The microbiota and the hypothalamus-pituitary-adrenocortical (HPA) axis, implications for anxiety and stress disorders
Abstract
There is growing evidence for the involvement of the gut-microbiota in the regulation of emotions, behavior, and higher cognitive functions through the 'microbiome-gut-brain axis'. This relationship between the gut microbiota and the brain is pivotal for the development of the newborn, which receives its commensal microbiota at birth; dysbiosis may result in altered neurodevelopment. The hypothalamus-pituitary-adrenocortical (HPA) axis is actively involved in the stress response but is undeveloped in the newborn. Here, we describe how changes in the commensal microbiota influence the normal development of the HPA axis and review recent findings describing the essential crosstalk between the gut microbiota and the HPA axis and suggesting a role for the maternal and commensal microbiota in the development of the HPA axis and of the stress response.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Chronic stress is associated with cognitive deficits, systemic inflammation, premature aging, immune system dysfunction, and a higher likelihood of metabolic disorders such as diabetes, cardiovascular disease, and IBD.
“Chronic stress is associated with various cognitive deficits, systemic inflammation, premature aging, immune system dysfunction, and a higher likelihood of suffering from metabolic disorders such as diabetes, cardiovascular disease, and IBD (490–492).”
From Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis (2023) · cites this paper as [492]
Cites
Richness of human gut microbiome correlates with metabolic markers
Le Chatelier, E., Nielsen, T., Qin, J., Prifti, E., Hildebrand, F., Falony, G., Almeida, M., Arumugam, M., Batto, J.-M., Kennedy, S., et al. (2013) · Nature · doi:10.1038/nature12506 · Cited by 4,662 · see citing works
Cipriani, A., Furukawa, T. A., Salanti, G., Chaimani, A., Atkinson, L. Z., Ogawa, Y., Leucht, S., Ruhe, H. G., Turner, E. H., Higgins, J. P. T., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(17)32802-7 · Cited by 3,541 · see citing works
Gut Microbiota Regulation of Tryptophan Metabolism in Health and Disease
Agus, A., Planchais, J., & Sokol, H. (2018) · Cell Host & Microbe · doi:10.1016/j.chom.2018.05.003 · Cited by 3,180 · see citing works
The gut-brain axis: interactions between enteric microbiota, central and enteric nervous systems.
(2015) · PubMed Central · Cited by 2,540 · see citing works
Serotonin, tryptophan metabolism and the brain-gut-microbiome axis
O’Mahony, S. M., Clarke, G., Borre, Y. E., Dinan, T. G., & Cryan, J. F. (2015) · Behavioural Brain Research · doi:10.1016/j.bbr.2014.07.027 · Cited by 2,012 · see citing works
The neuroactive potential of the human gut microbiota in quality of life and depression
Valles-Colomer, M., Falony, G., Darzi, Y., Tigchelaar, E. F., Wang, J., Tito, R. Y., Schiweck, C., Kurilshikov, A., Joossens, M., Wijmenga, C., et al. (2019) · Nature Microbiology · doi:10.1038/s41564-018-0337-x · Cited by 1,963 · see citing works
Neurotransmitter modulation by the gut microbiota
Strandwitz, P. (2018) · Brain Research · doi:10.1016/j.brainres.2018.03.015 · Cited by 1,527 · see citing works
Neufeld, K. M., Kang, N., Bienenstock, J., & Foster, J. A. (2011) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2010.01620.x · Cited by 1,392 · see citing works
Association between obesity and psychiatric disorders in the US adult population
Simon, G. E., Von Korff, M., Saunders, K., Miglioretti, D. L., Crane, P. K., van Belle, G., & Kessler, R. C. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.7.824 · Cited by 1,338 · see citing works
Kim, K., Gu, W., Lee, I., Joh, E., & Kim, D. (2012) · PLoS ONE · doi:10.1371/journal.pone.0047713 · Cited by 1,184 · see citing works
Human Gut Microbiota from Autism Spectrum Disorder Promote Behavioral Symptoms in Mice
Sharon, G., Cruz, N. J., Kang, D.-W., Gandal, M. J., Wang, B., Kim, Y.-M., Zink, E. M., Casey, C. P., Taylor, B. C., Lane, C. J., et al. (2019) · Cell · doi:10.1016/j.cell.2019.05.004 · Cited by 1,182 · see citing works
Sgritta, M., Dooling, S. W., Buffington, S. A., Momin, E. N., Francis, M. B., Britton, R. A., & Costa-Mattioli, M. (2019) · Neuron · doi:10.1016/j.neuron.2018.11.018 · Cited by 865 · see citing works
The Human Microbiome and Child Growth – First 1000 Days and Beyond
Robertson, R. C., Manges, A. R., Finlay, B. B., & Prendergast, A. J. (2019) · Trends in Microbiology · doi:10.1016/j.tim.2018.09.008 · Cited by 793 · see citing works
Stereotypic Immune System Development in Newborn Children
Olin, A., Henckel, E., Chen, Y., Lakshmikanth, T., Pou, C., Mikeš, J., Gustafsson, A., Bernhardsson, A. K., Zhang, C., Bohlin, K., et al. (2018) · Cell · doi:10.1016/j.cell.2018.06.045 · Cited by 700 · see citing works
