The gut-brain axis in irritable bowel syndrome and inflammatory bowel disease

Angela Ancona1, Claudia Petito2, Irene Iavarone1

  • 1Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Dipartimento di Scienze Mediche e Chirurgiche, 00168 Roma, Italia.

Insights

The gut microbiome influences brain health, impacting mood disorders like anxiety and depression, especially in early life. Modulating gut bacteria may offer new treatments for central nervous system conditions.

Area of Science:

  • Neurogastroenterology
  • Microbiome research
  • Psychiatry

Background:

  • Emerging evidence highlights the gut-brain axis, a communication pathway between gut microbiota and the central nervous system (CNS).
  • Early-life gut microbiome development is critical for immune function and can influence psychometric alterations, particularly in genetically susceptible individuals.
  • Gastrointestinal (GI) disorders are increasingly linked to mental health conditions.

Purpose of the Study:

  • To review the relationship between specific gut microbial genera and gastrointestinal disorders.
  • To explore the connection between gut microbiota, anxiety, and depression.
  • To examine the impact of therapeutic strategies for mood disorders on the gut microbiome.

Main Methods:

  • Literature review of studies investigating the gut-brain axis.
  • Analysis of research on microbial genera associated with GI disorders, anxiety, and depression.
  • Examination of therapeutic interventions for mood disorders and their effects on gut microbiota composition.

Main Results:

  • Specific microbial genera are associated with both GI disorders and mood disorders like anxiety and depression.
  • Gut microbiota composition is altered in individuals with anxiety and depression.
  • Therapeutic strategies for mood disorders can influence gut microbiota, suggesting a potential for microbiome-targeted treatments.

Conclusions:

  • The gut microbiome plays a significant role in the gut-brain axis and central nervous system (CNS) disorders.
  • Modulating the gut microbiota presents a promising therapeutic avenue for treating anxiety, depression, and other mood disorders.
  • Early-life interventions targeting the gut microbiome may prevent or mitigate psychometric alterations.

Related Concept Videos

Irritable Bowel Syndrome I: Introduction01:17

Irritable Bowel Syndrome I: Introduction

Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
726
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
641
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
546
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
634
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
680
Irritable Bowel Syndrome III: Medical and Nursing Management01:30

Irritable Bowel Syndrome III: Medical and Nursing Management

Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
518