Gut Microbiota and Its Impact on Brain Function and Mental Health
DOI:
https://doi.org/10.12775/QS.2025.38.58196Keywords
Gut microbiota, brain-gut axis, Mental health, Alzheimer's disease, autism spectrum disorder, neurodegenerative disease, Inflammation, Dysbiosis, Psychiatric disorders, Probiotics, Prebiotics, Microbiome, Neuroinflammation, SCFAs, Vagus nerve, Serotonin production, Gut permeability, Behavioral disordersAbstract
The intestinal microbiota is a complex ecosystem playing a crucial role in maintaining human homeostasis. It consists of billions of microorganisms, including bacteria, viruses, fungi, and archaea, which closely interact with their host. Recent research reveals that microbiota not only supports metabolic and immune functions but also influences central nervous system (CNS) regulation via the gut-brain axis, a two-way communication system.
The gut-brain axis modulates neurotransmitter production (e.g., serotonin, GABA), immune responses, and interacts through bacterial metabolites. Dysbiosis, or microbiota imbalance, is linked to neuropsychiatric disorders like depression, anxiety, and autism. Maintaining microbiota balance is essential for mental health.
This paper reviews literature on the impact of gut microbiota on mental health, focusing on gut-brain axis mechanisms, diet, and therapeutic potential. These findings are especially relevant for personalized medicine approaches targeting microbiota to manage mental disorders.
References
Sun, Yonggan, et al. “Gut Firmicutes: Relationship with Dietary Fiber and Role in Host Homeostasis.” Critical Reviews in Food Science and Nutrition, vol. 63, no. 33, Nov. 2023, pp. 12073–88, https://doi.org/10.1080/10408398.2022.2098249.
Heczko, Piotr Bogumił, et al., editors. Medical Microbiology. PZWL Medical Publishing, 2014.
Alwali, Amir Y., and Elizabeth I. Parkinson. “Small Molecule Inducers of Actinobacteria Natural Product Biosynthesis.” Journal of Industrial Microbiology and Biotechnology, vol. 50, no. 1, Feb. 2023, p. kuad019, https://doi.org/10.1093/jimb/kuad019.
Sun, Desen, et al. “Angiogenin Maintains Gut Microbe Homeostasis by Balancing α-Proteobacteria and Lachnospiraceae.” Gut, vol. 70, no. 4, Apr. 2021, pp. 666–76, https://doi.org/10.1136/gutjnl-2019-320135.
Góralczyk-Bińkowska, Aleksandra, et al. “The Microbiota–Gut–Brain Axis in Psychiatric Disorders.” International Journal of Molecular Sciences, vol. 23, no. 19, Sept. 2022, p. 11245, https://doi.org/10.3390/ijms231911245.
Breit, Sigrid, et al. “Vagus Nerve as Modulator of the Brain–Gut Axis in Psychiatric and Inflammatory Disorders.” Frontiers in Psychiatry, vol. 9, Mar. 2018, p. 44, https://doi.org/10.3389/fpsyt.2018.00044.
Pardo, Ingrid D., et al. “Atlas of Normal Microanatomy, Procedural and Processing Artifacts, Common Background Findings, and Neurotoxic Lesions in the Peripheral Nervous System of Laboratory Animals.” Toxicologic Pathology, vol. 48, no. 1, Jan. 2020, pp. 105–31, https://doi.org/10.1177/0192623319867322.
Jewett, Benjamin E., and Bicky Thapa. “Physiology, NMDA Receptor.” StatPearls, StatPearls Publishing, 2025, http://www.ncbi.nlm.nih.gov/books/NBK519495/.
Ortega, Miguel A., et al. “Gut Microbiota Metabolites in Major Depressive Disorder-Deep Insights into Their Pathophysiological Role and Potential Translational Applications.” Metabolites, vol. 12, no. 1, Jan. 2022, p. 50, https://doi.org/10.3390/metabo12010050.
