Investigating the Role of Prescription Drugs on the Gut Microbiome
DOI:
https://doi.org/10.47611/jsrhs.v11i4.3841Keywords:
microbiology, opioids, antidepressants, marijuana, antimicrobialAbstract
The effect of prescription drugs on gut microbiome is a relevant and under-researched issue in the modern medicine-dependent world. The gut plays an important role in body function, and dysbiosis can influence the development of conditions such as obesity, diabetes, irritable bowel syndrome, inflammatory bowel disease, allergic reactions and many other human diseases. In this study we systematically organize and compare different commonly used prescription drugs. Studies based on murine and human subjects were analyzed on each of the three following classes: opioids, antidepressants, and marijuana to understand the role that these play on the microbiome. Opioids and antidepressants were shown to significantly change and modulate the microbial composition found in the gut that is associated with disease. Marijuana demonstrated the most conflicting results out of all three classes and needs further investigation. This information is significant for patients that are currently using these drugs as well as physicians to understand the role that these drugs play inadvertently, and to inform physicians to be more cautious when prescribing these drugs.
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Acharya, C., Betrapally, N.S., Gillevet, P.M., Sterling, R.K., Akbarali, H., White, M.B., Ganapathy, D., Fagan, A., Sikaroodi, M. and Bajaj, J.S. (2017), Chronic opioid use is associated with altered gut microbiota and predicts readmissions in patients with cirrhosis. Aliment Pharmacol Ther, 45: 319-331. https://doi.org/10.1111/apt.13858
Ait Chait, Y., Mottawea, W., Tompkins, T.A. et al. Unravelling the antimicrobial action of antidepressants on gut commensal microbes. Sci Rep 10, 17878 (2020). https://doi.org/10.1038/s41598-020-74934-9
Akbarali, H. I., & Dewey, W. L. (2017). The gut–brain interaction in opioid tolerance. Current Opinion in Pharmacology, 37, 126–130. https://doi.org/10.1016/j.coph.2017.10.012
Al-Ghezi, Z. Z., Busbee, P. B., Alghetaa, H., Nagarkatti, P. S., & Nagarkatti, M. (2019). Combination of cannabinoids, delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD), mitigates experimental autoimmune encephalomyelitis (EAE) by altering the gut microbiome. Brain, Behavior, and Immunity, 82, 25–35.
https://doi.org/10.1016/j.bbi.2019.07.028
Aydin, S., Ozkul, C., Yucel, N. T., & Karaca, H. (2021). Gut Microbiome Alteration after Reboxetine Administration in Type-1 Diabetic Rats. Microorganisms, 9(9), 1948. https://doi.org/10.3390/microorganisms9091948
Banerjee, S., Sindberg, G., Wang, F., Meng, J., Sharma, U., Zhang, L., Dauer, P., Chen, C., Dalluge, J., Johnson, T., & Roy, S. (2016). Opioid-induced gut microbial disruption and bile dysregulation leads to gut barrier compromise and sustained systemic inflammation. Mucosal immunology, 9(6), 1418–1428. https://doi.org/10.1038/mi.2016.9
Bull, M. J., & Plummer, N. T. (2014). Part 1: The Human Gut Microbiome in Health and Disease. Integrative medicine (Encinitas, Calif.), 13(6), 17–22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566439/
Cai, X., Deng, L., Ma, X. et al. Altered diversity and composition of gut microbiota in Wilson's disease. Sci Rep 10, 21825 (2020). https://doi.org/10.1038/s41598-020-78988-7
Chhabra, N., Aseri, M. L., & Padmanabhan, D. (2013). A review of drug isomerism and its significance.
International journal of applied & basic medical research, 3(1), 16–18. https://doi.org/10.4103/2229-516X.112233
Chong, P. P., Chin, V. K., Looi, C. Y., Wong, W. F., Madhavan, P., & Yong, V. C. (2019). The Microbiome and Irritable Bowel Syndrome - A Review on the Pathophysiology, Current Research and Future Therapy. Frontiers in microbiology, 10, 1136. https://doi.org/10.3389/fmicb.2019.01136
Delmée, M. (2021). Clostridium difficile: Bacteria that can infect people taking antibiotics. Frontiers for Young Minds, 9. https://doi.org/10.3389/frym.2021.587832
Derrien, M., Turroni, F., Ventura, M., & van Sinderen, D. (2022). Insights into endogenous bifidobacterium species in the human gut microbiota during adulthood. Trends in Microbiology, 30(10), 940–947.
https://doi.org/10.1016/j.tim.2022.04.004
Di Domenico, E. G., Cavallo, I., Capitanio, B., Ascenzioni, F., Pimpinelli, F., Morrone, A., & Ensoli, F. (2019).
