The Science of Your Gut Sense & the Gut-Brain Axis | Dr. Diego Bohórquez

Episode 178 May 27, 2024 Episode Page ↗
Overview

Dr. Diego Bohórquez, PhD, a professor at Duke, explains how our gut directly senses food components and communicates with the brain via neuropod cells, influencing cravings, emotions, and behavior. He shares his Amazon upbringing and insights into plant wisdom and gut intuition for better decision-making.

At a Glance
14 Insights
2h 42m Duration
17 Topics
7 Concepts

Deep Dive Analysis

Initial Explanation of Gut-Brain Axis and Gut Sensing

Discovery and Direct Neural Connections of Neuropod Cells

Experimental Tools for Studying Gut-Brain Communication

Neuropod Cells: Sensing Nutrients, Temperature, and pH

Gastric Bypass Surgery: Altered Cravings and Food Choices

Optogenetics Reveals Gut's Role in Sugar Preference

Gut-Brain Disorders and Visceral Hypersensitivity

GLP-1, Neuropod Cells, and Appetite Regulation

The Gut's Role in Protein Sensing and Food Avoidance

Traditional Agriculture and Plant-Based Nutritional Balance

Dr. Bohórquez's Journey from Amazon to Neuroscience

Plant Wisdom, Indigenous Knowledge, and Medicine

Guayusa Ritual: Amazonian Morning Practice

Brain and Gut Electrical Patterns and 'Hangry' State

Gut Intuition, Social Bonding, and Subconscious Processing

Vagus Nerve, Humming, and Body-Based Learning

Cultivating Awareness of Internal Body Signals

Gut-Brain Axis

The communication system between the gut and the brain, traditionally understood as hormone-mediated, but now known to include rapid, direct neural connections that influence thoughts, emotions, and behaviors.

Enteroendocrine Cells

Specialized cells lining the gut epithelium that detect food components and release hormones, playing a key role in gut-brain communication and are dispersed throughout the digestive tract.

Neuropod Cells

A specific type of enteroendocrine cell described by Dr. Bohórquez's lab, characterized by direct synaptic connections to the nervous system, enabling rapid sensing of nutrients, temperature, and pH.

Optogenetics

A neuroscience technique that uses light to precisely control the activity of genetically modified cells, allowing researchers to investigate the specific functions of neuropod cells in influencing behavior.

Protein Leverage Hypothesis

The idea that organisms will continue to eat until they consume a sufficient amount of protein, leading to overconsumption of calories if protein content in the diet is low.

Interoception

The perception of sensations from inside the body, such as hunger, thirst, and the state of internal organs, which contributes to our overall sense of well-being and decision-making.

Voodoo Death (Walter Cannon)

A historical concept suggesting that extreme psychological stress or belief in a curse can trigger a hyperactivation of the peripheral nervous system, leading to physiological collapse and death.

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What is the gut-brain axis?

It's the communication system between the gut and the brain, involving both slower hormone signaling and rapid, direct neural connections that influence thoughts, emotions, and behaviors.

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How does the gut sense food?

Specialized epithelial cells, including neuropod cells, line the gut and detect chemical constituents (sugars, fats, proteins), temperature, and pH of food, sending signals to the brain.

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What are neuropod cells and what do they do?

Neuropod cells are neuroepithelial cells in the gut that directly contact the nervous system, rapidly transmitting information about ingested food to the brainstem, influencing food preferences and behaviors.

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How does gastric bypass surgery affect food preferences and cravings?

Gastric bypass surgery, which involves rewiring the intestine, can dramatically alter food preferences and cravings, sometimes even reversing aversions into desires, possibly due to changes in gut sensitivity.

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Can the gut influence our preference for sugar independently of taste?

Yes, experiments show that even when sweet taste receptors in the mouth are eliminated, the gut's neuropod cells can still detect sugar and drive a preference for it, or even make plain water seem appetizing when artificially activated.

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How does protein content in food affect consumption?

If a diet completely lacks protein, animals will avoid it; if protein is low, they will consume more of the diet to compensate, demonstrating the gut's role in sensing and driving protein intake.

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Can the gut microbiome synthesize essential amino acids?

Yes, if a diet is rich in highly digestible dietary fibers, the gut microorganisms can synthesize essential amino acids, potentially compensating for a lack of animal-based protein.

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How do GLP-1 analogs (like Ozempic) relate to gut sensing?

Neuropod cells release GLP-1 (glucagon-like peptide 1) in response to nutrients, primarily sugar, which acts on nerve terminals and the brainstem to reduce appetite and influence satiety over minutes to hours.

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What is 'gut intuition' and how does it relate to the gut-brain axis?

Gut intuition refers to a 'pre-feeling' or subconscious sensing from the body that informs our decisions and reactions, influenced by accumulated experiences and physiological responses mediated by the gut-brain axis.

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How can we become more aware of our body's internal signals?

Practices like meditation and simply paying more attention to subtle bodily sensations can enhance interoception, helping individuals better understand and respond to their body's needs and signals.

1. Heed Your Gut Intuition

Pay more attention to your gut’s subtle signals and feelings (gut intuition) to make better decisions about food, social interactions, and higher-order life choices, as the gut-brain axis significantly influences emotions, cravings, and behavior.

2. Optimize Sleep with Custom Mattress

Use a mattress customized to your unique sleep needs to ensure a great night’s sleep, which is the foundation of mental health, physical health, and performance.

