“…109 The VN consists of mainly afferent (80%) and efferent (20%) fibers, assumes a pivotal role in the transmission of signals between the brain and the intestinal tract. 109 The VN is the primary route for gut microbes to influence the brain, affecting metabolic and feeding behaviors, as well as inflammatory responses that link the brain, the gut, and other organs. 110 Enteroendocrine cells containing glucose-dependent insulinotropic peptide, glucagon-like peptide-1, and peptide YY can directly communicate with VN afferent fibers, which transmit information to the central autonomic network for analysis and integration, including the paraventricular nucleus, locus coeruleus, hypothalamus, and limbic system, such as the thalamus, amygdala, and hippocampus.…”