Gut microbial diversity and functional characterization in people with alcohol use disorder: A case-control study

PLoS One. 2024 Jun 12;19(6):e0302195. doi: 10.1371/journal.pone.0302195. eCollection 2024.

Abstract

Individuals with Alcohol Use Disorder (AUD) typically have comorbid chronic health conditions, including anxiety and depression disorders, increased sleep disruption, and poor nutrition status, along with gut microbial dysbiosis. To better understand the effects of gut dysbiosis previously shown in individuals with AUD, gut microbiome and metabolome were investigated between three cohorts. Two groups of individuals with AUD included treatment-seeking newly abstinent for at least six weeks (AB: N = 10) and non-treatment-seeking currently drinking (CD: N = 9) individuals. The third group was age, gender, and BMI-matched healthy controls (HC: N = 12). Deep phenotyping during two weeks of outpatient National Institutes of Health Clinical Center visits was performed, including clinical, psychological, medical, metabolic, dietary, and experimental assessments. Alpha and beta diversity and differential microbial taxa and metabolite abundance of the gut microbiome were examined across the three groups. Metabolites derived from the lipid super-pathway were identified to be more abundant in the AB group compared to CD and HC groups. The AB individuals appeared to be most clinically different from CD and HC individuals with respect to their gut microbiome and metabolome. These findings highlight the potential long-term effects of chronic alcohol use in individuals with AUD, even during short-term abstinence.

MeSH terms

  • Adult
  • Alcoholism* / metabolism
  • Alcoholism* / microbiology
  • Case-Control Studies
  • Dysbiosis / microbiology
  • Female
  • Gastrointestinal Microbiome*
  • Humans
  • Male
  • Metabolome
  • Middle Aged

Grants and funding

Funding: This study was supported by (A) NIH Intramural Research Program funding ZIA-DA000635 (Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section; PI: Lorenzo Leggio), jointly supported by the NIDA IRP and the NIAAA Division of Intramural Clinical and Biological Research (DICBR), and (B) Peter G. Dodge Foundation (PGDF) funding (Exploring Gut-Brain and Brain-Gut Interactions in Alcohol Use Disorder via Microbiota Investigations: A Pilot Study; PI: Lorenzo Leggio). The authors are also grateful to the Center on Compulsive Behaviors funding, NIH IRP (Fellowship to Daria Piacentino) and to the University of Maryland School of Medicine Dean’s Endowed Professorship (Claire M. Fraser). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.