Gut Microbiota and Neurovascular Patterns in Amnestic Mild Cognitive Impairment

<b>Background/Objectives:</b> The interplay between the gut microbiome (GMB) and neurovascular function in neurodegeneration is unclear. The goal of this proof-of-concept, cross-sectional study is to identify relationships between the GMB, neurovascular functioning, and cognition in amne...

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Main Authors: Alexis B. Kazen, Laura Glass Umfleet, Fatima A. Aboulalazm, Alexander D. Cohen, Scott Terhune, Lilly Mason, Shawn Obarski, Malgorzata Franczak, Tammy Lyn Kindel, Yang Wang, John R. Kirby
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/15/6/538
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author Alexis B. Kazen
Laura Glass Umfleet
Fatima A. Aboulalazm
Alexander D. Cohen
Scott Terhune
Lilly Mason
Shawn Obarski
Malgorzata Franczak
Tammy Lyn Kindel
Yang Wang
John R. Kirby
author_facet Alexis B. Kazen
Laura Glass Umfleet
Fatima A. Aboulalazm
Alexander D. Cohen
Scott Terhune
Lilly Mason
Shawn Obarski
Malgorzata Franczak
Tammy Lyn Kindel
Yang Wang
John R. Kirby
author_sort Alexis B. Kazen
collection DOAJ
description <b>Background/Objectives:</b> The interplay between the gut microbiome (GMB) and neurovascular function in neurodegeneration is unclear. The goal of this proof-of-concept, cross-sectional study is to identify relationships between the GMB, neurovascular functioning, and cognition in amnestic mild cognitive impairment (aMCI), the prototypical prodromal symptomatic stage of Alzheimer’s disease (AD). <b>Methods:</b> Participants (<i>n</i> = 14 aMCI and 10 controls) provided fecal samples for GMB sequencing (16S and shotgun metagenomics), underwent MRI, and completed cognitive testing. Cerebral vascular reactivity (CVR), cerebral blood flow (CBF), and arterial transit time (ATT) were assessed. Statistical analyses evaluated the relationships between discriminatory taxa, cerebrovascular metrics, and cognition. <b>Results:</b> Sequencing revealed differentially abundant bacterial and viral taxa distinguishing aMCI from controls. Spearman correlations revealed that bacteria known to induce inflammation were negatively associated with CVR, CBF, and cognition, and positively associated with ATT. A reciprocal pattern emerged for the association of taxa with gut health. <b>Conclusions:</b> Our results provide preliminary evidence that pro-inflammatory gut bacterial and viral taxa are associated with neurovascular dysfunction and cognitive impairment in prodromal AD, highlighting their potential as candidate microbial biomarkers and targets for early intervention.
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spelling doaj-art-6b1d87df75324f49a149a103650d214d2025-06-25T13:34:55ZengMDPI AGBrain Sciences2076-34252025-05-0115653810.3390/brainsci15060538Gut Microbiota and Neurovascular Patterns in Amnestic Mild Cognitive ImpairmentAlexis B. Kazen0Laura Glass Umfleet1Fatima A. Aboulalazm2Alexander D. Cohen3Scott Terhune4Lilly Mason5Shawn Obarski6Malgorzata Franczak7Tammy Lyn Kindel8Yang Wang9John R. Kirby10Department of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Radiology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI 53226, USA<b>Background/Objectives:</b> The interplay between the gut microbiome (GMB) and neurovascular function in neurodegeneration is unclear. The goal of this proof-of-concept, cross-sectional study is to identify relationships between the GMB, neurovascular functioning, and cognition in amnestic mild cognitive impairment (aMCI), the prototypical prodromal symptomatic stage of Alzheimer’s disease (AD). <b>Methods:</b> Participants (<i>n</i> = 14 aMCI and 10 controls) provided fecal samples for GMB sequencing (16S and shotgun metagenomics), underwent MRI, and completed cognitive testing. Cerebral vascular reactivity (CVR), cerebral blood flow (CBF), and arterial transit time (ATT) were assessed. Statistical analyses evaluated the relationships between discriminatory taxa, cerebrovascular metrics, and cognition. <b>Results:</b> Sequencing revealed differentially abundant bacterial and viral taxa distinguishing aMCI from controls. Spearman correlations revealed that bacteria known to induce inflammation were negatively associated with CVR, CBF, and cognition, and positively associated with ATT. A reciprocal pattern emerged for the association of taxa with gut health. <b>Conclusions:</b> Our results provide preliminary evidence that pro-inflammatory gut bacterial and viral taxa are associated with neurovascular dysfunction and cognitive impairment in prodromal AD, highlighting their potential as candidate microbial biomarkers and targets for early intervention.https://www.mdpi.com/2076-3425/15/6/538microbiomeviromeAlzheimer’s diseaseshotgun metagenomicsneurovascular dysfunctionneurodegeneration
spellingShingle Alexis B. Kazen
Laura Glass Umfleet
Fatima A. Aboulalazm
Alexander D. Cohen
Scott Terhune
Lilly Mason
Shawn Obarski
Malgorzata Franczak
Tammy Lyn Kindel
Yang Wang
John R. Kirby
Gut Microbiota and Neurovascular Patterns in Amnestic Mild Cognitive Impairment
Brain Sciences
microbiome
virome
Alzheimer’s disease
shotgun metagenomics
neurovascular dysfunction
neurodegeneration
title Gut Microbiota and Neurovascular Patterns in Amnestic Mild Cognitive Impairment
title_full Gut Microbiota and Neurovascular Patterns in Amnestic Mild Cognitive Impairment
title_fullStr Gut Microbiota and Neurovascular Patterns in Amnestic Mild Cognitive Impairment
title_full_unstemmed Gut Microbiota and Neurovascular Patterns in Amnestic Mild Cognitive Impairment
title_short Gut Microbiota and Neurovascular Patterns in Amnestic Mild Cognitive Impairment
title_sort gut microbiota and neurovascular patterns in amnestic mild cognitive impairment
topic microbiome
virome
Alzheimer’s disease
shotgun metagenomics
neurovascular dysfunction
neurodegeneration
url https://www.mdpi.com/2076-3425/15/6/538
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