2016
DOI: 10.1186/s12916-016-0604-8
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Moody microbes or fecal phrenology: what do we know about the microbiota-gut-brain axis?

Abstract: IntroductionThe microbiota-gut-brain axis is a term that is commonly used and covers a broad set of functions and interactions between the gut microbiome, endocrine, immune and nervous systems and the brain. The field is not much more than a decade old and so large holes exist in our knowledge.DiscussionAt first sight it appears gut microbes are largely responsible for the development, maturation and adult function of the enteric nervous system as well as the blood brain barrier, microglia and many aspects of … Show more

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Cited by 136 publications
(119 citation statements)
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“…However, the impact of intestinal dysbiosis induced by early-life AB exposure on brain function and behaviour remains unknown. Increasing evidence indicates that intestinal bacteria might communicate with the brain to induce changes in behaviour and neurochemistry141516. While germ-free models or administration of high doses of AB in animals have revealed behavioural and cognitive alterations associated with dysbiosis2223242526, they have unclear clinical relevance.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…However, the impact of intestinal dysbiosis induced by early-life AB exposure on brain function and behaviour remains unknown. Increasing evidence indicates that intestinal bacteria might communicate with the brain to induce changes in behaviour and neurochemistry141516. While germ-free models or administration of high doses of AB in animals have revealed behavioural and cognitive alterations associated with dysbiosis2223242526, they have unclear clinical relevance.…”
Section: Discussionmentioning
confidence: 99%
“…There is now mounting evidence, in humans and rodents, for the role of specific microbial compositions in modulating brain function including behaviour14151617. Complete absence of intestinal bacteria (in germ-free mice) results in modification of blood–brain barrier (BBB) permeability18, impaired immune response of the microglia19, increased myelination20, hyperactivity of the hypothalamus–pituitary–adrenal axis21, changes in brain neurochemistry22 and decreased anxiety and social behaviours2223.…”
mentioning
confidence: 99%
“…However, a recent systematic review of psychiatric benefits of probiotics in humans found little evidence of positive outcomes [121], a finding running counter to the general optimism. Others have stated that the field, though not ‘faecal phrenology’, will ultimately be unable to provide true translational value without rigorous elucidation of mechanisms [122]. Numerous limitations must both constrain enthusiasm and stimulate further investigations.…”
Section: Future Directions and Psychobiotics Beyond Prebiotics And Prmentioning
confidence: 99%
“…Nevertheless, the study of the gut microbiome in normal populations around the world, and in various human diseases and models thereof, has led to the establishment of possible causal associations between imbalances of the microbiome and disease. These have ranged from metabolic conditions such as obesity and diabetes, to liver disease, irritable bowel syndrome (IBS), neurodegenerative disorders and various psychiatric conditions (Cani et al, 2008;Collins, Surette & Bercik, 2012;Cryan & Dinan, 2012;Forsythe & Kunze, 2013;Collins, 2014;Mayer, Padua & Tillisch, 2014;Bienenstock, Kunze & Forsythe, 2015;Forsythe, Kunze & Bienenstock, 2016;Tilg, Cani & Mayer, 2016). These studies have in turn pointed to very complex relationships between different microbial communities and the endocrine, immune and nervous systems, which because of their complexity, have previously been ignored or at the very least, inadequately explored.…”
Section: Introductionmentioning
confidence: 99%