The Gut Microbiota Mediates the Anti-Seizure Effects of the Ketogenic Diet

From BugSigDB
Needs review
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Olson CA, Vuong HE, Yano JM, Liang QY, Nusbaum DJ, Hsiao EY
Journal
Cell
Year
2018
Keywords:
6-Hz seizures, Akkermansia, GGsTop, Kcna1, Parabacteroides, epilepsy, gamma-glutamyl transpeptidase, ketogenic diet, microbiome, microbiota
The ketogenic diet (KD) is used to treat refractory epilepsy, but the mechanisms underlying its neuroprotective effects remain unclear. Here, we show that the gut microbiota is altered by the KD and required for protection against acute electrically induced seizures and spontaneous tonic-clonic seizures in two mouse models. Mice treated with antibiotics or reared germ free are resistant to KD-mediated seizure protection. Enrichment of, and gnotobiotic co-colonization with, KD-associated Akkermansia and Parabacteroides restores seizure protection. Moreover, transplantation of the KD gut microbiota and treatment with Akkermansia and Parabacteroides each confer seizure protection to mice fed a control diet. Alterations in colonic lumenal, serum, and hippocampal metabolomic profiles correlate with seizure protection, including reductions in systemic gamma-glutamylated amino acids and elevated hippocampal GABA/glutamate levels. Bacterial cross-feeding decreases gamma-glutamyltranspeptidase activity, and inhibiting gamma-glutamylation promotes seizure protection in vivo. Overall, this study reveals that the gut microbiota modulates host metabolism and seizure susceptibility in mice.

Experiment 1


Needs review

Curated date: 2024/12/12

Curator: Kavyaayala

Revision editor(s): Kavyaayala, WikiWorks

Subjects

Location of subjects
United States of America
Host species Species from which microbiome was sampled. Contact us to have more species added.
Mus musculus
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Feces Cow dung,Cow pat,Droppings,Dung,Excrement,Excreta,Faeces,Fecal material,Fecal matter,Fewmet,Frass,Guano,Matières fécales@fr,Merde@fr,Ordure,Partie de la merde@fr,Piece of shit,Porción de mierda@es,Portion of dung,Portion of excrement,Portion of faeces,Portion of fecal material,Portion of fecal matter,Portion of feces,Portion of guano,Portion of scat,Portionem cacas,Scat,Spoor,Spraint,Stool,Teil der fäkalien@de,Feces,feces
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Response to ketogenic diet Response to ketogenic diet,response to ketogenic diet
Group 0 name Corresponds to the control (unexposed) group for case-control studies
control diet (CD) group day 14
Group 1 name Corresponds to the case (exposed) group for case-control studies
ketogenic diet (KD) group day 14
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
specific-pathogen free (SPF) mice after 14 days of ketogenic diet treatment
Group 0 sample size Number of subjects in the control (unexposed) group
9
Group 1 sample size Number of subjects in the case (exposed) group
9

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V4
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
Kruskall-Wallis
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
Matched on Factors on which subjects have been matched on in a case-control study
age, sex


Signature 1

Needs review

Curated date: 2024/12/12

Curator: Kavyaayala

Revision editor(s): Kavyaayala, WikiWorks

Source: Figure S1D

Description: Fecal microbiome of KD group compared to CD group after 14 days of treatment

Abundance in Group 1: increased abundance in ketogenic diet (KD) group day 14

NCBI Quality ControlLinks
Akkermansia muciniphila
Erysipelotrichaceae
Sutterella

Revision editor(s): Kavyaayala, WikiWorks

Signature 2

Needs review

Curated date: 2024/12/12

Curator: Kavyaayala

Revision editor(s): Kavyaayala, WikiWorks

Source: Figure S1D

Description: Fecal microbiome of KD group compared to CD group after 14 days of treatment

Abundance in Group 1: decreased abundance in ketogenic diet (KD) group day 14

NCBI Quality ControlLinks
Allobaculum
Bifidobacterium
Bifidobacterium longum
Desulfovibrio

