2nd Faculty of Medicine, Charles University
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease affecting the motor system, leading to muscle atrophy and eventually to respiratory failure and death. The etiology and pathophysiology of ALS remain poorly understood, hindering the search for a cure. One of the hallmarks of ALS pathology is neuroinflammation, which involves the activation of microglia in the central nervous system (CNS). Additionally, emerging evidence suggests that ALS is associated with alterations in the gut microbiota and intestinal inflammation, indicating a potential link through the gut-brain axis. These findings highlight microbiota transplant (FMT) as a therapeutic approach for ALS.
We aim to test the efficacy of two FMT protocols with continuous evaluation of muscular strength, motor coordination and body weight, and monitoring of lifespan. To analyze whether a reduction of inflammation accompanies the alleviation of the ALS phenotype, we will immunohistochemically analyze brain and spinal microglia. Furthermore, we are going to analyze the cerebrospinal fluid samples regarding microbial metabolites translocated from the gut, neurotransmitters, cytokines and neurotrophic factors, to evaluate the extent of inflammation. Moreover, we aim to clarify the effect of FMT treatment on the function of the nervous system at the cellular and molecular level, especially the activation of microglia in the brain and spinal cord and its subsequent effect on the function and viability of motor neurons and astrocytes. Immunohistochemistry will also be used to evaluate the beneficial effect of FMT on the loss of motor neurons. We hypothesize that FMT treatment has the potential to delay symptom onset, improve motor function, and prolong the lifespan by reducing the neuroinflammation. Confirmation of this hypothesis would make FMT a promising therapeutic approach for ALS and other diseases associated with neuroinflammation.