Neurological and cognitive significance of probiotics: a holy grail deciding individual personality
Abstract
The role of the human microbiome in the brain and behavioral development is an area of increasing attention. Recent investigations have found that diverse mechanisms and signals including the immune, endocrine and neural associations are responsible for the communication between gut microbiota and the brain. The studies have suggested that alteration of intestinal microbiota using probiotic formulations may offer a significant role in the maturation and organization of the brain and can shape the brain and behavior as well as mood and cognition in human subjects. The understanding of the possible impact of gut microflora on neurological function is a promising phenomenon that can surely transform the neurosciences and may decipher the novel etiologies for neurodegenerative and psychiatric disorders.
Papers of special note have been highlighted as: • of interest; •• of considerable interest
References
- 1. . Microbes and mental health: a review. Brain Behav. Immun. 66, 9–17 (2017).
- 2. . Gut microbiota and probiotics: current status and their role in cancer therapeutics. Drug Develop. Res. 74(6), 365–375 (2013).
- 3. Bacterial munch for infants: potential pediatric therapeutic interventions of probiotics. Future Microbiol. 10(11), 1881–1895 (2015).
- 4. . Normal to cancer microbiome transformation and its implication in cancer diagnosis. Biochim. Biophys. Acta Rev. Cancer. 1826(2), 331–337 (2012).
- 5. . The gut microbiota in internal medicine: implications for health and disease. Neth. J. Med. 73(2), 61–68 (2015).
- 6. . The microbiota: an exercise immunology perspective. Exerc. Immunol. Rev. 21, 70–79 (2015).
- 7. . The effects of gut microbiota on CNS function in humans. Gut Microbes 5(3), 404–410 (2014).
- 8. . Gut/brain axis and the microbiota. J. Clin. Invest. 125(3), 926–938 (2015).
- 9. . Microbes and the mind: emerging hallmarks of the gut microbiota-brain axis. Cell. Microbiol. 18(5), 632–644 (2016).
- 10. . The microbiota–gut–brain axis and its potential therapeutic role in autism spectrum disorder. Neuroscience. 324, 131–139 (2016).
- 11. . Vagal pathways for microbiome–brain–gut axis communication. Adv. Exp. Med. Biol. 817, 115–133 (2014).
- 12. . Next-generation probiotics: the spectrum from probiotics to live biotherapeutics. Nat. Microbiol. 2, 17057 (2017).
- 13. . Microbiota and neurologic diseases: potential effects of probiotics. J. Transl. Med. 14(1), 298 (2016).
- 14. The prospects for the therapeutic implications of genetically engineered probiotics. J. Food Qual. 2020, 9676452 (2020).
- 15. . Alterations in fecal microbiota composition by probiotic supplementation in healthy adults: a systematic review of randomized controlled trials. Genome Med. 8(1), 52 (2016).
- 16. . Neurotensin promotes the development of colitis and intestinal angiogenesis via Hif-1alpha-miR-210 signaling. J. Immunol. 196(10), 4311–4321 (2016).
- 17. . Identification and partial characterization of potential probiotic lactic acid bacteria in freshwater Labeo rohita and Cirrhinus mrigala. Aquac. Res. 48(4), 1688–1698 (2017).
- 18. . Probiotic isolates from unconventional sources: a review. J. Anim. Sci. Technol. 58, 26 (2016).
- 19. Antibacterial and antioxidant activity of exopolysaccharide mediated silver nanoparticle synthesized by Lactobacillus brevis isolated from Chinese koumiss. Colloids Surf. B Biointerfaces. 186, 110734 (2020).
- 20. Characterization and anti-tumor activity of exopolysaccharide produced by Lactobacillus kefiri isolated from Chinese kefir grains. J. Funct. Foods. 63, 103588 (2019).
- 21. . Benefaction of probiotics for human health: s review. J. Food Drug Anal. 26(3), 927–939 (2018).
- 22. World Gastroenterology Organisation practice guideline: probiotics and prebiotics - May 2008. S. Afr. Gastroenterol. Rev. 6(2), 14–25 (2008).
- 23. . Probiotic preparations for infantile gastroenteritis: the clinical and economic perspective. Future Microbiol.
doi: https://doi.org/10.2217/fmb-2019-0111 (2020) (Epub ahead of print). - 24. Probiotics for the prevention and treatment of antibiotic-associated diarrhea: a systematic review and meta-analysis. JAMA. 307(18), 1959–1969 (2012).
