Serum metabolome and gut microbiome to analyze potential mechanisms of catamenial epilepsy

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This study investigated the interplay between serum metabolomics and gut microbiome composition to elucidate potential underlying mechanisms of catamenial epilepsy.

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Abstract

BACKGROUND: Catamenial epilepsy (CE) is marked by an increase in seizure frequency during specific phases of the menstrual cycle. Advanced techniques such as serum metabolomics and 16S rRNA sequencing are being employed to investigate potential mechanisms and therapeutic approaches for managing CE. METHODS: A total of 30 epilepsy patients (15 with CE and 15 temporal epilepsy) along with 15 healthy controls, were enrolled in this study. Human fecal samples and serum were collected for metabolomics analysis and 16S rDNA sequencing, respectively. RESULTS: A total of 117 candidate metabolites and eight gut microbiota specific to CE were identified. Glycerophospholipid pathways were the most enriched among the candidate metabolites. Notably, serum lysophosphatidylinositol (LPI) 20:4 was associated with an increased seizure frequency. Additionally, differential gut metabolites were found to affect γ-aminobutyric acid degradation. A network linking sex hormones, metabolites, and gut microorganisms was constructed. CONCLUSION: Findings clarify metabolite-microbiome-brain axis interactions, aiding CE pathogenesis understanding.

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MeSH descriptors

Epilepsy Epilepsy Epilepsy Epilepsy Gastrointestinal Microbiome Gastrointestinal Microbiome Metabolome Metabolome Adult Feces Feces Female Humans Metabolomics RNA, Ribosomal, 16S RNA, Ribosomal, 16S Young Adult

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openalex
last seen: 2026-05-11T05:49:40.447239+00:00
pubmed
last seen: 2026-10-08T21:52:40.663774+00:00
unpaywall
last seen: 2026-10-18T06:28:46.490043+00:00
License: CC0 · commercial use OK