Determining the association between fibromyalgia, the gut microbiome and its biomarkers: A systematic review

Background: The association between fibromyalgia and irritable bowel syndrome is well-established. Alterations inthe composition and diversity of the gut microbiome in irritable bowel syndrome have been reported, however,this association is poorly understood in fibromyalgia.Our aim was to summarise the research reporting on the gastrointestinal microbiome and its biomarkers in peoplewith fibromyalgia.Methods: A systematic review of published original research reporting on the gastrointestinal microbiota and itsbiomarkers in adults with a diagnosis of fibromyalgia was undertaken.Results: From 4771 studies, 11 met our inclusion criteria and were separated into four main groups: papersreporting Helicobacter pylori; other gut bacterial markers; metabolomics and other biomarkers, which includedintestinal permeability and small intestinal bacterial overgrowth.Conclusion: The results suggest there is a paucity of quality research in this area, with indications that the gutmicrobiota may play a role in fibromyalgia within the emerging field of the gut-musculoskeletal axis. Furtherinvestigations into the relationship between the gut microbiota, gut dysfunction and fibromyalgia are warranted

Could test preparation & interpretation impact hydrogen-methane breath testing results? A survey of current practices

Background: Hydrogen-methane breath testing is widely used in both gastroenterology andcomplementary therapies practice, yet current guidelines do not detail preparatory oral hygiene, norprovide standards for basal gas levels.Aims: To review and compare a range of instructions for oral hygiene prior to hydrogen-methane breathtesting provided by facilities offering hydrogen-methane breath testing services; and to investigatelaboratory interpretation of basal gas values and describe similarities, differences and management.Results: Twenty-five laboratories from six countries provided information regarding breath testingpreparation. In practice, there is a lack of uniformity in instructions for oral hygiene prior to breathtesting, and where instructions exist, little or no attention is given to adherence. A wide variance inaccepted norms for basal gases exists between centres, which may impact on whether testingcommences or not. It remains unknown whether elevation at baseline negates test results or shouldindicate deferring the test.Conclusion: There is no consensus on management of elevated basal gas levels. To improve the reliabilityof diagnostic results obtained from breath testing there is a pressing need for clarification of the impact ofthe role of oral hygiene on results, which should guide standardisation of instructions to includepreparation of the oral cavity

Cyanobacterial biofuels: new insights and strain design strategies revealed by computational modeling

BACKGROUND: Cyanobacteria are increasingly recognized as promising cell factories for the production of renewable biofuels and chemical feedstocks from sunlight, CO2, and water. However, most biotechnological applications of these organisms are still characterized by low yields. Increasing the production performance of cyanobacteria remains therefore a crucial step. RESULTS: In this work we use a stoichiometric network model of Synechocystis sp. PCC 6803 in combination with CASOP and minimal cut set analysis to systematically identify and characterize suitable strain design strategies for biofuel synthesis, specifically for ethanol and isobutanol. As a key result, improving upon other works, we demonstrate that higher-order knockout strategies exist in the model that lead to coupling of growth with high-yield biofuel synthesis under phototrophic conditions. Enumerating all potential knockout strategies (cut sets) reveals a unifying principle behind the identified strain designs, namely to reduce the ratio of ATP to NADPH produced by the photosynthetic electron transport chain. Accordingly, suitable knockout strategies seek to block cyclic and other alternate electron flows, such that ATP and NADPH are exclusively synthesized via the linear electron flow whose ATP/NADPH ratio is below that required for biomass synthesis. The products of interest are then utilized by the cell as sinks for reduction equivalents in excess. Importantly, the calculated intervention strategies do not rely on the assumption of optimal growth and they ensure that maintenance metabolism in the absence of light remains feasible. Our analyses furthermore suggest that a moderately increased ATP turnover, realized, for example, by ATP futile cycles or other ATP wasting mechanisms, represents a promising target to achieve increased biofuel yields. CONCLUSION: Our study reveals key principles of rational metabolic engineering strategies in cyanobacteria towards biofuel production. The results clearly show that achieving obligatory coupling of growth and product synthesis in photosynthetic bacteria requires fundamentally different intervention strategies compared to heterotrophic organisms. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12934-014-0128-x) contains supplementary material, which is available to authorized users

A pilot study to investigate if New Zealand men with prostate cancer benefit from a Mediterranean-style diet