- 25. European Society for Paediatric Gastroenterology, Hepatology, and Nutrition/European Society for Paediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe. J. Pediatr. Gastroenterol. Nutr. 46(Suppl. 2), S81–122 (2008).
- 26. . Lactic acid bacteria and cancer: mechanistic perspective. Br. J. Nutr. 88(Suppl. 1), S89–94 (2002).
- 27. . Probiotics for cancer alternative prevention and treatment. Biomed. Pharmacother. 129, 110409 (2020).
- 28. . Bifidobacterium longumInfluence of CECT 7347 and gliadin peptides on intestinal epithelial cell proteome. J. Agric. Food Chem. 59(14), 7666–7671 (2011).
- 29. . Bifidobacterium longum CECT 7347 modulates immune responses in a gliadin-induced enteropathy animal model. PLoS ONE 7(2), e30744 (2012).
- 30. Intestinal microbiota of 6-week-old infants across Europe: geographic influence beyond delivery mode, breast-feeding, and antibiotics. J. Pediatr. Gastroenterol. Nutr. 51(1), 77–84 (2010).
- 31. . Management of hepatic encephalopathy. Int. J. Hepatol. 2011, 841407 (2011).
- 32. . Systematic review and meta-analysis of randomized trials on probiotics for hepatic encephalopathy. Hepatol. Res. 42(10), 1008–1015 (2012).
- 33. . Efficacy of probiotics and synbiotics in patients with nonalcoholic fatty liver disease: a meta-analysis. Dig. Dis. Sci. 64(12), 3402–3412 (2019).
- 34. . Role of probiotics in urogenital healthcare. J. Midlife Health. 2(1), 5–10 (2011).
- 35. Relationship between intestinal microbiota and ulcerative colitis: Mechanisms and clinical application of probiotics and fecal microbiota transplantation. World J. Gastroenterol. 24(1), 5–14 (2018).
- 36. . Effect of probiotics on inducing remission and maintaining therapy in ulcerative colitis, Crohn's disease, and pouchitis: meta-analysis of randomized controlled trials. Inflamm. Bowel Dis. 20(1), 21–35 (2014).
- 37. . Clinical utility of probiotics in inflammatory bowel disease. Altern. Ther. Health Med. 17(1), 72–79 (2011).
- 38. Molecular fingerprinting of the intestinal microbiota of infants in whom atopic eczema was or was not developing. Clin. Exp. Allergy. 36(12), 1602–1608 (2006).
- 39. . The role of probiotics in allergic diseases. Allergy Asthma Clin. Immunol. 5(1), 5 (2009).
- 40. . Probiotics in extraintestinal diseases: current trends and new directions. Nutrients. 11(4), 788 (2019).
- 41. . Evolving therapy for celiac disease. Front. Pediatr. 7, 193 (2019).
- 42. The Effects of Probiotic Supplementation on Clinical Symptom, Weight Loss, Glycemic Control, Lipid and Hormonal Profiles, Biomarkers of Inflammation, and Oxidative Stress in Women with Polycystic Ovary Syndrome: a Systematic Review and Meta-analysis of Randomized Controlled Trials. Probiotics Antimicrob. Proteins.
doi: https://doi.org/10.1007/s12602-019-09559-0 (2019) (Epub ahead of print). - 43. . Mind-altering microorganisms: the impact of the gut microbiota on brain and behaviour. Nat. Rev. Neurosci. 13(10), 701–712 (2012).
- 44. Human gut microbiome viewed across age and geography. Nature. 486(7402), 222–227 (2012).
- 45. . The impact of the milk glycobiome on the neonate gut microbiota. Annu. Rev. Anim. Biosci. 3, 419–445 (2015).
- 46. Characterization of the diversity and temporal stability of bacterial communities in human milk. PLoS One 6(6), e21313 (2011).
- 47. What is the healthy gut microbiota composition? A changing ecosystem across age, environment, diet, and diseases. Microorganisms. 7(1), 14 (2019).
- 48. . The microbiota–gut–brain axis: neurobehavioral correlates, health and sociality. Front. Integr. Neurosci. 7, 70 (2013).
- 49. . The interplay between the intestinal microbiota and the brain. Nat. Rev. Microbiol. 10(11), 735–742 (2012).
- 50. The gut microbiota influences blood–brain barrier permeability in mice. Sci. Transl. Med. 6(263), 263ra158 (2014).