Staphylococcus aureus and the Cutaneous Microbiota Biofilms in the Pathogenesis of Atopic Dermatitis. Microorganisms, 7(9), 301. https://doi.org/10.3390/microorganisms7090301
Duan, R., Zhu, S., Wang, B., & Duan, L. (2019). Alterations of Gut Microbiota in Patients With Irritable Bowel Syndrome Based on 16S rRNA-Targeted Sequencing: A Systematic Review. Clinical and translational gastroenterology, 10(2), e00012. https://doi.org/10.14309/ctg.0000000000000012
Elflein, J. (2020, July 17). Antidepressant use by state U.S. 2019. Statista. Retrieved September 25, 2022, from https://www.statista.com/statistics/1133632/antidepressant-use-by-state-us/
Fuks, G., Elgart, M., Amir, A. et al. Combining 16S rRNA gene variable regions enables high-resolution microbial community profiling. Microbiome 6, 17 (2018). https://doi.org/10.1186/s40168-017-0396-x
Gorelick, J., Assa-Glazer, T., Zandani, G., Altberg, A., Sela, N., Nyska, A., & Madar, Z. (2022). THC and CBD affect metabolic syndrome parameters including microbiome in mice fed high fat-cholesterol diet. Journal of Cannabis Research, 4(1). https://doi.org/10.1186/s42238-022-00137-w
Guo, P., Zhang, K., Ma, X. et al. Clostridium species as probiotics: potentials and challenges. J Animal Sci Biotechnol 11, 24 (2020). https://doi.org/10.1186/s40104-019-0402-1
Hiippala, K., Kainulainen, V., Kalliomäki, M., Arkkila, P., & Satokari, R. (2016). Mucosal Prevalence and Interactions with the Epithelium Indicate Commensalism of Sutterella spp. Frontiers in microbiology, 7, 1706. https://doi.org/10.3389/fmicb.2016.01706
Hills, R. D., Jr, Pontefract, B. A., Mishcon, H. R., Black, C. A., Sutton, S. C., & Theberge, C. R. (2019). Gut Microbiome: Profound Implications for Diet and Disease. Nutrients, 11(7), 1613. https://doi.org/10.3390/nu11071613
Iquebal, M. A., Jaiswal, S., Mishra, V. K., Jasrotia, R. S., Angadi, U. B., Singh, B. P., Passari, A. K., Deka, P.,
Prabha, R., Singh, D. P., Gupta, V. K., Tomar, R. S., Oberoi, H. S., Rai, A., & Kumar, D. (2021). Fungal Genomic Resources for Strain Identification and Diversity Analysis of 1900 Fungal Species. Journal of fungi (Basel, Switzerland), 7(4), 288. https://doi.org/10.3390/jof7040288
Ju, T., Kong, J.Y., Stothard, P. et al. Defining the role of Parasutterella, a previously uncharacterized member of the core gut microbiota. ISME J 13, 1520–1534 (2019). https://doi.org/10.1038/s41396-019-0364-5
Juergens, J. (2022, April 14). Morphine addiction and abuse. Addiction Center. Retrieved September 25, 2022, from https://www.addictioncenter.com/opiates/morphine/
Jungersen, M., Wind, A., Johansen, E., Christensen, J. E., Stuer-Lauridsen, B., & Eskesen, D. (2014). The Science behind the Probiotic Strain Bifidobacterium animalis subsp. lactis BB-12(®). Microorganisms, 2(2), 92–110. https://doi.org/10.3390/microorganisms2020092
Kaakoush, N. O. (2015). Insights into the role of Erysipelotrichaceae in the human host. Frontiers in Cellular and Infection Microbiology, 5. https://doi.org/10.3389/fcimb.2015.00084
Kaper, J., Nataro, J. & Mobley, H. Pathogenic Escherichia coli. Nat Rev Microbiol 2, 123–140 (2004). https://doi.org/10.1038/nrmicro818
Keisuke Nakajima, Yoshio Yaoita, Construction of multiple-epitope tag sequence by PCR for sensitive Western blot analysis, Nucleic Acids Research, Volume 25, Issue 11, 1 June 1997, Pages 2231–2232, https://doi.org/10.1093/nar/25.11.2231
La Reau, A.J., Suen, G. The Ruminococci: key symbionts of the gut ecosystem. J Microbiol. 56, 199–208 (2018). https://doi.org/10.1007/s12275-018-8024-4
Lee, N. K., Kim, W. S., & Paik, H. D. (2019). Bacillus strains as human probiotics: characterization, safety, microbiome, and probiotic carrier. Food science and biotechnology, 28(5), 1297–1305. https://doi.org/10.1007/s10068-019-00691-9
