“…Signals from the CNS are directly passed to the enteric nervous system (ENS), and are involved in the control of the gut microbiota through neuronal circuits [66]. Bidirectionally, the gut microbiota can communicate to the brain through several routes: bacterial metabolites (e.g., SCFAs, folate and EPS ), production of neurotransmitters (e.g., GABA and 5-hydroxytryptamine (5-HT)) , enteroendocrine cell activation (e.g., glucagon-like peptide 1), immunomodulation (e.g., IL-6 and tumor necrosis factoralpha (TNF-α)), and stimulation of the ENS and the vagal nerve [67][68][69]. Apart from the factors mentioned above, stability of the intestinal environment, invasion of pathogenic bacteria, drug treatment, emotional changes and other factors are involved in the complex regulatory network of the intestinal flora.…”