2021 SUMMARY REPORT - Mind, Mood & Microbes

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2021 SUMMARY REPORT - Mind, Mood & Microbes
Summary Report 2021                                                                      Mind, Mood & Microbes

                                                               SUMMARY REPORT
                                                                                            2021

                         THE INTERNATIONAL CONFERENCE ON
                         MICROBIOTA-GUT-BRAIN AXIS

    While the gut-brain axis is not a new topic of study, the role of the microbiota in gut-brain
    communication is a relatively recent area of investigation. Evidence continues to accumulate on
    how gut microbes modulate brain development and function across the lifespan—establishing
    the microbiota-gut-brain axis as a potential target for influencing human mood and behaviour.
    At present, those in the field continue to make use of preclinical models while advancing the
    preliminary clinical translations of these insights that exist to date.

    Mind, Mood & Microbes is the global event, held every two years, that brings together leading
    scientists, healthcare professionals, and industry partners from various fields of expertise to
    share progress in the field of the microbiota-gut-brain axis. The third edition of this event was
    held virtually on May 19th and 20th, 2021—with a global lineup of speakers and participants
    joining for discussions and presentations on the leading-edge science in this field.
2021 SUMMARY REPORT - Mind, Mood & Microbes
Summary Report 2021                                                                                      Mind, Mood & Microbes

Keynote 1
Martin Blaser of Rutgers University           use, including neuropsychiatric diseases.
gave the opening keynote entitled,            He showed data demonstrating the
“Perturbing the Early-life Microbiome         impact of early-life antibiotics not
Alters Development at a Critical Stage”.      only on metabolism and immunity, but
Blaser’s work linking early-life antibiotic   also on brain development. In mice, an                   Martin Blaser
                                                                                            Director of the Center for Advanced
exposure to metabolic disease is well         altered microbiota at an early stage in           Biotechnology and Medicine
known—but recently he has expanded            development led to long-term effects        Rutgers Biomedical and Health Sciences
these investigations to encompass other       on gene expression and brain-related
conditions associated with antibiotic         phenotypes.

Session 1: Microbiota-brain Axis – Biological Pathways
and Molecular Mechanisms
The first session covered new work            brain-related conditions. Schellekens and
related to the three main mechanisms          colleagues have developed a pipeline
of microbiota-gut-brain communication:        to screen gut microbes for probiotic
microbial metabolites, immune-related         and functional characteristics. They are
mechanisms, and direct stimulation of         particularly interested in commensal                 Harriët Schellekens
                                                                                                         Lecturer
nerve fibers. Harriët Schellekens of          bacteria that make GPCR ligands, which              University College Cork
University College Cork, Ireland, described   mimic human signalling molecules and
a targeted approach for identifying           modulate gut-brain axis function in
bacterial strains and their metabolites       relation to stress and metabolism.
that could be used as drugs to address

Ivan de Araujo, from the Icahn School of      sensory neurons that transmit reward
Medicine at Mount Sinai, New York, spoke      associations via the vagus nerve—and
about mechanisms involving the vagus          these findings establish the vagal gut-
nerve, focusing on how information            to-brain axis as an integral component
about the nutritional quality of food         of the neuronal reward pathway. They                      Ivan Araujo
                                                                                                 Professor of Neuroscience
reaches the brain. He showed that             also suggest novel vagal stimulation        Icahn School of Medicine at Mount Sinai
neurons mediating food reward are not         approaches for affective disorders.
confined to the brain, but also exist in
the periphery. In the gut, de Araujo found
2021 SUMMARY REPORT - Mind, Mood & Microbes
Summary Report 2021                                                                                    Mind, Mood & Microbes

Daniel Mucida of The Rockefeller             and prolonged neuronal loss after enteric
University, New York, covered neuro-         infection; this led to long-term functional
immune interactions in the gut,              changes in gut motility. He noted that
highlighting the importance of the           the gut microbiota are essential to how
                                                                                                   Daniel Mucida
enteric nervous system. Mucida’s             enteric infection results in neuronal loss.
                                                                                                 Associate Professor
preclinical work showed site-specific                                                         The Rockefeller University

Models are important in the microbiota-      stem cells, with organs in direct contact
gut-brain axis field, given that relevant    as well as live fluorescent bacteria. A
mechanisms are often difficult to            strength of the model is that it allows
observe in humans. Lena Sophie               tracking of mucus formation in the
Koch from University of Twente, the          intestine. The model may provide insights            Lena Sophie Koch
                                                                                                    PhD Candidate
Netherlands, spoke about “Insights into      into molecular pathways and may                     University of Twente
Interactions of the Microbiome-gut-brain     have particular relevance for studying
Axis on a Microfluidic Chip”, describing     Alzheimer’s disease and Parkinson’s
a model system of the microbiome-gut-        disease.
brain axis featuring mini organs from

