“…23 It can also impact extraintestinal organs in distant parts of the body through diversiform and distinct mechanisms, including the translocation of the gut microbiome or/and their structure and components, the circulation of microbial-derived metabolites or endocrine molecules, the migration of immune cells and factors, and the modulation of gut-brain axis signaling through the vagal nerve, leading to neuropsychiatric diseases (depression, autism), 16,24 autoimmune diseases (autoimmune diabetes, systemic lupus erythematosus, and allergies), [25][26][27] metabolic diseases (obesity, type 2 diabetes, nonalcoholic fatty liver), [28][29][30][31] and even extraintestinal tumors (hepatocellular carcinoma, breast cancer, pancreatic cancer, and melanoma). [32][33][34][35] Notably, there is a wide array of evidence that microbial metabolites derived from ingested nutrients (such as short-chain fatty acids (SCFAs), microbial tryptophan (TRP) catabolites, and succinate) are pivotal inducers of such effects.…”