Donoso, Francisco, et al. “Inflammation, Lifestyle Factors, and the Microbiome-Gut-Brain Axis: Relevance to Depression and Antidepressant Action.” Clinical Pharmacology and Therapeutics, vol. 113, no. 2, Feb. 2023, pp. 246–59, https://doi.org/10.1002/cpt.2581.
Terry, Natalie, and Kara Gross Margolis. “Serotonergic Mechanisms Regulating the GI Tract: Experimental Evidence and Therapeutic Relevance.” Handbook of Experimental Pharmacology, vol. 239, 2017, pp. 319–42, https://doi.org/10.1007/164_2016_103.
Redondo-Useros, Noemí, et al. “Microbiota and Lifestyle: A Special Focus on Diet.” Nutrients, vol. 12, no. 6, June 2020, p. 1776, https://doi.org/10.3390/nu12061776.
Moles, Laura, and David Otaegui. “The Impact of Diet on Microbiota Evolution and Human Health. Is Diet an Adequate Tool for Microbiota Modulation?” Nutrients, vol. 12, no. 6, June 2020, p. 1654, https://doi.org/10.3390/nu12061654.
Bonaz, Bruno, et al. “The Vagus Nerve at the Interface of the Microbiota-Gut-Brain Axis.” Frontiers in Neuroscience, vol. 12, 2018, p. 49, https://doi.org/10.3389/fnins.2018.00049.
Bravo, Javier A., et al. “Ingestion of Lactobacillus Strain Regulates Emotional Behavior and Central GABA Receptor Expression in a Mouse via the Vagus Nerve.” Proceedings of the National Academy of Sciences of the United States of America, vol. 108, no. 38, Sept. 2011, pp. 16050–55, https://doi.org/10.1073/pnas.1102999108.
Subramanian, Saravanan, et al. “Cell Death of Intestinal Epithelial Cells in Intestinal Diseases.” Sheng Li Xue Bao: [Acta Physiologica Sinica], vol. 72, no. 3, June 2020, pp. 308–24.
Potten, Christopher S. “Radiation, the Ideal Cytotoxic Agent for Studying the Cell Biology of Tissues Such as the Small Intestine1.” Radiation Research, vol. 161, no. 2, 2004, pp. 123–36, https://doi.org/10.1667/RR3104.
Sasso, Janet M., et al. “Gut Microbiome-Brain Alliance: A Landscape View into Mental and Gastrointestinal Health and Disorders.” ACS Chemical Neuroscience, vol. 14, no. 10, May 2023, pp. 1717–63, https://doi.org/10.1021/acschemneuro.3c00127.
Roper, S. D. “Signaling in the Chemosensory Systems: Cell Communication in Taste Buds.” Cellular and Molecular Life Sciences, vol. 63, no. 13, 2006, pp. 1494–500, https://doi.org/10.1007/s00018-006-6112-9.
David, D. J., and A. M. Gardier. “Les bases de pharmacologie fondamentale du système sérotoninergique : application à la réponse antidépressive.” L’Encéphale, vol. 42, no. 3, 2016, pp. 255–63, https://doi.org/10.1016/j.encep.2016.03.012.
Baganz, Nicole L., and Randy D. Blakely. “A Dialogue between the Immune System and Brain, Spoken in the Language of Serotonin.” ACS Chemical Neuroscience, vol. 4, no. 1, Jan. 2013, pp. 48–63, https://doi.org/10.1021/cn300186b.
Bonnin, Alexandre, et al. “A Transient Placental Source of Serotonin for the Fetal Forebrain.” Nature, vol. 472, no. 7343, Apr. 2011, pp. 347–50, https://doi.org/10.1038/nature09972.
Alsegiani, Amsha S., and Zahoor A. Shah. “The Influence of Gut Microbiota Alteration on Age-Related Neuroinflammation and Cognitive Decline.” Neural Regeneration Research, vol. 17, no. 11, Nov. 2022, pp. 2407–12, https://doi.org/10.4103/1673-5374.335837.
