal barrier, and inhibiting TLR4/MyD88/NF-κB signaling in the colon and striatum.

Key findings

  • NaB improved motor behavior: MPTP mice had longer pole-test time and shorter rotarod time (p < 0.001), while MPTP + NaB mice performed significantly better on both (p < 0.001); open-field total distance, central distance, and central crossings were also improved (p < 0.001).
  • NaB increased striatal DA by 49.2% and 5-HT by 49.2% versus MPTP (p < 0.01 for both), after MPTP reduced DA by 31.5% and 5-HT by 34.6%; DOPAC and 5-HIAA rose 38.7% and 32.0% with NaB (p < 0.05). TH+ neurons fell 51.2% in PD mice, and NaB inhibited this decline by 83.0%; striatal TH protein fell 47.5% and NaB increased it by 93.0%.
  • NaB attenuated glial activation: striatal Iba-1 was 102.2% higher in MPTP mice and decreased 45.4% with NaB (p < 0.001); GFAP was reported 53.6% lower in MPTP mice and decreased 26.2% with NaB (p < 0.01).
  • NaB restored gut microbiota and barrier/inflammation markers: MPTP increased Verrucomicrobiota and Proteobacteria, Bacteroidaceae, Bacteroides, Parabacteroides, Akkermansia, and Lactobacillus, and reduced Erysipelotrichaceae, Dubosiella, and Odoribacter; NaB shifted these changes. Colonic ZO-1 and occludin fell 32.1% and 55.8% in MPTP mice and increased 49.2% and 100.5% with NaB; serum IL-6 and TNF-α rose 193.6% and 150.5% and fell 64.2% and 50.0% with NaB; striatal TLR4/MyD88/NF-κB rose 78.4%, 75.8%, and 91.6% and fell 45.4%, 44.1%, and 45.9% with NaB.

Methods

  • Male C57BL/6 mice, 7 weeks old, were randomized into control, MPTP, and MPTP + NaB groups (n = 12 per group). PD was induced with 30 mg/kg MPTP intraperitoneally for 7 consecutive days; NaB or saline was given intragastrically 2 h after daily MPTP injections for 21 days.
  • Behavioral tests included pole, rotarod, and open-field tests. Striatal neurotransmitters were measured by HPLC; TH, glial, barrier, and TLR4/MyD88/NF-κB proteins by immunofluorescence and Western blot; gut microbiota by 16S rRNA V3–V4 sequencing; colon pathology by H&E; serum cytokines by ELISA.
  • Statistical analysis used one-way ANOVA with Tukey’s post-hoc test, and Kruskal–Wallis with Dunn’s or Wilcoxon tests for microbiota comparisons; p < 0.05 was significant. Feces and fresh tissues were collected from 7 mice per group, and 5 mice per group were used for staining.

Limitations

  • Stated: the study was limited to animals, and applicability to clinical populations remains a major challenge; further investigation is needed to demonstrate NaB regulation of gut microbiota structure. The authors also note that NaB’s effect on α-diversity was statistically insignificant and suggest increasing sample size.
  • Evident: causality is not established because there was no germ-free, fecal microbiota transplantation, or TLR4 knockout experiment; only male mice were used; no dose–response analysis is reported; and several microbiota changes after NaB are reported as p > 0.05 despite directional shifts.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3390/nu15040930

Cites

73 of 73 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

0 of 79 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    NaB treatment decreased Iba-1 expression in the striatum by 45.4% compared to MPTP-treated mice (p < 0.001).

    “while the NaB treatment in the mice with MPTP-induced PD decreased its expression by 45.4% compared to the MPTP-treated mice (p < 0.001) (Figure 4A).”
    Quote in the paperSubstantial claim
  • Findingown data

    MPTP-induced mice exhibited a considerably longer pole test time than control mice (p < 0.001).

    “In comparison to the control mice, the MPTP-induced mice exhibited severe locomotor impairment, as shown by a considerably longer pole test time and a considerably shorter rotarod test time (p < 0.001).”
    Quote in the paperSubstantial claim
  • Findingown data

    MPTP + NaB mice exhibited significantly better performance in the pole test than MPTP mice (p < 0.001).

