Probiotics by Modulating Gut–Brain Axis Together With Brivaracetam Mitigate Seizure Progression, Behavioral Incongruities, and Prevented Neurodegeneration in Pentylenetetrazole‐Kindled Mice

ABSTRACT Background The microbiota–gut–brain axis (MGBA) is a central nexus that integrates higher cognitive and emotional centers of the central nervous system (CNS) within the intricate functioning of the intestine. Accumulating evidence suggests that dysbiosis in the taxonomic diversity of gut fl...

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Veröffentlicht in:CNS neuroscience & therapeutics 2024-11, Vol.30 (11), p.e70078-n/a
Hauptverfasser: Shakoor, Muhammad Usman, Tareen, Fashwa Khan, Rehman, Zohabia, Saghir, Khaled Ahmed, Ashraf, Waseem, Anjum, Syed Muhammad Muneeb, Ahmad, Tanveer, Alqahtani, Faleh, Imran, Imran
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container_issue 11
container_start_page e70078
container_title CNS neuroscience & therapeutics
container_volume 30
creator Shakoor, Muhammad Usman
Tareen, Fashwa Khan
Rehman, Zohabia
Saghir, Khaled Ahmed
Ashraf, Waseem
Anjum, Syed Muhammad Muneeb
Ahmad, Tanveer
Alqahtani, Faleh
Imran, Imran
description ABSTRACT Background The microbiota–gut–brain axis (MGBA) is a central nexus that integrates higher cognitive and emotional centers of the central nervous system (CNS) within the intricate functioning of the intestine. Accumulating evidence suggests that dysbiosis in the taxonomic diversity of gut flora plays a salient role in the progression of epilepsy and comorbid secondary complications. Methods In the current study, we investigated the impact of long‐term oral bacteriotherapy (probiotics; 10 mL/kg; 109 colony‐forming unit/ml) as an adjunctive treatment intervention with brivaracetam (BRV; 10 mg/kg) over 21 days on pentylenetetrazole (PTZ) induced augmented epileptic response and associated electrographical and behavioral perturbations in mice. Moreover, we also unveiled antioxidant capacity and histopathologic changes in treated versus non‐treated animals. Results Results revealed combination increases seizure threshold and prevented high ictal spiking. Additionally, it alleviated PTZ‐induced neuropsychiatric disturbances such as anxiety and depressive‐like phenotype along with cognitive deficits. Furthermore, dual therapy prompted physiological oxidant/antioxidant balance as evidenced by increased activity of antioxidant enzymes (SOD and catalase) and reduced levels of oxidative stressor (MDA). This therapeutic intervention with commensal species suppressed network‐driven neuroinflammation and preserved normal cytoarchitecture with intact morphology in the pyramidal layers of cornu ammonis (CA1 and CA3). Conclusion Our study provides supporting evidence for the use of probiotics as adjunctive therapy with anti‐seizure medications to modulate epileptogenic processes and related multimorbidities, particularly in individuals with drug‐resistant seizures. Outcomes from this study provide supportive evidence in favor of probiotic‐rich supplementation as an adjunctive therapy with existing antiseizure medications as these commensal bacteria might provide prophylaxis against intractable seizures, particularly in predisposed individuals.
