Vagus Nerve and Underlying Impact on the Gut Microbiota-Brain Axis in Behavior and Neurodegenerative Diseases
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The gut microbiota is the most abundant and diverse microbiota in the human body and the vagus nerve is the most widely distributed and complex nerve in the body, both of them are essential in maintaining homeostasis. The most important phenomenon is how they coordinate to regulate functions, which has attracted the great attention of scientists. The academic literature on the correlation with a host of intestinal diseases and even systemic diseases has revealed the bidirectional communication between the gut microbiota and the brain, which can be carried out via multiple patterns. In the review, firstly, we have a general overview of the gut microbiota and the gut microbiota-brain axis. Secondly, according to the distribution characteristics of the vagus nerve, we analyzed and summarized its function in the intestinal tract. At the same time, we have summarized the underlying mechanism of some behavior changes such as depressive and anxiety-like behaviors and related neurodegenerative diseases caused by the vagus nerve and intestinal microecological environment disorders, and then we also analyzed inconsistency of the experimental evidence in order to propose novel strategies for the clinical practice.
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Microbial metabolites stimulate the vagus nerve, thereby exerting an important impact on brain function in schizophrenia.
“Furthermore, microbial metabolites stimulate the vagus nerve, thereby exerting an important impact on brain function in SZ [14].”
From Effect of Supplementation with Probiotics in Patients with Schizophrenia: Systematic Review and Meta-Analysis of Randomized Controlled Clinical Trials (2025) · cites this paper as [14]
The section “How Does Vagus Nerve Pick Up Multiple Signals from the Gut Microbiota?” describes the microbial metabolite butyrate stimulating vagal afferent terminals. The “Gut Microbiota–Brain Axis is a Complicated Network” section describes vagal communication with the brain, but the paper does not establish this mechanism or its impact on brain function specifically in schizophrenia. No page numbers were available in our copy. (LLM, conf=0.88)
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Gut Microbiota in Anxiety and Depression: Unveiling the Relationships and Management Options
Kumar, A., Pramanik, J., Goyal, N., Chauhan, D., Sivamaruthi, B. S., Prajapati, B. G., & Chaiyasut, C. (2023) · Pharmaceuticals · doi:10.3390/ph16040565 · Cited by 164 · see citing works
Boundaries and integration between microbiota, the nervous system, and immunity
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Sajdel, E. M. (2023) · Microorganisms · doi:10.3390/microorganisms11092199 · Cited by 82 · see citing works
Gut dysbiosis in patients with chronic pain: a systematic review and meta-analysis
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Major Depressive Disorder and Gut Microbiota: Role of Physical Exercise
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Endometriosis: recent advances that could accelerate diagnosis and improve care
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Song, Y., Deng, Q., Li, J., Chen, R., Li, D., Wang, S., Jing, B., & Zhou, X. Y. (2025) · Carbohydrate Polymers · doi:10.1016/j.carbpol.2025.123960 · Cited by 47 · see citing works
Prabha, S., Sajad, M., Hasan, G. M., Islam, A., Hassan, M. I., & Thakur, S. C. (2024) · Ageing Research Reviews · doi:10.1016/j.arr.2024.102476 · Cited by 44 · see citing works
Rewiring the Brain Through the Gut: Insights into Microbiota–Nervous System Interactions
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Kurhaluk, N., Kamiński, P., Bilski, R., Kołodziejska, R., Woźniak, A., & Ткаченко, Г. М. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26083658 · Cited by 49 · see citing works
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Enteroendocrine cells: the gatekeepers of microbiome-gut-brain communication
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Trimethylamine-N-oxide and cerebral stroke risk: A review
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Critical Review of the Cross-Links Between Dietary Components, the Gut Microbiome, and Depression
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Hesampour, F., Bernstein, C. N., & Ghia, J. (2023) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izad211 · Cited by 37 · see citing works
Gut–Brain Axis: Focus on Sex Differences in Neuroinflammation
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Dietary (Poly)phenols and the Gut–Brain Axis in Ageing
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Inflammation and Huntington’s disease – a neglected therapeutic target?
