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The Neuroendocrinology of the Microbiota-Gut-Brain Axis: A Behavioural Perspective
Open accessAbstract
The human gut harbours trillions of symbiotic bacteria that play a key role in programming different aspects of host physiology in health and disease. These intestinal microbes are also key components of the gut-brain axis, the bidirectional communication pathway between the gut and the central nervous system (CNS). In addition, the CNS is closely interconnected with the endocrine system to regulate many physiological processes. An expanding body of evidence is supporting the notion that gut microbiota modifications and/or manipulations may also play a crucial role in the manifestation of specific behavioural responses regulated by neuroendocrine pathways. In this review, we will focus on how the intestinal microorganisms interact with elements of the host neuroendocrine system to modify behaviours relevant to stress, eating behaviour, sexual behaviour, social behaviour, cognition and addiction.
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“This relationship, like the microbiota-gut-brain axis itself, is bidirectional -the microbiota can modulate stress-induced alterations in anxiety, memory, cognition and neuroinflammation (for reviews, see Cussotto et al., 2018;Farzi et al., 2018;Foster et al., 2017;Rea et al., 2016;Sherwin et al., 2016a).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Cussotto et al., 2018
In the citing paper
“The development of the blood-brain barrier is now well established to be contingent upon the presence of commensal gut flora (10, 11).”
From Association Between Gut Microbiota and Autism Spectrum Disorder: A Systematic Review and Meta-Analysis (2019) · cites this paper as [10]
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“, dysbiosis) can negatively affect the host, and has significant consequences for the immune system and brain development, thereby impacting cognitive function and behavior (Cussotto et al., 2018; Laursen, 2021).”
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“The gut microflora includes trillions of symbiotic microorganisms that are important for maintaining host homeostasis, regulating host physiology, and helping the development of the central nervous system (Cussotto et al. 2018).”
BackgroundRuiz‐Sobremazas, D., Abreu, A. C., Prados-Pardo, Á., Martín-González, E., Tristán, A. I., Fernández, I., Moreno, M., & Mora, S. (2024) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.4c00297 · Cited by 7
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“Moreover, chronic dysbiosis may reinforce hypothalamic dysfunction via systemic inflammation or metabolic stress [62], potentially establishing a self-perpetuating feedback loop.”
Šoltýsová, M., Tomova, A., Paulinyova, M., Lakatošová, S., Trebatická, J., & Ostatníková, D. (2025) · Neuroscience · doi:10.1016/j.neuroscience.2025.08.020 · Cited by 8
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“Although the neuroendocrine system remains incompletely understood, factors such as hormonal secretion and bacterial metabolites, including short-chain fatty acids (SCFAs) and neurotransmitters, are believed to be pivotal in shaping psychological and behavioral changes [17,18].”
BackgroundInteroceptive Information of Physical Vigor Through Circulating Insulin‐Like Growth Factor 1
Zegarra-Valdivia, J. A., Khan, M. Z., Fernandes, J., Esparza, J., Suda, K., de Sevilla, M. E. F., Díaz-Pacheco, S., & Torres‐Alemán, I. (2026) · FASEB BioAdvances · doi:10.1096/fba.2025-00226 · Cited by 8
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Relationship of migraine and other forms of chronic pain
Ray, J. C., Matharu, M. S., & Hutton, E. J. (2024) · Handbook of clinical neurology · doi:10.1016/b978-0-12-823357-3.00027-6 · Cited by 6
A PRISMA Systematic Review of Sexual Dysfunction and Probiotics with Pathophysiological Mechanisms
Yang, S.-J., Nguyen, T. T. M., Jin, X., Zheng, Q., Park, S.-J., Yi, G.-S., & Yi, T. (2025) · Biology · doi:10.3390/biology14030286 · Cited by 6
“Recent research has identified the gut–brain axis as a key pathway through which gut microbiota influences sexual function by regulating neural signaling and hormone metabolism [12].”