- 51. Discovery and characterization of gut microbiota decarboxylases that can produce the neurotransmitter tryptamine. Cell Host Microbe. 16(4), 495–503 (2014).
- 52. . Role of microbiome in regulating the HPA axis and its relevance to allergy. Chem. Immunol. Allergy. 98, 163–175 (2012).
- 53. . Understanding the role of gut microbiome-host metabolic signal disruption in health and disease. Trends Microbiol. 19(7), 349–359 (2011).
- 54. . Gamma-aminobutyric acid production by culturable bacteria from the human intestine. J. Appl. Microbiol. 113(2), 411–417 (2012).
- 55. . Probiotics function mechanistically as delivery vehicles for neuroactive compounds: Microbial endocrinology in the design and use of probiotics. Bioessays. 33(8), 574–581 (2011).
- 56. . The Neuro-endocrinological role of microbial glutamate and GABA signaling. Front. Microbiol. 7, 1934 (2016).
- 57. Short-chain fatty acids and ketones directly regulate sympathetic nervous system via G protein-coupled receptor 41 (GPR41). Proc. Natl Acad. Sci. USA 108(19), 8030–8035 (2011).
- 58. Histone deacetylase inhibitors enhance memory and synaptic plasticity via CREB:CBP-dependent transcriptional activation. J. Neurosci. 27(23), 6128–6140 (2007).
- 59. . Early developmental elevations of brain kynurenic acid impair cognitive flexibility in adults: reversal with galantamine. Neuroscience 238, 19–28 (2013).
- 60. Postnatal microbial colonization programs the hypothalamic–pituitary–adrenal system for stress response in mice. J. Physiol. 558(Pt 1), 263–275 (2004).
- 61. . BDNF-based synaptic repair as a disease-modifying strategy for neurodegenerative diseases. Nat. Rev. Neurosci. 14(6), 401–416 (2013).
- 62. The microbiome-gut-brain axis during early life regulates the hippocampal serotonergic system in a sex-dependent manner. Mol. Psychiatry 18(6), 666–673 (2013).
- 63. . Metabolic tinkering by the gut microbiome: implications for brain development and function. Gut Microbes 5(3), 369–380 (2014).
- 64. The intestinal microbiota affect central levels of brain-derived neurotropic factor and behavior in mice. Gastroenterology 141(2), 599–609 609.e591–593 (2011).
- 65. Ingestion of Lactobacillus strain regulates emotional behavior and central GABA receptor expression in a mouse via the vagus nerve. Proc. Natl Acad. Sci. USA 108(38), 16050–16055 (2011).
- 66. . Bifidobacteria exert strain-specific effects on stress-related behavior and physiology in BALB/c mice. Neurogastroenterol. Motil. 26(11), 1615–1627 (2014).
- 67. Assessment of psychotropic-like properties of a probiotic formulation (Lactobacillus helveticus R0052 and Bifidobacterium longum R0175) in rats and human subjects. Br. J. Nutr. 105(5), 755–764 (2011).
- 68. . Bifidobacteria modulate cognitive processes in an anxious mouse strain. Behav. Brain Res. 287, 59–72 (2015).
- 69. A possible link between food and mood: dietary impact on gut microbiota and behavior in BALB/c mice. PLoS ONE 9(8), e103398 (2014).
- 70. Consumption of fermented milk product with probiotic modulates brain activity. Gastroenterology 144(7), 1394–1401 1401.e1391–1394 (2013).
- 71. . A randomized controlled trial to test the effect of multispecies probiotics on cognitive reactivity to sad mood. Brain Behav. Immun. 48, 258–264 (2015).
- 72. . Friends with social benefits: host-microbe interactions as a driver of brain evolution and development? Front. Cell. Infect. Microbiol. 4, 147 (2014).
- 73. . Microbiota is essential for social development in the mouse. Mol. Psychiatry 19(2), 146–148 (2014).
- 74. Symbiotic bacteria appear to mediate hyena social odors. Proc. Natl Acad. Sci. USA 110(49), 19832–19837 (2013).
- 75. . Social attraction mediated by fruit flies' microbiome. J. Exp. Biol. 217(Pt 8), 1346–1352 (2014).
- 76. Reduced incidence of Prevotella and other fermenters in intestinal microflora of autistic children. PLoS One 8(7), e68322 (2013).
- 77. Microbiota modulate behavioral and physiological abnormalities associated with neurodevelopmental disorders. Cell 155(7), 1451–1463 (2013). •• As the findings support the connection between the gut microbiome and brain in the autism spectrum disorder mouse model and reported a potential probiotic for the therapeutic management of human neurodevelopmental disorders.
