Nitrate ameliorates alcohol-induced cognitive impairment via oral microbiota

Abstract Alcohol use is associated with cognitive impairment and dysregulated inflammation. Oral nitrate may benefit cognitive impairment in aging through altering the oral microbiota. Similarly, the beneficial effects of nitrate on alcohol-induced cognitive decline and the roles of the oral microbi...

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Main Authors: Xiangxue Li, Zhaojun Ni, Weixiong Shi, Kangqing Zhao, Yanjie Zhang, Lina Liu, Zhong Wang, Jie Chen, Zhoulong Yu, Xuejiao Gao, Ying Qin, Jingwen Zhao, Wenjuan Peng, Jie Shi, Thomas R. Kosten, Lin Lu, Lei Su, Yanxue Xue, Hongqiang Sun
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Journal of Neuroinflammation
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Online Access:https://doi.org/10.1186/s12974-025-03439-x
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author Xiangxue Li
Zhaojun Ni
Weixiong Shi
Kangqing Zhao
Yanjie Zhang
Lina Liu
Zhong Wang
Jie Chen
Zhoulong Yu
Xuejiao Gao
Ying Qin
Jingwen Zhao
Wenjuan Peng
Jie Shi
Thomas R. Kosten
Lin Lu
Lei Su
Yanxue Xue
Hongqiang Sun
author_facet Xiangxue Li
Zhaojun Ni
Weixiong Shi
Kangqing Zhao
Yanjie Zhang
Lina Liu
Zhong Wang
Jie Chen
Zhoulong Yu
Xuejiao Gao
Ying Qin
Jingwen Zhao
Wenjuan Peng
Jie Shi
Thomas R. Kosten
Lin Lu
Lei Su
Yanxue Xue
Hongqiang Sun
author_sort Xiangxue Li
collection DOAJ
description Abstract Alcohol use is associated with cognitive impairment and dysregulated inflammation. Oral nitrate may benefit cognitive impairment in aging through altering the oral microbiota. Similarly, the beneficial effects of nitrate on alcohol-induced cognitive decline and the roles of the oral microbiota merit investigation. Here we found that nitrate supplementation effectively mitigated cognitive impairment induced by chronic alcohol exposure in mice, reducing both systemic and neuroinflammation. Furthermore, nitrate restored the dysbiosis of the oral microbiota caused by alcohol consumption. Notably, removing the oral microbiota led to a subsequent loss of the beneficial effects of nitrate. Oral microbiota from donor alcohol use disordered humans who had been taking the nitrate intervention were transplanted into germ-free mice which then showed increased cognitive function and reduced neuroinflammation. Finally, we examined 63 alcohol drinkers with varying levels of cognitive impairment and found that lower concentrations of nitrate metabolism-related bacteria were associated with higher cognitive impairment and lower nitrate levels in plasma. These findings highlight the protective role of nitrate against alcohol-induced cognition impairment and neuroinflammation and suggest that the oral microbiota associated with nitrate metabolism and brain function may form part of a “microbiota-mouth-brain axis”.
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series Journal of Neuroinflammation
spelling doaj-art-e5bb4aea98bb4aa3a09da898bdbdf9832025-08-20T03:18:39ZengBMCJournal of Neuroinflammation1742-20942025-04-0122111610.1186/s12974-025-03439-xNitrate ameliorates alcohol-induced cognitive impairment via oral microbiotaXiangxue Li0Zhaojun Ni1Weixiong Shi2Kangqing Zhao3Yanjie Zhang4Lina Liu5Zhong Wang6Jie Chen7Zhoulong Yu8Xuejiao Gao9Ying Qin10Jingwen Zhao11Wenjuan Peng12Jie Shi13Thomas R. Kosten14Lin Lu15Lei Su16Yanxue Xue17Hongqiang Sun18Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)NHC Key Laboratory of Human Disease Comparative Medicine, Institute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences (CAMS) & Comparative Medicine Center, Peking Union Medical College (PUMC)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical UniversityPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Addiction Medicine Department, The Second People’s Hospital of Guizhou ProvinceAddiction Medicine Department, The Second People’s Hospital of Guizhou ProvinceAddiction Medicine Department, The Second People’s Hospital of Guizhou ProvinceNational Institute On Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking UniversityDepartment of Psychiatry, Pharmacology, Neuroscience, Immunology, Baylor College of MedicinePeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)NHC Key Laboratory of Human Disease Comparative Medicine, Institute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences (CAMS) & Comparative Medicine Center, Peking Union Medical College (PUMC)National Institute On Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking UniversityPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Abstract Alcohol use is associated with cognitive impairment and dysregulated inflammation. Oral nitrate may benefit cognitive impairment in aging through altering the oral microbiota. Similarly, the beneficial effects of nitrate on alcohol-induced cognitive decline and the roles of the oral microbiota merit investigation. Here we found that nitrate supplementation effectively mitigated cognitive impairment induced by chronic alcohol exposure in mice, reducing both systemic and neuroinflammation. Furthermore, nitrate restored the dysbiosis of the oral microbiota caused by alcohol consumption. Notably, removing the oral microbiota led to a subsequent loss of the beneficial effects of nitrate. Oral microbiota from donor alcohol use disordered humans who had been taking the nitrate intervention were transplanted into germ-free mice which then showed increased cognitive function and reduced neuroinflammation. Finally, we examined 63 alcohol drinkers with varying levels of cognitive impairment and found that lower concentrations of nitrate metabolism-related bacteria were associated with higher cognitive impairment and lower nitrate levels in plasma. These findings highlight the protective role of nitrate against alcohol-induced cognition impairment and neuroinflammation and suggest that the oral microbiota associated with nitrate metabolism and brain function may form part of a “microbiota-mouth-brain axis”.https://doi.org/10.1186/s12974-025-03439-xAlcohol drinkersCognitive impairmentOral microbiotaNeuroinflammationNitrate
spellingShingle Xiangxue Li
Zhaojun Ni
Weixiong Shi
Kangqing Zhao
Yanjie Zhang
Lina Liu
Zhong Wang
Jie Chen
Zhoulong Yu
Xuejiao Gao
Ying Qin
Jingwen Zhao
Wenjuan Peng
Jie Shi
Thomas R. Kosten
Lin Lu
Lei Su
Yanxue Xue
Hongqiang Sun
Nitrate ameliorates alcohol-induced cognitive impairment via oral microbiota
Journal of Neuroinflammation
Alcohol drinkers
Cognitive impairment
Oral microbiota
Neuroinflammation
Nitrate
title Nitrate ameliorates alcohol-induced cognitive impairment via oral microbiota
title_full Nitrate ameliorates alcohol-induced cognitive impairment via oral microbiota
title_fullStr Nitrate ameliorates alcohol-induced cognitive impairment via oral microbiota
title_full_unstemmed Nitrate ameliorates alcohol-induced cognitive impairment via oral microbiota
title_short Nitrate ameliorates alcohol-induced cognitive impairment via oral microbiota
title_sort nitrate ameliorates alcohol induced cognitive impairment via oral microbiota
topic Alcohol drinkers
Cognitive impairment
Oral microbiota
Neuroinflammation
Nitrate
url https://doi.org/10.1186/s12974-025-03439-x
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