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Antoine, D., Venigalla, G., Truitt, B., & Roy, S. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.1050661 · Cited by 6
“In animal models, various stressors including maternal separation, social stressors, and hostile cage environment have been found to impact the gut microbial composition and lead to microbial alterations such as the decrease in commensal bacteria Lactobacilli and Bacteroides (Tannock and Savage, 1974; Bailey et al., 2…”
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“There are robust clock gene rhythms in the jejunum, and it is possible that the mild nature of our injuries was not sufficient to disrupt peripheral gut function (Cussotto et al., 2018; Sgro et al., 2022b).”
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Bi, K., Lei, Y., Kong, D., Li, Y., Fan, X., Luo, X., Yang, J.-Q., Wang, G., Li, X., Xu, Y., et al. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e27187 · Cited by 6
“In humans and animals, gut microbiota also plays an important role in regulating brain function, mood, stress, and behavioral responses to rewards [22 – 25].”
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“…systems reflects a highly integrated network that is important for maintaining homeostasis through overlapping receptors and key regulatory feedback loops involved in perceived stress, immune responses, and changes in brain activity (Cussotto et al., 2018; Rosin et al., 2021).”
Huang, S., Yang, P. C., Wang, X., Zhang, K., Li, L., Yao, S., Qian, L., Liu, C., Guo, J., Shi, L., et al. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.11.029 · Cited by 6
Frăsinariu, O. E., Vintilă, T. C., Vasiliu, I., Ștreangă, V., Rugină, A., Temneanu, O. R., Iancu, I. D., Iațentiuc, A., Jechel, E., & Florescu, A.-F. (2025) · Pharmaceuticals · doi:10.3390/ph19010049 · Cited by 7
“Second mechanism, through epigenetic pathways, butyrate increases the proportion of cholinergic enteric neurons, thereby modulating acetylcholine signaling and adding another layer of gut–brain communication relevant to pubertal onset [81].”
González-Parra, J. A., Barrera-Conde, M., Kossatz, E., Veza-Estévez, E., de la Torre, R., Busquets-García, A., Robledo, P., & Pizarro, N. (2024) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2024.111200 · Cited by 5
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Gut Microbes: The Gut Brain Connection
Lynch, C. M. K., O’Riordan, K. J., Clarke, G. A., & Cryan, J. F. (2023) · Springer eBooks · doi:10.1007/978-3-031-46712-7_4 · Cited by 5
Different care mode alter composition and function of gut microbiota in cerebral palsy children
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“38 Resident bacteria of the gastrointestinal tract influence the secretion of hormones and gut peptides such as ghrelin and glucagon-like-peptide-1 (GLP-1) from enteroendocrine cells, which then impact neuroendocrine function related to appetite and metabolism.”
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“…neurodevelopment, neurogenesis, and synaptic structure and function, affects neurotransmitter metabolism, and changes the levels of microbial metabolites, thereby causing psychotic symptoms and cognitive deficits in schizophrenia (Zhu et al., 2020a,b; Guo et al., 2021; Cussotto et al., 2018).”
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BackgroundMicrobiome and well-being: a meta-analysis
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InfluentialSerum Zonulin Levels in Pediatric Migraine
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BackgroundProspective role of prebiotics and probiotics in gut immunity
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“…of the gut (Penagini et al. 2004) and the composition of the gut microbiota (Hofford et al. 2021), as one of the neuroactive substances, morphine use could indirectly affect the gut microbial pro�les through neuroendocrinology (Cussotto et al. 2018) or the vagal pathways (Dalile et al. 2019).”
Divergent bacterial landscapes: unraveling geographically driven microbiomes in Atlantic cod
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Current Megatrends in Food Production Related to Microbes
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“This condition of our alimentary microbiome is in a decisive role in maintaining our general and psychological health [36, 37], as well as in the protection of our body system against numerous illnesses [38, 39].”
