Dysregulation of the gut-brain axis in schizophrenia and bipolar disorder: probiotic supplementation as a supportive treatment in psychiatric disorders
- PMID: 30920970
- DOI: 10.1097/YCO.0000000000000499
Dysregulation of the gut-brain axis in schizophrenia and bipolar disorder: probiotic supplementation as a supportive treatment in psychiatric disorders
Abstract
Purpose of review: Schizophrenia (SCZ) and bipolar disorder are severe mental disorders, both placing a significant burden on individuals' wellbeing and global health generally. The complex interaction of multiple mechanisms, underlying these disorders, still needs further elucidation. Increased activation of components of the immune system may be involved, including alterations in intestinal permeability and gut microbiome. Probiotics, defined as living microorganisms conferring health benefits to the host when administered in adequate amounts, seem to have supportive therapeutic effect in psychiatric disorders. The authors in this review provide an overview of this emerging research field and summarize both the publicated microbiome studies in SCZ and bipolar disorder and the current clinical research using probiotic supplementation in patients diagnosed with these disorders.
Recent findings: The current data indicate that there are differences in the microbiome in SCZ and bipolar disorder patients as compared with healthy controls. Part of these differences may be induced by medication use, others by smoking and other lifestyle factors. Correlations between microbiome quantification and symptom severity have been observed in cross-sectional studies, but unfortunately, no replicated findings so far. Probiotic supplementation was shown not only to alleviate gastrointestinal complaints but also reduce symptom severity, rehospitalization rates and cognitive improvement. Replication of improvement of cognition is needed.
Summary: Differences in microbiome have been shown in both SCZ and bipolar disorder in comparison to healthy controls. Evidence that probiotics can improve psychiatric functioning is still very limited.
Similar articles
-
Role of the gut microbiome in three major psychiatric disorders.Psychol Med. 2022 May;52(7):1222-1242. doi: 10.1017/S0033291722000897. Epub 2022 May 4. Psychol Med. 2022. PMID: 35506416 Free PMC article. Review.
-
Gut microbiome and adaptive immunity in schizophrenia.Psychiatriki. 2019 Jul-Sep;30(3):189-192. doi: 10.22365/jpsych.2019.303.189. Psychiatriki. 2019. PMID: 31685450 English, Greek, Modern.
-
The Gut Microbiome and Mental Health: What Should We Tell Our Patients?: Le microbiote Intestinal et la Santé Mentale : que Devrions-Nous dire à nos Patients?Can J Psychiatry. 2019 Nov;64(11):747-760. doi: 10.1177/0706743719874168. Epub 2019 Sep 17. Can J Psychiatry. 2019. PMID: 31530002 Free PMC article. Review.
-
Probiotic Treatment in Individuals with Euthymic Bipolar Disorder: A Pilot-Study on Clinical Changes and Compliance.Neuropsychobiology. 2020;79(1):71-79. doi: 10.1159/000493867. Epub 2018 Oct 19. Neuropsychobiology. 2020. PMID: 30343291
-
The microbiome, immunity, and schizophrenia and bipolar disorder.Brain Behav Immun. 2017 May;62:46-52. doi: 10.1016/j.bbi.2016.12.010. Epub 2016 Dec 18. Brain Behav Immun. 2017. PMID: 28003152 Free PMC article. Review.
Cited by
-
Development and management of gastrointestinal symptoms in long-term COVID-19.Front Microbiol. 2023 Dec 14;14:1278479. doi: 10.3389/fmicb.2023.1278479. eCollection 2023. Front Microbiol. 2023. PMID: 38156008 Free PMC article. Review.
-
Characterization of gut microbiota profile in Iranian patients with bipolar disorder compared to healthy controls.Front Cell Infect Microbiol. 2023 Sep 21;13:1233687. doi: 10.3389/fcimb.2023.1233687. eCollection 2023. Front Cell Infect Microbiol. 2023. PMID: 37808915 Free PMC article.
-
Effects of Electroacupuncture on Gut Microbiota and Fecal Metabolites in Rats with Poststroke Depression.Neuropsychiatr Dis Treat. 2023 Jul 12;19:1581-1592. doi: 10.2147/NDT.S415098. eCollection 2023. Neuropsychiatr Dis Treat. 2023. PMID: 37465562 Free PMC article.
-
Exploring the role of ketone bodies in the diagnosis and treatment of psychiatric disorders.Front Psychiatry. 2023 Apr 17;14:1142682. doi: 10.3389/fpsyt.2023.1142682. eCollection 2023. Front Psychiatry. 2023. PMID: 37139329 Free PMC article. Review.
-
Protective Effect of Anthocyanins against Neurodegenerative Diseases through the Microbial-Intestinal-Brain Axis: A Critical Review.Nutrients. 2023 Jan 18;15(3):496. doi: 10.3390/nu15030496. Nutrients. 2023. PMID: 36771208 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials