# Effects of sex-dependent susceptibility to CNS inflammatory demyelination on the intestinal mucosa

> **NIH NIH P20** · BOISE STATE UNIVERSITY · 2022 · $140,500

## Abstract

More women suffer multiple sclerosis (MS) than men. The female-to-male ratio is 2:1, with some studies 
broadening it to 3:1. A similar pattern is observed in experimental disease models, although the sex-dependent 
susceptibility is subjected to the genetic background. Another biological variable that affects the disease 
establishment and progression is the gut microbiota. Studies from our lab and others showed that the significant 
reduction or complete absence of gut microbiota reduces the severity and progression of experimental 
autoimmune encephalomyelitis (EAE). Reciprocally, disease onset alters the gut microbiota composition and 
increases intestinal permeability suggesting that the gut-microbiota-brain axis acts bidirectionally. While most 
microbiota studies compare the fecal microbial composition, the effects of disease on the microbiota composition 
of the mucosal layer remain unknown. Exploring this knowledge gap is significant because gut microbes 
modulate the production and integrity of the gut mucus, an extracellular matrix (ECM), and tight junction 
expression in epithelial cells. Since sex-dependent microbiota differences have been described in EAE mice, we 
hypothesize that disease susceptibility in females and males is directly associated with changes in the 
microbiota associated with the intestinal mucosal ECM, resulting in increased microbial translocation to 
the lamina propria, local and systemic inflammation, which subsequently leads to increased 
neuroinflammation and disease severity. We propose evaluating the effects of the sex-dependent EAE 
susceptibility in the microbiota composition of the gut lumen and ECM, intestinal permeability, systemic and CNS 
inflammation, and the effects of microbiota interventions in the intestinal ECM and disease progression. We will 
use two different EAE models with different sex-dependent susceptibility: the SJL/J EAE model with only female 
mice being susceptible to the disease and the C57BL/6J model with both females and males susceptible to EAE. 
We recently showed that the oral treatment with the isoprenoid farnesol, a microbial biofilm regulator protected 
EAE mice against the disease. We now hypothesize that the treatment with farnesol regulates biofilm formation 
in the microbiota-ECM resulting in increased overall intestinal integrity in sex-dependent EAE susceptible mice. 
We propose three specific aims to determine whether the disease in sex-dependent EAE susceptible mice 
promotes a microbiota-ECM architecture that contributes to local, systemic, and CNS inflammation and whether 
the oral treatment with farnesol reverses the effects of disease on microbiota and integrity of the gut epithelium 
and mucosa. The project would extend our understanding of the protective effects of isoprenoids against 
neuroinflammation by directly targeting MS and studying the gut mucosal layer, an extracellular glycoproteinbased 
matrix.

## Key facts

- **NIH application ID:** 10731325
- **Project number:** 5P20GM109095-09
- **Recipient organization:** BOISE STATE UNIVERSITY
- **Principal Investigator:** Javier Ochoa-Reparaz
- **Activity code:** P20 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $140,500
- **Award type:** 5
- **Project period:** 2022-11-01 → 2024-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10731325

## Citation

> US National Institutes of Health, RePORTER application 10731325, Effects of sex-dependent susceptibility to CNS inflammatory demyelination on the intestinal mucosa (5P20GM109095-09). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10731325. Licensed CC0.

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