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Interleukin-6 Gene Expression Changes after a 4-Week Intake of a Multispecies Probiotic in Major Depressive
Alexandra Reiter1, Susanne A Bengesser1, Anne-Christin Hauschild2
1Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Auenbruggerplatz 31, 8036 Graz, Austria.
Abstract:
Major depressive disorder (MDD) is a prevalent disease, in which one third of sufferers do not respond to antidepressants. Probiotics have the potential to be well-tolerated and cost-efficient treatment options. However, the molecular pathways of their effects are not fully elucidated yet. Based on previous literature, we assume that probiotics can positively influence inflammatory mechanisms. We aimed at analyzing the effects of probiotics on gene expression of inflammation genes as part of the randomized, placebo-controlled, multispecies probiotics PROVIT study in Graz, Austria. Fasting blood of 61 inpatients with MDD was collected before and after four weeks of probiotic intake or placebo. We analyzed the effects on gene expression of tumor necrosis factor (TNF), nuclear factor kappa B subunit 1 (NFKB1) and interleukin-6 (IL-6). In IL-6 we found no significant main effects for group (F(1,44) = 1.33, p = ns) nor time (F(1,44) = 0.00, p = ns), but interaction was significant (F(1,44) = 5.67, p < 0.05). The intervention group showed decreasing IL-6 gene expression levels while the placebo group showed increasing gene expression levels of IL-6. Probiotics could be a useful additional treatment in MDD, due to their anti-inflammatory effects. Results of the current study are promising, but further studies are required to investigate the beneficial effects of probiotic interventions in depressed individuals.
Insights
Probiotics may help treat major depressive disorder (MDD) by reducing inflammation. This study found probiotics decreased interleukin-6 (IL-6) gene expression in MDD patients, suggesting a potential anti-inflammatory role in depression treatment.
Area of Science:
- Neuroscience
- Immunology
- Microbiology
Background:
- Major depressive disorder (MDD) affects many individuals, with a significant portion unresponsive to conventional antidepressant therapies.
- Probiotics offer a potential avenue for well-tolerated and cost-effective treatments for MDD, though their precise molecular mechanisms require further elucidation.
- Emerging evidence suggests probiotics may positively modulate inflammatory pathways, which are implicated in the pathophysiology of depression.
Purpose of the Study:
- To investigate the effects of a multispecies probiotic intervention on the gene expression of key inflammation markers in patients with MDD.
- To analyze changes in tumor necrosis factor (TNF), nuclear factor kappa B subunit 1 (NFKB1), and interleukin-6 (IL-6) gene expression.
Main Methods:
- A randomized, placebo-controlled trial (PROVIT study) involving 61 inpatients diagnosed with MDD.
- Fasting blood samples were collected before and after a four-week intervention period.
- Gene expression analysis was performed for TNF, NFKB1, and IL-6.
Main Results:
- While no significant main effects for group or time were observed for IL-6, a significant interaction effect was found (p < 0.05).
- The probiotic intervention group exhibited a decrease in IL-6 gene expression.
- Conversely, the placebo group showed an increase in IL-6 gene expression over the study period.
Conclusions:
- Probiotics demonstrate potential anti-inflammatory effects relevant to MDD treatment.
- The observed modulation of IL-6 gene expression suggests probiotics could serve as an adjunctive therapy for depression.
- Further research is warranted to fully explore the therapeutic benefits of probiotic interventions in individuals with depression.
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