Verosky Branden G, Bailey Michael T, Gur Tamar L
Medical Scientist Training Program, College of Medicine, The Ohio State University, Columbus, Ohio, USA.
Department of Neuroscience, College of Medicine, The Ohio State University, Columbus, Ohio, USA.
Neuroimmunomodulation. 2025;32(1):139-149. doi: 10.1159/000545484. Epub 2025 May 12.
The gut microbiota is increasingly recognized as a critical regulator of brain function, influencing neurodevelopment, brain physiology, and disease vulnerability in part through its interactions with microglia, the resident immune cells of the central nervous system. Microbial metabolites, beginning prenatally and persisting throughout the lifespan, modulate fundamental aspects of microglial biology.
Microglia from germ-free mice exhibit persistent immaturity, altered energy metabolism, and blunted inflammatory responses, which can be partially reversed by microbial colonization or supplementation with specific bacterial metabolites. Short-chain fatty acids, tryptophan-derived indoles, and secondary bile acids have emerged as key microbial mediators that regulate microglial development, metabolism, and immune function, whereas certain inflammatory metabolites, such as trimethylamine
These findings reveal distinct metabolite-driven pathways linking microbial composition to microglial phenotypes, positioning the microbiome as a potential key influencer of neurodevelopmental trajectories and the pathophysiology of psychiatric and neurological disorders. Despite recent advances, major knowledge gaps persist in understanding the precise molecular intermediaries and mechanisms through which metabolite signaling to microglia shapes susceptibility or resilience to brain-based disorders. Understanding both the bacterial metabolomic landscape and its collective impact on microglial programming holds substantial therapeutic promise, offering avenues to target microbial metabolite production or administer them directly to modulate disease susceptibility.
肠道微生物群越来越被认为是脑功能的关键调节因子,部分通过与小胶质细胞(中枢神经系统的常驻免疫细胞)相互作用,影响神经发育、脑生理学和疾病易感性。微生物代谢产物从产前开始并贯穿整个生命周期,调节小胶质细胞生物学的基本方面。
无菌小鼠的小胶质细胞表现出持续不成熟、能量代谢改变和炎症反应减弱,通过微生物定植或补充特定细菌代谢产物可部分逆转这些情况。短链脂肪酸、色氨酸衍生的吲哚和次级胆汁酸已成为调节小胶质细胞发育、代谢和免疫功能的关键微生物介质,而某些炎症代谢产物,如氧化三甲胺,会破坏小胶质细胞的稳态,并加重神经退行性变。
这些发现揭示了将微生物组成与小胶质细胞表型联系起来的独特代谢产物驱动途径,将微生物群定位为神经发育轨迹以及精神和神经疾病病理生理学的潜在关键影响因素。尽管最近取得了进展,但在理解代谢产物向小胶质细胞发出信号从而塑造对脑部疾病的易感性或恢复力的确切分子中介和机制方面,仍然存在重大知识空白。了解细菌代谢组格局及其对小胶质细胞编程的集体影响具有巨大的治疗前景,为靶向微生物代谢产物生产或直接施用它们以调节疾病易感性提供了途径。