Abstract

Most previous studies in the pathophysiology of major depressive disorder (MDD) focused on fecal samples, which limit the identification of the gut mucosal and luminal microbiome in depression. Here, we address this knowledge gap. Male cynomolgus macaques (Macaca fascicularis) were randomly assigned to a chronic unpredictable mild stress (CUMS) group, or to an unstressed control group. Behavioral tests were completed in both groups. At endpoint, microbe composition of paired mucosal and luminal samples from cecum, ascending, transverse, and descending colons were determined by 16S ribosomal RNA gene sequencing. The levels of 34 metabolites involved in carbohydrate or energy metabolism in luminal samples were measured by targeted metabolomics profiling. CUMS macaques demonstrated significantly more depressive-like behaviors than controls. We found differences in mucosal and luminal microbial composition between the two groups, which were characterized by Firmicutes and Bacteriodetes at the phylum level, as well as Prevotellaceae and Lachnospiraceae at the family level. The majority of discriminative microbes correlated with the depressive-like behavioral phenotype. In addition, we found 27 significantly different microbiome community functions between the two groups in mucosa, and one in lumen, which were mainly involved in carbohydrate and energy metabolism. A total of nine metabolites involved in these pathways were depleted in CUMS animals. Together, CUMS macaques with depressive-like behaviors associated with distinct alterations of covarying microbiota, carbohydrate and energy metabolism in mucosa and lumen. Further studies should focus on the mucosal and luminal microbiome to provide a deeper spatiotemporal perspective of microbial alterations in the pathogenesis of MDD.

Highlights

  • Major depression disorder (MDD) currently affects over 300 million people worldwide, and it is the leading contributor to burden of mental health-related disease [1]

  • Gut microbial composition of chronic unpredictable mild stress (CUMS) and CON animals Using 16S ribosomal RNA (rRNA) gene sequencing, we identified a total of 2,608,415 high-quality reads across all 80 samples

  • 961 (27.7%) amplicon sequence variants (ASVs) were shared between CUMS and CON groups, while 985 (28.4%) and 1525 (43.9%) ASVs were unique to CUMS group and CON group, respectively (Fig. 2B)

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Summary

Introduction

Major depression disorder (MDD) currently affects over 300 million people worldwide, and it is the leading contributor to burden of mental health-related disease [1]. There are numerous neurobiological perturbations which may plausibly account for MDD symptoms, such as deficits in monoamine neurotransmitters [2], immune system alterations [3, 4], endocrine disturbances [5], and neurotrophin alterations [6]. The pathogenesis of these perturbations remains elusive.

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