doi_str_mv 10.1111/cns.70078
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Accumulating evidence suggests that dysbiosis in the taxonomic diversity of gut flora plays a salient role in the progression of epilepsy and comorbid secondary complications. Methods In the current study, we investigated the impact of long‐term oral bacteriotherapy (probiotics; 10 mL/kg; 109 colony‐forming unit/ml) as an adjunctive treatment intervention with brivaracetam (BRV; 10 mg/kg) over 21 days on pentylenetetrazole (PTZ) induced augmented epileptic response and associated electrographical and behavioral perturbations in mice. Moreover, we also unveiled antioxidant capacity and histopathologic changes in treated versus non‐treated animals. Results Results revealed combination increases seizure threshold and prevented high ictal spiking. Additionally, it alleviated PTZ‐induced neuropsychiatric disturbances such as anxiety and depressive‐like phenotype along with cognitive deficits. Furthermore, dual therapy prompted physiological oxidant/antioxidant balance as evidenced by increased activity of antioxidant enzymes (SOD and catalase) and reduced levels of oxidative stressor (MDA). This therapeutic intervention with commensal species suppressed network‐driven neuroinflammation and preserved normal cytoarchitecture with intact morphology in the pyramidal layers of cornu ammonis (CA1 and CA3). Conclusion Our study provides supporting evidence for the use of probiotics as adjunctive therapy with anti‐seizure medications to modulate epileptogenic processes and related multimorbidities, particularly in individuals with drug‐resistant seizures. Outcomes from this study provide supportive evidence in favor of probiotic‐rich supplementation as an adjunctive therapy with existing antiseizure medications as these commensal bacteria might provide prophylaxis against intractable seizures, particularly in predisposed individuals.</description><identifier>ISSN: 1755-5930</identifier><identifier>ISSN: 1755-5949</identifier><identifier>EISSN: 1755-5949</identifier><identifier>DOI: 10.1111/cns.70078</identifier><identifier>PMID: 39470120</identifier><language>eng</language><publisher>England: John Wiley &amp; Sons, Inc</publisher><subject>Amino acids ; Ammon's horn ; Animals ; Antioxidants ; Behavior ; Behavior, Animal - drug effects ; Brain architecture ; Brain research ; Brain-Gut Axis - drug effects ; Brain-Gut Axis - physiology ; Central nervous system ; Convulsants - toxicity ; Convulsions &amp; seizures ; Cytokines ; Digestive system ; Disease Progression ; Drug dosages ; Dysbacteriosis ; EEG ; Electrodes ; Epilepsy ; Firing pattern ; Gastrointestinal Microbiome - drug effects ; Gastrointestinal Microbiome - physiology ; Gastrointestinal tract ; gut–brain axis ; Homeostasis ; Intestinal microflora ; Kindling, Neurologic - drug effects ; Laboratory animals ; Male ; Metabolism ; Metabolites ; Mice ; Microbiota ; Nervous system ; Neurodegeneration ; Nissl's staining ; Original ; Oxidants ; oxidative stress ; Pentylenetetrazole ; Pentylenetetrazole - toxicity ; Phenotypes ; Physiology ; Probiotics ; Probiotics - pharmacology ; Probiotics - therapeutic use ; PTZ kindling ; Pyrrolidinones - pharmacology ; Pyrrolidinones - therapeutic use ; Seizures ; Surgery</subject><ispartof>CNS neuroscience &amp; therapeutics, 2024-11, Vol.30 (11), p.e70078-n/a</ispartof><rights>2024 The Author(s). published by John Wiley &amp; Sons Ltd.</rights><rights>2024 The Author(s). CNS Neuroscience &amp; Therapeutics published by John Wiley &amp; Sons Ltd.