Gout, bacteria and leaky gut

Gout, Bacteria and Leaky Gut

Can Microbiomes Treat Gout One Day?

Ever since Barry Davis contacted me and agreed to write the guest post on his personal bout with gout, and how he thinks that parasite bacteria in our gut may be the root cause of gout, I have been doing more research on the subject and my findings will surprise you. For those who haven’t read Barry’s post, I recommend that you do before continuing reading this post.

Although my research didn’t find anything relating gout with a leaky gut, there is a lot of evidence relating leaky gut with autoimmune diseases (gout is an autoimmune disease) like rheumatoid arthritis and psoriasis, which are closely related to gout.

So what is a leaky gut? I found the best definition in Dr.Weil’s site:

Leaky gut syndrome is not generally recognized by conventional physicians, but evidence is accumulating that it is a real condition that affects the lining of the intestines. The theory is that leaky gut syndrome (also called increased intestinal permeability), is the result of damage to the intestinal lining, making it less able to protect the internal environment as well as to filter needed nutrients and other biological substances. As a consequence, some bacteria and their toxins, incompletely digested proteins and fats, and waste not normally absorbed may “leak” out of the intestines into the blood stream. This triggers an autoimmune reaction, which can lead to gastrointestinal problems such as abdominal bloating, excessive gas and cramps, fatigue, food sensitivities, joint pain, skin rashes, and autoimmunity. The cause of this syndrome may be chronic inflammation, food sensitivity, damage from taking large amounts of nonsteroidal anti-inflammatory drugs (NSAIDS), cytotoxic drugs and radiation or certain antibiotics, excessive alcohol consumption, or compromised immunity.”

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Let’s Examine the Evidence

So let’s continue with my findings. Firstly, an interesting article about a woman and her bout with psoriasis can be read at psoriasis.org. She goes on to say how she developed the disease at the age of 14 and how a friend recommended that she try probiotics. After a few days she credited the probiotics for clearing her psoriasis. By taking probiotics, you basically introduce new bacteria into the gut. Others eat certain foods to modify their microbiome. Think Greek yogurt!

Did you know that our bodies have about 100 trillion microbial cells? Microbes actually tell our immune system what to do. Researchers know that our immune system targets microbes and that’s how it defends us from harmful pathogens.

Microbes have figured out our immune system in ways that we, as scientists, still don’t fully understand,” said Sarkis Mazmanian, a microbiologist at the California Institute of Technology.

We rely on our immune system to distinguish between microbial invaders that might make us sick and the harmless bacteria that are always inside us,” said Mazmanian. Based on this distinction, the immune system decides when and when not to attack. But the immune system doesn’t make this decision by itself.

Part of the decision-making process is actually controlled by specific gut microbes,” said Mazmanian.

Basically, these bugs call the shots! This means that microbes contribute to our body’s decision of whether to launch an immune attack like rheumatoid arthritis, psoriasis and possibly gout too! It’s not out of the question.

There is an interesting study that appeared in June 2010 issue of Immunity conducted with mice. Scientists had germ-free mice engineered to have some mild arthritis ingest a certain kind of bacteria after which they developed a more severe form of arthritis. Scientists learned two important things with this study. One that throwing bacteria off balance can lead to inflammatory disease and that this disease doesn’t necessarily have to occur where the bacteria are located. In conclusion, bacteria in the gut can trigger inflammation outside the gut.

Scientists can’t create bug-free people to see if they develop autoimmune disorders. But they can look at the bugs that people with autoimmune disorders have to see whether any particular microbes might correlate to disease development,” said Melissa Leavitt associate director of scientific communication for the National Psoriasis Foundation.

She goes on to say, “Jose Scher, a rheumatologist at New York University, is exploring whether the gut microbiome of people with psoriatic arthritis differs from that of healthy people. His preliminary findings suggest that people with psoriatic arthritis may have less bacterial diversity, which means they have depleted supplies of some kinds of bacteria.” Could this be true also for gout? I wonder.

Jose Scher goes on to say how people with rheumatoid arthritis were much more likely to have a bug called Prevotella copri in their intestines than people that did not have the disease. Scher also found that patients with psoriatic arthritis, another kind of autoimmune joint disease, had significantly lower levels of other types of intestinal bacteria. Scher thinks that eventually, it will be possible to treat arthritis by adjusting the microbiome!

According to Martin Blaser, the director of the Human Microbiome Program, “Probiotic treatments would be designed to have the opposite effect — instead of killing the bad bugs, they would promote the good ones, the ones that reduce inflammation involved in psoriatic disease. But these, too, would be different from what’s on the market now.

Scientists may eventually develop an entirely new class of probiotics,” Blaser said, that would be highly targeted to address psoriasis.

Diet is Key Folks! Forget What The Naysayers think!

Going back to Jose Scher, I had to add this in, cause I like it when doctors are aligned with my diet philosophy. Read the following from theAtlantic:

“Scher puts more faith in modifying the microbiome through diet. He notes that some patients with rheumatoid arthritis have benefitted from cutting out meat, or adopting a Mediterranean diet (high in fish, olive oil, and vegetables, and low in meat and saturated fat), though scientists don’t know exactly why this helps. In a separate study, Finnish researchers found that a vegan diet changed the gut microbiome, and that this change was linked to an improvement in arthritis symptoms.”

Leaky gut causes many disorders including:

  • Rheumatoid arthritis
  • Psoriasis and Eczema
  • Celiac disease
  • Allergies and Asthma
  • Inflammatory Bowel disease
  • Multiple Sclerosis
  • Food allergies
  • Liver and gallbladder disease
  • Thyroid
  • All I found for gout was a 2005 study about the importance of the intestinal tract in the elimination of uric acid but it seems more research needs to be done in regards to gout and leaky gut.

