Kynurenine pathway metabolomics in heatstroke: a validated LC-MS/MS method reveals compartment-specific neurochemical disruption in a murine model.

Heat stroke is characterized by profound central nervous system dysfunction and vascular abnormalities. Previous studies have demonstrated the marked vulnerability of the CNS to thermal stress, resulting in neuronal injury and glial activation. However, the metabolic mechanisms linking acute injury to chronic neurological long-term effects remain understood. The neuropathological changes are closely associated with neuroinflammatory and metabolic disturbances, including dysregulation of the kynurenine pathway, whose metabolites modulate neurotoxicity, neuroprotection, and immune responses. Here, we present the first comprehensive characterization of kynurenine pathway metabolomic profile across both plasma and brain tissue in a mouse model of heat stroke. Using a validated and sensitive LC-MS/MS method, we simultaneously measured and quantified 13 analytes (kynurenine, kynurenic acid, quinolinic acid, nicotinic acid, picolinic acid, xanthurenic acid, anthranilic acid, 3-hydroxykynurenine, 3-hydroxyanthranilic acid, indole-3-acetic acid, indole-3-lactic acid, 5-hydroxyindoleacetic acid and neopterin). The findings reveal a biphasic metabolic response, characterized by an acute serotonergic disruption and reduced neuroprotective capacity, followed by chronic activation of the kynurenine pathway, depletion of central serotonin metabolites, and metabolic signatures consistent with gut microbiota dysbiosis. The acute phase is marked by a transient imbalance favoring neurotoxic kynurenine pathway metabolites, whereas the chronic phase reflects sustained pathway activation. Notably, the plasma-brain dissociation of 5-hydroxyindoleacetic acid emerged as the most prominent cross-compartment finding, suggesting a potential biomarker of central serotonergic depletion and a mechanistic link between peripheral and central metabolic changes, with implications for therapeutic targeting during the subacute recovery phase.