- 78. . Inducible Foxp3+ regulatory T-cell development by a commensal bacterium of the intestinal microbiota. Proc. Natl Acad. Sci. USA 107(27), 12204–12209 (2010).
- 79. Altered gut microbiota and activity in a murine model of autism spectrum disorders. Brain Behav. Immun. 37, 197–206 (2014).
- 80. Indigenous bacteria from the gut microbiota regulate host serotonin biosynthesis. Cell 161(2), 264–276 (2015).
- 81. A metabolomic view of how the human gut microbiota impacts the host metabolome using humanized and gnotobiotic mice. ISME J. 7(10), 1933–1943 (2013).
- 82. . 5-Hydroxytryptamine (serotonin) in the gastrointestinal tract. Curr. Opin. Endocrinol. Diabetes Obes. 20(1), 14–21 (2013).
- 83. Short-chain fatty acids stimulate colonic transit via intraluminal 5-HT release in rats. Am. J. Physiol. Regul. Integr. Comp. Physiol. 284(5), R1269–1276 (2003).
- 84. . Serotonin, tryptophan metabolism and the brain-gut-microbiome axis. Behav. Brain Res. 277, 32–48 (2015).
- 85. . Bacterial neuroactive compounds produced by psychobiotics. Adv. Exp. Med. Biol. 817, 221–239 (2014).
- 86. . The tyrosine decarboxylase operon of Lactobacillus brevis IOEB 9809: characterization and conservation in tyramine-producing bacteria. FEMS Microbiol. Lett. 229(1), 65–71 (2003).
- 87. . The influences of fish infusion broth on the biogenic amines formation by lactic acid bacteria. Braz. J. Microbiol. 44(2), 407–415 (2013).
- 88. . A gut feeling about GABA: focus on GABA(B) Receptors. Front. Pharmacol. 1, 124 (2010).
- 89. . A novel role of intestine epithelial GABAergic signaling in regulating intestinal fluid secretion. Am. J. Physiol. Gastrointest. Liver Physiol. 303(4), G453–460 (2012).
- 90. . From inflammation to sickness and depression: when the immune system subjugates the brain. Nat. Rev. Neurosci. 9(1), 46–56 (2008). • Interesting review describing the role of Inflammation in the major depressive episodes.
- 91. . Neural and humoral pathways of communication from the immune system to the brain: parallel or convergent? Auton. Neurosci. 85(1–3), 60–65 (2000).
- 92. . Appearance of interleukin-1 in macrophages and in ramified microglia in the brain of endotoxin-treated rats: a pathway for the induction of non-specific symptoms of sickness? Brain Res. 588(2), 291–296 (1992).
- 93. . Effects of insulin-like growth factor-I on cytokine-induced sickness behavior in mice. Brain Behav. Immun. 20(1), 57–63 (2006).
- 94. . Cytokines sing the blues: inflammation and the pathogenesis of depression. Trends Immunol. 27(1), 24–31 (2006).
- 95. . Gut microbiome in health and disease: Linking the microbiome-gut-brain axis and environmental factors in the pathogenesis of systemic and neurodegenerative diseases. Pharmacol. Ther. 158, 52–62 (2016).
- 96. . The impact of gut microbiota on brain and behaviour: implications for psychiatry. Curr. Opin. Clin. Nutr. Metab. Care. 18(6), 552–558 (2015).
- 97. . Modulatory effects of gut microbiota on the central nervous system: how gut could play a role in neuropsychiatric health and diseases. J Neurogastroenterol. Motil. 22(2), 201–212 (2016).
- 98. . Microbiota and chronic inflammatory arthritis: an interwoven link. J. Transl. Med. 14(1), 233 (2016).
- 99. . Proinflammatory T-cell responses to gut microbiota promote experimental autoimmune encephalomyelitis. Proc. Natl Acad. Sci. USA 108(Suppl. 1), 4615–4622 (2011).
- 100. Commensal microbiota and myelin autoantigen cooperate to trigger autoimmune demyelination. Nature 479(7374), 538–541 (2011).
- 101. Gut microbiota are related to Parkinson's disease and clinical phenotype. Mov. Disord. 30(3), 350–358 (2015).
- 102. Increased urinary indoxyl sulfate (indican): new insights into gut dysbiosis in Parkinson's disease. Parkinsonism Relat. Disord. 21(4), 389–393 (2015).