There is a new study though from the University of Otago that a gene called PDZK1 which controls the amount of uric acid gets excreted from the kidney and gut, is not sufficiently produced in some gout sufferers. By understating the genetic variations amongst different gout patients, we can treat everyone differently through precision medicine. This is the future of medicine! Exciting!

In conclusion, this is an exciting new area for medicine to focus on and many researchers believe that in 10 to 15 years that the microbiome will be a key therapeutic option for some of these diseases. For those that want to dig in further, I have also linked to this interesting article from Nature.com.

Posted by Spiro Koulouris

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12 Comments

  • Kit

    Reply Reply October 9, 2018

    Through a drastic change in diet and lifestyle, I have managed to keep gout at bay. It was a major shock to me when I had my first gout attack about 5 months ago as I generally eat quite healthily and never drink alcohol excessively. Most of the research that I did online stated that the main cause of gout was the kidneys’ inability to rid uric acid efficiently until I read about there being a possible link with leaky gut! After taking colchicine to take the initial pain away from my big toe, I decided to go the natural route and took supplements to help cleanse my kidneys, liver and gut. The supplements that I’m taking are Chanca Piedra, Milk Thistle and L-Glutamine which so far have had a profound effect on my health. Although it has taken a couple of months, the niggling twinge that I still had lingering in my big toe has now completely disappeared and there has been no subsequent recurrence of gout. There is no doubt that living a healthier lifestyle coupled with the natural supplements that I’m taking has contributed greatly to my overall well-being.

    All the best to everyone!

  • Peter

    Reply Reply November 28, 2017

    I’ve been suffering from gout for good few years but last year my attacks increased in frequency and pain. I am almost 54 at the moment and I’d say in very good shape. I am on low carb diet and many times I get into ketosis. I am not overweight, eating healthy and intermittent fasting. Regardless of my current healthy lifestyle I still have gout attacks in my right big toe, spreading to upper part of my foot. I found that taking supplements to cleanse kidneys and liver helped me out tremendously . I’ve been taking Standard Process supplements for the last few months and my gout attacks stopped and my big toe and foot lost swelling and discoloration. And I am able to move and stretch my toes without any problems.

    However, in the last few days I tried to take collagen supplement that contains amino acids. Let me note that I used to take this supplement few years ago without any issues. After taking two consecutive servings on two consecutive days my foot started to hurt and feel like the gout inflammation was building.

    One important note I would like to mention. Little over a year ago I decided to have two dental implants. After surgery by doctor’s recommendation I decided to take antibiotics. Ever since taking the antibiotics I had stomach issues and my gout attacks increased in strength ever since. Also as a teenager I took a lot of antibiotics for acne. As I study the gout I can see huge correlation with gut health and gout. I think that is the key to healing it so your body can metabolize properly purines, amino acids, fats, etc. I just hope that I knew how to fix it. But I will continue to study and try to find a formula that works for me. Thanks for your blog!

  • Luke

    Reply Reply June 4, 2016

    I suffered gout symptoms for the first time in my life, last night. I immediately searched for a gut connection as I’ve identified gut dybiosis as the source of my multiple health problems.

    Sure enough I found your site and this compelling research study from China: http://www.nature.com/articles/srep20602. It says: “Intestinal microbiota altered profoundly in gout patients”. It says that low levels of certain gut bacteria are a better predictor of gout than the blood uric acid level measurement.

    Good luck everyone :).

  • Peter

    Reply Reply May 27, 2016

    hi Spiro,is coffee good for gout?

  • akkers

    Reply Reply May 16, 2016

    I am impressed by your article and excited in that it fits exactly to my condition and circumstance. I have suffered with Gout for 16 yrs and have a lot of stomach problems. Having read about leaky gut I appear to have all the symptoms of a leaky gut. Could it be also responsible for my gout?
    One thing puzzles me – if toxins do get through the gut walls and into the blood stream, you would expect the kidneys to throw them out immediately.

    • Yes a leaky gut may be responsible for your gout as I’ve written in the article and also check out this post as well->http://www.goutandyou.com/traditional-vs-modern-medicine-in-treating-gout/

  • Chris

    Reply Reply March 11, 2016

    Hey Spiro!

    First of all, thank you for starting this blog. It’s a great resource.

    I just wanted to chime in here to stay that I have long suspected my gastrointestinal problems are linked to the appearance of psoriasis and gout in my life. I’ve had stomach issues from traveling overseas for many years now (which Barry Davis talked about his guest post). At one point I thought I had giardia (http://www.cdc.gov/parasites/giardia/), but I never took the time to confirm (long story, and I intend to get clear on this ASAP now!). But in general, I’ve always thought there was a connection.

    After reading these two posts here (yours and Barry’s), I’m going to revisit this angle of research with a newfound passion, and I’m going to have a doctor do a series of stool and other tests to see what I can come up. I’ve also just purchased a probiotic to see if that will help as well.

    Thanks again for your posts here. They have been very helpful.

    • Spiro Koulouris

      Reply Reply March 11, 2016

      Hi Chris!

      Thanks for the comment. Let me know of your results!

    • Karl

      Reply Reply July 7, 2017

      Hey Chris, How did the probiotics work out?!

      I have a recurring gout (twice within 5 weeks and it never really went away the first occasion), I just came off an proton pump inhibitor, losec, to suppress stomach acid. And I read that this can cause malabsorption of nutrients etc.. I know I have been overprescribed anti-biotics in the past and this has flushed me out of good bacteria too. In combination with the Losec, just wondering if you had any success with gout and probiotics?

      Karl

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