High-fat diet alters gut microbiota physiology in mice
Daniel, H., Gholami, A. M., Berry, D., Desmarchelier, C., Hahne, H., Loh, G., Mondot, S., Lepage, P., Rothballer, M., Walker, A., et al. (2013) · The ISME Journal · doi:10.1038/ismej.2013.155 · Cited by 680 · see citing works
Our gut microbiome: The evolving inner self
Kundu, P., Blacher, E., Elinav, E., & Pettersson, S. (2017) · Cell · doi:10.1016/j.cell.2017.11.024 · Cited by 633 · see citing works
Gut Microbe to Brain Signaling: What Happens in Vagus…
Fülling, C., Dinan, T. G., & Cryan, J. F. (2019) · Neuron · doi:10.1016/j.neuron.2019.02.008 · Cited by 590 · see citing works
De Vadder, F., Grasset, E., Mannerås Holm, L., Karsenty, G., Macpherson, A. J., Olofsson, L. E., & Bäckhed, F. (2018) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1720017115 · Cited by 566 · see citing works
Anatomically defined and functionally distinct dorsal raphe serotonin sub-systems
Ren, J., Friedmann, D., Xiong, J., Liu, C. D., Ferguson, B. R., Weerakkody, T., DeLoach, K. E., Ran, C., Pun, A., Sun, Y., et al. (2018) · Cell · doi:10.1016/j.cell.2018.07.043 · Cited by 498 · see citing works
Maternal prenatal stress is associated with the infant intestinal microbiota
Zijlmans, M. A. C., Korpela, K., Riksen-Walraven, J. M., de Vos, W. M., & de Weerth, C. (2015) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2015.01.006 · Cited by 438 · see citing works
Why does the microbiome affect behaviour?
Johnson, K. V.-A., & Foster, K. R. (2018) · Nature Reviews Microbiology · doi:10.1038/s41579-018-0014-3 · Cited by 333 · see citing works
Jašarević, E., Howard, C. D., Misic, A. M., Beiting, D. P., & Bale, T. L. (2017) · Scientific Reports · doi:10.1038/srep44182 · Cited by 262 · see citing works
Huo, R., Zeng, B., Zeng, L., Cheng, K., Li, B., Luo, Y., Wang, H., Zhou, C., Fang, L., Li, W., et al. (2017) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2017.00489 · Cited by 221 · see citing works
Gut microbiota modulate neurobehavior through changes in brain insulin sensitivity and metabolism
Soto, M., Herzog, C., Pacheco, J. A., Fujisaka, S., Bullock, K., Clish, C. B., & Kahn, C. R. (2018) · Molecular Psychiatry · doi:10.1038/s41380-018-0086-5 · Cited by 216 · see citing works
Dysbiosis of microbiome and probiotic treatment in a genetic model of autism spectrum disorders
Tabouy, L., Getselter, D., Ziv, O., Karpuj, M., Tabouy, T., Lukic, I., Maayouf, R., Werbner, N., Ben-Amram, H., Nuriel-Ohayon, M., et al. (2018) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2018.05.015 · Cited by 214 · see citing works
Self-citationProgramming Bugs: Microbiota and the Developmental Origins of Brain Health and Disease
Codagnone, M. G., Spichak, S., O’Mahony, S. M., O’Leary, O. F., Clarke, G., Stanton, C., Dinan, T. G., & Cryan, J. F. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2018.06.014 · Cited by 198 · see citing works
Perinatal high fat diet alters glucocorticoid signaling and anxiety behavior in adulthood
Sasaki, A., de Vega, W. C., St-Cyr, S., Pan, P., & McGowan, P. O. (2013) · Neuroscience · doi:10.1016/j.neuroscience.2013.02.044 · Cited by 194 · see citing works
Jašarević, E., Howard, C. D., Morrison, K., Misic, A., Weinkopff, T., Scott, P., Hunter, C., Beiting, D., & Bale, T. L. (2018) · Nature Neuroscience · doi:10.1038/s41593-018-0182-5 · Cited by 189 · see citing works
Abautret-Daly, Á., Dempsey, E., Parra‐Blanco, A., Medina, C., & Harkin, A. (2017) · Acta Neuropsychiatrica · doi:10.1017/neu.2017.3 · Cited by 185 · see citing works
Do bacteria shape our development? Crosstalk between intestinal microbiota and HPA axis
de Weerth, C. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.09.016 · Cited by 181 · see citing works
Jang, H.-M., Lee, H.-J., Jang, S.-E., Han, M. J., & Kim, D.-H. (2018) · Mucosal Immunology · doi:10.1038/s41385-018-0042-3 · Cited by 181 · see citing works
Murray, E., Sharma, R., Smith, K. B., Mar, K. D., Barve, R., Lukasik, M., Pirwani, A. F., Malette-Guyon, E., Lamba, S., Thomas, B. J., et al. (2019) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2019.06.016 · Cited by 150 · see citing works
Perinatal Interactions between the Microbiome, Immunity, and Neurodevelopment
Pronovost, G. N., & Hsiao, E. Y. (2019) · Immunity · doi:10.1016/j.immuni.2018.11.016 · Cited by 146 · see citing works
Connection between gut microbiome and brain development in preterm infants
Lu, J. N., & Claud, E. C. (2018) · Developmental Psychobiology · doi:10.1002/dev.21806 · Cited by 141 · see citing works
Underwood, M. D., Kassir, S. A., Bakalian, M. J., Galfalvy, H., Dwork, A. J., Mann, J. J., & Arango, V. (2018) · Translational Psychiatry · doi:10.1038/s41398-018-0309-1 · Cited by 128 · see citing works
