Changes in Gut Microbiota by Chronic Stress Impair the Efficacy of Fluoxetine

Eleni Siopi1, Grégoire Chevalier2, Lida Katsimpardi1

  • 1Institut Pasteur, Perception and Memory Unit, 75015 Paris, France; Centre National de la Recherche Scientifique (CNRS), Unité Mixte de Recherche 3571, 75015 Paris, France.

Cell Reports
|March 19, 2020
PubMed

Insights

Stress-induced changes in gut microbiota (GM) can cause depression-like behaviors and reduce the effectiveness of antidepressants like fluoxetine (FLX). Restoring serotonin levels with 5-hydroxytryptophan can reverse these effects.

Area of Science:

  • Neuroscience
  • Microbiology
  • Pharmacology

Background:

  • Major depressive disorders (MDDs) are a leading cause of global disability with limited treatment efficacy.
  • The gut microbiota (GM) is a novel therapeutic target for MDDs.
  • Stress significantly impacts both GM composition and mental health.

Purpose of the Study:

  • To investigate the causal role of stress-induced GM alterations in MDD pathogenesis.
  • To determine the impact of GM transfer on depressive behaviors and neurogenesis.
  • To elucidate the mechanisms by which GM affects antidepressant efficacy.

Main Methods:

  • Fecal microbiota transplantation from stress-exposed mice to healthy recipients.
  • Assessment of despair-like behavior and hippocampal neurogenesis.
  • Analysis of serotonin (5-HT) metabolism and bioavailability in the hippocampus.
  • Evaluation of 5-hydroxytryptophan (5-HTP) treatment efficacy.

Main Results:

  • Microbiota transfer induced despair-like behavior and reduced hippocampal neurogenesis.
  • Stress-induced GM impaired fluoxetine's antidepressant and neurogenic effects.
  • Serotonergic pathway deficits (5-HT bioavailability, biosynthesis, reuptake) were observed.
  • 5-HTP treatment restored 5-HT levels, improved neurogenesis, and alleviated depressive symptoms.

Conclusions:

  • Stress-induced gut microbiota alterations contribute to MDD development.
  • GM modulates the efficacy of selective serotonin reuptake inhibitors (SSRIs) by affecting the serotonergic pathway.
  • Targeting the gut microbiota and serotonin metabolism offers a potential therapeutic strategy for MDDs.

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