    “In contrast, the MPTP + NaB mice exhibited significantly better performance in the pole test (p < 0.001) and rotarod test (p < 0.001) relative to the MPTP mice (Figure 1B,C).”
    Quote in the paperSubstantial claim
  • Findingown data

    MPTP + NaB mice had a 32.0% increase in striatal 5-HIAA levels compared to MPTP mice (p < 0.05).

    “The striatal levels of DOPAC and 5-HIAA were elevated remarkably in the MPTP + NaB group by 38.7% and 32.0%, respectively, compared to the MPTP group (p < 0.05 for both) (Figure 2C,D).”
    Quote in the paperSubstantial claim
  • Findingown data

    MPTP mice had a smaller central distance in the open field test than control mice (p < 0.001).

    “A lesser total distance (p < 0.001), a smaller central distance (p < 0.001), and fewer crossings in the central zone (p < 0.001) were found in MPTP mice relative to the control mice.”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim. 1
  • Classified as probably not a substantial claim. 18
  • May combine two claims. 32
  • The quote only partly states this claim.

    Findingown data

    IF analysis showed a 51.2% decrease in TH+ dopaminergic neurons in the substantia nigra of PD mice compared to control mice (p < 0.01).

    “As shown using IF analysis, a remarkable decrease in TH+ dopaminergic neurons of 51.2% was seen in the PD mice (p < 0.01) compared to the control mice”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    MPTP mice tended to have lower striatal DOPAC and 5-HIAA levels than normal mice, but these differences were statistically insignificant.

    “The MPTP mice tended to have lower DOPAC and 5-HIAA levels than the normal mice but these differences were statistically insignificant.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Sodium butyrate treatment reduced the gut microbiota's alpha-diversity in Parkinson's disease mice, but the difference was statistically insignificant.

    “Although the NaB treatment reduced the α-diversity, the difference was statistically insignificant, suggesting that the sample size needs to be increased in the future.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    NaB mice showed a downward trend in Shannon and Simpson indexes relative to the MPTP group, but this was statistically insignificant.

    “The NaB mice showed a downward trend relative to the MPTP group but this was statistically insignificant (Figure 5A,B).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    NaB treatment decreased the abundances of Verrucomicrobiota and Proteobacteria (p > 0.05 for both).

    “but the NaB treatment significantly decreased their abundances (p > 0.05, p > 0.05, respectively).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingreasoning

    Sodium butyrate treatment inhibited microglial activation and astrocyte activity in Parkinson's disease mice.

    “The NaB treatment inhibited microglial activation and astrocyte activity, thus protecting against neuroinflammation and neurodegeneration.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Butyrate exerts anti-inflammatory and anti-oxidant effects while repairing the intestinal barrier.

    “Butyrate exerts anti-inflammatory and [18] anti-oxidant effects [19] while repairing the intestinal barrier [20].”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [18] Liu, 2019, Sodium Butyrate Inhibits the Inflammation of Lipopolysaccharide-Induced Acute Lung Injury in Mice by Regulating the Toll-Like Receptor 4/Nuclear Factor κB Signaling Pathway, J. Agric. Food Chem. source

      Not checked in the free run.

    • cites [19] Zhao, J., Hu, J., and Ma, X. (2021). Sodium Decanoate Improves Intestinal Epithelial Barrier and Antioxidation via Activating G Protein-Coupled Receptor-43. Nutrients, 13. source

      Not checked in the free run.

    • cites [20] Chen, 2018, Sodium Butyrate Inhibits Inflammation and Maintains Epithelium Barrier Integrity in a TNBS-induced Inflammatory Bowel Disease Mice Model, EBioMedicine source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    NaB reduced the entry of inflammatory factors into the liver by regulating gut microbial dysbiosis, thereby reducing steatohepatitis induced by a high-fat diet.

