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Gut Microbiota Regulation of Tryptophan Metabolism in Health and Disease
Open accessAbstract
The gut microbiota is a crucial actor in human physiology. Many of these effects are mediated by metabolites that are either produced by the microbes or derived from the transformation of environmental or host molecules. Among the array of metabolites at the interface between these microorganisms and the host is the essential aromatic amino acid tryptophan (Trp). In the gut, the three major Trp metabolism pathways leading to serotonin (5-hydroxytryptamine), kynurenine (Kyn), and indole derivatives are under the direct or indirect control of the microbiota. In this review, we gather the most recent advances concerning the central role of Trp metabolism in microbiota-host crosstalk in health and disease. Deciphering the complex equilibrium between these pathways will facilitate a better understanding of the pathogenesis of human diseases and open therapeutic opportunities.
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In the citing paper
“In addition to the metabolic pathways leading to the production of 5-HT and kynurenine, microbial-derived indole derivatives of tryptophan are increasingly recognized as vital in the crosstalk between microbiota and host (Agus et al., 2018).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Agus et al., 2018
In the citing paper
“Thus, via influencing the amount of serotonin precursortryptophan, microbiota influence the amount of serotonin in the brain [32].”
From The Role of Microbiota-Gut-Brain Axis in Neuropsychiatric and Neurological Disorders (2021) · cites this paper as [32]
In the citing paper
“Tryptophan metabolism across the serotonin, kynurenine and indole pathways, which are under control of the microbiota (Agus et al., 2018), has a strong influence on mucosal immunity and numerous systemic effects.”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Agus et al., 2018
In the citing paper
“In the gut, it may be further metabolized under direct or indirect control by the GM, giving rise to several compounds, such as serotonin, kynurenines, tryptamine, and indolic compounds, which participate in MGB communication (197, 198).”
From Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis (2023) · cites this paper as [197]
In the citing paper
“Its synthesis by microbes has been well described (197).”
From Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis (2023) · cites this paper as [197]
In the citing paper
“Indoles are precursor molecules to many compounds that are critical for brain health and function and have been detected in the GI tract, brain, and the systemic circulation [32].”
From Role of diet and its effects on the gut microbiome in the pathophysiology of mental disorders (2022) · cites this paper as [32]
In the citing paper
“Of extreme relevance, the altered microbiota of patients could transfer the disease from a human host to a mouse host (113, 116–120).”
From The gut-brain axis: how microbiota and host inflammasome influence brain physiology and pathology (2020) · cites this paper as [119]
In the citing paper
“The gut microbiota metabolizes dietary tryptophan into AhR agonists (119).”
From The gut-brain axis: how microbiota and host inflammasome influence brain physiology and pathology (2020) · cites this paper as [119]
In the citing paper
“Tryptophan metabolism, specifically the main pathways leading to the production of 5-HT, kynurenine, and indole derivatives, appears to be closely regulated by the gut microbiota (378, 387).”
From Diet and the Microbiota–Gut–Brain Axis: Sowing the Seeds of Good Mental Health (2021) · cites this paper as [387]
In the citing paper
“Finally, the gut microbiota may influence 5-HT production by regulating tryptophan metabolism in the gut [ 69 ]. For example, the gut microbiota may upregulate the production of indole and kynurenine from tryptophan, thereby reducing the substrate for the production of 5-HT and consequently leading to FC.”
From Role of gut microbiota in functional constipation (2021) · cites this paper as [69]
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BackgroundColonization resistance against multi-drug-resistant bacteria: a narrative review
Guern, R. L., Stabler, S., Gosset, P., Pichavant, M., Grandjean, T., Faure, E., Karaca, Y., Faure, K., Kipnis, É., & Dessein, R. (2021) · Journal of Hospital Infection · doi:10.1016/j.jhin.2021.09.001 · Cited by 38
Liu, D., Wang, J., Zeng, H., Zhou, F., Wen, B., Zhang, X.-N., Luo, Y. L., Wu, W., Huang, J., & Liu, Z. (2021) · Food & Function · doi:10.1039/d1fo02181h · Cited by 35
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Recent Trends of Microbiota-Based Microbial Metabolites Metabolism in Liver Disease
Ganesan, R., Jeong, J., Kim, D. J., & Suk, K. T. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.841281 · Cited by 38
“Paracolobactrum coliforme, Proteus vulgaris (116, 117).”