Bak, Lasse K., et al. “The Glutamate/GABA-Glutamine Cycle: Aspects of Transport, Neurotransmitter Homeostasis and Ammonia Transfer.” Journal of Neurochemistry, vol. 98, no. 3, Aug. 2006, pp. 641–53, https://doi.org/10.1111/j.1471-4159.2006.03913.x.
Petroff, Ognen A. C. “GABA and Glutamate in the Human Brain.” The Neuroscientist: A Review Journal Bringing Neurobiology, Neurology and Psychiatry, vol. 8, no. 6, Dec. 2002, pp. 562–73, https://doi.org/10.1177/1073858402238515.
Milon, Ripon Baroi, et al. “Recent Advances in the Biosynthesis and Industrial Biotechnology of Gamma-Amino Butyric Acid.” Bioresources and Bioprocessing, vol. 11, no. 1, Mar. 2024, p. 32, https://doi.org/10.1186/s40643-024-00747-7.
Yu, Leilei, et al. “Beneficial Effect of GABA-Rich Fermented Milk on Insomnia Involving Regulation of Gut Microbiota.” Microbiological Research, vol. 233, 2020, p. 126409, https://doi.org/10.1016/j.micres.2020.126409.
Alvariño, Rebeca, et al. “Evaluation of the Protective Effects of Sarains on H2O2-Induced Mitochondrial Dysfunction and Oxidative Stress in SH-SY5Y Neuroblastoma Cells.” Neurotoxicity Research, vol. 32, no. 3, 2017, pp. 368–80, https://doi.org/10.1007/s12640-017-9748-3.
Beaulieu, Jean-Martin, et al. “An Akt/β-Arrestin 2/PP2A Signaling Complex Mediates Dopaminergic Neurotransmission and Behavior.” Cell, vol. 122, no. 2, 2005, pp. 261–73, https://doi.org/10.1016/j.cell.2005.05.012.
Pozzi, Marco, et al. “Emerging Drugs for the Treatment of Attention-Deficit Hyperactivity Disorder (ADHD).” Expert Opinion on Emerging Drugs, vol. 25, no. 4, Oct. 2020, pp. 395–407, https://doi.org/10.1080/14728214.2020.1820481.
Cui, Changhai, et al. “Neuroimmune Mechanisms of Alcohol and Drug Addiction.” International Review of Neurobiology, vol. 118, 2014, pp. 1–12, https://doi.org/10.1016/B978-0-12-801284-0.00001-4.
Schatzberg, Alan F., et al. “A Corticosteroid/Dopamine Hypothesis for Psychotic Depression and Related States.” Journal of Psychiatric Research, vol. 19, no. 1, 1985, pp. 57–64, https://doi.org/10.1016/0022-3956(85)90068-8.
Mizrahi, Romina, et al. “Increased Stress-Induced Dopamine Release in Psychosis.” Biological Psychiatry, vol. 71, no. 6, 2012, pp. 561–67, https://doi.org/10.1016/j.biopsych.2011.10.009.
Konaka, S., et al. “The Apperance of noradrenaline and adrenaline and the developmental changes in their concentrations in the gut of the chick.” British Journal of Pharmacology, vol. 65, no. 2, 1979, pp. 257–60, https://doi.org/10.1111/j.1476-5381.1979.tb07826.x.
Stjärne, Lennart. “Presynaptic Α‐receptors Do Not Depress the Secretion of3 H‐noradrenaline Induced by Veratridine.” Acta Physiologica Scandinavica, vol. 106, no. 3, 1979, pp. 379–80, https://doi.org/10.1111/j.1748-1716.1979.tb06415.x.
Westfall, T. C. “Local Regulation of Adrenergic Neurotransmission.” Physiological Reviews, vol. 57, no. 4, Oct. 1977, pp. 659–728, https://doi.org/10.1152/physrev.1977.57.4.659.
Bhatia, Nirav Yogesh, et al. “Gut-Brain Axis and Neurological Disorders-How Microbiomes Affect Our Mental Health.” CNS & Neurological Disorders Drug Targets, vol. 22, no. 7, 2023, pp. 1008–30, https://doi.org/10.2174/1871527321666220822172039.
