The Impact of Gut Microbiota Changes on Methotrexate-Induced Neurotoxicity in Developing Young Rats

被引:1
作者
Chen, Yu-Chieh [1 ,2 ,3 ]
Hou, Chih-Yao [4 ]
Hsu, Mei-Hsin [1 ]
Huang, Li-Tung [1 ]
Hsiao, Chih-Cheng [1 ,2 ,3 ]
Sheen, Jiunn-Ming [1 ,2 ]
机构
[1] Kaohsiung Chang Gung Mem Hosp, Dept Pediat, Kaohsiung 833, Taiwan
[2] Chang Gung Univ, Dept Tradit Med, Taoyuan 333, Taiwan
[3] Natl Sun Yat sen Univ, Coll Med, Sch Med, Kaohsiung 804, Taiwan
[4] Natl Kaohsiung Univ Sci & Technol, Coll Hydrosphere, Dept Seafood Sci, Kaohsiung 807, Taiwan
关键词
methotrexate; chemotherapy; cognitive impairment; gut microbiota; neurotoxicity; ACUTE LYMPHOBLASTIC-LEUKEMIA; HIGH-DOSE METHOTREXATE; INTRATHECAL METHOTREXATE; CHILDHOOD; COMMUNITIES; SEQUENCES; SURVIVORS; PROFILES; TOXICITY; IMMUNE;
D O I
10.3390/biomedicines12040908
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Methotrexate (MTX) is an essential part of therapy in the treatment of acute lymphoblastic leukemia (ALL) in children, and inferior intellectual outcomes have been reported in children who are leukemia survivors. Although several studies have demonstrated that the interaction between gut microbiota changes and the brain plays a vital role in the pathogenesis of chemotherapy-induced brain injury, preexisting studies on the effect of MTX on gut microbiota changes focused on gastrointestinal toxicity only. Based on our previous studies, which revealed that MTX treatment resulted in inferior neurocognitive function in developing young rats, we built a young rat model mimicking MTX treatment in a child ALL protocol, trying to investigate the interactions between the gut and brain in response to MTX treatment. We found an association between gut microbiota changes and neurogenesis/repair processes in response to MTX treatment, which suggest that MTX treatment results in gut dysbiosis, which is considered to be related to MTX neurotoxicity through an alteration in gut-brain axis communication.
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页数:19
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