BackgroundThe Impact of Gut Microbiota on Mental Health
Hefnawy, M. T., Elsamman, K., Abbas, A., & Hawas, Y. (2024) · Nutritional neurosciences · doi:10.1007/978-981-97-2681-3_7 · Cited by 2
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Cussotto, S., Abdennebi, S. R., Etting, I., Denny, C. A., Hen, R., Colle, R., Corruble, E., Alvarez, J., David, D. J. P., & Mendez‐David, I. (2026) · npj Biofilms and Microbiomes · doi:10.1038/s41522-026-00928-6 · Cited by 2
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Jayamurali, D., Saminathan, G., Varier, K. M., Acharya, P. S., Manoharan, N., Parasuraman, R., Gajendran, B., & Govindarajulu, S. N. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-90113-0.00004-3 · Cited by 2
Evaluation of zonulin levels in patients with migraine
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“The study of microbiota-modifying therapeutic approaches is associated with obtaining both experimental and clinical data on the role of the microbiota – gut – brain axis in depression [22, 23].”
BackgroundExperts’ Opinion on Immunity and Nutrition to Support Key Cognitive Functions
Sekartini, R., Surapsari, J., Oktarina, M. D., Wiguna, T., Pasiak, T. F., Basrowi, R. W., Kartjito, M. S., & Wasito, E. (2023) · World Nutrition Journal · doi:10.25220/wnj.v06.s2.0001 · Cited by 3
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Ranjan, A., Shukla, S., & Singh, S. (2024) · Current Drug Therapy · doi:10.2174/0115748855307998240529063710 · Cited by 1
The Microbial and Metabolic Link Between Gut and Brain
Salamalek, R., Shareef, Y., Abdulridha, F., & Soliman, S. S. M. (2025) · Springer eBooks · doi:10.1007/978-981-96-1305-2_17 · Cited by 1
Impact of Gut Microbiota on Fish Nutrition and Health
Mandal, S., Goswami, R. K., Borah, D., Sharma, S., Khangembam, B. K., & Singh, S. (2025) · Springer eBooks · doi:10.1007/978-3-031-92858-1_19 · Cited by 1
Impact of Sex, Gonadectomy, and Repeated Restraint Stress on Gut Microbiome in Mice
Mekadim, C., Mrázek, J., Vodička, M., Ergang, P., Fliegerova, K. O., Mahayri, T. M., Chawengsaksophak, K., & Pácha, J. (2025) · Molecular Neurobiology · doi:10.1007/s12035-025-05305-6 · Cited by 1
Impact of dietary composition on behavioural expression and gut microbiome dynamics in zebrafish
Sivarajan, D., Pothayi, V., Devasia, S. C., & Ramachandran, B. (2025) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-025-03139-8 · Cited by 3
Zhao, Y., Zhai, S., Wang, P., Yang, W., Liu, X., Dai, Y., Li, C., Liu, F., Yang, N., & Yan, W. (2026) · Journal of Animal Science and Biotechnology/Journal of animal science and biotechnology · doi:10.1186/s40104-026-01369-z · Cited by 1
Wu, L., Li, S., Han, F., Guo, J., Zhang, X., & Xu, L. (2026) · Frontiers in Microbiology · doi:10.3389/fmicb.2026.1801367 · Cited by 2
“As a result, the mistimed, deficient, or excessive signaling of key microbial metabolites drives disease pathogenesis through some specific and well-defined molecular pathways (Cussotto et al., 2018; Zhou et al., 2018).”
