Evidence map›Paper›PMID 41971333›Full record

ReviewFrontiers in microbiology2026

Brain-gut-microbiota axis: a review on the bidirectional regulatory mechanisms between gut microbiota and brain and their disease interactions.

Hui Shen, Si Yun Wang, Yan Yan Zhao, Jia Lin Zhou, Jie Zhao, Wei Kai Zhu

Erratum issuedAbstract readReview
In one paragraph

Review in Frontiers in microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. The Gut-Vagina Axis.Microorganisms · 2026
    Review
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Hui Shen *National-Local Joint Engineering Research Center for Drug Research and Development of Neurodegenerative Diseases, Dalian Medical University, Dalian, Liaoning, China.
Si Yun Wang *Traditional Chinese Medicine Department, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Yan Yan Zhao *Traditional Chinese Medicine Department, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Jia Lin ZhouTraditional Chinese Medicine Department, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Jie ZhaoNational-Local Joint Engineering Research Center for Drug Research and Development of Neurodegenerative Diseases, Dalian Medical University, Dalian, Liaoning, China.
Wei Kai Zhu *Traditional Chinese Medicine Department, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To synthesize current evidence on the bidirectional regulatory mechanisms of the Brain-Gut-Microbiota Axis (BGMA), its perturbation by external factors, and its clinical implications for neurodegenerative, psychiatric, metabolic, and gastrointestinal disorders. Design: Narrative review integrating preclinical and clinical evidence. Data sources: PubMed/Medline, EMBASE, Cochrane Library searches (2000-2023) using keywords: "brain-gut-axis," "microbiota," "dysbiosis," "neuroinflammation," "SCFAs," "neurodegeneration," "psychobiotics." Results: Diet, stress, antibiotics, and environment significantly alter gut microbiota composition (e.g., reducing diversity, shifting Firmicutes/Bacteroidetes (F/B) ratio). Dysbiosis disrupts BGMA communication via: (1) Neural pathways (vagus nerve modulation); (2) Immune activation (cytokine release, neuroinflammation); (3) Microbial metabolites (SCFAs, tryptophan derivatives, TMAO). These disruptions are associated with Alzheimer's disease (reduced Conclusion: The BGMA is a critical mediator of systemic health. Dysbiosis contributes to disease pathogenesis through defined neural, immune, and metabolic pathways. Targeting the microbiota offers novel therapeutic strategies. Future research must prioritize translational studies validating microbial biomarkers and interventions in human cohorts.

Indexed as

brain-gut-microbiota axisgut microbiotaimmune activationmicrobial metabolitesneural pathways

Identifiers

PMID41971333
PMCPMC13066244

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.