Abstract

Accumulating evidence suggests that neuropathic pain (NP) is closely connected to the metabolic disorder of gut microbiota, and natural products could relieve NP by regulating gut microbiota. The purpose of this study is to investigate the important regulatory effects of osthole on gut microbiota and serum metabolites in mice with chronic constriction injury (CCI). Mice’s intestinal contents and serum metabolites were collected from the sham group, CCI group, and osthole treatment CCI group. The 16S rRNA gene sequencing was analyzed, based on Illumina NovaSeq platform, and ANOVA analysis were used to analyze the composition variety and screen differential expression of intestinal bacteria in the three groups. Ultra-high-performance liquid chromatography-quadrupole time of flight-tandem mass spectrometry (UHPLC-Q-TOF-MS) was used for analyzing the data obtained from serum specimens, and KEGG enrichment analysis was used to identify pathways of differential metabolites in the treatment of neuralgia mice. Furthermore, the Pearson method and Cytoscape soft were used to analyze the correlation network of differential metabolites, gut microbiota, and disease genes. The analysis results of 16S rRNA gene sequencing displayed that Bacteroidetes, Firmicutes, and Verrucomicrobia were highly correlated with NP after osthole treatment at the phylum level. Akkermansia, Lachnospiraceae_unclassified, Lachnospiraceae_NK4A136_group, Bacteroides, Lactobacillus, and Clostridiales_unclassified exhibited higher relative abundance and were considered important microbial members at genus level in neuralgia mice. Serum metabolomics results showed that 131 metabolites were considered to be significantly different in the CCI group compared to the sham group, and 44 metabolites were significantly expressed between the osthole treatment group and the CCI group. At the same time, we found that 29 differential metabolites in the two comparison groups were overlapping. Integrated analysis results showed that many intestinal microorganisms and metabolites have a strong positive correlation. The correlation network diagram displays that 10 genes were involved in the process of osthole alleviating NP through a metabolic pathway and gut microbiota, including IGF2, GDAP1, MYLK, IL18, CD55, MIR331, FHIT, F3, ERBB4, and ITGB3. Our findings have preliminarily confirmed that NP is closely related to metabolism and intestinal microbial imbalance, and osthole can improve the metabolic disorder of NP by acting on gut microbiota.

Highlights

  • Neuropathic pain (NP) is caused by primary nervous system injury and dysfunction, which seriously affects the quality of patients’ life (Barragan-Iglesias et al, 2014; Alonso-Castro et al, 2018)

  • The principal coordinates analysis (PCoA) plot based on unweighted unifrac distances results showed that the constriction injury (CCI) group exhibited significant separation from the other two groups markedly (Figure 2D), indicating a significant difference of gut microbiota composition in the CCI group compared to the sham group, whereas osthole treatment reduced the difference

  • The results showed that the variety of the majority of the metabolites in the CCI group was reversed in the osthole treatment group, demonstrating that osthole treatment could regulate metabolic disorders

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Summary

Introduction

Neuropathic pain (NP) is caused by primary nervous system injury and dysfunction, which seriously affects the quality of patients’ life (Barragan-Iglesias et al, 2014; Alonso-Castro et al, 2018). (Garnier et al, 2003; Mendlik and Uritsky, 2015). These treatments have achieved sound analgesic effects, they have various insurmountable side effects, such as pain sensitivity, addiction, tolerance, nausea, and constipation (Skolnick, 2017). Improving the clinical therapeutic effect and reducing the toxic and side effects of drugs have become the goal of the joint efforts of medical and health workers, and primarily through the regulation of diseases by human endogenous substances will achieve two times the result with half the effort. Recent studies have shown a link between intestinal microorganisms and NP and gut microbiota changes in patients with NP (Guo et al, 2019; Toh et al, 2020). Regulating the gut microbiota may be a practical and feasible strategy for treating NP

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