3. Daily Electrolyte Hydration

Dissolve one packet of Element (electrolytes with no sugar) in 16-32 ounces of water first thing in the morning and during physical exercise to ensure adequate hydration and electrolyte balance for proper brain and body functioning.

4. Prioritize Sufficient Protein Intake

Ensure sufficient protein intake in your diet, as low protein content can lead to increased consumption of other foods to compensate, while complete absence of protein (without high fiber) can lead to avoidance of that food.

5. Increase Fiber for Plant-Based Amino Acids

If following a plant-based diet, consume a diet rich in highly digestible dietary fibers, as this can enable gut microorganisms to synthesize essential amino acids, compensating for the lack of animal-based protein.

6. Avoid Low-Protein Meals

If aiming to reduce meat intake, avoid meals with only small amounts of protein, as the gut may drive increased consumption of that meal to compensate for the perceived protein deficiency, potentially leading to overeating.

7. Get Morning Sunlight Exposure

Expose your eyes to sunlight early in the day to leverage the long and short wavelength contrast that signals morning to your brain, which is crucial for regulating circadian rhythms and overall well-being.

8. Avoid Evening Bright Light

Avoid bright light in the evening and nighttime to prevent disruption of your circadian rhythms, which are influenced by light quality and impact arousal levels and overall health.

9. Don’t Override Body Signals

Pay attention to and do not override subtle body signals like discomfort or pain, as ignoring these early warnings can lead to more significant injury or health issues.

10. Employ Physiological Sigh for Calm

Utilize the physiological sigh technique (two inhales followed by a full exhale until lungs are empty) as a core physiological mechanism to activate the vagus nerve and induce a state of calm.

11. Use Humming for Calm

Practice humming, as it has been linked to vasodilation and calming effects, and is used in various religious practices to induce states of tranquility.

12. Foster Connection with Shared Meals

Engage in shared meals or drinks with others, as this ritualistic act can synchronize intuition and foster connection, potentially aiding in business dealings or strengthening social bonds.

13. Use Daily Red Light Therapy

Use medical-grade red light therapy devices daily, especially when traveling, to improve cellular health, aid muscle recovery, boost skin health, reduce pain and inflammation, and enhance sleep.

14. Adopt Guayusa Morning Ritual

Consider adopting a morning ritual of drinking guayusa tea for energy, pain relief, and appetite suppression, potentially followed by a lipid and fiber-rich food like chonta, to sustain energy and modulate appetite until later in the day.

When we swallow something, literally we have to trust our gut. Perhaps that's why we use this phrase, trust your gut, right?

Dr. Diego Bohórquez

You don't say or we don't say the nose brain axis, right, like or the eye brain axis, right?

Dr. Diego Bohórquez

Contact does not mean connection.

Other scientists (quoted by Dr. Bohórquez)

The animal became blind to the sugars.

Dr. Diego Bohórquez

If we are what we eat, the place where food becomes us and we become food is, should be the intestine, right?

Philosopher (quoted by Dr. Bohórquez)

When I grew morose, like meaning I'm not working in digestion, then the brain also grew irritable and petulant.

Memoirs of a Stomach (quoted by Dr. Bohórquez)

Amazonian Guayusa Morning Ritual

Dr. Diego Bohórquez (describing native communities)
  1. Wake up early, typically between 4 a.m. and 6 a.m.
  2. Gather as a family to ritualistically drink guayusa, discussing family issues and planning the day's activities.
  3. Around 5 a.m. to 5:30 a.m., consume a bowl of chonta (palm date rich in lipids and fibers).
  4. Proceed to work in the fields, sustained by the guayusa and chonta until later in the day.
1902
Year first hormone secretion was reported Reported by Bayliss and Starling
1938
Year term 'enteroendocrine cell' was coined By Friedrich Feiter
1 to 1,000
Ratio of enteroendocrine cells to other epithelial cells Roughly speaking, throughout the digestive tract
2015
Year observation of direct enteroendocrine cell contact with nervous system was made By Dr. Bohórquez's lab
1990s
Year green fluorescence protein advanced biology Revolutionized cell identification and study
2009
Year mini-gut formation in a dish was discovered By Hans Cleaver
June 27, 2012
Date Dr. Bohórquez first observed neuropod cells and neurons connect in real-time in a dish An eye-opening experiment for his research
2005
Year optogenetics was developed By Carl Deisseroth, Ed Boyden, and others
2011
Year of first clinical report on altered food choices post-gastric bypass Documenting changes in patients' preferences
2 to 7-fold
Increased likelihood of developing alcoholism after gastric bypass surgery Documented in clinical observations
80%
Approximate percentage of medicine still derived directly from plants As stated on a sign at Oxford Botanical Gardens
1621
Year Oxford Botanical Gardens was established First botanical gardens in England
4 a.m. to 6 a.m.
Typical time for Amazonian native communities' Guayusa ritual Called 'the hour of the guayusa'
1853
Year 'Memoirs of a Stomach' was written Describing the dialogue between gut and brain
1906
Year Santiago Ramón y Cajal shared the Nobel Prize With Camillo Golgi for their work on the structure of the nervous system
1930s
Decade Walter Cannon published his 'Voodoo Death' paper Exploring the physiological effects of extreme fear and belief