Egerton Sian, Donoso Francisco, Fitzgerald Patrick, Gite Snehal, Fouhy Fiona, Whooley Jason, Dinan Ted G, Cryan John F, Culloty Sarah C, Ross R Paul, Stanton Catherine
School of Microbiology, University College Cork, Cork, Ireland.
School of Biological, Earth and Environmental Sciences, University College Cork, Cork, Ireland.
Nutr Neurosci. 2022 Feb;25(2):356-378. doi: 10.1080/1028415X.2020.1753322. Epub 2020 Jul 31.
Early life stress is a key predisposing factor for depression and anxiety disorders. Selective serotonin re-uptake inhibitors (SSRI) are frequently used as the first line of pharmacology treatment for depression but have several negative qualities, i.e. a delay or absence of effectiveness and negative side-effects. Therefore, there is a growing need for new nutraceutical-based strategies to blunt the effects of adverse-life events. This study aimed to use the maternal separation model in rats to test the efficacy of fish oil dietary supplementation, on its own and in conjunction with the SSRI anti-depressant fluoxetine, as a treatment for depressive and anxiety-like symptoms associated with early life stress. Behavioural tests (open field test, elevated plus maze test and forced swim test) and biochemical markers (corticosterone, BDNF, brain fatty acids and short chain fatty acids) were used to analyse the effects of the dietary treatments. Gut microbial communities and relating metabolites (SCFA) were analysed to investigate possible changes in the microbiota-gut-brain axis. Maternally separated rats showed depressive-like behaviours in the forced swim and open field tests. These behaviours were prevented significantly by fluoxetine administration and in part by fish oil supplementation. Associated biochemical changes reported include altered brain fatty acids, significantly lower plasma corticosterone levels (AUC) and reduced brain stem serotonin turnover, compared to untreated, maternally separated (MS) rats. Untreated MS animals had significantly lower ratios of SCFA producers such as Caldicoprobacteraceae, Streptococcaceae, Rothia, Lachnospiraceae_NC2004_group, and Ruminococcus_2, along with significantly reduced levels of total SCFA compared to non-separated animals. Compared to untreated MS animals, animals fed fish oil had significantly higher Bacteroidetes and Prevotellaceae and reduced levels of butyrate, while fluoxetine treatment resulted in significantly higher levels of Neochlamydia, Lachnoclostridium, Acetitomaculum and Stenotrophomonas and, acetate and propionate. Despite the limitations in extrapolating from animal behavioural data and the notable differences in pharmacokinetics between rodents and humans, the results of this study provide a further advancement into the understanding of some of the complex systems within which nutraceuticals and pharmaceuticals effect the microbiota-gut-brain axis.
早期生活压力是抑郁症和焦虑症的关键诱发因素。选择性5-羟色胺再摄取抑制剂(SSRI)常被用作抑郁症药物治疗的一线用药,但存在一些负面特性,即起效延迟或无效以及产生负面副作用。因此,越来越需要新的基于营养保健品的策略来减轻不良生活事件的影响。本研究旨在利用大鼠母婴分离模型,测试鱼油膳食补充剂单独使用以及与SSRI抗抑郁药氟西汀联合使用时,作为治疗与早期生活压力相关的抑郁和焦虑样症状的疗效。采用行为测试(旷场试验、高架十字迷宫试验和强迫游泳试验)和生化指标(皮质酮、脑源性神经营养因子、脑脂肪酸和短链脂肪酸)来分析膳食处理的效果。分析肠道微生物群落及其相关代谢产物(短链脂肪酸),以研究微生物-肠道-脑轴的可能变化。母婴分离的大鼠在强迫游泳试验和旷场试验中表现出抑郁样行为。氟西汀给药可显著预防这些行为,鱼油补充剂也能部分预防。与未处理的母婴分离(MS)大鼠相比,报告的相关生化变化包括脑脂肪酸改变、血浆皮质酮水平(曲线下面积)显著降低以及脑干5-羟色胺周转率降低。与未分离的动物相比,未处理的MS动物中短链脂肪酸产生菌(如嗜钙杆菌科、链球菌科、罗氏菌属、毛螺菌科_NC2004组和瘤胃球菌_2)的比例显著较低,总短链脂肪酸水平也显著降低。与未处理的MS动物相比,喂食鱼油的动物中拟杆菌门和普雷沃氏菌科显著增多,丁酸水平降低,而氟西汀治疗则导致新衣原体属、迟缓梭菌属、醋杆菌属和嗜麦芽窄食单胞菌属以及乙酸和丙酸水平显著升高。尽管从动物行为数据外推存在局限性,且啮齿动物和人类在药代动力学方面存在显著差异,但本研究结果为进一步理解营养保健品和药物影响微生物-肠道-脑轴的一些复杂系统提供了进展。