Session 2: Microbiota-Brain Axis and Neurodevelopment

Autism spectrum disorders are of             emotional states in mice, and may play
particular interest when it comes            a role in the development of autism
to the role of gut microbes in               spectrum disorders. Osman focused
neurodevelopment. Session 2 featured         on different gut-microbiota-derived                   Sarkis Mazmanian
two talks on autism, by Sarkis               molecules, short-chain fatty acids,            Luis & Nelly Soux Professor of
Mazmanian, California Institute of           which can cross act locally and impact                    Microbiology
                                                                                           California Institute of Technology
Technology, and Aya Osman, Icahn             the brain, and alter gene expression and
School of Medicine at Mount Sinai/           epigenetic regulation. She showed the
Seaver Autism Center for Research            role of gut-derived acetate in a mouse
and Treatment. Mazmanian showed              model of autism spectrum disorder and
how molecules from gut bacteria              posited that altered acetate production
– in particular, a gut microbial             may contribute to the development of                     Aya Osman
neurotransmitter (4-ethylphenol)             this condition.                                    Department of Psychiatry
                                                                                           Icahn School of Medicine at Mount
– mediate behaviors indicative of                                                            Sinai/Seaver Autism Center for
                                                                                                Research and Treatment

Helen Vuong of University of California      metabolites, the maternal microbiome
Los Angeles covered how the                  can modify neurological responses to
homeostatic maternal gut microbiome          genetic and environmental risk factors
(that is, with no environmental challenge)   for disease in preclinical models—with
shapes fetal brain development. Vuong’s      her work showing functional changes                     Helen Vuong
                                                                                                 Postdoctoral Fellow
work shows the maternal microbiome           in cortical neurons that affect tactile            University of California
is required for thalamocortical axon         sensitivity.
growth in the fetal brain. Via microbial
2021 SUMMARY REPORT - Mind, Mood & Microbes
Summary Report 2021                                                                                       Mind, Mood & Microbes

Rebecca Knickmeyer of Michigan State          later. Meanwhile, the composition of the
University shared about a clinical study      12-month gut microbiome is associated
associating the infant gut microbiome         with concurrent fear reactivity. Overall,
with cortisol reactivity and fear             Knickmeyer says, certain features of
behavior—that is, the anxiety-related         gut microbiome are strongly associated              Rebecca Knickmeyer
                                                                                                   Associate Professor
circuits of the brain. Findings showed        with infants’ cognitive development,               Michigan State University
that the diversity of gut microbes at         regional brain volumes, functional
one month of age is associated with           brain connectivity, and responses
concurrent HPA axis function, and also        to frightening or unpleasant stimuli.
predicts fear reactivity in a task one year   Mechanisms remain to be deciphered.

Keynote 2
Hailan Hu opened Day 2 of the event           bursts of activity in a certain region of
with a keynote lecture on investigating       the brain—the lateral habenula, called the
the anti-depressive mechanisms of             ‘anti-reward center’—is responsible for
the drug ketamine, hypothesizing that         how it attenuates depressive behaviors.
a model explaining ketamine’s effect          Understanding this mechanism further                       Hailan Hu
                                                                                                         Professor
on depression can help us understand          could eventually lead to novel, quick-                Zhejiang University
the roots of depression. Hu’s work            acting therapies for depression in
has shown that in rodent models of            humans.
depression, ketamine’s ability to block

Session 3: The Microbiota-Brain Axis and Psychiatric Disorders
Felice Jacka of Deakin University,            disorders is complex, but Jacka said
Australia, spoke about “Nutritional           evidence supports diet as a contributor
psychiatry and the diet-microbiota-brain      to depression rather than depression
axis”. Jacka described a forthcoming          driving food choices. Relating these
systematic review on how gut microbiota       associations to the gut microbiota,                       Felice Jacka
                                                                                           Professor of Nutritional Psychiatry and
associates with mental disorders –            a reduction in butyrate-producing                  Psychiatric Epidemiology
some patterns emerge over 33 studies,         bacteria is observed in those with mental              Deakin University
showing links between mood disorders          disorders, with an increase in abundance
and diet. Causality of psychiatric            of lactate-producing bacteria.
2021 SUMMARY REPORT - Mind, Mood & Microbes
Summary Report 2021                                                                                      Mind, Mood & Microbes

Jeroen Raes of KU Leuven, Belgium,           quality of life—with inflammation and
spoke about “Quantitative Microbiome         lower butyrate production by the gut
Profiling in Health and Disease”,            microbiota as possible underlying
covering population-scale evidence           factors. Using the population-level data,
for microbiome links to mental health.       Raes has used bioinformatic analysis                     Jeroen Raes
                                                                                                        Professor
Raes’ work has found one enterotype (or      to put together a catalogue of the                      KU Leuven - VIB
pattern of gut microbiota composition)       neuroactive potential of gut prokaryotes,
associated with inflammatory diseases        although causality remains unclear.
as well as depression and lower