    “Zhou et al. reported that sodium butyrate (NaB) reduced the entry of inflammatory factors into the liver by regulating gut microbial dysbiosis, thereby reducing steatohepatitis induced by a high-fat diet [21].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [21] Zhou, 2017, Sodium butyrate attenuates high-fat diet-induced steatohepatitis in mice by improving gut microbiota and gastrointestinal barrier, World J. Gastroenterol. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    NaB can improve motor symptoms, neuronal loss, and neuroinflammation in MPTP-induced PD mice.

    “NaB can improve motor symptoms, neuronal loss, and neuroinflammation in MPTP-induced PD mice [23,24,25].”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [23] Hou, 2021, Neuroprotective effects of short-chain fatty acids in MPTP induced mice model of Parkinson’s disease, Exp. Gerontol. source

      Not checked in the free run.

    • cites [24] Sharma, 2015, Beneficial effects of sodium butyrate in 6-OHDA induced neurotoxicity and behavioral abnormalities: Modulation of histone deacetylase activity, Behav. Brain Res. source

      Not checked in the free run.

    • cites [25] Liu, 2017, Sodium butyrate exerts protective effect against Parkinson’s disease in mice via stimulation of glucagon like peptide-1, J. Neurol. Sci. source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    NaB could improve locomotor functions and exploratory behaviors in the PD mice.

    “These results demonstrated that NaB could improve locomotor functions and exploratory behaviors in the PD mice.”
    • Also stated in: § Abstract · plain
      “NaB improved the motor functioning of PD mice”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Dopaminergic neuron loss in the substantia nigra along with a decline in dopamine released to the striatum constitutes the pathological PD hallmark.

    “Dopaminergic neuron loss in the substantia nigra along with a decline in dopamine (DA) released to the striatum constitutes the pathological PD hallmark [3].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [3] Poewe, 2017, Parkinson disease, Nat. Rev. Dis. Primers source

      Not checked in the free run.

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    Premisecitation

    Feces of patients with PD transplanted in germ-free mice showed severe motor impairments, inflammation, and other pathological symptoms.

    “the feces of patients with PD transplanted in germ-free mice showed severe motor impairments, inflammation, and other pathological symptoms [12].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [12] Zhao, 2021, Fecal microbiota transplantation protects rotenone-induced Parkinson’s disease mice via suppressing inflammation mediated by the lipopolysaccharide-TLR4 signaling pathway through the microbiota-gut-brain axis, Microbiome source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The MPTP mouse model was created using a previously reported technique.

    “To create the MPTP mouse model, we applied a technique that was previously reported [25,26].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [25] Liu, 2017, Sodium butyrate exerts protective effect against Parkinson’s disease in mice via stimulation of glucagon like peptide-1, J. Neurol. Sci. source

      Not checked in the free run.

    • cites [26] Sun, 2021, Probiotic Clostridium butyricum ameliorated motor deficits in a mouse model of Parkinson’s disease via gut microbiota-GLP-1 pathway, Brain Behav. Immun. source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    NaB performed a neuroprotective function in the PD mice by increasing striatal TH expression and restoring dopaminergic neuron loss.

    “The above results suggested that NaB performed a neuroprotective function in the PD mice by increasing striatal TH expression and restoring dopaminergic neuron loss.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Increased Bacteroides abundance in PD patients correlated positively with the severity of their motor disorders.

    “Lin et al. reported that increased Bacteroides abundance in PD patients correlated positively with the severity of their motor disorders [9].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] Lin, 2018, Gut microbiota in patients with Parkinson’s disease in southern China, Parkinsonism Relat. Disord. source

      Not checked in the free run.

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    Premisecitation

    Gut microbial dysbiosis leads to intestinal inflammation and increases intestinal permeability.

    “gut microbial dysbiosis not only leads to intestinal inflammation but also increases intestinal permeability.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [14] Wang, 2021, The role of gut dysbiosis in Parkinson’s disease: Mechanistic insights and therapeutic options, Brain source

      Not checked in the free run.

    • cites [15] Zhu, 2022, Gut Microbiota: A Novel Therapeutic Target for Parkinson’s Disease, Front. Immunol. source

      Not checked in the free run.

