2021 SUMMARY REPORT - Mind, Mood & Microbes
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Summary Report 2021 Mind, Mood & Microbes SUMMARY REPORT 2021 THE INTERNATIONAL CONFERENCE ON MICROBIOTA-GUT-BRAIN AXIS While the gut-brain axis is not a new topic of study, the role of the microbiota in gut-brain communication is a relatively recent area of investigation. Evidence continues to accumulate on how gut microbes modulate brain development and function across the lifespan—establishing the microbiota-gut-brain axis as a potential target for influencing human mood and behaviour. At present, those in the field continue to make use of preclinical models while advancing the preliminary clinical translations of these insights that exist to date. Mind, Mood & Microbes is the global event, held every two years, that brings together leading scientists, healthcare professionals, and industry partners from various fields of expertise to share progress in the field of the microbiota-gut-brain axis. The third edition of this event was held virtually on May 19th and 20th, 2021—with a global lineup of speakers and participants joining for discussions and presentations on the leading-edge science in this field.
Summary Report 2021 Mind, Mood & Microbes Keynote 1 Martin Blaser of Rutgers University use, including neuropsychiatric diseases. gave the opening keynote entitled, He showed data demonstrating the “Perturbing the Early-life Microbiome impact of early-life antibiotics not Alters Development at a Critical Stage”. only on metabolism and immunity, but Blaser’s work linking early-life antibiotic also on brain development. In mice, an Martin Blaser Director of the Center for Advanced exposure to metabolic disease is well altered microbiota at an early stage in Biotechnology and Medicine known—but recently he has expanded development led to long-term effects Rutgers Biomedical and Health Sciences these investigations to encompass other on gene expression and brain-related conditions associated with antibiotic phenotypes. Session 1: Microbiota-brain Axis – Biological Pathways and Molecular Mechanisms The first session covered new work brain-related conditions. Schellekens and related to the three main mechanisms colleagues have developed a pipeline of microbiota-gut-brain communication: to screen gut microbes for probiotic microbial metabolites, immune-related and functional characteristics. They are mechanisms, and direct stimulation of particularly interested in commensal Harriët Schellekens Lecturer nerve fibers. Harriët Schellekens of bacteria that make GPCR ligands, which University College Cork University College Cork, Ireland, described mimic human signalling molecules and a targeted approach for identifying modulate gut-brain axis function in bacterial strains and their metabolites relation to stress and metabolism. that could be used as drugs to address Ivan de Araujo, from the Icahn School of sensory neurons that transmit reward Medicine at Mount Sinai, New York, spoke associations via the vagus nerve—and about mechanisms involving the vagus these findings establish the vagal gut- nerve, focusing on how information to-brain axis as an integral component about the nutritional quality of food of the neuronal reward pathway. They Ivan Araujo Professor of Neuroscience reaches the brain. He showed that also suggest novel vagal stimulation Icahn School of Medicine at Mount Sinai neurons mediating food reward are not approaches for affective disorders. confined to the brain, but also exist in the periphery. In the gut, de Araujo found
Summary Report 2021 Mind, Mood & Microbes Daniel Mucida of The Rockefeller and prolonged neuronal loss after enteric University, New York, covered neuro- infection; this led to long-term functional immune interactions in the gut, changes in gut motility. He noted that highlighting the importance of the the gut microbiota are essential to how Daniel Mucida enteric nervous system. Mucida’s enteric infection results in neuronal loss. Associate Professor preclinical work showed site-specific The Rockefeller University Models are important in the microbiota- stem cells, with organs in direct contact gut-brain axis field, given that relevant as well as live fluorescent bacteria. A mechanisms are often difficult to strength of the model is that it allows observe in humans. Lena Sophie tracking of mucus formation in the Koch from University of Twente, the intestine. The model may provide insights Lena Sophie Koch