The next two talks focused on early          of pregnancy, since accumulating
life and later psychiatric illness. Mary     evidence suggests intervening during
Kimmel from University of North Carolina     this critical time can have long-term
spoke about “Mother’s Microbiota-Gut-        effects on families and communities.
                                                                                                       Mary Kimmel
Brain Axis: Keys to Infant Development”.     After this talk, Ana Santos of Carleton        Assistant Professor and Co-Director,
Kimmel said it’s well established that a     University, Ottawa, shared her human              Perinatal Psychiatry Program
mother’s and baby’s mood are linked –        study exploring associations between          University of North Carolina School of
                                                                                                          Medicine
and now we are seeing research showing       chronic childhood adversity, diet quality,
the biological connection between the        and gut microbiota in relation to severity
two. She showed maternal impacts on          of depressive and anxiety symptoms.
infant stress reactivity: higher anhedonia   The work showed that the interplay
(loss of pleasure) in the mother             between diet and severity of depression
associates with babies having less vagal     and anxiety in adulthood may depend                       Ana Santos
reactivity. Kimmel encouraged her fellow     on adverse childhood experiences in the                   PhD Student
                                                                                           Carleton University - Department of
researchers to think about how they can      past; in those with early life adversity,                Neuroscience
adapt their models of the microbiota-gut-    particular links were found between gut      The Royal’s Institute of Mental Health
brain axis to account for the complexity     microbes and depression severity.                          Research

Session 4: The Microbiota-Brain Axis and Neurological Disorders
Arthur Liesz, LMU University Munich,         appear to promote disease progression.
shared his intriguing work on microbiota-    Liesz noted that his work used SCFAs
derived short-chain fatty acids (SCFA) in    supplemented in the drinking water of
animal models of Alzheimer’s disease. For    animals, which could potentially have
some neurodegenerative diseases, SCFAs       different effects from SCFAs produced in                 Arthur Liesz
                                                                                                 Professor of Neurology
appear protective, but the opposite effect   the colon from fiber fermentation.                  LMU University Munich
is seen for Alzheimer’s disease: the SCFAs

Amyotrophic lateral sclerosis (ALS) was      preliminary data on how supplementing
the focus of the talk by Eran Elinav, from   mice with Akkermansia or a specific
Weizmann Institute of Science. Elinav        bioactive metabolite slows down damage
outlined the hypothesized links between      to motor neurons and disease progression
ALS and the gut microbiota, showing          in a mouse model of ALS.                                 Eran Elinav
                                                                                                 Principal Investigator
                                                                                             Weizmann Institute of Science
2021 SUMMARY REPORT - Mind, Mood & Microbes
Summary Report 2021                                                                                     Mind, Mood & Microbes

Parkinson’s disease is the focus of more     of Texas Health Science Center at
studies on the microbiota-gut-brain axis     Houston, followed up Tansey’s talk with
from the past few years. Malu Tansey         a presentation on dysphagia (that is,
of University of Florida focused on          dysfunctional swallowing) in Parkinson’s
                                                                                                  Malu Gámez Tansey
sporadic Parkinson’s disease, and the        disease. Jeter noted the oral microbiota            Professor/Co-Director
relationship between the microbiota,         is less affected by an individual’s diet             University of Florida
gut barrier, inflammatory markers, and       than is the gut microbiota, but the
clinical features. Tansey emphasized         oral microbiota may show signatures
the changing view that Parkinson’s           of certain diseases or symptoms.
disease is a multi-system disease            Differences in oral microbial taxa were
rather than just a motor disease. Data       observed in people with Parkinson’s
suggest communication between the            disease compared with healthy controls,
gut and brain and peripheral circulation     with an increase in oral pathogens.                   Cameron B. Jeter
                                                                                          Associate Professor, Department of
is key for brain health, but may go awry     Jeter has found the oral microbiome          Diagnostic and Biomedical Sciences
with increasing age. She explained           in Parkinson’s may be related to the        The University of Texas Health Science
that immune cell aging and chronic           severity of dysphagia and suggests the                Center at Houston
inflammation may contribute to the           oral microbiome could be a biomarker
“perfect storm” for the development          for swallowing difficulties long before
of Parkinson’s disease, and that SCFAs       individuals with Parkinson’s disease
may be protective in delaying symptom        complain of dysphagia.
onset. Cameron B. Jeter, of The University

                                                    FOUNDING PARTNER

                                CO-FOUNDING PARTNER                       GOLD SPONSOR

Thank you to the organizing committee, program committee and speakers for making this
conference happen! Stay tuned for the next edition of the event, planned for 2023.
2021 SUMMARY REPORT - Mind, Mood & Microbes 2021 SUMMARY REPORT - Mind, Mood & Microbes 2021 SUMMARY REPORT - Mind, Mood & Microbes 2021 SUMMARY REPORT - Mind, Mood & Microbes
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