Role of microbiota in Affective Disorders Flashcards

1
Q

How much of our body is microbiome?

A

Around 1-3% of our body mass

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2
Q

What is a microbiota and microbiome?

A

Microbiota is the community of microorganisms associated with an environment (Or body area)

Microbiome: Community of microbiome, their environment and their genetics.

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3
Q

What did David Phillip Vetter teach us about microbiomes?

A

That living in a microbe free world is harmful to the development of a strong immune system.

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4
Q

What is the gut microbiota?

A

It is the 10 to the power 13 microbes that live in our intestinal tract.

Colonisation starts at birth

Effected by many factors

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5
Q

What are some of the functions of the gut microbiota?

A

Regulate immune system

contribute to digestive architecture

Protect us from pathogenes

Aid in digestion

Provide nutrients

Metabolize indegestible nutrieints

maintain intestinal barrier

Produce neurotransmitters

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6
Q

When our gut is not fortified by microbiota what can occur?

A

Leaky gut syndrome leading to IBS and inflammation which can in turn cause mood disorders

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7
Q

What is the gut brain axis?

A

The complex bi-directional communications between these two areas that transcends:

Endocrine system
Immune system
CNS
Enteric nervous system

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8
Q

How does one study the microbiota between groups?

A

Via stool samples

Commonly Sequencing the 165 rRNA

Checking for Diversity and Abundance

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9
Q

What has been found with regards to gut microbiota and mood disorders?

A

Small studies:

Depression:
Decrease diversity in depression

Reduced levels of Bifido and Faecalibactterium

Increased diversity in proinflamatory bacteria in depressed patients

Similar finding for Bi-Polar

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10
Q

What did a meta-analysis find regarding microbiota and mental illness?

A

59 studies:

No significant difference found other than in Bi-polar

No specific microbiota finding per disorder

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11
Q

In what ways can you study the gut microbiota?

A

Generally adding something or taking something away

Faecal transplant
Probiotic or medicine
Infection
Germ Free transgenic mice
Antibiotics to wipe microbiota
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12
Q

What have the animal studies on the use of probiotics found?

A

Effects:

Increased stress response

Defictis in social behaviour

Memory and learning deficit

Probiotics can reverse or treat these symptoms

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13
Q

What ways does the Gut brain axis effect mood disorders?

A

HPA axis can create excess cortisol

Microbiota creates tryptophan

Short Chain Fatty Acids help reduce Pro-inflammatory cytokines

Direct connection of Vagus nerve and the gut via enteric nervous system

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14
Q

In what ways has probiotics been shown to improve mood disorders in animal studies?

A

1: Reduce HPA-AXIS cortisol abundance
2: Reduce proinflamatory cytokines
3: Help produce tryptophan
4: Encourage BDNF

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15
Q

What is the main intervention to improve gut microbiota?

A

Dietary intervention:

Reduce processed foods, salt, sugar

Increase fruit, veg and grains as well as omega 3.

Problem: People don’t have motivation to stick to it

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16
Q

What are probiotics and where can we find them?

A

Food supplements that contain only Good Bacteria already found in Gut and known to be safe.

Kimchi, sauerkraut, cheese, yoghurt, ginger

17
Q

what are prebiotics?

A

Non-degestible fibre, therefore promote these microbiota to break it down.

Not much clinical research

Onions, green bananas, garlic and onions, cocoa.

18
Q

What are synbiotics and Psychobiotics?

A

Synbiotics: Combo of pre and pro biotic

Psychobiotics:
Supplements that when taken improve psychiatric effects

19
Q

Is probiotics a new fad?

A

No, dates back to 1920’s and found to improve mood of patients?

20
Q

What does the literature show regarding probiotics and psychiatric conditions?

A

Improvement of depressed and anxious symptoms. 34 clinical trials: small, but significant. Most noticeable in depressed pateints.

Structural changes of the emotional brain.

21
Q

How do probiotics differ in the use of antidepressants?

A

Probiotics are most significant as add on medication.

22
Q

What was found in the “transferring the blues” study?

A

That germ free mice exhibited depressive like symptoms and biomarkers when Faecal Microbiota was transplanted from Depressed patients.

Replicated in other studies and for schizophrenia, anxiety and eating disorders.