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Gut microbiota and its implications for psychiatry

Published online by Cambridge University Press:  13 August 2021

A. Matas Ochoa*
Affiliation:
Psychiatry, Hospital Universitario Infanta Leonor, Madrid, Spain
A. Rodriguez Quiroga
Affiliation:
Psychiatry, Hospital Universitario Infanta Leonor, Madrid, Spain
R. Martinez De Velasco
Affiliation:
Psychiatry, Hospital Universitario Infanta Leonor, Madrid, Spain
P. Nava Garcia
Affiliation:
Psychiatry, Hospital Universitario Infanta Leonor, Madrid, Spain
C. Banzo Arguis
Affiliation:
Psychiatry, Hospital Universitario Infanta Leonor, Madrid, Spain
I. Moreno Alonso
Affiliation:
Psychiatry, Hospital Universitario Infanta Leonor, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

In recent years there has been increasing interest in knowing the function of the microbiota, especially its role in the gut-brain axis. The microbiota is the set of millions of microorganisms that coexist in a symbiotic way in our body and are located in the digestive tract mainly. Numerous evidences show that the microbiota could modulate the information directed to the brain and therefore the pathogenic basis of numerous psychiatric and neurological disorders.

Objectives

A better understanding of the microbiota and its interaction with the brain and mental health.

Methods

Review of recent literature about the implications of the gut microbiota in psychiatry.

Results

The connection between the microbiota and the central nervous system (gut-brain axis) occurs through the vagus nerve, the systemic pathway (through the release of hormones, metabolites and neurotransmitters) and the immune system (through the action of cytokines). Changes in the microbiota are associated not only with gastrointestinal diseases, but also with disorders such as depression, anxiety, autism, anorexia, attention deficit and hyperactivity, Alzheimer’s disease and Parkinson’s disease. As some research indicates, changes in diet and composition of the microbiota can reduce the risk of suffering these diseases or reduce their symptoms. Other therapeutic alternatives postulated are the use of probiotics or fecal microbiota transplantation.

Conclusions

Despite growing interest in the microbiota in the last few years, little is known about the mechanisms underlying this communication. More research is expected to contribute to the design of strategies that modulate the gut microbiota and its functions in order to improve mental health.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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