RT Journal Article T1 Gut microbiota, innate immune pathways, and inflammatory control mechanisms in patients with major depressive disorder A1 González Pinto, Ana A1 García, Saínza A1 Diego Adeliño, Javier De A1 Carceller Sindreu, Mar A1 Sarramea, Fernando A1 Caballero Villarraso, Javier A1 Gracia García, Patricia A1 De la Cámara, Concepción A1 Rodríguez, Juan M. A1 Caso Fernández, Javier Rubén A1 Mac-Dowell Mata, Karina Soledad A1 Leza Cerro, Juan Carlos A1 Gómez-Lus Centelles, María Luisa A1 Agüera Ortiz, Luis Fernando A1 Alba Rubio, Claudio AB Although alterations in the gut microbiota have been linked to the pathophysiology of major depressive disorder (MDD), including through effects on the immune response, our understanding is deficient about the straight connection patterns among microbiota and MDD in patients. Male and female MDD patients were recruited: 46 patients with a current active MDD (a-MDD) and 22 in remission or with only mild symptoms (r-MDD). Forty-five healthy controls (HC) were also recruited. Psychopathological states were assessed, and fecal and blood samples were collected. Results indicated that the inducible nitric oxide synthase expression was higher in MDD patients compared with HC and the oxidative stress levels were greater in the a-MDD group. Furthermore, the lipopolysaccharide (an indirect marker of bacterial translocation) was higher in a-MDD patients compared with the other groups. Fecal samples did not cluster according to the presence or the absence of MDD. There were bacterial genera whose relative abundance was altered in MDD:Bilophila(2-fold) andAlistipes(1.5-fold) were higher, whileAnaerostipes(1.5-fold) andDialister(15-fold) were lower in MDD patients compared with HC. Patients with a-MDD presented higher relative abundance ofAlistipesandAnaerostipes(1.5-fold) and a complete depletion ofDialistercompared with HC. Patients with r-MDD presented higher abundance ofBilophila(2.5-fold) compared with HC. Thus, the abundance of bacterial genera and some immune pathways, both with potential implications in the pathophysiology of depression, appear to be altered in MDD, with the most noticeable changes occurring in patients with the worse clinical condition, the a-MDD group. PB Springer Nature SN 2158-3188 YR 2021 FD 2021-12-21 LK https://hdl.handle.net/20.500.14352/96768 UL https://hdl.handle.net/20.500.14352/96768 LA eng NO Caso JR, MacDowell KS, González-Pinto A, García S, de Diego-Adeliño J, Carceller-Sindreu M, Sarramea F, Caballero-Villarraso J, Gracia-García P, De la Cámara C, Agüera L, Gómez-Lus ML, Alba C, Rodríguez JM, Leza JC. Gut microbiota, innate immune pathways, and inflammatory control mechanisms in patients with major depressive disorder. Transl Psychiatry. 2021 Dec 21;11(1):645. doi: 10.1038/s41398-021-01755-3. PMID: 34934041. NO Ministerio de Ciencia, Innovación y Universidades (España) NO Centro de Investigación Biomédica en Red de Salud Mental NO Catalan Intensification Programme NO Instituto de Salud Carlos III DS Docta Complutense RD 16 abr 2025