Evidence map›Paper›PMID 42458594›Full record

ArticleMicrobiome2026

Inulin alleviates vascular cognitive impairment by restoring prefrontal GABAergic function via microbiota-SCFA-GPR41/43 axis.

Zhiying Zou, Junxiu Xi, Juan Li, Bo Lian, Cairui Fan, Haichao Cao, Weiping Liu, Shengxi Wu, Qianfa Long, Yue Hei

Abstract read
PubMed Publisher
In one paragraph

Article in Microbiome, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Zhiying Zou *Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Junxiu Xi *Department of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Juan LiDepartment of Neurosurgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Bo LianDepartment of Clinical Nutrition, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Cairui FanDepartment of Neurosurgery, PLA 187 Center Hospitals (928Th Hospital of the PLA Joint Logistics Support Force), Haikou, China.
Haichao CaoXijing 986 Hospital Department, Fourth Military Medical University, Xi'an, China.
Weiping LiuNeurology Hospital, Xi'an People's Hospital, Northwest University, Xi'an, China.
Shengxi WuDepartment of Neurobiology, School of Basic Medicine, Fourth Military Medical University, Xi'an, China.
Qianfa LongDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China. lonva@live.cn.
Yue HeiXijing Hospital, Fourth Military Medical University, Xi'an, China. heiyue@fmmu.edu.cn.ORCID https://orcid.org/0000-0003-2375-8933

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascular cognitive impairment (VCI) impairs medial prefrontal cortex (mPFC) function, a cognitive hub reliant on intact GABAergic transmission. Although prebiotics may counteract VCI by remodeling the gut microbiota, the underlying mechanisms remain unclear. This study investigated whether the prebiotic inulin could improve VCI by restoring mPFC GABAergic function via the gut-brain axis.

resultsIn a mouse model of VCI induced by bilateral carotid artery stenosis (BCAS), inulin supplementation ameliorated cognitive deficits and anxiety-like behaviors and reshaped the gut microbiota, particularly enriching SCFA-producing genera such as Ruminococcaceae. Antibiotic depletion abolished inulin's cognitive and intestinal barrier benefits, confirming microbiota dependence. In the mPFC, inulin reversed VCI-induced reductions in GABAergic synaptic transmission and GABA levels, which positively correlated with elevated colon short-chain fatty acid (SCFA) levels. Mechanistically, these effects were linked to the upregulation of SCFA receptors GPR41/43 and presynaptic restoration. Critically, shRNA-mediated knockdown of GPR41/43 abolished the behavioral and GABAergic benefits of SCFA supplementation, confirming the necessity of this signaling axis. Furthermore, to show the role of GABAergic function as inulin's final common pathway, pharmacological blockade of GABAergic signaling with bicuculline eliminated inulin's cognitive and anti-inflammatory benefits.

conclusionInulin alleviates VCI by elevating gut-derived SCFAs, which activate neuronal GPR41/43 in the mPFC to restore GABAergic function. These findings delineate a clear gut-mPFC pathway and support the therapeutic potential of inulin as an intervention targeting the microbiota-SCFA-GABA axis in cognitive disorders. Video Abstract.

Indexed as

Cognitive DysfunctionFatty Acids, Volatilegamma-Aminobutyric AcidGastrointestinal MicrobiomeInulinPrefrontal CortexReceptors, G-Protein-CoupledAnimalsDisease Models, AnimalMaleMiceMice, Inbred C57BLPrebioticsFatty Acids, Volatilegamma-Aminobutyric AcidGpcr41 protein, mouseInulinPrebioticsReceptors, G-Protein-CoupledGABAergic systemGut-brain axisGut microbiotaInulinShort-chain fatty acidVascular cognitive impairment

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.