The microbiome-gut-brain axis in health and disease
Open accessAbstract
Gut microbes are capable of producing most neurotransmitters found in the human brain. Evidence is accumulating to support the view that gut microbes influence central neurochemistry and behavior. Irritable bowel syndrome is regarded as the prototypic disorder of the brain-gut-microbiota axis that can be responsive to probiotic therapy. Translational studies indicate that certain bacteria may have an impact on stress responses and cognitive functioning. Manipulating the gut microbiota with psychobiotics, prebiotics, or even antibiotics offers a novel approach to altering brain function and treating gut-brain axis disorders, such as depression and autism.
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During gut pathologies with increased permeability of the intestinal barrier, translocation of bacterial products can increase production of cytokines and impact the blood-brain barrier, leading to more intense harmful effects.
“during gut pathologies with increased permeability of the intestinal barrier, the translocation of bacterial products can increase the production of cytokines and impact the blood-brain barrier (BBB), leading to more intense harmful effects (37).”
From The Role of Short-Chain Fatty Acids From Gut Microbiota in Gut-Brain Communication (2020) · cites this paper as [37]
The IBS as prototype section reports rodent evidence that stress alters the gut barrier, allowing LPS into the bloodstream and stimulating inflammatory cytokine production. Brain-gut-microbiota communication says cytokines can signal across the BBB and influence brain areas, but does not say this process damages the BBB or leads to more intense harmful effects. The paper also cautions that the proposed inflammatory mechanism has not been definitively demonstrated in depression; no page numbers were available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe microbiota is altered in CNS diseases, which aggravates the condition, and/or its modulation might prevent or improve the development and progression of CNS pathologies.
“The central hypothesis is supported by experimental and clinical evidence that the microbiota is altered in such diseases, which aggravates the condition, and/or its modulation might prevent or improve the development and progression of CNS pathologies (17, 19, 29, 33–37).”
From The Role of Short-Chain Fatty Acids From Gut Microbiota in Gut-Brain Communication (2020) · cites this paper as [37]
The Parkinson’s disease and Autism sections (pages not provided) report altered microbiota in patients and improvement of abnormal behaviours after microbiota treatment in an animal model. But the paper cautions that much of the human evidence is correlational and says there is no clear indication of treatment efficacy in diseased populations. It does not establish that microbiota changes aggravate CNS diseases generally or that modulation prevents their progression. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSeveral brain disorders have been linked to imbalances in the microbial composition of the gut.
“several brain disorders have been linked to imbalances in the microbial composition of the gut (17, 19, 29, 33–37)”
From The Role of Short-Chain Fatty Acids From Gut Microbiota in Gut-Brain Communication (2020) · cites this paper as [37]
Gut microbes can produce certain neurotransmitters and influence the central neurochemistry of the brain and thus human behavior.
“Gut microbes have, for example, been found to be capable of producing certain neurotransmitters and of influencing the central neurochemistry of the brain and thus human behavior (136).”
From Cytokine Research in Depression: Principles, Challenges, and Open Questions (2019) · cites this paper as [136]
Leaky gut causes translocation of lipopolysaccharide of Gram-negative bacteria, which results in activation of the immune system (Toll-like receptors) and production of pro-inflammatory cytokines (IL-6, IFN-γ, CRP, TNF-α).
“It causes a translocation of lipopolysaccharide (LPS) of Gram-negative bacteria which results in activation of the immune system (Toll-like receptors -TLRs) and production of pro-inflammatory cytokines (IL-6, IFN-γ, CRP, TNF-α) [1,5,44].”
From The Role of Microbiota-Gut-Brain Axis in Neuropsychiatric and Neurological Disorders (2021) · cites this paper as [1]
The key communication routes between the enteric microbiota and the brain are the vagal nerve, tryptophan metabolites, and microbial products such as short-chain fatty acids or peptidoglycan.
“The key communication routes between the enteric microbiota and the brain are vagal nerve, tryptophan metabolites, and microbial products, such as short-chain fatty acids (SCFAs) or peptidoglycan [1,17,24].”
From The Role of Microbiota-Gut-Brain Axis in Neuropsychiatric and Neurological Disorders (2021) · cites this paper as [1]
The GM can modulate host physiological processes through microbial constituents, microbial products, hormone release, and substrate metabolism.
“As a key regulator, the GM can modulate host physiological processes through several proposed mechanisms (25, 26).”
From Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis (2023) · cites this paper as [26]
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“Noteworthy, during gut pathologies with increased permeability of the intestinal barrier, the translocation of bacterial products can increase the production of cytokines and impact the bloodbrain barrier (BBB), leading to more intense harmful effects (37).”
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- Authors
- Dinan, T. G., & Cryan, J. F.
- Affiliations
- University College Cork (IE)
- Corresponding author
- Dinan, Timothy G.
- Venue
- Gastroenterology Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2017-03
- Volume
- 46
- Issue
- 1
- Pages
- 77-89
- ISSN
- 0889-8553 (ISSN-L)
- OpenAlex
- W2568352511
- Semantic Scholar
- 424e004cc64ef5ae3b336d9828672bd17ca6d334
- Cited by
- 1,111
- References
- 60
- Citations by year
- 2026: 118 · 2025: 146 · 2024: 147 · 2023: 111 · 2022: 145 · 2021: 167 · 2020: 115 · 2019: 94 · 2018: 48 · 2017: 19
- FWCI
- 7.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Gastroenterology Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Arrow@dit (Dublin Institute of Technology) (acceptedVersion)
- Funders
- Alimentary Pharmabiotic Centre (SFI/12/RC/2273)
- Health Research Board of Ireland (HRA_POR/2011/23, HRA_POR/2012/32)
- European Community’s Seventh Framework Programme (FP7/2007-2013)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- gut-brain axis, gut microbiota, neurotransmitters, tryptophan, serotonin, GABA, Bifidobacterium, lactobacilli, irritable bowel syndrome, probiotics, psychobiotics, prebiotics, vagus nerve, short-chain fatty acids, cytokines, depression, autism spectrum disorder, Parkinson's disease, stress response, cognitive function
- MeSH terms
- Gastrointestinal Microbiome, Animals, Autistic Disorder, Brain, Depression, Fatty Acids, Volatile, gamma-Aminobutyric Acid, Humans, Parkinson Disease, Tryptophan, Vagus Nerve, Cytokines, Probiotics, Gastrointestinal Tract, Irritable Bowel Syndrome, Prebiotics
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