Immunomodulation by foods and microbes: Unravelling the molecular tango
Forde, B. M., Yao, L., Shaha, R., Murphy, S., Lunjani, N., & O’Mahony, L. (2022) · Allergy · doi:10.1111/all.15455 · Cited by 35
Role of indoleamine 2,3-dioxygenase in pathology of the gastrointestinal tract
Acović, A., Gazdic, M., Jovicic, N. U., Harrell, C. R., Fellabaum, C., Arsenijević, N., & Volarević, V. (2018) · Therapeutic Advances in Gastroenterology · doi:10.1177/1756284818815334 · Cited by 35
The Aged Intestine: Performance and Rejuvenation
Wang, Q., Qi, Y., Shen, W., Xu, J., Wang, L., Chen, S., Hou, T., & Si, J. (2021) · Aging and Disease · doi:10.14336/ad.2021.0202 · Cited by 36
Hong, Z.-S., Xie, J., Wang, X., Dai, J., Mao, J.-Y., Bai, Y., Sheng, J., & Tian, Y. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.924178 · Cited by 34
“It is well known that L-tryptophan is an aromatic amino acid and a biosynthetic precursor of microbial and host metabolites (69, 70).”
BackgroundWu, L., Ran, L., Wu, Y., Liang, M., Jing, Z., Ke, F., Wang, F., Yang, J., Lao, X., Liu, L., et al. (2022) · Frontiers in Microbiology · doi:10.3389/fmicb.2022.864571 · Cited by 37
“Tryptophan as an essential aromatic amino acid plays important roles in the “microbiotagut-brain axis”, and its metabolism is under the direct or indirect control of the gut microbiota (Agus et al., 2018).”
BackgroundZhang, Z., Yu, Z., Wang, J., Yu, Y., Li, L., Sun, P., Fan, X., & Xu, Q. (2022) · Microbial Cell Factories · doi:10.1186/s12934-022-01920-3 · Cited by 35
“In mammals, oxygen and L-tryptophan (L-Trp) are used as substrates for the biosynthesis of 5-HTP catalyzed by tryptophan hydroxylase (TPH), with Fe2+ and tetrahydrobiopterin (BH4) as cofactors [13, 14] (Fig.”
MethodContext-Dependent Regulation of Type17 Immunity by Microbiota at the Intestinal Barrier
Akuzum, B., & Lee, J. (2022) · Immune Network · doi:10.4110/in.2022.22.e46 · Cited by 36
“Tryptophan (Trp) metabolites and aryl hydrocarbon receptor (AHR) ligands Trp is an essential amino acid degraded by gut microbes, intestinal epithelial, and immune cells across three main pathways: a) the kynurenine pathway in both IECs and immune cells, b) the serotonin (5-HT) pathway via Trp hydroxylase 1 (TPH1) in…”
BackgroundContribution of Circulating Host and Microbial Tryptophan Metabolites Toward Ah Receptor Activation
Morgan, E. W., Dong, F., Annalora, A. J., Murray, I. A., Wolfe, T. M., Erickson, R., Gowda, K., Amin, S., Petersen, K. S., Kris‐Etherton, P. M., et al. (2023) · International Journal of Tryptophan Research · doi:10.1177/11786469231182510 · Cited by 35
Sah, R. K., Nandan, A., Athira, K. V., Prashant, S. K., Sankaran, S., Jose, A., Venkidasamy, B., & Nile, S. H. (2023) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2023.103861 · Cited by 37
Deng, R., Yu, S., Ruan, X., Liu, H., Zong, G., Peng, C., Tao, R., Chen, W., Wang, A., Zhao, Y., et al. (2023) · Cell Communication and Signaling · doi:10.1186/s12964-023-01265-3 · Cited by 34
“…whether the changes in the microbiota composition induced by capsaicin were associated with the exacerbated GC progression, we performed literature reviews and found that the predominant growth of Firmicutes and Clostridiales was closely associated with the elevated peripheral 5-HT levels [35–37].”
