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GUT MICROBIOTA AND NUTRITION NEWSLETTER #34

January 2022

 

Happy new year! After a bit of a break, we’re back with our latest list of papers to catch you up on the gut microbiota, diet, and health. Read about how gut microbiota transmits across multiple generations of women, how constipation may be related to gut microbes, the possible influence of the gut-eye axis, and more.
This month's practice tip has to do with whether a 'special' gut microbiome signature exists in children with autism.
Catch us at the Dietitians of Canada meeting in June, where we’ll give a joint presentation called, “Microbiome Interventions For Chronic Disease: Perception vs. Scientific Reality”. Find out more about the meeting here.


Natasha and Kristina

Gut-microbiota-targeted diets modulate human immune status

Variation and transmission of the human gut microbiota across multiple familial generations

We supposedly get our first dose of gut microbes from our mother during birth – but how do our gut microbes change over time in relation to the female relatives that live with us or apart from us? A new study investigated how gut microbiota is transmitted across generations of women in a family. The researchers found that women from the same family do tend to share microbes. And while some microbes appear to transmit across up to four generations (perhaps through the birth process), living in the same household was a stronger predictor of shared microbial strains.

Predicting the Role of the Human Gut Microbiome in Constipation Using Machine-Learning Methods: A Meta-Analysis

Predicting the Role of the Human Gut Microbiome in Constipation Using Machine-Learning Methods: A Meta-Analysis

The gut microbiome may play a role in constipation: not only does the gut microbiome in individuals with constipation differ from that of healthy individuals, but gut microbiota functions can also affect biological functions, such as gut motility. A recent metalysis looked at 3056 fecal samples from five research studies and found that alpha diversity of the microbiota was significantly higher in the subjects with constipation. Differences in composition were also observed between the two groups. At the genus level, Serratia, Dorea, Aeromonas, and Hungatella were most abundant in subjects with constipation. These findings underscore an exception to the rule that diversity in the gut microbiota is a marker of health -- because this meta-analysis shows a diverse microbiota is typical of constipation.

Effect of Gut Microbial Enterotypes on the Association between Habitual Dietary Fiber Intake and Insulin Resistance Markers in Mexican Children and Adults

Effect of Gut Microbial Enterotypes on the Association between Habitual Dietary Fiber Intake and Insulin Resistance Markers in Mexican Children and Adults

Nowadays it’s very easy to test your gut microbes, but the results are difficult to interpret. How can we group 'types' of gut microbiotas in a useful way? Enterotypes use a categorization method that assigns an individual’s microbial profile to one of several clusters in an effort to classify the complex ecosystem. Martinez-Medina and colleagues examined gut microbial enterotypes in Mexican school-aged children and adults to determine if enterotypes predict the way dietary fibre intake affects metabolic health. This cross-sectional study found that in children and adults with the Prevotella enterotype, hemicellulose intake correlated negatively with markers of insulin resistance. This was not observed in the other enterotypes. Further work may show that having fibre in the diet confers benefits differently depending on the gut microbial makeup.

In vitro study of the effect of quinoa and quinoa polysaccharides on human gut microbiota

In vitro study of the effect of quinoa and quinoa polysaccharides on human gut microbiota

Quinoa is recognized as a functional food due to its important nutritional value and its bioactive components. Zeyne et al. used an in vitro fermentation model to determine the effects of cooked and uncooked quinoa after simulated human digestion, the effects of quinoa polysaccharides (QPs) on the gut microbiota, as well as the (purportedly beneficial) short-chain fatty acids produced by the human fecal microbial communities. Quinoa substrates enhanced the growth of beneficial bacteria from groups such as Prevotella and Bacteroides. Moreover, quinoa polysaccharides could be prebiotic candidates due to their ability to increase Bifidobacterium and Collinsella. The analysis revealed that cooked and uncooked quinoa, and quinoa polysaccharides, had significantly different modulatory effects on gut microbiota, correlating with short-chain fatty acid production.

Gut microbiota-mediated secondary bile acids regulate dendritic cells to attenuate autoimmune uveitis through TGR5 signaling

Gut microbiota-mediated secondary bile acids regulate dendritic cells to attenuate autoimmune uveitis through TGR5 signaling

We know about the gut-brain axis, the gut-lung axis, and more. Is there a gut-eye axis? The autoimmune eye disease referred to as uveitis is a form of eye inflammation that causes eye redness, pain, and blurred vision, and it can even lead to blindness. New research suggests that differences in the gut microbiota and bile acids may play a key role in this inflammatory condition. This mechanistic study by Hu et al. tested bile acids and examined the gut microbial composition in an animal model of uveitis. The researchers found that secondary bile acids were decreased in the stool and blood of the mice with the uveitis. Then when the researchers restored the microbe-derived bile acids and deoxycholic acid, the severity of the uveitis decreased, which was through the reduced production of pro-inflammatory mediators in dendritic cells.

