A hospital for your infection may be at greater risk for mental illness, according to a recent study published in it JAMA Psychiatry, which draws on data from youth in Denmark up to the age of 17.
The authors also found that antibiotic use was associated with an even higher risk for mental illness. It is believed that this connection is, in part, because antibiotics affect bacteria in the bowel microbioma.
The study – which supports theories emerging about the functional interaction between the infection, the wet microbioma and mental illness – is one of about 50 papers and published using data from the Danish Psychiatric Central Research Register since the last half of 2018.
This registry traces more than one million people's clinical data, for the first time, in this case, data from 1995 on Danians who were treated for mental illness over their first 17 years of life, either in hospital or as outpatients. All measures of mental and general health status, including prescriptions and family history, have been documented for each individual as they are older.
The vast size of this registry provides international researchers with unprecedented opportunities to answer questions that have been targeted for the links between life history and mental health status.
Antibiotics, autism and depression
It was suggested that the wet microbiome, the remarkably diverse bacterial community that we maintain in our intestines, sends signs to the brain, adapting our mood and potentially vulnerable to mental illness.
Studies in animal models have already recorded the link between bacteria and depression. One research group showed that mice treated with antibiotics showed changes in the variety of wet microbioma and worse performed on memory tests.
Animal discharges from wet bacteria that used wide spectrum antibiotics have changed changes in different disorders, including autism spectrum, neuromuscular disorders such as Alzheimer's disease and depression.
In another notable study, fecal samples from human patients suffering from depression and transplantation in rats, gave symptoms such as low depression. In one study, transplants of patients with anxiety had created anxiety mice.
Although these studies refer to the connection between the microbioma and mental health status, the nature, or the molecular basis of this link, is still unknown.
Bacteria as a treatment for low depression?
A promising research field aimed at defining the links between the microbiologist and the human brain, focuses on identifying neurological compounds that are produced or consumed by bacteria in the hut .
At work published in Nature Microbiology in December 2018, Philip Strandwitz and his colleagues at the Northeastern University of Boston studied a rare type of cattle bacteria of the KLE1738 name. These rare bacteria eat gama-aminobutyric acid, also known as GABA. A different type of bacteria, bacteroids, produces GABA, keeping the KLE1738 bacteria alive by feeding them.
These findings highlight how different bacteria are working with each other in the bowel. This is important to us because GABA is an inactive component for the normal function of our central nervous system. Major depression disorders are associated with smaller GABA levels.
Strandwitz assumed that microbioms that contain more GABA production bacteria would be associated with a host of happier older people. In a small pilot study of 23 patients, those with higher levels of fecal bacteroids, the bacteria that produced GABA, also had comparatively light depression.
Although the results were not final, the tension supports the potential role of bacteria when adjusting the severity of depression depression.
The connection between wet and mental health
The results of this small pilot study were ambiguous because the number of patients was small and the study was not controlled for medicines taken by the subjects. There were a significant number of these patients on different types of antidepressants – all of which would be expected to have an effect.
In addition to the use of medication, the other characteristics of each patient, such as age, sex and genetic background would be expected to influence the dialogue between the hut and the brain.
With a huge scale, the Danish psychiatric registry promises to change all of this. Documenting all clinical aspects in the lives of young people more than a million people who visit the hospital for mental illness, gives the opportunity to insulate and study all clinical variables. Even after being classified on grounds of age, sex, type of mental illness, medication history or specific genetic variations, sufficient numbers of patients will still allow meaningful comparisons.
Due to its size, the Danish registry can do more to explain the connection between the wet and mental health than anything from before.
Liaise with other large-scale databases
The huge value of the registration can be truly disclosed when it is associated with other large-scale efforts, such as those who study bacterial interactions in the wet or genetic fluctuations in patients with mental illness. For example, the pilot study of wet microbioma in 23 patients previously described using a much more defined and better patient cohort could be re-invented, to produce convincing results that could ultimately be transferred to improvements in patient care.
The potential of the Danish psychiatry registry to improve the treatment of mental illness has inspired other countries to do the same. In November 2016, for example, the American Psychiatric Association announced the launch of a national mental health registry of the PsychPRO name.
Like Danians, American psychiatrists anticipate that a national registry will help to offer future research efforts and also stimulate the development of new and improved ways of treating and preventing psychiatric illness.