Journal of Neuroinflammation (May 2025)

Gut microbiota deficiency reduces neutrophil activation and is protective after ischemic stroke

  • Ali A. Tuz,
  • Susmita Ghosh,
  • Laura Karsch,
  • Medina Antler,
  • Vivian Lakovic,
  • Sabrina Lohmann,
  • Amber Hope Lehmann,
  • Alexander Beer,
  • Dennis Nagel,
  • Marcel Jung,
  • Nils Hörenbaum,
  • Viola Kaygusuz,
  • Altea Qefalia,
  • Belal Alshaar,
  • Niloufar Amookazemi,
  • Silvia Bolsega,
  • Marijana Basic,
  • Jens T. Siveke,
  • Sven Heiles,
  • Anika Grüneboom,
  • Smiths Lueong,
  • Josephine Herz,
  • Albert Sickmann,
  • Nina Hagemann,
  • Anja Hasenberg,
  • Dirk M. Hermann,
  • Matthias Gunzer,
  • Vikramjeet Singh

DOI
https://doi.org/10.1186/s12974-025-03448-w
Journal volume & issue
Vol. 22, no. 1
pp. 1 – 13

Abstract

Read online

Summary Neutrophils are readily activated immune cells after ischemic stroke in mice and patients. Still, the impact of gut microbiota on neutrophil activation and its influence on inflammatory brain injury remain undefined. We report that natural microbiota colonization of germ-free (GF) mice induces substantial neutrophil activation and deteriorates stroke pathology. The colonized Ex-GF stroke mice had considerably larger infarct sizes and higher sensorimotor deficits than GF littermates. Furthermore, employing an antibiotic-based mouse model of microbiota deficiency, we demonstrate that gut microbiota depletion induces a juvenile neutrophil phenotype characterized by the upregulation of resting state surface receptors, reduced inflammatory proteins, and levels of circulating NETs. This disarming of neutrophil responses was associated with decreased expression of brain inflammatory genes, vascular thrombus formation, reduced infarct size, and alleviated behavioral deficits. We conclude that gut microbes strongly influence neutrophil activation after stroke and thus directly contribute to stroke severity.

Keywords