Common Pathways in Depression and Obesity: The Role of Gut Microbiome and Diets

Dragos Inta*, Bettina K. Wölnerhanssen, Anne Christin Meyer-Gerspach, Elisabeth Lang, Nina Schweinfurth, Anne S. Mallien, Andrei Nicolae Vasilescu, André Schmidt, Kieran Rea, Astrid M. Westendorf, Marie Ève Tremblay, Alexander Sartorius, Peter Gass, John F. Cryan, Stefan Borgwardt, Undine E. Lang

*Corresponding author for this work

Abstract

Purpose of Review: This paper aims to review data regarding two determinants of comorbidity between depression and obesity, i.e., the role of disturbed gut microbiome in their genesis and of diets in their treatment. Recent Findings: Obesity and major depressive disorders (MDD) are highly comorbid, the “metabolic” (obese) subtype of MDD affects about one third of all individuals with MDD. There is an urgent need for better therapies strategies, which may include specific dietary measures. A diet low in carbohydrates (low-carb), effective in obesity, may be beneficial also in MDD. However, the underlying mechanisms have not yet been elucidated. Recent data suggest a key role of gut microbiota, neuroplasticity, and neuroinflammation in obesity and MDD. We will focus on the brain-derived neurotrophic factor (BDNF), and microglial fractalkine, a main modulator of neuroinflammation. Summary: BDNF and fractalkine may be involved in “metabolic” depression. Future studies may uncover specific pathophysiological pathways in affected patients towards more efficient causal therapies.

Original languageEnglish
JournalCurrent Behavioral Neuroscience Reports
Volume7
Issue number1
Pages (from-to)15-21
Number of pages7
DOIs
Publication statusPublished - 01.03.2020

Funding

This work was supported by grants from the Deutsche Forschungsgemeinschaft (DFG, IN 168/3-1), the Ingeborg Ständer Foundation, the ERA-NET NEURON program, and the Bundesministerium für Bildung und Forschung (BMBF, 01EW1807A) to D.I., and the Canada Research Chair Tier II of Neuroimmune Plasticity in Health and Therapy to M.E.T.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being
  2. SDG 10 - Reduced Inequalities
    SDG 10 Reduced Inequalities

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