Carcinoma of the prostate is the most commonly diagnosed malignancy and the third leading cause of mortality in New Zealand men, making it a significant health issue in this country. Global distribution patterns suggest that diet and lifestyle factors may be linked to the development and progression of this cancer. Twenty men with diagnosed prostate cancer adhered to a Mediterranean diet, with specific adaptations, for three months. Prostate-specific antigen, C-reactive protein and DNA damage were evaluated at baseline and after three months of following the diet. Dietary data were collated from diet diaries and an adaptation of a validated Mediterranean diet questionnaire. A significant reduction in DNA damage compared to baseline was apparent, with particular benefit noted for overall adherence to the diet (p = 0.013), increased intake of folate (p = 0.023), vitamin C (p = 0.007), legumes (p = 0.004) and green tea (p = 0.002). Higher intakes of red meat and dairy products were inversely associated with DNA damage (p = 0.003 and p = 0.008 respectively). The results from this small feasibility study suggest that a high-antioxidant diet, modelled on Mediterranean traditions, may be of benefit for men with prostate cancer. Protection against DNA damage appears to be associated with the diet implemented, ostensibly due to reduction in reactive oxidant species. These findings warrant further exploration in a longer trial, with a larger cohort

Investigating the association between the symptoms of women with fibromyalgia, digestive function, and markers of the microbiota of the gastrointestinal tract (The FIDGIT Study) : study protocol

Background: Fibromyalgia a common idiopathic condition affecting around 1.4% of adults globally. Its signature symptom is chronic widespread pain, with a constellation of somatic and psychological symptoms. Fibromyalgia is associated with significant reductions in quality of life, yet to date there is no biochemical marker for its diagnosis. Previous studies have indicated a strong association with gastrointestinal dysfunction, and more recently, alterations to the gut microbiome. No studies have examined the inter-relationship between fibromyalgia, gastrointestinal dysfunction, and the microbiome. This prospective observational case-controlled study will gather data on gastrointestinal function, dietary intake, fermentation patterns of ingested carbohydrates, and symptoms commonly associated with fibromyalgia. These will be evaluated alongside human gene expression and metatranscriptomic analysis of the oral and faecal microbiome. Methods: Adult women aged ≥18 years diagnosed with fibromyalgia and/or meeting ACR 2016 criteria, and healthy family or age-matched controls will be recruited from the community. From consenting participants, we will collect detailed survey information and samples of blood, urine, stool, saliva, and breath. Discussion: This is the first prospective study examining interactions between digestive function, human gene expression, and the gut microbiome together with general, and fibromyalgia-specific, symptoms experienced by New Zealand women. This exploration will allow an in-depth understanding of clinically relevant factors that are associated with fibromyalgia and will guide further research and contribute to improved management of this poorly understood condition. Trial Registration: The study was approved by the New Zealand Health and Disability Committee (HDEC) (ref: 20/CEN/197) and registered with the Australia and New Zealand Clinical Trials Registry (ANZCTR), registration number ACTRN12620001337965. Written consent will be obtained after providing participants with detailed information about the procedures. Access to data will be restricted to the immediate research team, and all samples and survey data will be deidentified and coded before analysis

An Investigation into the Association between DNA Damage and Dietary Fatty Acid in Men with Prostate Cancer

Prostate cancer is a growing problem in New Zealand and worldwide, as populations adopt a Western style dietary pattern. In particular, dietary fat is believed to be associated with oxidative stress, which in turn may be associated with cancer risk and development. In addition, DNA damage is associated with the risk of various cancers, and is regarded as an ideal biomarker for the assessment of the influence of foods on cancer. In the study presented here, 20 men with prostate cancer adhered to a modified Mediterranean style diet for three months. Dietary records, blood fatty acid levels, prostate specific antigen, C-reactive protein and DNA damage were assessed pre- and post-intervention. DNA damage was inversely correlated with dietary adherence (p = 0.013) and whole blood monounsaturated fatty acids (p = 0.009) and oleic acid (p = 0.020). DNA damage was positively correlated with the intake of dairy products (p = 0.043), red meat (p = 0.007) and whole blood omega-6 polyunsaturated fatty acids (p = 0.015). Both the source and type of dietary fat changed significantly over the course of the dietary intervention. Levels of DNA damage were correlated with various dietary fat sources and types of dietary fat