    • cites [16] Chidambaram, 2022, Gut dysbiosis, defective autophagy and altered immune responses in neurodegenerative diseases: Tales of a vicious cycle, Pharmacol. Ther. source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductnone given

    Mice were randomly classified into three groups (control, MPTP, MPTP+NaB) with n=12 per group.

    “Mice were randomly classified (n = 12 per group) into the three following groups: control; MPTP; and MPTP + NaB groups.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisereasoning

    Remodeling the gut microbiota to reduce intestinal permeability and inhibiting intestinal inflammation to reduce neuroinflammation and elicit neuroprotective effects in PD may be a promising treatment strategy.

    “Hence, remodeling the gut microbiota to reduce intestinal permeability and inhibiting intestinal inflammation to reduce neuroinflammation and elicit neuroprotective effects in PD may be a promising treatment strategy for these patients.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Butyrate is a short-chain fatty acid synthesized by anaerobes in the colon of animals through fermentation of indigestible dietary fibers.

    “Butyrate is a short-chain fatty acid (SCFA) synthesized by anaerobes in the colon of animals through the fermentation of indigestible dietary fibers [17].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [17] Serena, 2003, New insight into butyrate metabolism, Proc. Nutr. Soc. source

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    Premisecitation

    Colon pathology was scored according to previously described criteria.

    “which were subjected to the HE staining protocol and scored pathologically according to previously described criteria [27].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [27] Lee, 2016, The vitamin D receptor functions as a transcription regulator in the absence of 1,25-dihydroxyvitamin D, J. Steroid Biochem. Mol. Biol. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    NaB regulated gut microbial composition, specifically reducing harmful bacteria and increasing beneficial bacteria, in mice with liver metastasis of colon cancer.

    “Ma et al. found that NaB regulated gut microbial composition, specifically reducing harmful bacteria and increasing beneficial bacteria, in mice with liver metastasis of colon cancer [22].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [22] Ma, 2020, Sodium butyrate modulates gut microbiota and immune response in colorectal cancer liver metastatic mice, Cell Biol. Toxicol. source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    NaB prevented neurodegeneration in the PD mice by attenuating inflammation of the entire gut-brain axis, which might be achieved by targeting the gut microbiota, and also involved the TLR4/MyD88/NF-κB pathway.

    “Our results suggested that NaB prevented neurodegeneration in the PD mice by attenuating inflammation of the entire gut–brain axis, which might be achieved by targeting the gut microbiota, and also involved the TLR4/MyD88/NF-κB pathway.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Neuroinflammation is an important pathophysiological feature of PD and is associated with neurodegeneration.

    “Neuroinflammation is regarded as an important pathophysiological feature of PD, which is associated with neurodegeneration [4].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [4] Hirsch, 2009, Neuroinflammation in Parkinson’s disease: A target for neuroprotection?, Lancet Neurol. source

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    Premisecitation

    Transplanting healthy donor gut microbiota into mice with MPTP-induced PD substantially improved bodily injuries and exerted a neuroprotective effect.

    “Sun et al. found that transplanting healthy donor gut microbiota into mice with 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced PD substantially improved the bodily injuries in these recipient mice and exerted a neuroprotective effect [13].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [13] Sun, 2018, Neuroprotective effects of fecal microbiota transplantation on MPTP-induced Parkinson’s disease mice: Gut microbiota, glial reaction and TLR4/TNF-α signaling pathway, Brain Behav. Immun. source

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    Premisecitation

    Altering the gut microbiota composition is a viable target for diagnosing and treating Parkinson's disease.

    “Altering the gut microbiota composition is a viable target for diagnosing and treating PD [31,32].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [31] Fan, 2022, New hope for Parkinson’s disease treatment: Targeting gut microbiota, CNS Neurosci. Ther. source

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    • cites [32] Varesi, A., Campagnoli, L.I.M., Fahmideh, F., Pierella, E., Romeo, M., Ricevuti, G., Nicoletta, M., Chirumbolo, S., and Pascale, A. (2022). The Interplay between Gut Microbiota and Parkinson’s Disease: Implications on Diagnosis and Treatment. Int. J. Mol. Sci., 23. source

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  • May combine two claims.

