Gut microbes enhance the immune system

by Romeo Mariano, MD on February 7, 2010

Gut microbes extend reach to systemic innate immunity

Nature Medicine 16, 160 (2010).

Authors: Dana J Philpott & Stephen E Girardin

Microbes in the gut can influence distant events, affecting the function of neutrophils in the circulation of mice (pages 228-231). The findings should lead to new studies examining how intestinal microbes affect immunity.

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Recognition of peptidoglycan from the microbiota by Nod1 enhances systemic innate immunity

Nature Medicine 16, 228 - 231 (2010)

Authors: Thomas B Clarke, Kimberly M Davis, Elena S Lysenko, Alice Y Zhou, Yimin Yu & Jeffrey N Weiser

Humans are colonized by a large and diverse bacterial flora (the microbiota) essential for the development of the gut immune system.

A broader role for the microbiota as a major modulator of systemic immunity has been proposed; however, evidence and a mechanism for this role have remained elusive.

We show that the microbiota are a source of peptidoglycan that systemically primes the innate immune system, enhancing killing by bone marrow–derived neutrophils of two major pathogens: Streptococcus pneumoniae and Staphylococcus aureus.

This requires signaling via the pattern recognition receptor nucleotide-binding, oligomerization domain–containing protein-1 (Nod1, which recognizes meso-diaminopimelic acid (mesoDAP)-containing peptidoglycan found predominantly in Gram-negative bacteria), but not Nod2 (which detects peptidoglycan found in Gram-positive and Gram-negative bacteria) or Toll-like receptor 4 (Tlr4, which recognizes lipopolysaccharide).

We show translocation of peptidoglycan from the gut to neutrophils in the bone marrow and show that peptidoglycan concentrations in sera correlate with neutrophil function.

In vivo administration of Nod1 ligands is sufficient to restore neutrophil function after microbiota depletion.

Nod1−/− mice are more susceptible than wild-type mice to early pneumococcal sepsis, demonstrating a role for Nod1 in priming innate defenses facilitating a rapid response to infection.

These data establish a mechanism for systemic immunomodulation by the microbiota and highlight potential adverse consequences of microbiota disruption by broad-spectrum antibiotics on innate immune defense to infection.

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The human body is a symbiotic organism. There are about 10 times more bacteria than human cells in the human body. The average adult has about 4.5 pounds of bacteria in the gastrointestinal system. Ninety percent of our immune system cells are in the gastrointestinal system.

Previously, it was thought that the gastrointestinal bacteria form a passive means of protection from infection. However, this article demonstrates active signaling between the gastrointestinal bacteria and the immune system.

Gastrointestinal bacteria produce peptoglycan, a signal that travels through blood and sera to activate neutrophils as far away as in the bone marrow to become more potent in killing two pathogenic bacteria: Streptococcus pnumoniae and Staphylococcus aureus.

Excessively killing off gut microbia via antibiotic use increases susceptibility to infection by disrupting not only passive interaction but active interaction between the gut microbia and the immune system. The increased occurrence of infection along the gastrointestinal system is sensed by the vagal nerve, which then stimulates sympathetic nervous system activity, increasing perceived stress via norepinephrine signaling.

It is important to assess gastrointestinal problems in psychiatric patients since the presence of these problems may be one of the pathophysiologies underlying various mental illnesses including the the mood disorders (including anxiety disorders).

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Organoselenium improves memory decline in mice: Involvement of acetylcholinesterase activity.

Neurosci Lett. 2010 Jan 29;

Authors: Pinton S, Rocha JT, Zeni G, Nogueira CW

The present study was designed to investigate the possible neuroprotective effect of p,p’-methoxyl-diphenyl diselenide [(MeOPhSe)(2)] in a model of sporadic dementia of Alzheimer’s type (SDAT) induced by intracerebroventricular (i.c.v.) injection of streptozotocin (STZ) in mice.

Mice were divided into four groups: I) Control, II) (MeOPhSe)(2), III) STZ, and IV) (MeOPhSe)(2)+STZ.

Mice were exposed to (MeOPhSe)(2) (25mg/kg, by gavage) and STZ (2mul of 2.5mg/ml solution; i.c.v.) or vehicles. 48 after that the exposure was repeated.

Learning and memory were assessed with the step-down-type passive avoidance (SDPA) and Morris water maze (MWM) tests at the days 5-6 and 6-9, respectively.

At the end of the experimental protocol animals were euthanized and cerebral cortex was removed for acetylcholinesterase (AChE) activity assay.

Our results confirmed that i.c.v. STZ caused learning and memory deficits in mice, which were verified using the MWM and SDPA tasks.

Furthermore, this study showed that AChE activity was increased in mice that received i.c.v. STZ.

The most important findings of the present study are that (MeOPhSe)(2) was able to reverse the learning and memory impairments induced by STZ, and to protect against the increase in AChE activity.

All these findings support the neuroprotective role of (MeOPhSe)(2) in a mice model of SDAT induced by i.c.v. STZ.

