The microbiota-gut-brain axis

Cryan, John F.; O'Riordan, Kenneth J.; Cowan, Caitlin S. M.; Sandhu, Kiran V.; Bastiaanssen, Thomaz F. S.; Boehme, Marcus; Codagnone, Martin G.; Cussotto, Sofia; Fulling, Christine; Golubeva, Anna V.; Guzzetta,  Katherine E.; Jaggar, Minal; Long-Smith, Caitriona M.; Lyte, Joshua M.; Martin, Jason A.; Molinero-Perez, Alicia; Moloney, Gerard; Morelli, Emanuela; Morillas, Enrique; O'Connor, Rory; Cruz-Pereira, Joana S.; Peterson, Veronica L.; Rea, Kieran; Ritz, Nathaniel L.; Sherwin, Eoin; Spichak, Simon; Teichman, Emily M.; van de Wouw, Marcel; Ventura-Silva, Ana Paula; Wallace-Fitzsimons, Shauna E.; Hyland, Niall P.; Clarke, Gerard; Dinan, Timothy G.

The microbiota-gut-brain axis

Files

MGBA_Review_KOR_09042019_Named.pdf(5.54 MB)

Accepted version

Date

2019-08-28

Authors

Cryan, John F.

O'Riordan, Kenneth J.

Cowan, Caitlin S. M.

Sandhu, Kiran V.

Bastiaanssen, Thomaz F. S.

Boehme, Marcus

Codagnone, Martin G.

Cussotto, Sofia

Fulling, Christine

Golubeva, Anna V.

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Publisher

American Physiological Society

Published Version

10.1152/physrev.00018.2018

Abstract

The importance of the gut-brain axis in maintaining homeostasis has long been appreciated. However, the past 15 yr have seen the emergence of the microbiota (the trillions of microorganisms within and on our bodies) as one of the key regulators of gut-brain function and has led to the appreciation of the importance of a distinct microbiota-gut-brain axis. This axis is gaining ever more traction in fields investigating the biological and physiological basis of psychiatric, neurodevelopmental, age-related, and neurodegenerative disorders. The microbiota and the brain communicate with each other via various routes including the immune system, tryptophan metabolism, the vagus nerve and the enteric nervous system, involving microbial metabolites such as short-chain fatty acids, branched chain amino acids, and peptidoglycans. Many factors can influence microbiota composition in early life, including infection, mode of birth delivery, use of antibiotic medications, the nature of nutritional provision, environmental stressors, and host genetics. At the other extreme of life, microbial diversity diminishes with aging. Stress, in particular, can significantly impact the microbiota-gut-brain axis at all stages of life. Much recent work has implicated the gut microbiota in many conditions including autism, anxiety, obesity, schizophrenia, Parkinson's disease, and Alzheimer's disease. Animal models have been paramount in linking the regulation of fundamental neural processes, such as neurogenesis and myelination, to microbiome activation of microglia. Moreover, translational human studies are ongoing and will greatly enhance the field. Future studies will focus on understanding the mechanisms underlying the microbiota-gut-brain axis and attempt to elucidate microbial-based intervention and therapeutic strategies for neuropsychiatric disorders.

Keywords

Brain-gut , Microbiome , Neurogastroenterology , Second brain , Stress

Citation

Cryan, J. F., O'Riordan, K. J., Cowan, C. S. M., Sandhu, K. V., Bastiaanssen, T. F. S., Boehme, M., Codagnone, M. G., Cussotto, S., Fulling, C., Golubeva, A. V., Guzzetta, K. E., Jaggar, M., Long-Smith, C. M., Lyte, J. M., Martin, J. A., Molinero-Perez, A., Moloney, G., Morelli, E., Morillas, E., O'Connor, R., Cruz-Pereira, J. S., Peterson, V. L., Rea, K., Ritz, N. L., Sherwin, E., Spichak, S., Teichman, E. M., Wouw, M. v. d., Ventura-Silva, A. P., Wallace-Fitzsimons, S. E., Hyland, N., Clarke, G. and Dinan, T. G. (2019) 'The Microbiota-Gut-Brain Axis', Physiological Reviews, 99(4), pp. 1877-2013. doi: 10.1152/physrev.00018.2018