    Interpretationown data

    NaB treatment inhibited glial cell activation, leading to reduced neuroinflammation.

    “Thus, the NaB treatment inhibited glial cell activation, leading to reduced neuroinflammation.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    The control and MPTP mice were separated in beta diversity, with the NaB treatment group located in between the two groups, suggesting that NaB treatment shifted the overall MPTP-damaged gut microbiota composition towards that of the control group.

    “Moreover, the results demonstrated that the control and MPTP mice were separated, with the NaB treatment group located in between the two groups, suggesting that the NaB treatment shifted the overall MPTP-damaged gut microbiota composition towards that of the control group.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    NaB had a neuroprotective impact on the PD mice, likely linked to its regulation of gut microbiota to inhibit gut-brain axis inflammation.

    “In summary, NaB had a neuroprotective impact on the PD mice, likely linked to its regulation of gut microbiota to inhibit gut–brain axis inflammation.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The specific mechanism behind the neuroprotective properties of NaB against PD is mostly obscure.
  • May combine two claims.

    Premisecitation

    Sodium butyrate exerts anti-apoptotic, anti-inflammatory, and neuroprotective effects on mice with Parkinson's disease.

    “Notably, NaB exerts anti-apoptotic, anti-inflammatory, and neuroprotective effects on mice with PD [36,37,38]”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [36] Kakoty, 2021, Neuroprotective Effects of Trehalose and Sodium Butyrate on Preformed Fibrillar Form of α-Synuclein-Induced Rat Model of Parkinson’s Disease, ACS Chem. Neurosci. source

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    • cites [37] Paiva, 2017, Sodium butyrate rescues dopaminergic cells from alpha-synuclein-induced transcriptional deregulation and DNA damage, Hum. Mol. Genet. source

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    • cites [38] Zhang, 2022, Sodium butyrate attenuates rotenone-induced toxicity by activation of autophagy through epigenetically regulating PGC-1α expression in PC12 cells, Brain Res. source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    MPTP-induced mice had gut microbial dysbiosis, and NaB treatment improved gut dysbiosis in these animals by modulating microbiota composition.

    “The data suggested that the MPTP-induced mice had gut microbial dysbiosis, and that the NaB treatment improved gut dysbiosis in these animals by modulating microbiota composition.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    NaB reduced intestinal inflammation and neuroinflammation by suppressing the activities of the TLR4/MyD88/NF-κB signaling pathway.

    “Thus, NaB reduced intestinal inflammation and neuroinflammation by suppressing the activities of the TLR4/MyD88/NF-κB signaling pathway.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Sodium butyrate treatment has no significant effect on normal animals, including on gut microbiota, intestinal inflammation, neuroinflammation, and motor function.

    “The NaB treatment had no significant effect on normal animals, especially on gut microbiota [22], intestinal inflammation [33], neuroinflammation [34], and motor function [35].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [22] Ma, 2020, Sodium butyrate modulates gut microbiota and immune response in colorectal cancer liver metastatic mice, Cell Biol. Toxicol. source

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    • cites [33] Vieira, 2012, Oral administration of sodium butyrate attenuates inflammation and mucosal lesion in experimental acute ulcerative colitis, J. Nutr. Biochem. source

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    • cites [34] Jaworska, 2017, The potential neuroprotective role of a histone deacetylase inhibitor, sodium butyrate, after neonatal hypoxia-ischemia, J. Neuroinflamm. source

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    Premisecitation

    Proteobacteria with pro-inflammatory characteristics are often overexpressed in gastrointestinal and immune diseases.

    “The Proteobacteria phylum is a marker of dysbiosis in the gut microbiome, and Proteobacteria with pro-inflammatory characteristics are often overexpressed in gastrointestinal and immune diseases [48].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [48] Shin, 2015, Proteobacteria: Microbial signature of dysbiosis in gut microbiota, Trends Biotechnol. source

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    Akkermansia can degrade mucin, cause intestinal inflammation and permeability, and increase endotoxemia and systemic inflammation, eventually promoting neuropathology.

