Naunyn-Schmiedeberg's archives of pharmacology

How gut bacteria may influence depression and its treatment through the gut-brain connection

Updated

Abstract

Depression is increasingly linked to gut microbiota through the microbiota-gut-brain axis.

  • Alterations in gut microbial composition may influence depressive symptoms through neurochemical, immunological, and neuroendocrine pathways.
  • Key mechanisms include the modulation of serotonin, dopamine, and GABA levels, as well as systemic inflammation and HPA axis dysregulation.
  • Emerging evidence suggests gut microbiota could affect the efficacy of selective serotonin reuptake inhibitors (SSRIs) via vagal pathways.
  • A distinct microbial signature has been identified in individuals with depression, with therapeutic probiotics targeting this dysbiosis showing potential benefits.
  • The review evaluates the therapeutic potential of probiotics, prebiotics, fecal microbiota transplantation (FMT), and dietary interventions for managing depression.

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Funding

Competing interests

Declarations. Ethical approval: Not applicable. Competing interests: The authors declare no competing interests.
PubMed

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