Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Department of Vascular Neurosurgery, National Institute of Neurology and Neurovascular Diseases, 077160 Bucharest, Romania.
Int J Mol Sci. 2024 Mar 15;25(6):3340. doi: 10.3390/ijms25063340.
Psychiatric disorders represent a primary source of disability worldwide, manifesting as disturbances in individuals' cognitive processes, emotional regulation, and behavioral patterns. In the quest to discover novel therapies and expand the boundaries of neuropharmacology, studies from the field have highlighted the gut microbiota's role in modulating these disorders. These alterations may influence the brain's processes through the brain-gut axis, a multifaceted bidirectional system that establishes a connection between the enteric and central nervous systems. Thus, probiotic and prebiotic supplements that are meant to influence overall gut health may play an insightful role in alleviating psychiatric symptoms, such as the cognitive templates of major depressive disorder, anxiety, or schizophrenia. Moreover, the administration of psychotropic drugs has been revealed to induce specific changes in a microbiome's diversity, suggesting their potential utility in combating bacterial infections. This review emphasizes the intricate correlations between psychiatric disorders and the gut microbiota, mentioning the promising approaches in regard to the modulation of probiotic and prebiotic treatments, as well as the antimicrobial effects of psychotropic medication.
精神障碍是全球范围内导致残疾的主要原因之一,其表现为个体认知过程、情绪调节和行为模式的紊乱。在寻求新的治疗方法和拓展神经药理学边界的过程中,该领域的研究强调了肠道微生物群在调节这些障碍方面的作用。这些变化可能通过脑-肠轴影响大脑的过程,脑-肠轴是一个多方面的双向系统,它在肠和中枢神经系统之间建立了联系。因此,旨在影响整体肠道健康的益生菌和益生元补充剂可能在缓解精神症状方面发挥重要作用,例如重度抑郁症、焦虑症或精神分裂症的认知模式。此外,精神药物的使用已被证明会导致微生物组多样性的特定变化,这表明它们在对抗细菌感染方面具有潜在的应用价值。这篇综述强调了精神障碍与肠道微生物群之间的复杂关联,提到了在调节益生菌和益生元治疗以及精神药物的抗菌作用方面有希望的方法。