    “The Gram-negative bacteria, Akkermansia, can degrade mucin, cause intestinal inflammation and permeability, and increase endotoxemia and systemic inflammation, eventually promoting neuropathology [53,54,55].”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [53] Freedman, 2018, The "Gut Feeling": Breaking Down the Role of Gut Microbiome in Multiple Sclerosis, Neurotherapeutics source

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    • cites [54] Desai, 2016, A Dietary Fiber-Deprived Gut Microbiota Degrades the Colonic Mucus Barrier and Enhances Pathogen Susceptibility, Cell source

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    • cites [55] Ganesh, B.P., Klopfleisch, R., Loh, G., and Blaut, M. (2013). Commensal Akkermansia muciniphila exacerbates gut inflammation in Salmonella Typhimurium-infected gnotobiotic mice. PLoS ONE, 8. source

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    Preservation of the intestinal barrier's integrity relies on the tight junctions between intestinal epithelial cells and their molecular structure including ZO and occludin.

    “The preservation of the intestinal barrier’s integrity relies on the tight junctions between intestinal epithelial cells and their molecular structure including the cytoplasmic and transmembrane proteins, ZO, and occludin [63].”
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    • cites [63] Salama, 2006, Tight junction modulation and its relationship to drug delivery, Adv. Drug Deliv. Rev. source

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    Premisecitation

    The motor symptoms of Parkinson's disease may result from decreased dopamine and serotonin levels.

    “The motor symptoms of PD may result from decreased dopamine and serotonin levels [41,42].”
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    • cites [41] Tritsch, 2012, Dopaminergic modulation of synaptic transmission in cortex and striatum, Neuron source

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    • cites [42] Aristieta, 2019, Dysfunction of serotonergic neurons in Parkinson’s disease and dyskinesia, Int. Rev. Neurobiol. source

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    Premisecitation

    Inflammatory LPS is produced by abnormally high Proteobacteria, and TLR4 recognizes elevated inflammatory LPS, in turn activating the MyD88-dependent NF-kappaB signaling pathway.

    “Inflammatory LPS is produced by abnormally high Proteobacteria, and TLR4 recognizes elevated inflammatory LPS [69], in turn activating the MyD88-dependent NF-κB signaling pathway.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [69] Lin, 2020, Like Cures Like: Pharmacological Activity of Anti-Inflammatory Lipopolysaccharides From Gut Microbiome, Front. Pharmacol. source

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  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    TH downregulation decreases DA production, in turn leading to Parkinson's disease.

    “TH downregulation decreases DA production, in turn leading to PD [39].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [39] Haavik, 1998, Tyrosine hydroxylase and Parkinson’s disease, Mol. Neurobiol. source

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    Premisecitation

    TNF-alpha and IL-6 are downstream products of NF-kappaB, so when the TLR4 pathway is activated, they are produced more readily.

    “TNF-α and IL-6 are downstream products of NF-KB, so when the TLR4 pathway is activated, they are produced more readily [70,71].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [70] Rocha, 2016, Saturated fatty acids trigger TLR4-mediated inflammatory response, Atherosclerosis source

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    • cites [71] Yang, 2016, The emerging role of Toll-like receptor 4 in myocardial inflammation, Cell Death Dis. source

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    Premisecitation

    The content of 5-HT decreases in mouse models of Parkinson's disease.

    “The content of 5-HT reportedly decreases in mouse models of PD [13,40].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [13] Sun, 2018, Neuroprotective effects of fecal microbiota transplantation on MPTP-induced Parkinson’s disease mice: Gut microbiota, glial reaction and TLR4/TNF-α signaling pathway, Brain Behav. Immun. source

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    • cites [40] Dong, 2020, Polymannuronic acid prevents dopaminergic neuronal loss via brain-gut-microbiota axis in Parkinson’s disease model, Int. J. Biol. Macromol. source

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  • May combine two claims.