Asher, Gary N., et al. “Complementary Therapies for Mental Health Disorders.” Medical Clinics of North America, vol. 101, no. 5, 2017, pp. 847–64, https://doi.org/10.1016/j.mcna.2017.04.004.
Zheng, Peng, et al. “The Gut Microbiome from Patients with Schizophrenia Modulates the Glutamate-Glutamine-GABA Cycle and Schizophrenia-Relevant Behaviors in Mice.” Science Advances, vol. 5, no. 2, 2019, p. eaau8317, https://doi.org/10.1126/sciadv.aau8317.
Park, Miey, et al. “Flavonoid-Rich Orange Juice Intake and Altered Gut Microbiome in Young Adults with Depressive Symptom: A Randomized Controlled Study.” Nutrients, vol. 12, no. 6, June 2020, p. 1815, https://doi.org/10.3390/nu12061815.
Parente, Joao, et al. “Neural, Anti-Inflammatory, and Clinical Effects of Transauricular Vagus Nerve Stimulation in Major Depressive Disorder: A Systematic Review.” International Journal of Neuropsychopharmacology, vol. 27, no. 3, Mar. 2024, p. pyad058, https://doi.org/10.1093/ijnp/pyad058.
Foster, Jane A., and Karen-Anne McVey Neufeld. “Gut-Brain Axis: How the Microbiome Influences Anxiety and Depression.” Trends in Neurosciences, vol. 36, no. 5, May 2013, pp. 305–12, https://doi.org/10.1016/j.tins.2013.01.005.
Wang, Hong-Xing, and Yu-Ping Wang. “Gut Microbiota-Brain Axis.” Chinese Medical Journal, vol. 129, no. 19, Oct. 2016, pp. 2373–80, https://doi.org/10.4103/0366-6999.190667.
Cryan, John F., and Timothy G. Dinan. “Mind-Altering Microorganisms: The Impact of the Gut Microbiota on Brain and Behaviour.” Nature Reviews. Neuroscience, vol. 13, no. 10, Oct. 2012, pp. 701–12, https://doi.org/10.1038/nrn3346.
Sorboni, S. G., Moghaddam, H. S., Jafarzadeh-Esfehani, R., & Soleimanpour, S. (2021). A comprehensive review on the role of the gut microbiome in human neurological disorders. Frontiers in Neurology, 10, 838260. https://doi.org/10.3389/fneur.2021.838260
Fattorusso, Antonella, et al. “Autism Spectrum Disorders and the Gut Microbiota.” Nutrients, vol. 11, no. 3, Feb. 2019, p. 521, https://doi.org/10.3390/nu11030521.
Bibbò, S., Ianiro, G., Giorgio, V., Scaldaferri, F., Masucci, L., Gasbarrini, A., & Cammarota, G. (2016). The role of diet on gut microbiota composition. Nature Reviews Gastroenterology & Hepatology, 13(8), 525–535. https://doi.org/10.1038/nrgastro.2016.98
Schoeler, M., & Caesar, R. (2019). Dietary lipids, gut microbiota and lipid metabolism. Cell Metabolism, 30(4), 713-723. https://doi.org/10.1016/j.cmet.2019.08.010
Madabushi, J. S., Khurana, P., Gupta, N., & Gupta, M. (2023). Gut biome and mental health: Do probiotics work? Frontiers in Psychology, 14, 1113475. https://doi.org/10.3389/fpsyg.2023.1113475
Järbrink-Sehgal, E., & Andreasson, A. (2020). The gut microbiota and mental health in adults. European Neuropsychopharmacology, 30(6), 906-917. https://doi.org/10.1016/j.euroneuro.2020.04.003
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Zofia Martyna Wójcik, Katarzyna Kamińska-Omasta, Bartosz Omasta, Olga Krupa, Paulina Dorota Pietrukaniec, Kuba Borys Romańczuk, Kinga Furtak, Szymon Przemysław Stolarczyk, Magdalena Agata Czerska, Daria Rybak
![Creative Commons License](http://i.creativecommons.org/l/by-nc-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 24
Number of citations: 0