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Fecal Microbiota Transplantation (Fmt) As an Adjunctive Therapy for Depression—Case Report Publisher



Doll JPK1 ; Vazquezcastellanos JF2 ; Schaub AC1 ; Schweinfurth N1 ; Kettelhack C1 ; Schneider E1 ; Yamanbaeva G1 ; Mahlmann L1 ; Brand S3, 4, 5, 6, 7 ; Beglinger C8 ; Borgwardt S1, 9 ; Raes J2 ; Schmidt A1 ; Lang UE1
Authors
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Authors Affiliations
  1. 1. Department of Psychiatry (UPK), University of Basel, Basel, Switzerland
  2. 2. Department of Microbiology and Immunology, Rega Institute for Medical Research, KU Leuven-University of Leuven, Leuven, Belgium
  3. 3. Center for Affective, Stress- and Sleep Disorders (ZASS), Psychiatric Clinics (UPK), University of Basel, Basel, Switzerland
  4. 4. Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  5. 5. Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  6. 6. Division of Sport Science and Psychosocial Health, Department of Sport, Exercise, and Health, University of Basel, Basel, Switzerland
  7. 7. Department of Psychiatry, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Research, St. Clara Hospital, Basel, Switzerland
  9. 9. Department of Psychiatry and Psychotherapy, University of Lubeck, Lubeck, Germany

Source: Frontiers in Psychiatry Published:2022


Abstract

Depression is a debilitating disorder, and at least one third of patients do not respond to therapy. Associations between gut microbiota and depression have been observed in recent years, opening novel treatment avenues. Here, we present the first two patients with major depressive disorder ever treated with fecal microbiota transplantation as add-on therapy. Both improved their depressive symptoms 4 weeks after the transplantation. Effects lasted up to 8 weeks in one patient. Gastrointestinal symptoms, constipation in particular, were reflected in microbiome changes and improved in one patient. This report suggests further FMT studies in depression could be worth pursuing and adds to awareness as well as safety assurance, both crucial in determining the potential of FMT in depression treatment. Copyright © 2022 Doll, Vazquez-Castellanos, Schaub, Schweinfurth, Kettelhack, Schneider, Yamanbaeva, Mahlmann, Brand, Beglinger, Borgwardt, Raes, Schmidt and Lang.