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2998-ccd1dd42592bb04a6c0a79528f20e9b4205b9be706653ff1aa644b767edafe1a3</cites><orcidid>0000-0003-1337-8574</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11520030/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11520030/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11541,27901,27902,45550,45551,46027,46451,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39470120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shakoor, Muhammad Usman</creatorcontrib><creatorcontrib>Tareen, Fashwa Khan</creatorcontrib><creatorcontrib>Rehman, Zohabia</creatorcontrib><creatorcontrib>Saghir, Khaled Ahmed</creatorcontrib><creatorcontrib>Ashraf, Waseem</creatorcontrib><creatorcontrib>Anjum, Syed Muhammad Muneeb</creatorcontrib><creatorcontrib>Ahmad, Tanveer</creatorcontrib><creatorcontrib>Alqahtani, Faleh</creatorcontrib><creatorcontrib>Imran, Imran</creatorcontrib><title>Probiotics by Modulating Gut–Brain Axis Together With Brivaracetam Mitigate Seizure Progression, Behavioral Incongruities, and Prevented Neurodegeneration in Pentylenetetrazole‐Kindled Mice</title><title>CNS neuroscience &amp; therapeutics</title><addtitle>CNS Neurosci Ther</addtitle><description>ABSTRACT Background The microbiota–gut–brain axis (MGBA) is a central nexus that integrates higher cognitive and emotional centers of the central nervous system (CNS) within the intricate functioning of the intestine. Accumulating evidence suggests that dysbiosis in the taxonomic diversity of gut flora plays a salient role in the progression of epilepsy and comorbid secondary complications. Methods In the current study, we investigated the impact of long‐term oral bacteriotherapy (probiotics; 10 mL/kg; 109 colony‐forming unit/ml) as an adjunctive treatment intervention with brivaracetam (BRV; 10 mg/kg) over 21 days on pentylenetetrazole (PTZ) induced augmented epileptic response and associated electrographical and behavioral perturbations in mice. Moreover, we also unveiled antioxidant capacity and histopathologic changes in treated versus non‐treated animals. Results Results revealed combination increases seizure threshold and prevented high ictal spiking. Additionally, it alleviated PTZ‐induced neuropsychiatric disturbances such as anxiety and depressive‐like phenotype along with cognitive deficits. Furthermore, dual therapy prompted physiological oxidant/antioxidant balance as evidenced by increased activity of antioxidant enzymes (SOD and catalase) and reduced levels of oxidative stressor (MDA). This therapeutic intervention with commensal species suppressed network‐driven neuroinflammation and preserved normal cytoarchitecture with intact morphology in the pyramidal layers of cornu ammonis (CA1 and CA3). Conclusion Our study provides supporting evidence for the use of probiotics as adjunctive therapy with anti‐seizure medications to modulate epileptogenic processes and related multimorbidities, particularly in individuals with drug‐resistant seizures. Outcomes from this study provide supportive evidence in favor of probiotic‐rich supplementation as an adjunctive therapy with existing antiseizure medications as these commensal bacteria might provide prophylaxis against intractable seizures, particularly in predisposed individuals.</description><subject>Amino acids</subject><subject>Ammon's horn</subject><subject>Animals</subject><subject>Antioxidants</subject><subject>Behavior</subject><subject>Behavior, Animal - drug effects</subject><subject>Brain architecture</subject><subject>Brain research</subject><subject>Brain-Gut Axis - drug effects</subject><subject>Brain-Gut Axis - physiology</subject><subject>Central nervous system</subject><subject>Convulsants - toxicity</subject><subject>Convulsions &amp; seizures</subject><subject>Cytokines</subject><subject>Digestive system</subject><subject>Disease Progression</subject><subject>Drug dosages</subject><subject>Dysbacteriosis</subject><subject>EEG</subject><subject>Electrodes</subject><subject>Epilepsy</subject><subject>Firing pattern</subject><subject>Gastrointestinal Microbiome - drug effects</subject><subject>Gastrointestinal Microbiome - physiology</subject><subject>Gastrointestinal tract</subject><subject>gut–brain axis</subject><subject>Homeostasis</subject><subject>Intestinal microflora</subject><subject>Kindling, Neurologic - drug effects</subject><subject>Laboratory animals</subject><subject>Male</subject><subject>Metabolism</subject><subject>Metabolites</subject><subject>Mice</subject><subject>Microbiota</subject><subject>Nervous