    Premisecitation

    Due to increased intestinal permeability, microbial toxins and pro-inflammatory mediators produced as a result of gut dysbiosis can leak into the circulation causing systemic inflammation, in turn destroying the blood-brain barrier and causing neuroinflammation.

    “Due to increased intestinal permeability, microbial toxins and pro-inflammatory mediators produced as a result of gut dysbiosis can leak into the circulation causing systemic inflammation, in turn destroying the blood–brain barrier and causing neuroinflammation [12,64].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [12] Zhao, 2021, Fecal microbiota transplantation protects rotenone-induced Parkinson’s disease mice via suppressing inflammation mediated by the lipopolysaccharide-TLR4 signaling pathway through the microbiota-gut-brain axis, Microbiome source

      Not checked in the free run.

    • cites [64] Pavlov, 2015, Neural circuitry and immunity, Immunol. Res. source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    Gut inflammation increases intestinal permeability.

    “According to the popular “leaky gut” theory, gut inflammation increases intestinal permeability [60].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [60] Metta, 2022, Gastrointestinal dysfunction in Parkinson’s disease: Molecular pathology and implications of gut microbiome, probiotics, and fecal microbiota transplantation, J. Neurol. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Sodium butyrate treatment ameliorates motor symptoms in a Drosophila rotenone-induced Parkinson's disease model.

    “The NaB treatment ameliorates motor symptoms in a Drosophila rotenone-induced PD model [43].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [43] Ahmad, 2013, Sodium butyrate improves locomotor impairment and early mortality in a rotenone-induced Drosophila model of Parkinson’s disease, Neuroscience source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Patients with Parkinson's disease show elevated TLR4 protein levels in their colonic biopsies, circulating monocytes, as well as postmortem caudate and putamen samples.

    “For instance, patients with PD show elevated TLR4 protein levels in their colonic biopsies, circulating monocytes, as well as postmortem caudate and putamen samples [66,67].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [66] Kriz, 2014, Toll-like receptor expression in the blood and brain of patients and a mouse model of Parkinson’s disease, Int. J. Neuropsychopharmacol.

      Not checked in the free run.

    • cites [67] Dodiya, 2019, Role of TLR4 in the gut-brain axis in Parkinson’s disease: A translational study from men to mice, Gut source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Both mice and patients with Parkinson's disease exhibit increased levels of the genus Akkermansia.

    “Both mice and patients with PD exhibit increased levels of the genus Akkermansia [51,52].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [51] Zhou, 2021, Neuroprotective Effect of Ceftriaxone on MPTP-Induced Parkinson’s Disease Mouse Model by Regulating Inflammation and Intestinal Microbiota, Oxid. Med. Cell. Longev. source

      Not checked in the free run.

    • cites [52] Menozzi, 2021, The gut-brain axis and Parkinson disease: Clinical and pathogenetic relevance, Ann. Med. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Odoribacter is a beneficial bacterium known for producing short-chain fatty acids and reducing inflammation.

    “Odoribacter is a beneficial bacteria known for producing SCFAs and reducing inflammation [59].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [59] Bellido, 2019, Effect of Synbiotic Supplementation in a Very-Low-Calorie Ketogenic Diet on Weight Loss Achievement and Gut Microbiota: A Randomized Controlled Pilot Study, Mol. Nutr. Food Res. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The TLR4/MyD88/NF-kappaB pathway is well recognized for its role in the inflammatory signaling pathway.

    “The TLR4/MyD88/NF-κB pathway is well recognized for its role in the inflammatory signaling pathway [68].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [68] Rahimifard, 2017, Targeting the TLR4 signaling pathway by polyphenols: A novel therapeutic strategy for neuroinflammation, Ageing Res. Rev. source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Sodium butyrate treatment reduced MPTP-induced inflammation in the gut-brain axis of Parkinson's disease mice, which might be associated with the TLR4/MyD88/NF-kappaB signaling pathway.

    “Based on these results, the NaB treatment reduced MPTP-induced inflammation in the gut–brain axis of the PD mice, which might be associated with the TLR4/MyD88/NF-B signaling pathway.”
    Quote in the paperSubstantial claim
48 of 48
  • The paper relies on this without support.

