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ABSTRACT In this study, we tested our hypothesis regarding mechanistic cross-talk between gastrointestinal inflammation and memory loss in a mouse model. Intrarectal injection of the colitis
inducer 2,4,6-trinitrobenzenesulfonic acid (TNBS) in mice caused colitis via activation of nuclear factor (NF)-κB and increase in membrane permeability. TNBS treatment increased fecal and
blood levels of lipopolysaccharide (LPS) and the number of Enterobacteriaceae, particularly _Escherichia coli_ (EC), in the gut microbiota composition, but significantly reduced the number
of _Lactobacillus johnsonii_ (LJ). Indeed, we observed that the mice treated with TNBS displayed impaired memory, as assessed using the Y-maze and passive avoidance tasks. Furthermore,
treatment with EC, which was isolated from the feces of mice with TNBS-induced colitis, caused memory impairment and colitis, and increased the absorption of orally administered LPS into the
blood. Treatment with TNBS or EC induced NF-κB activation and tumor necrosis factor-α expression in the hippocampus of mice, as well as suppressed brain-derived neurotrophic factor
expression. However, treatment with LJ restored the disturbed gut microbiota composition, lowered gut microbiota, and blood LPS levels, and attenuated both TNBS- and EC-induced memory
impairment and colitis. These results suggest that the gut microbiota disturbance by extrinsic stresses can cause gastrointestinal inflammation, resulting in memory impairment. SIMILAR
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COLITIS-ASSOCIATED INTESTINAL MICROBIOTA REGULATES BRAIN GLYCINE AND HOST BEHAVIOR IN MICE Article Open access 29 September 2022 INTRODUCTION The intensive and extensive bidirectional
networks between gut microbiota and the central nervous system (CNS) are maintained through endocrine, neural, and immune pathways.1, 2 Exposure to stresses, such as pathogens, stimulates
the brain to secrete hormones such as corticotrophin-releasing factor, via the hypothalamus–pituitary–adrenal axis, which disturb gut microbiota, permeability, and barrier function and
increase production of endotoxins such as lipopolysaccharides (LPSs).3, 4 Moreover, these endotoxins, which are parts of bacterial chemical components, stimulate gut immune responses and
constrain the secretion of the neurotransmitters serotonin and catecholamines.5, 6, 7 These neurotransmitters, cytokines, and hormones promote communication between the gut immune system
(related to gut microbiota) and the CNS, and maintain homeostasis.5, 6 Dysregulation of these signals results in colitis, autism, and obesity.8, 9 Gut microbiota of healthy humans and
animals reside in the ileum and colon, and consist of >1011 bacteria per gram of gut contents.10, 11 They produce toxic compounds, such as LPS. LPS is detected by receptors on
macrophages, dendritic cells, and endothelial cells that are involved in the innate immune system, and LPS signals activate the biosynthesis of inflammation mediators (e.g., tumor necrosis
factor (TNF) via a Toll-like receptor 4-linked nuclear factor (NF)-κB signaling pathway) to cause inflammation.12, 13 The overexpression of LPS in gut microbiota increases blood LPS levels
through gut inflammation.14 Peripherally administered LPS causes systemic inflammation, as well as memory impairment by disrupting specific neural circuits within the hippocampus.15
Furthermore, Lukiw16 suggested that LPS released from the abundant _Bacteroides fragilis_ in the gut might represent a major factor that contributes to systemic inflammation and diseases
such as including Alzheimer’s disease (AD). In addition, colitis inducers, such as 2,4,6-trinitrobenzenesulfonic acid (TNBS), dextran sulfate sodium, and high-fat diet, cause colitis _in
vivo_ and increase gastrointestinal permeability.17, 18 These colitis inducers disturb gut microbiota composition and increase gut microbiota LPS levels.19, 20 In particular, TNBS increases
Enterobacteriaceae population and decreases the number of Bifidobacteria and Lactobacilli.19, 20 Some antibiotics have been shown to suppress cognitive performance.21 In this study, as
stresses can induce LPS levels through colitis and as LPS can affect CNS functions, we tested our hypothesis that colitis inducers could cause gastric inflammation and memory impairment by
disturbing gut microbiota composition, and investigated whether fluctuations in gut microbiota composition by the colitis inducer could potentiate colitis and memory impairment in mice.
