Writing assignment #15

Imagine yourself as the head of a funding agency (like the National Institute of Health) in which your job is to look at proposals for research projects and decide what projects to award funding to. Based on your readings this term, discuss a research project (or projects) that you would be most excited about funding as they relate to learning more about microbial influences on human health. As part of your response, consider what are we likely to learn from the project and how that might be important in future healthcare decisions.

If I was the head of a funding agency and had some control as to what project I could fund, I think I would have to throw some money at the Gut Microbes and the Brain: Paradigm shift in neuroscience.  I think this project should be funded because it’s a new way of thinking about neuroscience. Its pretty amazing that the microbes in our gut have ways of interacting with our brains.  The evolutionary formation of a complex gut microbiota in mammals has played an important role in enabling brain development and perhaps sophisticated social interaction. Genes within the human gut microbiota, termed the microbiome, significantly outnumber human genes in the body, and are capable of producing a myriad of neuroactive compounds.

So how does this communication work? There are several main pathways by which signals from the gut travel through the body and cross the blood-brain barrier. Some of those core pathways include the enteric nervous system (a part of the nervous system located within and governing the function of the gastrointestinal system), the vagus nerve (connecting the brain and gut), the immune system and hormones within the gut. Gut microbes are part of the unconscious system regulating behavior. Recent investigations indicate that these microbes majorly impact on cognitive function and fundamental behavior patterns, such as social interaction and stress management.

These recent investigations look promising as we find out more about this connection. The challenge for scientists is to learn how to manipulate gut-brain communication to treat psychiatric illnesses. Most previous studies on gut bacteria and mental health have focused on probiotics. Live, “good” bacteria that can be ingested in foods like yogurt or in supplement form, which have been shown to have anti-anxiety and anti-depressant effects.  What if we could intervene in an alternative way other then probiotics. While doing more research I found a term called Physcobiotics.  Psychobiotics is a new scientific term referring to any intervention that has an effect on mental health by way of changes in the gut microbiome. The larger question here, in medical, scientific, and legal terms, is that psychobiotics are not currently classified as a treatment. At most they are a dietary supplement. The answer to how and whether they should be regulated will emerge as we learn more about the effects of these substances on the central nervous system.

A great deal more research on humans is needed before real treatments are made available. In the meantime, some medical experts are concerned about the widespread marketing of probiotics to consumers to treat psychiatric issues. Consumers should beware of the many probiotics marketed online as cognitive enhancers or mood boosters. Will the gut microbiome add paradigm-transforming insights to our existing understanding of human brain function in health and disease, resulting in novel therapies, or will it represent an incremental step in understanding the inner workings of our brains (1)? This is were more funding could be useful to figure out just what works and what doesn’t. Human clinical trials are expesnive and time consuming so I would devote my funding to this research topic or this project so we can find out whats around the corner in this area of study.

 

Writing Exercise #14

List of as many human non-infectious diseases that I can think of that are influenced by microorganisms.

  • Celiac Disease
  • Cancer (Stomach,Esophageal, Intestinal, Rectal,Skin, Oral, Etc.)
  • Irritable Bowel Syndrome
  • Diabetes
  • Heart Disease
  •  Periodontal disease
  • Tooth Decay
  • Allergies
  • Alzheimer’s
  • Obesity
  • Asthma
  • Atopic Dermatitis

 

Referring back to my writing assignment #1 I have a few more diseases written down here. I think I would have even more if I had more time. This class has given me enough evidence to know that microorganisms are responsible or at least trigger the onset of many non infectious diseases. Looking at this now I am actually quite surprised that there isn’t more diseases that are directly related to the populations of microorganism on the body.

The relationship we share with microorganisms is fascinating. The future of microbiology and the study of how microbes interact with human health is on the rise, If I could go back to freshman year and rethink my degree I might just get into Microbiology so I could focus more of my studies on this topic. Its easy to get overwhelmed by the hype of this field, but there is a reason for the hype and I think we will be seeing many new discovers in the near future.

Writing Assignment #13

How to not be effected by the hype or the band wagon effect in science.