Gur, T. L., Palkar, A. V., Rajasekera, T., Allen, J., Niraula, A., Godbout, J., & Bailey, M. T. (2019) · Behavioural Brain Research · doi:10.1016/j.bbr.2018.06.025 · Cited by 127 · see citing works
Kinlein, S. A., Phillips, D. J., Keller, C. R., & Karatsoreos, I. N. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.12.010 · Cited by 120 · see citing works
Jang, H.-M., Lee, K.-E., Lee, H.-J., & Kim, D.-H. (2018) · Scientific Reports · doi:10.1038/s41598-018-31764-0 · Cited by 116 · see citing works
Vodička, M., Ergang, P., Hrnčíř, T., Mikulecká, A., Kvapilová, P., Vagnerová, K., Šestáková, B., Fajstová, A., Hermanová, P., Hudcovic, T., et al. (2018) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2018.07.007 · Cited by 112 · see citing works
The effect of the stress hormone cortisol on the metatranscriptome of the oral microbiome
Duran-Pinedo, A. E., Solbiati, J., & Frias-Lopez, J. (2018) · npj Biofilms and Microbiomes · doi:10.1038/s41522-018-0068-z · Cited by 96 · see citing works
Man and the Microbiome: A New Theory of Everything?
Butler, M., Cryan, J. F., & Dinan, T. G. (2019) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050718-095432 · Cited by 91 · see citing works
Fukui, H., Oshima, T., Tanaka, Y., Oikawa, Y., Makizaki, Y., Ohno, H., Tomita, T., Watari, J., & Miwa, H. (2018) · Scientific Reports · doi:10.1038/s41598-018-30943-3 · Cited by 81 · see citing works
Linking the Gut Microbiota to a Brain Neurotransmitter
Jameson, K. G., & Hsiao, E. Y. (2018) · Trends in Neurosciences · doi:10.1016/j.tins.2018.04.001 · Cited by 77 · see citing works
Brinks, V., van der Mark, M. H., de Kloet, E. R., & Oitzl, M. S. (2007) · Neural Plasticity · doi:10.1155/2007/90163 · Cited by 70 · see citing works
Ming, X., Chen, N., Ray, C., Brewer, G., Kornitzer, J., & Steer, R. A. (2018) · Child Neurology Open · doi:10.1177/2329048x18786799 · Cited by 64 · see citing works
Auvinen, H. E., Romijn, J. A., Biermasz, N. R., Pijl, H., Havekes, L. M., Smit, J. W. A., Rensen, P. C. N., & Pereira, A. M. (2012) · Journal of Endocrinology · doi:10.1530/joe-12-0056 · Cited by 63 · see citing works
The Microbiota and Immune System Crosstalk in Health and Disease
Cianci, R., Pagliari, D., Piccirillo, C. A., Fritz, J. H., & Gambassi, G. (2018) · Mediators of Inflammation · doi:10.1155/2018/2912539 · Cited by 61 · see citing works
The impact of maternal high-fat diet consumption on neural development and behavior of offspring
Sullivan, E. L., Nousen, E. K., Chamlou, K. A., & Grove, K. L. (2012) · International Journal of Obesity Supplements · doi:10.1038/ijosup.2012.15 · Cited by 53 · see citing works
Lobzhanidze, G., Lordkipanidze, T. G., Zhvania, M. G., Japaridze, N. J., MacFabe, D. F., Pochkidze, N., Gasimov, E. K., & Rzayev, F. (2019) · Micron · doi:10.1016/j.micron.2019.102732 · Cited by 45 · see citing works
Pan, J.-X., Deng, F.-L., Zeng, B., Zheng, P., Liang, W., Yin, B., Wu, J., Dong, M.-X., Luo, Y., Wang, H., et al. (2019) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2019.03.027 · Cited by 44 · see citing works
Higher trait reappraisal predicts stronger HPA axis habituation to repeated stress
Roos, L. G., Janson, J., Sturmbauer, S. C., Bennett, J. M., & Rohleder, N. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.10.018 · Cited by 37 · see citing works
Microbes and Monoamines: Potential Neuropsychiatric Consequences of Dysbiosis
Skolnick, S. D., & Greig, N. H. (2019) · Trends in Neurosciences · doi:10.1016/j.tins.2018.12.005 · Cited by 35 · see citing works
Sigurdardottir, H., Kranz, G., Rami-Mark, C., James, G. M., Vanicek, T., Gryglewski, G., Berroterán-Infante, N., Kautzky, A., Hienert, M., Traub-Weidinger, T., et al. (2019) · Molecular Psychiatry · doi:10.1038/s41380-019-0461-x · Cited by 34 · see citing works
Academic stress may contribute to the onset of pediatric inflammatory bowel diseases
Krishna, M. Z., Barton, K. R., Perez, C. M., Walsh, S. M., Assa, A., & Kellermayer, R. (2018) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000002032 · Cited by 13 · see citing works
Flagged first, then by citations
1 of the 55 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Tryptophan metabolism and gut-brain homeostasis
Roth, W., Zadeh, K., Vekariya, R., Ge, Y., & Mohamadzadeh, M. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22062973 · Cited by 519 · see citing works
Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis
Rusch, J. A., Layden, B. T., & Dugas, L. R. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1130689 · Cited by 415 · see citing works
The HPA axis dysregulation in severe mental illness: Can we shift the blame to gut microbiota?