RESULTS TNBS CAUSED COLITIS AND MEMORY IMPAIRMENT IN MICE In the present study, intrarectal administration of TNBS in mice caused colon shortening, increased myeloperoxidase (MPO) activity,
induced the expression of inflammatory markers, including inducible nitric oxide synthase and cyclooxygenase-2, and increased NF-κB activation in the colon (Figure 1a–c and Supplementary
Figure S1a online). TNBS suppressed the expression of tight junction proteins ZO-1, claudin-1, and occludin in the colon. TNBS increased the number of Enterobacteriaceae, in particular
_Escherichia coli_ (EC, >75% of Enterobacteriaceae), but reduced the number of Bifidobacteria and Lactobacilli, including _Lactobacillus johnsonii_ (LJ) (Figure 1d,e). TNBS treatment
increased the production of gut microbiota LPS (Figure 1f). Furthermore, TNBS treatment increased blood LPS and TNF-α levels, and hippocampal TNF-α levels (Figure 1g–i). Treatment with TNBS
also significantly reduced learning and memory behaviors in the Y-maze and passive avoidance tasks (Figure 1j,k). TNBS also induced NF-κB activation in the hippocampus and suppressed the
expression of brain-derived neurotrophic factor (BDNF) and phosphorylation of cAMP response element-binding protein (CREB) (Figure 1l and Supplementary Figure S1b). EC IMPAIRED LEARNING AND
MEMORY IMPAIRMENT IN MICE Treatment win TNBS in mice increased the number of Enterobacteriaceae, in particular EC. Therefore, we investigated whether oral gavage with EC could cause the
colitis and memory impairment in mice. Oral gavage with EC significantly induced colon shortening and increased MPO activity in the colon of mice (Figure 2a,b). Furthermore, EC treatment
increased NF-κB activation, inducible nitric oxide synthase and cyclooxygenase-2 expression, and suppressed the expression of tight-junction proteins (Figure 2c,d, and Supplementary Figure
S2a,b). EC increased the number of Enterobacteriaceae including EC (> 85% of Enterobacteriaceae) and LPS production in gut microbiota but reduced the number of Bifidobacteria and
Lactobacilli (Figure 2e,f). As was observed with TNBS, EC treatment also increased blood LPS and TNF-α, and hippocampal TNF-α levels (Figure 2g–i). Treatment with EC caused impairment of
learning and memory in the Y-maze and passive-avoidance tasks (Figure 2j,l). EC treatment also reduced BDNF expression and CREB phosphorylation, and increased NF-κB activation in the
hippocampus (Figure 2l and Supplementary Figure S2c). LJ ATTENUATED TNBS- OR EC-INDUCED COLITIS AND MEMORY IMPAIRMENT IN MICE Treatment with TNBS reduced the number of Bifidobacteria and
Lactobacilli, in particular LJ, in gut microbiota and impaired learning and memory in mice. Therefore, we isolated LJ, a type of gut bacteria that is present in at significantly low numbers
in mice with TNBS-induced memory impairment, using the culture system in the selective media. Thereafter, we investigated whether administration of LJ simultaneously ameliorate colitis and
memory impairment in mice with EC- or TNBS-induced colitis. Oral administration of LJ also ameliorated TNBS-induced impairment of learning and memory in Y-maze task (Figure 3a). LJ treatment
increased the TNBS-suppressed expression of BDNF and phosphorylation of CREB, and suppressed the TNBS-induced activation of hippocampal NF-κB (Figure 3b and Supplementary Figure S3a).