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Gut microbiota–astrocyte axis: new insights into age-related cognitive decline
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IUPHAR themed review: The gut microbiome in schizophrenia
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Therapies for Parkinson’s disease and the gut microbiome: evidence for bidirectional connection
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Self-citationGut-Brain Axis Deregulation and Its Possible Contribution to Neurodegenerative Disorders
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Analysis of gut microbiota and depression and anxiety: Mendelian randomization from three datasets
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Microbiota-gut-brain-axis: a new target of acupuncture therapy for post-stroke cognitive impairment
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Microbiota-Gut-Brain Axis in Age-Related Neurodegenerative Diseases
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The gut–brain axis in Alzheimer’s disease: how gut microbiota modulate microglial function
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Mild cognitive impairment and microbiota: what is known and future perspectives
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A review on microbiota: relation with diseases and nutrients role
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How the gut microbiome shapes learning and memory: A comprehensive review
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Gut Microbiota: A Modulator and Therapeutic Target for Chronic Pain
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Self-citationInter-Organ Crosstalk in Neurodegenerative Disease
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Stroke and Distal Organ Damage: Exploring Brain-Kidney Crosstalk
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The hallmarks of host-microbiome decoupling
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Malignant tumors in vagal-innervated organs: Exploring its homeostatic role
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Gut Microbiota in Women with Eating Disorders: A New Frontier in Pathophysiology and Treatment
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The microbiota-brain connection in neurological diseases: the ubiquitous short-chain fatty acids
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A comprehensive review on organ-on-chips as powerful preclinical models to study tissue barriers
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From Gut to Brain: The Impact of Short-Chain Fatty Acids on Brain Cancer
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The complement cascade in Alzheimer’s disease: modern implications of an ancient immune protagonist
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Advances in the Gut‐Lung Axis and Bronchial Asthma: From Mechanisms to Therapeutic Potential
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Adaptive immunity in the pathogenesis and treatments of Parkinson’s disease
Du, X., Akter, S., Oludipe, D. B., Sil, S., Zhang, C., Gendelman, H. E., & Mosley, R. L. (2025) · NeuroImmune Pharmacology and Therapeutics · doi:10.1515/nipt-2025-0008 · Cited by 7 · see citing works
Exploring Biological Risk Factors in Treatment-Resistant Depression
Liévanos-Ruiz, F. J., & Fenton-Navarro, B. (2025) · Psychiatry International · doi:10.3390/psychiatryint6040134 · Cited by 7 · see citing works
Wang, R., He, Z., Li, Z., Pan, Y., & Bai, S. (2026) · Frontiers in Microbiology · doi:10.3389/fmicb.2026.1723051 · Cited by 8 · see citing works
Nuanced contribution of gut microbiome in the early brain development of mice
Yeo, X. Y., Chae, W. R., Lee, H. U., Bae, H., Pettersson, S., Grandjean, J., Han, W., & Jung, S. (2023) · Gut Microbes · doi:10.1080/19490976.2023.2283911 · Cited by 7 · see citing works
The role of gut-derived short-chain fatty acids in Parkinson's disease
Saadh, M. J., Mustafa, A. N., Mustafa, M. A., Renuka Jyothi, S., Dabis, H. K., Prasad, G. V. S., Mohammad, I. J., Adnan, A., & Idan, A. H. (2024) · Neurogenetics · doi:10.1007/s10048-024-00779-3 · Cited by 7 · see citing works
Shukla, S., Comerci, C. J., Süel, G. M., & Jahed, Z. (2024) · Biosensors and Bioelectronics · doi:10.1016/j.bios.2024.116843 · Cited by 7 · see citing works
El‐Sehrawy, A. A. M. A., Ayoub, I. I., Uthirapathy, S., Ballal, S., Gabble, B. C., Singh, A., Kavitha, V., Panigrahi, R., Kamali, M., & Khosravi, M. (2025) · European Journal of Translational Myology · doi:10.4081/ejtm.2025.13690 · Cited by 8 · see citing works
- Authors
- Han, Y., Wang, B., Gao, H., He, C., Hua, R., Liang, C., Zhang, S., Wang, Y., Xin, S., & Xu, J.
- Affiliations
- Capital Medical University (CN)
- Peking University People's Hospital (CN)
- Beijing Tongren Hospital (CN)
- Corresponding author
- Xu, Jingdong
- Venue
- Journal of Inflammation Research
- Publisher
- Informa UK Limited
- Published
- 2022-11
- Volume
- Volume 15
- Pages
- 6213-6230
- ISSN
- 1178-7031 (ISSN-L)
- PMC
- PMC9656367
- OpenAlex
- W4308542736
- Cited by
- 265
- References
- 100
- Citations by year
- 2026: 100 · 2025: 83 · 2024: 57 · 2023: 25
- FWCI
- 4.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Inflammation Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- National Natural Science Foundation of China (81673671, 82174056)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- vagus nerve, gut microbiota, gut-brain axis, neurodegenerative diseases, depression-like behavior, anxiety-like behavior, two-way communication
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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.
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