Gut microbiome and its association with psychiatric disorders, specially schizophrenia
Haghighi, F. H., Riahi‐Zanjani, B., & Aryan, E. (2023) · Scientific Journal of Kurdistan University of Medical Sciences · doi:10.61186/sjku.28.2.98 · Cited by 1
Impact of the gut–brain axis on neurodegenerative diseases and potential benefits of probiotics
Samanta, S., & Mondal, S. P. (2024) · South Asian Journal of Health Sciences · doi:10.25259/sajhs_17_2023 · Cited by 1
Ilie, O., Ciobica, A. S., & Timofte, D. V. (2019) · The Medical-Surgical Journal · Cited by 1
Wichienchot, S., & Chakkaravarthi, S. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-824044-1.00002-7 · Cited by 1
Diagnóstico y manejo de hemangiomas infantiles.
Hine, C. C., Solano, V. L., & Ramos, C. J. E. (2022) · Revista Ciencia y Salud Integrando conocimientos · doi:10.34192/cienciaysalud.v6i2.422 · Cited by 1
Rangraze, I. R., & Khan, S. (2023) · medRxiv · doi:10.1101/2023.07.19.23292891 · Cited by 1
Mechanism of Action of Intestinal Microorganisms and Progress in Head and Neck TumorsPreprint
Su, X., Fa-qiang, M., & Jin, F. (2024) · Preprints.org · doi:10.20944/preprints202401.0092.v1
The zebrafish gut microbiome influences benzo[a]pyrene developmental neurotoxicityPreprint
Stagaman, K., Alexiev, A., Sieler, M. J., Hammer, A. J., Kasschau, K. D., Truong, L., Tanguay, R. L., & Sharpton, T. J. (2024) · Research Square · doi:10.21203/rs.3.rs-3944268/v1 · Cited by 1
Influence du microenvironnement sur la virulence et la formation de biofilm de Cutibacterium acnes.
Borrel, V. (2019) · theses.fr (ABES) · doi:10.70675/e7dac5e6zfa10z4c08za678z2990ea345143 · Cited by 1
The Role of the Microbiome-Gut-Brain Axis in Schizophrenia and Clozapine-Induced Weight Gain
Liu, J., Palma, G. D., Gorbovskaya, I., Hahn, M., Verdu, E. F., Berčík, P., & Müller, D. J. (2021) · Biological Psychiatry · doi:10.1016/j.biopsych.2021.02.854
The relationship between gut microbiota and behavior
Šoltýsová, M., Tomova, A., & Ostatníková, D. (2021) · Psychiatrie pro praxi · doi:10.36290/psy.2021.018
The role of diet in the prevention of migraine attacks
Kopchak, O. O., & Hrytsenko, O. Y. (2021) · Zaporozhye Medical Journal · doi:10.14739/2310-1210.2021.6.224601
Мінухін, В. В., Knysh, O. V., Ждамарова, Л. А., Bolshakova, H., & Voyda, Y. V. (2022) · Zaporozhye Medical Journal · doi:10.14739/2310-1210.2022.1.236932
Kawakami, T. (2020) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.736437714.793571859
The Human-Microbial Partnership: Even Our Brains Benefit!
Perron, J. C., & Carroll, J. M. (2022) · Frontiers for Young Minds · doi:10.3389/frym.2022.714243
“Gut microbes produce substances identical to chemicals used by the human nervous system to communicate with other cells [7].”