Treatment with LJ lowered TNBS-induced blood TNF-α and LPS levels, and hippocampal TNF-α levels (Figure 3c–e). Administration of LJ to TNBS-treated mice attenuated TNBS-induced colon
shortening and MPO activity (Figure 3f). In addition, it reduced the activation of NF-κB and the expression of inducible nitric oxide synthase and cyclooxygenase-2 in the colon (Figure 3g,h
and Supplementary Figure S3b). Thereafter, we examined the effect of administering LJ on EC-induced memory impairment in mice. Treatment with EC impaired the performance of mice in the
Y-maze and passive avoidance tasks (Figure 4a,b). In contrast, oral administration of LJ ameliorated EC-induced learning and memory impairment. Furthermore, administration of LJ restored
EC-suppressed expression of BDNF and phosphorylation of CREB in the hippocampus and suppressed EC-induced activation of NF-κB (Figure 4c and Supplementary Figure S4a). LJ administration
reduced blood LPS and TNF-α levels, and hippocampal TNF-α levels (Figure 4d–f). LJ suppressed EC-induced colon shortening, colonic MPO activity, NF-κB activation, and inducible nitric oxide
synthase and cyclooxygenase-2 expression (Figure 4g–i and Supplementary Figure S4b,c). In addition, administration of LJ attenuated EC-induced infiltration of macrophages and dendritic cells
and increased EC-suppressed expression of colonic tight-junction proteins in mice (Figure 4j and Supplementary Figure S4d). EC treatment increased the absorption of orally administered
Alexa Fluor 488-conjugated LPS (Sigma) into the blood 2 h after LPS treatment in EC-treated mice compared with that in normal control mice (Figure 4k). LJ treatment, however, inhibited the
absorption of LPS into the blood. Therefore, we investigated whether LJ could increase LPS-suppressed expression of tight junction proteins in Caco-2 cells. LJ treatment increased the
expression of tight-junction proteins and inhibited the activation of NF-κB in fecal LPS-stimulated Caco-2 cells, whereas fecal LPS lysate (isolated from the feces of TNBS-treated mice)
significantly inhibited the expression of tight-junction proteins (Figure 4l). TNBS AND EC DISTURBED GUT MICROBIOTA COMPOSITION To understand the role of gut microbiota in learning and
memory impairment induced by TNBS or EC, we treated mice with TNBS or EC and analyzed gut microbiota composition by pyrosequencing. There were no significant differences in bacterial
richness and diversity between the fecal samples of the mice, as demonstrated by the number of sequences analyzed, estimated operational taxonomic unit richness, and coverage (Supplementary
Table S1). When comparing the results of taxonomy-based analysis between the gut microbiota of mice treated with or without TNBS, TNBS treatment was found to significantly modulate the
microbiota population (Supplementary Figure S5 and Supplementary Table S2,3). At the phylum level, TNBS treatment resulted in a significant increase in Proteobacteria (a major group of
Gram-negative bacteria that include Enterobacteriaceae) and Bacteroidetes, and a decrease in Firmicutes (Figure 5a). At the family level, TNBS treatment suppressed the population of
Lachnospiraceae and Rikenellaceae, and increased the population of Bacteroidales including EF602759_f and EU845084_f (Figure 5b). As a result, TNBS treatment increased the ratio of
Proteobacteria to Firmicutes, Proteobacteria to Bacteroidetes, and Bacteroidetes to Firmicutes (Figure 5c–e). Treatment with EC also increased the Proteobacteria and Firmicutes populations
in gut microbiota compared with those of normal control mice (Figure 5a). EC treatment led to a significant increase in the ratios of Proteobacteria to Firmicutes and Bacteroides to
Firmicutes. At the family level, EC treatment suppressed the population of Lachnospiraceae and Rikenellaceae, and increased the population of Bacteroidales including EF602759_f and
EU845084_f (Figure 5b). In addition, we examined the effect of LJ administration on EC-disturbed gut microbiota composition in mice with EC-induced memory impairment (Figure 5a,b). Oral
administration of LJ restored the population of Firmicutes, which was decreased by EC, and Proteobacteria, which was increased by EC. Furthermore, LJ administration restored EC-disturbed gut
microbiota composition to the levels of normal control mice, as evaluated using PCoA analysis (Figure 5f). LJ treatment decreased the EC-induced Enterobacteriaceae population in gut
microbiota using the culture in the selective media but increased that of Bifidobacteria and Lactobacilli population, which was decreased by EC (Figure 5g,h). LPS ISOLATED FROM EC
ACCELERATED MEMORY IMPAIRMENT IN MICE Treatment with TNBS or EC in mice significantly increased fecal and blood LPS levels, hippocampal TNF-α level, and NF-κB activation. Moreover, fecal LPS