    The specific mechanism behind the neuroprotective properties of NaB against PD is mostly obscure.

    “Nevertheless, the specific mechanism behind the neuroprotective properties of NaB against PD is mostly obscure.”
  • The paper relies on this without support.

    Current treatments for PD can alleviate symptoms but cannot prevent neurodegeneration.

    “Although current treatments can alleviate PD symptoms, they are not able to prevent its neurodegeneration.”
  • The authors state this as an assumption.

    The exact mechanism underlying the effects of sodium butyrate in Parkinson's disease remains unclear.

    “but the exact mechanism underlying these effects of NaB in PD remains unclear.”
3 of 3

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?

  • Sodium butyrate has neuroprotective effects in MPTP-induced PD mice by attenuating microglial reactivity via inhibition of TLR4/MyD88/NF-κB and MAPK signaling pathway.

    “Additionally, studies have demonstrated the neuroprotective effects of sodium butyrate in MPTP-induced PD mice by attenuating microglial reactivity via the inhibition of TLR4/MyD88/NF-κB and MAPK signaling pathway.319–321”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Striatal cytokines are reported as both decreased and elevated in PD mice

    Major

    The results report lower striatal TNF-α and IL-6 in MPTP mice, but the discussion states that both were substantially elevated in the striatum.

  • GFAP results do not show MPTP-induced astrocyte activation

    Major

    GFAP, the stated astrocyte marker, decreased in MPTP mice and decreased further with NaB. This conflicts with the section's characterization of NaB as attenuating MPTP-induced astrocyte activation.

  • Nonsignificant microbiota changes are called significant

    Minor

    The text calls both NaB-associated decreases significant despite reporting p > 0.05 for each, whereas the paper defines significance as p < 0.05.

  • Colonic pathway proteins are reported as decreased despite a claim of activation

    Minor

    The results say colonic TLR4, MyD88, and NF-B protein expression decreased in PD mice, while the discussion says the pathway was activated in their colons.

4 of 4

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Guo, T.-T., Zhang, Z., Sun, Y., Zhu, R.-Y., Wang, F.-X., Ma, L.-J., Jiang, L., & Liu, H.-D.
Affiliations
  • Laboratory of Tissue and Cell Biology, Experimental Teaching Center, Chongqing Medical University, Chongqing 400016, China
  • Chongqing Medical University (CN)
Corresponding author
Liu, Han-Deng
Venue
Nutrients
Publisher
MDPI AG
Published
2023-02-13
Volume
15
Issue
4
Pages
930
ISSN
2072-6643 (ISSN-L)
OpenAlex
W4320491388
Cited by
82
References
73
Citations by year
2026: 22 · 2025: 33 · 2024: 17 · 2023: 10
FWCI
13.87
Type
journal article
Language
en
Open access
Locations
  • Nutrients (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • the Natural Science Foundation of Chongqing, China (cstc2017jcyjAX0113, CY220404, LTMCMTS2021116)
  • the Project of Youth Innovative Talents Training Program of Chongqing (cstc2017jcyjAX0113, CY220404, LTMCMTS2021116)
  • the Tutorial System of Medical Undergraduate Foundation of Experimental Teaching Center in Chongqing Medical University (cstc2017jcyjAX0113, CY220404, LTMCMTS2021116)
Topics
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
sodium butyrate, Parkinson's disease, gut microbiota, gut-brain axis, MPTP-induced neurotoxicity, neuroprotection, dopaminergic neuron death, intestinal barrier disruption, inflammatory cytokines, glial activation, dysbiosis, striatum
MeSH terms
Gastrointestinal Microbiome, Animals, Disease Models, Animal, Inflammation, Mice, Inbred C57BL, Parkinson Disease, RNA, Ribosomal, 16S, Neuroprotective Agents, Neurodegenerative Diseases, Butyric Acid, Toll-Like Receptor 4, Mice, Dysbiosis

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.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.

Statistics and arithmetic are recomputed, not judged.

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