BackgroundMicrobial Drug Interactions and Human Health
Ilhan, Z. E., & Herbst‐Kralovetz, M. M. (2022) · Royal Society of Chemistry eBooks · doi:10.1039/9781839160950-00120
Probiotics and gut-brain axis modulation
de Oliveira, M. E. G. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-89908-6.00018-2
Zhenyou, Z. H. O. U., Li, K. O. N. G., & Chan, R. C. K. (2022) · Advances in Psychological Science · doi:10.3724/sp.j.1042.2022.01856
“00 09 1v 1 虽然当前抗精神病药物对精神分裂症患者的阳性和阴性症状的治疗效果较好,但对患者的认知 功能损伤没有较好的治疗效果,因此需要进一步探究精神分裂症患者认知功能损伤的原因(Hori et al., 2006)。目前研究发现,在精神分裂症的早期阶段,认知功能的损伤被认为与炎症过程有 关,而肠道微生物可通过影响糖皮质激素和免疫介质的产生参与这一过程(Cabrera et al., 2016; Cussotto et al., 2018)。大脑多个脑区的异常激活、脑结构的异常被认为与认知功能的受损以及临…”
Characterized Profiles of Gut Microbiota in Morphine Abstinence-Induced Depressive-Like BehaviorPreprint
Ji, J., Yan, N., Zhang, Z., Li, B., Xue, R., & Dang, Y. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4146371
Šoltýsová, M., Tomova, A., & Ostatníková, D. (2022) · Research Square · doi:10.21203/rs.3.rs-1576931/v1
Human Diets, Gut Microbiome, and Neuroinflammation
Singh, J., Khan, Z., & Rajavashisth, T. B. (2022) · Nutritional neurosciences · doi:10.1007/978-981-19-4530-4_7
Šoltýsová, M., Tomova, A., & Ostatníková, D. (2022) · Research Square · doi:10.21203/rs.3.rs-1576931/v2
Correlation of Human Microbiome and Immune Functioning with COVID-19 Infections: An Overview
Khatri, P., Rani, A., Pandey, R. P., & Hameed, S. (2023) · Springer eBooks · doi:10.1007/978-981-99-1463-0_11
Javanmard, G. H., & Javanmard, S. (2023) · Research Square · doi:10.21203/rs.3.rs-3278416/v1
From Dysbiosis to Neuropathologies: Toxic Effects of Glyphosate in ZebrafishPreprint
Bellot, M., Carrillo, M. P., Bedrossiantz, J., Zheng, J., Mandal, R., Wishart, D. S., Gómez‐Canela, C., Vila‐Costa, M., Prats, E., Piña, B., et al. (2023) · SSRN Electronic Journal · doi:10.2139/ssrn.4570713
Fronton, F., Villemur, R., Robert, D., & St‐Pierre, Y. (2023) · Research Square · doi:10.21203/rs.3.rs-3366026/v1
Javanmard, G. H., & Javanmard, S. (2023) · Journal of Anesthesia & Pain Medicine · doi:10.33140/japm.08.05.03
Role of probiotics in brain health
Thakur, A. K., Shekhar, N., Tyagi, S., & Rani, S. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-18951-7.00009-8
Microbiota to brain communication
Foster, J. A., & Clarke, G. A. (2024) · Elsevier eBooks · doi:10.1016/b978-0-12-814800-6.00007-8
Microbiota influence behavior—Work in animal models
Foster, J. A., & Clarke, G. A. (2024) · Elsevier eBooks · doi:10.1016/b978-0-12-814800-6.00002-9
Metadata
- Authors
- Cussotto, S., Sandhu, K. V., Dinan, T. G., & Cryan, J. F.
- Affiliations
- University College Cork (IE)
- Corresponding author
- Cryan, John F.
- Venue
- Frontiers in Neuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 51
- Pages
- 80-101
- ISSN
- 0091-3022 (ISSN-L)
- OpenAlex
- W2804326576
- Cited by
- 326
- References
- 407
- Citations by year
- 2026: 17 · 2025: 43 · 2024: 53 · 2023: 43 · 2022: 54 · 2021: 36 · 2020: 43 · 2019: 32 · 2018: 5
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Frontiers in Neuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Arrow@dit (Dublin Institute of Technology) (submittedVersion, cc-by-nc-nd)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- gut microbiota, gut-brain axis, neuroendocrine system, behavioral responses, stress, eating behaviour, sexual behavior, social behavior, cognition, addiction, host-microbe interactions
- MeSH terms
- Gastrointestinal Microbiome, Animals, Brain, Feeding Behavior, Humans, Learning, Neurosecretory Systems, Sexual Behavior, Social Behavior, Stress, Psychological, Behavior, Addictive
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