APC Microbiome Ireland, Cork, Ireland.
Deakin University, iMPACT - the Institute for Mental and Physical Health and Clinical Translation, Food & Mood Centre, School of Medicine, Barwon Health, Geelong, VIC,Australia.
Adv Nutr. 2021 Jul 30;12(4):1239-1285. doi: 10.1093/advances/nmaa181.
Over the past decade, the gut microbiota has emerged as a key component in regulating brain processes and behavior. Diet is one of the major factors involved in shaping the gut microbiota composition across the lifespan. However, whether and how diet can affect the brain via its effects on the microbiota is only now beginning to receive attention. Several mechanisms for gut-to-brain communication have been identified, including microbial metabolites, immune, neuronal, and metabolic pathways, some of which could be prone to dietary modulation. Animal studies investigating the potential of nutritional interventions on the microbiota-gut-brain axis have led to advancements in our understanding of the role of diet in this bidirectional communication. In this review, we summarize the current state of the literature triangulating diet, microbiota, and host behavior/brain processes and discuss potential underlying mechanisms. Additionally, determinants of the responsiveness to a dietary intervention and evidence for the microbiota as an underlying modulator of the effect of diet on brain health are outlined. In particular, we emphasize the understudied use of whole-dietary approaches in this endeavor and the need for greater evidence from clinical populations. While promising results are reported, additional data, specifically from clinical cohorts, are required to provide evidence-based recommendations for the development of microbiota-targeted, whole-dietary strategies to improve brain and mental health.
在过去的十年中,肠道微生物群已成为调节大脑过程和行为的关键组成部分。饮食是影响整个生命周期中肠道微生物群组成的主要因素之一。然而,饮食是否以及如何通过其对微生物群的影响来影响大脑,现在才开始受到关注。已经确定了几种肠道到大脑的通讯机制,包括微生物代谢物、免疫、神经元和代谢途径,其中一些途径可能容易受到饮食的调节。研究营养干预对微生物群-肠道-大脑轴潜在影响的动物研究,促进了我们对饮食在这种双向通讯中的作用的理解。在这篇综述中,我们总结了饮食、微生物群和宿主行为/大脑过程相互关联的文献现状,并讨论了潜在的潜在机制。此外,还概述了对饮食干预的反应性的决定因素,以及微生物群作为饮食对大脑健康影响的潜在调节因子的证据。特别是,我们强调在这方面使用全饮食方法的研究不足,需要从临床人群中获得更多证据。虽然报告了有希望的结果,但需要更多的数据,特别是来自临床队列的数据,为开发针对微生物群的、全饮食策略以改善大脑和心理健康提供基于证据的建议。
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