system</subject><subject>Neurodegeneration</subject><subject>Nissl's staining</subject><subject>Original</subject><subject>Oxidants</subject><subject>oxidative stress</subject><subject>Pentylenetetrazole</subject><subject>Pentylenetetrazole - toxicity</subject><subject>Phenotypes</subject><subject>Physiology</subject><subject>Probiotics</subject><subject>Probiotics - pharmacology</subject><subject>Probiotics - therapeutic use</subject><subject>PTZ kindling</subject><subject>Pyrrolidinones - pharmacology</subject><subject>Pyrrolidinones - therapeutic use</subject><subject>Seizures</subject><subject>Surgery</subject><issn>1755-5930</issn><issn>1755-5949</issn><issn>1755-5949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1ksFu1DAQhiMEoqVw4AWQJS4gdVvbiZP4hLorKBXdUqlFHK2JM8m6ytrFdha2pz4CEk_Eq_RJMGypAAlfbM18_ucf6c-yp4zusXT2tQ17FaVVfS_bZpUQEyELef_undOt7FEIF5SWvJb1w2wrl0VFGafb2fdT7xrjotGBNGsyd-04QDS2J4djvLn-NvVgLDn4YgI5dz3GBXry0cQFmXqzAg8aIyzJ3ETTQ0RyhuZq9EiSau8xBOPsLpniAlbGeRjIkdXO9n5MPIZdArZNKK7QRmzJCY7etdijRZ88OEvS6NPUWw-pFDF6uHID3lx_fWdsO6Qfc6PxcfaggyHgk9t7J_vw5vX57O3k-P3h0ezgeKK5lPVE65a1bcGF5E1DCyg1hUoKXnecomwKTkUjG6xoWYq86xhAWRRNVVbYQocM8p3s1Ub3cmyW2OrkK22kLr1Zgl8rB0b93bFmoXq3UowJTmlOk8KLWwXvPo0YolqaoHEYwKIbg8oZZ0KysqwS-vwf9MKN3qb9ElXQshaSFol6uaG0dyF47O7cMKp-JkOlZKhfyUjssz_t35G_o5CA_Q3w2Qy4_r-Smp2cbSR_ABDkyqo</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Shakoor, Muhammad Usman</creator><creator>Tareen, Fashwa Khan</creator><creator>Rehman, Zohabia</creator><creator>Saghir, Khaled Ahmed</creator><creator>Ashraf, Waseem</creator><creator>Anjum, Syed Muhammad Muneeb</creator><creator>Ahmad, Tanveer</creator><creator>Alqahtani, Faleh</creator><creator>Imran, Imran</creator><general>John Wiley &amp; 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Tareen, Fashwa Khan ; Rehman, Zohabia ; Saghir, Khaled Ahmed ; Ashraf, Waseem ; Anjum, Syed Muhammad Muneeb ; Ahmad, Tanveer ; Alqahtani, Faleh ; Imran, Imran</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2998-ccd1dd42592bb04a6c0a79528f20e9b4205b9be706653ff1aa644b767edafe1a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Amino acids</topic><topic>Ammon's horn</topic><topic>Animals</topic><topic>Antioxidants</topic><topic>Behavior</topic><topic>Behavior, Animal - drug effects</topic><topic>Brain architecture</topic><topic>Brain research</topic><topic>Brain-Gut Axis - drug effects</topic><topic>Brain-Gut Axis - physiology</topic><topic>Central nervous system</topic><topic>Convulsants - toxicity</topic><topic>Convulsions &amp; seizures</topic><topic>Cytokines</topic><topic>Digestive system</topic><topic>Disease Progression</topic><topic>Drug dosages</topic><topic>Dysbacteriosis</topic><topic>EEG</topic><topic>Electrodes</topic><topic>Epilepsy</topic><topic>Firing pattern</topic><topic>Gastrointestinal Microbiome - drug effects</topic><topic>Gastrointestinal Microbiome - physiology</topic><topic>Gastrointestinal tract</topic><topic>gut–brain axis</topic><topic>Homeostasis</topic><topic>Intestinal microflora</topic><topic>Kindling, Neurologic - drug effects</topic><topic>Laboratory animals</topic><topic>Male</topic><topic>Metabolism</topic><topic>Metabolites</topic><topic>Mice</topic><topic>Microbiota</topic><topic>Nervous system</topic><topic>Neurodegeneration</topic><topic>Nissl's staining</topic><topic>Original</topic><topic>Oxidants</topic><topic>oxidative stress</topic><topic>Pentylenetetrazole</topic><topic>Pentylenetetrazole - toxicity</topic><topic>Phenotypes</topic><topic>Physiology</topic><topic>Probiotics</topic><topic>Probiotics - pharmacology</topic><topic>Probiotics - therapeutic use</topic><topic>PTZ kindling</topic><topic>Pyrrolidinones - pharmacology</topic><topic>Pyrrolidinones - therapeutic use</topic><topic>Seizures</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shakoor, Muhammad Usman</creatorcontrib><creatorcontrib>Tareen, Fashwa Khan</creatorcontrib><creatorcontrib>Rehman, Zohabia</creatorcontrib><creatorcontrib>Saghir, Khaled Ahmed</creatorcontrib><creatorcontrib>Ashraf, Waseem</creatorcontrib><creatorcontrib>Anjum, Syed