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4 February 2019 - The Guardian - Gut bacteria may have impact on mental health, study says

Ian Sample, Science editor

gut-brain axis

More news from the gut-brain axis: research opens door to possible treatments for depression based on probiotics.

Microbes that set up home in the gut may have an impact on mental health, according to a major study into wellbeing and the bacteria that live inside us.

Researchers in Belgium found that people with depression had consistently low levels of bacteria known as Coprococcus and Dialister whether they took antidepressants or not.

If the preliminary finding stands up to further scrutiny, it could pave the way for new treatments for mental health disorders based on probiotics that boost levels of “good” bacteria in the intestines.

Jeroen Raes of the Flanders Institute for Biotechnology and the Catholic University of Leuven drew on medical tests and GP records to look for links between depression, quality of life and microbes lurking in the faeces of more than 1,000 people enrolled in the Flemish Gut Flora Project.

He found that two kinds of bugs, namely Faecalibacterium and Coprococcus, were both more common in people who claimed to enjoy a high mental quality of life. Meanwhile, those with depression had lower than average levels of Coprococcus and Dialister.

The study reported in Nature Microbiology does not prove that gut microbes affect mental health. It is possible that the effect works the other way around, with a person’s mental health having an impact on the bugs that thrive inside them. But in follow-up experiments, Raes and his team found evidence that gut microbes can at least talk to the human nervous system by producing neurotransmitters that are crucial for good mental health.

We studied whether gut bacteria in general would have a means to talk to the nervous system, by analysing their DNA,” he said. “We found that many can produce neurotransmitters or precursors for substances like dopamine and serotonin.” Both dopamine and serotonin have complex roles in the brain and imbalances have long been linked to depression.

Microbes that live outside the body, for example those found in soils, are not able to make the same kinds of neurotransmitters, Raes said, perhaps because they did not co-evolve with humans and learned to benefit from tapping into their host’s nervous system.

If low levels of the bacteria are to blame for at least some depression, it opens the door to probiotic treatments that boost their populations in the gut. But Raes said the connection has to be proved first. That will involve growing the bugs in the lab to see what substances they make, testing their effects in animals, and treating them with tailored probiotics. Only then could scientists consider human trials.

In two separate reports, both published in Nature Biotechnology, scientists in China and a UK-Australian collaboration describe how they sequenced the DNA of more than 100 new species of gut microbes. The work amounts to the most comprehensive list of human gut bacteria to date.

The vast catalogue of human gut bugs will help scientists to identify which bacteria are in patients’ bodies and drive research into new treatments for conditions as broad as irritable bowel syndrome, allergies and obesity.