Long, X., Wong, C.C., Tong, L. et al. Peptostreptococcus anaerobius promotes colorectal carcinogenesis and modulates tumour immunity. Nat Microbiol 4, 2319–2330 (2019). https://doi.org/10.1038/s41564-019-0541-3
Lopetuso, L.R., Scaldaferri, F., Petito, V. et al. Commensal Clostridia: leading players in the maintenance of gut homeostasis. Gut Pathog 5, 23 (2013). https://doi.org/10.1186/1757-4749-5-23
Luketic, V. A., & Sanyal, A. J. (1994). The current status of ursodeoxycholate in the treatment of chronic cholestatic liver disease. The Gastroenterologist, 2(1), 74–79. https://pubmed.ncbi.nlm.nih.gov/8055235/
Lukić, I., Getselter, D., Ziv, O. et al. Antidepressants affect gut microbiota and Ruminococcus flavefaciens is able to abolish their effects on depressive-like behavior. Transl Psychiatry 9, 133 (2019). https://doi.org/10.1038/s41398-019-0466-x
Macedo, D., Filho, A. J., Soares de Sousa, C. N., Quevedo, J., Barichello, T., Júnior, H. V., & Freitas de Lucena, D. (2017). Antidepressants, antimicrobials or both? gut microbiota dysbiosis in depression and possible implications of the antimicrobial effects of antidepressant drugs for antidepressant effectiveness. Journal of Affective Disorders, 208, 22–32. https://doi.org/10.1016/j.jad.2016.09.012
Magne, F., Gotteland, M., Gauthier, L., Zazueta, A., Pesoa, S., Navarrete, P., & Balamurugan, R. (2020). The Firmicutes/Bacteroidetes Ratio: A Relevant Marker of Gut Dysbiosis in Obese Patients?. Nutrients, 12(5), 1474. https://doi.org/10.3390/nu12051474
McGovern, A. S., Hamlin, A. S., & Winter, G. (2019). A review of the antimicrobial side of antidepressants and its putative implications on the gut microbiome. Australian & New Zealand Journal of Psychiatry, 53(12), 1151–1166.
https://doi.org/10.1177/0004867419877954
Menees, S., & Chey, W. (2018). The gut microbiome and irritable bowel syndrome. F1000Research, 7, F1000 Faculty Rev-1029. https://doi.org/10.12688/f1000research.14592.1
Moon, C. D., Young, W., Maclean, P. H., Cookson, A. L., & Bermingham, E. N. (2018). Metagenomic insights into the roles of Proteobacteria in the gastrointestinal microbiomes of healthy dogs and cats. MicrobiologyOpen, 7(5), e00677. https://doi.org/10.1002/mbo3.677
Mu, Q., Tavella, V. J., & Luo, X. M. (2018). Role of Lactobacillus reuteri in Human Health and Diseases. Frontiers in microbiology, 9, 757. https://doi.org/10.3389/fmicb.2018.00757
Nava, G. M., & Stappenbeck, T. S. (2011). Diversity of the autochthonous colonic microbiota. Gut microbes, 2(2), 99–104. https://doi.org/10.4161/gmic.2.2.15416
O'Callaghan, A., & van Sinderen, D. (2016). Bifidobacteria and Their Role as Members of the Human Gut Microbiota. Frontiers in microbiology, 7, 925. https://doi.org/10.3389/fmicb.2016.00925
Oscarsson, E., Håkansson, Å., Andrén Aronsson, C., Molin, G., & Agardh, D. (2021). Effects of Probiotic Bacteria
Lactobacillaceae on the Gut Microbiota in Children With Celiac Disease Autoimmunity: A Placebo-Controlled and Randomized Clinical Trial. Frontiers in nutrition, 8, 680771. https://doi.org/10.3389/fnut.2021.680771
Ren, M., & Lotfipour, S. (2020). The role of the gut microbiome in opioid use. Behavioural pharmacology, 31(2&3), 113–121. https://doi.org/10.1097/FBP.0000000000000538
Rizzatti, G., Lopetuso, L. R., Gibiino, G., Binda, C., & Gasbarrini, A. (2017). Proteobacteria: A Common Factor in Human Diseases. BioMed research international, 2017, 9351507. https://doi.org/10.1155/2017/9351507
Rosenthal, M. S., & Pipitone, R. N. (2020). Demographics, perceptions, and use of medical marijuana among patients in Florida. Medical Cannabis and Cannabinoids, 4(1), 13–20. https://doi.org/10.1159/000512342
Shen, J., Zhang, B., Wei, G., Pang, X., Wei, H., Li, M., Zhang, Y., Jia, W., & Zhao, L. (2006). Molecular Profiling of the Clostridium leptum Subgroup in Human Fecal Microflora by PCR-Denaturing Gradient Gel Electrophoresis and Clone Library Analysis. Applied and Environmental Microbiology, 72(8), 5232–5238.