Revision editor(s): Kavyaayala, WikiWorks

Experiment 2


Needs review

Curated date: 2025/01/05

Curator: Kavyaayala

Revision editor(s): Kavyaayala, WikiWorks

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
control diet (CD) group day 8
Group 1 name Corresponds to the case (exposed) group for case-control studies
ketogenic diet (KD) group day 8
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
specific-pathogen free (SPF) mice after 8 days of ketogenic diet treatment

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/01/05

Curator: Kavyaayala

Revision editor(s): Kavyaayala, WikiWorks

Source: Figure S1D

Description: Fecal microbiome of KD group compared to CD group after 8 days of treatment

Abundance in Group 1: increased abundance in ketogenic diet (KD) group day 8

NCBI Quality ControlLinks
Akkermansia muciniphila
Erysipelotrichaceae
Parabacteroides

Revision editor(s): Kavyaayala, WikiWorks

Signature 2

Needs review

Curated date: 2025/01/05

Curator: Kavyaayala

Revision editor(s): Kavyaayala, WikiWorks

Source: Figure S1D

Description: Fecal microbiome of KD group compared to CD group after 8 days of treatment

Abundance in Group 1: decreased abundance in ketogenic diet (KD) group day 8

NCBI Quality ControlLinks
Allobaculum
Bifidobacterium
Bifidobacterium longum
Desulfovibrio

Revision editor(s): Kavyaayala, WikiWorks

Experiment 3


Needs review

Curated date: 2025/01/05

Curator: Kavyaayala

Revision editor(s): Kavyaayala, WikiWorks

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
control diet (CD) group day 4
Group 1 name Corresponds to the case (exposed) group for case-control studies
ketogenic diet (KD) group day 4
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
specific-pathogen free (SPF) mice after 4 days of ketogenic diet treatment

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/01/05

Curator: Kavyaayala

Revision editor(s): Kavyaayala, WikiWorks

Source: Figure S1D

Description: Fecal microbiome of KD group compared to CD group after 4 days of treatment

Abundance in Group 1: increased abundance in ketogenic diet (KD) group day 4

NCBI Quality ControlLinks
Akkermansia muciniphila
Erysipelotrichaceae
Parabacteroides

Revision editor(s): Kavyaayala, WikiWorks

Signature 2

Needs review

Curated date: 2025/01/05

Curator: Kavyaayala

Revision editor(s): Kavyaayala, WikiWorks

Source: Figure S1D

Description: Fecal microbiome of KD group compared to CD group after 4 days of treatment

Abundance in Group 1: decreased abundance in ketogenic diet (KD) group day 4

NCBI Quality ControlLinks
Desulfovibrio

Revision editor(s): Kavyaayala, WikiWorks

Experiment 4


Needs review

Curated date: 2025/03/02

Curator: Kavyaayala

Revision editor(s): Kavyaayala

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Kcna1−/− control diet (CD) group
Group 1 name Corresponds to the case (exposed) group for case-control studies
Kcna1−/− ketogenic diet (KD) group
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Kcna1−/− SPF mice treated with Abx or vehicle for 1 week, gavaged with vehicle or A. muciniphila and Parabacteroides, and fed KD or CD for 3 weeks. Kcna1−/− group is used to mimic a gene mutation in humans that causes neurological problems such as epilepsy.
Group 0 sample size Number of subjects in the control (unexposed) group
21
Group 1 sample size Number of subjects in the case (exposed) group
21

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/03/02

Curator: Kavyaayala

Revision editor(s): Kavyaayala

Source: Figure 5B

Description: Fecal microbiome of Kcna1−/− KD group mice compared to Kcna1−/− CD group mice

Abundance in Group 1: increased abundance in Kcna1−/− ketogenic diet (KD) group

NCBI Quality ControlLinks
Akkermansia muciniphila
Parabacteroides

Revision editor(s): Kavyaayala