  1. Can experiments detect differences that matter?
  2. Does the study show causation or correlation?
  3. What is the mechanism?
  4. How much do experiments reflect reality?
  5. Could anything else explain the results?

Everyone who shapes, edits and publishes scientific content carries a responsibility to remain as unbiased and nuanced as possible. While a critical scientist may catch the flaws in a colleague’s study, someone with less specialized knowledge likely will not. If you can follow the five questions above you have a good chance of avoiding the hype or bandwagon effect. Most people don’t think about the extensive scientific studies that hide behind  media reports, but that shouldn’t be a problem. Responsible science journalism brings important findings to the public so that they don’t have to.

I would like to point out the importance of knowing the difference between causation and correlation.

We experience the world in a time-oriented manner through cause and effect. First Lucy ate that white berry, then she became sick. It is logical enough on the surface. Often, it seems clear that a specific action caused a second event to happen. This is what is known as causation. Many events appear to be the results brought about by identifiable causes, and the human mind is geared to look for these cause/effect relationships.

Correlation is when two or more things or events tend to occur at about the same time and might be associated with each other, but aren’t necessarily connected by a cause/effect relationship. For instance, in sick people, a runny nose and a sore throat correlate to each other–they tend to show up in the same patients. That doesn’t mean runny noses cause sore throats, or that sore throats cause runny noses, however. Forgetting that leads to sloppy thinking and thus sloppy assumptions.

To avoid the hype on a certain research or scientific topic and remain unbiased  it is essential to remember these five questions and see if you can apply them to your situation. unbiased fact based science is good science. Good science is how we innovate and keep progressing as a society so when we assume that everything we read is true or we don’t remember that correlation does not imply causation. Humans are evolutionarily predisposed to see patterns and psychologically inclined to gather information that supports pre-existing views, a trait known as confirmation bias. Avoiding bias in science is key to avoiding the band wagon.

Writing assignment #12

Describe how microbial communities in the body could influence brain and mental health states. Then, describe how brain and mental health states could influence microbial communities in the body. In what ways might these promote health and/or disease?

The human gastrointestinal tract  harbors trillions of microorganisms, consisting of up to 1,000 or so different bacterial species. These bacteria, known collectively as the gut microbiota, perform a number of vital functions in our body. They defend against pathogens, aid in digestion and nutrient absorption, produce vitamins (K and B), and boost our immune system. Some of the products of metabolism by these bacteria have been found to be neurotransmitters and interact with the enteric nervous system. These neurotransmitters can start at the peripheral nervous system and then be transferred to the the central nervous system were they can effect brain chemistry.  Research shows that people suffering from gastrointestinal disorders are more susceptible to anxiety related disorders. Although the underlying mechanism is not fully understood as yet, there is clear evidence of a connection between the microbiota, gut and brain.

These mechanisms can be related in reverse were the brain can effect the environment in the gut. This happens through stress related incidences. Early life stress has been implicated in many psychiatric disorders ranging from depression to anxiety. A research study “Maternal separation as a model of brain-gut axis dysfunction.” describes the components of the brain-gut axis individually and how they are altered by maternal separation. The separated phenotype is characterised by alterations of the intestinal barrier function, altered balance in enteric microflora, exaggerated stress response and visceral hypersensitivity, which are all evident in IBS (1). This is also the case in psychological, sexual and physical abuse which can lead to high amounts of stress or the release of the release of cortisol, which influences many bodily functions such as metabolic, psychological and immunological functions. So this may be because the establishment of stable gut microbiota is disrupted by altered metabolic functions.

This image depicts the Brain-Gut axis and how stress could interrupt the homeostasis between the two.  Probiotics, antibiotics and fecal transplants are all ways to combat the dysbiosis that can take place from stress.

http://www.jpp.krakow.pl/journal/archive/08_15/articles/02_article.html

O’Mahony, S. M., Hyland, N. P., Dinan, T. G., & Cryan, J. F. (2011). Maternal separation as a model of brain–gut axis dysfunction. Psychopharmacology, 214(1), 71-88.