Source: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER submitted to NRP
GINGER AND THE MICROBIOTA-GUT-BRAIN CONNECTION IN SCIATIC PAIN INDIVIDUALS
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
ACTIVE
Funding Source
Reporting Frequency
Annual
Accession No.
1032322
Grant No.
2024-67018-42457
Cumulative Award Amt.
$607,561.00
Proposal No.
2023-08169
Multistate No.
(N/A)
Project Start Date
Jun 1, 2024
Project End Date
May 31, 2027
Grant Year
2024
Program Code
[A1343]- Food and Human Health
Recipient Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
3601 4TH STREET
LUBBOCK,TX 794300002
Performing Department
(N/A)
Non Technical Summary
Neuropathic pain affects the quality of life of many Americans. Non-pharmacological strategies such as bioactive compounds in foods are being explored as therapeutics but can also serve as tools to better understand pain mechanisms. We previously reported ginger reduced neuropathic pain and favored gut microbiome in animals. This study is to test how 2 months of ginger supplementation would affect individuals with sciatica. We plan to recruit direct person-to-person sonication in clinics, health fairs, community events, flyers, non-solicited email system, campus announcements, Clinical Research Institute website, local radio, newspapers, senior newsletters, and TV scripts. We plan to enroll approximately 200-250 patients to obtain 80-100 qualified subjects at the start of the study. After screening, qualified participants will be randomly assigned to a no-ginger group or ginger group. This study will focuse on gut funcation (gut microbiota composition, fecal metabolites, and plasma markers for leaky gut) (primayr outcome), blood metabolies, and brain activity (secondary outcome). In addition, this study will monitor safety as well as the changes in dietary intake, physical activity, and OTC.All outcomes will be assessed at baseline and after 2 months of intervention. Data will be analyzed statistically.
Animal Health Component
70%
Research Effort Categories
Basic
30%
Applied
70%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70214591010100%
Goals / Objectives
Neuropathic pain affects the quality of life of many Americans. Non-pharmacological strategies such as bioactive compounds in foods are being explored as therapeutics but can also serve as tools to better understand pain mechanisms. We previously reported that gingerols-enriched ginger (GEG) supplementation palliated pain-spectrum behaviors in animals with neuropathic pain via the microbiota-gut-brain axis. The proposed study is primarily designed to use GEG supplementation for the better understanding of the role of microbiota-gut-brain interactions in sciatica states in a randomized, double-blinded, and placebo-controlled trial. Eighty participants (40 lean and 40 obese with sciatica) will be randomized to receive placebo (2000 mg starch daily) or GEG (2000 mg daily) for 2 months. We will evaluate the effects of GEG supplementation on gut function measured as gut microbiota composition using 16S rRNA sequencing analysis, intestinal permeability based on plasma lipopolysaccharide binding protein and fecal zonulin using ELISA, and fecal metabolites using LC-MS/MS analysis (SA 1); on neuroinflammation in whole blood mRNA using nCounter® Neuroinflammation Panels analysis (SA 2); and on pain-associated outcomes and brain neuroplasticity by assessing functional (resting state-fMRI) and structural (Diffusion Tensor Imaging) connectivity, and correlations between pain and gut function, neuroinflammation, and brain neuroplasticity (SA 3). The study will monitor for safety, dietary intake, physical activity, and concomitant medication/OTC/therapies. The study addresses the program area of FY2022 Program Area Priority of Food Safety, Nutrition, and Health (A1343) priority: "Investigate components of foods and their impact on the gut microbiota to improve human health".
Project Methods
SA1. We will evaluate the effects of GEG supplementation on gut function measured as gut microbiota composition using 16S rRNA sequencing analysis, intestinal permeability based on plasma lipopolysaccharide binding protein and fecal zonulin using ELISA, and fecal metabolites using LC-MS/MS analysisSA2.We will evaluate the effects of GEG supplementation on neuroinflammation in whole blood mRNA using nCounter® Neuroinflammation Panels analysisSA 3. We will evaluate the effects of GEG supplementationon pain-associated outcomes and brain neuroplasticity by assessing functional (resting state-fMRI) and structural (Diffusion Tensor Imaging) connectivity, and correlations between pain and gut function, neuroinflammation, and brain neuroplasticity