BackgroundMontgomery, T. L., Peipert, D., & Krementsov, D. N. (2024) · Immunological Reviews · doi:10.1111/imr.13343 · Cited by 38
“Changes in metabolism of tryptophan have also been extensively studied in MS. 134 In total, 90% of tryptophan is metabolized along the kynurenine pathway using one of two rate-limiting enzymes, in-doleamine 2,3 dioxygenase (IDO) in the brain, gut, and liver, or tryptophan 2,3 dioxygenase (TDO) in…”
Tao, K., Yuan, Y., Xie, Q., & Dong, Z. (2024) · Behavioural Brain Research · doi:10.1016/j.bbr.2024.115111 · Cited by 39
Tan, Z., Yu, P., Zhu, H., Gao, J., Han, N., Yang, C., Shen, Z., Gao, C., & Yang, X. (2024) · Food Chemistry · doi:10.1016/j.foodchem.2024.140934 · Cited by 34
Tiwari, S., & Paramanik, V. (2025) · Molecular Neurobiology · doi:10.1007/s12035-025-04708-9 · Cited by 37
“The rate-limiting enzyme IDO1 mediates the metabolism of Trp via the KP in the gut, results in the synthesis of Kyn and subsequent products like niacin, quinolinic acid (QA), nicotinamide adenine dinucleotide, and kynurenic acid [43].”
Mechanisms of acupuncture in treating depression: a review
Ma, J., Yin, X., Cui, K., Wang, J., Li, W., & Xu, S. (2025) · Chinese Medicine · doi:10.1186/s13020-025-01080-7 · Cited by 34
“QA is an agonist of the NMDA receptor, which can mimic the effect of GLu and overac-tivate the NMDA receptor to cause nerve damage [88].”
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“24,29,57 Inthisstudy,thecorrelationbetweenthesebiosynthetic genes and ILA production in Lactobacillus was validated.”
Bretto, E., Caviglia, G. P., Saracco, G. M., Bugianesi, E., & Ribaldone, D. G. (2025) · Biomedicines · doi:10.3390/biomedicines13081807 · Cited by 41
“The SCD, initially developed in the 1920s for celiac disease, has been explored as a potential treatment for IBD due to its success in managing UC [124].”
Gut microbe-derived metabolites drive psoriatic inflammation via modulation of skin Th17 cells
Wang, C., Dai, S., Zhang, S., Zheng, Z., Zhou, Z., Chen, Z., Wang, M., Gao, Y., Yan, X., Xiong, W., et al. (2025) · Immunity · doi:10.1016/j.immuni.2025.08.006 · Cited by 38
Hu, Q., Tang, H., & Wang, Y. (2020) · Journal of Analysis and Testing · doi:10.1007/s41664-020-00126-z · Cited by 35
Chen, D., Wu, X., Chen, L., Hu, H.-H., Wang, Y., & Zhao, Y. (2020) · Therapeutic Advances in Chronic Disease · doi:10.1177/2040622320962648 · Cited by 34
“44,45 Tryptophan can also be transformed into indole-3-acetic acid that contributes to kidney dysfunction and increasesd the risk of cardiovascular events in CKD. 46,47 In contrast, a number of metabolites such as tryptanthrin play a renoprotective role.”
