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肠道-脑轴对焦虑和抑郁的影响:关于益生菌应用的文献综述

The influence of the gut-brain axis on anxiety and depression: A review of the literature on the use of probiotics.

作者信息

Ferrari Sara, Mulè Simone, Parini Francesca, Galla Rebecca, Ruga Sara, Rosso Giorgia, Brovero Arianna, Molinari Claudio, Uberti Francesca

机构信息

Laboratory of Physiology, Department of Translational Medicine, University of Piemonte Orientale, Via So-laroli 17, 28100, Novara, Italy.

Noivita srls, spin Off, University of Piemonte Orientale, Via Solaroli 17, 28100, Novara, Italy.

出版信息

J Tradit Complement Med. 2024 Mar 21;14(3):237-255. doi: 10.1016/j.jtcme.2024.03.011. eCollection 2024 May.


DOI:10.1016/j.jtcme.2024.03.011
PMID:38707924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11069002/
Abstract

This review aims to argue how using probiotics can improve anxiety and depressive behaviour without adverse effects, also exploring the impact of postbiotics on it. Specifically, probiotics have drawn more attention as effective alternative treatments, considering the rising cost of antidepressant and anti-anxiety drugs and the high risk of side effects. Depression and anxiety disorders are among the most common mental illnesses in the world's population, characterised by low mood, poor general interest, and cognitive or motor dysfunction. Thus, this study analysed published literature on anxiety, depression, and probiotic supplementation from PubMed and Scopus, focusing on the last twenty years. This study focused on the effect of probiotics on mental health as they have drawn more attention because of their extensive clinical applications and positive impact on various diseases. Numerous studies have demonstrated how the gut microbiota might be critical for mood regulation and how probiotics can affect host health by regulating the gut-brain axis. By comparing the different works analysed, it was possible to identify a strategy by which they are selected and employed and, at the same time, to assess how the effect of probiotics can be optimised using postbiotics, an innovation to improve mental well-being in humans.

摘要

本综述旨在论证使用益生菌如何能够改善焦虑和抑郁行为且无不良影响,同时探讨后生元对其的影响。具体而言,考虑到抗抑郁药和抗焦虑药成本不断上升以及副作用风险高,益生菌作为有效的替代疗法已引起更多关注。抑郁症和焦虑症是世界人口中最常见的精神疾病之一,其特征为情绪低落、普遍兴趣缺乏以及认知或运动功能障碍。因此,本研究分析了来自PubMed和Scopus的关于焦虑、抑郁和补充益生菌的已发表文献,重点关注过去二十年。本研究聚焦于益生菌对心理健康的影响,因为它们因其广泛的临床应用和对各种疾病的积极影响而受到更多关注。众多研究已经证明肠道微生物群对情绪调节可能至关重要,以及益生菌如何通过调节肠脑轴影响宿主健康。通过比较所分析的不同研究,可以确定选择和使用它们的策略,同时评估如何使用后生元优化益生菌的效果,这是一种改善人类心理健康的创新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/8af535ba967a/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/6ef3aea241bb/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/2b446099c3cf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/5774cd809a3d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/8743539583fe/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/3693431a72ed/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/dfe82565a238/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/aefa5409549d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/8af535ba967a/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/6ef3aea241bb/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/2b446099c3cf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/5774cd809a3d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/8743539583fe/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/3693431a72ed/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/dfe82565a238/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/aefa5409549d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e81/11069002/8af535ba967a/gr7.jpg

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The influence of the gut-brain axis on anxiety and depression: A review of the literature on the use of probiotics.

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引用本文的文献

[1]
Gut-Brain Axis in Mood Disorders: A Narrative Review of Neurobiological Insights and Probiotic Interventions.

Biomedicines. 2025-7-26

[2]
Postbiotics as a Therapeutic Tool in Depression: Exploring into Molecular Pathways and Neuroprotective Effects.

Probiotics Antimicrob Proteins. 2025-8-13

[3]
Innovative Interventions: Postbiotics and Psychobiotics in Neurodegenerative Disease Treatment.

Probiotics Antimicrob Proteins. 2025-6-27

[4]
Modulating oral microbiota ameliorates hypobaric hypoxia-induced anxiety- and depression-like behaviors in mice.

World J Psychiatry. 2025-6-19

[5]
Anxiety in Portugal: Associated Factors in Adult Population from 2011 to 2021.

J Clin Med. 2025-6-10

[6]
Assessment of Biological and Functional Properties of Potential Probiotic Strains Isolated from Commercial and Dairy Sources.

Microorganisms. 2025-4-24

[7]
Recent advances in therapeutic probiotics: insights from human trials.

Clin Microbiol Rev. 2025-6-12

[8]
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Microorganisms. 2025-2-26

[9]
Prebiotics as an adjunct therapy for posttraumatic stress disorder: a pilot randomized controlled trial.

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[10]
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Probiotics Antimicrob Proteins. 2025-1-14

本文引用的文献

[1]
The contribution of age-related changes in the gut-brain axis to neurological disorders.

Gut Microbes. 2024

[2]
Clinical research with probiotics as an indicator of global valorization since the year 2000.

Front Microbiol. 2023-12-14

[3]
Microbiota-Dependent Upregulation of Bitter Taste Receptor Subtypes in the Mouse Large Intestine in High-Fat Diet-Induced Obesity.

Nutrients. 2023-9-25

[4]
Mitochondria and Brain Disease: A Comprehensive Review of Pathological Mechanisms and Therapeutic Opportunities.

Biomedicines. 2023-9-7

[5]
Mood Disorders: The Gut Bacteriome and Beyond.

Biol Psychiatry. 2024-2-15

[6]
Deciphering psychobiotics' mechanism of action: bacterial extracellular vesicles in the spotlight.

Front Microbiol. 2023-6-15

[7]
: a probiotic for the prevention and treatment of depression.

Front Microbiol. 2023-5-10

[8]
Gut Microbiome-Brain Alliance: A Landscape View into Mental and Gastrointestinal Health and Disorders.

ACS Chem Neurosci. 2023-5-17

[9]
Probiotics for the treatment of depression and its comorbidities: A systemic review.

Front Cell Infect Microbiol. 2023

[10]
Irritable Bowel Syndrome and the Gut Microbiome: A Comprehensive Review.

J Clin Med. 2023-3-28

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