The Synthesis of Wellness

149. The Gut Microbiome & Serotonin Synthesis | Impacts of Intestinal Dysbiosis on Serotonin Production, Impacts of Low Serotonin on Gut Motility, & More


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In this episode, we explore serotonin synthesis within enterochromaffin (EC) cells in the gut, detailing how tryptophan is converted into serotonin through enzymatic processes. We examine the role of gut microbiota-derived metabolites, such as short-chain fatty acids (SCFAs), in modulating the synthesis of serotonin including impacting tryptophan hydroxylase activity. We explore serotonin's interactions with receptors on enteric neurons and vagal afferent fibers, analyzing how these signaling pathways influence gut motility. Finally, we uncover conditions and symptoms associated with low serotonin production and the importance of the intestinal microbiome.


Topics:

1. Introduction to Gut-Produced Serotonin

- Serotonin production within the gut.

- Serotonin’s role beyond mood.

- Synthesis, causes of low serotonin, related GI symptoms.


2. Gut Lining Structure and Cell Types

- Layers of the gut lining, focusing on the mucosa.

- Description of epithelial cells, including enterocytes, goblet cells, Paneth cells, and enteroendocrine cells.

- Role of enterochromaffin (EC) cells in serotonin production.


3. Serotonin Synthesis in EC Cells

- Location and function of EC cells.

- How EC cells synthesize serotonin from tryptophan.


4. Biochemical Pathway of Serotonin Production

- Step-by-step process: conversion of tryptophan to serotonin.

- Enzymes involved, including TPH1 and AADC.

- Importance of tryptophan availability in serotonin synthesis.


5. Storage and Release of Serotonin in EC Cells

- Role of VMAT1 in serotonin storage within vesicles.

- Controlled release.


6. Triggers for Serotonin Release

- Physical triggers: mechanical stretch, pressure from food intake.

- Chemical triggers: microbial metabolites, bile acids.

- Receptors involved (GPCRs, TGR5) and signaling pathways.


7. Release of Serotonin into Intestinal Lining Layers

- Serotonin exocytosis and interaction with nearby cells.

- Release of serotonin on both luminal and basolateral sides of EC cells.

- How luminal and basolateral release affects gut motility and barrier function.


8. Serotonin’s Role in Gut Motility

- Interaction with 5-HT3 and 5-HT4 receptors on enterocytes and enteric neurons.

- Activation of the enteric nervous system (ENS) in the submucosal and myenteric plexuses.

- Coordination with pacemaker cells for peristaltic movement.


9. Immune Function and Serotonin in the Gut

- Effect on immune cells.


10. Gut-Brain Communication via Serotonin and the Vagus Nerve

- Activation of vagal afferent fibers by serotonin.


11. Contributing Factors to Low Serotonin Production

- Impact of dysbiosis and reduced SCFA production.

- SIBO specifically.

- Intestinal inflammation in general.

- Imbalanced microbiota and inflammation can disrupt EC cell function.


12. Manifestations of Low Serotonin in the Gut

- Effects on motility: constipation, dysmotility...

- Common GI symptoms, including bloating, discomfort, and fullness.

- Association with conditions like IBS.


13. Supporting Serotonin Production in the Gut

- Painting a full picture and identifying root causes.

- Strategies to foster a healthy gut microbiome.

- Role of sunlight and tryptophan-rich foods in serotonin production.

- Stool testing for microbiome imbalances.


Thanks for tuning in!

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The Synthesis of WellnessBy Chloe Porter

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