“…Mice lacking microbes have marked changes in striatal (Diaz Heijtz et al, 2011), amygdala (Stilling et al, 2015), hippocampal (Neufeld et al, 2011;Clarke et al, 2013) and cortical (Hoban et al, 2016) gene expression, in addition to alterations at the morphological and spine density level (Luczynski et al, 2016b). Such findings are coupled with an exaggerated hypothalamic-pituitary-adrenal axis response and changes in anxiety, cognitive and social behaviors (Luczynski et al, 2016a). These brain (Becker et al, 1999;Lindvall Dahlgren and Wisting, 2016) Alcohol and substance use disorders ▪ Substance use disorders-cluster of cognitive, behavioral and physiological symptoms indicating that the individual continues using a substance despite significant substance-related problems (American Psychiatric Association, 2013) Alcohol and substance use disorders ▪ Underlying change in brain circuits that persist beyond detoxification; behavioral effects of these changes can be seen in relapse and craving (American Psychiatric Association, 2013) ▪ Symptoms include, but are not limited to craving, withdrawal, and tolerance ▪ Share similar neural correlates with Eating disorders with regard to altered reward signaling; involve issues with impulse control (Schulte et al, 2016) Substance use disorders ▪ 12-month prevalence and lifetime prevalence were 3.9% and 9.9%, respectively from 2012-2013 in the United States (Grant et al, 2016) ▪ Alcohol use disorders-medical diagnosis for severe problem drinking that consists of both physical and behavioral symptoms (American Psychiatric Association, 2013) Alcohol use disorders ▪ 12-month prevalence and lifetime prevalence were 13.9% and 29.1%, respectively (Grant et al, 2015) ▪ Harmful use of alcohol is leading cause of morbidity and mortality (Whiteford et al, 2013;Grant et al, 2015); accounts for approximately 2.5 million deaths per year worldwide (World Health Organization, 2011); fourth leading cause of disability worldwide (Whiteford et al, 2013) areas and behaviors are involved in ED and alcohol and substance use disorders pathology, thus it is plausible that the gut microbiota plays a role in such disorders.…”