School of Life Sciences, Fudan University, Shanghai, 200438, China.
Faculty of Ecology and Environment, Hainan University, Danzhou, 571700, Hainan, China.
Arch Microbiol. 2024 Mar 10;206(4):146. doi: 10.1007/s00203-024-03866-z.
Depression is a prevalent mental illness, affecting a significant portion of the global population. Recent research has highlighted the crucial role of the gut microbiota in both metabolic and central nervous health. By reviewing literature from various databases, including Pubmed, Science Direct, Web of Science, and Scopus, spanning the years 2005-2023, a comprehensive search was conducted using keywords such as "Depression" and "Gut Microbiota". The gut microbiota acts as a "second brain" in humans and can communicate bidirectionally with the brain through the Brain-gut-microbiota axis pathway. This communication involves the immune and nervous systems. However, there are challenges in detecting and treating depression effectively. To address these limitations, researchers have been exploring the relationship between gut microbiota and depression. Studies have shown that gut microbial metabolites, such as lipopolysaccharides and short-chain fatty acids, can induce pro-inflammatory cytokines that contribute to neuroinflammation and increase the risk of depression. The kynurenine pathway, triggered by gut microbial metabolites, has also been associated with neuroinflammation. Thus, investigating these microbial metabolites can provide insights into depression treatment. This review focuses on analyzing the connection between gut microbial metabolites, inflammation, and depression. It explores novel mechanisms contributing to depression, specifically focusing on the mediation of inflammation through the release of pro-inflammatory cytokines. The objective is to provide valuable insights into the mechanisms underlying depression and to propose potential treatments.
抑郁症是一种普遍的精神疾病,影响着全球很大一部分人口。最近的研究强调了肠道微生物群在代谢和中枢神经系统健康方面的关键作用。通过对 2005 年至 2023 年期间来自 Pubmed、Science Direct、Web of Science 和 Scopus 等多个数据库的文献进行综述,使用“抑郁症”和“肠道微生物群”等关键词进行了全面搜索。肠道微生物群在人类中充当着“第二大脑”的角色,通过脑-肠-微生物群轴途径与大脑进行双向交流。这种交流涉及免疫系统和神经系统。然而,有效检测和治疗抑郁症仍然面临挑战。为了解决这些局限性,研究人员一直在探索肠道微生物群与抑郁症之间的关系。研究表明,肠道微生物代谢物,如脂多糖和短链脂肪酸,可以诱导促炎细胞因子,导致神经炎症,增加患抑郁症的风险。肠道微生物代谢物触发的犬尿氨酸途径也与神经炎症有关。因此,研究这些微生物代谢物可以为抑郁症治疗提供新的思路。本综述重点分析了肠道微生物代谢物、炎症与抑郁症之间的联系。它探讨了导致抑郁症的新机制,特别是通过释放促炎细胞因子介导炎症的机制。目的是深入了解抑郁症的发病机制,并提出潜在的治疗方法。
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