- 103. . Leaky intestine and impaired microbiome in an amyotrophic lateral sclerosis mouse model. Physiol. Rep. 3(4), e12356 (2015).
- 104. Gut microbiota composition and relapse risk in pediatric MS: A pilot study. J. Neurol. Sci. 363, 153–157 (2016).
- 105. . Effects of the probiotic Bifidobacterium infantis in the maternal separation model of depression. Neuroscience. 170(4), 1179–1188 (2010). •• Describing the role for Bifidobacteria in neural function.
- 106. . The probiotic Bifidobacteria infantis: an assessment of potential antidepressant properties in the rat. J. Psychiatr. Res. 43(2), 164–174 (2008).
- 107. . Magnetic resonance spectroscopy reveals oral Lactobacillus promotion of increases in brain GABA, N-acetyl aspartate and glutamate. Neuroimage. 125, 988–995 (2016).
- 108. Early life stress alters behavior, immunity, and microbiota in rats: implications for irritable bowel syndrome and psychiatric illnesses. Biol. Psychiatry. 65(3), 263–267 (2009).
- 109. . Lactobacillus rhamnosus GG attenuates interferon-{gamma} and tumour necrosis factor-alpha-induced barrier dysfunction and pro-inflammatory signalling. Microbiology 156(Pt 11), 3288–3297 (2010).
- 110. . Inflammatory cytokines in depression: neurobiological mechanisms and therapeutic implications. Neuroscience 246, 199–229 (2013).
- 111. . Cytokine targets in the brain: impact on neurotransmitters and neurocircuits. Depress Anxiety 30(4), 297–306 (2013).
- 112. Fermented milk containing lactobacillus casei strain shirota preserves the diversity of the gut microbiota and relieves abdominal dysfunction in healthy medical students exposed to academic stress. Appl. Environ. Microbiol. 82(12), 3649–3658 (2016).
- 113. . Impact of consuming a milk drink containing a probiotic on mood and cognition. Eur. J. Clin. Nutr. 61(3), 355–361 (2007).
- 114. Clinical and metabolic response to probiotic administration in patients with major depressive disorder: a randomized, double-blind, placebo-controlled trial. Nutrition 32(3), 315–320 (2016).
- 115. Bifidobacterium longum 1714 as a translational psychobiotic: modulation of stress, electrophysiology and neurocognition in healthy volunteers. Transl. Psychiatry 6(11), e939 (2016).
- 116. A randomized, double-blind, placebo-controlled pilot study of a probiotic in emotional symptoms of chronic fatigue syndrome. Gut Pathog. 1(1), 6 (2009).
- 117. Beneficial effects of Lactobacillus casei strain Shirota on academic stress-induced sleep disturbance in healthy adults: a double-blind, randomised, placebo-controlled trial. Benef. Microbes. 8(2), 153–162 (2017).
- 118. . The level of arabinitol in autistic children after probiotic therapy. Nutrition 28(2), 124–126 (2012).
- 119. Effect of probiotic supplementation on cognitive function and metabolic status in Alzheimer's disease: a randomized, double-blind and controlled trial. Front. Aging Neurosci. 8, 256 (2016).
- 120. . Oral treatment with Lactobacillus rhamnosus attenuates behavioural deficits and immune changes in chronic social stress. BMC Med. 15(1), 7 (2017).
- 121. . Probiotics treatment improves diabetes-induced impairment of synaptic activity and cognitive function: behavioral and electrophysiological proofs for microbiome–gut–brain axis. Neuroscience. 240, 287–296 (2013).
- 122. Clinical and metabolic response to probiotic supplementation in patients with multiple sclerosis: a randomized, double-blind, placebo-controlled trial. Clin. Nutr. 36(5), 1245–1249 (2017).
- 123. Administration of Lactobacillus helveticus NS8 improves behavioral, cognitive, and biochemical aberrations caused by chronic restraint stress. Neuroscience. 310, 561–577 (2015).
- 124. . Gut microbiota and gastrointestinal health: current concepts and future directions. Neurogastroenterol. Motil. 25(1), 4–15 (2013).
- 125. . Altered synapses and gliotransmission in Alzheimer's disease and AD model mice. Neurobiol. Aging. 34(10), 2341–2351 (2013).
- 126. . Postnatal development and sensory experience synergistically underlie the excitatory/inhibitory features of hippocampal neural circuits: glutamatergic and GABAergic neurotransmission. Neuroscience 318, 230–243 (2016).