PhD Candidate Netherlands, spoke about “Insights into into molecular pathways and may University of Twente Interactions of the Microbiome-gut-brain have particular relevance for studying Axis on a Microfluidic Chip”, describing Alzheimer’s disease and Parkinson’s a model system of the microbiome-gut- disease. brain axis featuring mini organs from Session 2: Microbiota-Brain Axis and Neurodevelopment Autism spectrum disorders are of emotional states in mice, and may play particular interest when it comes a role in the development of autism to the role of gut microbes in spectrum disorders. Osman focused neurodevelopment. Session 2 featured on different gut-microbiota-derived Sarkis Mazmanian two talks on autism, by Sarkis molecules, short-chain fatty acids, Luis & Nelly Soux Professor of Mazmanian, California Institute of which can cross act locally and impact Microbiology California Institute of Technology Technology, and Aya Osman, Icahn the brain, and alter gene expression and School of Medicine at Mount Sinai/ epigenetic regulation. She showed the Seaver Autism Center for Research role of gut-derived acetate in a mouse and Treatment. Mazmanian showed model of autism spectrum disorder and how molecules from gut bacteria posited that altered acetate production – in particular, a gut microbial may contribute to the development of Aya Osman neurotransmitter (4-ethylphenol) this condition. Department of Psychiatry Icahn School of Medicine at Mount – mediate behaviors indicative of Sinai/Seaver Autism Center for Research and Treatment Helen Vuong of University of California metabolites, the maternal microbiome Los Angeles covered how the can modify neurological responses to homeostatic maternal gut microbiome genetic and environmental risk factors (that is, with no environmental challenge) for disease in preclinical models—with shapes fetal brain development. Vuong’s her work showing functional changes Helen Vuong Postdoctoral Fellow work shows the maternal microbiome in cortical neurons that affect tactile University of California is required for thalamocortical axon sensitivity. growth in the fetal brain. Via microbial
Summary Report 2021 Mind, Mood & Microbes Rebecca Knickmeyer of Michigan State later. Meanwhile, the composition of the University shared about a clinical study 12-month gut microbiome is associated associating the infant gut microbiome with concurrent fear reactivity. Overall, with cortisol reactivity and fear Knickmeyer says, certain features of behavior—that is, the anxiety-related gut microbiome are strongly associated Rebecca Knickmeyer Associate Professor circuits of the brain. Findings showed with infants’ cognitive development, Michigan State University that the diversity of gut microbes at regional brain volumes, functional one month of age is associated with brain connectivity, and responses concurrent HPA axis function, and also to frightening or unpleasant stimuli. predicts fear reactivity in a task one year Mechanisms remain to be deciphered. Keynote 2 Hailan Hu opened Day 2 of the event bursts of activity in a certain region of with a keynote lecture on investigating the brain—the lateral habenula, called the the anti-depressive mechanisms of ‘anti-reward center’—is responsible for the drug ketamine, hypothesizing that how it attenuates depressive behaviors. a model explaining ketamine’s effect Understanding this mechanism further Hailan Hu Professor on depression can help us understand could eventually lead to novel, quick- Zhejiang University the roots of depression. Hu’s work acting therapies for depression in has shown that in rodent models of humans. depression, ketamine’s ability to block Session 3: The Microbiota-Brain Axis and Psychiatric Disorders Felice Jacka of Deakin University, disorders is complex, but Jacka said Australia, spoke about “Nutritional evidence supports diet as a contributor psychiatry and the diet-microbiota-brain to depression rather than depression axis”. Jacka described a forthcoming driving food choices. Relating these systematic review on how gut microbiota associations to the gut microbiota, Felice Jacka Professor of Nutritional Psychiatry and associates with mental disorders – a reduction in butyrate-producing Psychiatric Epidemiology some patterns emerge over 33 studies, bacteria is observed in those with mental Deakin University showing links between mood disorders disorders, with an increase in abundance and diet. Causality of psychiatric of lactate-producing bacteria.
