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ORIGINAL RESEARCH article

Front. Immunol.

Sec. Microbial Immunology

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1657524

This article is part of the Research TopicThe Gut-Brain Axis: Microbiota-Driven Immune Modulation and its Impact on Neurological HealthView all 7 articles

Akkermansia muciniphila Alleviates Cognitive Impairment and Neuroinflammation Induced by Blunt Chest Trauma

Provisionally accepted
Lin  LiuLin Liu1,2Linxiao  WangLinxiao Wang1Yanjun  WangYanjun Wang1Heping  ZhaoHeping Zhao1Xi  GaoXi Gao1Wen  YinWen Yin2*Jiangang  XieJiangang Xie3*
  • 1Xi'an Honghui Hospital, Xi'an, China
  • 2First Affiliated Hospital of Air Force Medical University, Xi'an, China
  • 3Xi'an No 3 Hospital, Xi'an, China

The final, formatted version of the article will be published soon.

Background: Blunt chest trauma, commonly caused by traffic accidents, falls, and violent incidents, results in both direct mechanical injury to the thoracic cavity — leading to increased intrathoracic pressure and vascular rupture — and indirect effects on the central nervous system (CNS), causing extensive damage that severely impacts patient health and quality of life. Akkermansia muciniphila (AKK), a probiotic bacterium inhabiting the gut mucus layer, modulates gut microbiota and metabolites, with potential therapeutic effects on various neurological disorders through the gut-brain axis. Methods: Mice were divided into four groups: control, trauma, trauma+PBS, and trauma+AKK. AKK bacterial suspension was administered via gavage for three weeks. Behavioral tests including the OFT, EPM, NORT, and Y-maze were conducted to assess anxiety-like behaviors and cognitive function. Neuroinflammatory markers in the hippocampus were measured using qRT-PCR, immunofluorescence, and Western blot. Gut microbiota and metabolites were analyzed through 16S rRNA sequencing and metabolomics. Results: Mice subjected to blunt chest trauma displayed emotional abnormalities and cognitive deficits. AKK treatment significantly alleviated anxiety-like behaviors and improved cognitive function, reduced pro-inflammatory cytokine levels in the hippocampus, and reshaped gut microbiota composition. AKK also modulated the expression of metabolites linked to neuroinflammation and cognitive function, upregulated BDNF and TrkB, and decreased IBA1, suggesting it enhances cognitive function by modulating neuroinflammation and the BDNF/TrkB signaling pathway. Conclusions: AKK mitigates cognitive impairment and neuroinflammation after blunt chest trauma by modulating gut microbiota and metabolites. Targeting the gut-brain axis may offer new strategies for preventing and treating trauma-induced neurological disorders.

Keywords: Akkermansia muciniphila, Blunt chest trauma, Cognitive Function, Neuroinflammation, Microglia, BDNF

Received: 01 Jul 2025; Accepted: 17 Sep 2025.

Copyright: © 2025 Liu, Wang, Wang, Zhao, Gao, Yin and Xie. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Wen Yin, xjyyyw@fmmu.edu.cn
Jiangang Xie, william@fmmu.edu.cn

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