Bugs improve nerve regeneration: fasting-induced, microbiome-derived metabolite enhances peripheral nerve regeneration

From Nature:

In a recent study published in Nature, Serger et al. connected intermittent fasting (IF) to gut microbiome alterations and enhanced peripheral nerve regeneration following injury.1 Fasting has been purported to have neuroregenerative effects, but the underlying mechanisms remained unclear. The authors found that IF-induced elevation of IPA (a microbiome-derived metabolite) promotes neutrophil infiltration into the dorsal root ganglia (DRG), which enhances the regeneration of sciatic nerve fibers.

Peripheral nerve injuries, acquired through mechanical stress to the nerve, affect more than 20 million people in the US alone, leading to an enormous social and economic burden.2 Treatment for nerve injuries involves microsurgery and despite advancements there are still major challenges that prevent a full recovery.2 The peripheral nervous system has self-regenerative properties; however, these intrinsic properties are often insufficient and complete recovery is not achieved.2 As a consequence, more than 50% of affected individuals are not satisfied with their sensory recovery, have limited motor recovery, and neuropathic pain often develops.2 Thus, the need for new therapeutic strategies to promote nerve regeneration is urgent. The regenerative effects of environmental factors like diet and calorie restriction have been previously investigated. In their recent study, Serger et al. make an elegant connection between fasting, the gut microbiome, and neuroimmune pathways, which together improve regeneration in a mouse model of nerve injury.

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