Summary Report 2021 Mind, Mood & Microbes Jeroen Raes of KU Leuven, Belgium, quality of life—with inflammation and spoke about “Quantitative Microbiome lower butyrate production by the gut Profiling in Health and Disease”, microbiota as possible underlying covering population-scale evidence factors. Using the population-level data, for microbiome links to mental health. Raes has used bioinformatic analysis Jeroen Raes Professor Raes’ work has found one enterotype (or to put together a catalogue of the KU Leuven - VIB pattern of gut microbiota composition) neuroactive potential of gut prokaryotes, associated with inflammatory diseases although causality remains unclear. as well as depression and lower The next two talks focused on early of pregnancy, since accumulating life and later psychiatric illness. Mary evidence suggests intervening during Kimmel from University of North Carolina this critical time can have long-term spoke about “Mother’s Microbiota-Gut- effects on families and communities. Mary Kimmel Brain Axis: Keys to Infant Development”. After this talk, Ana Santos of Carleton Assistant Professor and Co-Director, Kimmel said it’s well established that a University, Ottawa, shared her human Perinatal Psychiatry Program mother’s and baby’s mood are linked – study exploring associations between University of North Carolina School of Medicine and now we are seeing research showing chronic childhood adversity, diet quality, the biological connection between the and gut microbiota in relation to severity two. She showed maternal impacts on of depressive and anxiety symptoms. infant stress reactivity: higher anhedonia The work showed that the interplay (loss of pleasure) in the mother between diet and severity of depression associates with babies having less vagal and anxiety in adulthood may depend Ana Santos reactivity. Kimmel encouraged her fellow on adverse childhood experiences in the PhD Student Carleton University - Department of researchers to think about how they can past; in those with early life adversity, Neuroscience adapt their models of the microbiota-gut- particular links were found between gut The Royal’s Institute of Mental Health brain axis to account for the complexity microbes and depression severity. Research Session 4: The Microbiota-Brain Axis and Neurological Disorders Arthur Liesz, LMU University Munich, appear to promote disease progression. shared his intriguing work on microbiota- Liesz noted that his work used SCFAs derived short-chain fatty acids (SCFA) in supplemented in the drinking water of animal models of Alzheimer’s disease. For animals, which could potentially have some neurodegenerative diseases, SCFAs different effects from SCFAs produced in Arthur Liesz Professor of Neurology appear protective, but the opposite effect the colon from fiber fermentation. LMU University Munich is seen for Alzheimer’s disease: the SCFAs Amyotrophic lateral sclerosis (ALS) was preliminary data on how supplementing the focus of the talk by Eran Elinav, from mice with Akkermansia or a specific Weizmann Institute of Science. Elinav bioactive metabolite slows down damage outlined the hypothesized links between to motor neurons and disease progression ALS and the gut microbiota, showing in a mouse model of ALS. Eran Elinav Principal Investigator Weizmann Institute of Science
Summary Report 2021 Mind, Mood & Microbes Parkinson’s disease is the focus of more of Texas Health Science Center at studies on the microbiota-gut-brain axis Houston, followed up Tansey’s talk with from the past few years. Malu Tansey a presentation on dysphagia (that is, of University of Florida focused on dysfunctional swallowing) in Parkinson’s Malu Gámez Tansey sporadic Parkinson’s disease, and the disease. Jeter noted the oral microbiota Professor/Co-Director relationship between the microbiota, is less affected by an individual’s diet University of Florida gut barrier, inflammatory markers, and than is the gut microbiota, but the clinical features. Tansey emphasized oral microbiota may show signatures the changing view that Parkinson’s of certain diseases or symptoms. disease is a multi-system disease Differences in oral microbial taxa were rather than just a motor disease. Data observed in people with Parkinson’s suggest communication between the disease compared with healthy controls, gut and brain and peripheral circulation with an increase in oral pathogens. Cameron B. Jeter Associate Professor, Department of is key for brain health, but may go awry Jeter has found the oral microbiome Diagnostic and Biomedical Sciences with increasing age. She explained in Parkinson’s may be related to the The University of Texas Health Science that immune cell aging and chronic severity of dysphagia and suggests the Center at Houston inflammation may contribute to the oral microbiome could be a biomarker “perfect storm” for the development for swallowing difficulties long before of Parkinson’s disease, and that SCFAs individuals with Parkinson’s disease may be protective in delaying symptom complain of dysphagia. onset. Cameron B. Jeter, of The University FOUNDING PARTNER CO-FOUNDING PARTNER GOLD SPONSOR Thank you to the organizing committee, program committee and speakers for making this conference happen! Stay tuned for the next edition of the event, planned for 2023.
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