Microbial-derived metabolites as a risk factor of age-related cognitive decline and dementia
Open accessAbstract
A consequence of our progressively ageing global population is the increasing prevalence of worldwide age-related cognitive decline and dementia. In the absence of effective therapeutic interventions, identifying risk factors associated with cognitive decline becomes increasingly vital. Novel perspectives suggest that a dynamic bidirectional communication system between the gut, its microbiome, and the central nervous system, commonly referred to as the microbiota-gut-brain axis, may be a contributing factor for cognitive health and disease. However, the exact mechanisms remain undefined. Microbial-derived metabolites produced in the gut can cross the intestinal epithelial barrier, enter systemic circulation and trigger physiological responses both directly and indirectly affecting the central nervous system and its functions. Dysregulation of this system (i.e., dysbiosis) can modulate cytotoxic metabolite production, promote neuroinflammation and negatively impact cognition. In this review, we explore critical connections between microbial-derived metabolites (secondary bile acids, trimethylamine-N-oxide (TMAO), tryptophan derivatives and others) and their influence upon cognitive function and neurodegenerative disorders, with a particular interest in their less-explored role as risk factors of cognitive decline.
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The GM influences the stress system, behavior, and cognition in animals.
“Studies in animals have demonstrated the effect that the GM has on neural development and neurochemistry in the host, influencing the stress system, behavior, and cognition (42–47).”
From Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis (2023) · cites this paper as [47]
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- Authors
- Connell, E., Le Gall, G., Pontifex, M. G., Sami, S., Cryan, J. F., Clarke, G., Müller, M., & Vauzour, D.
- Affiliations
- University of East Anglia (GB)
- University College Cork (IE)
- Corresponding author
- Vauzour, David
- ORCID
- Venue
- Molecular Neurodegeneration
- Published
- 2022-06-17
- Volume
- 17
- Issue
- 1
- Pages
- 43-43
- ISSN
- 1750-1326 (ISSN-L)
- PMC
- PMC9204954
- OpenAlex
- W4283020259
- Cited by
- 208
- References
- 369
- Citations by year
- 2026: 41 · 2025: 60 · 2024: 57 · 2023: 38 · 2022: 12
- FWCI
- 4.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Molecular Neurodegeneration (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (acceptedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- age-related cognitive decline, dementia, microbiota-gut-brain axis, dysbiosis, secondary bile acids, trimethylamine N-oxide, tryptophan derivatives, neuroinflammation, neurodegenerative diseases, gut microbiota, risk factors
- MeSH terms
- Gastrointestinal Microbiome, Aging, Dementia, Humans, Risk Factors, Cognitive Dysfunction
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