https://doi.org/10.1128/aem.00151-06
Silvestri, C., Pagano, E., Lacroix, S., Venneri, T., Cristiano, C., Calignano, A., Parisi, O. A., Izzo, A. A., Di Marzo, V., & Borrelli, F. (2020). Fish oil, cannabidiol and the gut microbiota: An investigation in a murine model of colitis. Frontiers in Pharmacology, 11. https://doi.org/10.3389/fphar.2020.585096
Tajiri, K., & Shimizu, Y. (2013). Branched-chain amino acids in liver diseases. World journal of gastroenterology, 19(43), 7620–7629. https://doi.org/10.3748/wjg.v19.i43.7620
Tiew, P.Y., Mac Aogain, M., Ali, N.A.B.M. et al. The Mycobiome in Health and Disease: Emerging Concepts,
Methodologies and Challenges. Mycopathologia185, 207–231 (2020). https://doi.org/10.1007/s11046-019-00413-z
Torres-Miranda, A., Vega-Sagardía, M., & Garrido, D. (2022). Probiotics, microbiome and the concept of cross-feeding. Comprehensive Gut Microbiota, 199–220. https://doi.org/10.1016/b978-0-12-819265-8.00055-3
Vacca, M., Celano, G., Calabrese, F. M., Portincasa, P., Gobbetti, M., & De Angelis, M. (2020). The Controversial
Role of Human Gut Lachnospiraceae. Microorganisms, 8(4), 573. https://doi.org/10.3390/microorganisms8040573
Vals-Delgado, C., Alcala-Diaz, J. F., Molina-Abril, H., Roncero-Ramos, I., Caspers, M. P. M., Schuren, F. H. J., Van den Broek, T. J., Luque, R., Perez-Martinez, P., Katsiki, N., Delgado-Lista, J., Ordovas, J. M., van Ommen, B., Camargo, A., & Lopez-Miranda, J. (2022). An altered microbiota pattern precedes type 2 diabetes mellitus development: From the CORDIOPREV Study. Journal of Advanced Research, 35, 99–108. https://doi.org/10.1016/j.jare.2021.05.001
Van Syoc, E., Rogers, C.J. and Ganda, E. (2022), Global metagenomics analyses demonstrate metformin-induced changes in the gut mycobiome in subjects with type 2 diabetes. The FASEB Journal, 36:. https://doi.org/10.1096/fasebj.2022.36.S1.R4993
Wang, F., Meng, J., Zhang, L. et al. Morphine induces changes in the gut microbiome and metabolome in a morphine dependence model. Sci Rep 8, 3596 (2018). https://doi.org/10.1038/s41598-018-21915-8
Waśkiewicz, A., & Irzykowska, L. (2014). Flavobacterium spp. – characteristics, occurrence, and toxicity. Encyclopedia of Food Microbiology, 938–942. https://doi.org/10.1016/b978-0-12-384730-0.00126-9
Wentworth, J. M., Naselli, G., Ngui, K., Smyth, G. K., Liu, R., O'Brien, P. E., Bruce, C., Weir, J., Cinel, M., Meikle, P. J., & Harrison, L. C. (2016). GM3 ganglioside and phosphatidylethanolamine-containing lipids are adipose tissue markers of insulin resistance in obese women. International journal of obesity (2005), 40(4), 706–713.
https://doi.org/10.1038/ijo.2015.223
Wilson, M. G., & Pandey, S. (2022). Pseudomonas Aeruginosa. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK557831/
Zhou K. (2017). Strategies to promote abundance of Akkermansia muciniphila, an emerging probiotics in the gut, evidence from dietary intervention studies. Journal of functional foods, 33, 194–201.
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