Your Gut Can Help Fight Depression and High Blood Pressure

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August 10, 2017 | 53,781 views

Story at-a-glance

  • A gut-brain-bone marrow axis may influence your blood pressure, mood and more
  • Immune cells in bone marrow play an important role in signaling between the brain and gut
  • Manipulating gut microbiota, such as via the use of probiotics or eating fermented foods, may help treat high blood pressure and other chronic diseases

By Dr. Mercola

Trillions of bacteria live in your gut, influencing your body's homeostasis daily. Far from being restricted to the confines of your intestinal tract, your gut microbiota is intricately tied to other body systems via a number of complex pathways, including the gut-brain axis and a recently revealed gut-brain-bone marrow axis, the latter of which may influence your blood pressure, mood and more.

It's becoming increasingly clear that your brain, your immune system and your gut microbes are intricately linked, so it's not a stretch to add bone marrow to the list of connections. Immune cells stem from bone marrow, and bone marrow inflammation, which may result from high blood pressure, is known to be caused by a signal from the brain. In a study published in the journal Frontiers in Physiology, researchers further revealed that immune cells in bone marrow play an important role in signaling between the brain and gut.1,2

Gut-Brain-Bone Marrow Connection Revealed

In an animal study, researchers replaced natural bone marrow in mice with bone marrow cells from genetically engineered (GE) mice. The marrow had been modified to be deficient in adrenergic receptor beta, making it less responsive to messages from the brain.

"In this way," researchers wrote in The Conversation, "we could investigate how the host brain-immune communication will modify gut microbiota. Indeed, by studying this new mouse model, we determined that our nervous system — directed by our brain — can modify the composition of gut microbiota by communicating directly with the bone marrow immune cells. The brain, therefore, can change our gut microbiota indirectly by talking to the bone."3

In short, when bone marrow was less able to communicate with the brain, a "muted inflammatory response" was observed in the gut, which in turn led to a more diverse (i.e., healthier) microbiome. The study shed light on one of the complex ways your gut health may be implicated in that of your heart and brain, with researchers noting:4

"In the context of cardiovascular disease, this muted inflammatory response appears to be beneficial, as it leads to beneficial lowering of blood pressure in our experimental mice.

Most interestingly, a link between gut microbiota and our mental health has recently become clearer. In particular, some have suggested that gut microbiota influence the stress and anxiety pathways in the brain in a way that can alter mood and behavior both positively and negatively, giving a whole new meaning to the term 'gut feeling.'"

Imbalanced Gut Microbes Play a Role in High Blood Pressure

Imbalanced gut microbes, known as gut dysbiosis, have been previously linked to heart disease and high blood pressure, but a recent animal study shed further light on the unique connection.5 Researchers gave rats antibiotics for 10 days to wipe out their natural microbiota, then transplanted hypertensive microbiota into rats with normal blood pressure. Rats with high blood pressure, in turn, were transplanted with normal microbiota.6

The results were surprising in that the rats treated with hypertensive microbiota developed high blood pressure, while the transplantation of normal microbiota led to only a slight reduction in blood pressure among the hypertensive rats. "We conclude that gut dysbiosis can directly affect SBP [systolic blood pressure]," the researchers wrote, adding that manipulating gut microbiota, such as via the use of probiotics or eating fermented foods, may be an "innovative treatment for hypertension."7

However, it's not the first time such a link has been revealed. A systematic review and meta-analysis of nine randomized, controlled studies found significant benefits among people with high blood pressure who consumed probiotics in products like yogurt and milk.8 On average, compared to a placebo, the probiotic consumption lowered systolic blood pressure (the top number) by 3.56 mm Hg and diastolic blood pressure (the bottom number) by 2.38 mm Hg.

It appeared that at least 100 billion colony-forming units of probiotics a day were necessary to trigger such improvements, and the benefit was only seen in those who consumed probiotics for eight weeks or more. In 2015, meanwhile, certain gut microbes, namely firmicutes and bacteroidetes, were associated with increased blood pressure in rats.

"Products of the fermentation of nutrients by gut microbiota can influence blood pressure by regulating expenditure of energy, intestinal metabolism of catecholamines, and gastrointestinal and renal ion transport, and thus, salt sensitivity," according to research published in the journal Current Opinion in Nephrology and Hypertension.9

Probiotics Found to Benefit Gut Diseases, Mental Health

The addition of beneficial microbes has been found to benefit people struggling with serious gut diseases, including necrotizing enterocolitis (NEC), which often occurs in premature infants and can be fatal. An Australian study revealed that probiotic supplementation significantly reduced NEC risk and mortality in preterm neonates, lowering the incidence of NEC in premature babies by at least 30 percent.10

Probiotics have also been found to benefit irritable bowel syndrome (IBS), of which disturbances in the gut microbiota are often seen.11 Compared to placebo, probiotic therapy was found to reduce pain and symptom severity among people with IBS,12 and probiotics are also known to prevent antibiotic-associated diarrhea in children.13

On the mental front, a small study involving adults diagnosed with IBS and depression found the probiotic Bifidobacterium longum provided depression relief. At six weeks, 64 percent of the treatment group had reduced depression scores compared to 32 percent of the control group that received a placebo.14

Those receiving the probiotic also reported fewer symptoms of IBS and improved overall quality of life. At the end of 10 weeks, approximately twice as many in the treatment group were still reporting lower levels of depression.