Manipulating effects of fruits and vegetables on gut microbiota – a critical review
Luo, J., Xian, L., Bordiga, M., Brennan, C. S., & Xu, B. (2020) · International Journal of Food Science & Technology · doi:10.1111/ijfs.14927 · Cited by 35
Gumpenberger, T., Brezina, S., Keski‐Rahkonen, P., Baierl, A., Robinot, N. R., Leeb, G., Habermann, N., Kok, D. E. G., Scalbert, A., Ueland, P. M., et al. (2021) · Metabolites · doi:10.3390/metabo11020119 · Cited by 32
“Those include several bacterial metabolites of tryptophan such as indole acetic acid, indole propionic acid, and indole lactic acid, which points towards a contribution of the gut microbiota in CRC development [35,36].”
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“The indole derivatives were potential ligands of aryl hydrocarbon receptor (AhR) [14], which is a critical node in linking microbial tryptophan metabolites to brain function [63], and was involved in neuroinflammation [64].”
Backgroundvan den Bogaard, E. H. J., Esser, C., & Perdew, G. H. (2021) · Experimental Dermatology · doi:10.1111/exd.14409 · Cited by 35
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Gut microbiota-related metabolome analysis based on chromatography-mass spectrometry
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Rannug, A. (2022) · Frontiers in Toxicology · doi:10.3389/ftox.2022.775010 · Cited by 35
“However, many common inhabitants of the intestinal biome metabolize the essential amino acid Trp, present at high levels in protein-rich food, into a variety of indoles (Agus et al., 2018; Gao et al., 2018).”
BackgroundLiu, W., Wang, Q., Chang, J., Bhetuwal, A., Bhattarai, N., & Ni, X. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.848508 · Cited by 33
“The effects of gut bacteria on the tryptophan metabolism in humans have been studied extensively (Agus et al., 2018).”
BackgroundInvestigating host-gut microbial relationship in Penaeus monodon upon exposure to Vibrio harveyi
Angthong, P., Uengwetwanit, T., Uawisetwathana, U., Koehorst, J. J., Arayamethakorn, S., Schaap, P. J., dos Santos, V. A. P. M., Phromson, M., Karoonuthaisiri, N., Chaiyapechara, S., et al. (2023) · Aquaculture · doi:10.1016/j.aquaculture.2023.739252 · Cited by 33
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“Using the same cutoffs as the human metabolomics study, the top 3 molecules that were decreased in Amp group were IPA, trimethylamine N-oxide, and indole-3 sulfate, all of which are gut microbiota-derived molecules 32,38 (Fig.”
MethodCopper exposure causes alteration in the intestinal microbiota and metabolites in Takifugu rubripes
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Metadata
- Authors
- Agus, A., Planchais, J., & Sokol, H.
- Affiliations
- AgroParisTech (FR)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Sokol, Harry
- Venue
- Cell Host & Microbe
- Publisher
- Elsevier BV
- Published
- 2018-06
- Volume
- 23
- Issue
- 6
- Pages
- 716-724
- ISSN
- 1931-3128 (ISSN-L)
- OpenAlex
- W2807728333
- Cited by
- 3,180
- References
- 60
- Citations by year
- 2026: 628 · 2025: 609 · 2024: 527 · 2023: 400 · 2022: 393 · 2021: 294 · 2020: 225 · 2019: 84 · 2018: 18
- FWCI
- 15.28
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell Host & Microbe (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Funders
- Horizon 2020 Framework Programme (ANR-15-HDIM-0001-1, ERC-2016-StG-71577)
- European Research Council
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Amino Acid Enzymes and Metabolism
- Keywords
- gut microbiota, tryptophan metabolism, serotonin, kynurenine pathway, indole derivatives, microbial metabolites, aromatic amino acids, pathogenesis, therapeutic target
- MeSH terms
- Gastrointestinal Microbiome, Autistic Disorder, Colitis, Communicable Diseases, Crohn Disease, Humans, Indoles, Kynurenine, Obesity, Serotonin, Short Bowel Syndrome, Tryptophan, Inflammatory Bowel Diseases, Metabolic Syndrome, Gastrointestinal Tract
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