The
pandemic
has
supercharged
growing
awareness
of
the
gut
microbiome
as
a
critical
determinant
human
health.
Long
haulers
share
microbiomes
similar
to
those
seen
in
myalgic
encephalomyelitis/chronic
fatigue
syndrome
and
fibromyalgia,
all
frequently
associated
with
Candida
overgrowth
(CO).
unique
relationship
indoleamine
dioxygenase
(IDO)
altered
tryptophan
metabolism
(ATM),
mediated
by
IFN-γ.
Zonulin,
circulating
protein
that
increases
intestinal
endothelial
permeability,
emerged
central
player.
This
can
be
activated
proteases
secreted
mast
cells,
enabling
myriad
autoimmune
other
chronic
diseases.
Many
these
are
long
Covid
(LC).
hyphal
walls
express
proteins
analogous
gliadin/gluten,
e.g.,
celiac
disease
(CeD),
mannans,
Crohn’s
(CrD),
may
trigger
antigliadin
possibly
anti-GPCR
auto-antibodies
linked
their
lectin
binding
domain
respectively.
These
latter
include
GPCR
LC
POTS.
Both
autoantibody
producing
pathways
activate
zonulin.
IFN-γ,
marker
for
LC,
not
only
IDO
but
also
synthesize
mannan
immune
epitopes
on
its
hyphae
reveal
remarkable
spatial
phylogenetic
diversity.
spike
S
SARS
CoV2
attach
both
ACE2
receptor
(required
absorption)
Toll-like
receptor4
(TLR4)
bearing
cells
enterocytes.
Spike
is
persistent
most
and,
ligand
TLR4,
NLRP3
inflammasome,
candidalysin.
inflammasome
directly
connected
dementia,
cancer,
autoimmunity
obesity.
A
hypothetical
pathophysiologic
model
proposed
implicating
pre-existing
CO,
aggravated
Covid-19,
genesis
disease,
many
diseases,
aging.
accomplish
this
or
through
IFN-γ
induced
upregulation
even
IDO.
Cells,
Год журнала:
2024,
Номер
13(5), С. 423 - 423
Опубликована: Фев. 28, 2024
The
involvement
of
central
and
peripheral
inflammation
in
the
pathogenesis
prognosis
major
depressive
disorder
(MDD)
has
been
demonstrated.
increase
pro-inflammatory
cytokines
(interleukin
(IL)-1β,
IL-6,
IL-18,
TNF-α)
individuals
with
depression
may
elicit
neuroinflammatory
processes
inflammation,
mechanisms
that,
turn,
can
contribute
to
gut
microbiota
dysbiosis.
Together,
neuroinflammation
dysbiosis
induce
alterations
tryptophan
metabolism,
culminating
decreased
serotonin
synthesis,
impairments
neuroplasticity-related
mechanisms,
glutamate-mediated
excitotoxicity.
This
review
aims
highlight
inflammatory
(neuroinflammation,
dysbiosis)
involved
pathophysiology
MDD
explore
novel
anti-inflammatory
therapeutic
approaches
for
this
psychiatric
disturbance.
Several
lines
evidence
have
indicated
that
addition
antidepressants,
physical
exercise,
probiotics,
nutraceuticals
(agmatine,
ascorbic
acid,
vitamin
D)
possess
effects
their
antidepressant
properties.
Further
studies
are
necessary
benefits
these
alternative
therapies
MDD.
“All
diseases
originate
in
the
gut.”
Hippocrates
(400
BC)
A
healthy
gut
microbiome
via
gut-brain-axis
elevates
heart
rate
variability
(HRV),
a
general
measure
of
health
and
well-being.
dysbiotic
microbiome,
low
biodiversity
butyrate
producers,
can
alter
tryptophan
metabolism
(ATM)
increase
kynurenine
to
ratio
(KTR)
with
release
proinflammatory
cytokines,
predominantly
TNF-α,
IL-6,
IL-1β.
These
also
characterize
chronic
inflammation,
oxidative
stress,
multitude
diseases.
Also
proposed
is
gut-lung
dysbiosis
concept
consequent
degradation
ACE2
(richest
lungs
gut).
Leaky
(and
lung)
induced
autoantibodies
(AAs)
related
G-protein
coupled
receptors
(GPCRs)
combination
increased
Ang
II
further
potentiate
stress.
The
underappreciated
pathogenic
role
these
on
invading
Candida
hyphae
explored.
efficacy
fecal
transplantation
(FMT)
treating
dementia,
cancer,
autoimmunity
supports
plausibility
success
“FMT-lite”.
