Abstract
Objective: To analyze the impact of intestinal dysbiosis on the relationship between the microbiota and psychiatric disorders, focusing on anxiety and depression, and investigating the mechanisms by which the gut-brain axis influences these conditions. Literature review: Intestinal dysbiosis, characterized by alterations in the microbiota composition, has been associated with psychiatric disorders such as depression and anxiety. The gut-brain axis, a bidirectional communication pathway, regulates emotional and cognitive functions, mediated by microbial metabolites, neurotransmitters, and inflammatory signals. Changes in the microbiota, such as a reduction in short-chain fatty acid-producing bacteria and an increase in pro-inflammatory taxa, impact stress modulation and neural plasticity, directly influencing the expression of psychiatric symptoms. Final considerations: Intestinal dysbiosis significantly affects the pathophysiology of anxiety and depression, with the gut-brain axis playing a crucial role in regulating emotional behavior. Microbial imbalance promotes neuroinflammation, oxidative stress, and reduced neuroplasticity, which are essential factors in the development of psychiatric disorders. Therapeutic strategies such as the use of probiotics or prebiotics may hold promise in treating these conditions by restoring microbial balance and modulating emotional responses.
References
BRAVO JA, et al. Ingestion of Lactobacillus strain regulates emotional behavior and central GABA receptor expression via the vagus nerve. Proceedings of the National Academy of Sciences of the United States of America, 2011; 108: 16050–16055.
BORREGO-RUIZ A. BORREGO JJ. An updated overview on the relationship between human gut microbiome dysbiosis and psychiatric and psychological disorders. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 2024; 128: 110861.
BUTLER MI, et al. The gut microbiome in social anxiety disorder: evidence of altered composition and function. Translational Psychiatry, 2023; 13: 95.
CRYAN JF, et al. 2019. The microbiota-gut-brain axis. Physiological Reviews, Bethesda, v. 99, n. 4, p. 1877–2013.
CRYAN JF, 2012. Mind-altering microorganisms: the impact of the gut microbiota on brain and behaviour. Nature Reviews Neuroscience, v. 13, p. 701–712.
DANTZER R, et al, 2008. From inflammation to sickness and depression: when the immune system subjugates the brain. Nature Reviews Neuroscience, v. 9, p. 46–56.
DEL VALLE CG, et al, 2023. Association between gut microbiota and psychiatric disorders: a systematic review. Frontiers in Psychology, Lausanne, v. 14, e1215674.
DINAN TG, CRYAN JF. Gut microbiota: a missing link in psychiatry. World Psychiatry, v. 19, n. 1, p. 111–112, 2020.
FOSTER JA, et al, 2013. Gut–brain axis: how the microbiome influences anxiety and depression. Trends in Neurosciences, v. 36, p. 305–312.
HESAMI Z, et al. 2025. The oro- and nasopharyngeal microbiota as a revolutionary perspective on mental disorders and related psychopathology: a systematic review and meta-analysis. Journal of Translational Medicine, London, v. 23, n. 726.
KOBAYASHI Y, et al. 2019. The role of the gut microbiome in neuropsychiatric disorders. Frontiers in Neuroscience, v. 13, p. 643.
LU Y, et al. 2021. The role of gut microbiota in the pathogenesis of psychiatric disorders. Frontiers in Psychology, v. 12, p. 778073.
MAYER EA, et al. 2015. Gut/brain axis and the microbiota. Journal of Clinical Investigation, v. 125, p. 926–938.
MAHMOOD T, et al. 2021. Gut microbiota and neuroinflammation in depression: a systematic review. Frontiers in Psychiatry, v. 12, p. 773108.
MCGUINNESS AJ, et al. A systematic review of gut microbiota composition in observational studies of major depressive disorder, bipolar disorder and schizophrenia. Molecular Psychiatry, Basingstoke, 2022; 27(4): 1920-1935.
MILLER AH, et al. The role of inflammation in depression: from evolutionary imperative to modern treatment target. Nature Reviews Immunology, 2016; 16: 22–34.
O’MAHONY SM, et al. The microbiome and childhood diseases: focus on brain–gut axis. Behavioural Brain Research, 2015; 277: 4–15.
SANADA K, et al. Gut microbiota and major depressive disorder: a systematic review and meta-analysis. Journal of Affective Disorders, 2020; 266: 1–13.
SHARMA S, et al. Mechanistic insights into the link between gut dysbiosis and major depression: an extensive review. Cells, 2022; 11(8): 1362.
VAN DER WOUDE M, et al. Gut microbiota as a potential therapeutic target for depression. Frontiers in Psychiatry, 2020; 11: 580287.