significantly induced the activation of NF-κB in Caco-2 cells. Therefore, we isolated LPS from EC, intraperitoneally injected LPS in mice, and investigated learning and memory behaviors
using the Y-maze and passive avoidance tasks (Figure 6a,b). Treatment with LPS significantly impaired learning and memory, increased the activation of NF-κB, and suppressed BDNF expression
and CREB phosphorylation in the hippocampus (Figure 6c). Furthermore, LPS treatment increased blood LPS levels (Figure 6d) and hippocampal LPS and TNF-α levels (Figure 6e,f). DISCUSSION
Various physiological factors, such as a high-fat diet, physiological stresses, and pathogenic infections, elevate the level of blood LPS.22, 23 LPS concentration is the highest in the
gastrointestinal tract including the colon, where trillions of commensal bacteria reside.24, 25 Therefore, a great portion of LPS in the blood may originate from Gram-negative bacteria in
the gut microbiota. Normally, LPS in the gastrointestinal tract cannot easily penetrate across the healthy intestinal epithelium.26 However, gut microbiota LPS is well-known to be involved
in the initiation and propagation of intestinal inflammation.27, 28 Gut permeability disorders caused by the suppression of tight junction protein expression through gut inflammation
increase the paracellular flux of bacteria and their LPS.29 Therefore, the blood LPS levels are markedly elevated in gut permeability disorders such as inflammatory bowel disease, leading to
endotoxemia and systemic inflammation. In the present study, we found that treatment with TNBS caused colitis, significantly disturbed the gut microbiota composition, in particular by
increasing the Proteobacteria to Bacteroidetes ratio and EC, and increased gut microbiota LPS production. Oral gavage of EC in mice caused colitis, suppressed the expression of tight
junction proteins, increased the absorption of orally administered LPS into the blood, and, as a result, increased intestinal permeability. Consistent with our finding, it was previously
reported that patients with inflammatory bowel disease exhibit high LPS levels in the blood.27 This increase in LPS levels may cause systemic inflammation and accelerate the occurrence of
degenerative diseases including AD. We also found that treatment with TNBS or EC increased LPS levels in gut microbiota and blood, and enhanced memory impairment. These treatments increased
NF-κB activation and TNF-α expression in the hippocampus, both of which have important roles in the consolidation of memory information and spatial memory that enables navigation.30 In
addition, the treatments reduced BDNF expression and CREB phosphorylation. Furthermore, an intraperitoneal injection of LPS isolated from EC, a member of gut microbiota, in mice caused
memory impairment, induced NF-κB activation, and reduced BDNF expression in the hippocampus. Czerniawski and Guzowski15 reported that peripheral injection of LPS hippocampus-dependently
impaired context discrimination memory. We also found that repetitive peritoneal injection of LPS caused memory impairment and induced NF-κB activation and TNF-α expression in the
hippocampus. However, little LPS (∼0.025% of an intravenously administered dose) crossed the blood–brain barrier.31, 32 Hasegawa-Ishii _et al._33 reported that one peritoneal injection of
LPS activated hippocampal astrocytes through interaction between the cells of the brain–immune interface and cytokine signals, and, when repetitively injected, LPS activated microglia.
Buttini _et al._34 reported that a peritoneal injection of LPS activated microglia, which produced proinflammatory cytokines. These reports suggested that chronic endotoxemia may impair
memory by activating microglia in the hypothalamus, although whether LPS directly or indirectly activated microglia in the brain remains distinctly unproven. Importantly, glial cells,
especially microglia and astrocytes, are involved in the pathogenesis of various CNS diseases, such as AD.35, 36 Microglia, which are the brain-resident macrophages, have an important role
in the immune surveillance of the CNS against injury or pathogen infection. The exposure of microglia to pathogens and their antigens (e.g., LPS) lead to the secretion of various
inflammatory mediators, such as TNF-α, which are associated with a number of neurodegenerative diseases.37 Astrocytes, such as microglia, readily become activated in response to injury and
regulate neuroinflammatory events, such as microglia.36 Overactivation of glial cells can cause neuronal damage, which may result in neuropathological changes in a number of CNS disorders,
such as memory impairment. Therefore, suppression of NF-κB activation and TNF-α expression in glia is regarded as an important therapeutic strategy for neuroinflammation-mediated diseases.