Misiak, B., Łoniewski, I., Marlicz, W., Frydecka, D., Szulc, A., Rudzki, L., & Samochowiec, J. (2020) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2020.109951 · Cited by 343 · see citing works
Communication of gut microbiota and brain via immune and neuroendocrine signaling
Kasarełło, K., Cudnoch‐Jędrzejewska, A., & Czarzasta, K. (2023) · Frontiers in Microbiology · doi:10.3389/fmicb.2023.1118529 · Cited by 270 · see citing works
Liu, Q., Xi, Y., Wang, Q., Liu, J., Li, P., Meng, X., Liu, K., Chen, W., Liu, X., & Liu, Z. (2021) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2021.04.005 · Cited by 241 · see citing works
Obayomi, O. V., Olaniran, A. F., & Owa, S. O. (2024) · Journal of Functional Foods · doi:10.1016/j.jff.2024.106337 · Cited by 187 · see citing works
Implications of Gut Microbiota in Neurodegenerative Diseases
Zhang, H., Chen, Y., Wang, Z., Xie, G., Liu, M., Yuan, B., Chai, H., Wang, W., & Cheng, P. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.785644 · Cited by 157 · see citing works
Salminen, A. (2023) · Journal of Molecular Medicine · doi:10.1007/s00109-023-02289-5 · Cited by 147 · see citing works
Microbiota‐gut‐brain axis as a regulator of reward processes
García‐Cabrerizo, R., Carbia, C., O’Riordan, K. J., Schellekens, H., & Cryan, J. F. (2020) · Journal of Neurochemistry · doi:10.1111/jnc.15284 · Cited by 147 · see citing works
Effectiveness of Acupuncture for Anxiety Among Patients With Parkinson Disease
Fan, J., Lu, W.-J., Tan, W., Liu, X., Wang, Y., Wang, N., & Zhuang, L. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.32133 · Cited by 136 · see citing works
Effects of ultra-processed foods on the microbiota-gut-brain axis: The bread-and-butter issue
Song, Z., Song, R., Liu, Y., Wu, Z., & Zhang, X. (2023) · Food Research International · doi:10.1016/j.foodres.2023.112730 · Cited by 132 · see citing works
Paeoniflorin: A neuroprotective monoterpenoid glycoside with promising anti-depressive properties
Wang, X., Feng, S., Wang, Y., Chen, N., Wang, Z., & Zhang, Y. (2021) · Phytomedicine · doi:10.1016/j.phymed.2021.153669 · Cited by 119 · see citing works
The Developing Microbiome From Birth to 3 Years: The Gut-Brain Axis and Neurodevelopmental Outcomes
Laue, H. E., Coker, M. O., & Madan, J. C. (2022) · Frontiers in Pediatrics · doi:10.3389/fped.2022.815885 · Cited by 106 · see citing works
Fecal Microbiota Transplantation: A New Therapeutic Attempt from the Gut to the Brain
Xu, H., Huang, H., Zhou, Y., Zhao, H., Xu, J., Shou, D., Liu, Y., Zhou, Y., & Nie, Y. (2021) · Gastroenterology Research and Practice · doi:10.1155/2021/6699268 · Cited by 103 · see citing works
Olvera-Rosales, L. B., Cruz-Guerrero, A. E., Ramírez‐Moreno, E., Lira, A. Q., Contreras‐López, E., Ordaz, J. J., Ovando, A. C., Añorve‐Morga, J., Calderón‐Ramos, Z. G., Arias‐Rico, J., et al. (2021) · Foods · doi:10.3390/foods10061261 · Cited by 101 · see citing works
Psychobiotics, gut microbiota and fermented foods can help preserving mental health
Casertano, M., Fogliano, V., & Ercolini, D. (2021) · Food Research International · doi:10.1016/j.foodres.2021.110892 · Cited by 89 · see citing works
Pillerová, M., Borbélyová, V., Hodosy, J., RILJAK, V., Renczés, E., Frick, K. M., & Tóthová, Ľ. (2021) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2021.100926 · Cited by 78 · see citing works
Dandekar, M. P., Palepu, M. S. K., Satti, S., Jaiswal, Y., Singh, A. A., Dash, S. P., Gajula, S. N. R., & Sonti, R. (2022) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.2c00143 · Cited by 75 · see citing works
Masuo, Y., Satou, T., Takemoto, H., & Koike, K. (2021) · Molecules · doi:10.3390/molecules26092571 · Cited by 68 · see citing works
Probiotics for the treatment of depression and its comorbidities: A systemic review
Gao, J., Zhao, N., Cheng, Y., Lei, W., Wang, Y., Liu, X., Zheng, N., Shao, L., Chen, X., Sun, Y., et al. (2023) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2023.1167116 · Cited by 75 · see citing works
Kim, Y., Lim, J., & Oh, J. (2024) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2024.117277 · Cited by 65 · see citing works
Khan, M. T., Zohair, M., Khan, A., Kashif, A., Mumtaz, S., & Muskan, F. (2025) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2025.112599 · Cited by 59 · see citing works
Aljeradat, B., Kumar, D., Abdulmuizz, S., Kundu, M., Almealawy, Y. F., Batarseh, D. R., Atallah, O., Ennabe, M., Alsarafandi, M., Alan, A., et al. (2024) · Pathophysiology · doi:10.3390/pathophysiology31020019 · Cited by 63 · see citing works
de Oliveira, F. L., Salgaço, M. K., de Oliveira, M. T., Mesa, V., Sartoratto, A., da Silva, A. M. P., Ramos, W. S., & Sivieri, K. (2023) · Nutrients · doi:10.3390/nu15061521 · Cited by 57 · see citing works
Association between gut microbiota and psychiatric disorders: a systematic review
Valle, C. G.-D., Fernández, J., Solá, E., Montoya‐Castilla, I., Morillas, C., & Bañuls, C. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1215674 · Cited by 61 · see citing works
The microbiome and gut endocannabinoid system in the regulation of stress responses and metabolism
Srivastava, R. K., Lutz, B., & Ruiz de Azua, I. (2022) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2022.867267 · Cited by 56 · see citing works
Anxiety and Depression: What Do We Know of Neuropeptides?
