2021
DOI: 10.3390/nu13062099
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Regulation of Neurotransmitters by the Gut Microbiota and Effects on Cognition in Neurological Disorders

Abstract: Emerging evidence indicates that gut microbiota is important in the regulation of brain activity and cognitive functions. Microbes mediate communication among the metabolic, peripheral immune, and central nervous systems via the microbiota–gut–brain axis. However, it is not well understood how the gut microbiome and neurons in the brain mutually interact or how these interactions affect normal brain functioning and cognition. We summarize the mechanisms whereby the gut microbiota regulate the production, trans… Show more

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Cited by 286 publications
(206 citation statements)
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“…Furthermore, recent studies have demonstrated multiple complex pathways between the gut and the brain [119], linking chemotherapy induced gut-brain axis dysregulation with cognitive impairment, depression and fatigue [127]. The gut microbiota has also been linked with various neurological disorders [128]. In fact, cisplatin causes gut microbiota dysbiosis directly (i.e., cisplatin affects microbiota [129,130]) and indirectly (injury of epithelial cells and inflammation; mucositis [131]), which in the long term can contribute to chronic kidney disease and cognitive impairment [127,132], all of which are frequent complications of cisplatin therapy in cancer survivors.…”
Section: Gastrointestinal Toxicity Can Impair Kidney and Brain Function And Vice Versamentioning
confidence: 99%
“…Furthermore, recent studies have demonstrated multiple complex pathways between the gut and the brain [119], linking chemotherapy induced gut-brain axis dysregulation with cognitive impairment, depression and fatigue [127]. The gut microbiota has also been linked with various neurological disorders [128]. In fact, cisplatin causes gut microbiota dysbiosis directly (i.e., cisplatin affects microbiota [129,130]) and indirectly (injury of epithelial cells and inflammation; mucositis [131]), which in the long term can contribute to chronic kidney disease and cognitive impairment [127,132], all of which are frequent complications of cisplatin therapy in cancer survivors.…”
Section: Gastrointestinal Toxicity Can Impair Kidney and Brain Function And Vice Versamentioning
confidence: 99%
“…By way of illustration, Escherichia coli can release dopamine, serotonin, and noradrenaline, while Lactobacilli produce serotonin, GABA, acetylcholine, and histamine [ 39 , 40 , 41 ], which can influence the host brain. This mechanism has been proposed to play an important role in the development of certain neurological diseases, including Alzheimer’s disease, Parkinson’s disease (PD), depressive disorders, and autism spectrum disorders [ 42 , 43 ]. Furthermore, SCFAs are capable of indirectly affecting the gut–brain axis by inducing the release of some gut hormones, such as glucagon-like peptide-1 (GLP-1) and leptin, through enteroendocrine cells.…”
Section: Gut–brain Interplaymentioning
confidence: 99%
“…In recent years, intestinal microbiota involvement has gained high importance in numerous pathologies, including gut-brain disorders such as IBDs (217), depression (218), or Alzheimer's disease (219). In this context, several studies have indicated that 5-HT and serotonergic system modulation by intestinal microbiota are critical in the maintenance of the gut-brain axis (220)(221)(222). Microbiota can produce tryptophan and tryptamine, directly affecting central 5-HT production (223).…”
Section: Intestinal Microbiota: Direct Effects On Serotonergic Systemmentioning
confidence: 99%