Movember started 20 years ago in a pub in Australia when two mates (aka friends), Travis Garone and Luke Slattery, decided they wanted to bring back the "stash" and do good at the same time. They were inspired by a friend's mother who was fundraising for breast cancer, and decided to raise funds for men's health and prostate cancer. Trav designed the first "Movember" logo, and they sent around an email titled "Are you man enough to be my man?" They found 30 guys willing to take up the challenge, and charged 10 dollars to "Grow a Mo". The next year they up-ed their game and started a fundraising campaign for the Prostate Cancer Foundation of Australia (PCFA), and provided them with the largest single donation the PCFA had ever received. Now, Movember has morphed into an international movement that last year raised 115 million dollars globally. During their research into men's health, they realized that depression is also a major health issue affecting men. The three main goals of the movement are now: 1) Mental Health and Suicide Prevention, 2) Prostate Cancer, 3) Testicular Cancer. This blog will focus on recent research that is uncovering the intricate link between the gut microbiome and our mental health.
The Movember website presents stark statistics stating that
GLOBALLY, ON AVERAGE, 1 MAN DIES BY SUICIDE EVERY MINUTE OF EVERY DAY.
The Gut Microbiome Influences Mental Health
The idea that the gut is central to health is an ancient concept predominant in Traditional Chinese Medicine, Ayurvedic Medicine, and Hippocratic Medicine. "All disease begins in the gut" is a quote attributed to the Ancient Greek physician Hippocrates nearly 2500 years ago. Interest in the importance of the gut was re-ignited in the early 2000's as sequencing prices dropped and computational advances began to assemble a picture of the microbial diversity within the gut. This soon led to discoveries about the relationship between the gut microbiome and a variety of diseases, ranging from obesity, type 2 diabetes, cardio-metabolic diseases,1 neurodegenerative diseases,2,3 and even discoveries of gut microbiota modulating responses to cancer immunotherapy.4 More recently, a new area has opened up that focuses on the impact of the gut microbiome on the brain, and even more specifically, the gut and mental health.
Multiple Pathways Along the Gut-Brain Axis
Bacterial Metabolites as Signaling Molecules
A variety of substances secreted by microbes into the gut can directly reach the brain through blood vessels. These compounds include short-chain fatty acids (SCFAs), neuro-active compounds, and even cell-wall components such as LPS. In 2016, as a product of experiments using mouse models of Parkinson's Disease (PD), researchers identified that short-chain fatty acid signaling modulated microglia and enhanced PD pathophysiology. Moreover, researchers found that transferring microbes taken from the guts of people with Parkinson's to mice induced motor dysfunction in the mice. Motor dysfunction also occurred if the mice were given just the short-chain fatty acid metabolites from Parkinson's patients.5
More recently, researchers have shown that ammonia produced in the gut can help buffer stress in the host through replenishing GABA. Researchers showed that microbial nitrogen metabolism is important in host stress vulnerability by maintaining brain glutamine availability. Moreover, through the introduction of a urease-producing strain, Streptococcus thermophilus, they reversed depression-like behaviours in the mice. These findings could also lead to potential therapies as they found that ammonium chloride (NH4Cl) rescued behavioural abnormalities and GABAergic deficits in mouse models of depression.6
Microbial Interaction via the Vagus Nerve
Early reports on the effect of stress on the gut revealed a connection between the gut and the brain, and we are now learning that part of this connection may be through the vagus nerve. Early studies on the relationship between stress and the gut microbiome showed that germ-free mice had more detrimental reactions to stress than non-germ-free mice. This was followed up by work that showed that stress due to early separation of rat pups from their mothers induced long-term changes in their gut microbiome.7 Finally, work started to lead towards a mechanism when research showed that mice that received supplements of Lactobacillus rhamnosus JB-1 produced less stress-induced corticosterone and displayed fewer anxiety and depression related behaviors. The probiotic supplementation also altered the production of a protein receptor in the brain that binds to the neurotransmitter ℽ-aminobutyric acid (GABA). However, mice with a severed vagus nerve did not benefit from the probiotic supplementation, suggesting that the effects were being transmitted through the vagus nerve.8
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