Kupcová, I., Danišovič, Ľ., Grgac, I., & Harsányi, Š. (2022) · Behavioral Sciences · doi:10.3390/bs12080262 · Cited by 57 · see citing works
Mastering organismal aging through the endoplasmic reticulum proteostasis network
Taylor, R. C., & Hetz, C. A. (2020) · Aging Cell · doi:10.1111/acel.13265 · Cited by 54 · see citing works
Li, M., Zhang, C., Xiao, X., Zhu, M., Quan, W., Liu, X., Zhang, S., & Liu, Z. (2023) · Journal of Agricultural and Food Chemistry · doi:10.1021/acs.jafc.2c06679 · Cited by 52 · see citing works
Effects of gut microbiota on neurodegenerative diseases
Khatoon, S., Kalam, N., Rashid, S., & Bano, G. (2023) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2023.1145241 · Cited by 51 · see citing works
Zhao, T., Wei, Y., Jun-ke, W., Han, L., Sun, M., Wu, Y., Shen, L., Long, C., Wu, S., & Wei, G. (2020) · Environmental Science and Pollution Research · doi:10.1007/s11356-020-09854-2 · Cited by 50 · see citing works
Role of the gut microbiota in the pathogenesis of endometriosis: a review
Guo, C., & Zhang, C. (2024) · Frontiers in Microbiology · doi:10.3389/fmicb.2024.1363455 · Cited by 56 · see citing works
Role of the microbiome in oral cancer occurrence, progression and therapy
Li, Z., Liu, Y., & Zhang, L. (2022) · Microbial Pathogenesis · doi:10.1016/j.micpath.2022.105638 · Cited by 48 · see citing works
Ağagündüz, D., Çelik, E., Cemali, Ö., Bingöl, F. G., Özenir, Ç., Özoğul, F., & Capasso, R. (2023) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-023-10092-4 · Cited by 47 · see citing works
Glinert, A., Turjeman, S., Elliott, E., & Koren, O. (2021) · Biological reviews/Biological reviews of the Cambridge Philosophical Society · doi:10.1111/brv.12812 · Cited by 45 · see citing works
Self-citationGuo, Y., Xia, C., Yan, Y., Han, Y., Shi, R., He, J., Wang, Y., Wang, Z., Zhang, W., & Xu, J. (2023) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2023.116288 · Cited by 44 · see citing works
Depression and obesity: Focus on factors and mechanistic links
Selman, A., Dai, J., Driskill, J., Reddy, A. P., & Reddy, P. H. (2024) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2024.167561 · Cited by 46 · see citing works
Yang, Y., Zhao, S., Yang, X., Li, W., Si, J., & Yang, X. (2022) · Neuroscience Letters · doi:10.1016/j.neulet.2022.136474 · Cited by 43 · see citing works
Mechanisms of microbiota-gut-brain axis communication in anxiety disorders
Jiang, M., Li, K., Wang, Y., Zhou, B., Li, H.-Y., Yan, Q., & Liu, Z.-G. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1501134 · Cited by 42 · see citing works
la Fuente, M. D. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-201587 · Cited by 43 · see citing works
Luiz, J. D., Manassi, C. F., Magnani, M., da Cruz, A. G., Pimentel, T. C., & Verruck, S. (2023) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2023.2280247 · Cited by 41 · see citing works
Chen, J., Zhao, B.-C., Dai, X., Xu, Y., Kang, J.-X., & Li, J. (2022) · Journal of Advanced Research · doi:10.1016/j.jare.2022.12.008 · Cited by 40 · see citing works
Li, J., Li, Y., Zhao, J., Li, L., Wang, Y., Chen, F., Li, Y., Cheng, R., He, F., Ze, X., et al. (2024) · European Journal of Nutrition · doi:10.1007/s00394-024-03447-2 · Cited by 40 · see citing works
Truyens, M., Lernout, H., Vos, M. D., Laukens, D., & Lobatón, T. (2024) · Frontiers in Medicine · doi:10.3389/fmed.2024.1424926 · Cited by 39 · see citing works
Microbiota–gut–brain axis: Natural antidepressants molecular mechanism
Lu, Y., Yu, X., Wang, Z., Kong, L., Jiang, Z., Shang, R., Zhong, X., Lv, S., Zhang, G., Gao, H., et al. (2024) · Phytomedicine · doi:10.1016/j.phymed.2024.156012 · Cited by 39 · see citing works
Critical Review of the Cross-Links Between Dietary Components, the Gut Microbiome, and Depression
Randeni, N., & Xu, B. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26020614 · Cited by 42 · see citing works
Liu, Y., Wu, Z., Cheng, L., Zhang, X., & Yang, H. (2021) · Food & Function · doi:10.1039/d1fo01091c · Cited by 37 · see citing works
