The involvement of the microbiota-gut-brain axis in the pathophysiology of mood disorders and therapeutic implications.

IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Expert Review of Neurotherapeutics Pub Date : 2025-01-01 Epub Date: 2024-12-08 DOI:10.1080/14737175.2024.2438646
Izabela G Barbosa, Aline S Miranda, Michael Berk, Antonio L Teixeira
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Abstract

Introduction: There is a growing body of evidence implicating gut-brain axis dysfunction in the pathophysiology of mood disorders. Accordingly, gut microbiota has become a promising target for the development of biomarkers and novel therapeutics for bipolar and depressive disorders.

Areas covered: We describe the observed changes in the gut microbiota of patients with mood disorders and discuss the available studies assessing microbiota-based strategies for their treatment.

Expert opinion: Microbiota-targeted interventions, such as symbiotics, prebiotics, paraprobiotics, and fecal microbiota transplants seem to attenuate the severity of depressive symptoms. The available results must be seen as preliminary and need to be replicated and/or confirmed in larger and independent studies, also considering the pathophysiological and clinical heterogeneity of mood disorders.

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微生物-肠-脑轴在情绪障碍病理生理中的作用及其治疗意义。
越来越多的证据表明,肠-脑轴功能障碍与情绪障碍的病理生理有关。因此,肠道微生物群已成为开发双相情感障碍和抑郁症生物标志物和新疗法的有希望的目标。涵盖领域:我们描述了观察到的情绪障碍患者肠道微生物群的变化,并讨论了评估基于微生物群的治疗策略的现有研究。专家意见:以微生物群为目标的干预措施,如共生菌、益生元、副益生菌和粪便微生物群移植似乎可以减轻抑郁症状的严重程度。现有的结果必须被视为初步的,需要在更大规模和独立的研究中重复和/或证实,同时考虑到情绪障碍的病理生理和临床异质性。
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来源期刊
Expert Review of Neurotherapeutics
Expert Review of Neurotherapeutics Medicine-Neurology (clinical)
CiteScore
7.00
自引率
2.30%
发文量
61
审稿时长
4-8 weeks
期刊介绍: Expert Review of Neurotherapeutics (ISSN 1473-7175) provides expert reviews on the use of drugs and medicines in clinical neurology and neuropsychiatry. Coverage includes disease management, new medicines and drugs in neurology, therapeutic indications, diagnostics, medical treatment guidelines and neurological diseases such as stroke, epilepsy, Alzheimer''s and Parkinson''s. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points
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