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Peer-reviewedCC BY-NC-NDBMC gastroenterology

Parabacteroides distasonis ameliorates methylphenidate hydrochloride-induced colonic inflammatory responses and associated gastrointestinal distress.

1 more authors
6 affiliations
  1. 1Department of Occupational and Environmental Health, College of Public Health, Chongqing Medical University, No.1, Yixueyuan Road, Yuzhong District, Chongqing, 400016, People's Republic of China.
  2. 2Growth, Development and Mental Health Center of Children and Adolescents, Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, 400014, People's Republic of China.
  3. 3Department of Toxicology, Institute of Reproductive and Child Health/National Health Commission Key Laboratory of Reproductive Health, School of Public Health, State Key Laboratory of Female Fertility Promotion, Peking University, Beijing, 100191, People's Republic of China.
  4. 4Department of Health Laboratory Technology, College of Public Health, Chongqing Medical University, No.1, Yixueyuan Road, Yuzhong District, Chongqing, 400016, People's Republic of China.
  5. 5Department of Health Laboratory Technology, College of Public Health, Chongqing Medical University, No.1, Yixueyuan Road, Yuzhong District, Chongqing, 400016, People's Republic of China. [email protected].
  6. 6Department of Occupational and Environmental Health, College of Public Health, Chongqing Medical University, No.1, Yixueyuan Road, Yuzhong District, Chongqing, 400016, People's Republic of China. [email protected].

Abstract

Background

Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in childhood, with methylphenidate hydrochloride (MPH) as its first-line pharmacotherapy. Though effective, MPH is associated with underrecognized gastrointestinal adverse events warranting further investigation. Recently, the gut microbiota has attracted attention for treating gastrointestinal distress, but research on its role in alleviating MPH-induced gastrointestinal reactions remains scarce.Methods

Herein, Wistar-Kyoto rats (WKY) served as controls alongside spontaneously hypertensive rats (SHR) to explore MPH-induced gastrointestinal adverse drug reactions. The gastrointestinal phenotypes, colonic histopathological characteristics, and inflammatory factor levels were evaluated, and the gut microbiota profiles were analyzed via 16S rRNA gene sequencing. The protective effect of Parabacteroides distasonis (P. distasonis) was further verified by supplementing the treated rats with this strain.Results

We demonstrated MPH induced diarrhea and colonic inflammatory responses in rats. 16S rRNA gene amplicon sequencing revealed that MPH-treated rats had significantly decreased gut microbiota health index, increased dysbiosis index, and reduced P. distasonis abundance, suggesting MPH-induced gastrointestinal reactions may correlate closely with reduced P. distasonis. Further experiments confirmed that P. distasonis supplementation effectively alleviated diarrhea and colonic inflammatory responses in MPH-treated rats.Conclusions

Collectively, this is the first study verifying that P. distasonis supplementation mitigates MPH-induced gastrointestinal adverse reactions, providing a novel intervention strategy to improve tolerance of ADHD pharmacotherapy.

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BibTeX
@article{yao2026parabacteroides,
  title = {{Parabacteroides distasonis ameliorates methylphenidate hydrochloride-induced colonic inflammatory responses and associated gastrointestinal distress.}},
  author = {Jinwen Yao and Xia Gao and Lin Zhu and Linlin Wang and Qian Chen and Weijuan Liang and Huaili Feng and Ting You and Changli Wei and Yuqi Liu and Hongyang Zhang and Chengzhi Chen and Li Chen},
  journal = {BMC gastroenterology},
  year = {2026},
  month = jul,
  doi = {10.1186/s12876-026-05079-8},
  url = {https://europepmc.org/article/MED/42897488},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Parabacteroides distasonis ameliorates methylphenidate hydrochloride-induced colonic inflammatory responses and associated gastrointestinal distress.
AU  - Jinwen Yao
AU  - Xia Gao
AU  - Lin Zhu
AU  - Linlin Wang
AU  - Qian Chen
AU  - Weijuan Liang
AU  - Huaili Feng
AU  - Ting You
AU  - Changli Wei
AU  - Yuqi Liu
AU  - Hongyang Zhang
AU  - Chengzhi Chen
AU  - Li Chen
PY  - 2026
DA  - 2026/07/01
JO  - BMC gastroenterology
DO  - 10.1186/s12876-026-05079-8
UR  - https://europepmc.org/article/MED/42897488
AB  - Background  Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in childhood, with methylphenidate hydrochloride (MPH) as its first-line pharmacotherapy. Though effective, MPH is associated with underrecognized gastrointestinal adverse events warranting further investigation. Recently, the gut microbiota has attracted attention for treating gastrointestinal distress, but research on its role in alleviating MPH-induced gastrointestinal reactions remains scarce.Methods  Herein, Wistar-Kyoto rats (WKY) served as controls alongside spontaneously hypertensive rats (SHR) to explore MPH-induced gastrointestinal adverse drug reactions. The gastrointestinal phenotypes, colonic histopathological characteristics, and inflammatory factor levels were evaluated, and the gut microbiota profiles were analyzed via 16S rRNA gene sequencing. The protective effect of Parabacteroides distasonis (P. distasonis) was further verified by supplementing the treated rats with this strain.Results  We demonstrated MPH induced diarrhea and colonic inflammatory responses in rats. 16S rRNA gene amplicon sequencing revealed that MPH-treated rats had significantly decreased gut microbiota health index, increased dysbiosis index, and reduced P. distasonis abundance, suggesting MPH-induced gastrointestinal reactions may correlate closely with reduced P. distasonis. Further experiments confirmed that P. distasonis supplementation effectively alleviated diarrhea and colonic inflammatory responses in MPH-treated rats.Conclusions  Collectively, this is the first study verifying that P. distasonis supplementation mitigates MPH-induced gastrointestinal adverse reactions, providing a novel intervention strategy to improve tolerance of ADHD pharmacotherapy.
SN  - 1471-230X
ER  -