Mosaferi, B., Jand, Y., & Salari, A. (2021) · Scientific Reports · doi:10.1038/s41598-021-02231-0 · Cited by 37 · see citing works
The Role of MicroRNA and Microbiota in Depression and Anxiety
Rosa, J. M., Formolo, D. A., Yu, J., Lee, T. H.-Y., & Yau, S. (2022) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2022.828258 · Cited by 37 · see citing works
Wang, X., Sun, Z., Yang, T., Lin, F. H., Ye, S., Yan, J., Li, T., & Chen, J. (2023) · mSystems · doi:10.1128/msystems.00415-23 · Cited by 36 · see citing works
Li, J., Pu, F., Peng, C., Wang, Y., Zhang, Y., Wu, S., Wang, S., Shen, X. P., Li, Y., Cheng, R., et al. (2022) · Neurobiology of Disease · doi:10.1016/j.nbd.2022.105757 · Cited by 36 · see citing works
Liu, Y., Rao, B., Li, S., Zheng, N., Wang, J., Bi, L., & Xu, H. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.814623 · Cited by 32 · see citing works
Gut microbes and host behavior: The forgotten members of the gut-microbiome
Weiner, A., Turjeman, S. C., & Koren, O. (2023) · Neuropharmacology · doi:10.1016/j.neuropharm.2023.109453 · Cited by 33 · see citing works
Self-citationGut-brain axis and Alzheimer's disease: Therapeutic interventions and strategies
Singh, H., Chopra, C., Singh, H., Malgotra, V., Wani, A. K., Dhanjal, D. S., Sharma, I., Nepovimová, E., Alomar, S. Y., Singh, R., et al. (2023) · Journal of Functional Foods · doi:10.1016/j.jff.2023.105915 · Cited by 41 · see citing works
The Gut Microbiome as a Component of the Gut–Brain Axis in Cognitive Health
Gao, W., Baumgartel, K. L., & Alexander, S. A. (2020) · Biological Research For Nursing · doi:10.1177/1099800420941923 · Cited by 34 · see citing works
Intestinal Flora Affect Alzheimer's Disease by Regulating Endogenous Hormones
Wu, Y., Hang, Z., Tong, L., & Du, H. (2022) · Neurochemical Research · doi:10.1007/s11064-022-03784-w · Cited by 34 · see citing works
Zhu, Z., Cheng, Y., Liu, X., Xu, X., Ding, W., Ling, Z., Liu, J., & Cai, G. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1644160 · Cited by 39 · see citing works
Yu, X., Yao, H., Zhang, X., Liu, L., Liu, S., & Dong, Y. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04233-2 · Cited by 33 · see citing works
Deciphering psychobiotics’ mechanism of action: bacterial extracellular vesicles in the spotlight
Bleibel, L., Dziomba, S., Waleron, K., Kowalczyk, E., & Karbownik, M. S. (2023) · Frontiers in Microbiology · doi:10.3389/fmicb.2023.1211447 · Cited by 33 · see citing works
Bleibel, L., Sokołowska, P., Henrykowska, G. A., Owczarek, J., & Wiktorowska‐Owczarek, A. (2025) · Pharmaceuticals · doi:10.3390/ph18060867 · Cited by 34 · see citing works
The Gut Microbiome-Neuroglia Axis: Implications for Brain Health, Inflammation, and Disease
Camberos-Barraza, J., Guadrón‐Llanos, A. M., & la Herrán-Arita, A. K. D. (2024) · Neuroglia · doi:10.3390/neuroglia5030018 · Cited by 34 · see citing works
Geng, X., Wu, H., Li, Z., Li, C., Chen, D., Zong, J., Liu, Z., Wei, S., & Peng, W. (2021) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2021/1703981 · Cited by 30 · see citing works
Raman, M., Vishnubhotla, R. V., Ramay, H. R., Gonçalves, M. C. B., Shin, A., Pawale, D., Subramaniam, B., & Sadhasivam, S. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-023-03935-8 · Cited by 32 · see citing works
Dietary Strategies to Improve Exercise Performance by Modulating the Gut Microbiota
Zhang, L., Li, H., Song, Z., Liu, Y., & Zhang, X. (2024) · Foods · doi:10.3390/foods13111680 · Cited by 33 · see citing works
Alvarado-Peña, N., Galeana-Cadena, D., Gómez-García, I. A., Mainero, X. S., & Silva‐Herzog, E. (2023) · Frontiers in Microbiology · doi:10.3389/fmicb.2023.1237998 · Cited by 28 · see citing works
Li, Y., Yue, Y., Chen, S., Jiang, W., Xu, Z., Chen, G., Zhu, Z., Tan, L., & Yuan, Y. (2022) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2022.935031 · Cited by 29 · see citing works
Bile acid signalling and its role in anxiety disorders