TNBS treatment reduced the beneficial gut bacteria (Bifidobacteria and Lactobacilli) including LJ and altered the neurotrophic factor BDNF. Moreover, the change in the BDNF signaling pathway
is relevant to a range of human neuronal and psychiatric disorders, such as AD. Our study demonstrated that treatment with LJ ameliorated TNBS- or EC-induced memory impairment in mice,
increased BDNF expression, and inhibited NF-κB activation. These results supported the idea that the disturbance of gut microbiota, such as the suppression of the beneficial bacteria, may
cause memory impairment and eventually AD. Mechanistically, we found that LJ treatment increased TNBS- or EC-induced suppression of tight junction proteins and inhibited TNBS- or EC-induced
activation of NF-κB and expression of TNF-α, resulting in the attenuation of colitis. Furthermore, treatment with LJ restored EC-disturbed gut microbiota composition and suppressed TNBS- or
EC-induced gut microbiota LPS level. Basically, these results supported the idea that LJ can ameliorate colitis and memory impairment by restoring gut microbiota composition and suppressing
gut microbiota LPS production. Finally, the brain affects the composition of gut microbiota and regulates immune responses via the hypothalamus–pituitary–adrenal axis and the disturbance of
gut microbiota has been shown to affect anxiety-like and dementia-like behaviors.4, 38 The gut-to-brain axis is regulated through the central and enteric nervous responses and the neural,
endocrine, and immune responses.1, 39 Therefore, the gut–brain axis is important for maintaining homeostasis. Interestingly, gut microbiota produces neuroactive molecules, such as
acetylcholine and serotonin.1, 40 These findings suggest that the changes in gut microbiota composition by diet, drugs, disease, and probiotics correlate with changes in levels of
circulating cytokines, some of which can affect brain function. However, gut microbiota produces endotoxins including LPS, which can cause inflammatory diseases (e.g., colitis).
Gastrointestinal inflammation may increase the absorption of LPS into the blood and cause systemic inflammatory diseases such as cognitive failure, hepatitis, and rheumatoid arthritis. As
such, EC caused colitis, memory impairment, and recessive BDNF expression. However, LJ, which increased membrane tight junction protein expression and inhibited NF-κB activation, ameliorated
EC-induced colitis and memory impairment. Thus, the induction of gut microbiota LPS by diets and diseases may increase the occurrence of systemic inflammatory diseases such as AD, which may
then change the secretion of neuroactive molecules in brains. In addition, the disturbance of gut microbiota composition directly affects the production of neuroactive molecules. In
conclusion, our study supports that gut inflammation induced by the disturbance of gut microbiota may cause memory impairment and maintaining beneficial gut microbiota composition and
inhibiting LPS production by beneficial gut bacteria, which suppress endotoxin-producing bacteria, such as EC, is important to suppress and prevent the occurrence of inflammatory
degenerative diseases, including memory impairment. METHODS CULTURE OF GUT BACTERIA. LJ and EC isolated from mouse gut microbiota were cultured in GAM broth (BD, Radnor, PA) and selective
media MRS (BD), BL, and DHL (Nissui Pharm, Tokyo, Japan). Briefly, LJ and EC were cultured in 0.5 l of GAM broth at 37 °C (an optical density at 600 nm, 1.0–1.2), collected by centrifugation
(5,000 _g_ for 20 min), and washed with saline twice. The collected cells (5 × 109 CFU ml−1) were suspended in Saline (for cell experiments, heated at 72 °C for 30 min) or 1% glucose (for
oral administration to mice). For the analysis of gut microbiota by selective media, fresh colon content (∼0.1 g) from each group was collected in sterilized plastic cups, carefully
suspended in 9 volumes of dilution media, diluted 10-fold in a stepwise manner, and inoculated directly onto agar plates with blood liver medium (BL, Bifidobacteria/Lactobacilli-selective
medium, Nissui Pharm) and hydrogen sulfate lactose medium (DHL, Enterobacteriaceae-selective medium, Eiken Chem, Tokyo, Japan).41 DHL agar plates were aerobically cultured for 1 day at 37 °C
and BL agar plates were anaerobically cultured for 3 days at 37 °C. LJ and EC were selected of the colonies substantially grown in BL and DHL, respectively, and identified by Gram staining,
