Abstract

During the last years, accumulating evidence has suggested that the gut microbiota plays a key role in the pathogenesis of neurodevelopmental and neurodegenerative diseases via the gut–brain axis. Moreover, current research has helped to elucidate different communication pathways between the gut microbiota and neural tissues (e.g., the vagus nerve, tryptophan production, extrinsic enteric-associated neurons, and short chain fatty acids). On the other hand, altering the composition of gut microbiota promotes a state known as dysbiosis, where the balance between helpful and pathogenic bacteria is disrupted, usually stimulating the last ones. Herein, we summarize selected findings of the recent literature concerning the gut microbiome on the onset and progression of neurodevelopmental and degenerative disorders, and the strategies to modulate its composition in the search for therapeutical approaches, focusing mainly on animal models studies. Readers are advised that this is a young field, based on early studies, that is rapidly growing and being updated as the field advances.

Highlights

  • The human body is an ecosystem carrying an incredible diversity of all kinds of microbes that work collectively as a metabolic organ finely tuned and interconnected with host physiology

  • Other reasons the gut microbiota have been studied more than microbes in other parts of the body include the fact that stool samples are accepted as a good read-out of the bacteria present in the lining of the gut and are easy to obtain

  • Gut microbiota perform several functions, such as protection against pathogens, digestion, and production of nutrients, and collaborate in stimulating the immune system [4]. These functions are triggered by metabolites derived from the microbial fermentation of dietary polysaccharides as short-chain fatty acids (SCFAs), of which the majority consist of acetate, propionate, and butyrate [5]

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Summary

Introduction

The human body is an ecosystem carrying an incredible diversity of all kinds of microbes that work collectively as a metabolic organ finely tuned and interconnected with host physiology. Gut microbiota perform several functions, such as protection against pathogens, digestion, and production of nutrients, and collaborate in stimulating the immune system [4]. In part, these functions are triggered by metabolites derived from the microbial fermentation of dietary polysaccharides as short-chain fatty acids (SCFAs), of which the majority consist of acetate, propionate, and butyrate [5]. Growing evidence supports a role of gut microbiota in the onset of ischemic stroke [6], epilepsy [7], Parkinson’s disease [8], depression, and schizophrenia [9]. In this review, we summarized selected findings including experiments with human and rodents, whose relevance in vivo for humans might still be a matter of further investigation

The Crosstalk between the Gut Microbiota and the Brain
Fundamental Brain–Gut Microbiota Interplay
Influence of Gut Microbiota on Brain Function
The Intestinal Barrier Might Be a Gateway to Drive Neurological Disorders
Gut Microbiota Influences the CNS Though the Modulation of Gut Motility
Gut Microbiome and Brain Development
Gut Microbiota Adaptations during Aging
Gut Microbiota in Frailty Syndrome
Gut Microbiota on Immunosenescence
Influence of Gut Microbiota on Aging-Associated Pathologies
Gut Microbiota in Locomotor Decline during Aging
Gut Microbiota in Nutritional Status in Aging
Gut Microbiota in Prevalent Geriatric Infection
Gut Microbiome on Neurodegenerative Amyloid Disorders
Gut Microbiome on Spinal Cord Disorders
Gut–Brain Axis on Traumatic Spinal Cord Injury
Findings
Therapeutic Implications
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