Interestingly, functional MRI scans revealed a link between reductions in depression score and actual changes in brain activity, specifically in areas involved in mood regulation, such as the amygdala. As noted by Dr. Roger McIntyre, professor of psychiatry and pharmacology at the University of Toronto, who was not involved in the study:15

"We know that one part of the brain, the amygdala, tends to be red-hot in people with depression, and it seemed to cool down with this intervention. It provides more scientific believability that something in the brain, at a very biological level, seems to be affected by this probiotic."

Are Personalized Probiotics the Answer?

As for which strains of probiotic are best, the answer may be harder to come by. Emma Allen-Vercoe, a microbiologist at the University of Guelph in Ontario, told Scientific American, "Bacterial strains are so genetically different from one another, and everybody has a different gut microbiota … There will probably never be a one-size-fits-all probiotic."16

Studies suggest, for instance, that some people may benefit more from probiotics than others if they're "low" in a certain variety that is then added to their diet. As Scientific American reported:17

"In other words, their gut ecosystems had a vacancy that the probiotic filled. That is exactly the kind of insight that clinicians need to create and recommend more effective probiotics. If a doctor knows that an individual with severe diarrhea has an undersized population of a particular beneficial microbe, for example, then prescribing the missing strain should increase the chance of a successful treatment."

Other research has looked into the benefits of certain strains of bacteria, such as Bifidobacteria, which tend to be abundant in babies' intestines but typically make up less than 10 percent of the gut microbiome bacteria in adults.18 Low levels of Bifidobacteria, in turn, are linked to chronic diseases like celiac disease, diabetes, allergic asthma and even obesity, while supplementing with them has been found to benefit IBS, inflammatory bowel disease, chronic fatigue syndrome, psoriasis, depression and more.19

Another type of bacteria, lactobacillus, has been shown to reduce anxiety in animal studies,20 while taking a probiotic with eight different bacterial strains reduced aggressive and ruminative thoughts in a study of adult volunteers.21,22

The Lectin Connection and How Leaky Gut Can Destroy Your Health

It's important to be aware that gut dysbiosis, also known as leaky gut, is not only a major gut disrupter linked to digestive disorders, but may also contribute to other chronic diseases like Alzheimer's and possibly cancer. If your gut is leaky, your blood-brain barrier is also leaky, which means toxins can go right into your brain, affecting your cognitive and mental health.

Further, leaky gut can be triggered by a number of factors, including imbalanced gut microbiota that result from dietary factors, such as the consumption of sugar as well as lectins. This latter component is very important. Lectins are plant proteins, sometimes called sticky proteins or glycan-binding proteins, because they seek out and bind to certain sugar molecules on the surface of cells. There are many types of lectins, and the main difference between them is the type of sugar each prefers and binds to.

Some — including wheat germ agglutinin (WGA), found in wheat and other grass-family seeds — bind to specific receptor sites on your intestinal mucosal cells and interfere with the absorption of nutrients across your intestinal wall.

As such, they act as "antinutrients," and can have a detrimental effect on your gut microbiome by shifting the balance of your bacterial flora — a common precursor to leaky gut. Dr. Steven Gundry, author of "The Plant Paradox: The Hidden Dangers in 'Healthy' Foods That Cause Disease and Weight Gain," makes a strong case for a lectin-free diet, stating:

"Our microbiome is, I think, our early warning system, because about 99 percent of all the genes that make up [the human body] are actually nonhuman, they're bacterial, viral and fungal … [from which] we've uploaded most of the information about interacting with our environment … because the microbiome is capable of almost instantaneous changing and information processing that we actually don't have the ability to do.

We're beginning to realize … that the microbiome is not only how we interact with plant materials … like lectins, but probably more importantly, our microbiome teaches our immune system whether a particular plant compound is a friend or foe [based on] how long we've known that plant compound. There are lectins in everything.

But the longer we've interacted with lectins and the longer our microbiome has interacted with them, the more our microbiome kind of tells our immune system, 'Hey, guys, it's cool. We've known these guys for 40 million years. Chill out. They're a pain, but we can handle them.'

From an evolutionary perspective, if you look at modern foods — say the grains and the beans, which we started interacting with 10,000 years ago, which is a blink of time — our microbiome [regards them as] foreign substances … [T]here's no lectin speed dating in evolution."