a sugar utilization test (API 50 CHL or API 20 E Kit, bioMerieux, Seoul, Korea), and 16S rRNA sequencing (ABI 3730XL DNA analysis). These were deposited in the National Center for
Biotechnology Information (NCBI)’s short read archive under accession number KY751910 and KY751911. ISOLATION OF LPS FROM EC. LPS was extracted as described previously with some
modifications.42 Briefly, EC was cultured in tryptic soy broth (500 ml) for 24 h at 37 °C and collected by centrifugation at 10 000 _g_ for 5 min. The pellets were washed twice in 0.15 M
phosphate-buffered saline (PBS, pH 7.2) containing 0.15 mM CaCl2 and 0.5 mM MgCl2, suspended in 50 ml PBS, and sonicated for 30 min on ice. The sonicate was incubated with proteinase K (100
μg ml−1, Sigma, St Louis, MO) at 65 °C for 2 h and subsequently treated with RNase (40 μg ml−1, Sigma) and DNase (20 μg ml−1, Sigma) in the presence of 1 μl/ml of 20% MgSO4 and 4 μl ml−1 of
chloroform at 37 °C overnight. The reaction solution was extracted with the same volume of 90% phenol with vigorous shaking at 65–70 °C for 15 min, transferred to polypropylene tubes, and
centrifuged at 8,500 _g_ for 15 min. The supernatants were treated with 10 volumes of 95% cold ethanol in the presence of 0.5 M sodium acetate at −20 °C overnight and centrifuged at 2,000
_g_ at 4 °C for 10 min. The resulting pellet was suspended in distilled water, dialyzed twice against double distilled water at 4 °C, then lyophilized, and used in the present experiment as
LPS. CULTURE OF CACO-2 CELLS. Caco-2 cells were purchased from Korea Cell Line Bank (Seoul, Korea) and cultured at 37 °C in a 5% CO2–95% air atmosphere in DMEM (Sigma) containing 10% fetal
bovine serum and 1% antibiotic–antimycotic. To measure the effect of LJ on the expression of tight junction proteins _in vitro_, cells were treated with 100 ng ml−1 of the fecal LPS fraction
in the presence or absence of LJ for 24 h and the expression levels of tight junction proteins in their lysate were measured by immunoblotting. ANIMALS. Male ICR mice (25–27 g, 5 weeks old)
were supplied from RaonBio. (Gyeonggi-do, Korea). All mice were housed in wire cages at 20–22 °C and 50±10% humidity, fed standard laboratory chow, and water _ad libitum_. Mice were used in
the experiments after the acclimation for more than 1 week. Each group in all experiments consisted of 10 mice. All animal experiments were approved by The Committee for the Care and Use of
Laboratory Animals in Kyung Hee University and performed in accordance with The Kyung Hee University Guidelines for Laboratory Animals Care and Usage (IRB Number KHUASP(SE)-15-092).
PREPARATION OF EXPERIMENTAL COLITIC MICE. For the preparation of mice with TNBS-induced colitis, 2.5% (w/v) TNBS solution (100 μl, dissolved in 50% ethanol) was intrarectally injected into
the colon of mice anesthetized with ether43 (Supplementary Figure S6a). To distribute TNBS entirely within the colon, mice were held in a vertical position for 30 s after treatment with
TNBS. Normal control group was treated with saline instead of TNBS. Mice were killed 24 h, 8th day, and 15th day after TNBS treatment. For the preparation of EC-induced colitis, mice were
orally administered EC suspension (1 × 109 CFU, suspended in 100 μl of 1% glucose) once a day for 5 days (Supplementary Figure S6b). Normal control group was treated with 1% glucose instead
of EC. Mice were killed 24 h, 8th day, and 15th day after EC treatment. For the preparation of LPS-induced memory impairment, mice were intraperitoneally administered LPS solution (8 μg
kg−1, dissolved in saline) once a day for 10 days (Supplementary Figure S6c). The LPS was isolated from EC. Normal control group was treated with 1% glucose instead of EC. Mice were killed
48 h after the final administration of LPS treatment. To measure the anti-colitic and memory impairment-ameliorating effect of LJ, mice were randomly divided into four groups: normal
control, LJ-treated group in normal control, colitis control group induced by treatment with TNBS or EC, and LJ-treated group in mice with colitis (Supplementary Figure S6d,e). Colitis was
induced by the intrarectal injection of 2.5% (w/v) TNBS solution (100 μl, dissolved in 50% ethanol) into the colon of mice anesthetized with ether or the oral administration of EC (1 × 109
CFU, suspended in 100 μl of 1% glucose) once a day for 5 days. Normal group was treated with vehicle instead of TNBS or EC. LJ (1 × 109 CFU per mouse, suspended in 0.1 ml of 1% glucose) were
orally administered once a day for 5 days from 72 h after the final treatment with TNBS or EC. Normal group was treated with 1% glucose (vehicle) alone instead of LJ. Memory behaviors were
