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The Gut-Brain Connection:

august 25, 2024 

Written by: angie Sadeghi, MD

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Have you ever had butterflies before a speech or when you were nervous? Your thoughts and emotions are connected to your gut, and vice versa, through the production of molecules by tiny messengers living in your intestines called the gut microbiome. There are 100 trillion organisms in your gut, including bacteria, fungi, viruses, and protozoa, most of which reside in the colon and constantly communicate with your brain through these molecules called neurotransmitters and hormones. They can promote health or inflammation based on your lifestyle habits, diet being one of the most influential factors. For example, a diet rich in plant foods supports a healthy gut, and a diet rich in animal protein and saturated fat causes inflammation and disease. 

 

Interestingly, we have known about gut-brain access for a long time. In a publication in 1853 by Sydney Whyting called the “Memoirs of a Stomach,” the main character was Mr. Stomach, who suffered from unhealthy eating habits, and the owner had poor emotional management. 

Mr. Stomach, the main character from “Memoirs of a Stomach” (Public Domain). (n.d.). Retrieved from doi: 10.3390/pathogens11121540.

In this photo, you can see a stupor, obese man surrounded by animal corpses (pigs, cows, deer, and birds) and a bottle of alcohol, referring to the typical English lifestyle in London at that time and an association with poor mental health. Since then, advancements in microbiology have allowed us to isolate microbiota from the gut and study their metabolites and their effects on human health and disease. 

 

Finally, in 2012, research revealed a connection between the gut and the brain through the microbiome called the “microbiota-gut-brain axis.” In fact, 95% of the body’s Serotonin, the “feel-good neurotransmitter,” is produced in the gut, and besides mood, it controls the gut's motility. Did you know that the microbiome also makes dopamine, GABA, and glutamate, all of which influence brain function? Collectively, these molecules lead to alterations in brain function and affect cognition in neurological diseases such as Alzheimer’s disease, Parkinson’s disease, autism, Schizophrenia, depression, anxiety, and more! 

 

So, how does that relate to your health? 

Dietary fiber is essential for a healthy gut and for its impact on the gut-brain axis. Higher dietary fiber intake is associated with a lower risk of depression. Here at IOPBM, we educate our patients on lifestyle measures such as nutrition to improve gut health, prevent mental health disorders, and improve mental health through food and lifestyle. 

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References:

Terry N, Margolis KG. Serotonergic Mechanisms Regulating the GI Tract: Experimental Evidence and Therapeutic Relevance. Handb Exp Pharmacol. 2017;239:319-342. doi: 10.1007/164_2016_103. PMID: 28035530; PMCID: PMC5526216.

 

Whyting, S. Memoirs of a Stomach: Written by Himself, with Notes by A minister of the Interior; Chapman and Hall: London, UK, 1853.

 

Chen Y, Xu J, Chen Y. Regulation of Neurotransmitters by the Gut Microbiota and Effects on Cognition in Neurological Disorders. Nutrients. 2021 Jun 19;13(6):2099. doi: 10.3390/nu13062099. PMID: 34205336; PMCID: PMC8234057.

 

Kim CS, Byeon S, Shin DM. Sources of Dietary Fiber Are Differently Associated with Prevalence of Depression. Nutrients. 2020 Sep 14;12(9):2813. doi: 10.3390/nu12092813. PMID: 32937844; PMCID: PMC7551178.

 

Saghafian F, Hajishafiee M, Rouhani P, Saneei P. Dietary fiber intake, depression, and anxiety: a systematic review and meta-analysis of epidemiologic studies. Nutr Neurosci. 2023 Feb;26(2):108-126. doi: 10.1080/1028415X.2021.2020403. Epub 2022 Jan 4. PMID: 36692989.

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