Oral microbiome findings challenge dentistry dogma

Oral microbiome findings challenge dentistry dogma

For a long while, scientists thought that specific bacteria called S. mutans caused dental cavities. But now that we know more about the oral microbiome, it’s clear that those bacteria are neither necessary nor sufficient for cavity development. Check out Kristina’s Nature Outlook article here to find out how science on the oral microbiome is changing some fundamental understandings in the field of oral health.

Multimedia

You can still register for this #TrendingNow event by the Canadian Digestive Health Foundation, with talks by Kristina and others that cover all aspects of digestive health! Sign up by January 30th and watch the video presentations on demand.
 

Kristina’s Practice Tip:

What do we know about the gut microbiota of children with autism?


I've spent hundreds of hours in the company of kids with autism -- playing board games, blowing bubbles, co-ordinating peer play groups, and more. This is because, before I turned to full time science writing, I was a speech-language pathologist who worked in schools. With the high prevalence of autism at present – estimated to be 1 in 44 – most classes had at least one child with autism. My job was to help support their communication skills, one situation and one phrase at a time. 


 
Currently the accepted explanation for why kids develop autism is that they have genetic differences, which cause them to follow a different pattern of brain development. Despite their different neurodevelopment, we can teach them better communication skills and ways of coping with the complex social world.

From time to time, the parents of the kids I worked with would tell me they were trying various other interventions to help their children: hyperbaric oxygen chambers, vitamins and supplements, or a gluten-free, casein-free diet. I didn't blame these parents for trying everything they could to help their kids, but I was up front in telling them that there was limited (or no) evidence showing that these kinds of interventions could make a difference to the core behaviours of autism.

Nevertheless, there were several new lines of research on autism, unrelated to human genetics, that were worth following because they might spark new treatments to complement the behavioural therapy. At present, one of these research areas is centered around the gut microbiota of children with autism as they grow and develop.

The idea that gut microbiota could have something to do with behaviours in autism appeared to originate with several high-profile anecdotes of children’s social behaviours dramatically improving when they took a course of antibiotics. Was it because the antibiotics had altered the gut microbes and therefore shaped behaviour through the gut-brain axis?

Subsequent studies on kids with autism found that their gut microbes indeed tended to differ from those of healthy kids: the microbes were different types and the communities were less diverse overall. Yet there was no consistency in exactly which gut microbes characterized the gut microbiota of kids with autism. Moreover, children with autism tend to suffer from gastrointestinal problems more than others, so it wasn’t clear whether the gut microbiota differences were only indicative of GI problems rather than autism.

In 2017, researchers published a study in which children with autism were given fecal microbiota transplantation and followed up for two years. Their social behaviours and GI problems both improved. But the investigation was not rigorously designed – after all, there was no control group and the kids' social progress could have been attributable to therapies they had received or simply their normal development through the two years, not just to the FMT.

A mouse study also made headlines when it showed that germ-free mice receiving a fecal transplant from children with autism ended up altering their social behaviours. These behaviours could be normalized again when bacterial metabolites were administered. But since autism is a human-specific condition, these mice never truly had autism so it was only a rough proof-of-concept. 

A recent study provided a more definitive answer about a possible gut microbiota signature of autism. This study looked at a large cohort of kids with autism, and found that when ruling out confounding factors, dietary preferences are the most likely explanation for the gut microbiota differences. This makes sense because children with autism often have very specific or limited dietary preferences.

Overall, the evidence does not strongly support the existence of a ‘special’ gut microbiota profile in kids with autism. This is not to say that gut microbiota shouldn’t be a target for new therapies, because the gut microbiota could still be influencing the body in different ways even if there no compositional difference. Several drug companies with significant venture capital investment are pursuing therapeutics for autism, which target the gut.

The area of research remains active, but until any of these therapies are proven successful in clinical trials, gut microbiota modulation strategies for children with autism are best approached with a healthy dose of skepticism.
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  Natasha Haskey
@nhaskeyRD
Kristina Campbell @bykriscampbell
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