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Published on: June 23, 2022
Fungal Forces in Mental Health: Microbial Meddlers or Function Fixers?
1Stanley Division of Developmental Neurovirology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. eseverance@jhmi.edu.
Abstract:
In the mental health field, the gut-brain axis and associated pathways represent putative mechanisms by which gastrointestinal (GI) microbes and their gene products and metabolites can access and influence the central nervous system (CNS). These GI-centered investigations focus on bacteria, with significant information gaps existing for other microbial community members, such as fungi. Fungi are part of a complex and functionally diverse taxonomic kingdom whose interactions with hosts can be conversely deadly and beneficial. As serious sources of morbidity and mortality, fungal pathogens can quickly turn healthy microbiomes into toxic cycles of inflammation, gut permeability, and dysbiosis. Fungal commensals are also important human symbionts that provide a rich source of physiological functions to the host, such as protection against intestinal injuries, maintenance of epithelial structural integrities, and immune system development and regulation. Promising treatment compounds derived from fungi include antibiotics, probiotics, and antidepressants. Here I aim to illuminate the many attributes of fungi as they are applicable to overall improving our understanding of the mechanisms at work in psychiatric disorders. Healing the gut and its complex ecosystem is currently achievable through diet, probiotics, prebiotics, and other strategies, yet it is critical to recognize that the success of these interventions relies on a more precisely defined role of the fungal and other non-bacterial components of the microbiome.
Insights
Fungi in the gut microbiome significantly impact the gut-brain axis and mental health. Understanding fungal roles is crucial for developing effective gut health and psychiatric disorder treatments.
Area of Science:
- Microbiology
- Neuroscience
- Gastroenterology
Background:
- The gut-brain axis describes communication between the gastrointestinal tract and the central nervous system.
- Current research on the gut-brain axis primarily focuses on bacteria, neglecting other microbes like fungi.
- Fungi possess diverse roles, acting as both pathogens causing inflammation and dysbiosis, and beneficial commensals supporting host health.
Purpose of the Study:
- To highlight the multifaceted roles of fungi within the gut microbiome.
- To explore the potential of fungal components in understanding and treating psychiatric disorders.
- To emphasize the need to include fungi in gut microbiome research and therapeutic strategies.
Main Methods:
- Literature review and synthesis of existing research on gut fungi and their impact on host physiology and the central nervous system.
- Analysis of fungal interactions within the gut ecosystem, including pathogenic and commensal functions.
- Examination of fungal-derived compounds with therapeutic potential for mental health conditions.
Main Results:
- Fungal pathogens can induce gut inflammation, permeability, and dysbiosis, negatively affecting mental health.
- Commensal fungi contribute to host well-being through immune regulation and epithelial integrity.
- Fungi are a source of potential therapeutic agents, including antibiotics, probiotics, and antidepressants.
Conclusions:
- Fungal communities are integral to the gut microbiome and play a significant role in the gut-brain axis.
- A comprehensive understanding of fungal contributions is essential for advancing treatments for psychiatric disorders.
- Future interventions for gut health and mental well-being must consider the non-bacterial components of the microbiome, particularly fungi.
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