Rebuilding Microbiome for Mitigating Traumatic Brain Injury: Importance of Restructuring the Gut-Microbiome-Brain Axis

Mol Neurobiol. 2021 Aug;58(8):3614-3627. doi: 10.1007/s12035-021-02357-2. Epub 2021 Mar 27.

Abstract

Traumatic brain injury (TBI) is a damage to the brain from an external force that results in temporary or permanent impairment in brain functions. Unfortunately, not many treatment options are available to TBI patients. Therefore, knowledge of the complex interplay between gut microbiome (GM) and brain health may shed novel insights as it is a rapidly expanding field of research around the world. Recent studies show that GM plays important roles in shaping neurogenerative processes such as blood-brain-barrier (BBB), myelination, neurogenesis, and microglial maturation. In addition, GM is also known to modulate many aspects of neurological behavior and cognition; however, not much is known about the role of GM in brain injuries. Since GM has been shown to improve cellular and molecular functions via mitigating TBI-induced pathologies such as BBB permeability, neuroinflammation, astroglia activation, and mitochondrial dysfunction, herein we discuss how a dysbiotic gut environment, which in fact, contributes to central nervous system (CNS) disorders during brain injury and how to potentially ward off these harmful effects. We further opine that a better understanding of GM-brain (GMB) axis could help assist in designing better treatment and management strategies in future for the patients who are faced with limited options.

Keywords: 1-Carbon metabolism; Brain trauma; Central nervous system; Ocular function; Retinal remodeling.

Publication types

  • Review

MeSH terms

  • Animals
  • Brain / immunology
  • Brain / metabolism*
  • Brain Injuries, Traumatic / immunology
  • Brain Injuries, Traumatic / metabolism*
  • Brain Injuries, Traumatic / therapy
  • Brain-Gut Axis / physiology*
  • Dysbiosis / immunology
  • Dysbiosis / metabolism*
  • Dysbiosis / therapy
  • Gastrointestinal Microbiome / physiology*
  • Humans
  • Inflammation Mediators / immunology
  • Inflammation Mediators / metabolism

Substances

  • Inflammation Mediators