measured 2 h after the final administration of LJ in Y-maze and passive avoidance task. Mice were killed 2 h after the measurement of memory behaviors. The hippocampus and colon were
removed. The colons were opened longitudinally and gently washed with ice-cold PBS. The specimens were stored at −80 °C until used in the experiment for the assays of enzyme activity,
enzyme-linked immunosorbent assay, and immunoblotting. PASSIVE AVOIDANCE TASK. Passive avoidance task was performed in a two-compartment acrylic box connected a lighted compartment (20 × 20
× 20 cm) to a dark compartment (20 × 20 × 20 cm) by an entrance hole (5 × 5 cm) according to the method of Jung _et al._44 Briefly, in the acquisition trial a mouse was placed in the lighted
compartment 1st, 8th, and 15th day after treatment with TNBS, EC, or its LPS and, when the mouse entered the dark chamber, a 0.3 mA electrical shock for 2 s was given through floor grids. A
retention trial was performed 24 h after the acquisition trial and a latency time to re-enter the dark chamber was measured. Y-MAZE TASK. Y-maze was performed in a three-arm horizontal maze
(40 cm-long and 3 cm-wide with 12 cm-high walls) in which the arms are symmetrically disposed at 120° angles from each other according to the method of Jung _et al._44 The maze floor and
walls were made from dark opaque polyvinyl plastic. A mouse was initially placed within one arm 1st, 8th, and 15th day after treatment with TNBS, EC, or its LPS, and the sequence (i.e.,
ACABC, etc.) and number of arm entries were recorded manually for each mouse for 8 min. An actual alternation was defined as entries into all three arms on consecutive choices (i.e., ABC,
CAB, or BAC but not ABA). Maze arms were thoroughly cleaned between tasks to remove residual odors. Alternation (%) was indicated as follows: alternation (%)=[(number of
alternations)/(number of total arm entries−2)] × 100. The number of arm entries served as an indicator of locomotor activity. ASSAY OF MPO ACTIVITY. A mouse colon was homogenized in 10 mM
potassium phosphate buffer (pH 7.0) containing 0.5% hexadecyl trimethyl ammonium bromide and centrifuged for 10 min at 20 000 _g_ at 4 °C.45 The supernatant (50 μl) was added to the reaction
mixture (0.1 mM H2O2 and 1.6 mM tetramethyl benzidine), incubated at 37 °C for 2 min, and then periodically monitored the absorbance at 650 nm for 5 min. MPO activity was calculated as the
quantity of enzyme degrading 1 μmol ml−1 of peroxide, and expressed in unit per mg protein. ENZYME-LINKED IMMUNOSORBENT ASSAY AND IMMUNOBLOTTING. Mouse colon or hippocampus was homogenized
in the RIPA lysis buffer containing 1% phosphatase inhibitor cocktail and 1% protease inhibitor cocktail on ice and centrifuged at 15 000 _g_ at 4 °C for 15 min. Cultured Caco-2 cells were
homogenized in RIPA lysis buffer containing 1% phosphatase inhibitor cocktail and 1% protease inhibitor cocktail on ice. The cytokine levels in the supernatants were measured using
enzyme-linked immunosorbent assay kit (Ebioscience, Atlanta, GA). For the immunoblotting, the supernatants of the colon and cultured cell homogenates were subjected to SDS-polyacrylamide gel
electrophoresis and transferred to nitrocellulose membrane.45 Proteins were probed with antibodies, detected with horseradish peroxidase-conjugated secondary antibodies, and visualized with
ECL detection kit. LIMULUS AMOEBOCYTE LYSATE ASSAY. Blood and fecal endotoxin contents were determined using the diazo-coupled limulus amoebocyte lysate assays (Cape Cod, E. Falmouth, MA)
according to the method of Kim _et al._41 Briefly, for the determination of blood endotoxin concentration, plasma was diluted in pyrogen-free water 10-fold, inactivated at 70 °C for 10 min,
and then incubated with limulus amoebocyte lysate for 30 min at 37 °C. Addition of reagents led to formation of a magenta derivative that absorbs light at 545 nm. For the determination of
fecal endotoxin concentration, 20 mg of feces from colons was placed in 50 ml of PBS in a pyrogen-free tube and sonicated for 1 h on ice.41 After centrifugation at 400 _g_ for 15 min, the
upper 30 ml was collected, sterilized by filtration through a 0.45 μm filter followed by re-filtration through a 0.22 μm filter, and inactivated for 10 min at 70 °C. The filtered sonicate
was used for the determination of endotoxin. GUT MICROBIOTA ANALYSIS BY PYROSEQUENCING. For the analysis of gut microbiota by pyrosequencing, genomic DNA was extracted from mouse fecal