This
triple
play
prebiotic
(d-mannose),
probiotic
(bifidobacteria
lactobacilli),
postbiotic
(butyrate)
might
improve
intestinal
barrier
integrity,
oppose
entry
GPCR
antigens
(epitopes),
suppress
inflammatory
cytokine
triad,
balance
IFN-γ
TGF-β,
depress
KTR,
elevate
HRV,
extend
lifespan
its
quality.
Journal of Advanced Research,
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 1, 2024
The
interplay
between
influential
factors
and
the
incidence
of
subthreshold
depression
(SD)
in
young
adults
remains
poorly
understood.
This
study
sought
to
understand
dietary
habits,
gut
microbiota
composition,
etc.
among
individuals
with
SD
investigate
their
association
occurrence.
Employing
a
cross-sectional
approach,
178
SD,
aged
18–32
years,
were
matched
114
healthy
counterparts.
status
was
evaluated
using
Zung
Self-rating
Depression
Scale
(SDS),
Anxiety
(SAS),
Beck
Inventory
2nd
version
(BDI-II),
17-item
Hamilton
Rating
Scales
(HAMD-17),
Pittsburgh
Sleep
Quality
Index
(PSQI).
Metagenomic
sequencing
utilized
identify
fecal
microbial
profiles.
Dietary
patterns
discerned
via
factor
analysis
25-item
food
frequency
questionnaire
(FFQ).
Logistic
regression
mediation
performed
explore
potential
links
microbiota,
patterns,
incident
SD.
Data
on
habits
available
for
292
participants
(mean
[SD]
age,
22.1
[2.9]
years;
216
[73.9
%]
female).
revealed
that
Ⅰ
(odds
ratio
[OR],
0.34;
95
%
CI,
0.15–0.75)
IV
(OR,
0.39;
0.17–0.86
OR,
0.18–0.84)
associated
reduced
risk
Distinct
profiles
observed
marked
by
increased
diversity
taxonomic
alterations.
Moreover,
suggested
Veillonella
atypica
as
mediator
linking
SDS
or
BDI-II
scores
pattern
rich
bean
products,
coarse
grains,
nuts,
fruits,
mushrooms,
potatoes
(β
=
0.25,
CI:
0.02–0.78
β
0.18,
0.01–0.54).
Our
findings
highlight
complex
developing
adults,
underscoring
interventions
microbiome
modulation
mental
health
promotion.
Frontiers in Psychiatry,
Год журнала:
2025,
Номер
16
Опубликована: Фев. 24, 2025
Vortioxetine
hydrobromide
is
a
widely
prescribed
medication
for
the
treatment
of
major
depressive
disorder
(MDD),
primarily
exerting
its
antidepressant
effects
by
inhibiting
reuptake
serotonin
(5-HT).The
objective
this
study
was
to
investigate
adverse
events
(AEs)
associated
with
vortioxetine
through
data
mining
in
FDA
Adverse
Event
Reporting
System
(FAERS)
enhance
clinical
safety.
We
collected
FAERS
from
Q3
2013
Q1
2024
cleansing.
Disproportionality
analysis
employed
quantify
relevant
AEs
vortioxetine.
Reported
Ratio
Ratios
(ROR)
utilized
identifying
risk
signals
within
data.
Organ
Classes
(SOCs)
and
selected
Preferred
Terms
(PTs)
Medical
Dictionary
Regulatory
Activities
(MedDRA
version
26.1).
A
total
11,298
cases
were
reported
as
"primary
suspected
(PS)"
hydrobromide.
Notably,
at
systemic
organ
level
(SOC)
level,
involved
27
organoid
classes
(SOCs).We
identified
150
significantly
disproportionate
that
met
all
four
algorithms.
This
Our
findings
offer
valuable
insights
optimizing
use
reducing
potential
side
effects,
serving
reference
rational
safe
application.
The
pandemic
has
supercharged
growing
awareness
of
the
gut
microbiome
as
a
critical
determinant
human
health.
“Long
haulers”
share
microbiomes
similar
to
those
seen
in
myalgic
encephalomyelitis/chronic
fatigue
syndrome
and
fibromyalgia,
all
frequently
associated
with
Candida
overgrowth
(CO).
can
synthesize
its
own
IDO,
altering
tryptophan
metabolism
(ATM).
Zonulin,
circulating
protein
that
increases
intestinal
endothelial
permeability,
emerged
central
player.
hyphal
walls
express
proteins
analogous
gliadin/gluten,
e.g.,
celiac
disease
(CeD),
mannans,
Crohn’s
(CrD),
may
trigger
antigliadin
anti-Gq
coupled
GPCR
auto-antibodies
linked
their
lectin
binding
domain
respectively.
