The regulation of neuroinflammatory response after stroke by intestinal flora microorganisms

Ischemic stroke (IS) is a severe central nervous system disorder characterized by high incidence, disability, mortality, and recurrence rates, along with numerous complications. The microbiota-gut-brain axis (MGBA) represents a bidirectional communication pathway between the brain and the gut, which...

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Main Authors: Wanying Xie, Xue Yan, Xu Yang, Haitao Sun, Weimin Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Cellular and Infection Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2025.1594834/full
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author Wanying Xie
Xue Yan
Xu Yang
Haitao Sun
Weimin Zhang
Weimin Zhang
author_facet Wanying Xie
Xue Yan
Xu Yang
Haitao Sun
Weimin Zhang
Weimin Zhang
author_sort Wanying Xie
collection DOAJ
description Ischemic stroke (IS) is a severe central nervous system disorder characterized by high incidence, disability, mortality, and recurrence rates, along with numerous complications. The microbiota-gut-brain axis (MGBA) represents a bidirectional communication pathway between the brain and the gut, which can influence the onset and progression of IS through neural, immunoregulatory, and gut metabolite pathways. Recent preclinical and clinical evidence supports the use of fecal microbiota transplantation (FMT), probiotics and prebiotics, dietary interventions, and antibiotics as strategies to suppress neuroinflammation in IS, protect the blood-brain barrier, modulate immune responses, and improve stroke outcomes. In this review, we summarize the manifestations of innate inflammation and adaptive immunity following the onset of IS, highlight the interactions between the MGBA and post-stroke neuroinflammation, and discuss current therapeutic measures, thus providing insights for the development of novel treatment strategies in the future.
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publishDate 2025-06-01
publisher Frontiers Media S.A.
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spelling doaj-art-edd866a1b74742a0a7d930f7994089f22025-08-20T03:22:39ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882025-06-011510.3389/fcimb.2025.15948341594834The regulation of neuroinflammatory response after stroke by intestinal flora microorganismsWanying Xie0Xue Yan1Xu Yang2Haitao Sun3Weimin Zhang4Weimin Zhang5College of Integrated Traditional Chinese and Western Medicine, Changchun University of Chinese Medicine, Changchun, ChinaThe Department of Encephalopathy, The Third Clinical Hospital Affiliated to Changchun University of Traditional Chinese Medicine, Changchun, ChinaThe Department of Encephalopathy, The Third Clinical Hospital Affiliated to Changchun University of Traditional Chinese Medicine, Changchun, ChinaCollege of Integrated Traditional Chinese and Western Medicine, Changchun University of Chinese Medicine, Changchun, ChinaCollege of Integrated Traditional Chinese and Western Medicine, Changchun University of Chinese Medicine, Changchun, ChinaThe Department of Encephalopathy, The Third Clinical Hospital Affiliated to Changchun University of Traditional Chinese Medicine, Changchun, ChinaIschemic stroke (IS) is a severe central nervous system disorder characterized by high incidence, disability, mortality, and recurrence rates, along with numerous complications. The microbiota-gut-brain axis (MGBA) represents a bidirectional communication pathway between the brain and the gut, which can influence the onset and progression of IS through neural, immunoregulatory, and gut metabolite pathways. Recent preclinical and clinical evidence supports the use of fecal microbiota transplantation (FMT), probiotics and prebiotics, dietary interventions, and antibiotics as strategies to suppress neuroinflammation in IS, protect the blood-brain barrier, modulate immune responses, and improve stroke outcomes. In this review, we summarize the manifestations of innate inflammation and adaptive immunity following the onset of IS, highlight the interactions between the MGBA and post-stroke neuroinflammation, and discuss current therapeutic measures, thus providing insights for the development of novel treatment strategies in the future.https://www.frontiersin.org/articles/10.3389/fcimb.2025.1594834/fulldysbiosisgut microbiotaischemic strokemicrobiota-gut-brain axisneuroinflammation
spellingShingle Wanying Xie
Xue Yan
Xu Yang
Haitao Sun
Weimin Zhang
Weimin Zhang
The regulation of neuroinflammatory response after stroke by intestinal flora microorganisms
Frontiers in Cellular and Infection Microbiology
dysbiosis
gut microbiota
ischemic stroke
microbiota-gut-brain axis
neuroinflammation
title The regulation of neuroinflammatory response after stroke by intestinal flora microorganisms
title_full The regulation of neuroinflammatory response after stroke by intestinal flora microorganisms
title_fullStr The regulation of neuroinflammatory response after stroke by intestinal flora microorganisms
title_full_unstemmed The regulation of neuroinflammatory response after stroke by intestinal flora microorganisms
title_short The regulation of neuroinflammatory response after stroke by intestinal flora microorganisms
title_sort regulation of neuroinflammatory response after stroke by intestinal flora microorganisms
topic dysbiosis
gut microbiota
ischemic stroke
microbiota-gut-brain axis
neuroinflammation
url https://www.frontiersin.org/articles/10.3389/fcimb.2025.1594834/full
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