samples using a commercial DNA isolation kit (QIAamp DNA Stool Mini Kit, Qiagen, Hilden, Germany) following the manufacturer’s protocol. Amplification of genomic DNA was performed using
barcoded primers that targeted the V1 to V3 regions of the bacterial 16S rRNA gene. The amplification, sequencing, and basic analysis were performed according to the method of Kim _et al._41
by using a 454 GS FLX Titanium Sequencing System (Roche, Branford, CT). Sequences for each sample were sorted by a unique barcode and low-quality reads (average quality score <25 or read
length <300 bp) were removed. Sequence reads were identified using the EzTaxon-e database (http://eztaxon-e.ezbiocloud.net/) on the basis of 16S rRNA sequence data. Number of sequence
analyzed, observed diversity richness (operational taxonomic units), estimated OTUs (ACE and Chao1), and coverage indicated in Supplementary Table S1 were calculated using the Mothur program
and defined considering a cutoff value of 97% similarity with the 16S rRNA gene sequences. 454 pyrosquencing reads have been deposited in the NCBI’s short read archive under accession
number PRJNA345398. _IN VIVO_ INTESTINAL PERMEABILITY ASSAY OF LPS. Mice treated with or without EC were dosed with 0.1 ml of Alexa LPS (25 μg ml−1) per 25 g body weight. Normal control mice
were dosed with a corresponding dose of PBS. Exactly 2 h after the administration of LPS, the mice were killed (CO2 and decapitation) and blood was collected from the neck into 50 ml Falcon
tubes containing 100 μl EDTA (0.5 M, pH 8, Thermo Fisher Scientific, Waltham, MA). Blood was centrifuged for 10 min (1,500 _g_ and 4 °C). The resulting plasma was mixed with the same volume
of PBS and the fluorescence was measured in black 96-well microtitre plates (Proxiplate-96F, Perkin Elmer, Waltham, MA) using a FLOUstar Omega (BMG, LABTECH, Ortenberg, Germany) with
excitation at 495 nm and emission at 540 nm. STATISTICAL ANALYSIS. Data are indicated as the mean±s.d. Statistical analysis of the data was performed with analysis of variance and Duncan’s
test. Differences with a _P_<0.05 were considered to be statistically significant. ACCESSION CODES ACCESSIONS SEQUENCE READ ARCHIVE * KY751910 * KY751911 * PRJNA345398 REFERENCES *
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CAS Google Scholar Download references ACKNOWLEDGEMENTS This study was supported by grants from the Bio & Medical Technology Development Program (2013M3A9B6076413) of the National
Research Foundation (NRF) funded by the Korean government (MSIP). AUTHOR CONTRIBUTIONS S.-E.J., M.J.H. and D.-H.K. conceived and designed the study. S.-E.J. and S.-M.L. performed most of the
experiments. J.-J.J., H.-M.J. and J.-J.L. performed part of the experiments. S.-E.J., S.-M.L., M.J.H. and D.-H.K. analyzed data. S.-E.J., M.J.H. and D.-H.K. drafted the paper. All authors
read and approved the final manuscript. AUTHOR INFORMATION Author notes * S-E Jang and S-M Lim: These authors contributed equally to this work. AUTHORS AND AFFILIATIONS * Department of Life
and Nanopharmaceutical Sciences, Kyung Hee University, Seoul, Korea S-E Jang, S-M Lim, J-J Jeong, H-M Jang, H-J Lee & D-H Kim * Department of Food and Nutrition, Kyung Hee University,
Seoul, Korea S-E Jang & M J Han Authors * S-E Jang View author publications You can also search for this author inPubMed Google Scholar * S-M Lim View author publications You can also
search for this author inPubMed Google Scholar * J-J Jeong View author publications You can also search for this author inPubMed Google Scholar * H-M Jang View author publications You can
also search for this author inPubMed Google Scholar * H-J Lee View author publications You can also search for this author inPubMed Google Scholar * M J Han View author publications You can
also search for this author inPubMed Google Scholar * D-H Kim View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to D-H
Kim. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no conflict of interest. ADDITIONAL INFORMATION SUPPLEMENTARY MATERIAL is linked to the online version of the paper
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Gastrointestinal inflammation by gut microbiota disturbance induces memory impairment in mice. _Mucosal Immunol_ 11, 369–379 (2018). https://doi.org/10.1038/mi.2017.49 Download citation *
Received: 02 November 2016 * Accepted: 15 April 2017 * Published: 14 June 2017 * Issue Date: March 2018 * DOI: https://doi.org/10.1038/mi.2017.49 SHARE THIS ARTICLE Anyone you share the
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