Hyphal
mannan
induce
AT1Rs,
α1-ARs,
mAChRs,
β2-ARs,
prominent
LC,
regulate
T
cell
receptors
(TCRs)
regulatory
B
function,
compromised
not
only
LC
(vitiligo,
psoriasis,
alopecia)
but
also
SLE,
RA,
many
other
autoimmune
diseases.
All
are
Gq
GPCRs.
spike
S
on
SARS
CoV2
attach
both
ACE2
receptor
(required
for
absorption)
Toll-like
receptor4
(TLR4)
bearing
cells
enterocytes.
Spike
is
persistent
most
and,
ligand
TLR4,
activate
zonulin.
NLRP3
inflammasome,
candidalysin.
This
inflammasome
directly
connected
dementia,
cancer,
autoimmunity
obesity.
Candidalysin
causes
hypercitrullination,
instrumental
creating
ACPAs
(anti-citrullinated
peptide
antibodies)
MCAS
(mast
activation
syndrome),
HSD
(hypermobility
spectrum
disorder),
APS
(antiphospholipid
syndrome).
A
hypothetical
pathophysiologic
model
proposed
implicating
pre-existing
CO,
aggravated
by
Covid-19,
genesis
disease,
chronic
diseases,
aging.
“All
diseases
originate
in
the
gut.”
Hippocrates
(400
BC)
A
healthy
gut
microbiome
via
gut-brain-axis
(GBA)
elevates
heart
rate
variability
(HRV),
a
general
measure
of
health
and
well-being.
dysbiotic
microbiome,
low
biodiversity
butyrate
producers,
triggers
altered
tryptophan
metabolism
release
proinflammatory
cytokines,
predominantly
TNF-α,
IL-6,
IL-1β,
that
also
characterize
chronic
inflammation,
oxidative
stress,
multitude
diseases,
all
exhibiting
HRV.
Gut
dysbiosis
upregulates
IFN-γ
with
it
IDO
(indoleamine
2,3
dioxygenase).
Tryptophan
pivots
from
serotonin
synthesis
to
kynurenine,
increasing
kynurenine
ratio
(KTR).
An
elevated
KTR
is
positively
linked
neurodegenerative
autoimmune
negatively
Elevated
activity
not
only
enzymatic
but
an
intracellular
signal
transducer
potentiated
by
TGF-β.
This
cytokine
primary
determinant
TME.
The
triple
play
prebiotic
(d-mannose),
probiotic
(bifidobacteria
lactobacilli),
postbiotic
(butyrate)
might
improve
intestinal
barrier
integrity,
suppress
inflammatory
triad,
balance
TGF-β,
depress
KTR,
elevate
HRV,
extend
lifespan.
“All
diseases
originate
in
the
gut.”
Hippocrates
(400
BC)
A
healthy
gut
microbiome
via
gut-brain-axis
(GBA)
elevates
heart
rate
variability
(HRV),
a
general
measure
of
health
and
well-being.
dysbiotic
microbiome,
low
biodiversity
butyrate
producers,
alters
tryptophan
metabolism
with
release
proinflammatory
cytokines,
predominantly
TNF-α,
IL-6,
IL-1β.
These
also
characterize
chronic
inflammation,
oxidative
stress,
multitude
diseases,
all
exhibiting
HRV.
Gut
dysbiosis
upregulates
IFN-γ
it
IDO
(indoleamine
2,3
dioxygenase).
Tryptophan
pivots
from
serotonin
synthesis
to
that
induced
kynurenine,
increasing
kynurenine
ratio
(KTR).
An
elevated
KTR
is
positively
linked
neurodegenerative
autoimmune
negatively
Elevated
activity
not
only
enzymatic
but
an
intracellular
signal
transducer
potentiated
by
TGF-β.
This
cytokine
primary
determinant
TME.
Also
proposed
gut-lung
concept
consequent
degradation
ACE2
(richest
lungs
gut).
Leaky
autoantibodies
related
G-protein
coupled
receptors
(GPCRs)
combination
increased
Ang
II
further
potentiate
stress.
Aldosterone
paroxysmal
orthostatic
tachycardia
syndrome
(POTS)
paradoxes
are
highlighted
context
GPCR
dysbiosis,
role
Candida
explored.
The
triple
play
prebiotic
(d-mannose),
probiotic
(bifidobacteria
lactobacilli),
postbiotic
(butyrate)
might
improve
intestinal
barrier
integrity,
oppose
entry
antigens,
suppress
inflammatory
triad,
balance
TGF-β,
depress
KTR,
elevate
HRV,
extend
lifespan
its
quality.