The gut–brain axis: role of gut microbiota in neurological disease pathogenesis and pharmacotherapeutics

Nov 4, 2025Naunyn-Schmiedeberg's archives of pharmacology

How Gut Bacteria May Influence Brain Diseases and Their Treatments

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Abstract

Dysbiosis of the gut is related to a variety of neurodegenerative and neuropsychiatric diseases.

  • The gut-brain axis involves complex communication between the gut and the central nervous system through various pathways.
  • Gut microbiota may influence neurological health by regulating the synthesis of neurotransmitters.
  • Emerging evidence suggests that imbalances in gut microbiota are associated with conditions such as Parkinson's disease, Alzheimer's disease, and depression.
  • Gut microbes are linked to neuroimmune signaling and the integrity of the blood-brain barrier.
  • Microbiota-targeted interventions, including probiotics and dietary changes, may help restore microbial balance and improve disease symptoms.
  • Future research is needed to understand microbial mechanisms and to conduct large, randomized controlled trials for microbiota-based therapies.

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