The brain has its own microbiome: What it means for your health

Introduction
The discovery that the brain has its own microbiome has sparked a whole new area of research in neuroscience. Previously, the brain was considered to be sterile, protected by the blood-brain barrier that effectively prevented microorganisms from entering. But recent research has shown that the brain is not only a biological network of nerve cells and synapses, but also houses its own community of microorganisms such as bacteria, viruses and fungi. This insight has ground-breaking implications for how we understand and treat neurological diseases, particularly neurodegenerative disorders such as Alzheimer's, Parkinson's and multiple sclerosis. This article will explore the growing understanding of the brain microbiome and its possible connection to health, including how the microbiota may influence the development of diseases, as well as potential therapeutic strategies to manipulate this microbiome to improve neurological health.

Nikki Schultek's Story: A Turning Point

In 2015, Nikki Schultek, a young mother and former marathon runner, was stricken with a mysterious illness that caused severe symptoms, including asthma, chronic pain, and eventually cognitive problems such as brain fog and memory loss. After months of various diagnoses, it turned out that infections with Borrelia burgdorferi and Chlamydia pneumoniae was the cause. After an intensive course of antibiotics, both her physical and cognitive health improved dramatically.
This story illustrates how infections and microorganisms can affect both body and mind, and has led to increased interest in how microbiomes can play a role in cognitive disorders.

The brain microbiome: A revolutionary discovery

Previously, researchers assumed that microorganisms were only able to affect the brain indirectly via the gut through the vagus nerve or the production of neuroactive substances. However, advanced microscopic techniques have revealed that microorganisms such as bacteria are found directly in the brain tissue. Bacteria from well-known groups such as Firmicutes, Proteobacteria and Bacteroidetes have been found in the brain, and they seem to cluster around important cells such as astrocytes and neurons.
Astrocytes are particularly important because they maintain the blood-brain barrier and regulate brain tissue homeostasis. Microbes that accumulate around the astrocytes can disrupt this protective mechanism, potentially increasing the risk of neurodegenerative disorders.

The microbiota–gut–brain axis: Communication between gut and brain

The gut microbiome plays a central role in how the body communicates with the brain. This connection, known as the microbiota–gut–brain axis, involves a constant communication between microbes in the gut and brain cells. Via the vagus nerve and the immune system, the gut microbiome sends signals that influence mood, cognition and behaviour.

Short-chain fatty acids (SCFA) such as butyrate and propionate, which are produced by gut microbiota, can cross the blood-brain barrier and reduce inflammation in the brain. Disturbances in this communication, known as dysbiosis, can lead to serious health problems, including anxiety, depression, Alzheimer's disease and Parkinson's disease.

Microbial infection and neurodegenerative diseases

Neurodegenerative diseases such as Alzheimer's and Parkinson's have been shown to be associated with increased levels of bacteria in the brain. Bacteria that Streptococcus and Staphylococcus have been found in increased amounts in patients with Alzheimer's, suggesting that infections may contribute to disease progression by triggering inflammation and the formation of harmful proteins such as amyloid beta.
Candida-species and other fungi have also been detected in the brains of people with neurological disorders, leading researchers to hypothesize that microbial infection may be an important, but hitherto underestimated, factor in the development of neurodegenerative disorders.

Neuroinflammation: The brain's response to microbial presence

Microglia and astrocytes are two types of glial cells in the brain that play a critical role in the brain's immune response. When the brain detects the presence of harmful microbes, microglia are activated to fight the infection. But in chronic conditions, this activation can lead to a persistent inflammatory response, known as neuroinflammation. This can contribute to damage to neurons and the worsening of diseases such as Alzheimer's.

Astrocytes, which normally protect the neurons, can also become dysfunctional during chronic microbial exposure. This can weaken the blood-brain barrier, making it easier for bacteria and toxins to enter the brain and exacerbate neurodegenerative processes.

Therapeutic possibilities: Manipulation of the microbiome

The growing understanding of the microbiome's role in brain health has led to the exploration of new treatment options. By manipulating the gut and brain microbiota, it may be possible to improve cognitive function and slow the progression of neurodegenerative diseases.

• Probiotics and prebiotics: Supplements with specific strains of bacteria, such as Lactobacillus and Bifidobacterium, has been shown to reduce inflammation and improve cognitive function in people with Alzheimer's disease.
  
  
  
• Faecal microbiota transplantation (FMT): This treatment, which involves transferring microbiota from a healthy donor to a patient, has shown promise in treating gut-related disorders that affect the brain, including autism and Parkinson's disease.
  
  
  
• Diet: Dietary interventions such as increasing the intake of fiber and reducing the intake of inflammatory foods have also been shown to support a healthy gut microbiota and reduce the risk of neurological diseases.

Conclusion

The discovery of the brain microbiome has revolutionized our understanding of neurological health. This insight opens the door to new treatments for neurodegenerative diseases that could include everything from probiotic supplements to faecal microbiota transplantation. Although much research remains to fully understand how the microbiome in the brain affects our health, it is already clear that this knowledge will be crucial for future therapeutic interventions.

References

1. Qin, J., et al. A Human Gut Microbial Gene Catalog Established by Metagenomic Sequencing.
2. Bullmore, E., et al. The Microbiota-Gut-Brain Axis in Health and Disease.
3. Nicholson, J.K., et al. Gut Microbiota and Health: Connecting Actinobacteria, Firmicutes, and Proteobacteria to Disease.
4. Roberts, R., et al. Microbes in the Brain: Their Role in Neuroinflammation.
5. Rowland, I., et al. Gut Microbiota Functions: Metabolism of Nutrients and Other Food Components.
6. Forsyth, C.B., et al. Increased Intestinal Permeability Correlates with Neuroinflammation in Parkinson's Disease.
7. "Faecal Microbiota Transplantation for Neurodegenerative Diseases." The Lancet Neurology.
8. Heijtz, R.D., et al. Normal Gut Microbiota Modulates Brain Development and Behavior.
9. Needham, B.D., et al.

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