Lectins are strongly associated with autoimmune disorders of all kinds, primarily by triggering leaky gut. They're found in many of our most cherished foods, such as:

Potatoes

Eggplants

Tomatoes

Peppers

Goji berries

Lima beans

Cashews

Peanuts

Sunflower seeds

Chia seeds

Pumpkin seeds

Kidney beans

Squash

Corn

Quinoa

Soybeans

Wheat

Lentils

In addition, according to Gundry, glyphosate, which is not only sprayed on GE crops via Roundup but also is used to desiccate wheat in the U.S., is also highly problematic, decimating your microbiome and increasing leaky gut. It's yet another reason to eat organic as much as possible.

To learn more, I highly recommend picking up a copy of "The Plant Paradox," especially if you've already cleaned up your diet and still struggle with excess weight and/or health problems. Certainly, anyone with an autoimmune disorder would also be wise to take a closer look at lectins.

How to Support a Healthy Microbiota

Supporting your microbiome isn't very complicated, but you do need to take proactive steps to encourage its health while avoiding factors known to cause harm. In addition to the lectin information above, consider the following recommendations to optimize your microbiome:

DoAvoid

Do: Eat plenty of fermented foods. Healthy choices include lassi, fermented grass fed kefir, natto (fermented soy) and fermented vegetables.

Avoid: Antibiotics, unless absolutely necessary, and when you do, make sure to reseed your gut with fermented foods and/or a high-quality probiotic supplement.

Do: Take a probiotic supplement. Although I'm not a major proponent of taking many supplements (as I believe the majority of your nutrients need to come from food), probiotics are an exception if you don't eat fermented foods on a regular basis

Avoid: Conventionally-raised meats and other animal products, as CAFO animals are routinely fed low-dose antibiotics plus GE grains loaded with glyphosate, which is widely known to kill many bacteria.

Do: Boost your soluble and insoluble fiber intake, focusing on vegetables, nuts and seeds, including sprouted seeds.

Avoid: Chlorinated and/or fluoridated water. Especially in your bathing such as showers, which are worse than drinking it.

Do: Get your hands dirty in the garden. Exposure to bacteria and viruses can help to strengthen your immune system and provide long-lasting immunity against disease.

Getting your hands dirty in the garden can help reacquaint your immune system with beneficial microorganisms on the plants and in the soil.

Avoid: Processed foods. Excessive sugars, along with otherwise "dead" nutrients, feed pathogenic bacteria.

Food emulsifiers such as polysorbate 80, lecithin, carrageenan, polyglycerols and xanthan gum also appear to have an adverse effect on your gut flora.

Unless 100 percent organic, they may also contain GMOs that tend to be heavily contaminated with pesticides such as glyphosate. Artificial sweeteners have also been found to alter gut bacteria in adverse ways.23

Do: Open your windows. For the vast majority of human history, the outside was always part of the inside, and at no moment during our day were we ever really separated from nature.

Today, we spend 90 percent of our lives indoors. And, although keeping the outside out does have its advantages it has also changed the microbiome of your home.

Research shows that opening a window and increasing natural airflow can improve the diversity and health of the microbes in your home, which in turn benefit you.24

Avoid: Agricultural chemicals, glyphosate (Roundup) in particular is a known antibiotic and will actively kill many of your beneficial gut microbes if you eat foods contaminated with it.

Do: Wash your dishes by hand instead of in the dishwasher. Research has shown that washing your dishes by hand leaves more bacteria on the dishes than dishwashers do, and eating off these less-than-sterile dishes may actually decrease your risk of allergies by stimulating your immune system.

Avoid: Antibacterial soap, as it too kills off both good and bad bacteria and contributes to the development of antibiotic resistance.

[+]Sources and References [-]Sources and References

  • 1 Frontiers in Physiology April 12, 2017
  • 2, 3, 4 The Conversation July 9, 2017
  • 5, 7 Physiological Genomics February 1, 2017
  • 6 Science Daily February 2, 2017
  • 8 Hypertension July 21, 2014
  • 9 Curr Opin Nephrol Hypertens. 2015;24(5):403-409.
  • 10 BMC Medicine August 2011
  • 11 Am J Gastroenterol. 2014 Oct;109(10):1547-61; quiz 1546, 1562.
  • 12 World J Gastroenterol. 2015 Mar 14;21(10):3072-84.
  • 13 Explore (NY). 2016 Nov - Dec;12(6):463-466.
  • 14 Gastroenterology August 2017, Volume 153, Issue 2, Pages 448-459.e8
  • 15 Time June 2, 2017
  • 16, 17 Scientific American July 1, 2017
  • 18, 19 Authority Nutrition July 25, 2017
  • 20 Proc Natl Acad Sci U S A. 2011 Sep 20;108(38):16050-5
  • 21 Brain Behav Immun. 2015 Aug;48:258-64.
  • 22 NPR July 14, 2015
  • 23 Scientific American March 17, 2015
  • 24 ISME Journal 2012 Aug;6(8):1469-79