Chen, S., Shao, Q., Chen, J., Lv, X., Ji, J., Liu, Y., & Song, Y. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1268865 · Cited by 29 · see citing works
Carmel, J., Ghanayem, N., Maayouf, R., Saleev, N., Chatterjee, I., Getselter, D., Tikhonov, E., Turjeman, S. C., Shalan, M., Khateeb, S., et al. (2023) · npj Biofilms and Microbiomes · doi:10.1038/s41522-023-00469-2 · Cited by 28 · see citing works
Self-citationAdvances in gut–brain organ chips
Zhang, Y., Lu, S., Zhuang, J., & Liang, L. (2024) · Cell Proliferation · doi:10.1111/cpr.13724 · Cited by 27 · see citing works
Fu, Y., Hu, J., Erasmus, M. A., Johnson, T. A., & Cheng, H. W. (2022) · Poultry Science · doi:10.1016/j.psj.2022.101925 · Cited by 28 · see citing works
Wei, D., Zhao, Y., Zhang, M., Zhu, L., Wang, L., Yuan, X., & Wu, C. (2021) · Drug Design Development and Therapy · doi:10.2147/dddt.s281575 · Cited by 27 · see citing works
A gut reaction? The role of the microbiome in aggression
Uzan-Yulzari, A., Turjeman, S. C., Moadi, L., Getselter, D., Sharon, E., Rautava, S., Isolauri, E., Khatib, S., Elliott, E., & Koren, O. (2024) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2024.08.011 · Cited by 27 · see citing works
Self-citationBirmann, P. T., Domingues, M., Casaril, A. M., Smaniotto, T. Â., Hartwig, D., Jacob, R. G., & Savegnago, L. (2020) · Behavioural Brain Research · doi:10.1016/j.bbr.2020.112874 · Cited by 26 · see citing works
The microbiota-gut-brain axis in pathogenesis of depression: A narrative review
Yao, H., Zhang, D., Yu, H., Shen, H., Liu, H., Meng, F., Wu, X., Zhang, G., & Wang, X. (2022) · Physiology & Behavior · doi:10.1016/j.physbeh.2022.114056 · Cited by 31 · see citing works
Li, W., Xi, Y., Wang, J., Zhang, Y., Li, H., & Liu, X. (2023) · Food Science and Human Wellness · doi:10.26599/fshw.2022.9250097 · Cited by 25 · see citing works
Gut microbiota and type 2 diabetes mellitus: a focus on the gut-brain axis
Pan, Y., Bu, T., Deng, X., Jia, J., & Yuan, G. (2024) · Endocrine · doi:10.1007/s12020-023-03640-z · Cited by 27 · see citing works
Olfactory and trigeminal routes of HSV-1 CNS infection with regional microglial heterogeneity
Niemeyer, C. S., Merle, L., Bubak, A. N., Baxter, B. D., Polese, A. G., Colon-Reyes, K., Vang, S., Hassell, J. E., Bruce, K. D., Nagel, M. A., et al. (2024) · Journal of Virology · doi:10.1128/jvi.00968-24 · Cited by 24 · see citing works
Exercise, Diet, and Brain Health: From the Perspective of Gut Microbiota Regulation
Zhang, L., Liu, R., Song, Z., & Zhang, X. (2025) · Nutrients · doi:10.3390/nu17101686 · Cited by 24 · see citing works
Dai, D., Dai, F., Chen, J., Jin, M., Li, M., Hu, D., Liu, Z., Zhang, Z., Xu, F., & Chen, W. (2022) · Communications Biology · doi:10.1038/s42003-022-03887-8 · Cited by 23 · see citing works
Lynch, C. M. K., Nagpal, J. K., Clarke, G. A., & Cryan, J. F. (2021) · Current Opinion in Physiology · doi:10.1016/j.cophys.2021.100468 · Cited by 23 · see citing works
Advanced Bioinspired Multifunctional Platforms Focusing on Gut Microbiota Regulation
Li, M., Wang, L., Lin, D., Liu, Z., Wang, H., Yang, Y., Sun, C., Ye, J., & Liu, Y. (2024) · ACS Nano · doi:10.1021/acsnano.4c05013 · Cited by 22 · see citing works
Chen, Y., Qi, W., Peng, W., Fang, W., Song, G., Hao, Y., & Wang, Y. (2025) · Food Research International · doi:10.1016/j.foodres.2025.116086 · Cited by 21 · see citing works
Neuroplasticity and the microbiome: how microorganisms influence brain change
Noman, A. A., Alhudhaibi, A. M., Mou, M. A., Tonni, S. D., Shehab, H. M., Iba, N. J., Taha, T. H., & Abdallah, E. M. (2025) · Frontiers in Microbiology · doi:10.3389/fmicb.2025.1629349 · Cited by 20 · see citing works
The Relationship Between Epigenetics and Microbiota in Neuropsychiatric Diseases
Lozupone, M., D’Urso, F., Piccininni, C., Montagna, M. L., Sardone, R., Resta, E., Dibello, V., Daniele, A., Giannelli, G., Bellomo, A., et al. (2020) · Epigenomics · doi:10.2217/epi-2020-0053 · Cited by 20 · see citing works
The Impact of Alcohol-Induced Dysbiosis on Diseases and Disorders of the Central Nervous System