Muhammad Muneeb</creatorcontrib><creatorcontrib>Ahmad, Tanveer</creatorcontrib><creatorcontrib>Alqahtani, Faleh</creatorcontrib><creatorcontrib>Imran, Imran</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; 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therapeutics</jtitle><addtitle>CNS Neurosci Ther</addtitle><date>2024-11</date><risdate>2024</risdate><volume>30</volume><issue>11</issue><spage>e70078</spage><epage>n/a</epage><pages>e70078-n/a</pages><issn>1755-5930</issn><issn>1755-5949</issn><eissn>1755-5949</eissn><abstract>ABSTRACT Background The microbiota–gut–brain axis (MGBA) is a central nexus that integrates higher cognitive and emotional centers of the central nervous system (CNS) within the intricate functioning of the intestine. Accumulating evidence suggests that dysbiosis in the taxonomic diversity of gut flora plays a salient role in the progression of epilepsy and comorbid secondary complications. Methods In the current study, we investigated the impact of long‐term oral bacteriotherapy (probiotics; 10 mL/kg; 109 colony‐forming unit/ml) as an adjunctive treatment intervention with brivaracetam (BRV; 10 mg/kg) over 21 days on pentylenetetrazole (PTZ) induced augmented epileptic response and associated electrographical and behavioral perturbations in mice. Moreover, we also unveiled antioxidant capacity and histopathologic changes in treated versus non‐treated animals. Results Results revealed combination increases seizure threshold and prevented high ictal spiking. Additionally, it alleviated PTZ‐induced neuropsychiatric disturbances such as anxiety and depressive‐like phenotype along with cognitive deficits. Furthermore, dual therapy prompted physiological oxidant/antioxidant balance as evidenced by increased activity of antioxidant enzymes (SOD and catalase) and reduced levels of oxidative stressor (MDA). This therapeutic intervention with commensal species suppressed network‐driven neuroinflammation and preserved normal cytoarchitecture with intact morphology in the pyramidal layers of cornu ammonis (CA1 and CA3). Conclusion Our study provides supporting evidence for the use of probiotics as adjunctive therapy with anti‐seizure medications to modulate epileptogenic processes and related multimorbidities, particularly in individuals with drug‐resistant seizures. Outcomes from this study provide supportive evidence in favor of probiotic‐rich supplementation as an adjunctive therapy with existing antiseizure medications as these commensal bacteria might provide prophylaxis against intractable seizures, particularly in predisposed individuals.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>39470120</pmid><doi>10.1111/cns.70078</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0003-1337-8574</orcidid><oa>free_for_read</oa></addata></record>
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subjects Amino acids
Ammon's horn
Animals
Antioxidants
Behavior
Behavior, Animal - drug effects
Brain architecture
Brain research
Brain-Gut Axis - drug effects
Brain-Gut Axis - physiology
Central nervous system
Convulsants - toxicity
Convulsions & seizures
Cytokines
Digestive system
Disease Progression
Drug dosages
Dysbacteriosis
EEG
Electrodes
Epilepsy
Firing pattern
Gastrointestinal Microbiome - drug effects
Gastrointestinal Microbiome - physiology
Gastrointestinal tract
gut–brain axis
Homeostasis
Intestinal microflora
Kindling, Neurologic - drug effects
Laboratory animals
Male
Metabolism
Metabolites
Mice
Microbiota
Nervous system
Neurodegeneration
Nissl's staining
Original
Oxidants
oxidative stress
Pentylenetetrazole
Pentylenetetrazole - toxicity
Phenotypes
Physiology
Probiotics
Probiotics - pharmacology
Probiotics - therapeutic use
PTZ kindling
Pyrrolidinones - pharmacology
Pyrrolidinones - therapeutic use
Seizures
Surgery
title Probiotics by Modulating Gut–Brain Axis Together With Brivaracetam Mitigate Seizure Progression, Behavioral Incongruities, and Prevented Neurodegeneration in Pentylenetetrazole‐Kindled Mice
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