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Selenium prevents cognitive decline and oxidative damage

by Romeo Mariano, MD (February 7, 2010)

Selenium prevents cognitive decline and oxidative damage in rat model of streptozotocin-induced experimental dementia of Alzheimer’s type.
Brain Res. 2009 Jul 24;1281:117-27. Epub 2009 Apr 15.
Ishrat T, Parveen K, Khan MM, Khuwaja G, Khan MB, Yousuf S, Ahmad A, Shrivastav P, Islam F.
Department of Medical Elementology and Toxicology, Neurotoxicology Laboratory, Jamia Hamdard (Hamdard University), New Delhi, [...]

Pergolide Reduces Cognitive Deficits Associated with Schizotypal Personality Disorder

by Romeo Mariano, MD (February 6, 2010)

Pergolide Treatment of Cognitive Deficits Associated with Schizotypal Personality Disorder: Continued Evidence of the Importance of the Dopamine System in the Schizophrenia Spectrum.
Neuropsychopharmacology. 2010 Feb 3;
Authors: McClure MM, Harvey PD, Goodman M, Triebwasser J, New A, Koenigsberg HW, Sprung LJ, Flory JD, Siever LJ
Cognitive deficits observed in schizophrenia are also frequently found in individuals [...]

Supressing HPA Axis Activity via Exogenous Cortisol Enhances Aggressive Behavior in Females, but not in Males.

by Romeo Mariano, MD (February 6, 2010)

Exogenous cortisol enhances aggressive behavior in females, but not in males.
Psychoneuroendocrinology. 2010 Feb 1;
Böhnke R, Bertsch K, Kruk MR, Richter S, Naumann E
The hypothalamic-pituitary-adrenal (HPA) axis plays a major role in the development, elicitation, and enhancement of aggressive behavior in animals.
Increasing evidence suggests that this is also true for humans.
Here, we report on [...]

Omega-3 Fatty Acids for Prevention of Psychotic Disorders

by Romeo Mariano, MD (February 6, 2010)

Long-Chain {omega}-3 Fatty Acids for Indicated Prevention of Psychotic Disorders: A Randomized, Placebo-Controlled Trial.
Arch Gen Psychiatry. 2010 Feb;67(2):146-54
Amminger GP, Schäfer MR, Papageorgiou K, Klier CM, Cotton SM, Harrigan SM, Mackinnon A, McGorry PD, Berger GE
CONTEXT: The use of antipsychotic medication for the prevention of psychotic disorders is controversial.
Long-chain omega-3 (omega-3) polyunsaturated fatty acids (PUFAs) [...]

Stress Leads to Long-Term Reduction in Corticosteroid Sensitivity in the Hippocampus

by Romeo Mariano, MD (February 6, 2010)

Primate Early Life Stress Leads to Long-Term Mild Hippocampal Decreases in Corticosteroid Receptor Expression.
Biol Psychiatry. 2010 Feb 2;
Arabadzisz D, Diaz-Heitjz R, Knuesel I, Weber E, Pilloud S, Dettling AC, Feldon J, Law AJ, Harrison PJ, Pryce CR
BACKGROUND: Expression of mineralocorticoid receptor (MR) and glucocorticoid receptor (GR) genes are moderately reduced in several brain regions in [...]

Blueberry Juice May Boost Memory

by Romeo Mariano, MD (January 27, 2010)

Blueberry Juice May Boost Memory
(Via WebMD Health.)
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Blueberry Supplementation Improves Memory in Older Adults
J Agric Food Chem. 2010 Jan 4. [Epub ahead of print]
Krikorian R, Shidler MD, Nash TA, Kalt W, Vinqvist-Tymchuk MR, Shukitt-Hale B, Joseph JA.
The prevalence of dementia is increasing with expansion of the older adult population. In the absence of effective therapy, preventive [...]

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Inability to sustain positive emotion in Major Depression reflects failure to maintain Nucleus Accumbens activity

by Romeo Mariano, MD (January 27, 2010)

Reduced capacity to sustain positive emotion in major depression reflects diminished maintenance of fronto-striatal brain activation.: “

Proc Natl Acad Sci U S A. 2009 Dec 29;106(52):22445-50
Authors: Heller AS, Johnstone T, Shackman AJ, Light SN, Peterson MJ, Kolden GG, Kalin NH, Davidson RJ
Anhedonia, the loss of pleasure or interest in previously rewarding stimuli, [...]

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Brain Scan for Post-Traumatic Stress Disorder

by Romeo Mariano, MD (January 27, 2010)

Brain Scan Offers First Biological Test in Diagnosis of Post-Traumatic Stress Disorder
Scientific American - Psychiatry 1/22/10
Carina Storrs
The synchronous neural interactions test as a functional neuromarker for post-traumatic stress disorder (PTSD): a robust classification method based on the bootstrap.
J Neural Eng. 2010 Feb;7(1):16011. Epub 2010 Jan 20.
Georgopoulos AP, Tan HR, Lewis SM, Leuthold AC, Winskowski AM, [...]

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