Liu, X., Vigorito, M., Huang, W., Khan, M. A. S., & Chang, S. L. (2021) · Journal of Neuroimmune Pharmacology · doi:10.1007/s11481-021-10033-4 · Cited by 19 · see citing works
Mepham, J. R., Nelles‐McGee, T., Andrews, K., & González, A. (2023) · Developmental Psychobiology · doi:10.1002/dev.22424 · Cited by 20 · see citing works
Li, S., Li, X., Wang, K., Li, Y., Nagaoka, K., & Li, C. (2023) · Journal of Animal Science and Biotechnology/Journal of animal science and biotechnology · doi:10.1186/s40104-023-00950-0 · Cited by 19 · see citing works
Zhao, J., Jia, H., Ma, P., Zhu, D. Y., & Fang, Y. (2025) · Pharmacological Research · doi:10.1016/j.phrs.2025.107717 · Cited by 19 · see citing works
Alauzet, C., Cunat, L., Wack, M., Lanfumey, L., Legrand-Frossi, C., Lozniewski, A., Agrinier, N., Cailliez‐Grimal, C., & Frippiat, J. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21217863 · Cited by 19 · see citing works
Wan, L., Yang, G., Zhang, S., Sun, Y., Li, Z., Wang, J., Shi, X., & Zou, L. (2021) · Translational Pediatrics · doi:10.21037/tp-20-384 · Cited by 17 · see citing works
Crosstalk between the Gut and Brain in Ischemic Stroke: Mechanistic Insights and Therapeutic Options
Huang, W., Zhu, L., Song, W., Zhang, M., Teng, L., & Wu, M. (2022) · Mediators of Inflammation · doi:10.1155/2022/6508046 · Cited by 18 · see citing works
Ouanes, S., Rabl, M., Clark, C., Kirschbaum, C., & Popp, J. (2022) · Alzheimer s Research & Therapy · doi:10.1186/s13195-022-01139-9 · Cited by 18 · see citing works
Role of the gut microbiome in psychological symptoms associated with inflammatory bowel diseases
Atanasova, K., Knödler, L.-L., Reindl, W., Ebert, M. P. A., & Thomann, A. (2025) · Seminars in Immunopathology · doi:10.1007/s00281-025-01036-x · Cited by 19 · see citing works
Zeng, L., zhang, S., Liu, R., Wang, L., & Tan, Y. (2025) · International Journal of Microbiology · doi:10.1155/ijm/6750078 · Cited by 17 · see citing works
Lv, S., Zhao, Y., Wang, L., Yu, Y., Li, J., Huang, Y., Xu, W., Sun, G., Dai, W., Zhao, T., et al. (2022) · BioMed Research International · doi:10.1155/2022/1024693 · Cited by 17 · see citing works
Reemst, K., Tims, S., Yam, K., Mischke, M., Knol, J., Brul, S., Schipper, L., & Kőrösi, A. (2022) · mSystems · doi:10.1128/msystems.00180-22 · Cited by 17 · see citing works
Social Isolation and Breast Cancer
Hilakivi-Clarke, L. A., & Andrade, F. D. O. (2023) · Endocrinology · doi:10.1210/endocr/bqad126 · Cited by 18 · see citing works
Wang, Y., Hu, W., Han, J., Zheng, J., Jiang, N., Feng, Y., & Tian, Z. (2023) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2023.1115569 · Cited by 15 · see citing works
Zhao, Y., Kang, Y. J., Zhao, Z., Ge, Y., Gao, Y., Gao, L., Wang, C., & Li, S. (2023) · Neuroscience Letters · doi:10.1016/j.neulet.2023.137460 · Cited by 15 · see citing works
Chen, Y., Chaudhary, S., Li, G., Fucito, L. M., Bi, J., & Li, C.-S. R. (2024) · Neuroimage Reports · doi:10.1016/j.ynirp.2024.100200 · Cited by 14 · see citing works
- Authors
- Frankiensztajn, L. M., Elliott, E., & Koren, O.
- Affiliations
- Bar-Ilan University (IL)
- Corresponding author
- Koren, Omry
- Venue
- Current Opinion in Neurobiology
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 62
- Pages
- 76-82
- ISSN
- 0959-4388 (ISSN-L)
- OpenAlex
- W3001554865
- Semantic Scholar
- 0e9123a1a9222171affe5d2de19471dc52c06747
- Cited by
- 248
- References
- 55
- Citations by year
- 2026: 28 · 2025: 54 · 2024: 47 · 2023: 50 · 2022: 38 · 2021: 21 · 2020: 9
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Neurobiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- gut microbiota, microbiome-gut-brain axis, anxiety disorders, stress response, neonatal neurodevelopment, maternal microbiota, commensal microbiota, dysbiosis, stress disorders
- MeSH terms
- Anxiety, Brain, Humans, Hypothalamo-Hypophyseal System, Pituitary-Adrenal System, Stress, Psychological, Microbiota
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review