Progress 06/01/24 to 05/31/25

Outputs
Target Audience:This project has provided research/experiential learning opportunities in FDA-IND preparation and application process, IRB preparation, regulatory and approval process, clinicaltrials.gov registration, SOP establishment and team staff training to 2 postdoctoral research associates and 1 medical student. Changes/Problems:The major changes of this project include: A change in the ginger supplement: As suggested by FDA and confirmed with the supplement vendor, we will use 5% gingerols ginger extract instead of using 20% gingerols-enriched ginger extract for this study. With the commitment of the study supplement vendor, we have provided FDA all Certificate of Analysis (COA) for raw material of ginger extract, empty capsules, and finished supplement products. Our final ginger supplement (5% gingerol) for an 8-week intervention has been reported in asthma patients in the Zhang 2022 study showing no clinical concern (Zhang 2022, doi: 10.1021/acs.jafc.2c03150). Such a change will have no significant impact on either the overall goal of the project or the rate of expenditure. This change has been approved by the TTUHSC IRB full board meeting. Problems: Although we had encountered an unexpected delay due to FDA-IND/IRB process, our experienced research team, especially study physicians, are proactively assisting in participant enrollment. What opportunities for training and professional development has the project provided?Through preclinical studies, we provided training to two senior research associates in the conceptual aspects of research into bioactive compounds in pain conditions. How have the results been disseminated to communities of interest?Due to the delays mentioned above and because this is the first year of the recruitment phase, we don't have any results to disseminate to communities of interest. However, we have published the following two papers which are in the field of current project. Shen CL, Hassan T, Presto P, Payberah D, Devega R, Wakefield S, Dunn DM, Neugebauer V. Novel insights into dietary bioactive compounds and major depressive disorders: evidence from animal studies and future perspectives. Journal of Nutrition, 2025 Apr 22:S0022-3166(25)00190-7. doi: 10.1016/j.tjnut.2025.04.006. Online ahead of print. Shen CL, Santos JM, Elmassry MM, Chen F, Ji G, Presto P, Kiritoshi T, Liu X, Neugebauer V. Crosstalk among gut microbiota, fecal metabolites, and amygdala neuropathology genes after ginger polyphenols administration in female rats with neuropathic pain: evidence for microbiota-gut-brain connection. Nutrients. 2025 Apr 25;17(9):1444. doi: 10.3390/nu17091444. What do you plan to do during the next reporting period to accomplish the goals?We plan to finish 50% subject recruitment (targeted number 40 subjects) and also complete study intervention (placebo vs. ginger) for 8 weeks. We will have data from the pain survey and fMRI imaging (SA 3) collected at the baseline and after 8 weeks intervention. The specimen including blood and stools will be archived and stored at -80°C prior to laboratory analysis. The PD/Shen will have weekly meetings with study coordinator, laboratory team member, and any involved personnel to discuss study progress and provide timely feedback.

Impacts
What was accomplished under these goals? During the first 2 months, we have prepared and submitted our study protocol for an IRB approval and we were advised to check with the FDA whether or not an Investigational New Drug (IND) was required. The following 4 months were spent with communications among the FDA, ginger supplement vendor, and research team for IND approval. Then, it took another 2 months for our IRB approval. During that time, we trained our study team, set up all laboratory-related tasks and workflow, arranged Material Transfer Agreement (MTA) between supplement vendor and TTUHSC, and established SOP for the proposed work. Currently, we are taking the following approaches to promote participant enrollment from Lubbock and surrounding areas in Texas: TTUHSC Lubbock Clinics of our study physicians by flyers with QR code, Grace Clinic, TTUHSC Lubbock electronic medical records including advertisements through newspaper (Lubbock Avalanche-Journal), senior newsletters (Lubbock Senior Link Magazine), listservs, as well as direct person-to-person solicitation in the TTUHSC Lubbock clinics, health fairs (Healthwise Expo), flyers, and campus announcements. We have completed a study protocol manuscript (title: Ginger and the microbiota-gut-brain connection in sciatic pain individuals: study protocol for a double-blinded placebo-controlled randomized trial) for publication. Although we have encountered an unexpected delay due to FDA-IND/IRB process, our experienced research team, especially study physicians, are proactively assisting in participant enrollment, and we are now ready to perform the proposed work.

Publications

  • Type: Peer Reviewed Journal Articles Status: Published Year Published: 2025 Citation: Shen CL, Hassan T, Presto P, Payberah D, Devega R, Wakefield S, Dunn DM, Neugebauer V. Novel insights into dietary bioactive compounds and major depressive disorders: evidence from animal studies and future perspectives. Journal of Nutrition, 2025 Apr 22:S0022-3166(25)00190-7.
  • Type: Peer Reviewed Journal Articles Status: Published Year Published: 2025 Citation: Shen CL, Santos JM, Elmassry MM, Chen F, Ji G, Presto P, Kiritoshi T, Liu X, Neugebauer V. Crosstalk among gut microbiota, fecal metabolites, and amygdala neuropathology genes after ginger polyphenols administration in female rats with neuropathic pain: evidence for microbiota-gut-brain connection. Nutrients. 2025 Apr 25;17(9):1444.